Opportunities and constraints for Product-oriented Environmental Management Systems (P-EMS)

Product-oriented Environmental Management Systems (P-EMS) are a logical extension of current, often primarily process- of facility-oriented Environmental Management Systems. The Dutch government promotes P-EMS as part of its product-oriented environmental policies. The idea of P-EMS is to enable producers to make environmentally responsible decisions on product development and product strategies, in collaboration with suppliers and customers. This paper summarises example P-EMS projects in The Netherlands for two segments of industry, namely retail and manufacturing industry. Moreover two other initiatives will be covered that deal with the development of tools to facilitate P-EMS in two other industry sectors (food processing and building). Success factors that emerge from these initial experiences are: focus on partners that have a strong incentive to act, application of screening Life Cycle Assessments (LCA) or user-shells for LCA, and focus on improvements that can be implemented on the short term.     

Prenatal diagnosis of Freeman–Sheldon syndrome (whistling face)

The diagnosis of Freeman–Sheldon syndrome was made by ultrasonographic evaluation of a 20-week fetus with a positive family history. The ultrasonographic features were abnormalities of the extremities and mouth.