Prenatal diagnosis of congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency by steroid analysis in the amniotic fluid of mid-pregnancy: Comparison with HLA typing in 17 pregnancies at risk for CAH

Amniotic fluid (AF) levels of 17-hydroxyprogesterone (17OHP) and testosterone (T) were determined at 16–17 weeks in 17 pregnancies at risk for CAH and results compared to 75 normal controls. The fetus was predicted to be unaffected in 12 cases on the findings of normal AF levels of both 17OHP and T and the latter allowed a correct prediction of fetal sex in all instances. HLA typing confirmed normality in 12 cases revealing 5 carriers, 5 homozygous normal and 2 indeterminate. Steroid levels of the 2 groups were similar. Three fetuses were predicted to be CAH affected on unambiguously high levels of 17OHP and T (in female only). HLA typing was in agreement, and the diagnosis was confirmed in 2 abortuses and a female newborn by physical and hormonal studies. In the last 2 cases AF levels of OHP and T were normal but HLA (A/B/C) genotypes were identical to the CAH affected siblings. Normal physical and hormonal findings in the 2 aborted fetuses would exclude the possibility of an in utero virilizing form of CAH. The discrepancy could be explained on the basis that the fetuses had an allelic form of 21-hydroxylase deficiency or on the basis of recombination (not fully tested). It is concluded that a fully informative prenatal diagnosis of CAH should not rely entirely on HLA typing but on hormonal studies.     

中国环境镉接触人群低骨密度及肾功能不全的研究

25年前,Ambio曾载文提出应警惕环境镉污染引起的健康效应.1998年在中国进行了这方面的研究,评价了因食用大米而接触镉人群的前臂骨密度(BMD)和肾功能,发现尿镉(CdU)或血镉(CdB)高的绝经后妇女及血镉(CdB)高的男性,BMD均有所下降.在CdB或CdU与肾功能不全(视黄醇结合蛋白排泄增加)之间也发现了明显的、有统计学意义的剂量-效应关系及剂量-反应关系.第一次报道了日本以外的亚洲地区镉接触人群中存在骨不良效应.本文的意义在于阐明了亚洲的环境镉接触人群中仍存在着与肾和骨(镉的比较严重的有害效应)的联合效应,也讨论了一些欧洲镉接触人群的骨效应.     

退化湿地生态系统的生态恢复与管理——以美国Hackensack湿地保护区为例

受城市化、工业化和地球温室效应等人类活动与自然因素的影响,美国Hackensack湿地保护区正面临着面积不断减少、景观破碎化、外来物种入侵、河水污染增加、盐碱化程度增加和范围扩大等生态胁迫。稳定湿地面积,重建湿地的复合景观,丰富生物多样性,恢复潮水的正常规律,减少水体污染,控制外来种的入侵与扩张,促进湿地原有植物的定居与扩增及原有植被的恢复是Hackensack湿地恢复的关键,也是恢复工程设计与实施的核心。退化湿地生态恢复的管理则以植被的生长、芦苇的扩散方式及动态、鱼类和蟹类的种群动态、鸟类的种类及其对生境地的利用情况对生态系统功能恢复状况进行生物检验,有效监控退化湿地生态系统的恢复动态,研究其恢复规律,进而采取相应的管理措施,科学调控生态恢复进程。     

A note on optimal taxation of environmental spillovers

This note addresses the question of what policy the government should adopt when industrial pollution can be reduced partially by the imposition of effluent taxes and partially by a publicly operated waste treatment plant.In the case of increasing returns to public abatement, an effluent tax set at marginal user cost will not generate enough revenue to finance the facility. The key issue is that of finding additional revenue the most efficiently. Here, this question is dealt with in the framework of commodity taxation, with consideration given to the possibility that both effluent and commodity taxes derived on efficiency grounds might be quite regressive.     

Factor structure of the transformational leadership model in human service teams

The purpose of this study was to examine the factor structure of the transformational leadership model in human service teams. As the nature of this work environment mandates certain management‐by‐exception practices, patterns of correlations between perceptions of active and passive management‐by‐exception behaviors and transformational, transactional, and laissez‐faire leadership were of interest. 236 leaders and 620 subordinates from 54 mental health teams completed the Multifactor Leadership Questionnaire, form 8Y. Results suggest that active and passive management‐by‐exception factors are independent constructs. Copyright © 2003 John Wiley & Sons, Ltd.