Maternal serum free beta hCG screening: Results of studies including 480 cases of down syndrome

The median maternal serum free beta human chorionic gonadotropin (hCG) multiple of the median (MOM) of 480 Down syndrome cases in the second trimester was 2·64, significantly greater than the reported median MOM of intact hCG (p<0·0001). In 234 of these cases from retrospective and prospective studies, the effectiveness of maternal serum free beta hCG was evaluated in combination with alpha-fetoprotein (AFP) and maternal age in second-trimester Down syndrome screening. Down syndrome detection in the gestational age range of 14–16 weeks was 82 per cent. In all gestational weeks (14–22), a 77·7 per cent Down syndrome detection rate was achieved. In prospective screening of 44 272 patients under the age of 35 years, 69 per cent of Down syndrome cases were detected (73 per cent in gestational weeks 14–16). The false-positive rate for the prospective study was 3·8 per cent. The use of free beta hCG combined with maternal serum AFP and maternal age-related risk for Down syndrome in a screening population (i.e., women under 35 years) yields an improved detection efficiency over other protocols.     

Evaluation of US EPA Environmental Monitoring and Assessment Program's (EMAP)-Wetlands sampling design and classification

The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) will monitor the nation's resources by evaluating the status and trends of selected indicators of condition using a probability-based sampling design. The EMAP-Wetlands program will monitor the condition of the nation's wetlands. The EMAP classification system is an aggregation of the many subclasses of the US Fish and Wildlife Service's National Wetlands Inventory (NWI) classification system. This aggregation results in fewer wetland classes with more wetlands per class than the NWI system. Aggregation of the NWI classification was based primarily on dominant vegetation cover, flooding regimes, dominant water source, and adjacency to rivers and lakes. We evaluated the EMAP classification system and sampling design using NWI digital wetlands data for portions of Illinois, Washington, North Dakota, and South Dakata. Relative numbers of wetlands, total areas, average areas, and common versus rare classes were compared between the EMAP and NWI classification systems. As expected, the EMAP classification provided fewer wetland polygons, each with larger areas, without altering total wetland area. Summary statistics comparing sample estimates to true population parameters (represented by the NWI data) demonstrated the effectiveness of the EMAP sampling design with the exception of rare EMAP classes in the selected regions. Although simple random sampling is inadequate for both large and small wetlands, the EMAP sampling design is readily adapted to provide better estimates for these categories. Aggregating the NWI classification to the EMAP classification provides fewer wetland classes, with more wetlands per class, for EMAP's annual reports and statistical summaries. The research in this report has been funded by the United States Environmental Protection Agency (EPA) under contracts 68-C8-0006 to ManTech Environmental Technology, Inc. and 68-03-3532 to The Bionetics Corporation. Mention of trade names does not constitute endorsement or recommendation for use.     

RESIDENTIAL WATER CONSERVATION: CASA DEL AGUA1

ABSTRACT: A single-family residence in Tucson, Arizona, was retrofitted with water-conserving fixtures, rainwater harvesting, and graywater reuse systems. During a four-year study, efficient use of water was shown to significantly decrease demand for domestic water at the house without reducing the residents' quality of life. The use of municipal water was reduced by 66 percent to 148 gallons per day (gpd) and total household use was reduced by 27 percent to 245 gpd. Graywater reuse averaged approximately 77 gpd or 32 percent of the total household water use. Evaporative cooling required about 15 gpd. Water use for toilet flushing was only 9 gallons per capita per day (gpcd) or 14 percent of interior water use.     

On-site remediation of PCB contamination using transportable incineration systems

Many Superfund or hazardous waste sites prove to be excellent candidates for remediation using transportable incineration. Transportable incineration has been selected as the alternative of choice to remediate numerous sites throughout the United States. There are a number of firms that provide mobile and transportable incineration equipment and services. A variety of treatment systems are available, including rotary kilns, fluidized beds, and infrared incinerators. Roy F. Weston, Inc., has been instrumental in the development, design, permitting, construction, performance testing, and operation of hazardous and toxic waste thermal treatment systems. Weston owns and operates two high-temperature transportable incineration systems (TISs). The first system is Weston's seven-ton-per-hour (tph) TIS-5. The second is the TIS-20, with a design capacity of up to 30 tph. These units are typical rotary kiln incinerators, the most flexible, adaptable type of incineration unit. This article discusses Weston's use of these incinerators to remediate soils at sites contaminated with polychlorinated biphenyls (PCBs).     

COUNTY COMMISSIONERS' WATER KNOWLEDGE1

ABSTRACT: This study examines the social construction of county commissioners' knowledge about water. Factors that influence what commissioners know about water include each commissioner's personal characteristics, education, experience in natural resources management, involvement in policy making, and use and evaluation of various sources of information. This study focused on county commissioners representing rural, mixed, and urban counties in Arizona, Nevada, and Utah and collected data through mail surveys and interviews. County commissioners in the survey were well educated; however, few had taken college courses directly addressing technical, management, or legal aspects of water issues. Approximately one-third had direct experience in farming and ranching; nearly two-thirds indicated that farming and ranching played a major role in their communities. Respondents had experience with a broad range of water policy issues. In evaluating thirteen information sources in terms of their frequency of use, relevancy, and reliability, respondents assessed fellow commissioners and local government staff and managers most positively and nonprofit organizations most negatively. The media was also broadly rated as less relevant and reliable than other sources of information. The commissioners in the study expressed a high level of general concern about water issues and a strung preference for local sources of information.     

Effects of power-line construction on wetland vegetation in Massachusetts,USA

Utility rights-of-way corridors through wetland areas generate long-term impacts from construction activities to these valuable ecosystems. Changes to and recovery of the vegetation communities of a cattail marsh, wooded swamp, and shrub/bog wetland were documented through measurements made each growing season for two years prior, five years following, and again on the tenth year after construction of a 345-kV transmission line. While both the cattail marsh and wooded swamp recovered within a few years, measures of plant community composition in the shrub/bog wetland were still lower, compared to controls, after ten years. Long-term investigations such as the one reported here help decrease uncertainty and provide valuable information for future decision making regarding construction of power utility lines through valuable and dwindling wetland resources.