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271.
    
Fetoscopic endotracheal occlusion (FETO) is a prenatal treatment that may increase survival in severe congenital diaphragmatic hernia (CDH). In the USA, FETO is offered for isolated severe left-sided CDH in the context of an FDA-approved feasibility study. FETO in non-isolated cases of severe CDH is only performed with a compassionate use exemption from US regulatory bodies. Anomalies frequently associated with CDH include congenital cystic lesions of the lung and cardiac defects. We describe two cases of non-isolated severe left-sided CDH that underwent prenatal FETO, survived after birth and underwent postnatal surgical repair. The potential benefit of FETO in this setting is discussed. © 2017 John Wiley & Sons, Ltd.  相似文献   
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根据DPSIR模型构建了城市土地资源中生态环境承载力的指标体系,该体系的创新之处在于通过结构化的指标设计将生态环境与人口、经济、社会发展和管理等其他要素纳入统一分析框架,充分考察了各要素之间的密切关联。在实证分析方面,以北京市为例,对其2011—2014年土地资源中生态环境承载力的相关指标变动趋势情况进行分析。结果表明:人口增长与经济增长两大驱动力指标持续上升,对土地资源带来的压力持续存在且逐年增大;城市建设用地的压力不断增大,居住用地造成的压力最为显著;从反应指标和状态指标看,北京市在努力加强城市绿化和生态保护工作,但影响指标目前尚无显著改善,大气污染和水资源短缺等情况仍不容乐观。最后,针对如何评价和提升城市土地资源中生态环境的承载力提出了政策建议。  相似文献   
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Both exposures to toxic metals, as well as deficiencies in essential metals, during pregnancy has been linked to a variety of negative reproductive outcomes. The exact etiologies of such outcomes and the effects of fetal exposure to these metals are largely unknown. Therefore, the ability to assess levels of these elements is critical to determining the underlying causes of such conditions and the effects that both essential and nonessential metals have on fetal development. Thus, using cell-free fetal RNA from amniotic fluid, we set out to measure the association between amniotic fluid levels of toxic and essential metals and fetal gene expression. We find that arsenic was associated with increased expression of 3 genes known to play roles in both birth-related and reproductive effects. The results highlight the potential for detrimental health effects of prenatal metals exposure and the potential to identify biomarkers of environmental exposure during this critical developmental period.  相似文献   
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Land systems are described based on various characteristics, including land cover composition and agricultural production. However, it is uncertain to what extent livestock, particularly monogastric livestock, determines land systems. We included monogastrics in a land system classification, and statistically analyzed the land cover composition and agricultural production of otherwise similar land systems with and without monogastric livestock. The results indicate that land systems with monogastrics are statistically different from their counterparts in the classification without monogastrics in terms of grassland area and crop yields, but are less different in terms of tree area, crop area, and ruminant livestock production. We then used a land systems map that includes monogastrics in the classification and a similar map that does not include monogastrics to project future changes in a novel manner that integrates livestock as a determinant of land systems. The results show that including monogastrics in otherwise similar projections yields less cropland intensification and more cropland expansion in several world regions, including Northern Africa and the Middle East. Other regions, such as Europe and Australia, were characterized by less decrease or more increase in tree area in the application with monogastrics, mainly due to the occurrence of open forests with monogastrics. This study prompts a call for improved characterization of land systems for land use and cover change (LUCC) assessments in order to better represent LUCC driven by monogastric livestock.  相似文献   
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This paper analyses the contribution of virtue ethics, the study of good character traits, to the humanitarian context. It argues that a virtue ethics perspective paints a realistic picture of the use of ethical standards in morally complex circumstances. Virtuous relief workers can employ standards in their thinking, but they are also committed to professional excellence that goes beyond any formal code. The concept of virtue ethics places a stress on moral development, which can be facilitated by role models that impart modest and feasible ideals. However, virtue ethics cannot provide simple guidelines on how to resolve difficult situations. It is possible that two virtuous persons can disagree on what should be done in a particular instance. In addition, a virtue ethics perspective emphasises the need for both individuals and organisations to discuss the actual purpose of relief work in order to pinpoint the virtues of a good relief professional.  相似文献   
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吕晨  蓝修婷  孙威 《自然资源学报》2017,32(8):1385-1397
人口空间分布具有尺度特征,从乡镇街道尺度研究自然因素对城市人口空间格局的影响有利于得出更精细的结果,并为城市人口合理布局和规划提供科学依据。论文利用第五、六次人口普查乡镇街道数据,分析北京市人口空间格局特征,利用地理探测器研究自然因素对人口分布的影响。研究表明:1)自然因素对不同类型人口空间格局影响具有差异性。对常住人口作用强度由大到小的自然因素分别是适宜建设用地面积、地形起伏度、坡度、海拔高程和河网密度,对外来人口作用力由大到小的自然因素分别是地形起伏度、适宜建设用地面积、坡度、海拔高程和河网密度;2)自然因素对不同地区人口空间格局影响具有差异性。除适宜建设用地面积外,坡度和河网密度分别对六环内、外区域人口密度影响较大。高程和地形起伏度对六环外人口格局作用力高于六环内地区;3)两类自然因素叠加对人口密度作用的强化方式体现为因素相互协同或因素作用力非线性增加。5类自然因素对人口密度的影响力交互作用探测值为1,各类自然因素对城市人口空间格局的影响力协同增强。  相似文献   
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