Triplets, birthweight, and handedness

The mechanisms behind handedness formation in humans are still poorly understood. Very low birthweight is associated with higher odds of left-handedness, but whether this is due to low birthweight itself or premature birth is unknown. Handedness has also been linked to development, but the role of birthweight behind this association is unclear. Knowing that birthweight is lower in multiple births, triplets being about 1.5 kg lighter in comparison with singletons, and that multiples have a higher prevalence of left-handedness than singletons, we studied the association between birthweight and handedness in two large samples consisting exclusively of triplets from Japan (n = 1,305) and the Netherlands (n = 947). In both samples, left-handers had significantly lower birthweight (Japanese mean = 1,599 g [95% confidence interval (CI): 1,526–1,672 g]; Dutch mean = 1,794 g [95% CI: 1,709–1,879 g]) compared with right-handers (Japanese mean = 1,727 g [95% CI: 1,699–1,755 g]; Dutch mean = 1,903 g [95% CI: 1,867–1,938 g]). Within-family and between-family analyses both suggested that left-handedness is associated with lower birthweight, also when fully controlling for gestational age. Left-handers also had significantly delayed motor development and smaller infant head circumference compared with right-handers, but these associations diluted and became nonsignificant when controlling for birthweight. Our study in triplets provides evidence for the link between low birthweight and left-handedness. Our results also suggest that developmental differences between left- and right-handers are due to a shared etiology associated with low birthweight

Gastroschisis in Finland 1993 to 2014-Increasing Prevalence, High Rates of Abortion, and Survival: A Population-Based Study

Introduction The study aims to assess the changes in prevalence and mortality of gastroschisis, and to identify associated anomalies.Materials and Methods It is a population-based nationwide study. All gastroschisis cases were identified in the Finnish Register of Congenital Malformations and the Care Register for Health Care from 1993 to 2014 including live births, stillbirths, and terminations of pregnancy due to fetal anomalies. Associated anomalies were recorded, and analyzed, and prevalence and infant mortality were calculated.Results There were 320 cases of gastroschisis; 235 (73%) live births, 16 (5%) stillbirths, and 69 (22%) terminations of pregnancy. Live birth prevalence of gastroschisis in Finland was lower than generally reported (1.73 in 10,000). However, due to relatively high rates of abortion, our total prevalence of 2.57/10,000 was similar with other reports. The most common risk factor was young maternal age. Babies with gastroschisis were born prematurely, on average on the 36th week and most are delivered by caesarean section. There was a significant increasing trend in live birth prevalence (p = 0.0018). Overall infant mortality was 7.7% (18/235), 7.2% (16/222) in simple gastroschisis and 15% (2/13) in complex gastroschisis. Associated anomalies were rare both in aborted fetuses and neonates, and there was only one case with a chromosomal abnormality.Conclusion Gastroschisis is usually an isolated anomaly with increasing birth prevalence and excellent survival rates. Regardless of the good prognosis, the abortion rates in Finland are higher than previously reported, and we hypothesize this to be due to lack of appropriate antenatal counselling.</p

Investigation of optimal parameters for finite element solution of the forward problem in magnetic field tomography based on magnetoencephalography

This paper presents an investigation of optimal parameters for finite element (FE) solution of the forward problem in magnetic field tomography (MFT) brain imaging based on magnetoencephalography (MEG). It highlights detailed analyses of the main parameters involved and evaluates their optimal values for various cases of FE model solutions (e.g., steady-state, transient, etc.). In each case, a detail study of some of the main parameters and their effects on FE solution and its accuracy are carefully tested and evaluated. These parameters include: total number and size of 3D FE elements used, number and size of elements used in surface discretisation (of both white and grey matters of the brain), number and size of elements used for approximation of current sources, number of anisotropic properties used in steady-state and transient solutions, and the time steps used in transient analyses. The optimal values of these parameters in relation to solution accuracy and mesh convergence criteria have been found and presented

Assessment of dosimetric and positioning accuracy of a magnetic resonance imaging-only solution for external beam radiotherapy of pelvic anatomy

