Book reviews

Factor Four: Doubling Wealth, Halving Resource Use. Ernst von Weizacker, Amory Lovins & L. Hunter Lovins, 1997, London, Earthscan, ISBN 1 85383 407 6, £15.99 (hbk)

Local and Global: Management of Cities in the Information Age,. Jordi Borja & Manuel Castells, 1997, London, Earthscan, 277pp. ISBN 1 85383 441 6, £19.95 (pbk)

Wasted: counting the costs of global consumption. Michael Redclift, 1996, Earthscan, London, 173pp. ISBN 1 85383 360 6, £32.50(hbk), 1 85383 355 X, £12.95(pbk)

Eco-feminist Natures: race, gender, feminist theory and political action. Noel Sturgeon, 1997, New York, Routledge, ISBN 0 415 912504, £12.99 (pbk)

Global Warming and Global Politics. Matthew Paterson, 1996, London and New York, Routledge, ISBN 0 415 13871 X, US$85.00, UK£50.00, (hbk) ISBN 0 415 13872 8, US$20.99, UK£12.88, (pbk)

Managing for Local Sustainability: policy, problem-solving, practice and place. Valerie M. Brown (Ed.), 1997, Commonwealth of Australia, 314 pp. ISBN 0642 26464 3, Copies of the report can be obtained from: National Office of Local Government Commonwealth Department of the Environment, Sports and Territories, GPO Box 9834, Canberra ACT 2601. Tel: (06) 289 2222; fax (06) 289 2436.

Local Agenda 21, Local Authorities and Tourism: a United Kingdom perspective. David Leslie & Fiona Muir, 1996, Glasgow, Caledonian University, ISBN 0 948255 52 8, £9.00

Straws in the Wind: medieval urban environmental law — the case of Northern Italy. Ronald E. Zupko & Robert A. Laures, 1996, Boulder, CO, Westview Press, 152 pp. ISBN 0 8133 2972 8, £10.00 (pbk)     

International Society for Prenatal Diagnosis 2022 DEBATE: There should be formal accreditation and ongoing quality assurance/review for units offering fetal therapy that includes public reporting of outcomes

The field of fetal therapy has so far escaped from formal accreditation and quality control. Despite that, current published evidence shows that outcomes of interventions in younger fetal therapy centers are similar to what is achieved in more experienced centers and outcomes of interventions have improved over time. The question however remains what is not being published and what should be the standard of care, given the lack of level 1 evidence from randomized controlled trials for many interventions. Formal collaborative networks such as NAFTnet and others allow for anonymized benchmarking of center outcomes, without publicly shaming (and financially punishing) underperforming centers. Large registries also allow for tracking of rare complications and may result in improved patient outcomes over time. Core outcome sets, which could serve as a basis for outcome reporting, are available for some conditions, but certainly not for all, resulting in communication difficulties between centers. Formal accreditation, quality control, and outcome reporting are hard to implement, expensive, and may result in decreasing access to care by pushing smaller centers out of the market. Despite the existing difficulties, international societies have committed to quality improvement, and fetal therapy programs are strongly recommended to participate in voluntary outcome tracking.     

SARS-CoV2 (COVID-19) infection: is fetal surgery in times of national disasters reasonable?

Even though the global COVID-19 pandemic may affect how medical care is delivered in general, most countries try to maintain steady access for women to routine pregnancy care, including fetal anomaly screening. This means that, also during this pandemic, fetal anomalies will be detected, and that discussions regarding invasive genetic testing and possibly fetal therapy will need to take place. For patients, concerns about Severe Acute Respiratory Syndrome-Corona Virus 2 will add to the anxiety caused by the diagnosis of a serious fetal anomaly. Yet, also for fetal medicine teams the situation gets more complex as they must weigh up the risks and benefits to the fetus as well as the mother, while managing a changing evidence base and logistic challenges in their healthcare system.     

Fetal spina bifida: What we tell the parents

Worldwide, about 150 000 infants are born with spina bifida yearly, making this condition one of the most common fetal central nervous system anomalies compatible with life. Over the last decade, major changes have been introduced in the prenatal diagnosis and management of spina bifida. In this review, we provide a brief summary of the current management of fetal spina bifida and present essential information that should be provided to expecting parents when their fetus has been diagnosed with spina bifida. This information is focused around common parental questions, as encountered in our typical clinical practice, to facilitate knowledge translation.     

