Evaluation of a prenatal screening procedure for β-thalassaemia carriers in a chinese populationbased on the mean corpuscular volume (MCV)

Haemoglobin A₂ (HbA₂) levels were determined on 25 β-thalassaemia carriers by the microcolumn method and were found to range from 4.5–7.2 per cent (mean 5.2±0.82 S.D.). The haemoglobin level (Hb), mean corpuscular volume (MCV), plasma ferritin and HbA₂ levels were measured on a further 299 cconsecutive Chinese pregnant women at a gestation of less than 24 weeks. 18 patients (6 per cent) had HbA₂ level greater than 4.5 per cent and were diagnosed to be β-thalassaemic carriers. It was observed that all these patients had a MCV below 75 fl. If this level is selected in a screening procedure based on measurement of MCV alone all β-thalassaemia carriers could be detected and 11 per cent of the population screened would require HbA₂ estimation. At a lower cut-off level of 70 fl, 8 per cent of the population screened wouid require HbA₂ measurement (a decrease of 27 per cent) but the detection rate will be lowered considerably (83 per cent). The high false positive rate at all cut-off levels of MCV was largely due to the prevalence of iron deficiency anaemia in the population. Estimation of plasma ferritin level in patients with low MCV will reduce this false positive rate, but there will be a considerable delay in diagnosis in patients with concomitant iron deficiency and β-thalassaemia. The presence of iron deficiency in β-thalassaemia carriers did not reduce their HbA₂ level below the diagnostic range in this study. Measurement of Hb level did not appear to be useful as a screening method since one third of the β-thalassaemia carriers had a Hb level over 11 g/dl. The validity of the MCV cut-off levels derived from the first part of the study was assessed in screening a larger population. 61 β-thalassaemia carriers (6 per cent) were detected out of 1166 patients screened. This incidence was not significantly different from the first part of the study. All these 61 patients had a MCV less than 75 ml. It was concluded that a two-step screening policy, based on MCV measurement followed by HbA₂ estimation when the MCV value is less than 75 fl, is suitable for our population. It is efficient, straight forward with excellent sensitivity and required less time and effort for both laboratory staff and clinicians.     

曲霉HD_1的分离及其对染料脱色特性的研究

曲霉ＨＤ１的分离及其对染料脱色特性的研究李孱白景华文艺辉陈怀新（湖北大学生命科学系，武汉４３００６２）李林（华中农业大学微生物系，武汉４３００７０）关键词虎红；偶氮染料；曲霉；脱色；降解．高效的染料脱色菌是解决染料对环境污染的基础和关键．虽然已有许...     

Ultrasound evaluation of pregnancies at risk for homozygous α-thalassaemia-1

Twenty-six pregnant Chinese women who were at risk of giving birth to a fetus affected with homozygous α-thalassaemia-1 were examined serially by ultrasound. Six of these 26 pregnancies were affected. In one third of the affected pregnancies progressive fetal ascites appeared before 24 weeks gestation and these pregnancies were terminated. In the remaining two thirds abnormal estimated fetal weight-placental volume (EFW-PV) ratio and fetal growth retardation as evidenced by a falling biparietal diameter (BPD), femur length (FL) but a normal abdominal circumference (AC) was apparent by 28 weeks gestation. Increased transverse cardiac (TC) diameter was another consistent finding but appeared late. All these features appeared before the onset of fetal ascites. A normal EFW-PV ratio and fetal growth until 28 weeks gestation was a reassuring sign of normality. Abnormal EFW-PV ratio was the earliest sign to appear in affected pregnancies and a normal ratio until 28 weeks gestation had a 100 per cent predictive value.     

