Attitudes of women of childbearing age towards prenatal diagnosis in Southeastern France

The objective of this study was to explore women's attitudes towards prenatal diagnosis of trisomy 21 and to examine some of the factors possibly responsible for these attitudes before implementing in real practice serological screening of pregnant women at risk for trisomy 21. We carried out a telephone survey on a representative sample of women who had recently had a normal livebirth delivery in the Marseille district in 1990. The participation rate was 80 per cent and the average age of the mothers was 28-9 years. Among the 514 women interviewed, 78 per cent stated that they would ask for an amniocentesis for a 1 per cent risk of trisomy 21 at their next pregnancy. When adjusting for confounding factors, the decision to have or not to have an amniocentesis was found to depend not only on the women's attitude towards induced abortion, but also on their understanding of the risk involved and on the social context (knowing a handicapped child, discussion with the father). It also depended on the women's age and on what they knew about amniocentesis from the medical point of view. The risk of miscarriage can influence a woman's choice but this objection was not found to affect the women's decisions significantly in our survey. The data showed the existence of a high potential demand for fetal karyotyping.     

铬渣的无害化处理和综合利用

铬渣产量大、毒性剧烈 ,是严重污染生态环境和危害人类健康的危险废物。介绍了铬渣各种无害化处理方法的解毒机理、工艺过程和应用实践 ,阐述了对铬渣进行综合利用的途径 ,并就铬渣的防治前景提出了建议。     

铜、锌和锰抑制月形藻生长的毒性效应

运用评价化学品毒性藻类测试的标准实验方法，得到铜、锌和锰对月形藻生长的最小无显著差异浓度（LNOEC）分别为31.8μg/L、16.4μg/L和2.7mg/L，抑制月形藻生长的96h半效应浓度（96h-EC50)分别为199.5μg/L、38.0μg/L和12.6mg/L。实验结果表明无论从LNOEC还是从96h-EC50考虑，都证明抑制月形藻生长的毒性由大到小的顺序是锌＞铜＞锰。此结果对铜抑制藻类生长的毒性远远大于锌的毒性这一人们普遍认同的观点构成挑战。月形藻细胞壁表面可能含有较少的硫代基团但包含较多与锌有很强结合能力的官能团可能是导致月形藻对铜的敏感性弱而对锌敏感性强的主要原因。     

金属矿物的生物组构与生物化学作用

本文讨论了金属矿物的生物组构与生物化学作用的关系，作者认为金属矿物的生物组构的反应与生物化学作用具有相似性。     

提高酚氰废水生化处理工艺的效率

主要介绍了投加葡萄糖类物质显著提高煤气厂酚、氰废水生化处理装置效率的情况 ,并对其机理进行了分析探讨     

Seed yeast cultivation for salad oil manufacturing wastewater treatment

The mixture of five yeast strains obtained from soil could remove about 85% TOC of oil-rich wastewater in batch test.While the highest MLSS was obtained at an N:C of 1:5,the oil removal decreased with the increase of N:C during yeast sludge cultivation.Ammonium chloride was the best nitrogen source for yeast cultivation from the viewpoint of yeast growth and oil utilizxation.An ammonia concentration of over 1300 mg/L led to mass death of yeast at a pH of 5.The ammonia concentration should be controlled at a level of 1000 mg/L or lower.     

水环境中重金属的生物毒性预测模型

简要介绍了近年来发展的几种金属生物毒性预测模型，如FIAM、GSIM和BLM等模型。金属与生物有效性和毒性之间的关系，是制定金属的水质标准的依据，随着对金属形态及其生物有效性和毒性关系研究的深入，产生了很多的机理描述模型。描述金属与生物作用的现存模型有多种，分别从多种角度解释了环境因素对金属形态分布及其生物毒性的影响，各模型在一定程度上可给出重金属的生物毒性信息，但都存在缺陷，不能完全替代毒性实验。建立合理的金属毒性预测模型，为建新的水质标准提供依据，正是国际环境界研究的热点。     

Ultrasonography in pregnancy and fetal abnormalities: Screening or diagnostic test? IPIMC 1986–1990 register data

The aim of the present study was to assess the sensitivity of ultrasound diagnosis used as a screening test in detecting major congenital anomalies in the prenatal period in a large nation-based multicentre setting. Data from the IPIMC register were collected in the period 1986–1990. One hundred and thirty-five hospitals, located in 17 out of the 20 regions in Italy, participated in the register. Study cases were 3479 infants with major congenital anomalies diagnosed at birth or in the first week of life. Subjects with chromosomal anomalies or multiple defects were excluded. The sensitivity of ultrasound prenatal diagnosis was 49.5 per cent for central nervous system anomalies, 3.8 per cent for congenital heart diseases, 17.1 per cent for gastrointestinal tract defects, 46.6 per cent for abdominal wall defects, 74.8 per cent for urinary tract anomalies, and 22.9 per cent for skeletal abnormalities. The detection rate for diaphragmatic hernia was 24.2 per cent. Overall, only 18 per cent of the defects diagnosed in utero were detected before 24 weeks' gestation. The sensitivity of prenatal diagnosis was 30.1 and 19.0 per cent in the northern, central, and southern regions, respectively. In light of its low sensitivity, ultrasonography as a screening test in the general population should be abandoned, although some improvement in its performance should be expected following adequate training of the ultrasound staff and the use of good technical equipment.     

影响土壤重金属生物毒性的若干因子

本文应用发光细菌法探讨了土壤类型、粘土矿物、无定形金属氧化物、吸附剂对重金属纯溶液以及重金属污染土壤的降毒效应.红壤、砖红壤对Cu、Cd、Pb呈现负的降毒效应,而对As具有明显的降毒作用.黑土、黄棕壤对供试阳离子金属具有明显的降毒效应,对As降毒却不明显.试验证明粘土矿物及其组成是影响土壤重金属毒性的最基本因素.无定形氧化锰对供试阳离子金属的降毒能力大于无定形氧化铁,对As的效应二者则相反.不同吸附剂对Cu、Cd、Pb呈现基本相同的降毒顺序,即炉烟灰>活性炭>泥炭>干活性污泥,不同配比吸附剂对红壤添加性阳离子和东乡铜矿污染土壤均具有明显的降毒作用.添加吸附剂的东乡铜矿污染土壤随着土壤溶液毒性的消除,随之也消除或减轻了其对水稻种芽的急性毒害.     

Carrier screening for cystic fibrosis

A number of different models of CF carrier screening have now been tested in pilot trials. Apart from opportunistic and cascade testing (which are strictly speaking not true forms of screening), the major programmes have been directed either to young adults in primary care or to pregnant women in antenatal clinics. Only in the latter form of screening has sufficient data been collected to allow conclusions to be reached on the optimum mode of delivery. It seems very probable that when CF carrier screening passes into routine service, it will be the antenatal couple model that is used.