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.     

Prenatal diagnosis of medium-chain acyl-CoA dehydrogenase (MCAD) deficiency in a family with a previous fatal case of sudden unexpected death in childhood

Medium-chain acyl-CoA dehydrogenase (MCAD) deficiency is a potentially fatal inherited disease with a carrier frequency of approximately 1:100 in most Caucasian populations. The disease is implicated in sudden unexpected death in childhood. A prevalent disease-causing point mutation (A985G) in the MCAD gene has been characterized, thus rendering diagnosis easy in the majority of cases. Since the clinical spectrum of MCAD deficiency ranges from death in the first days of life to an asymptomatic life, there are probably other genetic factors—in addition to MCAD mutations—involved in the expression of the disease. Thus, families who have experienced the death of a child from MCAD deficiency might have an increased risk of a seriously affected subsequent child. In such a family we have therefore performed a prenatal diagnosis on a chorionic villus sample by a highly specific and sensitive polymerase chain reaction (PCR) assay for the G985 mutation. The analysis was positive and resulted in abortion. We verified the diagnosis by direct analysis on blood spots and other tissue material from the aborted fetus and from family members.     

Comparison of Soil Extraction Isotherms of Soil Samples Saturated With Nonpolar Liquids

In multiphase systems capillary pressures play a significant role on fluid movement and retention. The facility to predict the effect of different thermal remediation strategies requires the knowledge of the effect of temperature on capillary pressure-saturation relationships in the soils. The objective of recent study was (a) to develop a technique for routinely measuring the pressure-saturation curves of soil samples saturated with a nonpolar liquid at different regulated temperatures (b) to build a database using the measured pressure-saturation curves and the physical, chemical properties of the model soils (c) to establish the dependence of nonaqueous phase liquid retention on the soil properties and the temperature. The retention curves (extraction isotherms) with nonaqueous phase liquid were determined using a modified pressure plate extractor. The wetting phase was a non-aromatic hydrocarbon distillation product. Pressure plates were designed and constructed in the laboratory of our department. The temperature was held constant at 20, 40 and 60 ^∘C. Statistical analysis was performed involving selected soil parameters and the measured nonaqueous phase liquid retention data. The results show that knowing some easily measurable soil parameters (bulk density, particle size distribution, humus and lime content) we can estimate the nonaqueous phase liquid retention of the soils. The measured “extraction isotherms” provide essential information about the temperature-dependency of pressure-saturation curves.     

Does risk of intraspecific interactions induce shifts in prey-size preference in aquatic predators?

Interactions between foragers may seriously affect individual foraging efficiency. In a laboratory study of handling time, prey value and prey-size preference in northern pike and signal crayfish, we show that risk of intraspecific interactions between predators does not affect handling time or value of prey. However, the presence of agonistic intraspecific interactors shifts prey-size preference in these predators. Neither northern pike nor signal crayfish foraging alone show a prey-size preference, while pike foraging among conspecifics prefer small prey, and crayfish foraging in groups prefer large prey. We ascribe the different outcomes in prey preference to differences in susceptibility to interactions: northern pike under risk avoid large prey to avoid long handling times and the associated risk of interactions, while signal crayfish foraging among conspecifics may defend themselves and their prey during handling, and thus select prey to maximise investment. In addition, the value of pike prey (roach) is low for very small prey, maximises for small prey, and then decreases monotonically for larger prey, while crayfish prey (pond snail) value is low for very small prey, has a maximum at small prey, but does not decrease as much for larger prey. Therefore, a large and easily detected snail prey provides a crayfish with as much value as a small prey. We conclude that interaction risk and predator density affect prey-size preference differently in these aquatic predators, and therefore has different potential effects on prey-size structure and population and community dynamics. Received: 4 October 1999 / Revised: 20 March 2000 / Accepted: 27 May 2000     

Risk on the ramble: The international transfer of risk and vulnerability

In this paper the purpose is to discuss a concept of technology that can explain how the transfer of technology implies the risk of new failures, misuse, accidents and unhealthy workplaces. Production technologies are often transformed through a steady stream of incremental changes appropriate to their social context, and the technology will therefore gradually acquire some contextually dependent preconditions for use. These preconditions will most probably be revealed when a technology is transferred from one context to another. Thus, a technology transfer project may trigger a long process of re-innovations just to make the technology fully operational in its new context. In a transfer process, technological risks may arise due to incomplete transfer of mastering capacity; mismatch between transferred technology and the environment; transfer of latent conditions for failure; and the transformation of latent conditions or known risks when the technology is installed in a new environment. Longitudinal data from the Norwegian petroleum industry indicates that the first phases in a transfer process will create high technological risks. It will take many years before the transferred technologies are adapted to the new context and the risk level has been normalised.     

Emissions from heated indoor dust

Settled indoor dust was collected from a university building, and the fine fraction was heated in the temperature range of 50-250 degrees C. Emissions of compounds were analysed and identified in a system consisting of a thermal desorption unit coupled to a gas chromatograph-mass spectrometer (GC-MS). The heating took place in both an oxidative (air) and an inert (He) atmosphere. The results indicate that oxidation of adsorbed compounds occurred, as well as decomposition of the dust itself. The emission in air started somewhere between 150 and 200 degrees C, with aldehydes and ketones as the main compounds. When heated in the inert atmosphere, semivolatile organic compounds (SVOCs) were emitted at temperatures above 150 degrees C. These compounds were not found in the air system, probably due to oxidation. Based on the obtained results we recommend that the temperature of hot surfaces in indoor environments should be kept below 150 degrees C to avoid oxidation of indoor dust and minimise the emissions.     

Radon concentration measurements in mofettes from Harghita and Covasna counties, Romania

In the Harghita volcanic range (Romania) there are many occurrences of dry CO(2) emanations, called mofettes. The emanating gas with high carbon dioxide content has a proved curative effect. The gas also contains important quantities of radon. Since the mofettes are used in curative purposes in several illnesses, in most of the cases without medical supervising, has been proposed to determine the radon activity concentration in some of the most frequented mofettes from Romania. The seasonal variations have also been monitored and were calculated the effective doses received by the patients during a cure. The radon activity concentrations' levels above the mofettes indoor air range between 548 and 10 717Bq/m(3) while within the gas pools' values between 3210 and 32 781Bq/m(3) have been measured. The effective dose received by the patients during a cure is between 0.0086 and 0.16mSv. No major seasonal variations of the radon activity concentrations levels have been pointed out so far in the studied mofettes.     

Mapping of tritium emissions using absorption vapour samplers

Püspökszilágy Radioactive Waste Treatment and Disposal Facility (RWTDF) is a typical near-surface engineered repository designated to store low- and intermediate-level wastes from various institutes, research facilities and hospitals in Hungary. Two automatic combined ¹⁴C–tritium sampling units installed at the facility sample the air 2 m above surface. The one installed near the vaults detects tritium (T) activities two orders of magnitude higher than the far reference sampling unit. To localize the T emissions, 19 small absorption vapour samplers filled with silica gel were settled onto the ground surface. After the saturation of the silica gel, the water was recovered and its T concentration was measured with a low-background liquid scintillation counter. The absorption vapour samplers are cheap, simple and easy-to-use. We present the samplers and the T distribution map constructed from the data, which helps to localize the T emission.