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Ultrasound for routine fetal malformation screening has been polemical from its early beginning because of the very broad range of diagnosis rates disclosed, i.e. from 13% to 82%, average 27.5%. A review of available studies is proposed to assess objectively the efficacy of ultrasound, considering also economical, ethical and methodological aspects as influential factors for choosing a routine screening policy. The utility of fetal malformation diagnosis before birth is brought forward, including second opinion, karyotyping, poly-disciplinary case discussion prior to management. Method and material of reviewed studies considerably vary and might influence the sensitivity results, as the choice of the population sample and selection of pregnant women, gestation age at screening, distribution of malformation among systems or tracts, exclusion of some fetal malformation and the routine practice of autopsy. Efficiency of screening studies is compared, and among them Radius and Eurofetus studies. Average sensitivity is finally considered as satisfactory in the daily practice when operated by trained personnel. The importance of additional factors for successful screening are emphasized such as education, equipment quality and fetal ultrasound examination at different gestation age for a better understanding of natural history of fetal morphology. Copyright © 2002 John Wiley & Sons, Ltd.  相似文献   
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Levi T  Wilmers CC 《Ecology》2012,93(4):921-929
Due to the widespread eradication of large canids and felids, top predators in many terrestrial ecosystems are now medium-sized carnivores such as coyotes. Coyotes have been shown to increase songbird and rodent abundance and diversity by suppressing populations of small carnivores such as domestic cats and foxes. The restoration of gray wolves to many parts of North America, however, could alter this interaction chain. Here we use a 30-year time series of wolf, coyote, and fox relative abundance from the state of Minnesota, USA, to show that wolves suppress coyote populations, which in turn releases foxes from top-down control by coyotes. In contrast to mesopredator release theory, which has often considered the consequence of top predator removal in a three-species interaction chain (e.g., coyote-fox-prey), the presence of the top predator releases the smaller predator in a four-species interaction chain. Thus, heavy predation by abundant small predators might be more similar to the historical ecosystem before top-predator extirpation. The restructuring of predator communities due to the loss or restoration of top predators is likely to alter the size spectrum of heavily consumed prey with important implications for biodiversity and human health.  相似文献   
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ABSTRACT: A climate change impacts assessment for water resources in the San Joaquin River region of California is presented. Regional climate projections are based on a 1 percent per year CO2 increase relative to late 20th Century CO2 conditions. Two global projections of this CO2 increase scenario are considered (HadCM2 and PCM) during two future periods (2010 to 2039 and 2050 to 2079). HadCM2 projects faster warming than PCM. HadCM2 and PCM project wetter and drier conditions, respectively, relative to present climate. In the HadCM2 case, there would be increased reservoir inflows, increased storage limited by existing capacity, and increased releases for deliveries and river flows. In the PCM case, there would be decreased reservoir inflows, decreased storage and releases, and decreased deliveries. Impacts under either projection case cannot be regarded as more likely than the other. Most of the impacts uncertainty is attributable to the divergence in the precipitation projections. The range of assessed impacts is too broad to guide selection of mitigation projects. Regional planning agencies can respond by developing contingency strategies for these cases and applying the methodology herein to evaluate a broader set of CO2 scenarios, land use projections, and operational assumptions. Improved agency access to climate projection information is necessary to support this effort.  相似文献   
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Is the US nuclear arsenal sufficient to address today‘s security challenges? The Pentagon apparently thinks not. A new report from its Defense Science Board (DSB) argues that ““““nuclear weapons are needed that produce much lower collateral damage‘. It lends support to proposals to build new nuclear weapons for attacking underground facilities. To a point, such ‘bunker busters‘ are nothing new-the B-53 bomb, first deployed in the early 1960s, can destroy underground targets, although it creates lethal radioactive fallout that covers hundreds of thousands of square kilometres.  相似文献   
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Abstract

A local sustainable development initiative to establish a temporary pedestrian zone within a Canadian urban community served as a research study into the efficacy of social capital in the development of a network for community action. This community-based initiative used social capital to overcome campaign obstacles and the campaign itself generated new social capital within the neighbourhood through the creation of adaptive networks of participants. The campaign succeeded in creating a part-time pedestrian-only space that serves as an educational example of change for sustainable community development that is replicable in other communities, and provides an example of alternative occupation of community space. Contrary to other literature, little evidence of “core burnout” was found although the network does continue to expend a large amount of effort and time on fundraising. While social capital is a powerful tool for local grassroots action, the availability of a critical source of economic capital may prove vital to the long-term success and sustainability of the network.  相似文献   
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