Attitudes to prenatal screening,diagnosis and research among pregnant women who accept or decline an alpha-fetoprotein test

The aim of the study was to describe the opinion of pregnant women who had accepted or declined an alpha-fetoprotein (AFP) test, not only on AFP screening in general, but also on whether every pregnant woman should be offered amniocentesis (AC)/chorionic villus sampling (CVS) and an ultrasound scan for fetal malformations. An additional aim was to describe pregnant women's attitudes concerning continued research in the prenatal field. The study was performed as a questionnaire study in two regions over a 1-year period from 1 October 1988 to 30 September 1989. Results are based on answers from 3331 women who had taken an AFP test and 336 women who had declined the offer of a test. A total of 79 per cent of the women thought that an AFP test, 70 per cent that an ultrasound scan for fetal malformations, and 26 per cent that AC or CVS should be offered to all pregnant women. Fifty-nine per cent of the women were positive towards continued research in the prenatal field. Women who had had an AFP test were generally much more positive towards screening and research than women who had declined, who were generally against. Women who had left school without a high school degree were on average more positive towards the screening issues than women who had this degree. In conclusion, the results obtained in this study strongly suggest that women's attitudes are very dependent on how the prenatal screening programme is already organized in their local area.     

More news about quarks

The “constituents” quarks and leptons of matter (with rest-mass) are compared with the historical development of “elements” in chemistry. If unsaturated quarks induce high (and at the moment unpredictable) rest-masses above l0GeV, we have a new view of nuclei comprising (2Z + N) u-quarks and (Z +2N) d-quarks in their low-energy states, without any reference to protons and neutrons as permanent building-blocks. Recent studies of quarks and possible rishons (sub-quarks) and technicolour hadrons are reviewed, and the rôle of identity and cardinality in quantum mechanics analyzed.     

Der gegenwärtige Stand des Ozon-Problems

The atmospheric minor constituents relevant to the ozone layer and their photochemistry are discussed. Mechanisms of a possible anthropogenic depletion of the ozone layer due to supersonic aircraft, nuclear weapons, nitrogen fertilizers, and chlorofluoromethanes, and natural depletion processes due to solar and cosmic effects, are reviewed. There have been considerable revisions to predicted ozone depletion rates due to newly determined reaction rate data and more realistic models.     

Practical environmental monitoring of major construction projects

Independent teams undertook environmental monitoring of particular concentrations of major construction projects forming part of Hong Kong’s U.S. $20 billion airport infrastructure programme located in dense urban areas. The team combination of environmental specialists with experienced civil engineers enabled pragmatic mitigation measures to be developed and accepted by the construction personnel with the result that potentially significant adverse impacts were averted. The authors discuss the mechanism and success of this innovative approach.