Background and purpose: The clinical feasibility of synthetic computed tomography (sCT) images derived from magnetic resonance imaging (MRI) images for external beam radiation therapy (EBRT) planning have been studied and adopted into clinical use recently. This paper evaluates the dosimetric and positioning performance of a sCT approach for different pelvic cancers.Materials and methods: Seventy-five patients receiving EBRT at Turku University Hospital (Turku, Finland) were enrolled in the study. The sCT images were generated as part of a clinical MRI-simulation procedure. Dose calculation accuracy was assessed by comparing the sCT-based calculation with a CT-based calculation. In addition, we evaluated the patient position verification accuracy for both digitally reconstructed radiograph (DRR) and cone beam computed tomography (CBCT) -based image guidance using a subset of the cohort. Furthermore, the relevance of using continuous Hounsfield unit values was assessed.Results: The mean (standard deviation) relative dose difference in the planning target volume mean dose computed over various cancer groups was less than 0.2 (0.4)% between sCT and CT. Among all groups, the average minimum gamma-index pass-rates were better than 95% with a 2%/2mm gamma-criteria. The difference between sCT- and CT-DRR-based patient positioning was less than 0.3 (1.4) mm in all directions. The registrations of sCT to CBCT produced similar results as compared with CT to CBCT registrations.Conclusions: The use of sCT for clinical EBRT dose calculation and patient positioning in the investigated types of pelvic cancers was dosimetrically and geometrically accurate for clinical use.</p

Nitrogen and sulphur management: challenges for organic sources in temperate agricultural systems

A current global trend towards intensification or specialization of agricultural enterprises has been accompanied by increasing public awareness of associated environmental consequences. Air and water pollution from losses of nutrients, such as nitrogen (N) and sulphur (S), are a major concern. Governments have initiated extensive regulatory frameworks, including various land use policies, in an attempt to control or reduce the losses. This paper presents an overview of critical input and loss processes affecting N and S for temperate climates, and provides some background to the discussion in subsequent papers evaluating specific farming systems. Management effects on potential gaseous and leaching losses, the lack of synchrony between supply of nutrients and plant demand, and options for optimizing the efficiency of N and S use are reviewed. Integration of inorganic and organic fertilizer inputs and the equitable re-distribution of nutrients from manure are discussed. The paper concludes by highlighting a need for innovative research that is also targeted to practical approaches for reducing N and S losses, and improving the overall synchrony between supply and demand

Maternal risk factors for gastroschisis: A population‐based case–control study

BackgroundGastroschisis is an open abdominal wall defect with low mortality but significant morbidity. The prevalence has been increasing worldwide for the past decades. Several risk factors for gastroschisis have been identified, but no clear reason for increasing prevalence has been found. In our study, we aimed to assess and identify maternal risk factors for gastroschisis.MethodsIn our nationwide register‐based case–control study, we identified all gastroschisis cases in the Finnish Register of Congenital Malformations from 2004 to 2014. Information on drug prescriptions and purchases was received from Drugs and Pregnancy database. Five healthy age‐matched controls from the same geographical region were randomly selected for each case. Conditional logistic regression was used to evaluate different risk factors.ResultsOne‐hundred‐eighty‐eight cases of gastroschisis were identified and compared with 910 matched controls. Nulliparity was a significant risk factor for gastroschisis, aOR 2.00 (95% CI 1.29–3.11) whereas obesity was protective, aOR 0.35 (95% CI 0.15–0.83). Smoking appeared to increase the risk for gastroschisis, aOR 1.32 (95% CI 0.88–1.97). The mean maternal age of newborns with gastroschisis was significantly lower than average (p  ConclusionAs in previous studies, nulliparity and young maternal age were significant risk factors for gastroschisis. Maternal obesity significantly reduced the risk of gastroschisis regardless of maternal age and gestational diabetes.</p

Omphalocele in Finland from 1993 to 2014: Trends, Prevalence, Mortality, and Associated Malformations-A Population-Based Study

