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Intrauterine fetal growth restriction (IUGR) is an important pregnancy complication associated with significant adverse clinical outcome, stillbirth, perinatal morbidity and cerebral palsy. To date, no uniformly accepted management protocol of Doppler surveillance that reduces mortality and cognitive morbidity has emerged. Aortic isthmus (AoI) evaluation has been proposed as a potential monitoring tool for IUGR fetuses. In this review, the current knowledge of the relationship between AoI Doppler velocimetry and preterm fetal growth restriction is reviewed. Relevant technical aspects and reproducibility data are reviewed as we discuss AoI Doppler and its place within the existing repertoire of Doppler assessments in placental insufficiency. The AoI is a link between the right and left ventricles which perfuse the lower and upper body, respectively. The clinical use of AoI waveforms for monitoring fetal deterioration in IUGR has been limited, but preliminary work suggests that abnormal AoI impedance indices are an intermediate step between placental insufficiency-hypoxemia and cardiac decompensation. Further prospective studies correlating AoI indices with arterial and venous Doppler indices and perinatal outcome are required before encorporating this index into clinical practice. Copyright © 2010 John Wiley & Sons, Ltd. 相似文献
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北京市道路积雪污染及特性研究 总被引:1,自引:0,他引:1
通过2009~2012年对北京市区道路旁积雪的取样,分析了积雪中污染物的浓度和特性,并对国内外普遍关注的融雪剂污染问题及其控制进行了初步分析。得出道路积雪中+NH 4-N、TN、TP、COD、SS、Cd等污染物主要来自交通活动,氯化物主要来自氯盐融雪剂;与《地表水环境质量标准》相比,道路积雪中主要污染物为NH+4-N、TN、COD、BOD和氯化物,Cu、Zn、Pb、Cd等重金属的污染水平不高,可达到Ⅴ类水体标准;相同地点近似降水量条件下,积雪中TP、COD、SS的平均浓度高于降雨径流;北京市交通主干道及人行道上喷撒氯盐融雪剂的量高于国外道路,控制其污染主要通过源头减少使用量、使用替代融雪剂、严格融雪剂标准和使用方法、严肃责任追究、加强宣传教育等措施。 相似文献
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This Φ Ψ study of environmental equity uses secondary quantitative data to analyze socioeconomic disparities in environmental
conditions in the Rijnmond region of the Netherlands. The disparities of selected environmental indicators—exposure to traffic
noise (road, rail, and air), NO2, external safety risks, and the availability of public green space—are analyzed both separately and in combination. Not only
exposures to environmental burdens (“bads”) were investigated, but also access to environmental benefits (“goods”). Additionally,
we held interviews and reviewed documents to grasp the mechanisms underlying the environmental equity situation, with an emphasis
on the role of public policy. Environmental equity is not a priority in public policy for the greater Rotterdam region known
as the Rijnmond region, yet environmental standards have been established to provide a minimum environmental quality to all
local residents. In general, environmental quality has improved in this region, and the accumulation of negative environmental
outcomes (“bads”) has been limited. However, environmental standards for road traffic noise and NO2 are being exceeded, probably because of the pressure on space and the traffic intensity. We found an association of environmental
“bads” with income for rail traffic noise and availability of public green space. In the absence of regulation, positive environmental
outcomes (“goods”) are mainly left up to market forces. Consequently, higher-income groups generally have more access to environmental
“goods” than lower-income groups. 相似文献
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Jiaoping Xing Longyi Shao Wenbin Zhang Jianfei Peng Wenhua Wang Cong Hou Shijin Shuai Min Hu Daizhou Zhang 《环境科学学报(英文版)》2019,31(2):339-348
Traffic vehicles, many of which are powered by port fuel injection (PFI) engines, are major sources of particulate matter in the urban atmosphere. We studied particles from the emission of a commercial PFI-engine vehicle when it was running under the states of cold start, hot start, hot stabilized running, idle and acceleration, using a transmission electron microscope and an energy-dispersive X-ray detector. Results showed that the particles were mainly composed of organic, soot, and Ca-rich particles, with a small amount of S-rich and metal-containing particles, and displayed a unimodal size distribution with the peak at 600?nm. The emissions were highest under the cold start running state, followed by the hot start, hot stabilized, acceleration, and idle running states. Organic particles under the hot start and hot stabilized running states were higher than those of other running states. Soot particles were highest under the cold start running state. Under the idle running state, the relative number fraction of Ca-rich particles was high although their absolute number was low. These results indicate that PFI-engine vehicles emit substantial primary particles, which favor the formation of secondary aerosols via providing reaction sites and reaction catalysts, as well as supplying soot, organic, mineral and metal particles in the size range of the accumulation mode. In addition, the contents of Ca, P, and Zn in organic particles may serve as fingerprints for source apportionment of particles from PFI-engine vehicles. 相似文献