The Conditions for Environmentally Intelligent Regional Governance: Reflections from Lower Saxony

The first round of regional planning strategies in England in the 1990s only made tentative attempts to incorporate environmental priorities. More recent work is giving sustainability a higher profile and other factors, including the establishment of more co-ordinated government regional offices in 1994 and of the Environment Agency (with new regional boundaries) in 1996, are also raising questions about the future focus on economic and environmental planning at the regional level. Regional planning in Germany has incorporated environmental considerations to a greater degree and for longer. The paper examines experience in Lower Saxony (Niedersachsen) in the 1990s, when the Land has been ruled first by a Social Democrat-Green Party coalition and then by the Social Democrats on their own, but with still some environmental emphasis. Particular attention is paid to policies in the energy, water and waste sectors. Although any direct transfer to experience in England is clearly not possible, it is argued that there are implications for possible directions for regional planning. This is the case whether the new British government initiates major changes or whether there is only gradual building on the foundations laid since 1990.     

A flexible spatio-temporal model for air pollution with spatial and spatio-temporal covariates

The development of models that provide accurate spatio-temporal predictions of ambient air pollution at small spatial scales is of great importance for the assessment of potential health effects of air pollution. Here we present a spatio-temporal framework that predicts ambient air pollution by combining data from several different monitoring networks and deterministic air pollution model(s) with geographic information system covariates. The model presented in this paper has been implemented in an R package, SpatioTemporal, available on CRAN. The model is used by the EPA funded Multi-Ethnic Study of Atherosclerosis and Air Pollution (MESA Air) to produce estimates of ambient air pollution; MESA Air uses the estimates to investigate the relationship between chronic exposure to air pollution and cardiovascular disease. In this paper we use the model to predict long-term average concentrations of \(\text {NO}_{x}\) in the Los Angeles area during a 10 year period. Predictions are based on measurements from the EPA Air Quality System, MESA Air specific monitoring, and output from a source dispersion model for traffic related air pollution (Caline3QHCR). Accuracy in predicting long-term average concentrations is evaluated using an elaborate cross-validation setup that accounts for a sparse spatio-temporal sampling pattern in the data, and adjusts for temporal effects. The predictive ability of the model is good with cross-validated \(R^2\) of approximately \(0.7\) at subject sites. Replacing four geographic covariate indicators of traffic density with the Caline3QHCR dispersion model output resulted in very similar prediction accuracy from a more parsimonious and more interpretable model. Adding traffic-related geographic covariates to the model that included Caline3QHCR did not further improve the prediction accuracy.     

Sex differences in the consequences of maternal loss in a long-lived mammal, the red deer (Cervus elaphus)

In several primates, the presence of mothers affects the growth, survival and reproduction of their offspring, but similar effects have not yet been demonstrated in ungulates. Here, we investigate the effects of the mother’s presence in a population of red deer (Cervus elaphus) on the Isle of Rum, Scotland, which is the subject of a long-term, individual-based study. We compared measures of performance including antler growth in young males and age at first reproduction in females and survival of deer with mothers still alive against those that have lost their mothers (orphans). We show that orphaning both before and after weaning increases the risk of a natural death for both sexes. For males, no maternal benefit was detectable past 24 months of age while, for females, post-weaning benefits continued throughout life. Orphaning resulted in compromised male physical condition as measured by a reduced probability of growing antlers by 16 months of age while no evidence for compromised reproduction was found in females. These results support assertions that post-weaning maternal associations affect the development and survival of offspring.     

The demographic consequences of the cost of reproduction in ungulates

The cost of reproduction can generate covariation between demographic rates that can potentially influence demography and population dynamics in long-lived iteroparous species. However, there has been relatively little work linking the survival cost of reproduction and population dynamics. The apparent scarcity of information on this important link is potentially due to covariation between vital rates, which can substantially influence fluctuations in population size. In this paper we examine the opportunity for survival costs of reproduction to leave a dynamic signature using a simulation model based broadly on an ungulate life history. We find that an increase in the cost delays the onset of reproduction and reduces reproductive rates of young, but not of prime-age, females. Accordingly, the number of offspring produced declines and the interval between reproductive events increases among young females experiencing high cost. These effects are translated to an age structure skewed toward young ages and reduced population density. These results suggest that, by delaying reproduction when conditions deteriorate, females protect their survival during the critical first three years of life, after which the negative effect of reproduction on survival declines. Unless conditions for reproduction are severe, it is not profitable to delay reproduction beyond age 3 years due to the high risk of death before having a chance to reproduce. We also demonstrate that lack of adjustment of reproductive strategies to elevated levels of the cost of reproduction, for example due to rapid changes in environmental conditions, results in lower average density and longevity compared to females that have sufficient time to adjust to changes in the cost. This suggests that even moderate costs of reproduction may have a major negative effect on population dynamics of ungulates.