The association between alpha-fetoprotein and βhcg levels prior to and following chorionic villus sampling in cases that spontaneously miscarried

Maternal serum alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (βhCG) measurements taken prior to chorionic villus sampling (CVS) in 21 patients who subsequently miscarried were compared with measurements in a control group of 113 patients with uneventful pregnancies. Patients with AFP levels of 10 iu/ml or more prior to the CVS had a 4·3 times greater risk of miscarriage (95 per cent confidence interval 1·3–13·6). AFP levels obtained 1 week after the CVS in the 13 patients with late miscarriages were higher than in the control group (P = 0·06). Patients miscarrying had a greater rise in AFP (P = 0·06) and a greater fall in βhCG levels (P = 0·04) following the CVS procedure, compared with the control subjects. Each 10-unit change in the difference between AFP or βhCG levels prior to and 1 week following the CVS was associated with a significantly increased risk for late miscarriage. Elevated maternal serum AFP levels early in pregnancy and changes in AFP and βhCG levels following CVS may predict an increased risk for subsequent miscarriage.     

Expanding multiple marker screening for Down's syndrome to include Edward'S syndrome

Information on maternal age and maternal serum alpha-fetoprotein, unconjugated oestriol (uE₃), and human chorionic gonadotrophin (hCG) levels was used to investigate retrospectively the effect of estimating Edward's syndrome risk in women having multi-marker screening for Down's syndrome. The screened population comprised 15 pregnancies affected by Edward's syndrome, 15 with Down's syndrome and 5472 unaffected pregnancies. The use of all three markers to estimate Edward's syndrome risk would have led to the detection of 10–12 (67–80 per cent) cases with a false-positive rate of 0.3–0.6 per cent depending on the risk cut-off. A further case would have been detected as a result of screening for Down's syndrome alone. Similar results were obtained when the Edward's syndrome risk was based on uE₃ and hCG only. These data suggest that extending Down's syndrome screening to include Edward's syndrome risk will yield a high detection rate with only a small increase in the false-positive rate.     

Method to assess component contribution to toxicity of complex mixtures: Assessment of puberty acquisition in rats exposed to disinfection byproducts

A method based on regression modeling was developed to discern the contribution of component chemicals to the toxicity of highly complex, environmentally realistic mixtures of disinfection byproducts(DBPs). Chemical disinfection of drinking water forms DBP mixtures.Because of concerns about possible reproductive and developmental toxicity, a whole mixture(WM) of DBPs produced by chlorination of a water concentrate was administered as drinking water to Sprague–Dawley(S–D) rats in a multigenerational study. Age of puberty acquisition,i.e., preputial separation(PPS) and vaginal opening(VO), was examined in male and female offspring, respectively. When compared to controls, a slight, but statistically significant delay in puberty acquisition was observed in females but not in males. WM-induced differences in the age at puberty acquisition were compared to those reported in S–D rats administered either a defined mixture(DM) of nine regulated DBPs or individual DBPs. Regression models were developed using individual animal data on age at PPS or VO from the DM study. Puberty acquisition data reported in the WM and individual DBP studies were then compared with the DM models. The delay in puberty acquisition observed in the WM-treated female rats could not be distinguished from delays predicted by the DM regression model, suggesting that the nine regulated DBPs in the DM might account for much of the delay observed in the WM. This method is applicable to mixtures of other types of chemicals and other endpoints.     

Defending the scientific integrity of conservation‐policy processes

Government agencies faced with politically controversial decisions often discount or ignore scientific information, whether from agency staff or nongovernmental scientists. Recent developments in scientific integrity (the ability to perform, use, communicate, and publish science free from censorship or political interference) in Canada, Australia, and the United States demonstrate a similar trajectory. A perceived increase in scientific‐integrity abuses provokes concerted pressure by the scientific community, leading to efforts to improve scientific‐integrity protections under a new administration. However, protections are often inconsistently applied and are at risk of reversal under administrations publicly hostile to evidence‐based policy. We compared recent challenges to scientific integrity to determine what aspects of scientific input into conservation policy are most at risk of political distortion and what can be done to strengthen safeguards against such abuses. To ensure the integrity of outbound communications from government scientists to the public, we suggest governments strengthen scientific integrity policies, include scientists’ right to speak freely in collective‐bargaining agreements, guarantee public access to scientific information, and strengthen agency culture supporting scientific integrity. To ensure the transparency and integrity with which information from nongovernmental scientists (e.g., submitted comments or formal policy reviews) informs the policy process, we suggest governments broaden the scope of independent reviews, ensure greater diversity of expert input and transparency regarding conflicts of interest, require a substantive response to input from agencies, and engage proactively with scientific societies. For their part, scientists and scientific societies have a responsibility to engage with the public to affirm that science is a crucial resource for developing evidence‐based policy and regulations in the public interest.     

