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Objectives

The aim of this study was to evaluate the role of fetal magnetic resonance imaging (MRI) as a complement to ultrasound (US) in the prenatal diagnosis of craniofacial anomalies.

Methods

A historical cohort study including all pregnant women who were referred for fetal MRI because of antenatal diagnosis of craniofacial anomalies on screening US. Prenatal diagnostic US, MRI, and postnatal diagnosis were compared for consistencies and discrepancies.

Results

Forty-five pregnant women with 73 suspected fetal craniofacial anomalies diagnosed by US underwent MRI. In 40 out of 73 anomalies (54.8%), US and MRI findings were in complete agreement with postnatal diagnoses. MRI correctly ruled out the diagnosis of 24 anomalies suspected on US and diagnosed four additional pathologies that were not demonstrated by US. Out of the 85 anomalies (suspected by imaging or confirmed postnatally), confident diagnosis could be made by MRI in 68 anomalies (80%), not diagnosed in 10 (11.8%), and over-diagnosed in seven (8.2%). By US, confident diagnosis could be made in 44 anomalies (51.8%), not diagnosed in 11 (12.9%), and over-diagnosed in 30 (35.3%).

Conclusion

MRI is valuable in the antenatal evaluation of fetal craniofacial anomalies and may be useful as an adjunct to US in the prenatal work-up of craniofacial anomalies.  相似文献   
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The Kyoto Protocol of 1997 demands an emission reduction of climate-affecting gases in various industrial sectors. In this context CO2 is one of the relevant gases and waste management is one of the relevant sectors. Referring to the situation in Europe, waste incineration is one of the major sources of CO2 in the waste management sector. The Kyoto Protocol, however, only covers CO2-emissions originating from fossil fuels, whereas the incineration of renewable materials, e.g. wood, is considered to be climate-neutral since it does not make any net contribution to the CO2 inventory of the atmosphere. Unlike the situation with municipal waste, there is little if any information on the CO2-emissions caused by the incineration of hazardous waste in specialized plants, and the renewable fraction in these materials. The present paper focuses on this gap of knowledge. Taking the full-scale hazardous waste incineration plant in Biebesheim, Germany, as an example, a carbon balance was set up for the whole-plant taking into account all other material flows. Afterwards the determination of the proportion of renewable materials in the hazardous waste incinerated by means of the radiocarbon method (14C) is reported. On the basis of the results, optimization potentials are discussed.  相似文献   
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Previous studies show that conservation actions have prevented extinctions, recovered populations, and reduced declining trends in global biodiversity. However, all studies to date have substantially underestimated the difference conservation action makes because they failed to account fully for what would have happened in the absence thereof. We undertook a scenario‐based thought experiment to better quantify the effect conservation actions have had on the extinction risk of the world's 235 recognized ungulate species. We did so by comparing species’ observed conservation status in 2008 with their estimated status under counterfactual scenarios in which conservation efforts ceased in 1996. We estimated that without conservation at least 148 species would have deteriorated by one International Union for Conservation of Nature (IUCN) Red List category, including 6 species that now would be listed as extinct or extinct in the wild. The overall decline in the conservation status of ungulates would have been nearly 8 times worse than observed. This trend would have been greater still if not for conservation on private lands. While some species have benefited from highly targeted interventions, such as reintroduction, most benefited collaterally from conservation such as habitat protection. We found that the difference conservation action makes to the conservation status of the world's ungulate species is likely to be higher than previously estimated. Increased, and sustained, investment could help achieve further improvements.  相似文献   
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The Science of Nature -  相似文献   
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Natural background concentrations of nutrients are needed for the assessments of eutrophication processes and their status. Natural background concentrations of total nitrogen (TN) and total phosphorus (TP) were modelled for the rivers discharging into the German Bight and the Rhine considering individual catchment sizes, freshwater flows and soil types. These data were validated by comparison with data from unpolluted rivers. The consistency of modelled and some compiled nutrient concentrations was confirmed by their area-specific load dependency on freshwater discharges. Pristine inorganic nutrient concentrations were deduced from modelled relations to TN and TP in unpolluted rivers. Pristine nutrient gradients between rivers and offshore waters were estimated by linear mixing until a salinity of 32, continued by hyperbolic fits towards recent mean offshore values (salinity 34.5?C35). Based on these gradients and recent mean salinities, maps of pristine surface gradients were plotted for the whole German Bight. Variability was transferred from recent conditions as percentage of standard deviation. Reported historical nutrient data and concentrations from unpolluted rivers, coastal and offshore North Sea waters are discussed concerning their relations to natural background conditions.  相似文献   
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