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Glacial environments are considered geomorphosites because they exhibit all of the features that characterise sites of geomorphological interest. The Miage Glacier, in particular, is the most important debris-covered glacier of the Italian Alps, and it has been extensively studied since the 18th century because of its scientific features. In this area, the geomorphological and geological attributes are evaluated at 11 sites that have been individuated along the three main touristic trails, which allow an exploration of the surroundings of the glacial tongue and its two main lobes. Using a methodology previously tested in a fluvial environment, single sites and trails are quantitatively assessed to determine the most suitable trail for educational purposes. Hazards that could potentially affect the trails are considered in terms of both risk education and final selection of the most suitable trails for the various possible user groups. The richness of scientific data in this area should increase its importance as a geomorphosite by increasing the educational value of the Miage Glacier and the Veny Valley.  相似文献   
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Congenital syphilis (CS) rates reached a 20-year high in the United States in 2018. Unlike previous years, most babies diagnosed with CS were born to mothers who received prenatal care, indicative of the need for better provider education and guideline adherence. Current rates suggest that screening for syphilis should be performed at the first prenatal care visit and twice during the third trimester. There are two diagnostic algorithms available for use in the United States (traditional and reverse) and providers must understand how to perform each algorithm. Treatment should be administered according to stage of syphilis per Centers for Disease Control recommendations with best neonatal outcomes seen when treatment is initiated >30 days before delivery. Benzathine Penicillin G remains the only recommended treatment of syphilis during pregnancy. In viable pregnancies, a pretreatment ultrasound is recommended to identify sonographic evidence of fetal infection and treatment should be initiated with continuous fetal monitoring to evaluate for the Jarisch-Herxheimer reaction which can cause preterm labor and fetal distress. After adequate syphilotherapy, a fourfold decline in maternal nontreponemal titers may not be observed by delivery and does not correlate with rates of CS.  相似文献   
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In the frame of PRISMA II Project samples for plankton analyses were carried out during four cruises (June, 1996; February and June, 1997; February, 1998) in order to assess the relative importance in term of biomasses of the three main size fractions (pico- <2 r µm, nano- 2-20 r µm and micro-plankton >20 r µm). Spatial and temporal distribution of the three plankton fractions were described as abundance and contribution to the total carbon content in an area between Po River mouth and Rimini. The relative contribution of picoplankton resulted higher in the offshore zone, while that of nanoplankton in the inshore waters. In February 1998 microphytoplankton, mainly constituted by diatoms, was very abundant in the inshore waters. Micro-zooplankton was always very scarce. Cluster analyses performed on these data grouped the stations on the basis of their community structure, and agreed with the hydrological features. Small size classes contributed more significantly to the total plankton carbon content in most of the situations. Microplankton fraction contribution was relevant only during spring diatom bloom of February 1998 and with a less extent in the confined coastal summer blooms.  相似文献   
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