Jewish observance of shmita (alternatively spelled shemitah)—the sabbatical year, or seventh (sheviit) year—is changing. Historically rooted in agriculture, modern Jewish environmentalists are seizing upon the long-ignored environmental and social justice (tikkun olam) aspects of shmita as originally described in the five books of Moses, the Torah in the Hebrew Bible, the basis of Jewish law. Primary research was conducted through key-stakeholder interviews with leading American and Israeli Jewish environmentalists and thought leaders. They see shmita as a core Jewish value—one that, like Shabbat, the Jewish sabbath, has the power to transform society. Their work has brought shmita from an obscure law dealt with mainly by Israel’s Orthodox to a new Jewish ethos being discussed across the United States, Europe, Israel, and even on the floor of Knesset, Israel’s parliament. This article also describes shmita as delineated in the Torah and through the rabbinic canon of halacha (Jewish law), and explains shmita practice from biblical times to the present day. Full article

There have been a number of studies evaluating the association of aneuploidy serum markers with adverse pregnancy outcome. More recently, the development of potential treatments for these adverse outcomes as well as the introduction of cell-free fetal DNA (cffDNA) screening for aneuploidy necessitates a re-evaluation of the benefit of serum markers in the identification of adverse outcomes. Analysis of the literature indicates that the serum markers tend to perform better in identifying pregnancies at risk for the more severe but less frequent form of individual pregnancy complications rather than the more frequent but milder forms of the condition. As a result, studies which evaluate the association of biomarkers with a broad definition of a given condition may underestimate the ability of such markers to identify pregnancies that are destined to develop the more severe form of the condition. Consideration of general population screening using cffDNA solely must be weighed against the fact that traditional screening using serum markers enables detection of severe pregnancy complications, not detectable with cffDNA, of which many may be amenable to treatment options. Full article