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61.
Incorporating the beneficial use of industrial by‐products into the industrial ecology of an urban region as a substitute or supplement for natural aggregate can potentially reduce life cycle impacts. This article specifically looks at the utilization of industrial by‐products (IBPs) (coal ash, foundry sand, and foundry slag) as aggregate for roadway sub‐base construction for the Pittsburgh, Pennsylvania, urban region. The scenarios compare the use of virgin aggregate with the use of a combination of both virgin and IBP aggregate, where the aggregate material is selected based on proximity to the construction site and allows for minimization of transportation impacts. The results indicate that the use of IBPs to supplement virgin aggregate on a regional level has the potential of reducing impacts related to energy use, global warming potential, and emissions of nitrogen oxides (NOx), sulfur dioxide (SO2), carbon monoxide (CO), PM10 (particulate matter—10 microns), mercury (Hg), and lead (Pb). Regional management of industrial by‐products would allow for the incorporation of these materials into the industrial ecology of a region and reduce impacts from the disposal of the IBP materials and the extraction of virgin materials and minimize the impacts from transportation. The combination of reduced economic and environmental costs provides a strong argument for state transportation agencies to develop symbiotic relationships with large IBP producers in their regions to minimize impacts associated with roadway construction and maintenance—with the additional benefit of improved management of these materials.  相似文献   
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Systemic lupus erythematosus (SLE) is a serious systemic autoimmune disease of unknown etiology. Macrophage migration inhibitory factor (MIF) is a proinflammatory cytokine that is operative in innate and adaptive immunity and important in immune-mediated diseases such as rheumatoid arthritis and atherosclerosis. The functional relevance of MIF in systemic autoimmune diseases such as SLE is unknown. Using the lupus-prone MRL/lpr mice, we aim to examine the expression and function of MIF in this murine model of systemic autoimmune disease. These experiments revealed that renal MIF expression was significantly higher in MRL/lpr mice compared with nondiseased control mice (MRL/MpJ), and MIF was also markedly up-regulated in skin lesions of MRL/lpr mice. To examine the effect of MIF on development of systemic autoimmune disease, we generated MRL/lpr mice with a targeted disruption of the MIF gene (MIF(-/-)MRL/lpr), and compared their disease manifestations to MIF(+/+)MRL/lpr littermates. MIF(-/-)MRL/lpr mice exhibited significantly prolonged survival, and reduced renal and skin manifestations of SLE. These effects occurred in the absence of major changes in T and B cell markers or alterations in autoantibody production. In contrast, renal macrophage recruitment and glomerular injury were significantly reduced in MIF(-/-)MRL/lpr mice, and this was associated with reduction in the monocyte chemokine MCP-1. Taken together, these data suggest MIF as a critical effector of organ injury in SLE.  相似文献   
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The conversion into 6,7-dihydro-5H-dibenz[c,e]azepine (DAZ) N-protected amides is a viable route for the determination of the absolute configuration of chiral 2-substituted carboxylic acids. The biphenyl moiety of DAZ, besides being a probe of chirality for the electronic circular dichroism (ECD) spectroscopy, makes these systems suitable for configuration assignment by exploiting the chirality amplification which occurs in nematic liquid crystals. To assess the reliability of the liquid crystal method in detecting the absolute stereochemistry of chiral amides bound to a biphenyl group, we measured the helical twisting power of a series of DAZ-N-protected amides and compared these data with the results obtained from ECD measurements. We will show that the liquid crystal method, corroborated by HTP predictions, is trustworthy with our biphenyl derivatives, even when ECD spectra are ambiguous for the presence of aryl moieties displaying strong UV absorptions in the same range of the biphenyl chromophore.  相似文献   
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Background

Progress in maternal and neonatal mortality has been slow in many countries despite increasing access to institutional births, suggesting deficiencies in the quality of care. We carried out a systematic assessment of the quality of maternal and newborn care in three CEE/CIS countries, using an innovative approach to identify priority issues and promote action.

Methods

A standard-based tool, covering over 400 items grouped in 13 main areas ranging from support services to case management, was used to assess a sample of ten maternity hospitals in Albania, Kazakhstan and Turkmenistan. Sources of information were visit to services, medical records, observation of cases, and interviews with staff and mothers. A score (range 0 to 3) was attributed to each item and area of care. The assessment was carried out by a multidisciplinary team of international and national professionals. Local managers and staff provided the necessary information and were involved in discussing the findings and the priority actions.

Results

Quality of care was found to be substandard in all 13 areas. The lowest scores (between one and two) were obtained by: management of normal labour, delivery, obstetric complications and sick babies; infection prevention; use of guidelines and audits; monitoring and follow-up. Neonatal care as a whole scored better than obstetric care. Interviewed mothers identified lack of information, insufficient support during labour and lack of companionship as main issues. Actions to improve quality of care were identified at facility as well as at central level and framed according to main health system functions.

Conclusions

Quality of care is a key issue to improve maternal and neonatal outcomes, particularly in countries such as CEE/CIS where access to institutional births is nearly universal. Approaches that involve health professionals and managers in comprehensive, action-oriented assessments of quality of care are promising and should be further supported.  相似文献   
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Growing cells of complementary mating types from two genera of yeasts,Saccharomyces andHansenula, exhibited sex-specific responses. Two kinds of responses were observed. Either one of the sexes grew preferentially toward its mate which ceased to bud and increased in size, or both mating types grew preferentially toward each other. A growth response was observed between mating types ofSaccharomyces cerevisiae andHansenula anomala presumably complementary.  相似文献   
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