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Cytomegalovirus (CMV) is the most common cause of intrauterine infection. Recent publications show amniocentesis to have an 81–100 per cent sensitivity in antenatal diagnosis after 21 weeks' gestation. Testing before 21 weeks' gestation is less well documented. We performed 36 amniocenteses between 14 and 20 weeks' gestation. The sensitivity was 45 per cent and the specificity 100 per cent. Implications and possible causes of this low sensitivity are discussed.  相似文献   
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The objective of this study was to explore women's attitudes towards prenatal diagnosis of trisomy 21 and to examine some of the factors possibly responsible for these attitudes before implementing in real practice serological screening of pregnant women at risk for trisomy 21. We carried out a telephone survey on a representative sample of women who had recently had a normal livebirth delivery in the Marseille district in 1990. The participation rate was 80 per cent and the average age of the mothers was 28-9 years. Among the 514 women interviewed, 78 per cent stated that they would ask for an amniocentesis for a 1 per cent risk of trisomy 21 at their next pregnancy. When adjusting for confounding factors, the decision to have or not to have an amniocentesis was found to depend not only on the women's attitude towards induced abortion, but also on their understanding of the risk involved and on the social context (knowing a handicapped child, discussion with the father). It also depended on the women's age and on what they knew about amniocentesis from the medical point of view. The risk of miscarriage can influence a woman's choice but this objection was not found to affect the women's decisions significantly in our survey. The data showed the existence of a high potential demand for fetal karyotyping.  相似文献   
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Maternal serum free beta (hCG) levels are elevated (median 2·20 MOM) in the first trimester of pregnancy in 38 Down syndrome cases as compared with appropriate controls. This observation may form the basis for its use as a marker in screening for Down syndrome in the first trimester. Altered levels of the free beta analyte are observed in pregnancy conditions or complications other than Down syndrome.  相似文献   
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The fifth meeting of INRA’s national network of ecotoxicologists took place on 25 to 27 November 2014 in Biarritz, France. The main aim of the meeting was to bring together ecotoxicologists from INRA and associated partners, providing them ample opportunity to share and discuss their latest scientific results as well as the national policy of research in ecotoxicology and to precise perspectives for the network.  相似文献   
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The microbiological quality of urban wastewaters presents important environmental, sanitary, and political challenges. However, the variability of untreated wastewater quality is seldom known when it comes to microbial parameters. This study aims to evaluate the variability of microbiological quality in wastewater influents from different wastewater treatment plants connected to combined and partially separate sewer networks in the Parisian area and to evaluate the impact of this variability on the treatment efficiency and on the accuracy of wastewater effluent monitoring. The densities of fecal indicator bacteria (FIB), Escherichia coli and intestinal enterococci, and their partitioning on settleable particles were analyzed at the inlet of two wastewater treatment plants during dry weather (130 composite samples and 7 days sampled every 2 hours) and storm events (39 composite samples, and 7 rain courses) from 2008 to 2012. The results showed that fecal indicator densities vary according to the network characteristics and according to the meteorological conditions. During storm events, a significant dilution of E. coli and enterococci was observed, as well as a decrease in the settleable fraction of E. coli during the maximal impact of the storm. However, storm events did not significantly impact the regular FIB monitoring. FIB removals by primary and secondary treatment were significantly correlated with FIB densities in influent wastewater; however, meteorological conditions also influenced the removal of FIB.  相似文献   
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The study analysed the content of heavy metals in surface soil and sediment samples from the Bregu i Matit Plain in NW Albania in relation to irrigation in order to evaluate the soil pollution and the potential risk to human health. Evaluation of soil pollution was performed using the enrichment factor and geo-accumulation index. Contents of cadmium, chromium and nickel of irrigated soils were significantly higher than those of non-irrigated soil, while contents of lead (in three of the irrigated locations), zinc and arsenic (in one of the irrigated locations) were significantly lower. Correlation analysis (CA) and principal component analysis (PCA) indicated that the primary source of the first three metals was irrigation, and the last three metals were originated from other anthropic sources, like the use of chemicals, etc. Enrichment factor (E f) calculation showed that irrigated soils were most enriched in cadmium, chromium, copper and nickel. Index of geo-accumulation (I geo) revealed that arable soils of Bregu i Matit are unpolluted to moderately polluted with cadmium, chromium, copper and zinc and moderately to strongly polluted with nickel and arsenic. The presence of heavy metals in the studied soils indicates a potential risk of transfer of these elements in the food chain. Therefore, further studies on the speciation of heavy metals in the studied soils in order to evaluate their mobility are needed.  相似文献   
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Environmental Fluid Mechanics - Most studies on sediment transport and bedforms migration consider unlimited sediment supply conditions. However, areas where the sediment supply is limited are...  相似文献   
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