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31.
Between 14 November and 4 December 2004, four successive tropical depressions and typhoons lashed the Eastern coast of Luzon in the Philippines. Heavy rainfall triggered massive landslides and devastating flash floods, which brought tremendous damage and killed more than 1600 people. Immediately after the disaster, there was a media and political consensus to incrimate ‘extraordinary’ natural phenomena and widespread deforestation as responsible for the catastrophe. We argue that the tragedy that befell the municipalities of General Nakar, Infanta and Real, among other devastated areas, is enmeshed in a deeper tangle of causal factors that are political, socio-economic and demographic in nature. These factors include unmanaged population growth, difficult access to land and resources, corruption within the government, and power of the elite.  相似文献   
32.
Abstract: Small streams have been shown to be efficient in retaining nutrients and regulating downstream nutrient fluxes, but less is known about nutrient retention in larger rivers. We quantified nutrient uptake length and uptake velocity in a regulated urban river to determine the river’s ability to retain nutrients associated with wastewater treatment plant (WWTP) effluent. We measured net uptake of soluble reactive phosphorus (SRP), dissolved organic phosphorus, ammonium (NH4), nitrate, and dissolved organic nitrogen in the Chattahoochee River, Atlanta, GA by following the downstream decline of nutrients and fluoride from WWTP effluent on 10 dates under low flow conditions. Uptake of all nutrients was sporadic. On many dates, there was no evidence of measurable nutrient uptake lengths within the reach; indeed, on several dates release of inorganic N and P within the sample reach led to increased nutrient export downstream. When uptake occurred, SRP uptake length was negatively correlated with total suspended solids and temperature. Uptake velocities of SRP and NH4 in the Chattahoochee River were lower than velocities in less‐modified systems, but they were similar to those measured in other WWTP impacted systems. Lower uptake velocities indicate a diminished capacity for nutrient uptake.  相似文献   
33.
Abstract: We examine the potential for nutrient limitation of algal periphyton biomass in blackwater streams draining the Georgia coastal plain. Previous studies have investigated nutrient limitation of planktonic algae in large blackwater rivers, but virtually no scientific information exists regarding how algal periphyton respond to nutrients under different light conditions in smaller, low‐flow streams. We used a modification of the Matlock periphytometer (nutrient‐diffusing substrata) to determine if algal growth was nutrient limited and/or light limited at nine sites spanning a range of human impacts from relatively undisturbed forested basins to highly disturbed agricultural sites. We employed four treatments in both shaded and sunny conditions at each site: (1) control, (2) N (NO3‐N), (3) P (PO4‐P), and (4) N + P (NO3‐N + PO4‐P). Chlorophyll a response was measured on 10 replicate substrates per treatment, after 15 days of in situ exposure. Chlorophyll a values did not approach what have been defined as nuisance levels (i.e., 100‐200 mg/m2), even in response to nutrient enrichment in sunny conditions. For Georgia coastal plain streams, algal periphyton growth appears to be primarily light limited and can be secondarily nutrient limited (most commonly by P or N + P combined) in light gaps and/or open areas receiving sunlight.  相似文献   
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Prenatal screening for sex chromosome aneuploidies (SCAs) is increasingly available through expanded non-invasive prenatal testing (NIPT). NIPT for SCAs raises complex ethical issues for clinical providers, prospective parents and future children. This paper discusses the ethical issues that arise around NIPT for SCAs and current guidelines and protocols for management. The first section outlines current practice and the limitations of NIPT for SCAs. It then outlines key guidelines before discussing the ethical issues raised by this use of NIPT. We conclude that while screening for SCAs should be made available for people seeking to use NIPT, its implementation requires careful consideration of what, when and how information is provided to users.  相似文献   
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This study examined the mental health outcomes of job stress among Chinese teachers in Hong Kong. A total of 269 Chinese teachers participated in Study 1 which provided cross‐sectional data regarding the associations among stress resource factors, burnout, and negative mental health. Study 2 was a six‐month longitudinal study which aimed to establish the direction of the associations among the hypothesized variables across two time points with a separate sample of 61 Chinese secondary school teachers. Results of the structural equation modelling analyses on the cross‐sectional data at T1 showed that stress resource factors of self‐efficacy and proactive attitude were negatively related to burnout, which in turn had a direct effect on negative mental health. Stress resource factors were also directly linked to mental health status of teachers. Results of similar analyses on the longitudinal data at T2 further indicated that burnout at T1 had a direct impact on burnout at T2, which in turn had a direct effect on negative mental health at T2. Findings and limitations of the study were discussed. Copyright © 2001 John Wiley & Sons, Ltd.  相似文献   
38.
