Three ethically justified indications for selective termination in multifetal pregnancy: A practical and comprehensive management strategy

1995 ◽  
Vol 12 (8) ◽  
pp. 531-536 ◽  
Author(s):  
Frank A. Chervenak ◽  
Laurence B. McCullough ◽  
Ronald Wapner
Author(s):  
Jaime Hernán Aristizábal Ceballos ◽  
Julián Fernando Chaves Agudelo

The realization of the weather-related and outside force threat has historically caused losses of containment with their subsequent social, environmental, economic and image consequences for Ecopetrol. The zones in which these phenomena occur are characterized by the interaction of transmission systems with an environment that is complex in its topographical, geological-geomorphological and climatic conditions, and because of the anthropic impact of changes in land use. In Ecopetrol’s office of the Vice-president for Transportation Logistics (VIT-Ecopetrol), a threat management strategy has been proposed that seeks to minimize the vulnerability of the pipelines to processes that can impact on operating efficiency or that, because of their degree of complexity, require comprehensive management in order to guarantee operation at tolerable levels of risk. This article presents a panorama of the work performed with regard to the validation of the threat and risk levels of the assets, the internal analyses performed by geotechnical professionals for formulating the plans for the management of assets and the accompaniment of such in order to achieve the continuous operation of the transmission systems.


Author(s):  
Olga Kudryavtseva ◽  
Maria Solodova ◽  
Darya Korenevskaya ◽  
Roza Kutubaeva ◽  
Anna Tishkova ◽  
...  

Solid waste management has become an issue of increasing global concern as urban population continues to rise and consumption patterns change. The paper accesses policy measures undertaken to overcome municipal waste crisis in Moscow. New waste management policy lacks sustainability due to prevalence of landfilling and combustion as well as extensive waste export. The article presents a brief description of the MSW management system in Moscow and proposes a comprehensive management strategy, which is based on the involvement of the participants in relations connected with MSW in the process of processing at all stages of the life cycle of the waste.


Perfusion ◽  
2006 ◽  
Vol 21 (4) ◽  
pp. 203-208 ◽  
Author(s):  
John M Murkin

The current understanding of adverse central nervous system (CNS) events following cardiac surgery involves several identifiable, evidence-based mechanisms: athero-sclerotic emboli, microgaseous and microparticulate emboli, and hypoperfusion.1 Secondary factors, including patient co-morbidities and inherent genetic susceptibilities, as well as systemic inflammatory processes and a suboptimal metabolic milieu may interact to potentiate the extent of injury.2 In this review a number of these factors and their potential interactions will be explored with a view towards developing a comprehensive management strategy to minimize CNS injury.


Author(s):  
Xiong Zhou

With the increase in the number and scale of tunnel projects in China in recent years, the comprehensive management for quality inspection and monitoring measurement in the tunnel construction process is receiving more and more attention. Based on this, this paper analyzes the comprehensive management of quality inspection and monitoring during tunnel construction to ensure the quality of tunnel construction.


2021 ◽  
Vol 23 (4) ◽  
pp. 126
Author(s):  
Huayong Yang ◽  
Yuan Jiang ◽  
Zhe Li ◽  
Jinjin Gao ◽  
Baicun Wang

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