This study was undertaken to evaluate the relationship between maternal serum alpha-fetoprotein (MSAFP) levels and oesophageal atresia (OA). OA occurred in 16 fetuses of mothers who had an MSAFP test in the study interval. The multiple of the median (MOM) value for MSAFP averaged 1·54 ± 0·65 (range 0·5–2·9 MOM), which was significantly higher than the value seen in controls. The median MOM was 1·35. Using a cut-off of 2·5 MOM, the sensitivity of MSAFP for detecting OA was 19 per cent. Although OA should be considered in the differential diagnosis of an elevated MSAFP level, MSAFP cannot be considered an appropriate screening test for OA given the low sensitivity. 相似文献
Parental decisions concerning the continuation of pregnancy following prenatal detection of abnormal chromosomes were evaluated for 80 patients whose diagnosis and prenatal counselling were performed in our centre. Twenty-two anomalies were diagnosed by chorionic villus sampling (CVS) and 58 by amniocentesis. The severity of the chromosome anomaly and associated ultrasound findings in the first vs. second trimester were correlated with patients' decisions. No difference was found in the likelihood of parental decisions to interrupt or continue a pregnancy between CVS and amniocentesis for either the‘severe’ or the‘questionable’ group of chromosome anomalies. Ninety-three per cent of patients with severe prognosis and 27 per cent with questionable prognosis opted for pregnancy termination (p <0·0001). The association of ultrasound anomalies and termination was highly significant (p< 0·001). The severity of the chromosome anomaly, and, to a lesser extent, the visualization of anomalies on ultrasound were the major determinants of parental decisions to terminate the pregnancy. The diagnosis of an anomaly in the first trimester was no more likely ito lead to a termination of pregnancy than in the second trimester. 相似文献
Rebuilding the City: Property‐led Urban Regeneration
P. Healey, S. Davoudi, M. O'Toole, S. Tavsanoglu & D. Usher (Eds)
London, E. & F. N. Spon, 1992, 312 pp., £30
Der Wert stadtnaher Wälder als Erholungsraum: Eine ökonomishce Analyse am Beispiel von Lugano (Value of Urban Forests as Recreational Areas: An Economic Analysis on the Case of Lugano)
Claudia Nielsen
Chur (Switzerland), Verlag Rüegger, 1992, 261 pp., SFr 48
Urban Planning under Thatcherism: The Challenge of the Market
A. Thornley
London, Routledge, 1991, 253 pp., £14.99
Sustainable Development and Urban Form, European Research in Regional Science 2
M. J. Breheny (Ed)
London, Pion, Limited, 1992, 292 pp., £28.00.
Tourism, Museums and the Local Economy: The Economic Impact of the North of England Open Air Musuem at Beamish
Peter Johnson & Barry Thomas
Cheltenham, Edward Elgar, 1992, 160 pp., £29.50相似文献
Although oil spill cleanup requirements have existed in the United States for years, recent increases in oil imports and marine transportation of petroleum products as well as growing environmental concern have exposed a new industry, the Oil Spill Cleanup Industry. This paper explores some of the microeconomic aspects of this industry which has come under increased scrutiny by the general public, big business, and the federal government.In addition to a brief history and definition, several basic questions about the economic viability of the oil spill cleanup industry are raised and explored, and the impact on the industry of cleanup from government sources is examined, both from the perspective of present operations and from apparent future increases in federal participation. The primary dilemma facing the industry, that of providing continued and immediate supply while confronted with stochastic demand, is discussed. The effects of the large spill on the industry both in terms of revenue and ability to meet cleanup requirements is also considered.Information for the paper is drawn from past and continuing involvement in the U.S. Coast Guard's Marine Environmental Protection Program by both authors. The statistical evidence presented here was compiled through personal interviews and from two computerized Coast Guard information systems; PIRS (the Pollution Incident Reporting System), and SKIM (the Spill Cleanup Equipment Inventory System). 相似文献
ABSTRACT: Discrete cold water patches within the surface waters of summer warm streams afford potential thermal refuge for cold water fishes during periods of heat stress. This analysis focused on reach scale heterogeneity in water temperatures as influenced by local influx of cooler subsurface waters. Using field thermal probes and recording thermistors, we identified and characterized cold water patches (at least 3°C colder than ambient streamflow temperatures) potentially serving as thermal refugia for cold water fishes. Among 37 study sites within alluvial valleys of the Grande Ronde basin in northeastern Oregon, we identified cold water patches associated with side channels, alcoves, lateral seeps, and floodplain spring brooks. These types differed with regard to within floodplain position, area, spatial thermal range, substrate, and availability of cover for fish. Experimental shading cooled daily maximum temperatures of surface waters within cold water patches 2 to 4°C, indicating a strong influence of riparian vegetation on the expression of cold water patch thermal characteristics. Strong vertical temperature gradients associated with heating of surface layers of cold water patches exposed to solar radiation, superimposed upon vertical gradients in dissolved oxygen, can partially restrict suitable refuge volumes for stream salmonids within cold water patches. 相似文献
ABSTRACT: A meandering stream channel was simulated in the Hydraulics Laboratory at Colorado State University and a series of tests was conducted using four types of vegetation to evaluate the potential effects of vegetation on sediment deposition and retention in a stream channel. The data collected included average flow velocity, flow depth, length of vegetation, density of vegetation, cross-sectional area of the vegetative stem, wetted perimeter of the vegetative stem, and injection and flushing time. The findings indicated that the vegetation could retain from 30 to 70 percent of the deposited sediments. The ability of vegetation to entrap and retain sediment is related to the length and cross-sectional area of the vegetation. The variables describing the flow and the vegetative properties were combined to form a predictive parameter, the sedimentation factor (Sd) that can be compared with the amount of sediment entrapped by vegetation in a stream system. A relation was developed correlating vegetation length to sediment retention after flushing for flexibility and rigid vegetation. 相似文献