Current concepts of Down syndrome screening tests in assisted reproduction twin pregnancies: another double trouble

Assisted reproductive technologies (ART) have increased both the number of pregnancies in women beyond the age of 35 and the incidence of multiple pregnancies. Various methods of screening for Down syndrome (DS) were introduced in clinical practice during the last two decades, and specific problems were encountered when they were applied for twin pregnancies. The current review aims to explore the problematic issue of prenatal DS screening in ART twins. Overall, more women with twin pregnancies (mainly those who conceived via assisted reproduction) are found to be false positive for DS. This is because mid-trimester maternal serum screening is associated with a higher false-positive rate secondary to changes in the feto-placental endocrinologic metabolism, reflected mainly in high human chorionic gonadotrophin (hCG) levels in the ART pregnancies. First-trimester nuchal translucency (NT) measurement in twin pregnancies is not affected by the problems encountered in serum screening. This sonographic screening approach enables a fetus-specific identification of those fetuses at high risk of DS and is associated with a lower false-positive rate than mid-trimester serum screening. DS screening in ART twins presents several challenges in determining the most appropriate screening test modality. Whether there is any significant benefit of adding first-trimester biochemistry or nasal bone scanning in screening ART-conceived twins awaits further investigation. Copyright © 2005 John Wiley & Sons, Ltd.     

LEVEL B WATER RESOURCES PLANNING IN AN URBAN SETTING1

The purpose of this paper is to describe how the Level B Water Resources Planning Process was applied to Long Island Sound and the land area around it, to summarize the major findings and recommendations of the study and to comment on the effectiveness of that process and suggest how it might be made more effective in the future.     

Changing corporate environmental philosophy: Project renewal gets companies started

Project RENEWAL is an innovative new environmental business project taking place in New Jersey. Project RENEWAL stands for Resource Efficiency Network to Eliminate Waste and Liability. The purpose of this project is to investigate and promote the linkages between ecology, technology, and business economics for the benefit of the economy and the environment. This is a collaborative effort, initially focused on equipment and inventory assets, between the business and environmental communities in order to explore new ways to increase business efficiency and profitability and also benefit the environment. Participants in the project include representatives from industry, consulting, local and state government, environmental agencies, trade groups and academia. This article will outline the background and initial framework of Project RENEWAL's initiatives. (The authors are open to comments, suggestions, criticism, and most importantly input from others who share their vision and are willing to cooperatively accelerate the change process).     

EIA training courses organized by the centre for environmental management and planning,University of Aberdeen: An analysis of experience

In 1980, the World Health Organization (Regional Office for Europe) invited The Centre for Environmental Management and Planning (CEMP) to organize a two-week training course on Environmental Impact Assessment (EIA) to provide a comprehensive introduction to EIA with emphasis on methods and techniques for impact identification, prediction and assessment. Not suprisingly the topic of environmental health impact assessment was to be a major focus. Since 1980, the course has been held each year at the University of Aberdeen. An analysis of participation in the course during its first five years yields several impressions about the success of this training effort and the ways in which it might be improved.     

Spatial Relationships Between Water Quality and Pesticide Application Rates in Agricultural Watersheds

Pesticide applications to agricultural lands in California, USA, are reported to a central data base, while data on water and sediment quality are collected by a number of monitoring programs. Data from both sources are geo-referenced, allowing spatial analysis of relationships between pesticide application rates and the chemical and biological condition of water bodies. This study collected data from 12 watersheds, selected to represent a range of pesticide usage. Water quality parameters were measured during six surveys of stream sites receiving runoff from the selected watershed areas. This study had three objectives: to evaluate the usefulness of pesticide application data in selecting regional monitoring sites, to provide information for generating and testing hypotheses about pesticide fate and effects, and to determine whether in-stream nitrate concentration was a useful surrogate indicator for regional monitoring of toxic substances. Significant correlations were observed between pesticide application rates and in-stream pesticide concentrations (p < 0.05) and toxicity (p < 0.10). In-stream nitrate concentrations were not significantly correlated with either the amount of pesticides applied, in-stream pesticide concentrations, or in-stream toxicity (all p > 0.30). Neither total watershed area nor the area in which pesticide usage was reported correlated significantly with the amount of pesticides applied, in-stream pesticide concentrations, or in-stream toxicity (all p > 0.14). In-stream pesticide concentrations and effects were more closely related to the intensity of pesticide use than to the area under cultivation.     

Probabilistic risk assessment and risk mapping of metals in tropical estuarine sediments using the 1 quarisk model

Total sediment concentrations of Cd, Cu, Pb, Zn, As, and Hg obtained from the Ankobra, Sakumo II, and Volta estuaries in Ghana were used to generate contaminant probability density distributions and species sensitivity distributions in AQUARISK. Results of the tier 1 assessment showed Cu, Cd, Zn, and Pb were not of concern in the Ankobra as their measured values and the 99th percentile of the fitted distributions were lower than the SQG low-trigger values. Mercury (Hg) and As were however, identified to be of concern in this estuary. In the Sakumo II estuary, Cu, Cd, Pb, and Hg have been identified to be of concern because their concentrations are higher than the SQG low-trigger values. Hg has been identified as the only metal of concern in the Volta estuary. The total proportion of species likely to be affected by the combined concentration of Cd, Cu, and Zn measured from Ankobra, Sakumo II, and Volta were 14%, 16%, and 12%, respectively, according to the Bur III distributional analysis of the ecotoxicology data. The measured median sediment concentrations of As and Hg in the Ankobra estuary greatly exceeded the median sediment concentration targets to achieve a 5% or less exceedence of the SQG low value. Similarly, in the Sakumo II estuary, the measured median sediment concentrations of Cu, Pb, and Hg greatly exceeded the median sediment concentration targets to achieve a 5% or less exceedence of the SQG low. For the Volta estuary however, other metals except Hg fall below the target values.