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.     

Curtin industrial safety trial: Managerial behavior and program effectiveness

Behavior-based safety has been found universally efficacious when evaluated under controlled conditions. The Curtin Trial aimed to test the general acceptability of behavior-based safety in Australian industry. A 50% failure rate was observed. This paper presents the results of a qualitative analysis of observed managerial behavior in relation to program effectiveness. Field notes taken in the course of 325 hours of participant observation during implementation of behavior-based safety in 9 work areas were analyzed qualitatively and categorized. These data were compared with statistical results of the safety program's effectiveness on improving safe practices and good housekeeping. Nine dimensions to managerial behavior were identified which were associated with program effectiveness. A relatively small number of studies investigating organizational characteristics and safety have found generally similar social environmental features to those observed in this study. Behavior-based safety appears to be effective only in organizations with recognizable managerial styles.     

COST-EFFECTIVE REGULATORY OPTIONS FOR WATER QUALITY LIMITED STREAMS1

With the pressure from industries and municipalities to reduce the waste water treatment costs associated with the permit limits needed to attain the goals of the Clean Water Act, attention has turned ways of introducing flexibility into the regulations without sacrificing the water quality goals. Wisconsin is the first state to have adopted a variety of options from which dischargers may choose when meeting their water quality requirements. These options were developed for the express purpose of minimizing the costs and maximizing the flexibility of the point source water quality regulations while ensuring that permitted discharge would not violate the water quality standards. This paper presents five options that the state has made available to dischargers, as well as one the state did not adopt. The conclusion is that a mix of options can substantially increase the flexibility and reduce the costs of meeting water quality standards on effluent limited streams.     

Nitrogen use in the United States from 1961-2000 and potential future trends

Nitrogen inputs to the US from human activity doubled between 1961 and 1997, with most of the increase in the 1960s and 1970s. The largest increase was in use of inorganic N fertilizer, but emissions of NOx from fossil-fuel combustion also increased substantially. In 1961, N fixation in agricultural systems was the largest single source of reactive N in the US. By 1997, even though N fixation had increased, fertilizer use and NOx emissions had increased more rapidly and were both larger inputs. In both 1961 and 1997, two thirds of reactive N inputs were denitrified or stored in soils and biota, while one third was exported. The largest export was in riverine flux to coastal oceans, followed by export in food and feeds, and atmospheric advection to the oceans. The consumption of meat protein is a major driver behind N use in agriculture in the US Without change in diet or agricultural practices, fertilizer use will increase over next 30 years, and fluxes to coastal oceans may increase by another 30%. However, substantial reductions are possible.     

Waterborne and sediment toxicity of fluoxetine to select organisms

Ecological risk assessments of pharmaceuticals are currently difficult because little-to-no aquatic hazard and exposure information exists in the peer-reviewed literature for most therapeutics. Recently several studies have identified fluoxetine, a widely prescribed antidepressant, in municipal effluents. To evaluate the potential aquatic toxicity of fluoxetine, single species laboratory toxicity tests were performed to assess hazard to aquatic biota. Average LC(50) values for Ceriodaphnia dubia, Daphnia magna, and Pimephales promelas were 0.756 (234 microg/l), 2.65 (820 microg/l), and 2.28 microM (705 microg/l), respectively. Pseudokirchneriella subcapitata growth and C. dubia fecundity were decreased by 0.044 (14 microg/l) and 0.72 microM (223 microg/l) fluoxetine treatments, respectively. Oryias latipes survival was not affected by fluoxteine exposure up to a concentration of 28.9 microM (8.9 mg/l). An LC(50) of 15.2 mg/kg was estimated for Chironomus tentans. Hyalella azteca survival was not affected up to 43 mg/kg fluoxetine sediment exposure. Growth lowest observed effect concentrations for C. tentans and H. azteca were 1.3 and 5.6 mg/kg, respectively. Our findings indicate that lowest measured fluoxetine effect levels are an order of magnitude higher than highest reported municipal effluent concentrations.     

The value of time in recreation benefit studies

This paper examines the role of time costs—both on-site and travel—in models describing recreation behavior, and draws implications for the travel-cost approach to recreation site benefit estimation. The analysis shows that both recreation and travel time are costly. The latter can be valued in terms of its scarcity value, but the former may be most appropriately valued in terms of the “alue of travel time saved.” Although there are cases in which on-site time costs need not be explicitly considered in recreation benefit models, it is not clear such cases are the rule rather than the exception. Suggestions are made for measuring on-site and travel time costs.     

Evaluating Quality of Life, Economic Vulnerabilities, and Drivers of Ecosystem Change

We examined regional conditions and trends related to quality of life and potential vulnerabilities of these factors to changes in the condition of natural resources in the Mid-Atlantic Region, USA. We selected a variety of variables on economic and socio-demographic conditions that demonstrate links between the condition of natural areas and human concerns and that quantify dependencies on resources. We extracted data from economic and population census databases for counties within the study area and present a subset of results of the cluster analyses used to describe condition and potential risks due to distinct combinations of variables. We found that the same variables used to judge quality of life were often correlated with increasing population and thus were likely to be related to land pressures and risks to natural resources. Within the region, economic dependence on resource-harvesting industries such as forestry and fisheries was low (less than 4% of total earnings at most), however, the potential for natural amenities to attract residents appeared to be growing as the self-employed and otherwise mobile people settled in areas with affordable housing and natural amenities. Suburban residential spread had been occurring in both the close-in and distant suburbs of the region's urban areas and some rural, growth appeared to be driven, in part, by businesses migrating to suburbs. Further work is needed to tease apart causal factors for the trends we observed, but correlations clearly existed in some areas between increasing populations and quality of natural surroundings.