Introduction The aim of this study is to assess the changes in prevalence, mortality and termination pregnancy of omphalocele, and to identify associated anomalies.Materials and Methods A population-based nationwide register study. All cases with omphalocele were identified in the Finnish Register of Congenital Malformations and the Care Register for Health Care from 1993 to 2014 including live births, stillbirths, and terminations of pregnancy due to fetal anomalies. Associated anomalies were recorded and analyzed, and perinatal and infant mortality and prevalence were calculated.Results There were 600 cases with omphalocele including 229 live births, 39 stillbirths, and 332 (55%) abortions. Birth prevalence in Finland was 1.96 per 10,000 births with no consistent trend over time. However, total prevalence was much higher (4.71/10,000) because more than half of these families chose option for the termination of pregnancy. Omphalocele is often complicated with other anomalies; most commonly chromosomal abnormalities (9.3%), heart defects (6.3%), central nervous system anomalies (3.0%), gastrointestinal, and urogenital malformations (both 2.0%). Proportion of chromosomal and central nervous system abnormalities were even higher in terminated pregnancies. Overall infant mortality was 22%. Total 1-year survival rates for isolated omphalocele, cases with multiple anomalies and neonates with chromosomal defects were 80, 88, and 17%, respectively.Conclusion Omphalocele is a rare congenital anomaly, often associated with other malformations. Our data suggest that isolated cases may be more common than previously thought. In the absence of chromosomal defects, survival is reasonably good. Regardless, more than half of these pregnancies are often terminated.</p

Dynamic Operation of a Heat Exchanger in a Thermally Integrated Photovoltaic Electrolyzer

The outdoor operation of an up scaled thermally photovoltaic electrolyzer PV EC , constructed using a heat exchanger HE made of low cost materials, compared to its nonintegrated counterpart to quantify heat transfer and its effects, is studied. Thermal coupling of the PV and EC can reduce the difference between their temperatures, benefitting device performance. Such devices can produce hydrogen at rooftop installations of small to medium sized nonindustrial buildings. The devices are tested outdoors using automated real time monitoring. Under amp; 8776;880 amp; 8201;W amp; 8201;m amp; 8722;2 peak irradiance, they produced hydrogen at amp; 8776;120 and amp; 8776;110 amp; 8201;mL amp; 8201;min amp; 8722;1 rate with and without HE, respectively, corresponding to about 8.5 and 7.8 solar to hydrogen efficiencies. During about 700 amp; 8201;h of testing, the HE is beneficial at over amp; 8776;500 amp; 8201;W amp; 8201;m amp; 8722;2 due to cyclic device operation. Under lower irradiance levels, pumping previously heated electrolyte through the HE increases the PV and reduces the electrolyte temperature, reducing the device performance. The HE increases the cumulative hydrogen production amp; 8776;800 amp; 8201;L from both devices , so even relatively modest heat transfer rates can improve the PV EC operation. Improving the HE should further increase the benefits, but additional measures may be needed to maximize the hydrogen productio

Response to letter on use of functional imaging by 11C-metomidate PET for primary aldosteronism subtyping

Non peer reviewe

Host, Suppressor, and Promoter The Roles of Ni and Fe on Oxygen Evolution Reaction Activity and Stability of NiFe Alloy Thin Films in Alkaline Media

Understanding the oxygen evolution reaction OER activity and stability of the NiFe based materials is important for achieving low cost and highly efficient electrocatalysts for practical water splitting. Here, we report the roles of Ni and Fe on the OER activity and stability of metallic NiFe and pure Ni thin films in alkaline media. Our results support that Ni OH 2 NiOOH does not contribute to the OER directly, but it serves as an ideal host for Fe incorporation, which is essential for obtaining high OER activity. Furthermore, the availability of Fe in the electrolyte is found to be important and necessary for both NiFe and pure Ni thin films to maintain an enhanced OER performance, while the presence of Ni is detrimental to the OER kinetics. The impacts of Fe and Ni species present in KOH on the OER activity are consistent with the dissolution re deposition mechanism we proposed. Stability studies show that the OER activity will degrade under prolonged continuous operation. Satisfactory stability can, however, be achieved with intermittent OER operation, in which the electrocatalyst is cycled between degraded and recovered states. Accordingly, two important ranges, that is, the recovery range and the degradation range, are proposed. Compared to the intermittent OER operation, prolonged continuous OER operation i.e., in the degradation range generates a higher NiOOH content in the electrocatalyst, which is likely related to the OER deactivation. If the electrode works in the recovery range for a certain period, that is, at a sufficiently low reduction potential, where Ni3 is reduced to Ni2 , the OER activity can be maintained and even improved if Fe is also present in the electrolyt