Attitudes to prenatal screening,diagnosis and research among pregnant women who accept or decline an alpha-fetoprotein test

The aim of the study was to describe the opinion of pregnant women who had accepted or declined an alpha-fetoprotein (AFP) test, not only on AFP screening in general, but also on whether every pregnant woman should be offered amniocentesis (AC)/chorionic villus sampling (CVS) and an ultrasound scan for fetal malformations. An additional aim was to describe pregnant women's attitudes concerning continued research in the prenatal field. The study was performed as a questionnaire study in two regions over a 1-year period from 1 October 1988 to 30 September 1989. Results are based on answers from 3331 women who had taken an AFP test and 336 women who had declined the offer of a test. A total of 79 per cent of the women thought that an AFP test, 70 per cent that an ultrasound scan for fetal malformations, and 26 per cent that AC or CVS should be offered to all pregnant women. Fifty-nine per cent of the women were positive towards continued research in the prenatal field. Women who had had an AFP test were generally much more positive towards screening and research than women who had declined, who were generally against. Women who had left school without a high school degree were on average more positive towards the screening issues than women who had this degree. In conclusion, the results obtained in this study strongly suggest that women's attitudes are very dependent on how the prenatal screening programme is already organized in their local area.     

Prenatal diagnosis of medium-chain acyl-CoA dehydrogenase (MCAD) deficiency in a family with a previous fatal case of sudden unexpected death in childhood

Medium-chain acyl-CoA dehydrogenase (MCAD) deficiency is a potentially fatal inherited disease with a carrier frequency of approximately 1:100 in most Caucasian populations. The disease is implicated in sudden unexpected death in childhood. A prevalent disease-causing point mutation (A985G) in the MCAD gene has been characterized, thus rendering diagnosis easy in the majority of cases. Since the clinical spectrum of MCAD deficiency ranges from death in the first days of life to an asymptomatic life, there are probably other genetic factors—in addition to MCAD mutations—involved in the expression of the disease. Thus, families who have experienced the death of a child from MCAD deficiency might have an increased risk of a seriously affected subsequent child. In such a family we have therefore performed a prenatal diagnosis on a chorionic villus sample by a highly specific and sensitive polymerase chain reaction (PCR) assay for the G985 mutation. The analysis was positive and resulted in abortion. We verified the diagnosis by direct analysis on blood spots and other tissue material from the aborted fetus and from family members.     

Risk on the ramble: The international transfer of risk and vulnerability

In this paper the purpose is to discuss a concept of technology that can explain how the transfer of technology implies the risk of new failures, misuse, accidents and unhealthy workplaces. Production technologies are often transformed through a steady stream of incremental changes appropriate to their social context, and the technology will therefore gradually acquire some contextually dependent preconditions for use. These preconditions will most probably be revealed when a technology is transferred from one context to another. Thus, a technology transfer project may trigger a long process of re-innovations just to make the technology fully operational in its new context. In a transfer process, technological risks may arise due to incomplete transfer of mastering capacity; mismatch between transferred technology and the environment; transfer of latent conditions for failure; and the transformation of latent conditions or known risks when the technology is installed in a new environment. Longitudinal data from the Norwegian petroleum industry indicates that the first phases in a transfer process will create high technological risks. It will take many years before the transferred technologies are adapted to the new context and the risk level has been normalised.     

Emissions from heated indoor dust

Settled indoor dust was collected from a university building, and the fine fraction was heated in the temperature range of 50-250 degrees C. Emissions of compounds were analysed and identified in a system consisting of a thermal desorption unit coupled to a gas chromatograph-mass spectrometer (GC-MS). The heating took place in both an oxidative (air) and an inert (He) atmosphere. The results indicate that oxidation of adsorbed compounds occurred, as well as decomposition of the dust itself. The emission in air started somewhere between 150 and 200 degrees C, with aldehydes and ketones as the main compounds. When heated in the inert atmosphere, semivolatile organic compounds (SVOCs) were emitted at temperatures above 150 degrees C. These compounds were not found in the air system, probably due to oxidation. Based on the obtained results we recommend that the temperature of hot surfaces in indoor environments should be kept below 150 degrees C to avoid oxidation of indoor dust and minimise the emissions.     

Use and knowledge of fuelwood in three rural caatinga (dryland) communities in NE Brazil

The woody species known, used, and preferred as fuelwood were examined in three rural communities within the county of Soledade, Paraíba State, NE Brazil. Ethnobotanical information was collected using semi-structured interviews with more than 90% of the local households (55 adult residents; 31 women, and 24 males). The interviewees cited 36 plant species as fuelwoods, distributed among 30 genera and 15 families, in addition to two unidentified plants. The plant families represented by the largest numbers of species were Euphorbiaceae, Anacardiaceae, Mimosaceae, Caesalpiniaceae, Sapotaceae, and Fabaceae. The species Caesalpinia pyramidalis Tul. (“catingueira”) was cited with the greatest frequency in all three communities. Within the communities we found significant differences on the number of plants cited and actually used (p < 0.05), indicating that the residents knew more fuelwood species than they effectively harvest. The different distances from the communities to the urban centers were not related to differences on the use or the size of the stocks of fuelwood. Additionally, the study revealed that the communities examined still maintain a significant knowledge of the use of energy-providing plants in spite of the widespread use of liquefied petroleum gas (LPG). Readers should send their comments on this paper to: BhaskarNath@aol.com within 3 months of publication of this issue.     

