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171.
Turner syndrome (TS), a common chromosomal abnormality affecting females, is associated with partial or complete loss of the second sex chromosome. Although the classic karyotype is 45, X, the detection of mosaic TS is increasing. TS is a multi-system disorder with significant endocrine, cardiovascular and reproductive impacts. Accelerated ovarian follicular loss leads to primary amenorrhoea or premature ovarian insufficiency and infertility. Early diagnosis and counselling regarding hormone replacement therapy and future reproductive capacity, including fertility preservation, are essential to improve reproductive outcomes. Pubertal induction or estrogen replacement is usually required to optimise long-term health outcomes; however, initiation may be delayed due to delayed diagnosis. Spontaneous pregnancy occurs in a small number of women; however, many require donor oocytes and assisted reproductive technology to achieve a pregnancy. Pregnancy is a high risk especially when associated with congenital heart disease. Prepregnancy counselling by the multidisciplinary team (MDT) to identify contraindications and optimise pre-existing health issues is essential. Pregnancy management should be led by a maternal-fetal medicine unit with input from the MDT. This review examines reproductive health outcomes in women with TS and how best to manage them to reduce health risks and improve maternal and neonatal outcomes.  相似文献   
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Moeller DA  Geber MA  Eckhart VM  Tiffin P 《Ecology》2012,93(5):1036-1048
Mutualisms are well known to influence individual fitness and the population dynamics of partner species, but little is known about whether they influence species distributions and the location of geographic range limits. Here, we examine the contribution of plant-pollinator interactions to the geographic range limit of the California endemic plant Clarkia xantiana ssp. xantiana. We show that pollinator availability declined from the center to the margin of the geographic range consistently across four years of study. This decline in pollinator availability was caused to a greater extent by variation in the abundance of generalist rather than specialist bee pollinators. Climate data suggest that patterns of precipitation in the current and previous year drove variation in bee abundance because of its effects on cues for bee emergence in the current year and the abundance of floral resources in the previous year. Experimental floral manipulations showed that marginal populations had greater outcross pollen limitation of reproduction, in parallel with the decline in pollinator abundance. Although plants are self-compatible, we found no evidence that autonomous selfing contributes to reproduction, and thus no evidence that it alleviates outcross pollen limitation in marginal populations. Furthermore, we found no association between the distance to the range edge and selfing rate, as estimated from sequence and microsatellite variation, indicating that the mating system has not evolved in response to the pollination environment at the range periphery. Overall, our results suggest that dependence on pollinators for reproduction may be an important constraint limiting range expansion in this system.  相似文献   
175.
Assessing Public Perceptions of Computer-Based Models   总被引:1,自引:1,他引:0  
Although there is a solid body of research on both collaborative decision-making and on processes using models, there is little research on general public attitudes about models and their use in making policy decisions. This project assessed opinions about computer models in general and attitudes about a specific model being used in water planning in the Middle Rio Grande Region of New Mexico, United States. More than 1000 individuals were surveyed about their perceptions of computer-based models in general. Additionally, more than 150 attendees at public meetings related to the Middle Rio Grande planning effort were surveyed about their perceptions of the specific Rio Grande-based model. The results reveal that the majority of respondents are confident in their ability to understand models and most believe that models are appropriate tools for education and for making policy decisions. Responses also reveal that trust in who develops a model is a key issue related to public support. Regarding the specific model highlighted in this project, the public revealed tremendous support for its usefulness as a public engagement tool as well as a tool to assist decision-makers in regional water planning. Although indicating broad support for models, the results do raise questions about the role of trust in using models in contentious decisions.  相似文献   
176.
Estimation of nutrient load production based on multi-temporal remotely sensed land use data for the Glenelg-Hopkins region in south-west Victoria, Australia, is discussed. Changes in land use were mapped using archived Landsat data and computerised classification techniques. Land use change has been rapid in recent history with 16% of the region transformed in the last 22 years. Total nitrogen and phosphorus loads were estimated using an export coefficient model. The analysis demonstrates an increase in modelled nitrogen and phosphorus loadings from 1980 to 2002. Whilst such increases were suspected from past anecdotal and ad-hoc evidence, our modelling estimated the magnitude of such increases and thus demonstrated the enormous potential of using remote sensing and GIS for monitoring regional scale environmental processes.  相似文献   
177.
