MATERNAL SERUM ALPHA-FETOPROTEIN SCREENING FOR OPEN NEURAL TUBE DEFECTS IN TWIN PREGNANCIES

Data on maternal serum alpha-fetoprotein (AFP) levels at 13–24 weeks' gestation in 46 twin pregnancies with open neural tube defects (22 with anencephaly, 24 with open spina bifida) and 169 unaffected twins were used to estimate the detection and false-positive rates associated with different cut-off levels. Using the conventional cut-off level of 2·5 multiples of the median (MoM) for unaffected singleton pregnancies of the same gestation and laboratory, the detection rate in twins was 99 per cent for anencephaly and 89 per cent for open spina bifida, with a false-positive rate of 30 per cent. Using a 5·0 MoM cut-off level to maintain a similar false-positive rate to that found among singleton pregnancies at 16–18 weeks' gestation (about 3 per cent), the detection rate was 83 per cent for anencephaly and 39 per cent for open spina bifida. Estimates are provided of the odds of having an affected twin pregnancy given a positive AFP result as well as the odds for individual women with a raised AFP level.     

Treatment of a clinical analysis laboratory wastewater from a hospital by photo-Fenton process at four radiation settings and toxicity response

Environmental Science and Pollution Research - The photo-Fenton process was performed with four radiation settings to treat clinical analysis laboratory wastewater (CALWW) from a hospital, with the...     

Water demand management in England and Wales: Constructions of the domestic water user

Measures to manage demand include implicit and explicit messages about domestic water users, which have important potential impacts on their perceptions and practices. Drawing on recent literature, this paper identifies three different ‘dimensions’ along which demand management measures' constructions of the water user may vary: these relate to whether the water user is passive or active, whether they are motivated by individual or common needs and whether they perceive water as a right or a commodity. Demand management measures currently used in England and Wales are then discussed and analysed. The paper concludes by highlighting the importance of communications associated with demand management, and in particular, notes the need to consider the cumulative impact of messages and their interactions with people's existing understandings.     

Assessing slope stability in unplanned settlements in developing countries

Unplanned housing in developing countries is often located on steep slopes. Frequently no building code is enforced for such housing and mains water is provided with no drainage provision. Both of these factors can be particularly significant in terms of landslide risk if, as is so often the case, such slopes lack any planned drainage provision. There is thus a need to develop a model that facilitates the assessment of slope stability in an holistic context, incorporating a wide range of factors (including surface cover, soil water topographic convergence, slope loading and point source water leakage) in order that appropriate advice can be given as to the general controls on slope stability in such circumstances. This paper outlines a model configured for this specific purpose and describes an application to a site in St. Lucia, West Indies, where there is active slope movement in an unplanned housing development on relatively steep topography. The model findings are in accord with the nature of the current failure at the site, provide guidance as to the significance of slope drainage and correspond to inferences drawn from an application of resistance envelope methods to the site. In being able to scenario test a uniquely wide range of combinations of factors, the model structure is shown to be highly valuable in assessing dominant slope stability process controls in such complex environments.     

Greener local economic development: Reflections from the UK on current European approaches

This paper considers moves to integrate environmental and economic development policies at local level. It provides a brief review of the EU policy frameworks and funding programmes which give a lead to, and support, local authorities in these efforts. Ecologically based approaches to local economic management are particularly highlighted. Municipalities typically employ a mix of regulatory, financial and voluntary measures to improve the environmental performance of businesses, create jobs and work towards greater local self-reliance. With the help of recent examples, the paper explores the variable scope for action—very much dependent on the national context—and identifies some mechanisms which are being used to good effect elsewhere in Europe but which are currently not easily transferable to the UK. Through programmes encouraging networking and the exchange of experience, UK practitioners can gain access to a range of European practice which demonstrates that greener local economic development is a real possibility.     

Why bees are critical for achieving sustainable development

Reductions in global bee populations are threatening the pollination benefits to both the planet and people. Whilst the contribution of bee pollination in promoting sustainable development goals through food security and biodiversity is widely acknowledged, a range of other benefits provided by bees has yet to be fully recognised. We explore the contributions of bees towards achieving the United Nation’s Sustainable Development Goals (SDGs). Our insights suggest that bees potentially contribute towards 15 of the 17 SDGs and a minimum of 30 SDG targets. We identify common themes in which bees play an essential role, and suggest that improved understanding of bee contributions to sustainable development is crucial for ensuring viable bee systems.     

Bridging the financial gap in climate adaptation: Dutch planning and land development through a new institutional lens

Based on a case study of the Stadshaven port redevelopment in Rotterdam, this paper explores whether existing spatial planning mechanisms and processes can be used to facilitate local-level investment in climate-resilient public infrastructure and/or whether new processes and mechanisms are required to encourage investment in climate adaptation. The study reveals several key findings. First, a lack of conventional funding sources or formalised regulatory framework allowed room for experimentation with existing mechanisms and flexible strategies. Second, project planners are currently ambivalent towards introducing new mechanisms as a means to overcome implementation challenges. The case provides evidence about the role of the governance process, not simply as a means of system coordination that exists in isolation from institutional norms and values, but rather as a space for innovation, which can contribute towards reducing the financial gap associated with climate adaptation.     

Leveraging foodways for health and justice

ABSTRACT

The global industrial food system is increasingly recognised as a source of poor health that deepens social and economic inequity. Health advocates, policy makers, and food activists strive to improve nutrition and food access across racial and ethnic divides; however, given established approaches, they may miss fundamental pathways for improving health and justice comprehensively. While food access and nutrition are often identified as primary concerns for marginalised communities and the reason for food insecurity and food-related illness, critical food justice scholars use a more expansive lens to suggest a democratised food system is needed, and that solutions based solely in access to healthy food can undermine more systemic approaches. Our research extends this analysis, highlighting the importance of endemic food culture (foodways) as a tool for retaining identity, building community, and maintaining health among refugee populations in one community in Salt Lake City, Utah. Further, this work suggests that community engagement and expertise is essential in leveraging foodways such that marginalised communities can effectively resist cheap, unhealthy, and placeless calories.