Biomagnification of anthropogenic and naturally-produced organobrominated compounds in a marine food web from Sydney Harbour, Australia

Polybrominated diphenyl ethers (PBDEs) and naturally-produced organobrominated compounds, such as methoxylated PBDEs (MeO-PBDEs), have been scarcely studied in the Southern Hemisphere. Yet, sources of the latter group of compounds were found in Southern regions, specifically in Australia. The environmental distribution and biomagnification potential of organobrominated compounds were therefore investigated in a representative aquatic food chain (invertebrates and fish) from the Sydney Harbour, Australia. Mean PBDE concentrations ranged from 6.4 ng/g lipid weight (lw) in squid to 115 ng/g lw in flounder. BDE 47 was the dominant congener, followed by BDE 100. Mean levels of MeO-PBDEs (sum of congeners 2’-MeO-BDE 68 and 6-MeO-BDE 47) were as high as 110 ng/g lw in tailor, with a slight dominance of 2’-MeO-BDE 68. Polybrominated hexahydroxanthene derivates (PBHDs), another class of naturally-produced compounds, were found at variable concentrations and ranged from 4.7 ng/g lw in fanbelly and 146 ng/g lw in tailor. The tribrominated PBHD isomer dominated in the samples, except for luderick and squid. The lower levels of PBDEs found in luderick from the harbour compared to those obtained from the upper Parramatta River indicated a terrestrial (anthropogenic) origin of PBDEs, while the higher levels of MeO-PBDEs and PBHDs in the samples from the harbour confirmed the marine (natural) origin of these compounds. The highest trophic magnification factor (TMF) was found for sum PBDEs (3.9), while TMFs for sum MeO-PBDEs and sum PBHDs were 2.9 and 3.4, respectively. This suggests that biomagnification occurs in the studied aquatic food chain for anthropogenic brominated compounds, but also for the naturally-produced organobromines.     

TBT pollution and effects in molluscs at US Virgin Islands,Caribbean Sea

An almost ubiquitous occurrence of imposex and butyltins in the molluscs from US Virgin Islands gives evidence to a widespread contamination with the antifouling agent tributyltin (TBT), which most likely is related to a relatively intense ship traffic. Three different muricid neogastropod species Thais deltoidea, Thais rustica and Purpura patula all seem to have potential as suitable and sensitive bioindicators for assessing levels and effects of TBT pollution in coastal areas including coral reefs in the Caribbean Sea. However, considerable interspecies differences in especially accumulation potential of butyltins were seen in this study. Furthermore, a high accumulation potential of TBT in the edible gastropod West Indian topshell (Cittarium pica) was found, despite that no signs of imposex were observed in this archaeogastropod species.     

Biomagnification of naturally-produced methoxylated polybrominated diphenyl ethers (MeO-PBDEs) in harbour seals and harbour porpoises from the Southern North Sea

Harbour seals and harbour porpoises are top predator species from the North Sea, have long life spans and hence, are known to accumulate high levels of anthropogenic contaminants. To gain knowledge about the behaviour of naturally-produced compounds in these marine mammals, the biomagnification of naturally-produced methoxylated polybrominated diphenyl ethers (MeO-PBDEs) was assessed. The biomagnification of MeO-PBDEs (2′-MeO-BDE 68 and 6-MeO-BDE 47) was lower in harbour seals (all biomagnification factors (BMFs) < 1) compared to the same age–gender groups of the harbour porpoises (all BMFs > 1). This may indicate a better metabolic breakdown of MeO-PBDEs in harbour seals, as was previously suggested for polybrominated diphenyl ethers (PBDEs). In both predators, 6-MeO-BDE 47 had the highest concentrations (range: 45–483 ng/g lw and 2–38 ng/g lw for harbour porpoises and seals, respectively) compared to 2′-MeO-BDE 68 (range: 2–28 ng/g lw and 1–6 ng/g lw for harbour porpoises and seals, respectively). In general, the highest concentrations were found in juveniles, suggesting an increased biotransformation capacity with age or the influence of dilution by growth for both species. Here we show that naturally-produced brominated organic compounds can biomagnify and accumulate in North Sea top predators, although to a lesser extent than anthropogenic lipophilic contaminants, such as polychlorinated biphenyls (PCBs) or PBDEs.