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排序方式: 共有1341条查询结果,搜索用时 31 毫秒
81.
Joke Muys Yves Jacquemyn Bettina Blaumeiser Laura Bourlard Nathalie Brison Saskia Bulk Patrizia Chiarappa Anne De Leener Marjan De Rademaeker Julie Désir Anne Destrée Koenraad Devriendt Annelies Dheedene Armelle Duquenne Annelies Fieuw Erik Fransen Jean-Stéphane Gatot Mauricette Jamar Sandra Janssens Jorien Kerstjens Kathelijn Keymolen Damien Lederer Björn Menten Bruno Pichon Sonia Rombout Yves Sznajer Ann Van Den Bogaert Kris Van Den Bogaert Joris Vermeesch Katrien Janssens 《黑龙江环境通报》2020,40(10):1272-1283
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Bruce Tonn Mary English Cheryl Travis 《Journal of Environmental Planning and Management》2000,43(2):163-183
This paper presents a framework for understanding and improving public sector environmental decision making. Within the framework, four interrelated components are discussed: (1) the environmental and cultural context-understanding this context includes understanding what people consider to be environmental problems, the goals and values that they bring to environmental problems and decision processes, specialized and common knowledge about environmental problems, and the institutional settings within which problems are addressed; (2) planning and appraisal activitiesthese activities include forecasting and monitoring exercises, evaluations of past decisions, and decisions that processes ought to be launched to solve specific environmental problems; (3) decision-making modes-these include six typical ways of conducting an environmental problem-solving process, modes which, in the framework, are called emergency action, routine procedures, analysis-centred, elite corps, conflict management and collaborative learning; (4) decision actions-these include five generic steps that are undertaken, formally or intuitively, in virtually any decision-making situation: issue familiarization; criteria setting; option construction; option assessment; and reaching a decision. In the course of describing the framework, we show a decision-making process can be adapted to incorporate sustainability concerns, including fostering sustainable environmental and social systems, meeting obligations to future generations, and searching for robust and reasonable (rather than rigidly optimal) decisions. The framework also helps to illuminate intriguing questions regarding institutional responsibility, decision process complexity and paradigms for environmental decision making. 相似文献
84.
Francesca R. Grati Denise Molina Gomes Devika Ganesamoorthy Livia Marcato Simona De Toffol Eleonore Blondeel Francesca Malvestiti Laurence Loeuillet Anna Maria Ruggeri Robert Wainer Federico Maggi Azzedine Aboura Celine Dupont Anne Claude Tabet Fabien Guimiot Howard R. Slater Giuseppe Simoni François Vialard 《黑龙江环境通报》2013,33(1):32-41
85.
Raija Ilmarinen Helena M?kinen Harri Lindholm Anne Punakallio Heikki Kervinen 《International journal of occupational safety and ergonomics》2008,14(1):7-18
Fire fighters are normally overprotected during their working hours because of the tendency to keep the personal protection level sufficiently high in case of the worst possible scenarios. This study investigated the effects of task-fitted protective clothing on thermal strain in fire fighters as compared to EN 469:2005 protective clothing during a prolonged (2 1/2 hrs) job-related rescue drill under neutral and hot climates. The subjects were 23 healthy, physically fit professional male fire fighters aged 26-44 years. Measurements included cardiovascular and thermal responses and subjective assessments. Wearing task-fitted clothing during rescue tasks in a neutral climate considerably reduced total thermal and cardiovascular strain in prolonged rescue work. The fire fighters also perceived physical work as significantly harder on average, and reported more intense subjective discomfort while wearing EN 469:2005 as compared to task-fitted clothing. 相似文献
86.
Angie C. Jelin Katelynn G. Sagaser Katherine R. Forster Tochi Ibekwe Mary E. Norton Eric B. Jelin 《黑龙江环境通报》2020,40(5):528-537
Early pregnancy renal anhydramios (EPRA) comprises congenital renal disease that results in fetal anhydramnios by 22 weeks of gestation. It occurs in over 1 in 2000 pregnancies and affects 1500 families in the US annually. EPRA was historically considered universally fatal due to associated pulmonary hypoplasia and neonatal respiratory failure. There are several etiologies of fetal renal failure that result in EPRA including bilateral renal agenesis, cystic kidney disease, and lower urinary tract obstruction. Appropriate sonographic evaluation is required to arrive at the appropriate urogenital diagnosis and to identify additional anomalies that allude to a specific genetic diagnosis. Genetic evaluation variably includes karyotype, microarray, targeted gene testing, panels, or whole exome sequencing depending on presentation. Patients receiving a fetal diagnosis of EPRA should be offered management options of pregnancy termination or perinatal palliative care, with the option of serial amnioinfusion therapy offered on a research basis. Preliminary data from case reports demonstrate an association between serial amnioinfusion therapy and short-term postnatal survival of EPRA, with excellent respiratory function in the neonatal period. A multicenter trial, the renal anhydramnios fetal therapy (RAFT) trial, is underway. We sought to review the initial diagnosis ultrasound findings, genetic etiologies, and current management options for EPRA. 相似文献
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A wide spectrum of genetic causes may lead to nonimmune hydrops fetalis (NIHF), and a thorough phenotypic and genetic evaluation are essential to determine the underlying etiology, optimally manage these pregnancies, and inform discussions about anticipated prognosis. In this review, we outline the known genetic etiologies of NIHF by fetal organ system affected, and provide a systematic approach to the evaluation of NIHF. Some of the underlying genetic disorders are associated with characteristic phenotypic features that may be seen on prenatal ultrasound, such as hepatomegaly with lysosomal storage disorders, hyperechoic kidneys with congenital nephrosis, or pulmonary valve stenosis with RASopathies. However, this is not always the case, and the approach to evaluation must include prenatal ultrasound findings as well as genetic testing and many other factors. Genetic testing that has been utilized for NIHF ranges from standard chromosomal microarray or karyotype to gene panels and broad approaches such as whole exome sequencing. Family and obstetric history, as well as pathology examination, can yield additional clues that are helpful in establishing a diagnosis. A systematic approach to evaluation can guide a more targeted approach to genetic evaluation, diagnosis, and management of NIHF. 相似文献
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Joke Muys Bettina Blaumeiser Yves Jacquemyn Claude Bandelier Nathalie Brison Saskia Bulk Patrizia Chiarappa Winnie Courtens Anne De Leener Marjan De Rademaeker Julie Désir Anne Destrée Koenraad Devriendt Annelies Dheedene Annelies Fieuw Erik Fransen Jean-Stéphane Gatot Philip Holmgren Mauricette Jamar Sandra Janssens Kathelijn Keymolen Damien Lederer Björn Menten Marije Meuwissen Benoit Parmentier Bruno Pichon Sonia Rombout Yves Sznajer Ann Van Den Bogaert Kris Van Den Bogaert Olivier Vanakker Joris Vermeesch Katrien Janssens 《黑龙江环境通报》2018,38(13):1120-1128