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11.
Lee P. Shulman MD Patricia L. Gordon Donald S. Emerson R. Sidney Wilroy Sherman Elias 《黑龙江环境通报》1993,13(5):403-409
We describe the prenatal diagnosis of isolated bilateral fetal microphthalmia in a woman at increased risk of having a fetus with microphthalmia. Ultrasound examinations at 161 and 19-5 weeks' gestation demonstrated bilateral fetal microphthalmia with no other associated structural defects. The patient elected to terminate her pregnancy at 19.5 weeks. Pathological evaluation of the products of conception obtained by dilation and evacuation confirmed the prenatal diagnosis of isolated bilateral fetal microphthalmia. 相似文献
12.
Arachnoid cysts are an uncommon central nervous system malformation, representing only 1 per cent of all intracranial masses. We report the second-trimester prenatal diagnosis of a posterior fossa arachnoid cyst, associated with an unbalanced X;9 translocation. 相似文献
13.
Dr. O. W. Jones Nolan E. Penn Stephen Shuchter Claire A. Stafford Teri Richards Colleen Kernahan Jennifer Gutierrez Patricia Cherkin Sylvia Reinsch Barbara Dixson 《黑龙江环境通报》1984,4(4):249-256
This article reports the results of a retrospective study designed to examine the responses of couples to genetic amniocentesis and subsequent therapeutic abortions due to birth defects. Fourteen women and 12 men were interviewed by experienced interviewers using a structured format designed by the authors, and each interview was audiotaped for later rating. The 5 raters (all women) were instructed to independently rate each interview using forms designed by the authors to elicit information about many aspects of the participant's individual responses as well as perceptions of spouse's responses to the process of pregnancy, amniocentesis, therapeutic abortion, and sequelae. Ratings of all 5 raters were conjoined and an homogeneous narrative was constructed for each interview. Results indicate, in general, that the respondent couples coped well with this experience. In fact 70 per cent of the respondent couples described their marital relationships as becoming closer as a result of their experience. Only a few participants reported long-term deleterious effects. Most couples coped by relying on relatives, friends, and occasionally, professional counsellors. In addition, most participants in this study suggested ways to improve the medical and psychological aspects of this experience. 相似文献
14.
Andrew D. Dorfmann Jeane Perszyk Patricia Robinson Susan H. Black Joseph D. Schulman 《黑龙江环境通报》1992,12(11):899-902
This paper reports eight cases of non-mosaic, rare, and typically lethal trisomies diagnosed in chorionic villi and not confirmed by amniocentesis. Four cases were 47,XX, + 16; two cases were 47,XX, +2; one was 47,XX, + 12; and one was 47,XY, +7. There have been no known complications in any of these gestations. These eight cases were found in a series of approximately 12 000 samples processed in our laboratory (0.07 per cent). We conclude that (1) rare non-mosaic trisomy not reflecting the fetal condition is an occasional source of diagnostic ambiguity in chorionic villus sampling; and (2) when encountered, a follow-up amniocentesis should be recommended to the patient to confirm or rule out the abnormality. We propose the term ‘confined placental abnormality’ to describe non-mosaic trisomies and other related abnormalities found only in chorionic tissue. 相似文献
15.
The purpose of this study was to examine the factor structure of the transformational leadership model in human service teams. As the nature of this work environment mandates certain management‐by‐exception practices, patterns of correlations between perceptions of active and passive management‐by‐exception behaviors and transformational, transactional, and laissez‐faire leadership were of interest. 236 leaders and 620 subordinates from 54 mental health teams completed the Multifactor Leadership Questionnaire, form 8Y. Results suggest that active and passive management‐by‐exception factors are independent constructs. Copyright © 2003 John Wiley & Sons, Ltd. 相似文献
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Sheng‐Feng Kuo Chen‐Wuing Liu Shih‐Kai Chen 《Journal of the American Water Resources Association》2003,39(1):59-73
ABSTRACT: This study presents three optimization techniques for on‐farm irrigation scheduling in irrigation project planning: namely the genetic algorithm, simulated annealing and iterative improvement methods. The three techniques are applied to planning a 394.6 ha irrigation project in the town of Delta, Utah, for optimizing economic profits, simulating water demand, and estimating the crop area percentages with specific water supply and planted area constraints. The comparative optimization results for the 394.6 ha irrigated project from the genetic algorithm, simulated annealing, and iterative improvement methods are as follows: (1) the seasonal maximum net benefits are $113,826, $111,494, and $105,444 per season, respectively; and (2) the seasonal water demands are 3.03*103 m3, 3.0*103 m3, and 2.92*103 m3 per season, respectively. This study also determined the most suitable four parameters of the genetic algorithm method for the Delta irrigated project to be: (1) the number of generations equals 800, (2) population size equals 50, (3) probability of crossover equals 0.6, and (4) probability of mutation equals 0.02. Meanwhile, the most suitable three parameters of simulated annealing method for the Delta irrigated project are: (1) initial temperature equals 1,000, (2) number of moves equal 90, and (3) cooling rate equals 0.95. 相似文献
20.
This study examined the relationships between culture, individual attributes, and self‐rating behavior among 1,786 university students in Canada, Hong Kong, Taiwan, mainland China, and Japan, and in doing so extended and refined the cultural relativity hypothesis. It explored the difference between vertical and horizontal individualists in self‐rating behavior, and examined the mediating effects of two individual attributes, self‐enhancement propensity and general self‐efficacy in the relationship between individualism and self‐rating behavior. The results confirmed that individualism is the cultural driver for self‐rating leniency, and that the individual‐level assessment of individualism is a stronger predictor of self‐rating leniency than are culture‐level differences. Vertical individualism was found to be positively related to self‐enhancement propensity, which in turn was positively related to self‐rating. Whereas, horizontal individualism was positively related to general self‐efficacy, which in turn had a positive relationship with self‐rating. We discuss the implications of the results for academic research and practical management. Copyright © 2006 John Wiley & Sons, Ltd. 相似文献