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1.
Two patients referred for evaluation of very high maternal serum alpha-fetoprotein (10–20 multiples of the median) were carrying triploid fetuses with placentas showing features of partial hydatidiform mole. The diagnosis of fetal triploidy should be considered when there is a very high maternal serum alpha-fetoprotein and no ultrasound evidence of open neural tube defect, ventral wall defect, or any other explanation. Therefore, chromosomal analysis of amniotic fluid cells in such cases is essential. 相似文献
2.
As screening for Down syndrome becomes increasingly sophisticated, it is important to evaluate the newer technologies in terms of their cost-effectiveness. One recent addition to Down syndrome screening programmes is maternal serum unconjugated oestriol (uE3), especially when used in conjunction with maternal serum α-fetoprotein and human chorionic gonadotropin. Using assumptions used in a California proposal to justify an expanded screening programme for Down syndrome, we calculated both the average and the incremental cost-effectiveness of adding uE3. Using the base case assumptions, including an $8 fee for the uE3, the incremental cost-effectiveness of adding uE3 to the proposed California programme is $119 100 per case detected, a value that compares favourably with other Down syndrome screening programmes. The sensitivity analysis supports this conclusion over a wide range of assumptions. However, because of the uncertainty with some key data, it is still too early to fully support the inclusion of uE3 in Down syndrome screening programmes. 相似文献
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4.
Brian E. Reichert Mylea Bayless Tina L. Cheng Jeremy T. H. Coleman Charles M. Francis Winifred F. Frick Benjamin S. Gotthold Kathryn M. Irvine Cori Lausen Han Li Susan C. Loeb Jonathan D. Reichard Thomas J. Rodhouse Jordi L. Segers Jeremy L. Siemers Wayne E. Thogmartin Theodore J. Weller 《Ambio》2021,50(4):901
Collaborative monitoring over broad scales and levels of ecological organization can inform conservation efforts necessary to address the contemporary biodiversity crisis. An important challenge to collaborative monitoring is motivating local engagement with enough buy-in from stakeholders while providing adequate top-down direction for scientific rigor, quality control, and coordination. Collaborative monitoring must reconcile this inherent tension between top-down control and bottom-up engagement. Highly mobile and cryptic taxa, such as bats, present a particularly acute challenge. Given their scale of movement, complex life histories, and rapidly expanding threats, understanding population trends of bats requires coordinated broad-scale collaborative monitoring. The North American Bat Monitoring Program (NABat) reconciles top-down, bottom-up tension with a hierarchical master sample survey design, integrated data analysis, dynamic data curation, regional monitoring hubs, and knowledge delivery through web-based infrastructure. NABat supports collaborative monitoring across spatial and organizational scales and the full annual lifecycle of bats. 相似文献
5.
Lara A. Roman Tenley M. Conway Theodore S. Eisenman Andrew K. Koeser Camilo Ordez Barona Dexter H. Locke G. Darrel Jenerette Johan
stberg Jess Vogt 《Ambio》2021,50(3):615
The provision of ecosystem services is a prominent rationale for urban greening, and there is a prevailing mantra that ‘trees are good’. However, understanding how urban trees contribute to sustainability must also consider disservices. In this perspective article, we discuss recent research on ecosystem disservices of urban trees, including infrastructure conflicts, health and safety impacts, aesthetic issues, and environmentally detrimental consequences, as well as management costs related to ecological disturbances and risk management. We also discuss tradeoffs regarding species selection and local conservation concerns, as well as the central role of human perception in the interpretation of ecosystem services and disservices, particularly the uncritical assertion that ‘everybody loves trees’. Urban forestry decision-making that fails to account for disservices can have unintended negative consequences for communities. Further research is needed regarding life cycle assessments, stakeholder decision-making, return-on-investment, and framings of services and disservices in urban forestry. 相似文献
6.
Daniel L. Roelke Leslie Schwierzke Bryan W. Brooks James P. Grover Reagan M. Errera Theodore W. Valenti Jr. James L. Pinckney 《Journal of the American Water Resources Association》2010,46(1):76-91
Roelke, Daniel L., Leslie Schwierzke, Bryan W. Brooks, James P. Grover, Reagan M. Errera, Theodore W. Valenti, Jr., and James L. Pinckney, 2010. Factors Influencing Prymnesium parvum Population Dynamics During Bloom Initiation: Results from In-Lake Mesocosm Experiments. Journal of the American Water Resources Association (JAWRA) 46(1):76-91. DOI: 10.1111/j.1752-1688.2009.00392.x Abstract: The alga Prymnesium parvum forms large fish-killing blooms in many Texas lakes. In some of these lakes, however, P. parvum occurs but does not develop blooms. In this study, we investigated factors that may influence bloom initiation by conducting a series of in-lake experiments involving mixing of waters from Lake Whitney, which has a history of P. parvum blooms, with waters from Lake Waco where no blooms have occurred. In all experiments, the addition of Lake Waco waters resulted in a poorer performance of P. parvum. Various experimental treatments and field data show that differences in grazing, pathogens, nutrients, and salts between the two lakes were not likely factors that contributed to this observation. Industrial and agricultural contaminants, allelochemicals and algicidal chemicals were not measured as a part of this research. However, anthropogenic contaminants other than nutrients were not observed at levels exceeding water quality standards in Lake Waco in recent years. On the other hand, nuisance cyanobacteria are common in Lake Waco, where Microcystis sp. and Anabaena sp. were abundant during the initiation of our experiments, both taxa are known to produce chemicals with allelopathic properties. In addition, the emergent field of algal-heterotrophic bacteria interactions suggests that chemicals produced by heterotrophic bacteria should not be overlooked. Further research focusing on the chemical interactions between cyanobacteria and P. parvum, as well as the potential role of algicidal bacteria, in the initiation of P. parvum blooms is necessary, as it may be important to the management of these blooms. 相似文献
7.
