Rehabilitation of the chernoistochinskii drinking water system,Nizhnii Tagil,Russia

The U.S. Environmental Protection Agency (EPA) performed a reservoir diagnosis and developed low-cost recommendations to improve drinking water quality for the city of Nizhnii Tagil, Russia. Despite widespread regional pollution, water quality within the drinking water supply source can be summarized as generally good. Sampling and analysis efforts did not reveal appreciable amounts of hazardous chemicals or metals. The major water quality problem stems from an abundance of blue-green algae during the summer months, causing drinking water taste and odor problems and filter clogging at the water treatment plant. City water treatment officials also frequently experience difficulties with maintaining an effective disinfection residual in the distribution system because it spans more than 30 kilometers in length. Regrowth of microorganisms in the distribution system often causes coliform bacteria counts to exceed standards. The implementation of a watershed protection and management program, and the installation of a new disinfection system, to purify drinking water and to reduce bacterial growth in the distribution system should improve drinking water quality for the city residents.     

Comparative audit of booking and mid-trimester ultrasound scans in the prenatal diagnosis of congenital anomalies

During 1988 and 1989, 3565 women booked under consultants who performed an ultrasound scan at booking, whilst 4984 booked under consultants who performed a formal mid-trimester scan between 16 and 18 weeks. All significant anomalies diagnosed prenatally and in the neonatal period were recorded, the incidence in each group being 12.9/1000 and 9.83/1000, respectively (NS). The sensitivity of diagnosis before 20 weeks was 45 per cent in the ‘mid-trimester’ group (kappa 0.62) compared with 30 per cent in the ‘booking’ group (kappa 0.46), overall sensitivity of prenatal diagnosis, however, being similar in both groups (63 vs. 65 per cent, kappa 0.77 vs. 0.79). Cardiac anomalies were the single largest group which were not detected equally prenatally in both groups. This study shows that formal mid-trimester scanning leads to anomalies being detected significantly earlier in the antenatal period. Although not statistically significant, three lethal anomalies were missed prenatally in the ‘booking’ group which we would have expected to diagnose on a mid-trimester scan. These figures are discussed in the light of previous reports.     

Fetal blood sampling via the umbilical cord using a needle guided by ultrasound report of 66 cases

Pure fetal blood has been aspirated in utero from the umbilical vein near the placental insertion of the cord using a twenty gauge needle under ultrasound guidance. Sixty-six samples were taken on 63 pregnancies between 17 and 32 weeks of gestation. One to two millilitres of blood can be obtained easily without amniotic fluid dilution or contamination by maternal blood, as confirmed by the measurements of the mean corpuscular volume, the histogram distribution of the red blood cells and the hematocrit. In all cases the Kleihauer test and isoelectrofocusing of the hemoglobins were performed. Coagulation factors were also studied in 60 cases. In 17 cases a medical abortion was voluntarily induced after the procedure, and the follow-up was normal during the observation period after sampling. In the other cases, pregnancies have continued normally and twelve healthy babies have already been born.     

The transition from home to boarding school: a diary-style analysis of the problems and worries of boarding school pupils

The investigation concerns the impact of the new school environment on a group of 50 male and female children aged 11–16 years, who leave home to reside temporarily at boarding school, in terms of the characteristics of problems and worries reported and the incidence of spontaneous reports of homesickness. More problems relating to the school than to the home environment were reported but proportionally more worry units were reported associated with home problems for both males and females. There was no sex differences in this respect. The reported level of spontaneously reported homesickness was 16% and there were no sex differences. Factors such as age, geographical distance of move and decision to go away to school were not influential in determining the level of reported problems or incidence of spontaneous reports of homesickness. A relationship was found with level of problems reported and recent life history but the result proved difficult to interpret.     

Computer-assisted analysis of fetal behavioural states

A computerized system which simultaneously acquires and quantifies several ultrasonically detected fetal activities, including gross body movements, breathing movements, and eye movements, was developed in order to obtain additional quantitative data on fetal behaviour. Movements were automatically related to fetal heart rate allowing computation of their mean incidence, duration, lag time and percentage time spent moving during different heart rate patterns. The incidence of various behavioural states was also calculated. The study of 15 healthy fetuses near term revealed the existence of statistically significant differences in these parameters between low and high variability patterns of fetal heart rate suggesting a quantitative modulation of fetal movements by behavioural states.