The key argument in this book is that American environmentalism emerged alongside the tools, techniques, and expertise of American public relations (PR) and that neither environmentalism nor PR would look the way it does today without the other. We consider PR as a technology of legitimacy. This refers not only to securing legitimacy for one viewpoint over another. It is also about how PR has created a set of social and political conditions in which certain ways of thinking become available to us while others are foreclosed on. PR is a process that provides conceptual repertoires, repertoires that have influenced how we define public information and communication around environmental change

Under the banner of “data for good,” companies in the technology, finance, and retail sectors supply their proprietary datasets to development agencies, NGOs, and intergovernmental organizations to help solve an array of social problems. We focus on the activities and implications of the Data for Climate Action campaign, a set of public–private collaborations that wield user data to design innovative responses to the global climate crisis. Drawing on in-depth interviews, first-hand observations at “data for good” events, intergovernmental and international organizational reports, and media publicity, we evaluate the logic driving Data for Climate Action initiatives, examining the implications of applying commercial datasets and expertise to environmental problems. Despite the increasing adoption of Data for Climate Action paradigms in government and public sector efforts to address climate change, we argue Data for Climate Action is better seen as a strategy to legitimate extractive, profit-oriented data practices by companies than a means to achieve global goals for environmental sustainability.

Results:In Group 1 with expectant management 8 cases (47.1%) had have a favorable outcome, in 5 cases (29.4%) were spontaneous cessation of blood flow in the umbilical vessels in acardiac-twin. There were 9 patients (52.9%) with adverse outcome in Group 1 -in 3 cases (17.6%) were unpredictable demise of the pump-twin before 16 weeks, in 6 cases were progression of heart failure and polyhydramnios. The mean gestational age at delivery in Group 1 was 32.3 ± 5.4 weeks. 28 patients (Group 2) underwent fetal surgery. There were 22 pump-twin survivors (78.6%) and in 6 cases (21.4%) -adverse outcome. The mean gestational age at delivery in Group 2 was 34.5 ± 3.1 weeks. Conclusions:The loss rate of the pump-twin was significantly different between Group 1 and 2 (9 of 17 vs 6 of 22; P<0.005). In Group 2 the rate of preterm delivery before 36 weeks was significantly lower and gestational age at birth as well as birth weight were significantly higher than in Group 1. Fetal surgery offers an effective treatment option for the TRAP sequence with survival rate of 78.6%Supporting information can be found in the online version of this abstract OC13.02 Umbilical artery end-diastolic flow patterns are associated with right ventricular outflow abnormalities in Twin-twin transfusion syndrome

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