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1.
Chorionic villus sampling (CVS) with either transcervical catheters or transabdominal needles is a widely-accepted method for prenatal diagnosis. However, there exists a small subset of patients in whom sampling is difficult or impossible with either route because of individual anatomic variations. A new method of chorionic villus biopsy has been developed to circumvent these problems, utilizing transvaginal chorionic needle aspiration guided by an intravaginal ultrasound probe. This technique was performed successfully in 15 patients in whom villi could not be obtained by either of the conventional methods. This method now makes CVS possible in essentially all women regardless of their uterine anatomy or placental placement; it may also prove useful for very early chorionic sampling.  相似文献   
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Estimation of maternal serum alpha-fetoprotein (AFP) was used as a screening method for the detection of neural tube defects (NTDs) in 6344 women over three years. Of 88 (1.4 per cent) who had one or more serum AFP levels equal to, or greater than, 2.5 multiples of the median (MoM) for the relevant gestational age, 43 (0.68 per cent) underwent amniocentesis. There were eight NTDs. Four of these were screened by serum AFP, and all cases of spina bifida had serum AFP levels greater than 3.0 MoM, including one small open defect which was not seen on ultrasound. The other four cases of NTD, which were not screened, were identified by ultrasound. Of 64 singleton pregnancies 32 (50 per cent) had serum AFP levels between 2.5 and 3.0 MoM, and low birthweight (⪕2500 g) occurred in 29 per cent. Because of improvements in ultrasound techniques and the apparent falling incidence of NTD, the role of serum AFP as the primary screening procedure should be regularly reviewed. Effective screening is dependent on mothers booking early.  相似文献   
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Environmental Science and Pollution Research - Methylmercury (MeHg) is a well-known environmental pollutant associated with neurological and developmental deficits in animals and humans. However,...  相似文献   
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Mercury is a trace element that is potentially dangerous due its high toxicity and tendency to bioaccumulate in organisms. Currently, high mercury concentrations are seen in the environment especially due climate changes. Studies regarding mercury bioavailability in the southwestern Atlantic Ocean using tuna and tuna-like species are rare. The aim of the present study was to use tuna and tuna-like species (Thunnus atlanticus, Thunnus albacares, Katsuwonus pelamis, Euthynnus alletteratus, Coryphaena hippurus and Sarda sarda) as indicators of the availability of total mercury (THg) in oceanic food webs of the southwestern Atlantic Ocean. THg concentrations varied significantly among species for both muscle and liver (Kruskal–Wallis test; H5,130 = 52.7; p < 0.05; H5,130 = 50.1; p < 0.05, respectively). The lowest concentrations were found in C. hippurus (0.008 mg kg−1 wet weight in the muscle and 0.003 mg kg−1 wet weight in the liver), and the highest concentrations were reported in the muscle of T. atlanticus (1.3 mg kg−1 wet weight) and in the liver of S. sarda (2.5 mg kg−1 wet weight). The continued monitoring of tuna and tuna-like species is necessary to assist in their conservation since tuna can be sentinels of mercury pollution.  相似文献   
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Environmental Science and Pollution Research - Water contamination by discharge of untreated or poorly treated wastewater into water bodies is a current issue that may cause harm to humans. Water...  相似文献   
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Environmental Science and Pollution Research - Lead acid battery (LAB) scrap management is an important issue both environmentally and economically. The recovery of lead from battery scrap leads to...  相似文献   
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Environmental Science and Pollution Research - The reduction of estrogen levels, as a result of menopause, is associated with the development of metabolic diseases caused by alterations in...  相似文献   
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This paper deals with the use of simplified methods to predict methane generation in tropical landfills. Methane recovery data obtained on site as part of a research program being carried out at the Metropolitan Landfill, Salvador, Brazil, is analyzed and used to obtain field methane generation over time. Laboratory data from MSW samples of different ages are presented and discussed; and simplified procedures to estimate the methane generation potential, Lo, and the constant related to the biodegradation rate, k are applied. The first order decay method is used to fit field and laboratory results. It is demonstrated that despite the assumptions and the simplicity of the adopted laboratory procedures, the values Lo and k obtained are very close to those measured in the field, thus making this kind of analysis very attractive for first approach purposes.  相似文献   
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