Relationship between road traffic noisescape and urban form in Hong Kong

This paper reports on a study which explored the possible relationship between road traffic noisescape and urban form in Hong Kong. A total of 212 residential complexes from 11 contrasting urban forms were sampled, and their noise levels assessed both at dwelling and neighbourhood scales by noise mapping. Its findings indicate that residential complexes with different urban forms have significantly different noisescape attributes. There is a strong correlation between the noise characteristics and morphological indicators at the dwelling scale. A less obstreperous noisescape is associated with urban forms with lower road and building densities, and with building arrangements which provide self-noise screening. These findings suggest that urban form is an influential determinant of the noisescape in the urban environment, and they point to the need to rethink the conventional approach to managing the urban acoustic environment.     

Variation of cholinergic biomarkers in brain regions and blood components of captive mink

Studies are increasingly using cholinergic parameters as biomarkers of early neurotoxicity, but few have characterized this system in ecologically relevant model organisms. In the present study, key neurochemicals in the cholinergic pathway were measured and analyzed from discrete parts of brain and blood from captive mink (Mustela vison). Similar to other mammals, the regional distribution of cholinergic parameters in the brain could be ranked from highest to lowest as: basal ganglia > occipital cortex > brain stem > cerebellum (F _3,192?=?172.1, p?<?0.001). Higher variation in cholinergic parameters was found in the cerebellum (coefficient of variation = 34.9%), and the least variation was measured in the brain stem (19.7%). Variation was also assessed by calculating the difference between the lowest and highest measures among individual animals: choline acetyltransferase (1.6× fold difference), cholinesterase (2.0×), muscarinic receptor levels (2.4×), acetylcholine (3.7×), nicotinic receptor levels (3.9×), and choline transporter (5.0×). In blood samples, activity and inter-individual variation of cholinesterase was highest in whole blood and lowest in plasma and serum. By using captive mink of a common genetic source, age, gender, and rearing conditions, these data help establish normal levels, ranges, and variations of cholinergic biomarkers among brain regions, blood components, and individual animals. Such information may better enable the utility of cholinergic biomarkers in environmental assessments.     

Mass communication and pro-environmental behaviour: waste recycling in Hong Kong

Treatment of domestic waste has been one of the major environmental problems in Hong Kong. The Government has a stated policy to advocate the minimization of waste disposal through the encouragement of waste reduction, re-use and recycling. The current study applies Ajzen's theory of planned behaviour to predict behavioural intention and actual behaviour of voluntary use of waste recycling receptacles. A systematic random sample of 173 household members in a public housing estate were interviewed. The results indicated that attitude was the major factor in predicting behavioural intention, followed by behavioural control and social norms. Attitude, subjective norm and perceived control together explained 44% of the variance of behavioural intention. Perception of mass media as a major source of subjective norm was first introduced and tested. Mass communication stood out as one of the major sources of influence in establishment of subjective norms. The study has the implication that more publicity messages should be put on the mass media to promote green behaviours.     

Sustainability of rice production systems: an empirical evaluation to improve policy

An evaluation is needed to monitor the progress of sustainable development (SD) in rice production systems. The purpose of this study is to provide policy inputs, examine the sustainability of rice production, and determine major policy areas. A requisite set of 12 indicators of three dimensions of SD, namely economic, was generated by employing an assemblage of top–down and bottom–up approaches. The data were gathered from farm households’ survey as well as in-depth discussion with stakeholders from the regions that represent irrigated, rain-fed lowland, rain-fed upland, flood-prone, and saline-prone rice-growing ecosystems in Bangladesh. By constructing composite indicators, the results revealed that 44 % of rice growers were economically viable, environmentally sound, and socially developed. The irrigated rice production system was found to be the most sustainable. The path analysis measured the contribution of the indicators to the index, and results highlighted that rice growers’ knowledge, skills, and social networks development, improving land productivity, and integrated nutrient management were essential for promoting sustainable rice production. However, the study findings suggest that pluralistic (i.e., government and non-government) agricultural advisory services can serve as an engine of transition to rice production sustainability in which a multi-year planning and strategy formulation are crucial besides investing in the modernization of extension services. Overall and ecosystem-specific policy implications that emerged from the findings of this study are outlined.