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.     

Measuring the effectiveness of landscape approaches to conservation and development

Landscape approaches attempt to achieve balance amongst multiple goals over long time periods and to adapt to changing conditions. We review project reports and the literature on integrated landscape approaches, and found a lack of documented studies of their long-term effectiveness. The combination of multiple and potentially changing goals presents problems for the conventional measures of impact. We propose more critical use of theories of change and measures of process and progress to complement the conventional impact assessments. Theories of change make the links between project deliverables, outputs, outcomes, and impacts explicit, and allow a full exploration of the landscape context. Landscape approaches are long-term engagements, but short-term process metrics are needed to confirm that progress is being made in negotiation of goals, meaningful stakeholder engagement, existence of connections to policy processes, and effectiveness of governance. Long-term impact metrics are needed to assess progress on achieving landscapes that deliver multiple societal benefits, including conservation, production, and livelihood benefits. Generic criteria for process are proposed, but impact metrics will be highly situation specific and must be derived from an effective process and a credible theory of change.     

Training for benchmarking: The alliedsignal experience

Integration of TQM principles and tools into environmental management decisions is essential to the ultimate success of businesses. Benchmarking is one of the most powerful TQM tools for quickly and effectively improving processes. To realize the maximum benefit from benchmarking, it—like any other TQM tool—must be used appropriately and properly. In this article training techniques are presented that will help companies realize the full potential of their benchmarking efforts.     

Mode choice model for vulnerable motorcyclists in Malaysia

OBJECTIVE: In developing countries, motorcycle use has grown in popularity in the past decades. Commensurate with this growth is the increase in death and casualties among motorcyclists in these countries. One of the strategic programs to minimize this problem is to reduce motorcyclists exposure by shifting them into safer modes of transport. This study aims to explore the differences in the characteristics of bus and motorcycle users. It identifies the factors contributing to their choice of transport mode and estimates the probability that motorcyclists might change their travel mode to a safer alternative; namely, bus travel. METHODS: In this article, a survey of 535 motorcycle and bus users was conducted in seven districts of Selangor state, Malaysia. A binary logit model was developed for the two alternative modes, bus and motorcycle. RESULTS: It was found that travel time, travel cost, gender, age, and income level are significant in influencing motorcyclists' mode choice behavior. The probability of motorcycle riders shifting to public transport was also examined based on a scenario of a reduction in bus travel time and travel cost. CONCLUSIONS: Reduction of total travel time for the bus mode emerges as the most important element in a program aimed at attracting motorcyclists towards public transport and away from the motorcycle mode.     

Sustainability and materiality: The bioregional and cultural challenges to evaluation

The current debate on indicators for sustainability and life-cycle assessment of materials relies heavily on universalised systems theory, first developed by Bertalanffy in the 1950s. Various ecolabelling and environmental auditing schemes have attempted to account for all the variables required to measure the sustainability of a given product or material in relation to its resource use. The aim has always been to try and harmonise standards used to facilitate trade regardless of location and using a standard neo-classical economic framework. This paper questions the hegemonic position that synchronic systems analysis currently enjoys by proposing an alternative approach that recognises evolving and relative standards based on localised cultural and economic valuation. This alternative approach is underpinned by the concept of bioregionalism which combines physical, economic and cultural mapping of local resources using local parameters and evaluation methods. Recent bioregional research into local information on environmentally benign materials in Aberdeenshire, Scotland is used to illustrate one way of bringing a meaningful regional framework back into the debate on indicators of sustainability in relation to materiality.