Management of fetofetal transfusion syndrome

Feto-fetal transfusion syndrome contributes heavily to high rates of perinatal mortality and morbidity in monochorionic multiple pregnancies. Its prenatal management has been controversial for at least 25 years. We review the recent literature in order to present the basis for a pragmatic reappraisal of the management of this condition. Laser surgery of the chorionic plate inter-twin anastomoses is the best first-line treatment when the syndrome develops before 26 weeks' gestation. Survival (including quality of survival) and gestational age at delivery are improved when compared to serial amnioreduction. Second-line treatment options include repeat-laser, intra-uterine blood transfusion, serial amnioreduction, selective feticide using bipolar cord coagulation or elective delivery, depending upon gestational age and the severity of the disease and its complications. We have found that fetoscopic placental surgery has proven itself over simplicity of amnioreduction. There is no evidence that treatment should be customized according to the stage of the disease at diagnosis. Early recognition of the syndrome through fortnightly serial ultrasound follow-up of all monochorionic pregnancies should ensure timely referral and make up for geographical constraints. Laser surgery should now be available in fetal medicine units that are managing at least 20 cases per year. Copyright © 2005 John Wiley & Sons, Ltd.     

Update on selective reduction

Over the past 25 years fetal reduction has been utilized to reduce the risks of higher-order multiple pregnancies that have resulted from overly successful infertility therapies. The demographics of multiple pregnancy patients have evolved over the past decade, with increasing proportions coming from IVF as opposed to ovulation induction, being older and a higher proportion with donor eggs. Genetic diagnosis prior to reduction is becoming more common and is very safe in experienced hands. For all starting numbers, including twins, reduction to a lower number of fetuses reduces fetal losses, prematurity, and infant mortality and morbidity. Copyright © 2005 John Wiley & Sons, Ltd.     

发达国家温室气体减排现状及对我国的启示

气候变化是当前全世界关注的焦点问题,大气中温室气体浓度的不断升高与人类活动存在密切的联系.温室气体的历史排放主要是由发达国家产生的,发达国家对气候变化负有主要的责任.目前发达国家温室气体减排履约的整体情况不容乐观,主要发达国家的排放量呈上升趋势,但一些发达国家的减排经验还是值得借鉴的.本文在总结发达国家温室气体减排政策和措施的基础上,结合我国实际情况,提出了我国温室气体减排的可能对策.     

Effects of probiotic bacteria on the bioaccessibility of aflatoxin B1 and ochratoxin A using an in vitro digestion model under fed conditions

In the present study, we aimed at determining the release of aflatoxin B₁ (AFB₁) and ochratoxin A (OTA) from different food products in the gastro-intestinal tract in the absence and presence of probiotics, a possible adsorbent. The average bioaccessibility of AFB₁ and OTA without probiotics was about 90%, and 30%, respectively, depending on several factors, such as food product, contamination level, compound and type of contamination (spiked versus naturally contaminated). The six probiotic bacteria showed varying binding capacity to AFB₁ and OTA depending on the bacterial strain, toxin studied, type of food and contamination level. A reduction to a maximum of 37% and 73% as observed for the bioaccessibility of AFB₁ and OTA in the presence of probiotic bacteria, respectively. This is the first report on the effect of probiotic bacteria on reducing the fraction of mycotoxins available for absorption in the gastrointestinal tract from different food products.     

硅微粉的提纯实验研究

采用选择性絮凝法对硅微粉进行提纯处理,分别探索了分散剂、絮凝剂种类及用量、pH值和沉降时间等因素对提纯效果的影响,实验结果表明,当聚乙烯吡咯烷酮、油酸钠的投加量分别80 g/t和1 824 g/t硅微粉,体系pH5.3,沉降时间50 min时,硅微粉中二氧化硅的含量从74%提高到了90.9%,提纯效果显著。     

防灾减灾的基础研究及应用研究进展概况

人类社会是在对自然灾害的不断斗争中得到发展。近代由于全球人口的迅速增长和城市化程度的提高，自然灾害的损失也在急剧增加。防灾减灾是减轻灾害损失、保障社会可持续发展的系统工程。当前灾害监测技术、灾害的形成和发展规律、灾情评估方法、灾害管理及灾害对社会经济的影响等方面的基础研究及应用研究已有了不小的进展。本文概括地介绍了这些进展，并指出了防灾减灾工作中存在的一些问题及对策     

如何提高光气尾气的处理效果

介绍了光气尾气的排放状况,处理光气尾气用ＳＮ－７５０１催化剂的最佳使用条件和光气水解塔的设计要点。在合适的温度和足够的停留时间条件下,不同浓度的光气尾气经催化水解处理后均可达到国家排放标准。     

黄河下游泥沙灾害初步研究

基于黄河下游对泥沙运动与泥沙灾害发生的关系问题进行了分析。认为下游泥沙灾害类型主要包括洪水、河岸侵蚀、土地沙化、水涝和土地盐碱化, 并认为改造下游泥沙灾害环境应通过改变泥沙堆积分布入手。     

论中国城市灾害科学的现状研究及新构想

城市是一个国家和地区的经济、政治、文化中心,是一个综合了社会、心理、地理、工程、功能、生态等学科在内的复杂系统工程,是人双重属性(自然与社会)的一个载体。面对现状及21世纪我国城市建设的挑战,本文认为不仅应研究优美的景观、平衡的生态、高效的功能及无障碍特性,还必须提高一个现代化城市抗御灾害的综合能力。“国际减灾十年”全球统一行动应同环境治理一样,成为衡量城市现代化的标志。     

河北省主要自然灾害和减灾策略

本文在概述河北省自然灾害的基础上,论述了干旱、雨滂、冰雹等11种自然灾害;最后简要分析了自然灾害的趋势及减灾略策。