Congenital diaphragmatic hernia: evaluation of prenatal diagnosis in 20 European regions.

OBJECTIVE: To evaluate prenatal diagnosis of congenital diaphragmatic hernia by ultrasound in well-defined European populations. DESIGN: Data from 20 registries of congenital malformations in 12 European countries were included. The prenatal ultrasound screening programs in the countries ranged from no routine screening to three ultrasound investigations per patient being routinely performed. RESULTS: There were 187 cases with congenital diaphragmatic hernia, with an overall prenatal detection rate of 59% (110/187). There was considerable variation in prenatal detection rate between regions. There was a significant difference in the detection rate of isolated congenital diaphragmatic hernia (59/116, 51%) compared with congenital diaphragmatic hernia associated with multiple malformations, karyotype anomalies or syndromes (51/71, 72%) (P = 0.01). Termination of pregnancy was performed in 39 cases (21%) of which 14 cases were isolated congenital diaphragmatic hernia. Mean gestational age at discovery was 24.2 weeks (range, 11-38 weeks). CONCLUSIONS: The overall prenatal detection rate of congenital diaphragmatic hernia is high (59%) but varies significantly between European regions. The gestational age at discovery was greater than 24 weeks in half of the prenatally diagnosed cases.

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Lottery Action Newsletter, October 25-November 14, 2010 Vol. 17, no. 20

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The Update, April 20, 2009

The Update is a bi-weekly web newsletter published by the Iowa Department of Public Health's Bureau of Family Health. It is posted the second and fourth week of every month, and provides useful job resource information for departmental health care professionals, information on training opportunities, intradepartmental reports and meetings, and additional information pertinent to health care professionals.

Quick Reads, November 20, 2008

IDPH Quick Reads is an electronic newsletter produced by the Director’s Office at the Iowa Department of Public Health. IDPH Quick Reads are published every three to four weeks.

Estoques de carbono orgânico e de nitrogênio no solo em sistema de integração lavoura-pecuária em plantio direto, submetido a intensidades de pastejo

Sistemas de integração lavoura-pecuária têm um alto potencial de uso no sul do país, especialmente em áreas de soja sob plantio direto, com espécies de cobertura no inverno. A condução de sistemas de integração com diferentes intensidades de manejo da pastagem resultará, ao longo do tempo, em estoques de C orgânico (CO) e de N diferenciados, decorrentes do aporte diferenciado de resíduos. Este trabalho foi realizado para avaliar a evolução dos estoques de CO e de N total (NT) e em frações físicas da matéria orgânica em solo submetido a diferentes intensidades de pastejo, em plantio direto. O experimento foi iniciado em 2001, em um Latossolo Vermelho distrófico, após a colheita da soja. Os tratamentos constaram de alturas de manejo da pastagem (aveia-preta + azevém): 10, 20 e 40 cm, com bovinos jovens, e sem pastejo, seguido do cultivo de soja, em delineamento de blocos ao acaso. Amostras de solo foram retiradas no início do experimento (maio 2001), após três anos (maio de 2004) e após seis anos (maio de 2007), para a avaliação dos teores e dos estoques de CO e de NT. Intensidades de pastejo moderadas (20 e 40 cm de altura do pasto) promoveram aumento nos estoques de CO total, CO particulado, NT e N na matéria orgânica particulada no solo, semelhante ao plantio direto sem pastejo. Na alta intensidade de pastejo (10 cm), houve redução no estoque desses elementos, com degradação da qualidade da matéria orgânica.

Secure and Prepared Newsletter, May 20, 2011, Vol. 7, no. 10

A bi-weekly newsletter for those involved in the fields of homeland security and/or emergency management