Urban growth management in Jeddah

The towns and cities of Saudi Arabia have been subjected to sustained growth pressures since the transformation of the country's economy following the discovery of oil in the Eastern Province of the Kingdom. The rapid growth which has been experienced has created major problems for the central and local government agencies responsible for planning and managing urban growth. The experience of Jeddah, one of the major cities in Saudi Arabia, is described and the problems of planning and managing its growth are analysed. Weaknesses relating to the structure of the planning system are identified, as are major difficulties in relation to the quality and quantity of professional staff. Recent attempts to improve the operation of the planning system are described and evaluated.     

Enhanced twin pregnancy detection within an open neural tube defect and down syndrome screening protocol using free-beta hCG and AFP

We have applied our multimarker approach of maternal serum alpha-fetoprotein (AFP) and free-beta human chorionic gonadotropin (hCG) for Down syndrome screening to multiple gestations to assess its efficacy for improved detection of twin and triplet pregnancies. This study matched 225 cases of twin pregnancy and 39 cases of triplet pregnancy each with ten singleton pregnancies based on gestational week, race, time to receive sample, time of year of sample, and geographical area. The ratios of the MOM for each group at the tenth, 50th, and 90th percentiles were compared by the Wilcoxon test. Risks for twins were calculated using Bayes' rule, the age-related incidence of twins, and the levels of AFP and free-beta hCG. The tenth, 50th, and 90th percentiles of free-beta hCG MOMs in twin and triplet cases were 0.85, 1.99, and 4.51, and 1.38, 2.78, and 4.07, respectively. For AFP, the MOMs at these percentiles were 1.26, 1.91, and 2.99, and 2.02, 2.68, and 5.30, respectively. The twin and triplet distributions for each marker were statistically significantly different from the singleton distributions (P<0.0001) and from each other (P=0.0012). At a twin risk cut-off of 1 in 50, 77.4 per cent of all twin gestations can be detected in a second-trimester AFP and free-beta hCG screening protocol with 5.1 per cent of singleton pregnancies falsely identified as at risk for twins. Our dual marker protocol for mid-trimester pregnancy screening combining AFP and free-beta hCG can identify over 77 per cent of twin pregnancies in women less than 35 years of age. This benefit may contribute to an improved outcome of pregnancy by early detection of multiple gestation.     

Renatal diagnosis of mosaic tetrasomy 12p/trisomy 12p by fluorescent in situ hybridization in amniotic fluid cells: A case report of pallister–killian syndrome

A prenatally detected case of a rare mosaic tetrasomy 12p/trisomy 12p is reported, presenting as the well-known accessory isochromosome 12p and a supernumerary single 12p marker in 17/24 and 6/24 clones of cultured amniotic fluid cells, respectively. The chromosomal nature of both marker chromosomes was investigated in cultured amniotic fluid cells by fluorescent in situ hybridization with various probes: the 12-centromeric probes pa12H8 and D12Z3, a whole chromosome 12 paint, and the chromosome 12p-specific paint M28. DNA analysis revealed a maternal origin of the extra 12p material. After counselling, the parents requested termination of pregnancy. Inspection and autopsy of the fetus revealed many of the dysmorphisms and internal structural abnormalities of the Pallister–Killian syndrome.     

The measurement of intracellular zinc in human intestinal mucosa using x-ray microanalysis

The zinc content of intestinal epithelial cells in human jejunum and ileum has been measured using X-ray microanalysis. The range of values was wide, the highest being found in stem cells and enterocytes. Significant differences were found in jejunum from gastric carcinoma patients and ileum from Crohn's disease patients compared with patients with non malignant, non inflammatory disease.     

Environmental sensitivity mapping — what,why and how

Terms such as environmental stability, resilience or sensitivity are verbal abbreviations or abstractions for particular features of environmental stress-response relationships. An environmental planning map must take account of the range of possible stresses, responses, and stress-response relations, assess the significance of each, and express the most significant in a form immediately useable by planning engineers. The most critical part of this process is predicting the form of the stress-response relation for each stress and response. This is done essentially by comparison with similar environmental units elsewhere where the actual responses of particular stresses are already known. The level of precision attainable in an environmental planning map depends on the extent and relevance of information available for comparison: on the degree of similarity between the ecosystems and stresses where the responses are known and those for which the map is being prepared. The collection of environmental data from the area concerned, by aerial and ground survey, is of course also essential, but such data are of limited value without the background information required to predict the consequences of particular actions in the course of development.     

Humanitarians' ethics: the role of face-to-face experiences in humanitarian aid workers' motivation

This paper analyses the significance of specific ethical experiences for humanitarian aid workers' motivation. Following Emmanuel Levinas's understanding of ethics as arising from intersubjective face-to-face encounters, the study illuminates the experiential origins of the humanitarian commitment by analysing James Orbinski's memoir entitled An Imperfect Offering: Dispatches from the Medical Frontline. Orbinski, a former International Council President at Médecins Sans Frontières, was directly involved in humanitarian responses to several major crises during the 1990s, including those in Somalia, Afghanistan, Rwanda, and what was then Zaire. This paper explores three formative experiences from Orbinski's childhood and teenage years to analyse the personal ethics of humanitarian aid workers and to illuminate the intersection of the personal and professional level of humanitarian aid work. Illustrating that Orbinski's humanitarian commitment is a surrendering to the other's call, the paper argues for stronger inclusion of aid workers' lives and experiences to achieve a comprehensive understanding of humanitarian work.     

Dissolution behavior of metals from particulate matter emissions

Exposure to air particulate matter (PM) is linked to numerous health effects. In order to improve the understanding of the role of its metallic components, their solubility was examined by using serial short-contact dissolutions totalling 1?h and additional sequential contact periods of 1, 4, and 8 days. The dissolution experiments were performed in solutions containing the main biological electrolytes. ICPMS determinations were used to quantify the dissolved metals. The total compositions were determined after closed vessel microwave digestion. Large variations in the rate and completeness of the dissolutions were observed. Fast and extensive dissolutions within the short-contact time (e.g., Zn, Cd) as well as slow dissolutions persisting during the last contact period (e.g., Ni, Cu, Sb, Pb) were found for smelting emissions. The multi-element determinations also made it possible to identify relationships between dissolution of different metals and define gradual composition changes of residual PM. When comparing with dissolutions performed in de-ionized water, similar major fractions were observed at short-contact time for minor components of smelting or combustion emissions (e.g., V, Ni, Cd), suggesting a preponderance of easily available forms at the surface of the relatively inert particle cores. The use of these time sequential methods may help in (1) modeling metal partitioning in biological media and (2) investigating the causes of adverse effects attributed to air PM.