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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 multi-media model was developed for predicting the fate of organic chemicals in the Greater Stockholm Area, Sweden, and applied to selected polycyclic aromatic hydrocarbons (PAHs). Although urban models have been previously developed, this model is novel in that it includes sorption to pyrogenically-derived particles, commonly termed "black carbon" (BC), within the model structure. To examine the influence of BC sorption on environmental fate of PAHs, two versions of the model were generated and run: one in which sorption to BC was included and one in which BC sorption was excluded. The inclusion of BC sorption did not cause any significant variations to air levels, but it did cause an average 20-30% increase in sediment concentrations related to increased sediment solids partitioning. The model also predicted reduced advective losses out of the model domain, as well as chemical potential to diffuse from sediments, whilst total chemical inventory increased. In all cases, the lighter PAHs were more affected by BC inclusion than their heavier counterparts. We advocate the addition of sorption to BC in future multi-media fate and exposure models, which as well as influencing fate will also alter (lower) chemical availability and, thus, wildlife exposure to hydrophobic chemicals. A quantification of the latter was derived with the help of the soot-inclusive model version, which estimated a lowering of dissolved water concentrations between five and >200 times for the different PAHs of this study.  相似文献   
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The impact of recalcitrant organic compounds on soil hydrophobicity was evaluated in contaminated soil from a manufactured gas plant site following 12 months of phytoremediation. Significant reduction in soil wetting and water retention was observed in contaminated soil compared to an uncontaminated control. Phytoremediation was effective at reducing total PAHs by 69% with corresponding changes in soil classification from extremely hydrophobic (initial sample) to moderately-strongly hydrophobic (planted) and hydrophilic-very hydrophilic (unplanted) after 12 months. The greatest reduction in soil hydrophobicity was observed in the unplanted, unfertilized treatments that had the lowest removal rate of PAHs. The presence of plants may contribute to hydrophobicity in contaminated soil.  相似文献   
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Across the globe, groups are experimenting with initiatives to create alternatives to the dominant food system. What role might research play in helping to strengthen and multiply these initiatives? In this paper we discuss two research projects in Australia and the Philippines in which we have cultivated hybrid collectives of academic researchers, lay researchers and various non-human others with the intention of enacting community food economies. We feature three critical interactions in the “hybrid collective research method”: gathering, which brings together those who share concerns about community food economies; reassembling, in which material gathered is deliberatively rebundled to amplify particular insights; and translating, by which reassembled ideas are taken up by other collectives so they may continue to “do work”. We argue that in a climate-changing world, the hybrid collective research method fosters opportunities for a range of human and non-human participants to act in concert to build community food economies.  相似文献   
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Centaurea Species: the Forb That Won the West   总被引:2,自引:0,他引:2  
Abstract: Grasslands of the western United States and Canada are being converted to ecosystems that resemble "old fields," dominated in terms of percent cover or biomass by forb species. In particular, five species of the genus Centaurea (star thistle, diffuse, spotted, squarrose, and Russian knapweed ) have invaded millions of hectares of western United States and Canadian grasslands. Centaurea species are fundamentally different from the preexisting dominant species and may exploit changes in resource availability to become established. We suspect that they then maintain dominance by preventing resources from returning to levels that favor the native species. Increased atmospheric nitrogen deposition, reduced fire frequency, and, possibly, direct and indirect fertilization resulting from cattle grazing appear to have reduced the historically strong nitrogen limitation to which native species of western grasslands are adapted. We suggest that the success of Centaurea species in dominating grasslands is explained by their ability to compete successfully for the new limiting resource or resources. Our preliminary evidence suggests that phosphorus limitation or a colimitation of phosphorus and water best explains the current dominance patterns.  相似文献   
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Global climate change (GCC) is expected to influence the fate, exposure and risks of organic pollutants to wildlife and humans. Multimedia chemical fate models have been previously applied to estimate how GCC affects pollutant concentrations in the environment and biota, but previous studies have not addressed how uncertainty and variability of model inputs affect model predictions. Here, we assess the influence of climate variability and chemical property uncertainty on future projections of environmental fate of six polychlorinated biphenyl congeners under different GCC scenarios using a spreadsheet version of the ChemCAN model and the Crystal Ball® software. Regardless of emission mode, results demonstrate: (i) uncertainty in degradation half-lives dominates the variance of modelled absolute levels of PCB congeners under GCC scenarios; (ii) when the ratios of predictions under GCC to predictions under present day climate are modelled, climate variability dominates the variance of modelled ratios; and (iii) the ratios also indicate a maximum of about a factor of 2 change in the long-term average environmental concentrations due to GCC that is forecasted between present conditions and the period between 2080 and 2099. We conclude that chemical property uncertainty does not preclude assessing relative changes in a GCC scenario compared to a present-day scenario if variance in model outputs due to chemical properties and degradation half-lives can be assumed to cancel out in the two scenarios.  相似文献   
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