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This paper examines the influence of a series of demographic and socioeconomic factors on preparedness outcomes for a sample of residents of the Rio Grande Valley in the southernmost part of Texas, United States. Data were collected as part of the regional Pulse of the Valley Study, a general social survey of south Texas residents conducted by the Center for Survey Research at the University of Texas‐Rio Grande Valley. The purpose of this investigation is to understand better the effects of ethnicity and income on preparedness within a region of the US that suffers from widespread poverty and limited infrastructure and is prone to flooding and hurricanes. Taken together, the results suggest that while age, disaster experience, and income are associated with preparedness, the relationship between preparedness and ethnicity remains complex. Furthermore, policymakers should consider initiatives that address the socioeconomic and other issues that shape preparedness for a disaster.  相似文献   
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The long‐term threat of sea‐level rise to coral atoll and reef island communities in Kiribati, Tuvalu and other nations has raised the possibility of international migration. Historical resettlements in the Pacific may provide valuable insight into the long‐term effect of future climate change‐related migration on communities. This study evaluates the challenges faced by Gilbertese people resettled from modern‐day Kiribati to Ghizo in the Solomon Islands by the British colonial administration in the mid‐1900s. Drawing upon field interviews (n = 45) conducted in 2011 and the available historical literature, the study examines the circumstances of the initial failed resettlement in the equatorial Phoenix Islands, the subsequent relocation to Ghizo, and the recent concerns of the Gilbertese in Ghizo. Focus is placed on the struggle to recover from the 2007 tsunami that devastated the unprepared community. The analysis reveals that uncertainty about land tenure (raised by 61% of respondents) persists 60 years after resettlement, and is linked to the ability to recover from the tsunami, tensions with the Melanesian population, concerns over political representation, cultural decline, and education and employment opportunities. The Gilbertese experience can serve as a cautionary tale for policymakers considering mechanisms for facilitating climate change‐related migration.  相似文献   
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Prenatal diagnosis of cord defects by means of ultrasound examination is possible and highly accurate. Although this is a rare pathological finding, we report two cases in which umbilical cord pseudocysts were associated with trisomy 18. These observations underscore the need of umbilical blood sampling for establishing the karyotype in fetuses with such umbilical cord anomalies and the importance of careful examination of placentas and infants born with such defects.  相似文献   
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Regional Environmental Change - This paper reviews the current knowledge of climatic risks and impacts in South Asia associated with anthropogenic warming levels of 1.5–4 °C...  相似文献   
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A 29-year-old woman was referred for suspicion of twin-twin transfusion syndrome (TTTS). Several ultrasonographic and neonatal criteria of TTTS were encountered in this twin pregnancy. The peculiar observations in this case were, firstly, the demonstration of superficial anastomosis by Doppler ultrasound and, secondly, that one single therapeutic amniocentesis could have been sufficient to partially correct the progression of the syndrome, as after amniocentesis it was no longer possible to demonstrate the vascular communication. This observation suggests that superficial anastomoses could also have a role in the genesis of TTTS. Their effect could be monitored by Doppler ultrasound and could be more easily corrected by therapeutic amniocentesis.  相似文献   
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International aid is increasingly focused on adaptation to climate change. At recent meetings of the parties to the United Nations Framework Convention on Climate Change, the developed world agreed to rapidly increase international assistance to help the developing world respond to the impacts of climate change. In this paper, we examine the decision-making challenges facing internationally supported climate change adaptation projects, using the example of efforts to implement coastal protection measures (e.g. sea walls, mangrove planting) in Kiribati. The central equatorial Pacific country is home to the Kiribati Adaptation Project, the first national-level climate change adaptation project supported by the World Bank. Drawing on interview and document research conducted over an 8-year period, we trace the forces influencing decisions about coastal protection measures, starting from the variability and uncertainty in climate change projections, through the trade-offs between different measures, to the social, political, and economic context in which decisions are finally made. We then discuss how sub-optimal adaptation measures may be implemented despite years of planning, consultation, and technical studies. This qualitative analysis of the real-world process of climate change adaptation reveals that embracing a culturally appropriate and short-term (~20 years) planning horizon, while not ignoring the longer-term future, may reduce the influence of scientific uncertainty on decisions and provide opportunities to learn from mistakes, reassess the science, and adjust suboptimal investments. The limiting element in this approach to adaptation is likely to be the availability of consistent, long-term financing.  相似文献   
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