中国建立油污赔偿机制后清污费水平分析

采用模糊综合评判法，以国际油污基金所处理的溢油事故产生的平均清污费水平为标准，对中国建立油污赔偿机制后的平均清污费水平进行评价，目的是为中国油污基金的责任限制、摊款征收的制定提供科学的依据。     

独立学院教学中的四忌

独立学院的学生与母体高校学生相比有一定的特殊性。独立学院的教学如若完全沿用母体高校的方法和要求,势必会出现一些问题和矛盾。为此,在独立学院教学中,教师应注意四忌。     

Association of generalized dystrophic epidermolysis bullosa with positive acetylcholinesterase and markedly elevated maternal serum and amniotic fluid alpha-fetoprotein

A case of fatal generalized dystrophic epidermolysis bullosa is described in a prematurely born female whose mother had strikingly elevated mid-trimester serum and amniotic fluid alpha-fetoprotein concentrations, a positive amniotic fluid acetylcholinesterase band, and negative serial ultrasound studies. This case lends further support to an association between autosomal recessive generalized dystrophic epidermolysis bullosa and increased levels of alpha-fetoprotein, positive amniotic fluid acetylcholines'terase, and normal ultrasound findings.     

Estimating the risk of a fetal autosomal trisomy at mid-trimester using maternal serum alpha fetoprotein and age: A retrospective study of 142 pregnancies

Risks appropriate for mid-trimester prenatal screening for autosomal trisomies have been estimated from a combination of maternal age and maternal serum (MS) alpha-fetoprotein (AFP) levels at 16–20 weeks gestation. Published data on the frequency of Down's syndrome births relative to maternal age were modified to include the additional age-related frequency of trisomy 18 and trisomy 13 cases to provide an overall risk for an autosomal trisomy at midtrimester. MSAFP results from a retrospective study of 142 affected (114 trisomy 21, 19 trisomy 18, and 9 trisomy 13)and 113 000 unaffected pregnancies were converted to multiples of the appropriate gestational median (MOM). The AFP levels in the autosomal trisomy pregnancies were found to be significantly reduced at 0.72 MOM of the unaffected pregnancies. Risks (likelihood ratios) were derived from the overlapping log Gaussian distributions for affected and unaffected pregnancies and combined with maternal age risks to give the overall odds of an affected pregnancy. A mid-trimester cut-off risk of 1:280 gave an estimated 37 per cent detection rate for autosomal trisomies in the west of Scotland population for a follow-up (false-positive) rate of 6.6 per cent. These figures compare with a 30 per cent detection and 6.7 per cent false-positive rate if age 35 years and over is used as the sole criterion for selection of at-risk pregnancies.     

MATERNAL SERUM ALPHA-FETOPROTEIN SCREENING FOR OPEN NEURAL TUBE DEFECTS IN TWIN PREGNANCIES

Data on maternal serum alpha-fetoprotein (AFP) levels at 13–24 weeks' gestation in 46 twin pregnancies with open neural tube defects (22 with anencephaly, 24 with open spina bifida) and 169 unaffected twins were used to estimate the detection and false-positive rates associated with different cut-off levels. Using the conventional cut-off level of 2·5 multiples of the median (MoM) for unaffected singleton pregnancies of the same gestation and laboratory, the detection rate in twins was 99 per cent for anencephaly and 89 per cent for open spina bifida, with a false-positive rate of 30 per cent. Using a 5·0 MoM cut-off level to maintain a similar false-positive rate to that found among singleton pregnancies at 16–18 weeks' gestation (about 3 per cent), the detection rate was 83 per cent for anencephaly and 39 per cent for open spina bifida. Estimates are provided of the odds of having an affected twin pregnancy given a positive AFP result as well as the odds for individual women with a raised AFP level.     

Is maternal alpha-fetoprotein screening still of value in a low-risk area for neural tube defects?

Estimation of maternal serum alpha-fetoprotein (AFP) was used as a screening method for the detection of neural tube defects (NTDs) in 6344 women over three years. Of 88 (1.4 per cent) who had one or more serum AFP levels equal to, or greater than, 2.5 multiples of the median (MoM) for the relevant gestational age, 43 (0.68 per cent) underwent amniocentesis. There were eight NTDs. Four of these were screened by serum AFP, and all cases of spina bifida had serum AFP levels greater than 3.0 MoM, including one small open defect which was not seen on ultrasound. The other four cases of NTD, which were not screened, were identified by ultrasound. Of 64 singleton pregnancies 32 (50 per cent) had serum AFP levels between 2.5 and 3.0 MoM, and low birthweight (⪕2500 g) occurred in 29 per cent. Because of improvements in ultrasound techniques and the apparent falling incidence of NTD, the role of serum AFP as the primary screening procedure should be regularly reviewed. Effective screening is dependent on mothers booking early.     

