Is maternal alpha-fetoprotein screening still of value in a low-risk area for neural tube defects?

Estimation of maternal serum alpha-fetoprotein (AFP) was used as a screening method for the detection of neural tube defects (NTDs) in 6344 women over three years. Of 88 (1.4 per cent) who had one or more serum AFP levels equal to, or greater than, 2.5 multiples of the median (MoM) for the relevant gestational age, 43 (0.68 per cent) underwent amniocentesis. There were eight NTDs. Four of these were screened by serum AFP, and all cases of spina bifida had serum AFP levels greater than 3.0 MoM, including one small open defect which was not seen on ultrasound. The other four cases of NTD, which were not screened, were identified by ultrasound. Of 64 singleton pregnancies 32 (50 per cent) had serum AFP levels between 2.5 and 3.0 MoM, and low birthweight (⪕2500 g) occurred in 29 per cent. Because of improvements in ultrasound techniques and the apparent falling incidence of NTD, the role of serum AFP as the primary screening procedure should be regularly reviewed. Effective screening is dependent on mothers booking early.     

Prenatal diagnosis of the hurler syndrome: Report on 40 pregnancies at risk

In 40 pregnancies at risk for the Hurler syndrome 13 affected fetuses were detected by the demonstration of an α-L -iduronidase deficiency and an increased level of ³⁵S-sulphate incorporation. The diagnoses were confirmed by the analysis of fetal tissues and/or cultured fetal skin fibroblasts. Microassays for α-L -iduronidase, using phenyl α-L -iduronide and more recently 4–methyl-umbelliferyl α-L -iduronide, enabled a reliable diagnosis to be made within 15 to 18 days after amniocentesis. ³⁵S-sulphate incorporation has been a valuable adjunct in cases with a low (heterozygote) enzyme activity.     

全球环境变化与全球不平等南北方的不同立场

全球环境变化给发展中国家和南北关系带来深刻影响，理解环境问题的全球不平等需要以发展中国家80年代开始的经济结构调整和沉重债务为背景。南方的环境政策优先在很大程度上与其生活的可持续性相连，而不是通常与全球环境变化的长期性风险相关，然而，全球环境变化又与发展中国家贫困人口的日常生活紧密相关。从南方的立场看，当“问题”对他们不十分迫切时，就很难同意采取措施，仅此原因，北方对全球环境变化的关切要得到成功回应，真正的全球契约就需要解决基本“发展”问题，主要是贫困。     

Deposition velocities for full-scale corn and soybean canopies: A wind tunnel simulation

Deposition velocities have been determined for corn and soybeans in the first 4–6 weeks of growth in a full-scale study of canopy flow in a wind tunnel. Particles of 1, 5, 10 and 15 μm aerodynamic diameter made of sodium florescein were injected into the Environmental Wind Tunnel Facility at Colorado State University. Deposition velocities were determined as a function of free stream velocity (183, 305 and 610 cm/s) and approach flow turbulence intensity (～1% and 8%). Plants were arranged in realistic field configurations. Hot-wire anemometer studies confirmed that the fluid velocity profiles developed in the wind tunnel were similar to the flow realized in canopies in natural fields. An increase in velocity and turbulence intensity was found to decrease the deposition velocities. A minimum deposition velocity was observed at a particle diameter of 5 μm.     

In situ remediation of arsenic in contaminated soils

In situ chemical fixation represents a promising and potentially cost‐effective treatment alternative for metal‐contaminated soils. This article presents the findings of the use of iron‐bearing soil amendments to reduce the leachability and bioaccessibility of arsenic in soils impacted by stack fallout from a zinc smelter. The focus of this investigation was to reduce the lead bioaccessibility of the soils through addition with phosphorus‐bearing amendments. However, as phosphorus addition was expected to increase arsenic mobility, the fixation strategy also incorporated use of iron‐bearing amendments to offset or reverse these effects. The findings of this investigation demonstrated that inclusion of iron‐bearing chemicals in the amendment formulation reduced arsenic leachability and bioaccessibility without compromising amendment effectiveness for reducing lead bioaccessibility. These results suggest that in situ chemical fixation has the potential to be an effective strategy for treatment of the impacted soils. © 2003 Wiley Periodicals, Inc.     

Engaging Economic Development Agencies in Environmental Protection: the case for embedded autonomy

This article examines the role of economic development agencies in strengthening the environmental performance of industry within rapidly industrialising East Asian economies. Three case-study examples are considered, namely, the role of the Industrial Development Board in reducing industrial pollution in Taiwan, pollution control in the palm oil industry in Malaysia, and the role of the Economic Development Board in influencing environmental performance of industry in Singapore. The concept of embedded autonomy is developed to consider the ways in which agencies of economic development can work with firms and industries while simultaneously remaining autonomous from these firms with respect to setting and enforcing performance standards. The three cases suggest that a form of policy integration that more directly integrates economic and environmental goals within agencies of economic development may be feasible, but only where there exists a strong autonomous government bureaucracy and where there is strong societal commitment to improving the environmental performance of industry.     

From Here to Utopia: running a human-scale development workshop on the Gold Coast, Australia

Max-Neef's theory of human-scale development (HSD) directs attention to an issues-based, locality specific agenda through self-identification of community issues by local people. This paper reports on a two-day HSD workshop run on the Gold Coast where an eclectic group of 20 participants worked through Max-Neef's framework to diagnose their communities' current reality, visualise what their community could be and discuss how to 'build bridges' between the current reality and their Utopian community. This work is part of a broader research programme looking at participatory community development.     

Specific Contributions of Politics,Economics, and Toxicology in Setting Socially Consensual Limit Values

/ Limit values are legal limits for the concentrations of substances in the environment. They must be agreed upon in a consensual procedure between science, economics/technology, and political forces. This is a crucial political precondition for their social acceptance. The arguments put forward to justify their expediency and numerical level are based not only on risk-benefit considerations but also on the aspect of the technical avoidability of direct and indirect exposure. The critical assessment of the direct benefit of specified exposures falls within the responsibility of economics/technology, whereas criteria for their potential adverse effects (direct and indirect) are provided by medicine/biochemistry and/or ecology. Within this concept, the avoidance of nonbeneficial-even if not openly adverse-exposure is the essential aim of environmental hygiene and should be promoted by politics/science. In general, society or segments thereof reject adverse, accept beneficial, and tolerate unavoidable exposure. Conflicts of interest arise when different groups of society simultaneously define a given exposure as being adverse, beneficial, and unavoidable. Therefore, from the viewpoint of society as a whole, an optimal exposure lies as far as reasonably achievable at a level lower than known or plausible adverse effect thresholds (as defined by toxicology or ecology). This optimal level of exposure must be determined using a transparent and, hence, public procedure.KEY WORDS: Legal limit values; Benefit threshold; Social acceptance; Social tolerability; Adverse effect threshold; Avoidable exposure; Tolerance threshold; Environmental hygiene