Variation in uptake of serum screening: the role of service delivery

The present study aimed to determine the extent to which variation in the uptake of serum screening for Down syndrome reflects variation in the way the test is offered. A higher uptake of serum screening was seen at hospitals that offered the blood test as part of a routine visit than at those where screening required a separate visit. The type of screening test offered and whether a reminder was sent were not associated with uptake. Given the consensus that undergoing screening should be the result of an informed choice, further research is needed to determine which methods of offering serum screening facilitate and which impede informed choice. Copyright © 2002 John Wiley & Sons, Ltd.     

THE IMPACT OF WATER QUALITY OBJECTIVES ON URBAN WATER SUPPLY PLANNING1

ABSTRACT: Optimal policies for supplying rapidly expanding urban centers with additional water supplies are shown to be dependent on water quality goals for the urban effluent. As effluents are required to meet increasingly stringent standards, the unit costs associated with adding capacity to existing wastewater treatment systems to renovate some waters for reuse are shown to substantially decrease. A nonlinear elimination algorithm is developed to delineate optimal policies. A model employing the technique was applied to the wastewater treatment system of a typical urban system and the water quality objectives varied. A comparison of costs with and without various levels of reuse were made and unit costs of reused water under these conditions determined.     

Reproductive effort in Adélie penguins

Summary We estimated reproductive effort (energy expenditures for reproduction, as opposed to maintenance) in Adélie penguins breeding at Palmer Station, Antarctica. Data on body composition changes and metabolic rate were obtained using isotopic methods. Adelie breeding behavior consists of an initial courtship stage (during which both sexes fast), incubation, the guard stage (when chicks are 1 to 18–28 days old), and the creche stage (from the end of guarding until chicks are 28–45 days old). Both males and females lost considerable mass during the initial stages of the reproductive season, but males fasted longer and lost more mass. Mass losses of both sexes consisted of 66% depot fat and 34% lean tissue. Mass and body composition remained constant once birds resumed feeding. The metabolic expenditure for the foraging necessary to accumulate the mass lost while fasting — one component of reproductive effort —was about 63 MJ in males and 39 MJ in females. Field metabolic rates (FMR) were low during courtship and while incubating, increasing more than 2-fold when birds resumed foraging. Although mean FMR increased between incubation and the creche stage, differences between stages were small and not significant. We used FMR data and an energy balance model to estimate the cost of feeding chicks. Results suggest a maintenance FMR of about 2.7 × basal metabolism (BMR), increasing to 3.4–3.6 × BMR during the creche stage. The reproductive effort (as metabolic expenditures) associated with feeding chicks is 31 MJ (males) to 36 MJ (females). Cumulative reproductive effort is 94 MJ in males and 75 MJ in females, or 5.3–6.2% of the annual energy budget. The reproductive effort devoted to chick care does not appear to be constrained by physiological or time limitations. Instead, selection to reduce the risk of predation may prevent the evolution of increased parental care. Correspondence to: M.A. Chappell     

Which spatial heterogeneity framework? Consequences for conclusions about patchy population distributions

Patches, gradients, and hierarchies are three common organizational frameworks for assessing the effects of spatial heterogeneity on species distributions. Since these frameworks are often chosen a priori, without knowledge of study systems, they may not correspond to the empirical heterogeneity present and may result in partial or erroneous conclusions about the forces structuring species distributions. I tested the consequences of choosing particular frameworks and whether patch heterogeneity structured patchily distributed populations of the valley elderberry longhorn beetle (Desmocerus californicus dimorphus) along four rivers in California's Central Valley (USA). A comparison of the three approaches revealed that each led to incomplete conclusions about controls on the beetle's distribution and populations. Patch analysis revealed weak effects of patch size and quality, and high unexplained variance, which likely reveals large amounts of stochasticity since replication was high. The patch analysis therefore concluded that distributions consistent with patch dynamic structures like classic metapopulation, source-sink, and mainland-island models existed in the different rivers. Conversely, gradient analyses revealed a gradient-distribution pattern responding to continuous and often large-scale variables, such as host-plant age or size, water availability, and the presence of an invasive leguminous tree; again most variance in beetle occurrence remained unexplained. Hierarchical analysis identified the natural spatial patterns of the system but gave no indication of causal processes. The combination of all three approaches explained the maximum variance in beetle occurrence, through inclusion of a comprehensive list of explanatory variables, multiple spatial scales, various types of heterogeneity, and a focus on the scales at which beetle-environment interactions were strongest. Surprisingly, these results still supported the notion that the beetle exists as a metapopulation, a structure thought to be rare because it ignores habitat quality and landscape conditions. These analyses exemplify the simultaneous importance of local patch attributes and broad-scale and/or gradient variables that are commonly overlooked in patch studies. Importantly, some patch attributes acted over inter-patch scales, affecting the perception of patch distances and distributional extents. Only through the integration of frameworks was I able to decipher the system's complexity and see that all three types of heterogeneity were acting in the system, sometimes over unexpected scales.     

The Effects of Dust on the Federally Threatened Valley Elderberry Longhorn Beetle

We combined a natural experiment with field surveys and GIS to investigate the effects of dust from recreational trails and access roads on the federally threatened Valley elderberry longhorn beetle (“VELB,” Desmocerus californicus dimorphus) and its host plant, elderberry (Sambucus mexicana). Dust is listed in the species recovery plan as a threat to the VELB and unpaved surfaces are common throughout the riparian corridors where the VELB lives, yet the effects of dust on the VELB have been untested. We found that dust deposition varied among sites and was highest within 10 m of trails and roads, but was similar adjacent to dirt and paved surfaces within sites. Elderberry density did not differ with distance from dirt surfaces. Despite similar within-site dust levels, elderberry adjacent to paved surfaces were less stressed than those near dirt ones, possibly because increased runoff from paved surfaces benefited elderberry. Dust deposition across sites was weakly correlated with elderberry stress symptoms (e.g., water stress, dead stems, smaller leaves), indicating that ambient dust (or unmeasured correlates) influenced elderberry. Direct studies of the VELB showed that its distribution was not negatively affected by the proximity to dirt surfaces. Dust from low traffic dirt and paved access roads and trails, therefore, affected VELB presence neither directly nor indirectly through changed elderberry condition. These results suggest that the placement of VELB mitigation, restoration, and conservation areas can proceed independently of access roads if dust and traffic levels do not exceed those in our study site. Furthermore, dust control measures are likely to be unnecessary under such conditions. The potential effects of increased traffic and dust levels are addressed through a literature review.