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

This article examines the contemporary discourse of eco‐nationalism and its promotion of national sovereignty and belonging. I consider some of the strategies, symbols and narratives by which nationalist movements and political leaders have evoked environmental problems and particularly the global threat of climate change to justify excluding populations from ‘native’ lands, erect walls or other physical boundaries around national territories, and limit international traffic of people and goods. This promotion of nation seizes on concerns for continued collective existence, turning away from participation in global networks of culture, capital and cosmopolitanism to act as a bulwark against these networks. As such, it presents a mirror image of global nationalism: whereas the aim is still to take heed of global phenomena, these phenomena now appear as dark clouds on the horizon, from which national citizens must take cover.

This article examines the contemporary discourse of eco-nationalism and its promotion of national sovereignty and belonging. I consider some of the strategies, symbols and narratives by which nationalist movements and political leaders have evoked environmental problems and particularly the global threat of climate change to justify excluding populations from “native” lands, erect walls or other physical boundaries around national territories, and limit international traffic of people and goods. This promotion of nation seizes on concerns for continued collective existence, turning away from participation in global networks of culture, capital and cosmopolitanism to act as a bulwark against these networks. As such, it presents a mirror image of global nationalism: while the aim is still to take heed of global phenomena, these phenomena now appear as dark clouds on the horizon, from which national citizens must take cover.

The major challenge for us as communication researchers is to recognize and center climate change in the choices we make as scholars and educators, and to normalize ways of talking about climate change.