Prenatal diagnosis using interphase fluorescence in situ hybridization (FISH): 2-year multi-center retrospective study and review of the literature

Since 1993, the position of the American College of Medical Genetics (ACMG) has been that prenatal interphase fluorescence in situ hybridization (FISH) is investigational. In 1997, the FDA cleared the AneuVysion^® assay (Vysis, Inc.) to enumerate chromosomes 13, 18, 21, X and Y for prenatal diagnosis. Data is presented from the clinical trial that led to regulatory clearance (1379 pregnancies) and from retrospective case review on 5197 new pregnancies. These studies demonstrated an extremely high concordance rate between FISH and standard cytogenetics (99.8%) for specific abnormalities that the AneuVysion assay is designed to detect. In 29 039 informative testing events (6576 new and 22 463 cases in the literature) only one false positive (false positive rate=0.003%) and seven false negative results (false negative rate=0.024%) occurred. A historical review of all known accounts of specimens tested is presented (29 039 using AneuVysion and 18 275 specimens tested with other probes). These performance characteristics support a prenatal management strategy that includes utilization of FISH for prenatal testing when a diagnosis of aneuploidy of chromosome 13, 18, 21, X or Y is highly suspected by virtue of maternal age, positive maternal serum biochemical screening or abnormal ultrasound findings. Copyright © 2001 John Wiley & Sons, Ltd.     

Closing the gap: a research agenda to accelerate the adoption and effective use of proven older adult fall prevention strategies

IntroductionTo make an impact on the public's health, evidence-based interventions must be disseminated broadly, supported by training and technical assistance, adopted widely, and implemented as designed. Many effective older adult fall prevention interventions have been identified, but too few have gained wide community acceptance and little is known about the best ways to encourage their broader use. Therefore, as in many other fields, fall prevention suffers from a wide gap between scientific discoveries and their everyday use.MethodThis article articulates the key activities embedded in Step 4 of the public health model—specifically translation and dissemination to ensure widespread adoption and use—in order to illuminate critical research needs in older adult fall prevention.ConclusionsThese needs, if addressed, will help close the gap between research and practice.     

Influence of COM-peptides/proteins on the properties of flocs formed at different shear rates

Coagulation followed by floc separation is a key process for the removal of algal organic matter(AOM) in water treatment. Besides optimizing coagulation parameters,knowledge of the properties of AOM-flocs is essential to maximizing AOM removal.However, the impact of AOM on the floc properties remains unclear. This study investigated how peptides/proteins derived from the cellular organic matter(COM) of the cyanobacterium Microcystis aeruginosa influenced the size, structure, and shape of flocs formed at different shear rates(G). Flocs formed by kaolinite, COM-peptides/proteins and a mixture of the same were studied, and the effect of intermolecular interactions between floc components on floc properties was assessed. The coagulation experiments were performed in a Taylor–Couette reactor, with aluminum(Al) or ferric sulphate(Fe) utilized as coagulants. Image analysis was performed to gauge floc size and obtain data on fractal dimension. It was found that floc properties were affected by the presence of the COM-peptides/proteins and the coagulant used. COM-peptides/proteins increased floc size and porosity and widened floc size distributions. The Fe coagulant produced larger and less compact flocs than Al coagulant. Moreover, the decrease in floc size that occurred in parallel with increase in shear rate was not smooth in progress. A rapid change for the kaolinite-coagulant suspension and two rapid changes for the suspensions containing COM were observed. These were attributed to various intermolecular interactions between floc components participating in coagulation at different G. Based on the results obtained, shear rates suitable for efficient separation of flocs containing COM were suggested.     

Occupational risk assessment in construction industry – Overview and reflection

The construction industry is plagued by occupational risky situations and poor working conditions. Occupational risk assessment (ORA) on workplace sites is the first and key step to achieve adequate safety levels, particularly to support decision-making in safety programs. Most construction safety efforts are applied informally under the premise that simply allocating more resources to safety management will improve safety on site. Moreover, there are many traditional methods to address ORA, but few have been adapted and validated for use in the construction industry, particularly in the design stage, for which traditional approaches do not give adequate answers. This paper presents a state-of-the-art on ORA traditional methods, for the construction industry, discussing their limitations and pointing advantages of using fuzzy sets approaches to deal with ill-defined situations.     

Physiological and behavioral responses of temperate seahorses (Hippocampus guttulatus) to environmental warming

The aim of the present study was to evaluate, for the first time, the effect of environmental warming on the metabolic and behavioral ecology of a temperate seahorse, Hippocampus guttulatus. More specifically, we compared routine metabolic rates, thermal sensitivity, ventilation rates, food intake, and behavioral patterns at average spring temperature (18 °C), average summer temperature (26 °C), temperatures that they endure during summer heat wave events (28 °C), and in a near-future warming scenario (+2; 30 °C) in Sado estuary, Portugal. Both newborn juveniles and adults showed significant increases in metabolic rates with rising temperatures. However, newborns were more impacted by future warming via metabolic depression (i.e., heat-induced hipometabolism). In adult stages, ventilation rates also increased significantly with environmental warming, but food intake remained unchanged. Moreover, the frequency of swimming, foraging, swinging, and inactivity did not significantly change between the different thermal scenarios. Thus, we provide evidence that, while adult seahorses show great resilience to heat stress and are not expected to go through any physiological impairment and behavioral change with the projected near-future warming, the early stages display greater thermal sensitivity and may face greater metabolic challenges with potential cascading consequences for their growth and survival.     

Multi-temporal land use and cover changing analysis: the environmental impact in Mediterranean area

ABSTRACT

Human activity shapes the levels of anthropogenic pressure that depend on the land management method adopted. This has a fundamental role in the transformation of traditional landscapes. This study focuses on a representative region of the Mediterranean area with the objective to analyse the landscape’s dynamics, to detect the spatial arrangement of class patches, to identify the main agroecosystem characters and to provide a framework to assess ecosystems services. In order to assess land use/land cover changes and landscape persistence, the period between 1960 and 2012 was analysed, taking into consideration the years 1960, 2000 and 2012 using comparable land use maps. Land use and land cover analysis show an urban area growth of 24% during 2000–2012 and of 523% over between 1960 and 2012. The very high levels of land abandonment up to the year 2000 (+7216%) have reversed their trend between 2000 and 2012 (?95%). The orchards showed a relevant increase, particularly after 2000, while the vineyards were linked to the highest value of surface erosion (?74%). The outcomes showed that urban settlements can damage the ecological network with negative effects on the landscape’s environmental sustainability in proximity of significant urban centres. Instead, the ecological network is well preserved and highly associated to the agricultural areas when there is the persistence of many land uses and low urban density, despite the presence of dynamic changes.     

Technology,managerial, and policy initiatives for improving environmental performance in small-scale gold mining industry

This paper reviews a series of strategies for improving environmental performance in the small-scale gold mining industry. Although conditions vary regionally, few regulations and policies exist specifically for small-scale gold mining activity. Furthermore, because environmental awareness is low in most developing countries, sites typically feature rudimentary technologies and poor management practices. A combination of policy-, managerial- and technology-related initiatives is needed to facilitate environmental improvement in the industry. Following a broad overview of these initiatives, a recommended strategy is put forth for governments keen on improving the environmental conditions of resident small-scale gold mines.