Between pregnancy biological variability of first trimester markers of Down syndrome: implications for screening in subsequent pregnancies

In a group of 149 women who had undergone routine first trimester screening using fetal nuchal translucency thickness (NT) and maternal serum free β-hCG and pregnancy associated plasma protein-A (PAPP-A) in two consecutive pregnancies the within person between pregnancy biological variability of these markers has been assessed. For fetal NT there was no correlation between NT MoM in the first and second pregnancy (r=0.0800). For maternal serum free β-hCG MoM a significant correlation was observed (r=0.4174) as was also found for PAPP-A MoM (r=0.3270). The implications for such between pregnancy marker association is that women who have an increased risk of Down syndrome in their first pregnancy are 1.5–2 times more likely to repeat this event in their next pregnancy. This observation may be useful in counselling women in the first trimester screening of a subsequent pregnancy. Copyright © 2001 John Wiley & Sons, Ltd.     

Apparent relationships between anthropogenic factors and climate change indicators and POPs deposition in a lacustrine system

Climate change and anthropogenic activities are expected to impact the environmental behaviors and fates of persistent organic pollutants(POPs), however, quantitative studies on these combined factors are scarce. In this study, dichlorodiphenyltrichloroethane(DDTs), polycyclic aromatic hydrocarbons(PAHs), and polychlorinated biphenyls(PCBs)were used as examples to identify how and when those factors may be related to the deposition of POPs in the sediment of Lake Chaohu, China, using generalized additive models(GAMs). Three historical trends of DDT, PAH, and PCB deposition were delineated in a dated sediment core encompassing ～100 years of historical record: a steady state or gradually increasing stage, a rapidly increasing stage, and a declining stage. The GAM results showed that aquatic total phosphorus(TP) concentrations and regional GDP(anthropogenic factors) were dominant contributors to POP accumulation rates in the lake sediment. The fitted relationships between air temperature and sedimentary DDT and PAH concentrations were linear and negative, while a positive linear relationship was found for PCBs, suggesting that Lake Chaohu may have become a net source for DDTs and PAHs, and a sink for PCBs, under a progressively warming climate.     

First trimester maternal serum placenta growth factor (PIGF)concentrations in pregnancies with fetal trisomy 21 or trisomy 18

Placenta growth factor (PIGF), an angiogenic factor belonging to the vascular endothelial growth factor family, pregnancy-associated plasma protein A (PAPP-A) and free β-human chorionic gonadotrophin (β-hCG) were measured in maternal serum from 45 pregnancies with trisomy 21, 45 with trisomy 18 and 493 normal controls at 10–13 completed weeks of gestation. In the normal pregnancies maternal serum PIGF levels increased exponentially with gestation. The median multiple of the median (MoM) PIGF concentration in the trisomy 21 group (1.26 MoM) was significantly higher (p<0.0001) than in the control group (1.00 MoM). In the trisomy 18 group the median PIGF was lower (0.889 MoM) but this did not quite reach significance (p=0.064). The corresponding median MoM values for PAPP-A were 1.00 MoM for the controls, 0.49 MoM for trisomy 21 and 0.16 MoM for trisomy 18. The median MoM values for free β-hCG were 1.00 MoM for the controls, 2.05 MoM for trisomy 21 and 0.38 MoM for trisomy 18. In the control group there was a small but significant correlation of PIGF with free β-hCG (r=+0.1024) and PAPP-A (r=+0.2288). In the trisomy 18 group there was a significant association between PIGF and free β-hCG (r=+0.2629) but not with PAPP-A (r=+0.0038). In the trisomy 21 group there was a small but significant association with PAPP-A (r=+0.1028) but not with free β-hCG (r=+0.0339). The separation of affected and unaffected pregnancies in maternal serum PIGF is small, and therefore it is unlikely that measurement of PIGF would improve screening for these abnormalities provided by the combination of fetal nuchal translucency and maternal serum PAPP-A and free β-hCG. Copyright © 2001 John Wiley & Sons, Ltd.     

