Comparative assessment of wet and dry garment cleaning Part 1. Environmental and human health assessment

Water-based cleaning of specialty garments is emerging as a potential alternative to dry cleaning. Perchloroethylene, the solvent used in dry cleaning, poses significant human and ecosystem health concerns. This paper is part 1 of a two part series that analyzes the key environmental, human health, performance, economic, and regulatory factors which influence the future of the garment cleaning industry. This paper inventories the environmental releases and wastes associated with the consumption of perchloroethylene in modern dry cleaning machines which ranges from 2.0 to 5.2 kg per 100 kg of clothing cleaned. In addition, water, electricity, and other inputs for both perchloroethylene-based and water-based garment cleaning are compared using data from previous demonstration projects. Toxicological and epidemiological studies provide evidence for the carcinogenicity of perchloroethylene although this classification is controversial. Cancer risks at low levels of exposure associated with modern dry cleaning equipment and good housekeeping practices are unknown and require further investigation. Regardless of these uncertainties, water-based cleaning is preferable to dry cleaning from a human and environmental health perspective.     

The psychological effects of false-positive results in prenatal screening for fetal abnormality: A prospective study

The purpose of the study was to describe the impact of false-positive results from initial maternal serum alpha-fetoprotein (MS-AFP) screening. The analyses compared two groups of women, those receiving a negative result (n = 346) and those receiving an initial positive result (n = 26), over four time points—prior to testing, immediately after testing, later in pregnancy, and in the post-partum period. Receiving an abnormal result was associated with high levels of anxiety which were reflected in increased worry about the baby's health and a more negative attitude towards the pregnancy and the baby. Women who had an initial abnormal result were offered a variety of further tests. Those women who went on to have amniocentesis were less worried about their baby's health in the third trimester and also less anxious post-partum than those who did not have amniocentesis. In view of the increasing number of screening tests available, it is necessary to establish whether and how these levels of distress can best be reduced.     

Genetic amniocentesis in multiple gestations

Thirty-one genetic amniocenteses involving multiple gestations were performed in the genetics unit between 1976 and 1982. Three sets of triplets were included. Precise locations of the sacs were determined using real-time ultrasonography and successful sampling of all sacs was accomplished. Spontaneous abortions occurred in two normal twins and one normal triplet gestation. Two therapeutic abortions were performed for fetal abnormalities. Two cases of discordance for trisomy 21 (one twin and one triplet) were allowed to continue; the twin case terminated at 25 weeks' gestation with neonatal deaths and the triplets are alive and well.     

Maternal serum human chorionic gonadotropin levels in twin pregnancies

Introduction of combined screening with maternal serum alpha-fetoprotein and human chorionic gonadotropin (MShCG) assays for fetal chromosome defects requires establishment of the normal range for twins. This report documents that the normal range for MShCG between 15 and 19 weeks in twin gestations was 1.84–2.41 multiples of the singleton median. Of the 192 twin pregnancies studied, 31.7 and 47.9 per cent had MShCG values ≥2.5 and ≥ 2.0 multiples of the singleton median, respectively.