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We recently demonstrated whole genome sequencing of a human fetus using only parental DNA samples and plasma from the pregnant mother. This proof-of-concept study demonstrated how samples obtained noninvasively in the first or second trimester can be analyzed to yield a highly accurate and substantially complete genetic profile of the fetus, including both inherited and de novo variation. Here, we revisit our original study from a clinical standpoint, provide an overview of the scientific approach, and describe opportunities and challenges along the path toward clinical adoption of noninvasive fetal whole genome sequencing. © 2013 John Wiley & Sons, Ltd.  相似文献   
113.
INTRODUCTION AND MEthod: This paper describes the concepts behind cost benefit analysis in occupational health and safety and introduces the Productivity Assessment Tool, a method by which an analysis may be performed relatively easily in a service or manufacturing workplace. The advantage of using such analyses is to show the important financial role that safe and efficient workplaces play in the workplace. RESULTS: By using analytical tools, the effectiveness of an intervention (workplace change) may be estimated prior to its introduction. IMPACT ON INDUSTRY: This places occupational health and safety on the same financial footing as other proposed workplace changes and thus places occupational health and safety in a strong position to attract scarce resources.  相似文献   
114.
INTRODUCTION: At some point during their illness, drivers with dementia pose a public safety risk. METHOD: To address the issue of determining driving competence in drivers with dementia, the authors reviewed 11 studies. RESULTS: When comparing different driving assessments, the authors found that while road tests, simulators, and neuropsychological tests are important, each has limitations. CONCLUSION: Neuropsychological tests that highlighted visual spatial skills, attention, and reaction time provided the most meaningful correlations with driving performance. Furthermore, the authors recommend that patients with MMSE scores of 24 or less have a driving evaluation, and that driving evaluations be repeated at six month intervals or more frequently if a noticeable decline is observed. IMPACT: Because many older adults with dementia continue to drive, competence must be addressed.  相似文献   
115.
Movement of liquor constituents from animal-waste lagoons has the potential to degrade ground water quality. The depth of movement and concentrations of lagoon-liquor constituents in the soil underlying three cattle (Bos taurus)-waste retention lagoons and one swine (Sus scrofa)-waste lagoon were determined. Samples were taken by using a direct-push coring machine, dissected by depth, and analyzed for total N, organic C, CaCO3, pH, cation exchange capacity (CEC), texture, and extractable NO3, NH(4), P, Cl, Ca, Mg, K, and Na. Ammonium N concentrations were greatest in the upper 0.5 m of soil under all four lagoons with concentrations ranging from 94 to 1139 mg kg(-1). Organic N was determined to make up between 39 and 74% of the total N beneath all lagoons. The swine lagoon had 2.4 kg N m(-2) in the underlying soil whereas the cattle lagoon with highest quantity of N had 1.2 kg N m(-2) in the underlying soil. Although N concentrations decreased with depth, N was greater than expected background levels at the bottom of some cores, indicating that the sampling efforts did not reach the bottom of the N plume. Nitrate N concentrations were generally less than 5 mg kg(-1) immediately below the lagoon floor. In the uppermost 0.5 m of soil underlying the swine and three cattle lagoons, NH4+ occupied 44% and between 1 and 22% of the soil cation exchange sites, respectively. The depth of movement of N under these lagoons, as much as 4 m, may pose remediation difficulties at lagoon closure.  相似文献   
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Control of sedimentation in large reservoirs requires soil conservation at the catchment scale. In large, heterogeneous catchments, soil conservation planning needs to be based on sound information, and set within the framework of a sediment budget to ensure that all of the potentially significant sources and sinks are considered. The major sources of sediment reaching the reservoir, Lake Argyle, in tropical northwestern Australia, have been determined by combining measured sediment fluxes in rivers with spatial tracer-based estimates of proportional contributions from tributaries of the main stream entering the lake, the Ord River. The spatial tracers used are mineral particle magnetics, the strontium isotopic ratio, and the neodymium isotopic ratio. Fallout of 137Cs has been used to estimate the proportion of the sediment in Lake Argyle eroded from surface soils by sheet and rill erosion, and, by difference, the proportion eroded from subsurface soils by gully and channel erosion. About 96% of the sediment in the reservoir has come from less than 10% of the catchment, in the area of highly erodible soils formed on Cambrian-age sedimentary rocks. About 80% of the sediment in the reservoir has come from gully and channel erosion. A major catchment revegetation program, designed to slow sedimentation in the reservoir, appears to have had little effect because it did not target gullies, the major source of sediment. Had knowledge of the sediment budget been available before the revegetation program was designed, an entirely different approach would have been taken.  相似文献   
118.