Factors affecting TCLP lead leachability from computer CPUs

The factors impacting lead leachability from computer central processing units (CPUs) during the toxicity characteristic leaching procedure (TCLP) were investigated. Several CPUs were disassembled and their component materials were decreased in size to meet the requirements of the TCLP. The impact of CPU composition was examined by leaching different combinations of the CPU components. The ferrous metal content of the mixture greatly impacted lead leaching. TCLP lead concentrations of CPUs predicted by leaching the lead-bearing printed wire boards alone were much greater than those measured when the ferrous metal of the CPU was included in the mixture. The leaching of iron and zinc from the galvanized steel components of the CPU created electrochemical conditions where lead was less soluble. Additional size reduction beyond that required by the TCLP did not result in additional lead leaching. As the volume of head space above the leaching solution increased, the concentration of lead measured increased as well.     

The legal frameworks that govern fetal surgery in the United Kingdom,European Union,and the United States

The specialty of fetal surgery or fetal intervention is one of the most exciting emerging fields of modern medicine. It is made possible by decades of major developments in antenatal imaging, obstetric anaesthesia, fetal medicine, paediatric surgery, and of course by the bold and novel practitioners willing to take new steps to advance the field. Beginning in the 1970s, it has now reached a stage of maturity where there are several established in utero procedures and countless clinical trials and studies to develop more. But what is the legal situation that fetal surgeons find themselves in? What are the rights and legal protections for the fetus and the mother, both of which are arguably the patient? This article will address this question, discussing and summarising the current legal frameworks governing fetal surgery in the jurisdictions of the United Kingdom, European Court of Human Rights, and the United States of America as well as discuss what the future may hold and how researchers and physicians in the specialty can best navigate the legal environment.     

Uptake of some selected aquatic pollutants in semipermeable membrane devices (SPMDs) and the polar organic chemical integrative sampler (POCIS)

The uptake characteristics of semipermeable membrane devices (SPMDs) and polar organic chemical integrative samplers (POCISs) were examined for mono, di and tributyltin, triphenyltin, pyrene, benzo[a]pyrene, 4-tert-butylphenol, 4-n-nonylphenol, PCBs 77 and 153, PBDE 47, lindane, triclosan and DDT. Exposure in a flow through system continued for 28 days with samplers removed every 7 days in order to study the relevant uptake kinetics. Uptake remained linear for POCISs with sampling rates (Rs) of up to 0.2 L d(-1). For SPMDs uptake varied from linear to approaching equilibrium with Rs values of up to 14 L d(-1). 7 out of 9 results for SPMDs could be explained by an empirical model (nonylphenol and lindane were exceptions). None of the four organo-tin compounds studied were detected in POCISs and only tributyltin was accumulated significantly by SPMDs. The establishment of these sampling rates allows the calculation of time weighted water concentrations for several important contaminants. Using presented methods, sampling rates and exposure conditions, theoretical detection limits for selected compounds by SPMDs were between 11-68 pg L(-1), which is well below the environment quality standard proposed for those compounds that are included in the European Water Framework Directive.     

Migration of acidic groundwater seepage from uranium-tailings impoundments, 2. Geochemical behavior of radionuclides in groundwater

In this second paper of a series on groundwater seepage from uranium tailings, the general geochemical behavior of radionuclides is described and then applied to data from the field site, Seepage Area A of the Nordic Main impoundment near Elliot Lake, Ontario. The delineation of radionuclide behavior requires (1) the calculation of total element concentration by the summation of concentrations of each element's isotopes (the isotopic concentrations are calculated from the isotopes' radioactivities), (2) the evaluation of solid-liquid interactions using total element concentrations, and (3), for particular isotopes, the evaluation of the extent to which parental geochemical behavior causes a deviation in the isotope's behavior from that of its total element. A computerized speciation program, WATRAD, is used to evaluate aqueous complexation and mineral saturation indices of radium, actinium, thorium, and uranium. Data from Seepage Area A on isotopes of these four elements plus ²¹⁰Pb show that the geochemical behavior of radionuclides can be best defined on an individual isotopic basis rather than on an elemental basis.