Serum PAPP-A levels are depressed in women with fetal Down syndrome in early pregnancy

The value of maternal serum pregnancy-associated plasma protein (PAPP)-A in screening for Down syndrome in early pregnancy was assessed using stored samples. Seventeen cases of Down syndrome and 66 unaffected control pregnancies were studied. The median PAPP-A level in the cases was 0.42 multiples of the expected value in controls (p <0.0001). Eleven cases (65 per cent) had levels less than half the expected value compared with only six controls (9 per cent). A commercial assay kit is now needed so that prospective screening with this marker can begin.     

Expanding multiple marker screening for Down's syndrome to include Edward'S syndrome

Information on maternal age and maternal serum alpha-fetoprotein, unconjugated oestriol (uE₃), and human chorionic gonadotrophin (hCG) levels was used to investigate retrospectively the effect of estimating Edward's syndrome risk in women having multi-marker screening for Down's syndrome. The screened population comprised 15 pregnancies affected by Edward's syndrome, 15 with Down's syndrome and 5472 unaffected pregnancies. The use of all three markers to estimate Edward's syndrome risk would have led to the detection of 10–12 (67–80 per cent) cases with a false-positive rate of 0.3–0.6 per cent depending on the risk cut-off. A further case would have been detected as a result of screening for Down's syndrome alone. Similar results were obtained when the Edward's syndrome risk was based on uE₃ and hCG only. These data suggest that extending Down's syndrome screening to include Edward's syndrome risk will yield a high detection rate with only a small increase in the false-positive rate.     

开放经济、环保财政支出与污染治理——来自中国省级与行业面板数据的经验证据

首先按照各省环保财政支出占GDP比重与按主成分分析法计算的地方环境污染物排放综合指数的排名情况把中国30个省份分成两个区域,区域1环保财政支出污染治理效应较强,区域2环保财政支出污染治理效应较弱。区域1包括北京、海南等14个省市,区域2包括天津、上海等16个省市。其次基于2007—2014年中国省级和行业面板数据,分析开放经济、环保财政支出对污染治理的影响。最后借鉴门限回归模型检验开放经济是否存在环保财政支出与污染治理的门槛效应。结果显示:(1)环境污染物排放存在区域差异和行业差异,区域1呈现出开放程度和污染物排放双低的特征,而区域2则表现为双高特征。制造业、电力、煤气及水的生产和供应业污染物排放较高,采掘业污染物排放年均增长速度最快。(2)样本期内省级和行业面板数据均表明开放经济与环境污染物排放显著负相关,对外开放不是助推环境污染的原因。(3)中国环保财政支出与环境污染物排放显著负相关,环保财政支出具有显著的污染治理效应。(4)开放经济对环保财政支出的污染治理效应具有门槛效应,当进口和出口贸易总额高于门槛值-1.221、-1.016时环保财政支出的污染治理效应很难发挥。(5)以进、出口贸易总额为门槛变量时,有107个观测值低于门槛值,占总观测值的44.58%,其中有59个位于区域1,占55.14%。鉴于此应继续加大环境保护财政支出,进一步提升环保财政专项支出在GDP中所占比重,保持适度的对外开放,优化能源消费结构和实现产业结构升级,全面改善环境质量,提升开放经济下环保财政支出的污染治理效应。     

财政分权对环境污染的空间效应

利用2006—2017年我国30个省级行政单位的面板数据,采用空间计量模型对财政分权与环境污染之间的关系进行实证分析,并通过效应分解分别计算出财政收入分权和财政支出分权对环境污染的直接效应、空间溢出效应和总效应。模型估计的结果表明:①财政收入分权与财政支出分权通过直接效应和空间溢出效应两种途径对环境污染产生显著影响,但收入分权与支出分权对环境污染的空间效应具有异质性。②财政收入分权对环境污染具有显著的负向直接效应和负向空间溢出效应,影响系数分别为-5.429和-17.572。提高财政收入分权度不仅有利于减轻本省份环境污染,也对邻近省份的环境污染起到抑制作用。而财政支出分权对环境污染具有显著的负向直接效应和正向的空间溢出效应,影响程度分别为-3.345和1.173。提高财政支出分权虽然有利于减少本省份污染的排放,但在一定程度上引起省际的污染外溢效应,提高邻近省份的污染程度。③从总效应来看,财政收入分权和财政支出分权对环境污染均呈现出显著的负向相关性,影响程度分别为-23.001和-2.172。提高财政分权可降低环境污染水平,有利于环境质量提升。④通过构建不同空间权重矩阵,检验模型的稳健性,结果表明模型估计是稳健可靠的。根据分析结论,可能的启示与建议有:①合理划分中央政府和地方政府之间的财政事权和支出责任,在提高财政支出分权度的同时提高地方政府财政收入分权度,充分发挥地方政府环境治理的积极性和主动性。②继续加大生态环境保护力度,完善绿色经济考核机制,引导地方政府加大对污染治理和环境改善的支出水平及效率。