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71.
Maternal serum markers for trisomy 21 screening (MSS) can be assayed in women ≥35 years in an attempt to reduce the need for invasive procedures and thereby avoid their side effects. Our objective was to compare, in women ≥35, eight different software packages dedicated to second trimester MSS, thus providing reliable data for patient counselling. A simulation study was carried out on 189 sera from women with Down syndrome fetuses and 11 962 sera from mothers of unaffected babies. The first step was to estimate the joint distribution of alpha-fetoprotein (AFP) and free beta-human chorionic gonadotrophin (β-hCG). The second step was to calculate trisomy 21 detection and false-positive rates for each software according to maternal age (35–45 years), using the usual 1:250 risk threshold. Agreement between software packages was measured using 2×2 kappa coefficients. Detection rates and false-positive rates increased with maternal age. Depending on the software, 57–71% detection rates were achieved at 35 years with 12–18% false-positive rates. At 45 years, 61–100% detection rates were achieved with 66–95% false-positive rates. Up to 39 years, all softwares were concordant (kappa coefficients >0.75). In the range 35–45 years, false-positive and detection rates increased substantially with maternal age and differences between software packages are observed. Copyright © 2002 John Wiley & Sons, Ltd.  相似文献   
72.
Environmental Science and Pollution Research - The goal of this work was to evaluate the performance of the LED irradiated photo-Fenton process on the removal of (i) estrogenic activity and (ii)...  相似文献   
73.
In natural resource management facilitation literature, little attention is paid to sensitive issues in multi-stakeholder interaction and learning. This article aims to fill this gap. It discusses the variety of discursive strategies used by stakeholders to address sensitive issues with regard to fishery management in Benin, in three different settings: individual interviews, homogeneous groups' discussions, and a heterogeneous group meeting. Issues that proved sensitive were discussed openly in the interviews or homogeneous groups' discussions, but not at all, or only indirectly, in the heterogeneous group meeting. With indirect discursive strategies, two out of the seven sensitive issues were put on the discussions' agenda. We conclude that the other issues were too sensitive among others because of historically grown interdependency between interventionists and fishers. We suggest that dealing with sensitive issues is an important dimension of the facilitation of interactive learning processes and provide methodological guidelines to detect and address such issues.  相似文献   
74.
Land-use models can be used to assess the importance of different drivers of land-use change. Local actors make land-use decisions on the basis of both biophysical and policy aspects, but they can also be considered as autonomous drivers as their attitudes and beliefs influence land-use substantially. We use a Bayesian network-based Land-use Modeling Approach (BLUMAP) to analyze influences of local actor characteristics on land-use change in a spatially explicit manner. Our analysis shows that local actor characteristics have a greater influence on land-use change than changes in agricultural policy schemes. Furthermore, focusing on the probabilities of land-use occurrence under different scenarios facilitates the quantification of influences of local actor characteristics on land-use changes and aids in the detection of where land-use changes are more likely to occur. We demonstrate that local actor characteristics could override land-use policy trends; thus, greater consideration should be paid to actors in land-use development processes.  相似文献   
75.
When developing proper waste management strategies, it is essential to characterize the volume and composition of solid waste. The aim of this work was to evaluate the composition of dental waste produced by three dental health services in Belo Horizonte, Minas Gerais State, Brazil. Two universities, one public and one private, and one public dental health service were selected. Waste collection took place from March to November 2007. During this period, three samples were collected from each dental health service. The total amount of dental waste produced in one day of dental work was manually separated into three categories: infectious and potentially infectious waste, accounting for 24.3% of the total waste; non-infectious waste, accounting for 48.1%; and domestic-type waste, accounting for 27.6% (percentages are for mean weights of solid waste). Our results showed that most of the waste considered as biomedical may be misclassified, consequently making the infectious waste amount appear much larger. In addition, our results suggest that the best waste minimization method is recycling, and they help to define an appropriate waste management system in all three of the dental health services involved in this study.  相似文献   
76.
It is thought that young homing pigeons are able to use information acquired en route for their initial homeward orientation. However, the cues involved and mechanisms utilised are under discussion. Blocking light-dependent route-specific information during the first leg of an outward journey detour, together with analysis of pigeons that were raised under different loft conditions, allowed us to correctly evaluate the functioning of this mechanism and, more generally, the navigational map of birds. Pigeons from the same stock were raised and kept in two different lofts. The birds in the experimental groups were transported to the release sites via detours, and light-dependent information was denied during the first half of the outward journey (no compass information was available). Control birds were transported by the most direct route and had access to all available information. In general, the results showed that the low-loft birds preferred to use magnetic compass cues, whereas the high-loft birds preferred to use navigational map cues to collect information of the first part of the outward journey. The impairments observed in the homing performances of the experimental groups highlight the reliability of information collected inside the map area. Relevant to an understanding of the route-reversal mechanism was the evidence that this mechanism is able to function in the absence of compass information (birds raised in a wind-exposed loft show a detour effect). In systems where directional information could be provided by multiple sources, processing and extracting accurate course trajectories through a common mechanism may prove more efficient and reliable.  相似文献   
77.
