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521.
Denise M. Cutillo MS Elizabeth A. Hammond Suzanne L. Reeser Melissa A. Kershner Barbara Lukin Lynn Godmilow Alan E. Donnenfeld 《黑龙江环境通报》1994,14(5):327-332
Prenatal diagnosis choices were reviewed in 473 women who presented for genetic counselling prior to 11 weeks' gestation for the indication of advanced maternal age. Group A consisted of 336 patients who were unaware of a possible association between chorionic villus sampling (CVS) and limb defects. Group B consisted of 137 patients who were provided this information. Fifty-one per cent of patients in group A and 45 per cent of patients in group B chose CVS. This difference was not significant by χ2 analysis (P = 0·7). Patterns of prenatal diagnosis procedure utilization from 1987 to 1992 revealed a significant reduction in CVS utilization accompanied by a corresponding increase in amniocentesis after the association between CVS and limb defects was publicized. Referrals for CVS counselling also significantly declined. However, acceptance rates did not change for those patients who received genetic counselling. First-trimester genetic counselling, including a discussion regarding a possible association between CVS and limb defects, helps patients make informed decisions concerning prenatal diagnosis options, and, in our population, resulted in no change in CVS acceptance rates. 相似文献
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近代淮河流域,灾害的多发性,对农村社会造成严重危机,尤其对农村人口的变动带来了深远的影响.该文借助人口学的相关理论与方法,运用历史文献对自然灾害打击下的近代淮河流域的农村人口数量的变动、迁移以及人口素质的变化进行考察和分析.研究认为:在灾害的打击下,农村人口数量发生变动,特别是一些大的灾荒造成的人口死亡率较高,这些严重... 相似文献
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Theorizing about the effects of job demands on mental health, job satisfaction and performance can be enhanced by allowing for a more complicated view of job demands. This paper describes an empirical attempt aimed at investigating facets of job demands. It hypothesizes that (1) many individuals will agree that job demands of certain kinds and strengths, will be associated with either satisfaction, or dissatisfaction, (2) that there will be no general agreement for some types of demands. Correlational analysis was performed on two independent sets of data to test the hypotheses, which were both supported. These results raised questions about the status of the concept of demands itself and a recommendation is made that it be replaced by the more neutral term ‘job demands milieu’ which can be applied to other aspects of the job environment such as task-based milieu, role-based milieu, or physical environmental milieu. 相似文献
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Workable pollution abatement policies and effective legislation must be based on sound science. However, despite many years of research, there are still uncertainties about the effects of atmospheric nitrogen compounds on crops and other vegetation. This paper reviews the current state of knowledge of the main compounds, focussing on the concentrations and combinations of pollutants that occur in rural areas. The sources, concentrations and effects of oxidised, reduced and organic nitrogen compounds are considered in turn, then the effects of deposited nitrogen on ecosystems are discussed. Research priorities on the effects of deposited nitrogen in Europe and the USA are compared. Finally, the review leads to a list of issues for discussion and recommendations for research. 相似文献
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Alan E. Donnenfeld MD Johanna van de Woestune Frank Craparo Catherine S. Smith Avi Ludomirsky Stuart Weiner 《黑龙江环境通报》1991,11(4):235-244
Experience with three prenatally diagnosed pregnancies complicated by an acardiac twin reveals that ultrasonography and echocardiography are helpful in detecting early signs of in-utero congestive heart failure in the normal twin. The use of Doppler blood flow analysis to determine direction of blood flow, post-mortem placental and fetal angiography, and umbilical cord blood gas determination provided proof that retrograde arterial perfusion occurs in the acardiac fetus. In a fourth pregnancy, an experimental approach to occlude the acardiac twin's umbilical cord was attempted, but was unsuccessful. 相似文献