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  • 1
    ISSN: 1432-0428
    Keywords: Albuminuria ; risk factors ; blood pressure ; Type 2 (non-insulin-dependent) diabetes mellitus ; Pima Indians
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Blood pressure was measured in 490 non-proteinuric Pima Indians from the Gila River Indian Community in Arizona at least 1 year before the diagnosis of Type 2 (non-insulin-dependent) diabetes mellitus. Urine albumin concentration was measured in the same subjects 0–24 years (mean 5 years) after diabetes was diagnosed. Prevalence rates of abnormal albumin excretion (albumin-to-creatinine ratio ≥100 mg/g) after the onset of Type 2 diabetes were 9%, 16%, and 23%, respectively, for the lowest to highest tertiles of pre-diabetic mean blood pressure. When controlled for age, sex, duration of diabetes and pre-diabetic 2-h post-load plasma glucose concentration, higher pre-diabetic mean blood pressure predicted abnormal urinary excretion of albumin after the onset of diabetes. This finding suggests that the higher blood pressure seen in diabetic nephropathy is not entirely a result of the renal disease, but may precede and contribute to it.
    Type of Medium: Electronic Resource
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  • 2
    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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  • 3
    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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  • 4
    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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  • 5
    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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