To stem rising remediation costs for soils contaminated with hazardous metals, increased emphasis is being placed on the development of in-situ and ex-situ treatment technologies. Often, a lack of basic information on the chemical and physical characteristics of the soil and contaminants hampers treatability studies used to design these technologies. This article proposes and demonstrates a characterization program to meet these information needs, employing standard analytical techniques coupled with advanced spectroscopy and microscopy techniques. To support treatments involving physical separation strategies, the program uses standard analytical techniques to characterize the soil and the association of contaminants with different soil fractions (e.g., size and density fractions). Where chemical treatments are required, spectroscopy and microscopy methods are employed to yield quantitative information on the oxidation state and speciation of the contaminant. Examples demonstrate the use of measured soil and contaminant characteristics in the screening of alternative treatment technologies and in the selection of soils for use in treatability studies. Also demonstrated is the use of these characterization tools in the design and optimization of treatment strategies and in support of risk assessment determinations.  相似文献   
178.
Bioassays were conducted in 2001 and 2002 to estimate toxicities and dose-response relationships of 24 Bemisica tabaci Gennadius populations to pyriproxifen, acemitaprid, and diafenthiuron. LC50s ranging from 0.014 to 0.096 mgL(-1), 0.60 to 1.3 mgL(-1), and 3.5 to 6.7 mgL(-1) were observed respectively for pyriproxifen, acemitaprid, and diafenthiuron. These LC50s much lower than the field doses recommended for each compound. A fast increase in rates of mortality within a narrow range of lethal concentrations was observed for each compound. indicating that all three compounds were highly effective at killing whiteflies. In a separate experiment, pyriproxifen, acemitaprid, and diafenthiuron were tested in 2001 and 2002 to compare their effectiveness and assess their impact on parasitism in the field. In both years all three compounds significantly prevented B. tabaci populations from reaching economic injury levels in cotton and minimized adverse effects on parasitism. Our results provide for the first time baseline toxicological, field efficacy, and effect on parasitism data for pyriproxifen, acemitaprid, and diafenthiuron against B. tabaci in West Africa. These compounds should be included in a resistance management program of the cotton pest complex and their use should be restricted to prevent the building of resistance in B. tabaci populations.  相似文献   
179.
The rate and extent of deterioration of starch-plastic composites were determined over a 2-year period for samples buried in a municipal solid waste landfill. The deterioration of the starch-plastic composites following exposure was determined by measuring changes in tensile properties, weight loss, and starch content of samples retrieved from the landfill. Elongation decreases of 92 and 44% were measured for starch-plastic composite LDPE and LLDPE films, respectively, while elongation decreases of 54 and 21% were measured for their corresponding control films following 2 years of burial. Starch loss of 25% for LLDPE and 33% for LDPE starch-plastic composite films was measured following 2 years of landfill burial. Starch-plastic composites did not fragment or lose mass during the 2-year landfill burial. The limited degradation observed for the starch-plastic composites was attributed to the ineffectiveness of the prooxidant additive to catalyze the thermal oxidation of the polyethylene or polypropylene component of the starch-plastic composite under the environmental conditions present within the landfill.  相似文献   
180.
Economic evaluations of restored or enhanced lakes in Florida indicated gravity drawdown was the least expensive action, whereas effluent diversion was 10,000 times more costly on a per hectare basis, with the other lake treatment costs occurring in the following order: gravity drawdown < grass carp introduction < mechanical drawdown < aeration < stormwater control = drawdown-dredging < effluent diversion. Within a particular treatment category, the costs spanned approximately one and one half orders of magnitude. Contrary to the abundant cost data, which permitted an economic analysis, inappropriate statistical design and lack of commitment toward sampling Florida's restored lakes undermines attempts to understand long-term water quality responses to various enhancement techniques. Using Lake Tohopekaliga as a case study, ordinary statistical tests produced contradictory and unreliable interpretations on the effectiveness of drawdown and phosphorus removal at sewage treatment plants in improving the trophic state index. This emphasizes the need for more robust statistical approaches and more detailed data collection in evaluating lake restoration activities It is unfortunate for Florida's lake restoration program that quantitative conclusions based on inferential statistics, replete with tests of assumptions, is limited to very few lakes  相似文献   
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