This study provides data on the incidence of fetal trisomies 21, 18, and 13 at 9–14 weeks' gestation in women aged 35–45 years and estimates of maternal age-specific risks in women aged 20–45 years. Our data from 5814 singleton pregnancies undergoing first-trimester karyotyping for the sole indication of maternal age ⩾ 35 years were combined with those from two previous reports and the incidence of the trisomies was calculated from a total of 15 793 pregnancies. Comparison of incidences at 9–14 weeks' gestation with published data at 15–20 weeks' gestation and in livebirths demonstrated that at birth the maternal age-specific incidence of trisomy 21 is 33 per cent lower than at 15–20 weeks' gestation and 54 per cent lower than at 9–14 weeks' gestation. Furthermore, the relative frequency of trisomies 18 and 13 decreases from 30 per cent at 9–14 weeks to 22 per cent at 15–20 weeks and 14 per cent at birth. 相似文献
The neonatal incidence rate of Down syndrome (DS) is well-known to accelerate strongly with maternal age. This non-linearity
renders mere accumulation of defects at recombination during prolonged first meiotic prophase implausible as an explanation
for DS rate increase with maternal age, but might be anticipated from chromosomal drive (CD) for trisomy 21. Alternatively,
as there is selection against genetically disadvantaged embryos, the screening system that eliminates embryos with trisomy
21 might decay with maternal age. In this paper, we provide the first evidence for relaxed filtering stringency (RFS) to represent
an adaptive maternal response that could explain accelerating DS rates with maternal age. Using historical data, we show that
the proportion of aberrant live births decrease with increased family size in older mothers, that inter-birth intervals are
longer before affected neonates than before normal ones, and that primiparae exhibit elevated levels of DS incidence at higher
age. These findings are predicted by adaptive RFS but cannot be explained by the currently available alternative non-adaptive
hypotheses, including CD. The identification of the relaxation control mechanism and therapeutic restoration of a stringent
screen may have considerable medical implications. 相似文献
Objective: This study investigated drivers' evaluation of a conventional autonomous emergency braking (AEB) system on high and reduced tire–road friction and compared these results to those of an AEB system adaptive to the reduced tire–road friction by earlier braking. Current automated systems such as the AEB do not adapt the vehicle control strategy to the road friction; for example, on snowy roads. Because winter precipitation is associated with a 19% increase in traffic crashes and a 13% increase in injuries compared to dry conditions, the potential of conventional AEB to prevent collisions could be significantly improved by including friction in the control algorithm. Whereas adaption is not legally required for a conventional AEB system, higher automated functions will have to adapt to the current tire–road friction because human drivers will not be required to monitor the driving environment at all times. For automated driving functions to be used, high levels of perceived safety and trust of occupants have to be reached with new systems. The application case of an AEB is used to investigate drivers' evaluation depending on the road condition in order to gain knowledge for the design of future driving functions.
Methods: In a driving simulator, the conventional, nonadaptive AEB was evaluated on dry roads with high friction (μ = 1) and on snowy roads with reduced friction (μ = 0.3). In addition, an AEB system adapted to road friction was designed for this study and compared with the conventional AEB on snowy roads with reduced friction. Ninety-six drivers (48 males, 48 females) assigned to 5 age groups (20–29, 30–39, 40–49, 50–59, and 60–75 years) drove with AEB in the simulator. The drivers observed and evaluated the AEB's braking actions in response to an imminent rear-end collision at an intersection.
Results: The results show that drivers' safety and trust in the conventional AEB were significantly lower on snowy roads, and the nonadaptive autonomous braking strategy was considered less appropriate on snowy roads compared to dry roads. As expected, the adaptive AEB braking strategy was considered more appropriate for snowy roads than the nonadaptive strategy. In conditions of reduced friction, drivers' subjective safety and trust were significantly improved when driving with the adaptive AEB compared to the conventional AEB. Women felt less safe than men when AEB was braking. Differences between age groups were not of statistical significance.
Conclusions: Drivers notice the adaptation of the autonomous braking strategy on snowy roads with reduced friction. On snowy roads, they feel safer and trust the adaptive system more than the nonadaptive automation. 相似文献
Forest ecosystems may be actively managed toward heterogeneous stand structures to provide both economic (e.g., wood production
and carbon credits) and environmental benefits (e.g., invasive pest resistance). In order to facilitate wider adoption of
possibly more sustainable forest stand structures, defining growth expectations among alternative management scenarios is
crucial. To estimate the effect of tree size and spatial distributions on growth for forest structures commonly considered
in uneven-aged forest stand management, large (0.2 ha+) plots were established in 14 uneven-aged ponderosa pine stands in
eastern Montana. All study trees were stem-mapped and measured for diameter and 10-year sapwood and basal area increment.
A generalized growth model was developed to predict both total and merchantable 10-year basal area increment for nine hypothetical
stand structures [three diameter distributions (reverse-J, irregular, flat) × three spatial distributions (clumpy, partial
clumpy, uniform)]. Results indicate that the size and spatial distributions of individual trees have a considerable effect
on overall stand growth. The greatest total stand growth was in stands with reverse “J” shaped tree size distributions, while
the greatest merchantable stand growth was in stands with “flat” diameter distributions and uniform spatial distributions.
Through better comprehension of generalized uneven-aged stand growth dynamics, forest managers may better assess the effects
of alternative stand structures on stand growth while providing forest stand structures that may be more resilient in a changing
climate. 相似文献