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61.
We report the results of screening for Down's syndrome (DS) in older women using published rate schedules based on maternal serum alpha-fetoprotein (MSAFP) and age. Five hundred and seventeen patients aged 35 years and older, who were referred for a mid-trimester genetic amniocentesis, were first tested for MSAFP and then underwent an amniocentesis. Individual risks for DS, combining MSAFP and age, were derived using three different published rate schedules. Theoretical selection for amniocentesis was made using the cut-off level of the average collective risk for a 35-year-old woman (1:380 at live birth or 1:270 at amniocentesis). Six affected pregnancies (five with DS and one with trisomy 18), which were diagnosed prenatally, were all found to be at a higher risk than the specified cut-off. These cases would have been diagnosed in any event, using any of the published rate schedules. According to these rate schedules, between 39 and 45 per cent of the patients would be in the lower risk group and therefore would have been counselled not to undergo amniocentesis. Further studies should be conducted in order to reach conclusive screening policies for DS in older women. 相似文献
62.
Yoav Peled Moshe Hod MD Shmuel Friedman Reuven Mashiach Nirit Greenberg Jardena Ovadia 《黑龙江环境通报》1992,12(2):151-154
Familial congenital pyloric atresia is a rare malformation of the fetal gastrointestinal tract. It usually manifests as maternal polyhydramnios and enlarged fetal stomach on ultrasound scan. Sonographic prenatal diagnosis and management of a pregnancy complicated by familial congenital pyloric atresia are presented. 相似文献
63.
Sniedovich M 《Ecological applications》2012,22(5):1421-1427
In this short discussion, we point out that it is apparently as easy to be fooled by robustness as it is to be fooled by randomness. Our objective is to bring to the attention of applied ecologists that radius-of-stability robustness models are models of local robustness. As such, these models are utterly unsuitable for the treatment/management of a severe uncertainty characterized by a vast uncertainty space and a likelihood-free quantification of the uncertainty. This observation is particularly pertinent to applications of info-gap decision theory in ecology, conservation biology, and environmental management, where the objective is to identify decisions that are robust against a severe uncertainty of this type. 相似文献
64.
The large number of radio frequency (RF) transmitters employed in modern marine platforms requires that they operate in mutual
coexistence while posing no danger to operators and equipment despite the limited available physical space. A key to the successful
system integration is the control of the electromagnetic environment on the ships’ topsides, which might pose radiation hazards
(RADHAZ) to personnel (HERP). HERP are caused by transmitter antenna installations that generate intentional EM radiation
in excess of the safe levels in zones of personnel activity. Radiation safety to personnel is achieved when the average radiation
power density is below the permissible exposure limits (PEL) for HERP at locations of personnel activity and medical equipment
operation. This paper describes the analysis tools and techniques for the evaluation of HERP on marine platforms. The same
approaches could be employed in the analysis of land site antenna deployment scenarios. 相似文献
65.
Pinkert M Leiba A Zaltsman E Erez O Blumenfeld A Avinoam S Laor D Schwartz D Goldberg A Levi Y Bar-Dayan Y 《Disasters》2007,31(3):227-235
Terrorist attacks can occur in remote areas causing mass-casualty incidents MCIs far away from level-1 trauma centres. This study draws lessons from an MCI pertaining to the management of primary and secondary evacuation and the operational mode practiced. Data was collected from formal debriefings during and after the event, and the medical response, interactions and main outcomes analysed using Disastrous Incidents Systematic Analysis through Components, Interactions and Results (DISAST-CIR) methodology. A total of 112 people were evacuated from the scene-66 to the nearby level 3 Laniado hospital, including the eight critically and severely injured patients. Laniado hospital was instructed to act as an evacuation hospital but the flow of patients ended rapidly and it was decided to admit moderately injured victims. We introduce a novel concept of a 'semi-evacuation hospital'. This mode of operation should be selected for small-scale events in which the evacuation hospital has hospitalization capacity and is not geographically isolated. We suggest that level-3 hospitals in remote areas should be prepared and drilled to work in semi-evacuation mode during MCIs. 相似文献
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69.
Summary Since IARC classified ELF magnetic field as Possibly Carcinogenic to Human the fear from 50/60 Hz magnetic field exposure
had been increased to the state of public “panic”. Subsequently, environment quality preservation organizations increased
their pressure on their government to adopt the “precautionary principle” and to reduce the allowable ELF Magnetic Field exposure
to much lower values than are recommended by ICNIRP-1998. As an example the present Environmental Ministry in Israel recommendation
is to lower the ELF Field exposure to 10 mG averaged over 24 h.
As a result of this stringent exposure guideline imposed by the government, electrical engineers who are involved in the deployment
and installation of large and medium electrical utilities, such as overhead power lines, transformers, UPS systems, electrical
public transportation, switching stations, etc., are much more aware to the need to employ special measures and methods for
reducing the magnetic fields that might be emitted from such utilities.
There are few computer codes that are capable of analyzing with great accuracy magnetic and electric fields surrounding single
phase and three phase electrical utilities in a 3-D system. The best presentations of the analysis results are by equi-value
contours depicting electric and magnetic fields. This graphical presentation is a powerful design tool that enables better
deployment and installation design aided to reduce the magnetic field emissions from high-power electrical utilities.
This paper describes the various types of graphical presentations available for ELF field contours, the dependent and independent
variants and parameters, magnetic field animation for optimization of power line installation and routing, and finally an
example that demonstrates the usefulness of the graphical presentation tools. 相似文献
70.
Moshe Ben-Ami Yuri Perlitz Stavit Shalev Ibrahim Shajrawi Francoise Muller 《黑龙江环境通报》2002,22(7):583-585
A rare case of extrahepatic biliary atresia was diagnosed by a combination of prenatal ultrasound and measurements of fetal digestive enzymes in amniotic fluid. Ultrasound at 15 and 18 weeks' gestation failed to detect the gall bladder, and amniotic fluid digestive enzyme values were below the fifth percentile. The patient decided to terminate the pregnancy. Post-abortal pathological examination confirmed the diagnosis. Copyright © 2002 John Wiley & Sons, Ltd. 相似文献