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Gastroschisis is a defect in the abdominal wall, typically on the right side of a normally inserted umbilical cord through which bowel and other abdominal contents herniate. Classically, no membrane covers the herniated abdominal contents, which distinguishes the defect from exomphalos, an important differential diagnosis. Gastroschisis is usually diagnosed prenatally using ultrasound examination. The prevalence is increasing worldwide from approximately 0.1 per 10 000 total births in the 1970s to over 5 in the early 2000s. The reasons for this are unknown, but factors such as maternal smoking, recreational drugs and young maternal age are strongly associated with the defect. The increasing prevalence is causing concern because the cost of treating gastroschisis is high. Neonatal morbidity depends on significant complicating factors such as bowel atresia or necrosis and prolonged post-operative ileus. Foetuses with gastroschisis are more likely to be born premature and with intra-uterine growth restriction, both of which contribute to the morbidity. Gastroschisis requires early surgery after birth, often followed by prolonged neonatal care. However, advances in surgical and post-operative care in the last decade have meant that currently 90% of affected neonates survive, with few long-term problems. Copyright © 2008 John Wiley & Sons, Ltd. 相似文献
604.
Kathleen B. Aviso Raymond R. Tan Alvin B. Culaba Jose B. Cruz 《Process Safety and Environmental Protection》2010,88(1):31-40
In order to minimize the consumption of resources and the generation of waste, eco-industrial parks (EIPs) have been designed to encourage the establishment of waste exchange networks between the plants contained within them. Considering that the participating plants have their individual fuzzy cost goals and that the park authority has the objective of minimizing total freshwater consumption in the EIP, this problem may be formulated as a bi-level optimization problem, with the park authority as the upper-level decision-maker. A bi-level fuzzy optimization model is developed to explore the effect of charging fees for the purchase of freshwater and the treatment of wastewater in optimizing the water exchange network of plants in an EIP. The effect of subsidizing exchange of streams between plants is also included in the model. Results show that it is not necessary to impose exorbitant fees, nor to completely subsidize costs associated with recycling, in order to induce significant reduction of the consumption of freshwater in the EIP. 相似文献
605.
Resource-based cities (RBC) have made momentous contributions to urbanization in China. However, as natural resources are exhausted, RBC are facing an enormous challenge. In this paper we put forward a resource-based city sustainability index (RCSI) and a resource-based city coordination index (RCCI), including environmental, social, and economic dimensions, adopted three weight scenarios, and selected 13 cities for study. The results: (a) help locate the problems by analyzing both dimensions and indicators; (b) simulate the trends of how RBC emerged, grew, declined, and regenerated; (c) categorize RBC into four types by integrating RCSI and RCCI; (d) give policy makers a holistic and comprehensive perspective in the future urban regulation and management; and (e) highlight a road to sustainability. 相似文献
606.
Abstract Southeast China is one of the severe soil degradation areas in China. This paper theoretically examines the impact of some important institutional arrangements and policies, like land management pattern, the rural off-farm employment, land property change and changes in prices of agricultural products, on soil degradation in this area. It further conducts some case studies to confirm the potential relationship between the institutions & policies and soil degradation, applying the surveyed and the second hand data. The paper at last makes some conclusions and proposes some suggestions on how to promote soil conservation by improving the ways of policy decision-making and the effects of policies on land use. 相似文献
607.
Tan Dan 《China Population Resources and Environment》2008,18(3):54-57
The article establishes an evaluation index system of the intensive land use from the perspective of enterprises. It is based on the questionnaire survey and evaluates the levels of the intensive use of the land in the electrical machinery and equipment manufacturing industry in Changzhou, Nantong, and Yancheng of Jiangsu Province. The evaluation result shows that there is obvious difference in the levels of the intensive use of the land in this industry in the three cities. The present article makes a detailed analysis on the causes of the difference. The analysis shows difference in results of the socio-economic and urban development stage, industrial features, population density, and technological progress. Finally, it proposes some suggestions to improve the efficiency of the industrial land use. 相似文献
608.
As the world pays more attention to low-earbon and sustainable development,there’s a growing trend in architecture,engineering and construction fields to construct greener,more energy efficient and more sustainable buildings with the help of building information modeling(BIM).As BIM application becomes popular in industry,more and more scholars and engineers point out that an integrated construction environment is better for BIM’s fully functional capability.This paper illustrates the relationship between BIM application and an integrated construction environment based on case survey data.It is found that even though an integration construction environment is not necessary in BIM application,the statistical results showed that DBB(design-bid-build)and CM(construction management)modes have great differences in BIM’s application implementation scope and implementation deepness,while DB and CM modes do not. 相似文献
609.
以化工剩余污泥、粘土、重油为原料,经烘干、预热、焙烧等工艺过程,制备了粒径为3~6mm的水处理用填料。采用单因素考察了原料配比、预热时间、预热温度及烧结温度等试验条件对填料性能参数的影响,确立了最佳工艺参数:污泥灰渣、污泥、粘土、重油比例为5∶3∶1∶1、预热时间20 min、预热温度300℃、烧结温度1 050℃。在此条件下,填料的堆积密度为448 kg/m3,吸水率为54.2%,表观密度为517 kg/m3,比表面积为29.247 m2/g,并采用扫描电镜观察了填料表面和内部孔隙特征。 相似文献
610.
Niansheng Kuai Weixing Huang Bing Du Jingjie Yuan Zongshan Li Yuan Gan Jingyi Tan 《Journal of Loss Prevention in the Process Industries》2013,26(4):869-877
Explosion behaviors of typical light metal and carbonaceous dusts induced by different ignition energies were investigated based on systematic experiments in a Siwek 20 L vessel. Comparative analysis reveals that the explosion mechanism of carbonaceous dust is the volatile combustion, whereas the mechanism for light metal dust mainly features the surface heterogeneous oxidation. Influences of ignition energy on severity and flammability limit are much more significant for carbonaceous dust than light metal, especially for the powder with less volatile. An innovative approach was introduced to derive flame thickness from the pressure–time trace. The relation between explosion induction time and combustion duration of ignitor was also analyzed. Results show inappropriate ignition energy will cause under-/over-driving in the thermodynamic/kinetic characteristic measurements. In this way, a dimensionless parameter pressure ratio was introduced to evaluate the under-driving, while two methods by using flame thickness and induction time respectively, were proposed to evaluate over-driving. To improve the accuracy of dust explosion tests, authors advocate that explosion severity determination should be conducted at the critical ignition energy. Moreover, a comparison between the European and Chinese flammability limit determination procedures was also conducted, indicating that EN 14034-3 is suitable for light metal but not for carbonaceous, while GB/T 16425 appears to be slightly conservative for both carbonaceous and light metal dusts. 相似文献