David L. MacIntosh James H. Stewart Theodore A. Myatt Joseph E. Sabato George C. Flowers Kirk W. Brown Dennis J. Hlinka David A. Sullivan 《Atmospheric environment (Oxford, England : 1994)》2010,44(2):262-270
CALPUFF is an atmospheric source-receptor model recommended by the U.S. Environmental Protection Agency for use on a case-by-case basis in complex terrain and wind conditions. The ability of the model to provide useful information for exposure assessments in areas with those topographical and meteorological conditions has received little attention. This is an important knowledge gap for use of CALPUFF outside of regulatory applications, such as exposure analyses conducted in support of risk assessments and health studies. We compared deposition of cadmium (Cd), lead (Pb), and zinc (Zn) calculated with CALPUFF as a result of emissions from a zinc smelter with corresponding concentrations of the metals measured in attic dust and soil samples obtained from the surrounding area. On a point-by-point analysis, predictions from CALPUFF explained 11% (lead) to 53% (zinc) of the variability in concentrations measured in attic dust. Levels of heavy metals in soil interpolated to 100 residential addresses from the distribution of concentrations measured in soil samples also agreed well with deposition predicted with CALPUFF: R2 of 0.46, 0.76, and 079 for Pb, Cd, and Zn, respectively. Community-average concentrations of Cd, Pb, and Zn measured in soil were significantly (p < 0.0001) and strongly correlated (R2 ranged from 0.77 to 0.98) with predicted deposition rates. These findings demonstrate that CALPUFF can provide reasonably accurate predictions of the patterns of long-term air pollutant deposition in the near-field associated with emissions from a discrete source in complex terrain. Because deposition estimates are calculated as a linear function of air concentrations, CALPUFF is expected to be reliable model for prediction of long-term average, near-field ambient air concentrations in complex terrain as well. 相似文献
8.
Skene KJ Gent JF McKay LA Belanger K Leaderer BP Holford TR 《Atmospheric environment (Oxford, England : 1994)》2010,44(39):5156-5164
An integrated exposure model was developed that estimates nitrogen dioxide (NO(2)) concentration at residences using geographic information systems (GIS) and variables derived within residential buffers representing traffic volume and landscape characteristics including land use, population density and elevation. Multiple measurements of NO(2) taken outside of 985 residences in Connecticut were used to develop the model. A second set of 120 outdoor NO(2) measurements as well as cross-validation were used to validate the model. The model suggests that approximately 67% of the variation in NO(2) levels can be explained by: traffic and land use primarily within 2 km of a residence; population density; elevation; and time of year. Potential benefits of this model for health effects research include improved spatial estimations of traffic-related pollutant exposure and reduced need for extensive pollutant measurements. The model, which could be calibrated and applied in areas other than Connecticut, has importance as a tool for exposure estimation in epidemiological studies of traffic-related air pollution. 相似文献
9.
Mark L. Kramer Maynard E. Smith Michael J. Butler David E. Seymour Theodore T. Frankenberg 《Journal of the Air & Waste Management Association (1995)》2013,63(6):582-584
Measurements of natural draft cooling tower plume behavior, as well as meteorological variables, were obtained from aircraft flights near major power plants of the American Electric Power System. Persistence of the visible plume to great distances depends essentially on ambient humidity. Atmospheric stability at plume elevation was also important. Cooling tower-induced fog at ground-level was never observed in any of the tests, and aerodynamic downwash of the visible plume was absent also. The cooling towers did cause modification of natural clouds and they occasionally shadowed some local areas from the sun. Merging of the stack and cooling tower plumes was a common occurrence. 相似文献
10.
Brian P. Leaderer Theodore R. Holford Jan A. J. Stolwijk 《Journal of the Air & Waste Management Association (1995)》2013,63(2):154-157
A PM10 monitoring network was established throughout the South Coast Air Basin (SOCAB) in the greater Los Angeles region during the calendar year 1986. Annual average PM10 mass concentrations within the Los Angeles metropolitan area ranged from 47.0 µg m-3 along the coast to 87.4 µg m-3 at Rubldoux, the furthest inland monitoring station. Measurements made at San Nicolas Island suggest that regional background aerosol contributes between 28 to 44 percent of the PM10 aerosol at monitoring sites In the SOCAB over the long term average. Five major aerosol components (carbonaceous material, NO- 3, SO= 4, NH+ 4, and soil-related material) account for greater than 80 percent of the annual average PM10 mass at all on-land monitoring stations. Peak 24-h average mass concentrations of nearly 300 µg m-3 were observed at inland locations, with lower peak values (?130–150 µg m-3) measured along the coast. Peak-day aerosol composition was characterized by increased NO- 3 Ion and associated ammonium ion levels, as compared to the annual average. There appears to be only a weak dependence of PM10 mass concentration on season of the year. This lack of a pronounced seasonal dependence results from the complex and contradictory seasonal variations in the major chemical components (carbonaceous material, nitrate, sulfate, ammonium ion and crustal material). At most sites within the Los Angeles metropolitan area, PM10 mass concentrations exceeded both the annual and 24-h average federal and state of California PM10 regulatory standards. 相似文献