Expanded carrier screening: What conditions should we screen for?

Carrier screening tests reproductive couples for their risk of having children affected by serious monogenic conditions. Carrier screening has historically been offered for certain conditions in high-risk populations. However, more recent evidence has shown that offering carrier screening to all patients, regardless of their ethnicity, more effectively and equitably identifies at-risk couples. Coupled with technology that enables screening for a nearly unlimited number of conditions, this expanded carrier screening (ECS) approach is now supported by professional society guidelines. Despite recent recommendations by the American College of Medical Genetics and Genomics to screen all patients who are pregnant or considering pregnancy for 113 conditions, questions remain about what conditions should be included on a core ECS panel. Here, we briefly review the history of carrier screening and guidelines on criteria for panel design. We then suggest which of these criteria are most critical, as well as thresholds to identify which conditions meet these criteria. Based on these interpretations, we recommend a core panel of 64 conditions that would identify the vast majority of at-risk couples. Widespread adoption of a core panel such as this would result in a marked improvement in the number of patients currently receiving comprehensive carrier screening.     

Microbial diversity and dynamics during methane production from municipal solid waste

The objectives of this study were to characterize development of bacterial and archaeal populations during biodegradation of municipal solid waste (MSW) and to link specific methanogens to methane generation. Experiments were conducted in three 0.61-m-diameter by 0.90-m-tall laboratory reactors to simulate MSW bioreactor landfills. Pyrosequencing of 16S rRNA genes was used to characterize microbial communities in both leachate and solid waste. Microbial assemblages in effluent leachate were similar between reactors during peak methane generation. Specific groups within the Bacteroidetes and Thermatogae phyla were present in all samples and were particularly abundant during peak methane generation. Microbial communities were not similar in leachate and solid fractions assayed at the end of reactor operation; solid waste contained a more abundant bacterial community of cellulose-degrading organisms (e.g., Firmicutes). Specific methanogen populations were assessed using quantitative polymerase chain reaction. Methanomicrobiales, Methanosarcinaceae, and Methanobacteriales were the predominant methanogens in all reactors, with Methanomicrobiales consistently the most abundant. Methanogen growth phases coincided with accelerated methane production, and cumulative methane yield increased with increasing total methanogen abundance. The difference in methanogen populations and corresponding methane yield is attributed to different initial cellulose and hemicellulose contents of the MSW. Higher initial cellulose and hemicellulose contents supported growth of larger methanogen populations that resulted in higher methane yield.     

Sulfate-enriched water effects on a floodplain forest in Florida

Sulfate-enriched water that was discharged experimentally into a floodplain forest in Florida caused H₂S formation, and trees showed signs of stress within one year. Chloride-enriched water also caused trees to show signs of stress. Trees in this ecosystem may also be sensitive to changes in hydroperiod.     

A GIS analysis of suitability for construction aggregate recycling sites using regional transportation network and population density features

Aggregate is used in road and building construction to provide bulk, strength, support, and wear resistance. Reclaimed asphalt pavement (RAP) and reclaimed Portland cement concrete (RPCC) are abundant and available sources of recycled aggregate. In this paper, current aggregate production operations in Virginia, Maryland, and the District of Columbia are used to develop spatial association models for the recycled aggregate industry with regional transportation network and population density features.The cost of construction aggregate to the end user is strongly influenced by the cost of transporting processed aggregate from the production site to the construction site. More than 60% of operations recycling aggregate in the mid-Atlantic study area are located within 4.8 km (3 miles) of an interstate highway. Transportation corridors provide both sites of likely road construction where aggregate is used and an efficient means to move both materials and on-site processing equipment back and forth from various work sites to the recycling operations.Urban and developing areas provide a high market demand for aggregate and a ready source of construction debris that may be processed into recycled aggregate. Most aggregate recycling operators in the study area are sited in counties with population densities exceeding 77 people/km² (200 people/mile²). No aggregate recycling operations are sited in counties with less than 19 people/km² (50 people/mile²), reflecting the lack of sufficient long-term sources of construction debris to be used as an aggregate source, as well as the lack of a sufficient market demand for aggregate in most rural areas to locate a recycling operation there or justify the required investment in the equipment to process and produce recycled aggregate.Weights of evidence analyses (WofE), measuring correlation on an area-normalized basis, and weighted logistic regression (WLR), are used to model the distribution of RAP and RPCC operations relative to transportation network and population distribution data. The models can be used on a regional scale to quickly map the relative site suitability for a RAP or RPCC aggregate recycling operation in a particular area based on transportation network and population parameters. The results can be used to identify general areas to be further evaluated on a site-specific basis using more detailed marketplace information. As transportation or population features change due to planning or actual development, the models can be easily revised to reflect these changes.     

SITE Program Success: Cost Savings to Government and Increased Revenue for Technology Vendors

The Superfund Innovative Technology Evaluation (SITE) program is a program mandated by Congress through the 1986 Superfund Amendments and Reauthorization Act (SARA). The original Superfund allowed no provisions for research and development of needed remediation technologies. Problems arose when the demand for involved, complex treatment could not be met by the traditional contain, haul, and dispose process that hazardous waste handlers had become familiar with. In response to the increasing complexity of hazardous waste site remediation, SARA called for an “Alternative or Innovative Treatment Technology Research and Demonstration Program.” As a result, EPA's Office of Solid Waste and Emergency Response and the Office of Research and Development established the SITE program. This article is a historical analysis of the unique cost savings of the SITE program.     

Traditionality matters: an examination of the effectiveness of transformational leadership in the United States and Taiwan

This research examines how the effectiveness of transformational leadership may vary depending on the cultural values of an individual. We develop the logic for why the individual value of traditionality (emphasizing respect for hierarchy in relationships) moderates the relationship between six dimensions of transformational leadership and leadership effectiveness. The hypotheses are examined on leaders from Asia and North America. The results indicate support for the moderating effect of traditional values on the relationship between four dimensions of transformational leadership (appropriate role model, intellectual stimulation, high performance expectations, and articulating a vision) on leadership effectiveness. Copyright © 2005 John Wiley & Sons, Ltd.     

Metal capital sustaining a North American city: Iron and copper in New Haven, CT

A detailed inventory shows that an average resident of the City of New Haven depends on a per capita capital stock of 9200 kg/c of iron and 144 kg/c of copper in the city infrastructure, buildings, transportation systems, and equipment. Of the iron stock 28% is in items such as rail cars and ships in ocean trade not permanently within the city, and 22% is devoted to receiving and delivering oil fuel to the city and its surrounding communities. Copper is principally used in the distribution of electric power and in water piping within buildings. The city's 9200 kg/c of iron stock-in-use is less than the 13,000 kg/c national average due to New Haven's lack of heavy industry and relatively small number of large buildings. The 144 kg/c of copper stock-in-use is only 58% of the overall value for the United States, but is comparable to that in cities such as Stockholm, Sweden. Attainment of a level of iron and copper services with contemporary technology in less developed countries to the level enjoyed in New Haven would require consumption of the presently identified world copper resources.