The benefits and limitations of cell-free DNA screening for 22q11.2 deletion syndrome

Cell-free DNA testing is increasingly being used to screen pregnant women for fetal aneuploidy. This technology may also identify microdeletion syndromes, including 22q11.2 deletion syndrome, the most common microdeletion syndrome, and the 22q11.2 duplication syndrome. The purpose of this paper is to provide an overview of the 22q11.2 deletion syndrome, to review the early experience with cell-free DNA screening for this deletion and to consider the potential benefits that may be associated with prenatal detection of the deletion. © 2016 John Wiley & Sons, Ltd.     

从国际工会观点来看的化学工业责任关怀(R)计划

在很多国家中,减少了政府对工业的命令与控制法规的承诺,并日益增多地促进志愿工业举措.因此,雇员和社区担心安全与环境保护正在受损害.最近进行了一次全球调查,以确定工人及其工会代表对化学工业责任关怀计划所具有的知识的性质和程度,以及他们对该计划积极参与的程度.在对此次调查进行深入研究之后,本文立论如下:只要涉及既得利益,就必须赢得而不只是需要对责任关怀及其它志愿工业举措的信任,而且必须证实而不是断言可信性.     

Environmental Awareness, Economic Orientation, and Farming Practices: A Comparison of Organic and Conventional Farmers

/ This study examines similarities and differences between organic and conventional farmers. We explore the factors that underlie farmers' conservation attitudes and behaviors, including demographic and farm characteristics, awareness of and concern for environmental problems associated with agriculture, economic orientation toward farming, and self-reported conservation practices. A series of intensive personal interviews was conducted with 25 farmers in Washtenaw County, Michigan, USA, using both qualitative and quantitative survey methods. The findings indicate that both groups of farmers share a concern for the economic risks associated with farming, although the organic farmers reported a significantly greater concern for long-term sustainability and a greater willingness to incur present risk to gain future benefits. Organic farmers expressed a greater awareness of and concern for environmental problems associated with agriculture. Organic farmers also scored significantly higher on a multifaceted measure of conservation practices, although both groups had a fairly high adoption rate. Implications of these findings are discussed, relative to economic risks of farming, implications for new farmers, effectiveness of conservation education and government programs, and impact of farm size and crop diversity.KEY WORDS: Environmental attitudes; Conservation behaviors; Organic farming; Agricultural sustainability     

The establishment of an urban acid deposition monitoring network

Summary Studies into acid rain were first initiated in North-West England and this paper describes the establishment and operation of the Acid Rain Information Centre in Manchester. The urban monitoring surveys conducted by the Centre provide a valuable educational link with local schools. Simple testing and sampling techniques undertaken by pupils support a valuable and comprehensive, local, urban acid deposition study.Dr. James Longhurst is Director of the Acid Rain Information Centre in the Department of Environmental and Geographical Studies at Manchester Polytechnic, where Mr David Lee and Miss Susan Green are Project Officers. Dr. D.R. Gee is Chief Scientist with the Greater Manchester Scientific Services Laboratory, Wilmslow Road, Didsbury, Manchester. The Acid Rain Information Centre (ARIC) is supported by Tameside M.B.C. on behalf of the Association of Greater Manchester Authorities.     

Fire shapes and the adequacy of fire-spread models

It has been suggested that shapes of burned areas resulting from fires spreading under uniform fuel and meteorological conditions may be described as ellipses, double ellipses, or ovoids. The adequacy of these shapes (together with simulation outputs) as bases for fire spread models was tested by finding the best fits of each shape to maps of experimental fires and comparing the results with fits given by a rectangle (an unlikely fire shape). Each of the models (ellipse, double ellipse, ovoid, simulation model, and even the rectangle) provided adequate approximations to the fire contours used in the tests. The parameter trends found implied that the fires examined tended to become more nearly elliptical in shape and to have higher eccentricity as they grew.     

Injuries causing death: Their nature,external causes,and associated diseases

This article provides national data on the types of injuries reported on death certificates, the external causes of these injuries, and diseases that are frequently reported with them. Injuries were a factor in 11 % (213,366 deaths) of the deaths to residents of the United States in 1978. Of 11 broad categories of injuries, three (fractures, sprains, strains, and dislocations, intracranial injuries, and adverse effects) were mentioned on almost 50,000 deaths each. There was considerable variation in the distribution of injury types by age, sex, and race. The most notable example was fractures of the lower limb which were mentioned on 29% of the deaths involving an injury to 65 + year olds but no less than 5% of such deaths for all other age groups. For white females, the percentage with a fracture of the lower limb was 23 % compared to 12 % overall. In 25 % of the deaths involving an injury, the immediate cause was a motor vehicle accident. In 51 %, the immediate cause of the injury was a non-motor-vehicle accident. In 73 % of the deaths involving non-motor-vehicle accidents, disease conditions as well as injuries were a factor; and, 69% of the time, the disease condition was actually the underlying cause of the death with the injury being a contributing factor or complication. For example, over 14,000 deaths in 1978 involved a circulatory condition as the underlying cause of death which was complicated by an accidental fracture, sprain, or dislocation. Although diseases more often assumed the role of the underlying cause of death, they were also a nonunderlying cause in 24,000 non-motor-vehicle accident deaths. Over 12,000 of such deaths involved circulatory diseases.     

Confined placental mosaicism for trisomy 14 and maternal uniparental disomy in association with elevated second trimester maternal serum human chorionic gonadotrophin and third trimester fetal growth restriction

A case of confined placental mosaicism (CPM) and maternal uniparental isodisomy 14 identified after placental karyotype revealed trisomy 14 in a newborn with intrauterine growth restriction (IUGR) and minor dysmorphic features is reported. During the second trimester of the pregnancy, multiple marker screening revealed an increased risk for Down syndrome of >1 in 10. The maternal serum human chorionic gonadotrophin (MShCG) was markedly elevated at 4.19 MoM. Amniocentesis revealed a normal 46,XX karyotype. Fetal growth restriction has been associated with elevated MShCG and placental aneuploidy with CPM for chromosomes 2, 7, 9 and 16. The present case of CPM for chromosome 14 was also associated with fetal growth restriction and elevated second trimester MShCG, suggesting a common link. Further studies need to be done to determine if indeed elevation of second trimester MShCG is associated with increased risk of CPM. The present case again demonstrates the need to perform placental karyotype in unexplained fetal growth restriction. Copyright © 2001 John Wiley & Sons, Ltd.