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A fetal goitre is a potentially dangerous phenomenon because of mechanical obstruction and possible fetal thyroid function disorders. In this report we describe a patient with Graves' disease diagnosed in early pregnancy and treated with propylthiouracil, which resulted in a large fetal goitre and fetal hypothyroidism. The diagnostic problems are discussed and we focus on the need for fetal thyroid hormone serum evaluation. The only reliable way to obtain information about the fetal thyroid status is percutaneous fetal umbilical cord blood sampling, since amniotic fluid levels do not properly represent the fetal thyroid function. Fetal hypothyroidism can thus be diagnosed in utero and treated with intra-amniotic injections of thyroxine. The recommended dose and frequency of injections are only based on a few case reports and for that reason we performed a second fetal blood sampling 1 week later to evaluate our therapy. Weekly intra-amniotic injections of 250 μg of thyroxine seem to be sufficient to reduce a fetal goitre and give a normal thyroid hormone level.  相似文献   
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Speelman, Stijn, Stefano Farolfi, Aymen Frija, and Guido Van Huylenbroeck, 2010. Valuing Improvements in the Water Rights System in South Africa: A Contingent Ranking Approach. Journal of the American Water Resources Association (JAWRA) 46(6):1133–1144. DOI: 10.1111/j.1752-1688.2010.00480.x Abstract: In the context of increasing water scarcity, understanding is growing that irrigation water rights are important and that a lack of an effective water rights system constitutes a major reason for inefficient water management. This study carried out a contingent ranking experiment to study how smallholder irrigators in South Africa would value potential changes in water rights. Three specific dimensions of water rights, relevant for the South African case, are considered: duration, quality of title, and transferability. Results indicate that smallholder irrigators are prepared to pay considerably higher water prices if improvements are made in the water rights system. This implies that the proposed interventions in the water rights system would improve the efficiency and productivity of the small-scale irrigation sector. The increased willingness to pay could furthermore also assist the South African government to reach the objective of increased cost recovery.  相似文献   
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The environmental attitudes of young people are a growing topic of interest for social scientists. Most research that aims to explain differences in (youth) environmental attitudes focuses on the individual as the level of measurement. There is, however, a growing body of evidence that illustrates that the context within which that individual operates can contribute to their environmental attitudes. Based on the PISA 2006 data, and while controlling for individual characteristics, we tested Inglehart’s ‘objective problems, subjective values’ hypothesis. This hypothesis divides the contextual influences on environmental attitudes into (1) objective problems in the individual’s natural environment and (2) subjective values linked to post-materialistic goals in life. We analyzed both the individual and the country level simultaneously, controlling for compositional effects, by performing a multilevel analysis on the 2006 PISA data for youth environmental attitudes (398,750 15 year olds from 56 countries). At the individual level, the results are generally consistent with the literature; at the contextual level, the stage of development of a country (as a proxy for post-materialistic values) is shown to be unrelated to environmental attitudes. Both natural riches of a country and its environmental problems are shown to positively influence the environmental attitudes of that country’s youth. These results are discussed in relation to the ‘objective problems, subjective values’ hypothesis. The results also point towards the necessity of simultaneously assessing the effect of individual- and contextual-level characteristics on environmental attitudes.  相似文献   
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此文以霸县凹陷文安斜坡和饶阳凹陷留楚构造为研究对象,对比了斜坡区和隆起区断裂密集带的特征及其对不同构造部位油气分布的控制作用。在三维地震资料、钻井资料和已发现油气藏特征的基础上,利用断裂密集带识别方法和分类方案,识别出文安斜坡和留楚构造的断裂密集带,并对其进行了分类。对比两种构造部位断裂密集带发育的差异性及对油气分布的控制作用,认为隆起区(留楚构造)相对于斜坡区(文安斜坡)断裂密集带发育数量较少,规模大,斜坡区断裂密集带主要以顺向背形断裂密集带为主,而隆起区主要以屋脊背形断裂密集带为主,隆起区油气主要分布在顺向背形断裂密集带内,斜坡区主要分布在屋脊背形断裂密集带内部及靠近生烃中心的边部。  相似文献   
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