Flash floods are characterized by their suddenness, fast and violent movement, rarity, small scale but high level of damage. They are particularly difficult to forecast accurately and there is little lead time for warning. This makes motorists especially vulnerable. Assuming that these flash flood hazard specificities may be the significant factors leading to difficulties for drivers to perceive danger, we used cognitive mapping combined with GIS data processing to assess motorists' flash flood risk perception on their daily itineraries. The analysis of 200 mental maps collected allows planners to have maps highlighting dangerous areas where risk perception is weak and to identify reasons for this.  相似文献   
78.
While the effects of contemporaneous local environment on species richness have been repeatedly documented, much less is known about historical effects, especially over large temporal scales. Using fen sites in the Western Carpathian Mountains with known radiocarbon-dated ages spanning Late Glacial to modern times (16 975-270 cal years before 2008), we have compiled richness data from the same plots for three groups of taxa with contrasting dispersal modes: (1) vascular plants, which have macroscopic propagules possessing variable, but rather low, dispersal abilities; (2) bryophytes, which have microscopic propagules that are readily transported long distances by air; and (3) terrestrial and freshwater mollusks, which have macroscopic individuals with slow active migration rates, but which also often possess high passive dispersal abilities. Using path analysis we tested the relationships between species richness and habitat age, area, isolation, and altitude for these groups. When only matrix-derived taxa were considered, no significant positive relation was noted between species richness and habitat size or age. When only calcareous-fen specialists were considered, however, habitat age was found to significantly affect vascular plant richness and, marginally, also bryophyte richness, whereas mollusk richness was significantly affected by habitat area. These results suggest that in inland insular systems only habitat specialist (i.e., interpatch disperser and/or relict species) richness is influenced by habitat age and/or area, with habitat age becoming more important as species dispersal ability decreases.  相似文献   
79.
This paper examines the minerals industry's response to sustainable development in the area of waste disposal and argues that leadership and guidance are still needed to forge collective agreement on norms and standards of practise. To encourage further debate, the paper develops a set of sustainable development principles for the disposal of mining and mineral processing wastes, and discusses the implications for current and future practise. In practise, the principles can guide waste disposal decisions through the consideration of what risk and magnitude, in any given local context, a particular management solution poses to their application. The sustainability challenge in the management of tailings and waste rock is to dispose of material, such that it is inert or, if not, stable and contained, to minimise water and energy inputs and the surface footprint of wastes and to move toward finding alternate uses. Future trends in mining and processing may compound the challenges of waste management, as lower ore grades increase the ratio of waste produced for a given unit of resource, and emphasise the urgency and need for the industry to adopt new approaches. New technologies and innovations, such as thickened tailings, dry stacking and paste backfill, have greatly increased the waste disposal methods available to meet the future challenges to sustainable development.  相似文献   
80.
ABSTRACT: Five types of land use/land covers in the West Tiaoxi watershed of China were studied for nutrient losses in artificial rainstorm runoff. A self‐designed rainfall simulator was used. In situ rainfall simulations were used to: (1) compare the concentrations of nitrogen and phosphorous in different land use/land covers and (2) evaluate the flux of nitrogen and phosphorous export from runoff and sediment in various types of land use/land covers. Three duplicated experiments were carried out under rain intensity of 2 mm/min, each lasting 32 minutes on a 3 m2 plot. Characteristics of various species of nitrogen and phosphorous in runoff and sediment were investigated. The results showed that the concentrations of total nitrogen (TN) and total phosphorous (TP) were greatest in runoff from mulberry trees and smallest from pine forest. The TN and TP export was mainly from suspended particulate in runoff. TN and TP exports from the top 10 cm layer of five types of land use/land covers were estimated as high as 4.66 to 9.40 g/m2 and 2.57 to 4.89 g/m2, respectively, of which exports through sediment of runoff accounted for more than 90 percent and 97 percent. The rate of TN and TP exports ranged from 2.68 to approximately 14.48 and 0.45 to approximately 4.11 mg/m2/min in runoff; these rates were much lower than those of 100.01 to approximately 172.67 and 72.82 to approximately 135.96 mg/m2/min in the runoff sediment.  相似文献   
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