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431.
432.
The American College of Obstetricians and Gynecologists currently recommends that all pregnant women be offered screening for chromosomal abnormalities, regardless of maternal age. Traditional screening tests have detection rates ranging from 85% to 90% and false-positive rates of 3% to 5%. A woman with an abnormal noninvasive test is offered a diagnostic test, but diagnostic tests are associated with a risk of pregnancy loss. Recently, analysis of cell-free fetal DNA (cffDNA) in maternal blood has been shown to have potential for the accurate detection of some of the common fetal autosomal aneuploidies. As part of a technology assessment for the California Technology Assessment Forum, we critically reviewed the evidence for the use of cffDNA as a prenatal screening test. We evaluated the evidence for its use as either a ‘primary’ or an ‘advanced’ screening test and for its use in screening for three different trisomies: 21, 18, and 13. We evaluated whether the use of cffDNA met established technology assessment criteria and established conclusions about evidence-based use of this new technology. © 2013 John Wiley & Sons, Ltd. 相似文献
433.
This paper discusses the findings of a small scale research project which explored the possibility of adopting eco-design techniques. The paper focuses on identifying how eco-design techniques can be determined as being compatible with new product development processes. Via the development of a five stage ‘applicability framework’, this study demonstrates how a compatible suite of tools can be identified for application to product development processes. Testing and validation of this ‘applicability framework’, which was used to identify three key eco-design techniques; namely checklists, guidelines, and a material, energy and toxicity (MET) matrix, is shown to have taken place in relation to the development of a lightweight chemical detector product. It is established that checklists, guidelines and the MET matrix can be used both on a specific product, and also more generally in the design process. In particular, the MET matrix is shown as being used to successfully identify key environmental aspects of the product during its lifetime. The paper concludes by arguing that eco-design techniques may not have been more widely adopted by businesses because such methods are not necessarily generic and immediately applicable, but instead require some form of process-specific customisation prior to use, which can in turn act as a barrier to adoption. It is also highlighted that the shear diversity of pressures that come to bear during the product development process can also act as a barrier to adoption, and that the full integration of eco-design techniques will have to encompass approaches which overcome such pressures. 相似文献
434.
Viola Seravalli Eric B. Jelin Jena L. Miller Aylin Tekes Luca Vricella Ahmet A. Baschat 《黑龙江环境通报》2017,37(10):1046-1049
Fetoscopic endotracheal occlusion (FETO) is a prenatal treatment that may increase survival in severe congenital diaphragmatic hernia (CDH). In the USA, FETO is offered for isolated severe left-sided CDH in the context of an FDA-approved feasibility study. FETO in non-isolated cases of severe CDH is only performed with a compassionate use exemption from US regulatory bodies. Anomalies frequently associated with CDH include congenital cystic lesions of the lung and cardiac defects. We describe two cases of non-isolated severe left-sided CDH that underwent prenatal FETO, survived after birth and underwent postnatal surgical repair. The potential benefit of FETO in this setting is discussed. © 2017 John Wiley & Sons, Ltd. 相似文献
435.
436.
The rising concentration of carbon dioxide [CO2] in the atmosphere represents an increase in a growth-limiting resource for C3 crop species. Identification of lines or characteristics of lines which have superior yield at elevated [CO2] could aid in adaptation to this global change. While intraspecific variation in responses to elevated [CO2] has been found in several species, intraspecific differences in crop yield responses to elevated [CO2] under field conditions have seldom been documented. In this 4-year study, the responses of photosynthesis, growth, pod number, seed number and size, and seed yield to the elevation of [CO2] to 180 μmol mol−1 above the current ambient concentration were examined in four varieties of Phaseolus vulgaris in the field, using open-top chambers. There was a significant variety by [CO2] interaction for seed yield, with seed yield at elevated [CO2] ranging from 0.89 to 1.39 times that at ambient [CO2] (mean 1.17×) in the different varieties, when averaged over 4 years. The highest yielding variety at elevated [CO2] was not the highest yielding variety at ambient [CO2]. The varieties with the largest and smallest yield responses both had an indeterminate growth habit. Down-regulation of photosynthesis at elevated [CO2] only occurred in the two indeterminate varieties, and there was no significant correlation between the response of single leaf photosynthetic rate and the response of seed yield to elevated [CO2] among varieties, nor between the responses of stem mass and seed yield. The change in the number of pods at elevated [CO2] was the primary determinant of the response of seed yield. These results indicate that significant variation in the response of seed yield to elevated [CO2] under field conditions does exist among varieties of P. vulgaris, and that variation in the response of pod and seed number may be more important than variation in photosynthetic response. 相似文献
437.
