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Noninvasive prenatal testing (NIPT) using cell-free DNA (cfDNA) from maternal serum has been clinically available since 2011. This technology has revolutionized our ability to screen for the common aneuploidies trisomy 21 (Down syndrome), trisomy 18, and trisomy 13. More recently, clinical laboratories have offered screening for other chromosome abnormalities including sex chromosome abnormalities and copy number variants (CNV) without little published data on the sensitivity, specificity, and positive predictive value. In this debate, the pros and cons of performing prenatal screening via cfDNA for all chromosome abnormalities is discussed. At the time of the debate in 2017, the general consensus was that the literature does not yet support using this technology to screen for all chromosome abnormalities and that education is key for both providers and the patients so that the decision-making process is as informed as possible. 相似文献
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The current study examines the empowering effects of transformational leaders and the extent to which these effects differ across mechanistic–organic organizational contexts. Psychological empowerment is hypothesized to provide a comprehensive motivational mechanism explaining the relationships between transformational leadership and employee job‐related behaviors. In addition, the relationships between transformational leadership, employee psychological empowerment, and job‐related behaviors are hypothesized to be stronger in organizations with more organic as opposed to mechanistic structures. Results based on a cross‐organizational sample of employees and their immediate supervisors provide support for the hypothesized relationships. Psychological empowerment mediated relationships between transformational leadership and employee task performance and organizational citizenship behaviors. The mediating role of psychological empowerment was then found to be conditional upon mechanistic–organic contexts. More specifically, organic structures enhanced, whereas mechanistic structures constrained, the empowering influence of transformational leaders. In highly mechanistic contexts, the indirect effects were no longer statistically significant. Implications for theory, research, and organizational management are discussed. Copyright © 2013 John Wiley & Sons, Ltd. 相似文献
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Mary Engels Liann Correia Sarah Piwinski Lanna Cheng Erik Zettler 《Marine Biology》2014,161(6):1241-1250
Five species of the marine insect Halobates share similar ecology but have distinct biogeographic ranges in the eastern tropical Pacific, a region from approximately 75°W–160°W and 10°S–35°N. Between 2001 and 2010, the Sea Education Association collected Halobates from 682 neuston tows (surface net 1 m × 0.5 m, 335-μm mesh) during fifteen cruises between San Diego, USA, Mexico and Tahiti. Total Halobates spp. densities varied substantially from year to year, but our data do not show a sustained change from a data set collected 40 years earlier from 1967 to 1968 (Cheng and Shulenberger in Fish Bull 78(3):579–591, 1980). Halobates are sensitive to sea surface temperature and we observed significant differences in species distributions over time, but these were not due to differences in water temperature or climate change. Our analyses show that the patterns observed are attributable to substantial but previously undescribed seasonal shifts that occur each year in the ranges for both Halobates sobrinus and Halobates micans. There is substantial overlap in ranges during seasonal shifts, but very little co-occurrence of H. sobrinus and H. micans in individual net tows, suggesting biological mechanisms rather than physical factors are restricting distribution and co-occurrence of these two species. 相似文献