Prenatal diagnosis of congenital head,face, and neck malformations—Is complementary fetal MRI of value?

Objectives

The aim of this study was to evaluate the role of fetal magnetic resonance imaging (MRI) as a complement to ultrasound (US) in the prenatal diagnosis of craniofacial anomalies.

Methods

A historical cohort study including all pregnant women who were referred for fetal MRI because of antenatal diagnosis of craniofacial anomalies on screening US. Prenatal diagnostic US, MRI, and postnatal diagnosis were compared for consistencies and discrepancies.

Results

Forty-five pregnant women with 73 suspected fetal craniofacial anomalies diagnosed by US underwent MRI. In 40 out of 73 anomalies (54.8%), US and MRI findings were in complete agreement with postnatal diagnoses. MRI correctly ruled out the diagnosis of 24 anomalies suspected on US and diagnosed four additional pathologies that were not demonstrated by US. Out of the 85 anomalies (suspected by imaging or confirmed postnatally), confident diagnosis could be made by MRI in 68 anomalies (80%), not diagnosed in 10 (11.8%), and over-diagnosed in seven (8.2%). By US, confident diagnosis could be made in 44 anomalies (51.8%), not diagnosed in 11 (12.9%), and over-diagnosed in 30 (35.3%).

Conclusion

MRI is valuable in the antenatal evaluation of fetal craniofacial anomalies and may be useful as an adjunct to US in the prenatal work-up of craniofacial anomalies.     

Asymmetric contests at the nest

Hatching asynchrony of nestling birds leads to weight asymmetries, which in turn affect the nestlings’ relative success when competing for feedings brought to the nest. We present a game theoretic model that predicts how weight asymmetry influences the nestlings’ energy on securing feedings, thus determining the caloric value remaining for weight gain as well as the distribution of feedings obtained. The model has a unique Evolutionary Stable Strategy (ESS) profile, in which nestlings in more asymmetric nests exhibit less aggression and hence achieve larger weight gain per feeding. The impetus for this model was data from a long-term study of Arabian babblers (Turdoides squamiceps) that showed a surprising negative correlation between the number of feedings that a nest received and the overall weight gain in the nest. This finding is, however, entirely consistent with our model—in more symmetric nests, the individuals fight more and are consequently hungrier and beg for additional food, are fed more, but still gain less weight due to the higher energetic costs of fighting. The model provides a fundamental explanation also for related findings in other species, in which chicks in asynchronous broods were found to be heavier than those from synchronous broods. In addition, it supports the sibling rivalry hypothesis by which brood asynchrony may diminish aggressive interactions among nestlings, leading to more efficient use of resources.     

Preparedness for anthrax attack: the effect of knowledge on the willingness to treat patients

Little is known about the factors that may impact on the willingness of physicians and nurses to treat patients during a bioterrorism attack. This survey was conducted among 76 randomly selected nurses and physicians in the emergency rooms of three public hospitals in order to analyse the relationship between knowledge, profession and the willingness to treat anthrax. The study finds that the willingness of physicians and nurses to come to work is 50% greater among the group with the highest knowledge about anthrax (P < 0.0001). Within that group, the willingness to treat patients suspected of being infected with anthrax was 37% greater (P < 0.0001) and the willingness to treat patients diagnosed with anthrax was 28% greater (P = 0.004) than in the other groups. These results imply that enhancement of knowledge among health care workers may improve their willingness to come to work and treat patients infected with anthrax during a bioterrorism attack.     

Comparing the work values of engineers with managers,production, and clerical workers: A multivariate analysis

Engineers and scientists have been compared in previous research on their work attitudes. Conceivably the interest in comparing these two groups of professionals was a result of the joint work they often do in research and development departments. The present framework suggests that engineers who work in production departments would have work values and attitudes which would be more similar to those of managers. Survey data was collected from 432 employees in two industrial corporations in Israel. Profile analysis showed that the work values of engineers were similar to those of managers and different from those of production and clerical workers. Furthermore, work values were also related to behavioral outcomes such as performance and tardiness. Implications regarding the study of engineering as a profession and the use of work values in organizational research are discussed.     

The dimensions of organizational commitment

The dimensionality of the concept organizational commitment, formulated by Porter, Steers, Mowday and Boulian in 1974 and later by Cook and Wall in 1980, is explored by metric and non-metric methods among industrial workers in Israel. A distinction is established between loyalty to the employing organization and identification with and readiness to exert effort on its behalf. This is a distinction between passive and active organizational commitment, hidden in the original additive scales, that could prove useful in understanding the behavior of different populations of industrial workers.     

Vibrational communication in subterranean mole rats (Spalax ehrenbergi)

Summary We describe a vibrational communication system in subterranean mole rats of the Spalax ehrenbergi superspecies in Israel. The signals are produced by head thumping against the tunnel ceiling in a rhythmic pattern that appears to be species-specific. These signals may be effective as a means of long-distance communication between individuals within populations, as well as acting as a pre-mating isolating mechanism between populations in the final stages of speciation.     

Combining Analytical Hierarchy Process and Agglomerative Hierarchical Clustering in Search of Expert Consensus in Green Corridors Development Management

Environmental management and planning are instrumental in resolving conflicts arising between societal needs for economic development on the one hand and for open green landscapes on the other hand. Allocating green corridors between fragmented core green areas may provide a partial solution to these conflicts. Decisions regarding green corridor development require the assessment of alternative allocations based on multiple criteria evaluations. Analytical Hierarchy Process provides a methodology for both a structured and consistent extraction of such evaluations and for the search for consensus among experts regarding weights assigned to the different criteria. Implementing this methodology using 15 Israeli experts—landscape architects, regional planners, and geographers—revealed inherent differences in expert opinions in this field beyond professional divisions. The use of Agglomerative Hierarchical Clustering allowed to identify clusters representing common decisions regarding criterion weights. Aggregating the evaluations of these clusters revealed an important dichotomy between a pragmatist approach that emphasizes the weight of statutory criteria and an ecological approach that emphasizes the role of the natural conditions in allocating green landscape corridors.