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31.
Environmental Science and Pollution Research - Non-small cell lung cancer (NSCLC) is reported to have a high incidence rate and is one of the most prevalent types of cancer contributing towards 85%...  相似文献   
32.
Non-mosaic trisomy 22 is a common cause of first trimester miscarriage and has a livebirth incidence of 1 in 30 000–50 000. Consequently there is a paucity of information for counselling parents. Detection in the second trimester is rare. It is commonly associated with severe growth retardation and multiple structural abnormalities. Oligohydramnios is frequently seen and can make detection of other abnormalities difficult. The outlook is uniformly poor and survival beyond the first trimester may present management dilemmas. A thorough fetal assessment including high-resolution cytogenetics with or without FISH is required for counselling. Careful plans for intrapartum and neonatal management may be necessary. The recurrence risk is thought to be low but information is very limited as there have been no reported cases of recurrence. We present two case of non-mosaic trisomy 22 including the first to be diagnosed subsequent to investigation for a high serum screening Down's risk. Copyright © 2006 John Wiley & Sons, Ltd.  相似文献   
33.
Prenatal gene therapy aims to deliver genes to cells and tissues early in prenatal life, allowing correction of a genetic defect, before long-term tissue damage has occurred. In contrast to postnatal gene therapy, prenatal application can target genes to a large population of dividing stem cells, and the smaller fetal size allows a higher vector-to-target cell ratio to be achieved. Early-gestation delivery may allow the development of immune tolerance to the transgenic protein which would facilitate postnatal repeat vector administration if needed. Targeting particular organs will depend on manipulating the vector to achieve selective tropism and on choosing the most appropriate gestational age and injection method for fetal delivery. Intra-amniotic injection reaches the skin, and other organs that are bathed in the fluid however since gene transfer to the lung and gut is usually poor more direct injection methods will be needed. Delivery to the liver and blood can be achieved by systemic delivery via the umbilical vein or peritoneal cavity. Gene transfer to the central nervous system in the fetus is difficult but newer vectors are available that transduce neuronal tissue even after systemic delivery. Copyright © 2011 John Wiley & Sons, Ltd.  相似文献   
34.
The cornerstone for an effective biomedical waste (BMW) management is appropriate waste segregation. Improper waste segregation practices can have an adverse impact on public health and increase the cost of treatment. Deficiencies in waste segregation practices can be corrected by continuous monitoring and education. Manpower for monitoring waste segregation in a large teaching hospital is scanty. We utilized the undergraduate medical students as monitors and studied the impact on waste segregation practices. A prospective observational study was carried out from August 2004 to January 2005. For monitoring waste segregation, the different areas of the hospital were divided amongst the II M.B.B.S students. They were provided with an observation sheet wherein the status of waste segregation and overall hygiene was recorded on a scale of 1-5. The impact of this programme was then analysed over the study period. The results indicated that a statistically significant improvement in waste segregation practices occurred in all areas. Thus, a large hospital with a medical college can identify students or a similar group for monitoring waste segregation or other aspects of biomedical waste management. This will improve their understanding of good practice in BMW management in future.  相似文献   
35.
The study investigated the use of thin film composite membrane (TFC) as a potential candidate for hydroquinone removal from water. Thin film composite membranes were prepared by polyamide coating on Polysulfone asymmetric membrane. FTIR study was performed to verify the Polysulfone as well as polyamide functionality. TFC membrane was characterized by contact angle, zeta potential, scanning electron microscopy studies. The salt rejection trend was seen from 500 to 1000 mg/L. The membrane is marked by permeability co-efficient B based on solution diffusion studies. The value is 0.98 × 10?6 m/s for NaCl solution at 1.4 MPa. The separation performance was 88.87% for 5 mg/L hydroquinone at 1.4 MPa. The separation was little bit lowered in acid medium because of the nature of the membrane and feed solute chemistry. The ‘pore swelling’ and ‘salting out’ influenced hydroquinone separation in the presence of NaCl. The hydroquinone separation was 80.63% in 1000 mg/L NaCl solution. In acidic pH, NaCl separation was influenced much more compared to hydroquinone. The separation is influenced by field water matrix.  相似文献   
36.
