Prenatal diagnosis of congenital cytomegalovirus infection: False-negative amniocentesis at 20 weeks' gestation

Cytomegalovirus (CMV) is the most common cause of congenital infection. Recent studies show amniocentesis to be a 100 per cent sensitive and 100 per cent specific predictor of congenital infection, and recommend that it be offered in the at-risk pregnancy. However, these publications have focused on pregnancies at or beyond 22 weeks' gestation. Here, we report a case of maternal CMV hepatitis at 7–8 weeks' gestation, in which culture and polymerase chain reaction testing for CMV in amniotic fluid at 20 weeks' gestation were negative, but the infant had a positive CMV urine culture shortly after delivery. Implications for the prenatal diagnosis of CMV infection are discussed.     

Transvaginal sonographic detection of skeletal anomalies in the first and early second trimesters

We report the detection of 42 cases of musculoskeletal anomalies routinely screened by transvaginal sonography at 12-16 weeks of gestation out of 7325 examined pregnant women (incidence of 0·57 per cent).     

Meconium peritonitis: Extrusion of meconium and different sonographical appearances in relation to the stage of the disease

By chance, we had the opportunity to make serial sonographic observations of the extrusion of meconium in a case of meconium peritonitis. Inflammation leads to exudative processes and production of fluid (ascites) in the fetal abdomen. Sonography at that stage of the disease may lead to a misdiagnosis such as ‘fetal ascites’ or ‘non-immune hydrops’. After bowel perforation and extrusion of meconium, the latter appears as a solitary mass inside fetal ascites or as disseminated echogenic masses distributed subdiaphragmatically or perihepatically. Within a couple of days, in most cases the echogenicity of the masses increases. Calcifications lead to distinct shadowing. These calcifications are often the only visible signs of a previous meconium peritonitis. Serial sonograms are essential for the management of pregnancies with meconium peritonitis. If the amount of fetal ascites does not increase and no signs of cardiovascular stagnation appear, no invasive intrauterine diagnostic and therapeutic steps are required. In none out of the nine cases was a cause found.     

Prenatal diagnosis of werdnig-hoffmann disease: DNA analysis of a mummified umbilical cord using closely linked microsatellite markers

We present a case of prenatal diagnosis of Werdnig-Hoffmann disease, the most severe type of spinal muscular atrophy (SMA). DNA obtained from a mummified umbilical cord of a deceased affected brother of the index case was analysed with four closely linked microsatellite markers [EF1/2a and EF13/14 (D5S125), MAP1B, and JK53CA (D5S112)], flanking the SMA gene, on chromosome 5q11·2-13·3. The fetus was diagnosed as homozygous for the deleterious SMA gene.     

46,XY,dup(10q) in direct CVS preparation and mosaic 48,XXXY,dup(10q) in CVS long-term culture and fetal tissue

Chorionic villus sampling (CVS) was performed on a 40-year-old woman at 9 1/2 menstrual weeks because of advanced maternal age. The direct preparation showed 46,XY,dup(10)(q11.2q23.2). CVS long-term culture and fetal tissue revealed a rare additional abnormality: 48,XXXY,dup(10)(q11.2q23.2). This abnormality represented the major cell line (>85 per cent in 691 cells) in an (XY)/XXY/XXXY/(XXXXY) mosaic (all cell lines presumably bearing the dup(10q); the presence of XY and XXXXY cell lines is uncertain). To our knowledge, this is the first report of trisomy 10q11-q23 and of prenatally detected 48,XXXY in chorionic villi. The mosaic could have resulted from early post-zygotic non-disjunctions in a 46,XY,dup(10q) or 47,XXY,dup(10q) zygote. The results from DNA studies of four polymorphisms, mapped to Xp and Xq, support this theory. The literature on prenatally detected cases with sex chromosome tetrasomy and pentasomy and those with additional autosomal abnormalities is reviewed. The reported case underlines the problem of false-negative findings when only direct CVS preparations are karyotyped.     

Driver-training and emergency brake performance in cars with antilock braking systems

The purpose of this study was to assess the effects of a two-day post-license driver-training program on brake performance in cars with antilock braking systems (ABS). A trainee group (n = 26) and a control group (n = 13) participated in the experiment. The trainee group were enrolled in a two-day training course that included instruction in a braking technique that may be used in cars with and without ABS. All participants performed emergency brake tests from 80 and 100 km h⁻¹ in an instrumented car before and after the training period. Results indicated the post-training group used a smoother braking profile, were less reliant on ABS activation, had enhanced postural stability, but took about one car length longer to stop from 100 km h⁻¹ compared with the control group. Implications of these results for braking in cars with and without ABS, and for driver education programs in general are discussed.     

Environmentalism and elitism: a conceptual and empirical analysis

The frequent charge that environmentalism is elitist is examined conceptually and empirically. First, the concept of elitism is analyzed by distinguishing between three types of accusations made against the environmental movement: (a)compositional elitism suggests that environmentalists are drawn from privileged socioeconomic strata, (b)ideological elitism suggests that environmental reforms are a subterfuge for distributing benefits to environmentalists and/or costs to others, and (c)impact elitism suggests that environmental reforms, whether intentionally or not, do in fact have regressive social impacts.The evidence bearing on each of the three types of elitism is examined in some detail, and the following conclusions are drawn: Compositional elitism is an exaggeration, for although environmentalists are typically above average in socioeconomic status (as are most sociopolitical activists), few belong to the upper class. Ideological elitism may hold in some instances, but environmentalists have shown increasing sensitivity to equity concerns and there is little evidence of consistent pursuit of self-interest. Impact elitism is the most important issue, and also the most difficult to assess. It appears that there has been a general tendency for environmental reforms to have regressive impacts. However, it is increasingly recognized that problems such as workplace pollution and toxic waste contamination disproportionately affect the lower socioeconomic strata, and thus reforms aimed at such problems will likely have more progressive impacts.This is Michigan Agricultural Experiment Station Journal article no. 11508.     

Reinvestigating the pollution haven hypothesis: the nexus between foreign direct investments and environmental quality in G-20 countries

Environmental Science and Pollution Research - One of the most commonly debated concerns regarding foreign direct investment inflows is the associated environmental adversities that accompany the...     

Quantifying the probability of detection of wild ungulates with the Judas technique

The Judas technique is often used in control or eradication of particular vertebrate pests. The technique exploits the tendency of individuals to form social groups. A radio collar is affixed to an individual and its subsequent monitoring facilitates the detection of other conspecifics. Efficacy of this technique would be improved if managers could estimate the probability that a Judas individual would detect conspecifics. To calculate this probability, we estimated association rates of Judas individuals with other Judas individuals, given the length of time the Judas has been deployed. We developed a simple model of space-use for individual Judas animals and constrained detection probabilities to those specific areas. We then combined estimates for individual Judas animals to infer the probability that a wild individual could be detected in an area of interest via Judas surveillance. We illustrated the method by using data from a feral goat eradication program on Isla Santiago, Galápagos, and a feral pig eradication program on Santa Cruz Island, California. Association probabilities declined as the proximity between individual areas of use of a Judas pair decreased. Unconditional probabilities of detection within individual areas of use averaged 0.09 per month for feral pigs and 0.11 per month for feral goats. Probabilities that eradication had been achieved, given no detections of wild conspecifics, and an uninformative prior probability of eradication were 0.79 (90% CI 0.22–0.99) for feral goats and 0.87 (90% CI 0.44–1.0) for feral pigs. We envisage several additions to the analyses used that could improve estimates of Judas detection probability. Analyses such as these can help managers increase the efficacy of eradication efforts, leading to more effective effects to restore native biodiversity.