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Experience managing triplet pregnancies has increased over the past few decades as the incidence has changed related to assisted reproductive practices. Physicians caring for women carrying triplets cannot predict an individual outcome or pregnancy course but must educate patients about the challenges related to these high risk pregnancies. Obstetric providers can describe the wide range of risks associated with triplet gestations, and the general plan for management, but ultimately parents must make decisions with potentially lifelong consequences. Here, we present the diagnostic criteria, common complications, and management options for triplet pregnancies, to help obstetricians counsel patients on the medical and psychosocial consequences of triplet pregnancy, potential complications, and multifetal reduction.  相似文献   
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Alcoholic extract of whole fruit of Momordica charantia was prepared. Adult healthy albino rats were divided into four groups and received a dose of 6 mg/l00 gm. body weight of alloxan monohydrate. Animals of group I served as diabetic control group. The animals of II, III, and IV groups received 25 mg, 50 mg and 75 mg doses of the extract respectively for different durations. 75 mg dose showed increase in body weight. All doses of alcoholic extract of M. charantia were able to decrease the blood sugar level significantly. Extract feeding showed definite improvement in the islets of Langerhans. No toxic effect was observed in the liver The significant features of the study have been blood glucose once lowered by the treatment with M. charantia fruit extract remained static even after discontinuation of drug for 15 days. Blood sugar never fell below normal values even with a high dose, in pancreatic islets, beta cells showed definite improvement.  相似文献   
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Food safety is a global concern due to the increased use of pesticides in agriculture. In grapes, carbendazim is one of the frequently detected fungicides. However, it is amenable to biodegradation. In this study, we aimed to assess the degradation of carbendazim by four Bacillus subtilis strains, which had earlier shown potential for biocontrol of grape diseases. In liquid medium, each of the four strains, namely, DR-39, CS-126, TL-171, and TS-204, could utilize carbendazim as the sole carbon source. The half-life was minimized from 8.4 days in the uninoculated spiked control to 4.0–6.2 days by the four strains. In Thompson Seedless sprayed with carbendazim at 1.0 g L?1, the residue on grape berries in control was 0.44 mg kg?1 after 25 days of application, whereas in grapes treated with the four B. subtilis strains, the residues had decreased to 0.02 mg kg?1. The degradation kinetics showed low half-lives of 3.1 to 5.2 days in treated grapes as compared to 8.8 days in control. In inoculated soils, the half-lives were 5.9 to 7.6 days in autoclaved and 6.5 to 7.2 days in nonautoclaved soils as compared to 8.2 and 8.0 days in respective controls. The growth dynamics of these strains in all the three matrices was not affected by presence of carbendazim. Bacillus strains TS-204 and TL-171 showed higher degradation rate than the other two strains in all the three matrices and show promise for in situ biodegradation of carbendazim.  相似文献   
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Synthesis of malachite@clay nanocomposite was successfully carried out for the removal of cationic (Methylene Blue, MB) and anionic dyes (Congo Red, CR) from synthetic wastewater. Nanocomposite was characterized by TEM, SEM, FT-IR, EDS analysis and zeta potential. TEM analysis indicated that the particle diameter of nanocomposite was in the range of 14 to 23 nm. Various important parameters viz. contact time, concentration of dyes, nanocomposite dosage, temperature and solution pH were optimized to achieve maximum adsorption capacity. In the case of MB, removal decreased from 99.82% to 93.67% while for CR, removal decreased from 88.55% to 75.69% on increasing dye concentration from 100 to 450 mg/L. pH study confirmed the higher removal of CR in acidic range while MB removal was higher in alkaline range. Kinetic study revealed the applicability of pseudo-second-order model for the adsorption of both dyes. Negative values of ΔG0 for both systems suggested the feasibility of dye removal and support for spontaneous adsorption of CR and MB on nanocomposite. Nanocomposite showed 277.77 and 238.09 mg/g Langmuir adsorption capacity for MB and CR respectively. Desorption of dyes from the dye loaded nanocomposite was easily carried out with acetone. The results indicate that the prepared malachite@clay nanocomposite is an efficient adsorbent with high adsorption capacity for the aforementioned dyes.  相似文献   
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A continuous fluidized bed bioreactor (FBBR) with nylon support particles was used to treat synthetic sulfide wastewater at different hydraulic retention time of 25, 50 and 75 min and upflow velocity of 14, 17 and 20 m/hr. The effects of upflow velocity, hydraulic retention time and reactor operation time on sulfide oxidation rate were studied using statistical model. Mixed culture obtained from the activated sludge, taken from tannery effluent treatment plant, was used as a source for microorganisms. The diameter and density of the nylon particles were 2-3 mm and 1140 kg/m3, respectively. Experiments were carried out in the reactor at a temperature of (30 ± 2)℃, at a fixed bed height of 16 cm after the formation of biofilm on the surface of support particles. Biofilm thickness reached (42 ± 3) μupm after 15 days from reactor start-up. The sulfide oxidation, sulfate and sulfur formation is examined at all hydraulic retention times and upflow velocities. The results indicated that almost 90%-92% sulfide oxidation was achieved at all hydraulic retention times. Statistical model could explain 94% of the variability and analysis of variance showed that upflow velocity and hydraulic retention time slightly affected the sulfide oxidation rate. The highest sulfide oxidation of 92% with 70% sulfur was obtained at hydraulic retention time of 75 min and upflow velocity of 14 m/hr.  相似文献   
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A heterogeneous catalyst comprising Keggin type polyoxometalate, silicotungstic acid (SiW12), and MCM-22 was synthesized using wet impregnation method and characterized by acidity measurement, BET, FT-IR, XRD, and SEM. Their catalytic activity was evaluated for the degradation of cationic organic dyes like methylene blue (MB), crystal violet (CV), and an azo dye Chryosidine Y (CY) in an aqueous solution. The experimental parameters such as catalyst amount, initial dye concentration, and contact time were studied for the degradation of dyes, and it was found that the cationic dyes like methylene blue and crystal violet show better activity as compared to azo dye Chryosidine Y. This may be attributed to better electrostatic interaction of these cationic dyes with the residual negative surface charge of the catalyst, due to presence of SiW12 ion as it is rich in surface oxygens and surface hydroxyl groups. The control experimental results showed that the presence of SiW12 at the surface of MCM-22 promoted the degradation reactions, and presence of multiple W–O bonds in polyoxometalate also played a key role in this reaction. The catalyst exhibits recycling ability without any significant loss in activity up to four cycles.

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Environmental Science and Pollution Research - Hydrogen peroxide (H2O2) is a reactive chemical used in a wide range of applications. Most importantly, it is used for sterilization process in health...  相似文献   
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