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The field of prenatal screening and diagnosis for fetal anomalies has been marked by a rapid succession of technological advances, including most notably, chromosomal microarray analysis, and next generation sequencing. Despite the diagnostic advantages of these technologies, their incorporation into prenatal testing has created additional challenges of revealing genomic variants of unknown or uncertain significance, and secondary findings. While detailed posttest counseling about uncertain variants is best performed by medical geneticists, many of the screening and diagnostic tests that lead to this information are actually ordered by general maternity health care professionals (HCPs), such as obstetricians, midwives, and family physicians. Maternity HCPs support pregnant women through to the conclusion of their pregnancy and the postpartum period, and thus are close observers of the psychosocial impart of fetal genomic uncertainty on women and their families. While there have been many studies exploring the handling of genomic uncertainty by genetics HCPs, there has been relatively less attention paid to maternity HCPs without speciality training in genetics. This review explores the current literature surrounding nongenetic maternity HCPs' views and experiences of genomic uncertainty and returning uncertain results in the prenatal setting.  相似文献   

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The Western Cape Province of South Africa has a long history of human occupation and utilisation; the impact of colonial settlement (late 17th century onwards) on agriculture has been especially prominent. The Mediterranean-type climate of the Western Cape results in landscapes which are potentially susceptible to land degradation, perhaps even desertification. The Swartland is a gently undulating inland plateau underlain largely by fine-grained and nutrient-rich shales of the pre-Cambrian Malmesbury group. Agriculture is the dominant land use to the extent of wholesale landscape transformation. The area has been subject to significant levels of land degradation in the past, manifesting itself as widespread gully erosion. During the 1940s, the region was described as on the verge of economic collapse due to the severity of soil erosion, but concerted soil conservation and education efforts under the political dispensation of the time appear to have averted that scenario. The region now faces the combined challenges of potentially rapid climate change under a considerably altered socio-economic and political order. Downscaled climate change scenarios facilitate a regional assessment of changes in the parameters affecting soil erosion susceptibility in the Swartland and leads to a consideration of the implications of such scenarios for the continuation of contemporary land use practices.  相似文献   

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In this article, the concept of Integrated (Substance) Chain Management (ISCM) is discussed. The definition of ISCM, motives for ISCM, conditions for implementation, different points of view and a five-step model are dealt with. In addition, a number of possible barriers on the road to ISCM are discussed. The model is applied to a stonewool-producing company in the Netherlands. This company set up a recycling project in the form of a briquetting factory. The substance-flow sheets show that after implementing the briquetting factory, almost all process wastes are used in the factory and that fewer virgin materials have to be used. From an economic point of view, production in a more sustainable fashion is very unattractive: production costs per ton of stonewool product rose as a consequence of the use of the briquettes as an input. The barriers connected to ISCM are mainly economic and regulatory. Solutions for the Rockwool company may include engaging in environmental product stewardship and a realignment of the government policy towards dumping re-usable and non-separated building and construction waste.  相似文献   

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Using a map overlay procedure in a Geographical Information System environment, we quantify and map major land use and land cover (LULC) change patterns in Uganda period 1990–2005 and determine whether the transitions were random or systematic. The analysis reveals that the most dominant systematic land use change processes were deforestation (woodland to subsistence farmland—3.32%); forest degradation (woodland to bushland (4.01%) and grassland (4.08%) and bush/grassland conversion to cropland (5.5%) all resulting in a net reduction in forests (6.1%). Applying an inductive approach based on logistic regression and trend analyses of observed changes we analyzed key drivers of LULC change. Significant predictors of forest land use change included protection status, market access, poverty, slope, soil quality and presence/absence of a stream network. Market access, poverty and population all decreased the log odds of retaining forests. In addition, poverty also increased the likelihood of degradation. An increase in slope decreased the likelihood of deforestation. Using the stock change and gain/loss approaches we estimated the change in forest carbon stocks and emissions from deforestation and forest degradation. Results indicate a negligible increase in forest carbon stocks (3,260 t C yr-1) in the period 1990–2005 when compared to the emissions due to deforestation and forest degradation (2.67 million t C yr-1). In light of the dominant forest land use change patterns, the drivers and change in carbon stocks, we discuss options which could be pursued to implement a future national REDD plus strategy which considers livelihood, biodiversity and climate change mitigation objectives.  相似文献   

