Chorionic villus sampling utilization following reports of a possible association with fetal limb defects

Prenatal diagnosis choices were reviewed in 473 women who presented for genetic counselling prior to 11 weeks' gestation for the indication of advanced maternal age. Group A consisted of 336 patients who were unaware of a possible association between chorionic villus sampling (CVS) and limb defects. Group B consisted of 137 patients who were provided this information. Fifty-one per cent of patients in group A and 45 per cent of patients in group B chose CVS. This difference was not significant by χ² analysis (P = 0·7). Patterns of prenatal diagnosis procedure utilization from 1987 to 1992 revealed a significant reduction in CVS utilization accompanied by a corresponding increase in amniocentesis after the association between CVS and limb defects was publicized. Referrals for CVS counselling also significantly declined. However, acceptance rates did not change for those patients who received genetic counselling. First-trimester genetic counselling, including a discussion regarding a possible association between CVS and limb defects, helps patients make informed decisions concerning prenatal diagnosis options, and, in our population, resulted in no change in CVS acceptance rates.     

Effect of weirs on sediment deposition in Louisiana coastal marshes

Sediment deposition both inside and outside of fixed-crest weirs was measured for fresh/intermediate, brackish, and saline marsh areas in coastal Louisiana, USA. Sediment traps, collected on a weekly basis, were used to monitor short-term changes in sediment deposition. Feldspar marker horizons were used to measure cumulative marsh accretion during the 16-week monitoring period. Results show that for most sites less sediment is deposited in marsh behind weirs than at the control sites outside the weirs. Patterns at each site are consistent throughout the 16 monitoring periods. At only one site was no significant difference found. Streamside areas both inside and outside the weirs were found to have higher rates of sediment deposition than backmarsh areas. At both marsh locations, sediment deposition rates were higher outside the weirs than inside. More sediment was deposited in saline marshes than in brackish or fresh/intermediate areas. The vertical accretion data shows that marshes in most areas are accreting sufficiently rapidly to keep pace with local rates of sea-level rise, except for two areas, both of which are inside weirs.     

Increasing industrial safety practices and conditions through posted feedback

This study examined the effects of posted feedback for improving safety in a paper mill. Data were taken once a week on 24 practices and 7 conditions. In addition, data on injuries with and without lost time were collected monthly. After posting feedback on safe and unsafe conditions for 6 months, more than half of the 17 divisions of the mill showed improvement. Similarly, safe practices increased after feedback was provided for them for 2 months. Most importantly, injuries were cut in half.     

Variations in jail sentences and the probability of re-arrest for driving while intoxicated

OBJECTIVE: The probability of re-arrest for driving while intoxicated (DWI) is compared for four different groups of individuals classified by whether the individual was convicted and, if so, the type of sentence received. METHOD: Subsequent re-arrests for DWI were examined for all individuals whose index arrest for DWI had occurred between 1994 and 2001 in a county in New Mexico. The groups included (1) those convicted as a result of the index arrest and sentenced to a 28-day jail/treatment program (N (#)=(#) 2,703); (2) all those not convicted as a result of the index arrest (N = 709); (3) those who were convicted but not sentenced to jail (N = 1,047); and (4) those convicted and sentenced to jail (N = 1,290). RESULTS: Adjusting for covariates of BAC, number of prior arrests, ethnicity, age, and sex, the probability of not being re-arrested was greatest among those sentenced to the jail/treatment program (Group 1), next highest in the two groups convicted but not sentenced to jail/treatment (Groups 3 and 4), and lowest in the group that was not convicted (Group 2). Length of jail sentence among people convicted but not sentenced to the jail/treatment program was unrelated to the probability of re-arrest. CONCLUSION: Conviction for DWI, regardless of the sentence, appears to reduce the probability of re-arrest, and being sentenced to a multi-modal treatment/incarceration program further reduces the probability of re-arrest. However, the other types of sentences do not appear to differ in their impact on probability of re-arrest.