Cytogenetic diagnoses after chorionic villus sampling are less reliable in very-high- or very-low-risk pregnancies

An increasing number of cytogenetic prenatal diagnoses are performed on chorionic villus samplings. The accuracy of this method is influenced by chromosomal mosaicism, mostly confined to direct preparation methods. Especially those investigators who have experienced false-negative and false-positive findings propagate the combined use of direct and culture methods. Yet large collaborative studies have shown that in approximately two-thirds of diagnostic cases only one procedure is applied. Moreover, the accuracy of a cytogenetic investigation depends not only on the ontogenetic origin of the tissues investigated, but also on interacting factors such as the ‘a priori risk’ and the ‘predictive value of a cytogenetic finding’. On this basis a differentiated prenatal diagnostic procedure is discussed, including either sole short-term culture (STC), combined STC and long-term culture (LTC), primary amniocentesis (AC), or primary percutaneous umbilical blood sampling (PUBS). The predictive value of the cytogenetic diagnosis from CVS varies significantly dependent on the a priori risk of a chromosome aberration and, in the case of an abnormal karyotype, on the specific chromosome involved. A non-mosaic and ‘non-lethal’ trisomy detected in STC is highly representative of the embryo/fetus, but there are exceptions of limited predictive value, e.g., trisomy 18. Guided by the strategy of an optional follow-up by LTC, AC, or PUBS in 1317 successive CV samplings, we are not aware of a false-negative diagnosis, but probably had one false-positive diagnosis: 47,XXY after STC; 46,XY after LTC. When referring to the rate of fetuses with an unbalanced karyotype expected in the different indication groups, a relative increase of false-positive findings in the very-low-risk group (maternal age ⩽35 years of age) and of false-negative findings in the very-high-risk group (abnormal ultrasonographic findings) of pregnant women when only performing CVS becomes obvious. Because of this dilemma, AC or—especially in the latter group—PUBS might be primarily offered to these indication groups instead of CVS.     

Safety devices for gas welding, cutting and allied processes

This paper describes the results of extensive research to determine the limit of safety against flame transmission for sintered metal flame arrester elements when stressed by a flashback in a fuel-gas/oxygen mixture and when stressed through a stabilized burning of a flowing mixture of fuel-gas and air and of fuel-gas and oxygen at the sintered metal element. On the basis of the results of these investigations, the limit of safety against flame transmission for sintered metal flame arrester elements can be estimated and the conditions for testing can be specified. An analysis of the protection of gas outlets on gas distribution lines for welding, cutting and allied processes has been carried out, resulting in recommendations for necessary changes to the regulations for testing of safety devices with sintered metal flame arrester elements, which should be made in the next revision of the corresponding technical regulations for acetylene installations and calcium carbide stores (TRAC), and the standards DIN 8521, EN 730 and ISO 5175.     

Neue horizonte für die chemie

The term ‘sustainable development’ is defined and discussed with regard to its significance and its application in the field of chemistry. This is presented using the synthetic organic chemistry as an example. A review of the history of chemistry indicates clearly the necessity for further developments in the course of concepts involving sustainability. Following the eras of bituminous coal tar and mineral oil in both of the two past centuries, a search for new raw materials and a reduction in the global ecotoxicological potential for danger is being strived for. Critical contemplations are mandatory in order to avoid making this term ‘persistence’ into a keyword. Consequently, one must take into consideration the field of research and development as well as reflecting about the classification of chemical and scientific research projects, and their political as well as social relationships. Aside from the new methods of synthesis, this will also require the formulation of other decision-relevant criteria.