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  • 1
    ISSN: 1432-0428
    Keywords: Albuminuria ; prevalence ; diabetic nephropathy ; Type 2 (non-insulin-dependent) diabetes mellitus ; impaired glucose tolerance ; American Indians
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The prevalence of abnormal urinary albumin excretion, defined by a urine albumin to creatinine ratio〉-30 mg/g (approximately equivalent to an albumin excretion rate of 〉-30 mg/24 h), was determined in 2728 Pima Indians aged 〉-15 years from the Gila River Indian Community in Arizona, a population with a high prevalence of Type 2 (non-insulin-dependent) diabetes mellitus. Excessive albumin excretion was present in 8% of subjects with normal glucose tolerance, 15% of those with impaired glucose tolerance, and 47% of subjects with diabetes. The intermediate prevalence of abnormal albuminuria in those with impaired glucose tolerance suggests that hyperglycaemia even at levels below those diagnostic of diabetes is associated with renal abnormalities in some subjects and that these abnormalities may precede the onset of diabetes. Abnormal albuminuria at levels not reliably detected by the usual dipstick methods was commonly observed in Pima Indians with diabetes, even those with diabetes of recent onset. Associations were found with age, duration of diabetes, level of glycaemia, blood pressure, and treatment with insulin.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Type 2 (non-insulin-dependent) diabetes mellitus ; American Indians ; diabetic renal disease ; genetics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We studied the occurrence of renal disease by measuring serum creatinine and urine protein concentrations in the diabetic members of 316 Pima Indian families with Type 2 (non-insulin-dependent) diabetes in two successive generations to determine if diabetic renal disease aggregates in families. After adjustment for sex and other risk factors, proteinuria occurred among 14.3% of the diabetic offspring if neither parent had proteinuria, 22.9% if at least one diabetic parent had proteinuria, and 45.9% if both parents had diabetes and proteinuria. Among male offspring, an elevated serum creatinine concentration (≥177 μmol/l) was present in 11.7% if the parent had an elevated creatinine and in 1.5% if the parent did not. Thus, proteinuria and high serum creatinine aggregated in diabetic families, suggesting that susceptibility to renal disease is inherited independently of diabetes.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Environmental management 11 (1987), S. 183-191 
    ISSN: 1432-1009
    Keywords: Flood control ; Floodwalls ; Levees ; River engineering ; Waterways planning
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Notes: Abstract Levees and floodwalls are used extensively throughout the United States for flood control. Levee projects often lack ecological, recreational, and aesthetic values, except for incidental fish and wildlife benefits derived from borrow pits and recreational facilities found in some urban settings. In recent years increased environmental concern within construction agencies and greater responsiveness to public opinion have resulted in increasing numbers of levee projects designed, built, and maintained with environmental objectives in mind. This paper reviews environmental concepts successfully employed on levee projects constructed in recent years by the US Army Corps of Engineers. Some of the most innovative concepts are described and illustrated and design considerations are discussed.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Environmental management 9 (1985), S. 417-425 
    ISSN: 1432-1009
    Keywords: Channelization ; Channel design ; Flood control ; Fluvial systems
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Notes: Abstract Many of the environmental problems associated with channel modifications can be anticipated if known fluvial relationships are considered early in the planning process. Plan modifications or corrective measures can be employed to prevent environmental degradation and improve project performance. The fluvial system is reviewed from a geomorphic perspective. Functional fluvial relationships are described and their use in planning and design of flood channels is demonstrated.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Environmental management 2 (1978), S. 403-411 
    ISSN: 1432-1009
    Keywords: Channelization ; Stream renovation ; Stream restoration ; Stormwater management ; Flood control
    Source: Springer Online Journal Archives 1860-2000
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Notes: Abstract Channelization is one of the most common solutions to urban drainage problems, despite the fact that channelized streams are frequently morphologically unstable, biologically unproductive, and aesthetically displeasing. There is increasing empirical and theoretical evidence to suggest that channelization may be counterproductive unless channels are designed to prevent the bank erosion and channel silting that often accompanies stream dredging. Many of the detrimental effects of channelization can be avoided, with little compromise in channel efficiency, by employing channel design guidelines that do not destroy the hydraulic and morphologic equilibria that natural streams possess. These guidelines include minimal straightening; promoting bank stability by leaving trees, minimizing channel reshaping, and employing bank stabilization techniques; and, emulating the morphology of natural stream channels. This approach, called stream restoration or stream renovation, is being successfully employed to reduce flooding and control erosion and sedimentation problems on streams in Charlotte, North Carolina.
    Type of Medium: Electronic Resource
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