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Light-absorbing carbonaceous aerosols including black carbon(BC) and brown carbon(BrC)play significant roles in atmospheric radiative properties. One-year measurements of aerosol light absorption at multi-wavelength were continuously conducted in Xiamen,southeast of China in 2014 to determine the light absorption properties including absorption coefficients(σabs) and absorption ?ngstr?m exponent(AAE) in the coastal city.Light absorptions of BC and BrC with their contributions to total light absorption were further quantified. Mean σabsat 370 nm and 880 nm were 56.6 ± 34.3 and 16.5 ± 11.2 Mm-1,respectively. σabspresented a double-peaks diurnal pattern with the maximum in the morning and the minimum in the afternoon. σabswas low in warm seasons and high in cold seasons. AAE ranged from 0.26 to 2.58 with the annual mean of 1.46, implying that both fossil fuel combustion and biomass burning influenced aerosol optical properties. σabsof BrC at 370 nm was 24.0 ± 5.7 Mm-1, contributing 42% to the total absorption. The highest AAE(1.52 ± 0.02) and largest BrC contributions(47% ± 4%) in winter suggested the significant influence of biomass burning on aerosol light absorption. Long-distance air masses passing through North China Plain and the Yangtze River Delta led to high AAE and BrC contributions. High AAE value of 1.46 in July indicated that long-range transport of the air pollutants from intense biomass burning in Southeast Asia would affect aerosol light absorption in Southeast China. The study will improve the understanding of light absorption properties of aerosols and the optical impacts of BrC in China.  相似文献   

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The UV/Ag-TiO2/O3 process was investigated for ballast water treatment using Dunaliella salina as an indicator. Inactivation curves were obtained, and the toxicity of e uent was determined. Compared with individual unit processes using ozone or UV/Ag-TiO2, the inactivation e ciency of D. salina by the combined UV/Ag-TiO2/O3 process was enhanced. The presence of ozone caused an immediate decrease in chlorophyll a (chl-a) concentration. Inactivation e ciency and chl-a removal e ciency were positively correlated with ozone dose and ultraviolet intensity. The initial total residual oxidant (TRO) concentration of e uent increased with increasing ozone dose, and persistence of TRO resulted in an extended period of toxicity. The results suggest that UV/Ag-TiO2/O3 has potential for ballast water treatment.  相似文献   

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This synthesis of the SLIM project findings deals with the development and deployment of knowledge and research that is useful for actions that transform at socially and ecologically meaningful scales. A diagnostic framework (DF) is elaborated that aims to transform the findings into a tool that could bring stakeholders, in other contexts, to understand better their own roles in complex natural resource management situations. The DF invites the user to engage in successive stages of comprehension by exploring: what are complex situations of change about? What are the main components involved? Why are these components important? How do they influence what we know and how we act? What could be our role in changing the situation? We identify five ‘variables’ that together can account systemically for transformation processes that are constituted in social learning and concerted actions. We show how the DF may be used in situations of complexity and uncertainty by researchers, acting variously as observer, facilitator or co-researcher, and how it may help to guide research practice. We conclude by consolidating key messages about the relationship between knowledge, research, and policy and the main implications for water managers of being open to social learning processes.  相似文献   

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Some invasive ants form large networks of mutually non-aggressive nests, i.e., supercolonies. The Argentine ant Linepithema humile forms much larger supercolonies in introduced ranges than in its native range. In both cases, it has been shown that little gene flow occurs between supercolonies of this species, though the mechanism of gene flow restriction is unknown. In this species, queens do not undertake nuptial flight, and males have to travel to foreign nests and cope with workers before gaining access to alien queens. In this study, we hypothesized that male Argentine ants receive interference from workers of alien supercolonies. To test this hypothesis, we conducted behavioral and chemical experiments using ants from two supercolonies in Japan. Workers attacked males from alien supercolonies but not those from their own supercolonies. The level of aggression against alien males was similar to that against alien workers. The frequency of severe aggression against alien males increased as the number of recipient workers increased. Cuticular hydrocarbon profiles, which serve as cues for nestmate recognition, of workers and males from the same supercolony were very similar. Workers are likely to distinguish alien males from males of their own supercolony using the profiles. It is predicted that males are subject to considerable aggression from workers when they intrude into the nests of alien supercolonies. This may be a mechanism underlying the restricted gene flow between supercolonies of Argentine ants. The Argentine ant may possess a distinctive reproductive system, where workers participate in selecting mates for their queens. We argue that the aggression of workers against alien males is a novel form of reproductive interference.  相似文献   

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