Conceiving a fetus for bone marrow donation: An ethical problem in prenatal diagnosis

We present a family who sought prenatal diagnosis in order to bear a healthy child to serve as an HLA–identical bone marrow donor for their son affected with Wiskott–Aldrich syndrome. They intended to abort HLA-incompatible fetuses who would have been unsuitable bone marrow donors. This case led us to conclude that prenatal diagnosis should not be used to benefit a third party or facilitate the conception or abortion of a fetus for the purpose of generating an organ for transplantation. The limits of parental autonomy and physician responsibility are discussed.     

Purification of multiple vitellogenins in grey mullet (<Emphasis Type="Italic">Mugil cephalus</Emphasis>)

Coralliophila abbreviata (Lamarck) is a corallivorous gastropod that lives and feeds on several species of scleractinian coral in the Western Atlantic and Caribbean. Previous studies of C. abbreviata have revealed that snails on branching acroporid corals are larger and consume more tissue than those on massive and plating corals. To ascertain whether snail life-history and fitness are differentially affected by the coral host, an analysis of the age structure and female reproductive output of snail populations on three coral host taxa (Acropora palmata, Diploria spp., and Montastraea spp.) was conducted at four shallow (2–7 m depth) reef sites off Key Largo, Florida in June through August, 2004. Snails were, on average, almost twice as large on A. palmata than on Diploria spp. and Montastraea spp., averaging 30.3 mm shell length, compared to 17.2 and 17.6 mm, respectively. Brood size increased as a power function with female shell length. Females on A. palmata were significantly larger than females on the other two hosts and, therefore, produced more offspring per female. The number of growth striae on the inner surface of the operculum was used to estimate snail age. Estimates of growth rate were obtained by fitting the Gompertz growth function to size-at-age plots and mortality was estimated using growth parameters and size-frequency data. The data suggest that C. abbreviata inhabiting A. palmata are larger than on alternative hosts due to a combination of a faster growth rate and longer life-span. The species is believed to be a protandrous hermaphrodite. The timing of sex change varied among hosts; snails on A. palmata changed sex later at larger sizes relative to those on the other two hosts. Based on these results, it seems probable that C. abbreviata has developed reaction norms for life-history traits, allowing snails to adjust and maximize fitness in the different environments associated with various coral hosts.     

Vertical and horizontal movements of striped marlin (Tetrapturus audax) near the Hawaiian Islands,determined by ultrasonic telemetry,with simultaneous measurement of oceanic currents

We measured the vertical and horizontal movements of striped marlin (Tetrapturus audax) off the leeward coast of the Island of Hawaii between 20 November and 18 December 1992 while simultaneously gathering data on water temperature and oceanic currents. Fish movements were monitored by ultrasonic depth-sensitive transmitters, depth-temperature profiles by an expendable bathythermograph system, and oceanic current patterns by an acoustic Doppler current profiler. Like Indo-Pacific blue marlin (Makaira mazara), striped marlin near Hawaii spend >85% of their time in the mixed layer (i.e., above 90 m depth). The maximum depth for striped marlin appears to be limited by water temperatures 8 C° colder than the mixed layer, rather than by an absolute lower temperature. We also found that the horizontal displacements of some striped marlin can be strongly influenced by currents.     

High beam headlamp use rates: Effects of rurality,proximity of other traffic,and roadway curvature

Objective: The few observational studies of the prevalence of high beam use indicate the rate of high beam use is about 25% when vehicles are isolated from other vehicles on unlit roads. Recent studies were limited to 2-lane rural roads and used measurement methods that likely overestimated use. The current study examined factors associated with the rate of high beam use of isolated vehicles on a variety of roadways in the Ann Arbor, Michigan area.

Methods: Twenty observation sites were categorized as urban, rural, or on a rural/urban boundary and selected to estimate the effects of street lighting, road curvature, and direction of travel relative to the city on high beam use. Sites were selected in pairs so that a majority of traffic passing one site also passed through the other. Measurement of high beams relied on video data recorded for 2 nights at each site, and the video data also were used to derive a precise measure of the proximity of other traffic. Nearly 3,200 isolated vehicles (10 s or longer from other vehicles) were observed, representing 1,500-plus vehicle pairs.

Results: Across the sample, 18% of the vehicles used high beams. Seventy-three percent of the 1,500-plus vehicle pairs used low beams at each paired site, whereas 9% used high beams at both sites. Vehicles at rural sites and sites at the boundaries of Ann Arbor were more likely to use high beams than vehicles at urban sites, but use in rural areas compared with rural/urban boundary areas did not vary significantly. Rates at all sites were much lower than expected, ranging from 0.9 to 52.9%. High beam use generally increased with greater time between subject vehicles and leading vehicles and vehicles in the opposing lane. There were mixed findings associated with street lighting, road curvature, and direction of travel relative to the city.

Conclusion: Maximizing visibility available to drivers from headlights includes addressing the substantial underuse of high beam headlamps. Advanced technologies such as high beam assist, which switches automatically between high and low beam headlamps depending on the presence of other traffic, can help to address this problem.     

A data-driven allocation tool for in-kind resources distributed by a state health department

Objective: The objective of this study was to leverage a state health department's operational data to allocate in-kind resources (children's car seats) to counties, with the proposition that need-based allocation could ultimately improve public health outcomes.

Methods: This study used a retrospective analysis of administrative data on car seats distributed to counties statewide by the Georgia Department of Public Health and development of a need-based allocation tool (presented as interactive supplemental digital content, adaptable to other types of in-kind public health resources) that relies on current county-level injury and sociodemographic data.

Results: Car seat allocation using public health data and a need-based formula resulted in substantially different recommended allocations to individual counties compared to historic distribution.

Conclusions: Results indicate that making an in-kind public health resource like car seats universally available results in a less equitable distribution of that resource compared to deliberate allocation according to public health need. Public health agencies can use local data to allocate in-kind resources consistent with health objectives; that is, in a manner offering the greatest potential health impact. Future analysis can determine whether the change to a more equitable allocation of resources is also more efficient, resulting in measurably improved public health outcomes.     

Value of protected areas to avian persistence across 20 years of climate and land-use change

Establishing protected areas, where human activities and land cover changes are restricted, is among the most widely used strategies for biodiversity conservation. This practice is based on the assumption that protected areas buffer species from processes that drive extinction. However, protected areas can maintain biodiversity in the face of climate change and subsequent shifts in distributions have been questioned. We evaluated the degree to which protected areas influenced colonization and extinction patterns of 97 avian species over 20 years in the northeastern United States. We fitted single-visit dynamic occupancy models to data from Breeding Bird Atlases to quantify the magnitude of the effect of drivers of local colonization and extinction (e.g., climate, land cover, and amount of protected area) in heterogeneous landscapes that varied in the amount of area under protection. Colonization and extinction probabilities improved as the amount of protected area increased, but these effects were conditional on landscape context and species characteristics. In this forest-dominated region, benefits of additional land protection were greatest when both forest cover in a grid square and amount of protected area in neighboring grid squares were low. Effects did not vary with species’ migratory habit or conservation status. Increasing the amounts of land protection benefitted the range margins species but not the core range species. The greatest improvements in colonization and extinction rates accrued for forest birds relative to open-habitat or generalist species. Overall, protected areas stemmed extinction more than they promoted colonization. Our results indicate that land protection remains a viable conservation strategy despite changing habitat and climate, as protected areas both reduce the risk of local extinction and facilitate movement into new areas. Our findings suggest conservation in the face of climate change favors creation of new protected areas over enlarging existing ones as the optimal strategy to reduce extinction and provide stepping stones for the greatest number of species.