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We conducted a comprehensive evidence-based review on the epidemiology and current standard of care of gastroschisis management as well as the pathophysiology, rationale and feasibility of fetal therapy as a viable alternative. Gastroschisis is a periumbilical abdominal wall defect characterized by abdominal viscera herniation in utero. It affects 4 in 10 000 live births, but the prevalence has steadily increased in recent years. Gastroschisis is typically diagnosed on routine second-trimester ultrasound. The overall prognosis is favorable, but complex gastroschisis, which accounts for about 10% to 15% of cases, is associated with a higher mortality, significant disease burden and higher healthcare costs due to long- and short-term complications. The current standard of care has yet to be established but generally involves continued fetal surveillance and multidisciplinary perinatal care. Postnatal surgical repair is achieved with primary closure, staged silo closure or sutureless repair. Experimental animal studies have demonstrated the feasibility of in utero closure, antiinflammatory therapy and prenatal regenerative therapy. However, reports of early preterm delivery and amnioinfusion trials have failed to show any benefit in humans. Further experimental studies and human trials are necessary to demonstrate the potential benefit of fetal therapy in gastroschisis.  相似文献   
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A study was conducted to screen the three passes that link Lake Pontchartrain to the Gulf of Mexico via Lake Borne for the presence of EPA base-neutral (BN) priority pollutants and any other pollutants detected in significant concentration. Biota and sediment samples were collected and analytical procedures were developed for the trace analysis of BN organics in these matrices. Compounds identified include alkanes (normal, branched, cyclic), alkenes, aromatics, alkylated aromatics, polynuclear aromatic hydrocarbons and their alkylated derivatives, phthalates, ketones, furans, thiophenes, phenols, amines, nitriles, thiazoles, amides, aldehydes, alcohols, free fatty acids, fatty acid methyl and ethyl esters, phosphates, sterols. Concentrations were in the parts-per-billion range.  相似文献   
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The paper describes the results of a study of the impact of the National Energy on the trend towards increased utilization of coal and lignite in Texas with forecasts of increased coal and lignite utilization for the electric utility and industrial sectors. Environmental impacts of this increased coal and lignite use are projected in terms of increased air pollutant emissions and air quality impacts. Economic costs of compliance with alternative source emission regulations are also projected for the electric utility industry.Lignite consumption in Texas under the National Energy Plan is projected to increase from the present 13 million metric tons in 1976 to 57 million metric tons annually by 1985. Sub-bituminous coal consumption in Texas is projected to increase from 1 million metric per year in 1976 to 49 million metric tons per year in 1985. Bituminous coal consumption in Texas is expected to increase from less than one million metric tons per year in 1976 to about 3 million metric tons per year in 1985.Major increases in sulfur oxides emissions from coal and lignite combustion in Texas can be expected by 1985 of up to 1.5 × 109 kg per year without controls and 0.2 × 109 kg per year with controls. Increases in acid precipitation formation will result in north-east Texas from extensive lignite usage for electric power generation as a detriment to agriculture. The photochemical air pollution problem in the Houston area will probably worsen primarily because of increased nitrogen oxides and sulfur oxides emissions because of industrial coal combustion. Capital costs of air pollution controls in Texas for coal-fired utility boilers are estimated as up to U.S. $3.9 billion by 1985, with total operating costs of up to U.S. $1.2 billion per year.  相似文献   
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Golden alga (Prymnesium parvum) is a harmful alga that has caused ecological and economic harm in freshwater and marine systems worldwide. In inland systems of North America, toxic blooms have nearly eliminated fish populations in some systems. Modifying nutrient profiles through alterations to land or water use may be a viable alternative for golden alga control in reservoirs. The main objective of this study was to improve our understanding of the nutrient dynamics that influence golden alga bloom formation and toxicity in west Texas reservoirs. We examined eight sites in the Upper Colorado River basin, Texas: three impacted reservoirs that have experienced repeated golden alga blooms; two reference reservoirs where golden alga is present but nontoxic; and three confluence sites downstream of the impacted and reference sites. Total, inorganic, and organic nitrogen and phosphorus and their ratios were quantified monthly along with golden alga abundance and ichthyotoxicity between December 2010 and July 2011. Blooms persisted for several months at the impacted sites, which were characterized by high organic nitrogen and low inorganic nitrogen. At impacted sites, abundance was positively associated with inorganic phosphorus and bloom termination coincided with increases in inorganic nitrogen and decreases in inorganic phosphorus in late spring. Management of both inorganic and organic forms of nutrients may create conditions in reservoirs unfavorable to golden alga.  相似文献   
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Of growing amount of food waste, the integrated food waste and waste water treatment was regarded as one of the efficient modeling method. However, the load of food waste to the conventional waste treatment process might lead to the high concentration of total nitrogen(T-N) impact on the effluent water quality. The objective of this study is to establish two machine learning models—artificial neural networks(ANNs) and support vector machines(SVMs), in order to predict 1-day interval T-N concentration of effluent from a wastewater treatment plant in Ulsan, Korea. Daily water quality data and meteorological data were used and the performance of both models was evaluated in terms of the coefficient of determination(R~2), Nash–Sutcliff efficiency(NSE), relative efficiency criteria(d rel). Additionally, Latin-Hypercube one-factor-at-a-time(LH-OAT) and a pattern search algorithm were applied to sensitivity analysis and model parameter optimization, respectively. Results showed that both models could be effectively applied to the 1-day interval prediction of T-N concentration of effluent. SVM model showed a higher prediction accuracy in the training stage and similar result in the validation stage.However, the sensitivity analysis demonstrated that the ANN model was a superior model for 1-day interval T-N concentration prediction in terms of the cause-and-effect relationship between T-N concentration and modeling input values to integrated food waste and waste water treatment. This study suggested the efficient and robust nonlinear time-series modeling method for an early prediction of the water quality of integrated food waste and waste water treatment process.  相似文献   
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