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711.
Since the completion of the Management of Myelomeningocoele Study, maternal-fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high-grade evidence.  相似文献   
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复林项目的成本决定了它们与其它减轻大气中日益增加的CO2浓度的方法的竞争力.我们量化了南美两国--厄瓜多尔和阿根廷--人工林和次生林地上生物量和土壤中的碳获取量,并计算了短期碳获取成本.每短期认证减排单位成本为0.1~2.7美元/Mg CO2,主要取决于机会成本、立地适宜性、贴现率和认证成本.在厄瓜多尔,次生林是一种可行并合算的方法;在阿根延,在适宜性高的土地上进行复林相对便宜一些.我们的研究结果可用于设计有成本效益的CO2汇项目和为土地所有者协商公平的碳价格.  相似文献   
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通过调节汽油中铅的使用来控制人体血铅浓度   总被引:2,自引:0,他引:2  
在20世纪60~70年代,铅排放一直保持着最大速率,之后,由于工业国家采取了日益严格的政策来限制铅作为防爆剂在汽油中使用,使得含铅汽油已经变得很少见了.我们利用欧洲铅排放量(PbE)和空气浓度(PbC)的重建及对约1980年以来德国人体血铅浓度(PbB)的重复测定,建立了一个可由铅排放量(PbE)估计人体血铅浓度(PbB)的经验模型.采用这一模型有两种用途[1]估计六七十年代德国的PbB水平,当时铅排放量最大而人体血铅水平监测尚未开始.结果显示,血铅峰值已经达到了卫生官员认为对胎儿和儿童有潜在危害的平均水平.[2]估计PbB水平将如何因有关汽油中铅使用的法规的实施而变化.模型估计,如果没有或延迟法规,PbB水平将远远超过临界水平.因此,自20世纪70年代以来,德国制定的法规已经明显降低了铅对健康的危害.  相似文献   
719.
We evaluated the feasibility, reliability, and acceptability of prenatal diagnosis of haemophilia A by DNA analysis of chorionic villi. Twenty-two women at risk to transmit the abnormal gene were referred for prenatal diagnosis, two of them twice. Two of the 22 women appeared to be non-carriers by DNA analysis. In one of these women, the results were known only after chorionic villus sampling had been carried out. Thirteen of the twenty carriers were heterozygous for an intragenic (Bell or Xbal) marker; six women were only heterozygous for the extragenic DXS52 (Stl4) locus. One of the women was homozygous for all the presently known DNA markers within or closely linked with the factor VIII locus. Twelve of the 22 fetuses at risk were male, ten were female. Seven of the 12 male fetuses were shown to be affected and were subsequently aborted. Four male fetuses appeared to be not affected. In one case, the diagnosis was made by use of an extragenic marker. The woman rejected fetal blood sampling to confirm the diagnosis. After birth, a normal factor VIII level was found in three of the four cases. The fourth pregnancy is still continuing. In one of the 12 male fetuses, no diagnosis at the gene level was possible. DNA analysis is expected to provide maximum certainty as to the phenotype of the fetus for approximately 60 per cent of the women; for another 37 per cent a rate of misdiagnosis of 4–5 per cent applies. In only 3 per cent of the cases will no diagnosis at the gene level be possible as yet. The new possibility of a prenatal diagnosis in the first trimester of pregnancy enabled some of these women to have a family of their own and was appreciated in particular by the women who underwent fetoscopy in an earlier pregnancy.  相似文献   
720.
The modern theory of biological evolution: an expanded synthesis   总被引:12,自引:2,他引:12  
In 1858, two naturalists, Charles Darwin and Alfred Russel Wallace, independently proposed natural selection as the basic mechanism responsible for the origin of new phenotypic variants and, ultimately, new species. A large body of evidence for this hypothesis was published in Darwins Origin of Species one year later, the appearance of which provoked other leading scientists like August Weismann to adopt and amplify Darwins perspective. Weismanns neo-Darwinian theory of evolution was further elaborated, most notably in a series of books by Theodosius Dobzhansky, Ernst Mayr, Julian Huxley and others. In this article we first summarize the history of life on Earth and provide recent evidence demonstrating that Darwins dilemma (the apparent missing Precambrian record of life) has been resolved. Next, the historical development and structure of the modern synthesis is described within the context of the following topics: paleobiology and rates of evolution, mass extinctions and species selection, macroevolution and punctuated equilibrium, sexual reproduction and recombination, sexual selection and altruism, endosymbiosis and eukaryotic cell evolution, evolutionary developmental biology, phenotypic plasticity, epigenetic inheritance and molecular evolution, experimental bacterial evolution, and computer simulations (in silico evolution of digital organisms). In addition, we discuss the expansion of the modern synthesis, embracing all branches of scientific disciplines. It is concluded that the basic tenets of the synthetic theory have survived, but in modified form. These sub-theories require continued elaboration, particularly in light of molecular biology, to answer open-ended questions concerning the mechanisms of evolution in all five kingdoms of life.Dedicated to Prof. Dr. Dr. hc mult. Ernst Mayr on the occasion of his 100th birthdayThis revised version was published online in March 2004, with corrections to the caption of Figure 6.  相似文献   
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