Parental response to mid-trimester therapeutic abortion following amniocentesis

This article reports the results of a retrospective study designed to examine the responses of couples to genetic amniocentesis and subsequent therapeutic abortions due to birth defects. Fourteen women and 12 men were interviewed by experienced interviewers using a structured format designed by the authors, and each interview was audiotaped for later rating. The 5 raters (all women) were instructed to independently rate each interview using forms designed by the authors to elicit information about many aspects of the participant's individual responses as well as perceptions of spouse's responses to the process of pregnancy, amniocentesis, therapeutic abortion, and sequelae. Ratings of all 5 raters were conjoined and an homogeneous narrative was constructed for each interview. Results indicate, in general, that the respondent couples coped well with this experience. In fact 70 per cent of the respondent couples described their marital relationships as becoming closer as a result of their experience. Only a few participants reported long-term deleterious effects. Most couples coped by relying on relatives, friends, and occasionally, professional counsellors. In addition, most participants in this study suggested ways to improve the medical and psychological aspects of this experience.     

Determinants of parental decisions to abort for chromosome abnormalities

Parental decisions concerning the continuation of pregnancy following prenatal detection of abnormal chromosomes were evaluated for 80 patients whose diagnosis and prenatal counselling were performed in our centre. Twenty-two anomalies were diagnosed by chorionic villus sampling (CVS) and 58 by amniocentesis. The severity of the chromosome anomaly and associated ultrasound findings in the first vs. second trimester were correlated with patients' decisions. No difference was found in the likelihood of parental decisions to interrupt or continue a pregnancy between CVS and amniocentesis for either the‘severe’ or the‘questionable’ group of chromosome anomalies. Ninety-three per cent of patients with severe prognosis and 27 per cent with questionable prognosis opted for pregnancy termination (p <0·0001). The association of ultrasound anomalies and termination was highly significant (p< 0·001). The severity of the chromosome anomaly, and, to a lesser extent, the visualization of anomalies on ultrasound were the major determinants of parental decisions to terminate the pregnancy. The diagnosis of an anomaly in the first trimester was no more likely ito lead to a termination of pregnancy than in the second trimester.     

Congestion at Recreation Areas: Empirical Evidence on Perceptions, Mitigating Behaviour and Management Preferences

Economists have tried to estimate the demand for recreation under conditions of congestion, struggling especially with a model that uses observed rather than stated behaviour to obtain results. This paper reports statistical analyses of data on perceptions, mitigating behaviour and management preferences in order to highlight the difficulties related to empirical analysis of congestion. We offer evidence that may be of assistance to those wishing to construct measures of congestion for use in an observed behaviour model. The results may also be useful to recreation area managers who can implement a quota or permit system or change site entry or access fees to control access to the site they manage.     

CURRENT REFINERY PROBLEMS AND ISSUES IN PETROLEUM IMPORTING DEVELOPING COUNTRIES

This article discusses the problems facing refinery operations in developing countries and possible solutions to them. The topics covered include security of crude oil supply to the developing countries; difficulties encountered in development of indigenous expertise in refinery operation; refinery capacity and the special problems of maintenance and repair facing refinery operators in the developing parts of the world; and the potential for improved refinery operation through increased international co-operation.     

PREDICTIVE MODEL FOR NITRATE LOAD IN THE BULL RUN WATERSHED,OREGON1

ABSTRACT: Predictive models for nitrate in four streams in the Bull Run Watershed in the Cascade Mountains of Oregon were developed from a record of 17 years of nitrate samples. The models are time series regression models written in terms of Log(nitrate load). The independent variables are logarithm of 14-day mean daily stream discharge, current day's precipitation, logarithm of the previous day's precipitation, total precipitation for the previous seven days, a hydrograph position variable that indicates rising or falling limb, and average maximum air temperature for the preceding 14 days. The models describe annual cycle and seasonable trends and variations in nitrate load, but are unable to describe large day to day variations like those associated with hydrograph peaks.