ABSTRACT: Historically, storm water management programs and criteria have focused on quantity issues related to flooding and drainage system design. Traditional designs were based on large rainfall‐runoff events such as those having two‐year to 100‐year return periods. While these are key criteria for management and control of peak flows, detention basin designs based on these criteria may not provide optimal quality treatment of storm runoff. As evidenced by studies performed by numerous public and private organizations, the water quality impacts of storm water runoff are primarily a function of more frequent rainfall‐runoff events rather than the less frequent events that cause peak flooding. Prior to this study there had been no detailed investigations to characterize the variability of the more frequent rainfall events on Guam. Also, there was a need to develop some criteria that could be applied by designers, developers, and agency officials in order to reduce the impact of storm water runoff on the receiving bodies. The objectives of this paper were three‐fold: (1) characterize the hourly rainfall events with respect to volume, frequency, duration, and the time between storm events; (2) evaluate the rainfall‐runoff characteristics with respect to capture volume for water quality treatment; and (3) prepare criteria for sizing and designing of storm water quality management facilities. The rainfall characterization studies have provided insight into the characteristics of rainstorms that are likely to produce non‐point source pollution in storm water runoff. By far the most significant fmdings are the development of a series of design curves that can be used in the actual sizing of storm water detention and treatment facilities. If applied correctly, these design curves could lead to a reduction of non‐point source pollution to Guam's streams, estuaries, and coastal environments.  相似文献   
119.
Lennon JT  Cottingham KL 《Ecology》2008,89(4):1001-1014
The rate, timing, and quality of resource supply exert strong controls on a wide range of ecological processes. In particular, resource-mediated changes in microbial activity have the potential to alter ecosystem processes, including the production and respiration of organic matter. In this study, we used field experiments and simulation modeling to explore how aquatic heterotrophic bacteria respond to variation in resource quality (low vs. high) and resource schedule (pulse vs. press). Field experiments revealed that one-time pulse additions of resources in the form of dissolved organic carbon (DOC) caused short-lived (< or =48 h) peaks in bacterial productivity (BP), which translated into large differences across treatments: cumulative BP was twice as high in the pulse vs. press treatment under low resource quality, and five times as high under high resource quality. To gain a more mechanistic understanding of microbial productivity in variable resource environments, we constructed a mathematical model to explore the attributes of bacterial physiology and DOC supply that might explain the patterns observed in our field experiments. Model results suggest that the mobilization rate of refractory to labile carbon, an index of resource quality, was critical in determining cumulative differences in BP between pulse and press resource environments (BPPu:Pr ratios). Moreover, BPPu:Pr ratios were substantially larger when our model allowed for realistic changes in bacterial growth efficiency as a function of bacterial carbon consumption. Together, our field and modeling results imply that resource schedule is important in determining the flow of material and energy from microbes to higher trophic levels in aquatic food webs, and that the effects of resource quality are conditional upon resource schedule. An improved understanding of the effects of resource variability on microorganisms is therefore critical for predicting potential changes in ecosystem functioning in response to environmental change, such as altered DOC fluxes from terrestrial to aquatic ecosystems.  相似文献   
120.
This study examined the relative impacts of different human activities and natural resource protections on the spatial distribution of beach vegetation and related habitat features (wrack, dune succession) in New Jersey (USA). Field surveys of the 209-km shoreline categorized beach segments according to vegetation cover classes, human activities, protection measures (exclosures, beach management plans, access restrictions) and ownership status (federal, state, etc.). A partition model (classification tree) was used to confirm the relative dominance hierarchy of human actions on the distribution of beach vegetation observed, and quantitative comparisons of dominant activities were conducted using vegetation data collected on 218 transects. The spatial extent of beach vegetation was found to be severely restricted by human activities when unconstrained by resource protections. The greatest reductions were found to result from mechanical raking (?99 %), scraping (?91 %) and all-year recreational ORV use (?86 %), which were dominant on nearly 70 % of the state shoreline. Beaches containing larger areas of vegetation (>5 m) were concentrated in areas with resource protections of various kinds (99 %), and on federal or other public parklands (68 %). Exclosures resulted in the greatest coverage of vegetation (48 % of beach surface) compared to public access restricted areas (41 %), beach management plans (31 %), government-only ORV use (31 %), and off-season recreational ORVs (15 %). Greater protection and recovery of beach vegetation and habitat is needed for species conservation and erosion protection in New Jersey and other coastal environments where these activities occur.  相似文献   
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