Congenital syphilis (CS) rates reached a 20-year high in the United States in 2018. Unlike previous years, most babies diagnosed with CS were born to mothers who received prenatal care, indicative of the need for better provider education and guideline adherence. Current rates suggest that screening for syphilis should be performed at the first prenatal care visit and twice during the third trimester. There are two diagnostic algorithms available for use in the United States (traditional and reverse) and providers must understand how to perform each algorithm. Treatment should be administered according to stage of syphilis per Centers for Disease Control recommendations with best neonatal outcomes seen when treatment is initiated >30 days before delivery. Benzathine Penicillin G remains the only recommended treatment of syphilis during pregnancy. In viable pregnancies, a pretreatment ultrasound is recommended to identify sonographic evidence of fetal infection and treatment should be initiated with continuous fetal monitoring to evaluate for the Jarisch-Herxheimer reaction which can cause preterm labor and fetal distress. After adequate syphilotherapy, a fourfold decline in maternal nontreponemal titers may not be observed by delivery and does not correlate with rates of CS.  相似文献   
39.
Rather surprisingly, urban atmospheric particulate levels in West Africa compare with measured concentrations in Europe and Asia megacities (Liousse, C., Galy-Lacaux, C., Assamoi, E.-M., Ndiaye, A., Diop, B., Cachier, H., Doumbia, T., Gueye, P., Yoboue, V., Lacaux, J.-P., Guinot, B., Guillaume, B., Rosset, R., Castera, P., Gardrat, E., Zouiten, C., Jambert, C., Diouf, A., Koita, O., Baeza, A., Annesi-Maesano, I., Didier, A., Audry, S., Konare, A., 2009. Integrated Focus on West African Cities (Cotonou, Bamako, Dakar, Ouagadougou, Abidjan, Niamey): Emissions, Air Quality and Health Impacts of Gases and Aerosols. Third International AMMA Conference on Predictability of the West African Moosoon Weather, Climate and Impacts. Ouagadougou, Burkina Faso. July 20–24). This pollution mainly derives from road traffic emissions with, in some capitals (e.g. Cotonou), the strong contribution of two-wheel vehicles. Two key questions arise: are presently available emission inventories (e.g. Junker, C., Liousse, C., 2008. A global emission inventory of carbonaceous aerosol from historic records of fossil fuel and biofuel consumption for the period 1860–1997. Atmospheric Chemistry Physics, 8, 1–13; Bond, T.C., Streets, D.G., Yarber, K.F., Nelson, S.M., Woo, J.H., Klimont, Z., 2004. A technology-based global inventory of black and organic carbon emissions from combustion. Journal of Geophysical Research, 1009, D14203, DOI:10.1029/2003JD003697) able to account for these emissions? And, if not, how can we remedy this? The aim of this paper is to develop a methodology to estimate emissions produced by two-wheel vehicles in West Africa for 2002 in a context where reliable information is hardly available. Fuel consumption ratios between two-wheel engines (in this work) and all vehicles issued from UN database (http://data.un.org/Data.aspx?d=EDATA&f=cmID%3aMO%3btrID%3a1221) are as high as 169%, 264% and 628%, for Burkina Faso, Mali and Chad respectively, indicating that this global database does not properly account for regional specificities. Moreover, emission factors for black carbon (BC) and primary organic carbon (OCp) have been measured for two-stroke engines in Benin (Guinot, B., Liousse, C., Cachier, H., Guillaume, B., et al. New emission factor estimates for biofuels and mobile sources. Atmospheric Environment, in press.), giving significantly higher values than in Europe. This is particularly true for OCp, and consequently the calculated emissions for two-stroke engines are also significantly larger than total road traffic previously estimated in global inventories (Junker and Liousse (2008) with United Nations database for 2002; Bond et al., 2004). The ensuing discussion illustrates the importance of two-stroke engines in the West Africa transport sector and the strong need for inventory updating.  相似文献   
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