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681.
A case of body stalk anomaly diagnosed prenatally by ultrasound during the 24th week of pregnancy in a cocaine abusing mother is presented. Accurate visualization of the fetal organs was difficult due to the severe oligohydramnios caused by premature rupture of membranes, probably related to the cocaine use. The sonographic findings were an omphalocoele, fetal attachment to the placenta, kyphoscoliosis, and absence of a floating umbilical cord. The prenatal diagnosis of the syndrome and the possible relationship with cocaine abuse are discussed.  相似文献   
682.
This study was undertaken to evaluate the relationship between maternal serum alpha-fetoprotein (MSAFP) levels and oesophageal atresia (OA). OA occurred in 16 fetuses of mothers who had an MSAFP test in the study interval. The multiple of the median (MOM) value for MSAFP averaged 1·54 ± 0·65 (range 0·5–2·9 MOM), which was significantly higher than the value seen in controls. The median MOM was 1·35. Using a cut-off of 2·5 MOM, the sensitivity of MSAFP for detecting OA was 19 per cent. Although OA should be considered in the differential diagnosis of an elevated MSAFP level, MSAFP cannot be considered an appropriate screening test for OA given the low sensitivity.  相似文献   
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The development of the environmentally conserving dike-pond system of integrated agriculture and aquaculture in the Zhujiang Delta of south China is traced to illustrate the impact of environmental changes on technological innovations. The technologies of dike building, land reclamation, pond fish culture, and crop cultivation on dikes, which were either independently developed or modified from ideas brought in by migrant farmers from northern China, represented farmers' efforts to adapt to the new characteristics of a changed environment as population pressure increased. The new technologies revealed the farmers' awareness of the need for environmental conservation. However, increased population pressure also necessitated more intensive use of the land, both in the highland and lowland regions, giving rise to inappropriate dike building and premature reclamation activities, which in turn brought about more frequent flooding in the delta region. Careless application of a new technology tended to have harmful effects on the environment. Political conditions in different periods of China's economic development have also caused changes in the dike-pond system which has to maintain high productivity and profitability. Recent advances in dike-pond system technology have focused on crop diversification and animal husbandry to match the three-dimensional characteristics of its ecological components. New agricultural technologies can be successful in China only if they can provide a balance between land use and conservation.  相似文献   
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Subsurface tile‐drained agricultural fields are known to be important contributors to nitrate in surface water in the Midwest, but the effect of these fields on nitrate at the watershed scale is difficult to quantify. Data for 25 watersheds monitored by the Indiana Department of Environmental Management and located near a U.S. Geological Survey stream gage were used to investigate the relationship between flow‐weighted mean concentration (FWMC) of nitrate‐N and the subsurface tile‐drained area (DA) of the watershed. The tile DA was estimated from soil drainage class, land use, and slope. Nitrate loads from point sources were estimated based on reported flows of major permitted facilities with mean nitrate‐N concentrations from published sources. Linear regression models exhibited a statistically significant relationship between annual/monthly nonpoint source (NPS) nitrate‐N and DA percentage. The annual model explained 71% of the variation in FWMC of nitrate‐N. The annual and monthly models were tested in 10 additional watersheds, most with absolute errors within 1 mg/l in the predicted FWMC. These models can be used to estimate NPS nitrate for unmonitored watersheds in similar areas, especially for drained agricultural areas where model performance was strongest, and to predict the nitrate reduction when various tile drainage management techniques are employed.  相似文献   
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Abstract

A number of cities around the world are associated with very high levels of private motor car usage, and Auckland provides an example of one of these ‘hyperautomobile’ cities. There are many problems with this system of transportation and dependence on the private car, including environmental, social and city design dimensions. Though there is a clear aspiration to move towards reduced levels of car usage in the city's transport and spatial planning strategies, there are major difficulties in implementation terms. We develop and consider future scenarios to 2041 to reduce these levels of motorization, and subsequent transport CO2 emissions, with a much greater use of public transport, walking and cycling, urban planning, and low emission vehicles. The current implementability of such a ‘sustainable mobility’ future is however questioned in the current political and social context, and critically debated in terms of the available governance mechanisms and the limited attempts to shape the behaviour of the public. We conclude by calling for a reconsideration of the policy measures being considered, including the range and levels of application and investment; with a much wider framing of the transport planning remit, and carried out within a much stronger participatory framework for decision-making.  相似文献   
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