SUBALPINE,COLD CLIMATE,STORMWATER TREATMENT WITH A CONSTRUCTED SURFACE FLOW WETLAND1

The Tahoe City Wetland Treatment System (TCWTS) was constructed in 1997 to treat stormwater runoff from 23 ha of commercial, highway, and residential land use in the Lake Tahoe Basin. This subalpine, constructed, surface flow wetland treatment system consists of two cells in series, with a design water surface area of about 0.6 ha. Water quality monitoring from October 2002 through September 2003 was conducted with autosamplers at the inflow and outflow sites during 24 sampling events, with a median duration of 53 hours, representing 42 percent of total inflow to this wetland during the year. Monitoring data indicate an improvement of 49 percent or greater in effluent concentrations of dissolved phosphorus, nitrate, orthophosphorus, and total suspended solids. On average, event mean concentrations of total phosphorus were reduced from a median 279 μg/l at the inflow to 94 μg/l at the outflow. Event mean concentrations of total nitrogen were reduced from a median 1,599 μg/l at the inflow to 810 μg/l at the outflow. Net nutrient retention for the sampling period was estimated at 3 g phosphorus (P)/m²/y and 13 g nitrogen (N)/m²/y. Almost 4,000 kg of suspended sediment was captured by this wetland system during the year.     

Gravity currents with double stratification: a numerical and analytical investigation

We consider high-Reynolds-number Boussinesq gravity current and intrusion systems in which both the ambient and the propagating “current” are linearly stratified. The main focus is on a current of fixed volume released from a rectangular lock; the height ratio of the fluids $H$ , the stratification parameter of the ambient $S$ , and the internal stratification parameter of the current, $\sigma $ , are quite general. We perform two-dimensional Navier–Stokes simulation and compare the results with those of a previously-published one-layer shallow-water model. The results provide insights into the behavior of the system and enhance the confidence in the approximate model while also revealing its limitations. The qualitative predictions of the model are confirmed, in particular: (1) there is an initial “slumping” stage of propagation with constant speed $u_N$ , after which $u_N$ decays with time; (2) for fixed $H$ and $S$ , the increase of $\sigma $ causes a slower propagation of the current; (3) for some combinations of the parameters $H,S, \sigma $ the fluid released from the lock lacks initially (or runs out quickly of) buoyancy “driving power” in the horizontal direction, and does not propagate like a gravity current. There is also a fair quantitative agreement between the predictions of the model and the simulations concerning the spread of the current.     

Performance on a Work-Simulating Firefighter Test Versus Approved Laboratory Tests for Firefighters and Applicants

Aim. Firefighters must meet minimum physical demands. The Norwegian Labour Inspection Authority (NLIA) has approved a standardised treadmill walking test and 3 simple strength tests for smoke divers. The results of the Trondheim test were compared with those of the NLIA tests taking into account possible effects of age, experience level and gender. Methods. Four groups of participants took part in the tests: 19 young experienced firefighters, 24 senior male firefighters and inexperienced applicants, 12 male and 8 female. Results. Oxygen uptake (V_O2) at exhaustion rose linearly by the duration of the treadmill test. Time spent on the Trondheim test was closely related to performance time and peak V_O2 on the treadmill test. Senior experienced firefighters did not perform better than equally fit young applicants. However, female applicants performed poorer on the Trondheim test than on the treadmill test. Performance on the Trondheim test was not closely related to muscle strength beyond a minimum. Conclusion. Firefighters completing the Trondheim test in under 19 min fit the requirements of the NLIA treadmill test. The Trondheim test can be used as an alternative to the NLIA tests for testing aerobic fitness but not for muscular strength. Women’s result of the Trondheim test were poorer than the results of the NLIA treadmill test, probably because of their lower body mass.