Nazario D. Ramírez‐Beltran Joan Manuel Castro Eric Harmsen Ramón Vásquez 《Journal of the American Water Resources Association》2008,44(4):847-865
Abstract: A practical methodology is proposed to estimate the three‐dimensional variability of soil moisture based on a stochastic transfer function model, which is an approximation of the Richard’s equation. Satellite, radar and in situ observations are the major sources of information to develop a model that represents the dynamic water content in the soil. The soil‐moisture observations were collected from 17 stations located in Puerto Rico (PR), and a sequential quadratic programming algorithm was used to estimate the parameters of the transfer function (TF) at each station. Soil texture information, terrain elevation, vegetation index, surface temperature, and accumulated rainfall for every grid cell were input into a self‐organized artificial neural network to identify similarities on terrain spatial variability and to determine the TF that best resembles the properties of a particular grid point. Soil moisture observed at 20 cm depth, soil texture, and cumulative rainfall were also used to train a feedforward artificial neural network to estimate soil moisture at 5, 10, 50, and 100 cm depth. A validation procedure was implemented to measure the horizontal and vertical estimation accuracy of soil moisture. Validation results from spatial and temporal variation of volumetric water content (vwc) showed that the proposed algorithm estimated soil moisture with a root mean squared error (RMSE) of 2.31% vwc, and the vertical profile shows a RMSE of 2.50% vwc. The algorithm estimates soil moisture in an hourly basis at 1 km spatial resolution, and up to 1 m depth, and was successfully applied under PR climate conditions. 相似文献
438.
Evaluating Alternative Temporal Survey Designs for Monitoring Wetland Area and Detecting Changes Over Time in California
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Leila G. Lackey Eric D. Stein 《Journal of the American Water Resources Association》2015,51(2):388-399
Evaluation of wetland extent and changes in extent is a foundation of many wetland monitoring and assessment programs. Probabilistic sampling and mapping provides a cost‐effective alternative to comprehensive mapping for large geographic areas. One unresolved challenge for probabilistic or design‐based approaches is how best to monitor both status (e.g., extent at a single point in time) and trends (e.g., changes in extent over time) within a single monitoring program. Existing wetland status and trends (S&T) monitoring programs employ fixed sampling locations; however, theoretical evaluation and limited implementation in other landscape monitoring areas suggest that alternative designs could increase statistical efficiency and overall accuracy. In particular, designs that employ both fixed and nonfixed sampling locations (alternately termed permanent and temporary samples), termed sampling with partial replacement (SPR), are considered to efficiently and effectively balance monitoring current status with detection of trends. This study utilized simulated sampling to assess the performance of fixed sampling locations, SPR, and strictly nonfixed designs for monitoring wetland S&T over time. Modeled changes in wetland density over time were used as inputs for sampling simulations. In contrast to previous evaluations of SPR, the results of this study support the use of a fixed sampling design and show that SPR may underestimate both S&T. 相似文献
439.
Influence of Riparian Seepage Zones on Nitrate Variability in Two Agricultural Headwater Streams
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Mark R. Williams Anthony R. Buda Herschel A. Elliott Kamini Singha James Hamlett 《Journal of the American Water Resources Association》2015,51(4):883-897
Riparian seeps have been recognized for their contributions to stream flow in headwater catchments, but there is limited data on how seeps affect stream water quality. The objective of this study was to examine the effect of seeps on the variability of stream NO3‐N concentrations in FD36 and RS, two agricultural catchments in Pennsylvania. Stream samples were collected at 10‐m intervals over reaches of 550 (FD36) and 490 m (RS) on 21 occasions between April 2009 and January 2012. Semi‐variogram analysis was used to quantify longitudinal patterns in stream NO3‐N concentration. Seep water was collected at 14 sites in FD36 and 7 in RS, but the number of flowing seeps depended on antecedent conditions. Seep NO3‐N concentrations were variable (0.1‐29.5 mg/l) and were often greater downslope of cropped fields compared to other land uses. During base flow, longitudinal variability in stream NO3‐N concentrations increased as the number of flowing seeps increased. The influence of seeps on the variability of stream NO3‐N concentrations was less during storm flow compared to the variability of base flow NO3‐N concentrations. However, 24 h after a storm in FD36, an increase in the number of flowing seeps and decreasing streamflow resulted in the greatest longitudinal variability in stream NO3‐N concentrations recorded. Results indicate seeps are important areas of NO3‐N delivery to streams where targeted adoption of mitigation measures may substantially improve stream water quality. 相似文献
440.