Contribution of ultrasonographic examination to the prenatal detection of trisomy 21: experience from 19 European registers.

The objective of this study was to evaluate the contribution of ultrasound scanning to the prenatal detection of trisomy 21 in a large unselected European population. Data from 19 congenital malformation registers in 11 European countries were included. The prenatal ultrasound screening programs in the countries ranged from no routine screening to three ultrasound investigations per patient. Routine serum screening was offered in four of the 11 countries and routine screening on the basis of maternal age amniocentesis in all. The results show that overall 53% of cases of trisomy 21 were detected prenatally with a range from 3% in Lithuania to 88% in Paris. Ninety-eight percent of women whose babies were diagnosed before 24 weeks gestation chose to terminate the pregnancy. Centres/countries that offer serum screening do not have a significantly higher detection rate of trisomy 21 when compared to those that offer maternal age amniocentesis and anomaly scanning only. Fifty percent of trisomy 21 cases were born to women aged 35 years or more. In conclusions, second trimester ultrasound plays an important role in the prenatal diagnosis of trisomy 21. Of those cases prenatally diagnosed, 64% of cases in women <35 years and 36% of those in women >or=35 years were detected because of an ultrasound finding. Ultrasound soft markers accounted for 84% of the scan diagnoses. There is evidence of increasing maternal age across Europe with 50% of cases of trisomy 21 born to women aged 35 years or more.

8

Cette contribution a pour objectif d'analyser le degré d'implémentation des systèmes d'indicateurs dans les établissements scolaires. Elle cherche aussi à savoir si les indicateurs retenus intègrent les préoccupations et les acquis de la recherche, et singulièrement de la recherche en économie de l'éducation, en matière de déterminants de la performance scolaire. Autrement dit, si les directions d'établissements utilisent des systèmes d'indicateurs, ces systèmes permettent-ils de suivre des variables dont la littérature a démontré ou tend à montrer l'influence sur la performance scolaire ? Autrement dit encore, y a-t-il une capitalisation des variables potentiellement explicatives de la performance scolaire dans les indicateurs utilisés pour le pilotage des établissements scolaires ?

Brief communication: Report on the impact of the 27 February 2010 earthquake (Chile, Mw 8.8) on rockfalls in the Las Cuevas valley, Argentina

Numerous rockfalls were detected in the Las Cuevas valley, Argentina, after the 27 February 2010 earthquake in Chile. Live rockfalls were observed during aftershocks of 11 March 2010. Many rockfall source areas coincide with known thrust fault and some areas presented a rockfall activity even after the tremors. Some rockfalls crossed the National Road 7 but no damages to houses or vehicles were reported. This study illustrates how the 27 February 2010 earthquake impacted on unstable slopes in a valley far from the earthquakes epicentre. It is an interesting addition to previous studies on landslides caused by earthquakes because of the high magnitude of the event and of its aftershocks.