Diagnosis of cardiac defects: where we've been,where we are and where we're going

There has been tremendous development in the field of prenatal diagnosis of cardiac disease in the last 30 years. Early work centered on the technical aspects of providing an accurate assessment of cardiac structure and function. Techniques of fetal cardiac screening have been developed and utilized throughout the world. More recently, investigators have begun to explore the ramifications of fetal cardiac diagnosis by assessing measures of outcome. In this article, the field of fetal echocardiography, as a screening tool for identifying congenital heart disease, and its impact on disease outcome is reviewed. Copyright © 2002 John Wiley & Sons, Ltd.     

The importance of small urbanized watersheds to pollutant loading in a large oligotrophic subalpine lake of the western USA

Urban land use has been implicated as a major contributor of nonpoint source pollution in aquatic systems. Through increased nonpoint delivery of pollutants, including constituents found in stormwater, Lake Tahoe is undergoing a marked decline in its transparency, primarily due to increasing production of algae from enhanced nutrient loading and delivery of fine particles to the lake from the watershed. In response to these findings, a regional restoration effort is underway to improve basin watersheds and the water quality in Lake Tahoe. In this study, stormwater autosamplers were used to collect flow-weighted composite samples that characterized event mean concentrations for event and nonevent conditions within a small, urbanized watershed in the Tahoe basin. An event-specified constant-concentration water quality model was then applied to the event mean concentration and continuous streamflow data to estimate pollutant loads for nitrate, nitrite, ammonia, orthophosphate, and suspended sediment. These data were compared with previously reported load estimates from 10 primary monitored streams in larger watersheds of the Tahoe basin. Results from a linear regression analysis demonstrate strong and significant relationships between watershed impervious area and pollutant loadings from Lake Tahoe watersheds. These small, urbanized watersheds and intervening zones, which only comprise 10 % of the total Lake Tahoe drainage area, include a significant portion of the total Lake Tahoe impervious area. The findings of this study suggest that small, urbanized watersheds and intervening zones are disproportionately important contributors of nonpoint source pollution, including nutrients and suspended particles.     

Respecting The Autonomy of European and American Consumers: Defending Positive Labels on Gm Foods

In her recent article, “Does autonomy count in favor of labeling genetically modified food?,” Kirsten Hansen argues that in Europe, voluntary negative labeling of non-GM foods respects consumer autonomy just as well as mandatory positive labeling of foods with GM content. She also argues that because negative labeling places labeling costs upon those consumers that want to know whether food is GM, negative labeling is better policy than positive labeling. In this paper, we argue that Hansen’s arguments are mistaken in several respects. Most importantly, she underestimates the demands of respecting autonomy and overestimates the cost of positive labeling. Moreover, she mistakenly implies that only a small minority of people desire information about GM content. We also explore the extent to which her arguments would apply to the US context, and argue that any discussion of the relationship between autonomy and labeling should include not just considerations of consumer autonomy but also considerations of what we call citizen autonomy.     

Spatial modeling and prediction under stationary non-geometric range anisotropy

For modeling spatial processes, we propose a rich parametric class of stationary range anisotropic covariance structures that, when applied in R², greatly increases the scope of variogram contors. Geometric anisotropy, which provides the most common generalization of isotropy within stationarity, is a special case. Our class is built from monotonic isotropic correlation functions and special cases include the Matérn and the general exponential functions. As a result, our range anisotropic correlation specification can be attached to a second order stationary spatial process model, unlike ad hoc approaches to range anisotropy in the literature. We adopt a Bayesian perspective to obtain full inference and demonstrate how to fit the resulting model using sampling-based methods. In the presence of measurement error/microscale effect, we can obtain both the usual predictive as well as the noiseless predictive distribution. We analyze a data set of scallop catches under the general exponential range anisotropic model, withholding ten sites to compare the accuracy and precision of the standard and noiseless predictive distributions.     

Polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and polychlorinated biphenyls (PCBs) in breast milk of first-time Irish mothers: impact of the 2008 dioxin incident in Ireland

The 2008 dioxin incident in Ireland resulted in elevated concentrations of polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs) and polychlorinated biphenyls (PCBs) in Irish pork and pork products, due to the consumption of contaminated animal feed by pigs. In order to investigate any resulting impact on the Irish population, these contaminants were measured in pooled breast milk samples from 109 first-time mothers, collected in 2010. A comparison of the results with similar data from 2002 revealed generally lower concentrations of PCDD/Fs and dioxin-like PCBs in the 2010 samples, confirming the declining trend reported by many authors. Contaminant concentration levels for both 2002 and 2010 were generally slightly lower than those reported internationally, with a mean combined PCDD/F and PCB WHO-TEQ of 9.66 pg g⁻¹ fat, for an overall pooled sample of milk from 2010. An apparent slight increase in PCDFs was observed between 2002 and 2010 (from 2.73 pg WHO-TEQ g⁻¹ fat to 3.21 pg WHO-TEQ g⁻¹ fat), with the main contributory congener being 2,3,4,7,8-PentaCDF. While it cannot be totally discounted that the slight increase in 2,3,4,7,8-PentaCDF and in the overall PCDF WHO-TEQ in breast milk could be attributable to consumption of Irish pork during the 2008 incident, we consider that it is more likely that this was due to other factors, including the predominantly urban/industrial sampling locations for the 2010 samples, compared to 2002.     

A General Stochastic Model for the Prediction of Biodiversity Losses Based on Habitat Conversion

We present a model of species extinction rates that depends on the distribution of species and rates of habitat conversion. This model allows prediction of numbers of species lost as well as current extinction rates. We apply the model to plant species in the Neotropics. We examined distribution data for 51 angiosperm taxa, comprising 4258 species from Flora Neotropica monographs. Of these, 25.7% had been recorded as occurring in a single locality, with 12.8% and 9.5% being recorded from two or three localities respectively. Assuming that 18.7% of Neotropical forested area has been cleared since 1950, when 60,000 plant species existed, the model predicts that 3020 species will have been lost by 1992. At current deforestation rates, the entire Neotropics loses between 71 and 95 plant species per year. We also apply the model to individual Neotropical countries and find annual rates of within-country extinctions ranging from 0 per year in Belize to 63 per year in Ecuador. We suggest a means by which the model may be tested in the field.     

Self-reported job burnout among female human service professionals

A sample of 135 female human service professionals completed the Maslach Burnout Inventory (MBI) and the Staff Burnout Scale for Health Professionals (SBS), along with measures of job satisfaction, role stress, self-esteem, alienation, and locus of control. Principal components factor analysis of this battery indicates considerable covariation of self-reported burnout with job dissatisfaction and perceived role stress, and moderate overlap with more general feelings of alienation and low self-esteem. Item factor analysis of the 22 MBI items resulted in two independent factors, one defined by the Emotional Exhaustion and Depersonalization items, the other by the Personal Accomplishment items. Item factoring of the SBS produced one large factor which was highly correlated with the MBI exhaustion-depersonalization factor. Implications of these findings for the construct validity of the MBI and SBS are discussed.