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Spatial planners around the world need to make climate change adaptation plans. Climate adaptation planning requires combining spatial information with stakeholder values. This study demonstrates the potential of geodesign tools as a mean to integrate spatial analysis with stakeholder participation in adaptation planning. The tools are interactive and provide dynamic feedback on stakeholder objectives in response to the application of spatial measures. Different rationalities formed by underlying internalized values influence the reasoning of decision-making. Four tools were developed, each tailored to different rationalities varying between a collective or individual viewpoint and analytical or political arguments. The tools were evaluated in an experiment with four groups of participants that were set around an interactive mapping device: the touch table. To study how local decision-making on adaptation can be supported, this study focuses on a specific case study in the Netherlands. In this case study, multiple different stakeholders need to make spatial decisions on land use and water management planning in response to climate change. The collaborative use of four geodesign tools was evaluated in an interactive experiment. The results show that the geodesign tools were able to integrate the engagement of stakeholders and assessment of measures. The experiment showed that decision-making on adaptation to climate change can benefit from the use of geodesign tools as long as the tool is carefully matched to the rationality that applies to the adaptation issue. Although the tools were tested to support the design of adaptation plans in a Dutch setting, the tools could be used for regional adaptation planning in other countries such as the development of regional adaptation strategies (RAS) as required by the European Union or on a national scale to support developing national adaptation plans of action (NAPAs) as initiated by the United Nations Framework Convention on Climate Change (UNFCCC) for least developed countries.  相似文献   
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Assisted reproductive technologies (ART) have increased both the number of pregnancies in women beyond the age of 35 and the incidence of multiple pregnancies. Various methods of screening for Down syndrome (DS) were introduced in clinical practice during the last two decades, and specific problems were encountered when they were applied for twin pregnancies. The current review aims to explore the problematic issue of prenatal DS screening in ART twins. Overall, more women with twin pregnancies (mainly those who conceived via assisted reproduction) are found to be false positive for DS. This is because mid-trimester maternal serum screening is associated with a higher false-positive rate secondary to changes in the feto-placental endocrinologic metabolism, reflected mainly in high human chorionic gonadotrophin (hCG) levels in the ART pregnancies. First-trimester nuchal translucency (NT) measurement in twin pregnancies is not affected by the problems encountered in serum screening. This sonographic screening approach enables a fetus-specific identification of those fetuses at high risk of DS and is associated with a lower false-positive rate than mid-trimester serum screening. DS screening in ART twins presents several challenges in determining the most appropriate screening test modality. Whether there is any significant benefit of adding first-trimester biochemistry or nasal bone scanning in screening ART-conceived twins awaits further investigation. Copyright © 2005 John Wiley & Sons, Ltd.  相似文献   
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The purpose of this paper is to describe how the Level B Water Resources Planning Process was applied to Long Island Sound and the land area around it, to summarize the major findings and recommendations of the study and to comment on the effectiveness of that process and suggest how it might be made more effective in the future.  相似文献   
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Project RENEWAL is an innovative new environmental business project taking place in New Jersey. Project RENEWAL stands for Resource Efficiency Network to Eliminate Waste and Liability. The purpose of this project is to investigate and promote the linkages between ecology, technology, and business economics for the benefit of the economy and the environment. This is a collaborative effort, initially focused on equipment and inventory assets, between the business and environmental communities in order to explore new ways to increase business efficiency and profitability and also benefit the environment. Participants in the project include representatives from industry, consulting, local and state government, environmental agencies, trade groups and academia. This article will outline the background and initial framework of Project RENEWAL's initiatives. (The authors are open to comments, suggestions, criticism, and most importantly input from others who share their vision and are willing to cooperatively accelerate the change process).  相似文献   
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