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Aims To report a systematic review of the psychometric properties of self-report instruments to identify the symptoms of anxiety in pregnancy to help clinicians and researchers select the most suitable instrument. Background Excessive anxiety in pregnancy is associated with adverse birth outcomes, developmental and behavioural problems in infants and postnatal depression. Despite recommendations for routine psychological assessment in pregnancy, the optimal methods to identify anxiety in pregnancy have not been confirmed. Design Psychometric systematic review. Data sources A systematic literature search of the multiple databases (1990-September 2014). Review methods Identification of self-report instruments to measure anxiety in pregnancy using COSMIN guidelines to assess studies reporting a psychometric evaluation of validity and reliability. Results Thirty-two studies were included. Studies took place in the UK, Australia, Belgium, Canada, Germany, Italy, Scandinavia, Spain and the Netherlands. Seventeen different instruments were identified. Measures of validity were reported in 19 papers and reliability in 16. The overall quality of the papers was rated as fair to excellent using the COSMIN checklist. Only one paper scored excellent in more than one category. Conclusion Many instruments have been adapted for use in different populations to those for which they were designed. The State Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale and the Hospital Anxiety and Depression Scale have been tested more frequently than other instruments, yet require further assessment to confirm their value for use in pregnancy. [ABSTRACT FROM AUTHOR]

• Non-fixed bed ion exchange for NOM removal is reviewed for the North Sea region. • Ion exchange treatment removed 40 to 60% of NOM, mainly humic fractions. • Ion exchange lowered the coagulant dosage and the UV/advanced oxidation energy use. • Ion exchange had low influence on fouling limitation of microfiltration membranes. • Ion exchange lowered the formation of disinfection by-products. Natural organic matter (NOM) fractions cause problems in drinking water treatment and supply. In the North Sea region, anionic ion exchange (IEX) in non-fixed bed configurations has been considered for NOM removal in drinking water treatment plants. This paper discusses several experiences of the impact of anion IEX on NOM removal and on NOM-related problems in water treatment locations of the North Sea region, considering the specific situation of the sites. The investigated parameters include the effect of anionic IEX on the removal of total NOM and specific NOM fractions, the amount of chemicals used for coagulation, the development of trans membrane pressure in microfiltration, the formation of assimilable organic carbon and the energy consumption during advanced oxidation, the removal of organics by activated carbon, and the formation of disinfection by-products. The pilot experiences at three treatment locations in Belgium, United Kingdom and the Netherlands show that anionic IEX (1) removed typically 40 to 60 percent of total NOM; (2) targeted mostly humic NOM fractions, and was not effective to remove biopolymers (3) contributed to lower coagulant doses and energy consumption in UV/advanced oxidation; (4) had limited influence on limiting the fouling of microfiltration membranes; (5) lowered the formation of disinfection by-products; and (6) it can improve biological stability. [ABSTRACT FROM AUTHOR]