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The most widely used method for fetocide in late termination of pregnancy for fetal abnormalities (TOPFA) consists of injecting of potassium chloride (KCl) into the fetal heart and is likely to be painful after 22 weeks of gestation. We studied ten consecutive women undergoing TOPFA between 22 and 38 weeks. This technique for fetocide consisted of a single umbilical vein puncture under ultrasound guidance with injections of sufentanil 5 µg followed by KCl 2 g. No electrocardiographic modifications could be observed and maternal plasma potassium levels did not show any significant variation throughout the procedure. Fetal umbilical phlebotomy for fetal analgesia followed by fetocide therefore appears to be a safe procedure for the mother and allows the fetus to die without pain when late termination of pregnancy (TOP) is indicated. Copyright © 2002 John Wiley & Sons, Ltd. 相似文献
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Deurer M Sivakumaran S Ralle S Vogeler I McIvor I Clothier B Green S Bachmann J 《Journal of environmental quality》2008,37(3):915-924
A new method to diagnose the environmental sustainability of specific orchard management practices was derived and tested. As a significant factor for soil quality, the soil carbon (C) management in the topsoil of the tree-row of an integrated and organic apple orchard was selected and compared. Soil C management was defined as land management practices that maintain or increase soil C. We analyzed the impact of the soil C management on biological (microbial biomass C, basal respiration, dehydrogenase activity, respiratory quotient) and physical (aggregate stability, amount of plant-available water, conductive mean pore diameter near water saturation) soil properties. Soil in the alley acted as a reference for the managed soil in the tree row. The total and hot-water-extractable C amounts served as a combined proxy for the soil C management. The soil C management accounted for 0 to 81% of the degradation or enhancement of biophysical soil properties in the integrated and organic system. In the integrated system, soil C management led to a loss of C in the top 0.3 m of the tree row within 12 yr, causing a decrease in microbial activities. In the tree row of the organic orchard, C loss occurred in the top 0.1 m, and the decrease in microbial activities was small or not significant. Regarding physical soil properties, the C loss in the integrated system led to a decrease of the aggregate stability, whereas it increased in the organic system. Generally, the impact of soil C management was better correlated with soil microbial than with the physical properties. With respect to environmental soil functions that are sensitive to the decrease in microbial activity or aggregate stability, soil C management was sustainable in the organic system but not in the integrated system. 相似文献
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Lenwood W. Hall Jr. William D. Killen Jr. Steven A. Fischer Michael C. Ziegenfuss Ronald D. Anderson Ronald J. Klauda 《Environmental monitoring and assessment》1994,31(3):233-257
The objective of this two-year study was to determine the efficacy of an automated limestone slurry doser to neutralize acidic pulses and improve water quality conditions for enhancing survival of early life stages of migratory fish species in a Maryland coastal plain stream. Implications for survival of early life stages of migratory fish species such as yellow perch (Perca flavescens), white perch (Morone americana), blueback herring (Alosa aestivalis) and alewife (Alosa pseudoharengus) are discussed based on the improved chemical conditions in the dosed area of the stream. Despite problems with overdosing in 1991 and failure of the stage transducer to work properly in 1992, the doser was generally effective in neutralizing acidic pulses (pH depressions) in the stream during three major rain events in both years. Chemical conditions (pH and inorganic monomeric aluminum) reported in the non-dosed area during major rainfall events were potentially stressful to both alewife and blueback herring although neither species was reported spawning in the stream during either year. Mitigating the potential impact of acidic conditions on early life stages of important migratory fish species was not sufficient to ensure spawning. It is therefore recommended that habitat improvement measures and well designed fish stocking programs be implemented concurrently with doser operations if the goal is to create optimum spawning conditions for migratory species. 相似文献
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