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The in utero course of the anemic fetus has improved dramatically, owing to early diagnosis and cordocentesis transfusion. In utero invasive procedures such as amnio- and cordocentesis have become important modalities in the evaluation and treatment of anemic fetuses. However, they carry risks for both the mother and fetus. A valid and sensitive noninvasive means of following the anemic fetus is the evaluation of changes in the middle cerebral artery peak systolic flow velocity (MCA-PSV). This is a sensitive tool for both the evaluation of fetal anemia and response to treatment. Intracerebral vessels respond earliest to the fetal anemic state, and are readily accessible for ultrasound examination. We describe the methodology and evolving clinical applications of MCA-PSV measurement in the fetus, through an overview of the literature describing the development and application of MCA-PSV measurement in fetuses at risk of fetal anemia of various immune and nonimmune etiologies, illustrated by index cases from our center. MCA-PSV measurement is essential in the diagnosis, evaluation, and management of cases of fetal anemia. The use of this modality lessens the need for invasive procedures. The method is readily accessible and should be integrated into the repertoire of all obstetric ultrasound centers. Copyright © 2006 John Wiley & Sons, Ltd. 相似文献
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J. V. Bonta C. R. Amerman T. J. Harlukowicz W. A. Dick 《Journal of the American Water Resources Association》1997,33(4):907-917
ABSTRACT: A study was conducted to determine the effects of mining and reclaiming originally undisturbed watersheds on surface-water hydrology in three small experimental watersheds in Ohio. Approximately six years of data were collected at each site, with differing lengths of premining (Phase 1), mining and reclamation (Phase 2), and post-reclamation (Phase 3) periods. Mining and reclamation activities showed no consistent pattern iii base-flow, and caused slightly more frequent higher daily flow volumes. Phase 2 activities can cause reductions in seasonal variation in double mass curves compared with Phase 1. Restoration of seasonal variations was noticeably apparent at one site during Phase 3. The responses of the watersheds to rainfall intensities causing larger peak flow rates generally decreased due to mining and reclamation, but tended to exceed responses observed in Phase 1 during Phase 3. Natural Resources Conservation Service (NRCS) curve numbers increased due to mining and reclamation (Phase 2), ranging from 83 to 91. During Phase 3, curve numbers remained approximately constant from Phase 2, ranging from 87 to 91. 相似文献
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William R. Krug 《Journal of the American Water Resources Association》1996,32(4):745-752
ABSTRACT: Streamflow for 67 years was simulated for Coon Creek at Coon Valley, Wisconsin, for three conditions in the drainage basin: (1) conditions in the 1930s; (2) conditions in the 1970s, excluding flood-detention reservoirs; and (3) conditions in the 1970s, including flood-detention reservoirs. These simulations showed that the changes in agricultural practices over 40 years (1940–80) reduced the 100-year flood by 53 percent (from 38,900 to 18,300 cubic feet per second). The flood-detention reservoirs reduced the 100-year flood by an additional 17 percent (to 15,100 cubic feet per second). The simulation was accomplished by calibrating a precipitation-runoff model to observed rainfall and runoff during two separate periods (1934–40 and 1978–81). Comparisons of model simulations showed that differences between the model calibrations for the two periods were statistically significant at the 95 percent confidence level. 相似文献
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基于化石能源消耗的重庆市二氧化碳排放峰值预测 总被引:3,自引:0,他引:3
首先利用重庆市能源平衡表,采用IPCC方法 1对重庆市1997—2012年的碳排放进行核算;其次依据重庆市经济社会发展状况,通过LMDI因素分解法将影响碳排放的因素分解为:人口、人均GDP、产业结构、能源结构、能源强度和碳排放系数;然后利用扩展的重庆市STIRPAT碳排放模型,在9个情景模式下对2013—2050年重庆市碳排放进行预测;最后对比分析了各情景下的峰值大小及出现时间.研究发现:基准模式下的重庆市碳排放在2035年出现32135.38万t的峰值;提高能源利用技术、增加清洁能源使用比例和大力发展第三产业,能在不降低经济发展的情况下有效降低碳排放;消极因素中的第二产业占比下降比碳排放强度下降对碳排放的抑制作用更加明显;积极因素对碳排放峰值的影响比消极因素更有效. 相似文献
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为研究水平管道空间不同煤质煤尘爆炸火焰传播特性,选取褐煤、长焰煤、不粘煤、气煤4种煤尘,对爆炸火焰焰峰特性、火焰加速传播特性、火焰传播距离与持续时间展开研究。研究结果表明:褐煤在500 ms内焰峰的形状由尖锐向平滑再向钝化不断演变,长焰煤与不粘煤在375 ms时焰峰前端出现明显焰体分离现象,分析认为这与管体冷壁效应、空间尺度效应及空间氧气消耗直接相关;气煤在375 ms时焰峰出现大面积火焰碎纹,说明气煤爆炸火焰猛烈传播的持续时间相对较短,整体爆炸强度相对较弱;褐煤与长焰煤爆炸火焰存在2次间断性加速,分析认为这与管体空间受限、常温管壁散热、局部助燃氧气瞬间不足等因素有关;褐煤在爆炸后400~600 ms内火焰2次加速完全,火焰传播距离达740 mm,明显大于长焰煤、不粘煤与气煤,说明低变质褐煤爆炸火焰持续时间更长,火焰传播距离更远且传播更剧烈;虽然气煤火焰最远传播距离比长焰煤大30 mm,但由于气煤火焰在375 ms左右出现大片火焰碎纹,因此气煤整体的爆炸强度小于长焰煤。 相似文献
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三峡库区消落带水淹初期主要优势草本植物生态位变化特征 总被引:2,自引:0,他引:2
根据三峡库区初期水位涨落情况,以空间代替时间法,连续两年对典型消落带区域地上植被进行调查,通过计算生态位宽度和生态位重叠来分析不同水淹时间下优势草本植物生态位的变化特征。结果表明,一年水淹区段在未水淹时,植物生态位宽度普遍较窄,此时生态位明显特化,而第二年水淹极大的增加了适应干湿变化的物种的优势度。水淹前生态位重叠值大于0.5的只有12对,小于0.2种对为189对,其中生态位重叠值为零的为103对;水淹后生态位重叠值大于0.5的有24对,小于0.2种对为53对,其中生态位重叠值为零的为6对,说明生境由干燥到湿润的变化,对湿润环境相对适应的物种存活,优势植物生态位重叠明显增加。经两年水淹区段中,第一年以毛马唐的生态位宽度最高,其余17种物种生态位宽度小于0.2的物种占优势物种的61%,第二年以雾水葛和鳢肠的生态位宽度较大,其余15种物种生态位宽度小于0.2的物种占优势物种的50%,共同出现的物种仅有8种。生态位重叠值大于0.5的种对由5对上升到17对,生态位重叠值为零的种对由10对减低到2对,说明连续水淹产生更加均一的生境类型,对资源要求相似的物种是增加的。 相似文献
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