Positive matrix factorization (PMF) was used to identify factors affecting fog formation in Kanpur during the ISRO-GBP land campaign-II (LC-II) in December 2004. PMF predicted factors were validated by contrasting the emission strength of sources in the foggy and clear periods, using a combination of potential source contribution function (PSCF) analysis and quantitative emission inventory information. A time series aerosol chemical data set of 29 days and 12 species was decomposed to identify 4-factors: Secondary species, Biomass burning, Dust and Sea salt. PMF predicted particle mass with a satisfactory goodness-of-fit (slope of 0.83 ± 0.17 and R2 of 0.8), and strong species within 11–12% relative standard deviation. Mean contributions of anthropogenic factors were significantly higher during the foggy period for secondary species (2.9 ± 0.3) and biomass burning (1.2 ± 0.09) compared to the clear period. Local sources contributing to aerosols that mediated fog events at Kanpur, based on emissions in a 200 km × 200 km area around Kanpur city were thermal power plants and transportation (SO2) and biofuel combustion (BC and OM). Regional scale sources influencing emissions during the foggy period, in probable source regions identified by PSCF included thermal power plants, transportation, brick kilns and biofuel combustion. While biofuel combustion and transportation are distributed area sources, individual point sources include coal-fired thermal power plants located in Aligarh, Delhi, Ghaziabad, Jhansi, Kanpur, Rae Bareli and Rupnagar and brick kilns located in Allahabad, Agra, Farrukhabad, Ghaziabad, Kanpur, Ludhiana, Lucknow and Rae Bareli. Additionally, in the foggy period, large areas of probable source regions lay outside India, implying the significance of aerosol incursion from outside India.  相似文献   
37.
A lack of trust in the information exchanged via social media may significantly hinder decisionmaking by community members and emergency services during disasters. The need for timely information at such times, though, challenges traditional ways of establishing trust. This paper, building on a multi‐year research project that combined social media data analysis and participant observation within an emergency management organisation and in‐depth engagement with stakeholders across the sector, pinpoints and examines assumptions governing trust and trusting relationships in social media disaster management. It assesses three models for using social media in disaster management—information gathering, quasi‐journalistic verification, and crowdsourcing—in relation to the guardianship of trust to highlight the verification process for content and source and to identify the role of power and responsibilities. The conclusions contain important implications for emergency management organisations seeking to enhance their mechanisms for incorporating user‐generated information from social media sources in their disaster response efforts.  相似文献   
38.
A 2-D mathematical model to simulate the temperature distribution, coke formation, and change in residual extractable oil during remediation by low-temperature oxidation (LTO) process was developed. Simulation results indicate that the spacing between wells, pressure difference, and air-injection temperature and different well patterns influence the temperature distribution and consequently the level of remediation in the soil. The model results for coke formation and residual extractable oil distribution compared well with experimental results. The operating conditions—air-injection temperature of about 200°C, air-injection pressure of 6 to 10 kPa, air-extraction pressure of −110 Pa, and wells spaced 1 m apart installed in a nine-spot pattern—provide good remediation of hydrocarbons in soil by LTO process.
G. AchariEmail:
  相似文献   
39.
The global response to the 12 January 2010 earthquake in Haiti revealed the ability to mobilise medical teams quickly and effectively when academic medical centres partner non-governmental organisations (NGO) that already have a presence in a zone of devastation. Most established NGOs based in a certain region are accustomed to managing the medical conditions that are common to that area and will need additional and specialised support to treat the flux of myriad injured persons. Furthermore, an NGO with an established presence in a region prior to a disaster appears better positioned to provide sustained recovery and rehabilitation relief. Academic medical centres can supply these essential specialised resources for a prolonged time. This relationship between NGOs and academic medical centres should be further developed prior to another disaster response. This model has great potential with regard to the rapid preparation and worldwide deployment of skilled medical and surgical teams when needed following a disaster, as well as to the subsequent critical recovery phase.  相似文献   
40.
Considering the mounting evidences of the effects of air pollution on health, the present study was undertaken to assess the ambient air quality status in the fast growing urban centres of Haryana state, India. The samples were collected for total suspended particulate matter (TSPM), respirable suspended particulate matter (PM10), sulfur dioxide (SO2), and oxides of nitrogen (NO2) during different seasons from 8 districts of Haryana during January, 1999 to September, 2000. The four types of sampling sites with different anthropogenic activities i.e. residential, sensitive, commercial and industrial were identified in each city. The ambient air concentration of TSPM and PM10 observed was well above the prescribed standards at almost all the sites. The average ambient air concentrations of SO2 and NO2 were found below the permissible limits at all the centres. Comparatively higher concentration of SO2 was observed during winter seasons, which seems to be related with the enhanced combustion of fuel for space heating and relatively stable atmospheric conditions. Air Quality Index (AQI) prepared for these cities shows that residential, sensitive and commercial areas were moderately to severely polluted which is a cause of concern for the residents of these cities. The high levels of TSPM and SO2 especially in winter are of major health concern because of their synergistic action. The data from Hisar city reveals a significant increase in the total number of hospital visits/admissions of the patients with acute respiratory diseases during winter season when the level of air pollutants was high.  相似文献   
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