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The reproductive history of 45 couples at increased risk for neural tube defect (NTD) who came for genetic counselling in 1970 and 1971 were compared with a similar number counselled in 1975 and 1976, when prenatal diagnostic tests were freely offered. They were subsequently interviewed in their homes and had their reproductive history recorded to the end of 1973 and 1978 respectively. Nearly all had a previous child with an NTD and none of the women were pregnant at the time of counselling. The effect of prenatal diagnosis was to speed somewhat the decision about further pregnancies, but the number of couples deciding on no further children and on having further pregnancies were almost identical in the two groups. The average number of pregnancies was 2·8 per family, with only 1·2 surviving children. The pregnancy outcomes are discussed as are the reasons for not attempting further pregnancies in both groups, which included very high risk of recurrence, a surviving spina bifida child, inability to accept the tests or its implications. Ninety per cent of the second group had tests. Their reactions to the tests were favourable but all complained of the waiting time between amniocentesis and obtaining the results. They all would have tests again in any future pregnancy. The reason for women not having prenatal diagnostic tests included inability to accept termination. It is concluded that couples in South Wales decide either to have no more children or to have further pregnancies regardless of tests. but tests speed a decision and enable the women to enjoy the pregnancy after obtaining the results, and that an NTD greatly reduces the number of children per family. A termination for an NTD is much more acceptable to most than an NTD at term. The reasons for this are discussed. 相似文献
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Laura Y. Sifuentes Sonia L. M. Fankem Kelly Reynolds Akrum H. Tamimi Charles P. Gerba David Koenig 《Food and environmental virology》2017,9(1):14-19
The purpose of this study was to validate the use of adenosine triphosphate (ATP) for evaluating hygiene intervention effectiveness in reducing viral dissemination in an office environment. The bacterial virus MS-2 was used to evaluate two scenarios, one where the hand of an individual was contaminated and another where a fomite was contaminated. MS-2 was selected as a model because its shape and size are similar to many human pathogenic viruses. Two separate experiments were conducted, one in which the entrance door push plate was inoculated and the other in which the hand of one selected employee was inoculated. In both scenarios, 54 selected surfaces in the office were tested to assess the dissemination of the virus within the office. Associated surface contamination was also measured employing an ATP meter. More than half of the tested hands and surfaces in the office were contaminated with MS-2 within 4 h. Next, an intervention was conducted, and each scenario was repeated. Half of the participating employees were provided hand sanitizer, facial tissues, and disinfecting wipes, and were instructed in their use. A significant (p < 0.05) reduction was observed in the number of surfaces contaminated with virus. This reduction in viral spread was evident from the results of both viral culture and the surface ATP measurements, although there was no direct correlation between ATP measurements with respect to viral concentration. Although ATP does not measure viruses, these results demonstrate that ATP measurements could be useful for evaluating the effectiveness of hygiene interventions aimed at preventing viral spread in the workplace. 相似文献
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With globalization, virtual exchanges of natural resources embodied in traded commodities redistribute geographically land use and its environmental impacts. Benefits of national forest protection may be undermined at the global-scale by leakage through international trade. We studied land use displacement associated with national policies to protect forests in Bhutan. This case study provides a simple situation: a dominant forest cover almost unaffected by agricultural expansion, a rural economy dominated by the primary sector, centralized forest conservation policies, and a dominant trading partner. We assessed the net effects at the international level of the Bhutanese forest protection policies by accounting for trade in wood products with India. Our results show that these policies have been effective in maintaining a high forest cover, but have been accompanied by an increasing displacement of forest use to India. In 1996–2011, the difference between the total volume of wood imported from India and the total volume exported from Bhutan—i.e., the net displacement—corresponds to 27 % of the total volume consumed in Bhutan. In 2011, 68 % of the total forest area required to produce the wood consumed in Bhutan was located in India. The wood imported by Bhutan was likely originating from tree plantations in the northeastern Indian states. Since Bhutan has few tree plantations and very valuable natural forests, the net international-level ecological impacts of this land use displacement is arguably positive. Most of the wood imports of Bhutan were wood charcoal for its emerging chemical industries. This case of displacement reflects functional upgrading in the value-chain rather than an externalization of consumption-based environmental costs. Through its government policies, Bhutan has managed to support its economic development while protecting its forests and leapfrogging the negative impacts on forests generally associated with the early stages of modernization. 相似文献
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Data on the existence of a specific system regulating the growth, size, and structure of enterobacterial populations are first summarized in terms of the chemical ecology concept formulated by S.S. Shvarts. The role of this system in transgene functioning is described using the example of the lux operon integrated into Escherichia coli. A relatively simple test for estimating such interactions is proposed.Translated from Ekologiya, No. 2, 2005, pp. 91–96.Original Russian Text Copyright © 2005 by Pshenichnov, Maslennikova, Nikitina. 相似文献
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Biomass,as fuelwood,is one of the major sources of energy in rural areas,especially in the mountainous regions of the world.As the increasing human population exerts more pressure on the forest thereby inducing an adverse effect on the sustainability of the ecosystem,which consequently causes fuelwood crisis at a local level,this crisis is spatio-temporal in nature.Thus,the major objective of this study is to assess the sustainability of fuelwood at different probable scenarios at a micro watershed level.The present study was conducted in the Phakot watershed,the Tehri Garhwal district of central Himalaya in India,during 2006-2008.Based on the vegetation composition in the study area,the net primary productivity(NPP)value of the Oak forest,and mixed oak and sal forests,was used for the quantification of fuelwood availability in evergreen and deciduous forests,respectively.The fuelwood demand was calculated on the basis of seasonal fuelwood consumption values.Nine probable permutations for availability-demand scenarios assuming the existence of high(H),low(L)and average(A)conditions were analyzed for evaluating the stress.The available annual harvestable fuelwood in the watershed is in the minimum and maximum ranges of 2283.28 to 4066.00 tons,respectively,per year whereas it has a demand of 110.76 tons as the minimum to 3659 tons as the maximum annually.This shows that in the current availabilitydemand scenario,the watershed does not have fuelwood crisis in the present situation but needs to maintain the sustainability of the system.Based on our study,it is concluded that,globally,more spatio-temporal study is required to understand the issues at the local level. 相似文献