Factors associated with multiple-pass procedures during chorionic villus sampling: A video analysis

Multiple placental passes during chorionic villus sampling (CVS) increase the risk of fetal loss; however, specific factors that predispose to repeat aspiration have not been delineated. To identify anatomic and technical variables associated with multiple-pass procedures, a detailed review of 205 videotaped CVS procedures (single pass = 163; multiple pass = 42) was performed, blinded to pregnancy outcome. The route of sampling did not influence the need for multiple aspiration attempts (transabdominal—30/ 135; transcervical—12/70), nor was placental location alone discriminatory. However, the combination of a posterior placenta and uterine retroversion was observed more frequently in the multiple-pass cohort (8/42 vs. 9/163; p<0.05). In transabdominal cases, suboptimal needle placement (e.g., perpendicular to the placental long axis) was more common in the initial aspiration of a multiple-pass procedure (21/30 vs. 38/105;p<0.01), while limited penetration of the catheter tip (e.g., just inside the placental edge) characterized a majority of multiple-pass cases in the transcervical subset (7/12 vs. 3/58; p<0.0001). A case-control cohort was constructed to evaluate the impact of these technical variables on sampling efficacy, independent of the influence of uterine position and placental site. In that analysis, suboptimal location and/or orientation of the sampling device remained characteristic of multiple-pass cases. We conclude that further reduction in the frequency of multiple-pass procedures might be achieved by consistent placement of the device tip in the central placental mass. Unlike amniocentesis, where any point of amnion entry will suffice, this technical nuance should be emphasized with CVS to maximize the single-pass success rate.     

Energy use and transport correlation linking personal and travel related energy uses to the urban structure

This paper considers relationships between sustainability objectives, transport, spatial design of the built environment and rational use of energy. Conventional transport modelling, housing supply and energy assessment tools are drawn together to provide a common platform for appraisal of city-wide energy use by stationary and mobile sources. The paper outlines methodologies developed for the city of Belfast, Northern Ireland. The paper concludes by briefly reviewing the effect in terms of mobile and stationary energy consumption and travel behaviour of implementing sustainable policy measures in current and future years within the study area.     

Atmospheric pollution in Beijing, China, as recorded in sediments of the Kunming Lake

The fluxes of heavy metals and magnetite, a fly-ash component, from coal burning, to sediments of the Kunming Lake in Beijing have increased measurably over the last fifty years. Ages were introduced to the sediment strata through Pb-210 geochronologies. Even with a doubling of coal usage by the year 2000, the anthropogenic metal fluxes will still be less than those recorded in metropolitan Tokyo and U.S. lakes.     

Exclusion of chromosomal mosaicism in amniotic fluid cultures: Efficacy of in situ versus flask techniques

Accurate diagnosis of mosaicism in amniotic fluid cell cultures represents a major problem. If insufficient cells are analysed, true fetal mosaicism may go undetected. False-positive diagnosis is also possible since a second cell line may arise in vitro and not reflect the true fetal genetic constitution. These difficulties apply to both flask and in situ culture techniques, to varying degrees. The relative accuracy of flask versus in situ culture techniques in excluding mosaicism was determined by statistical analysis of experimental data from ten pairs of mixed male-female amniotic fluid specimens. The data support the idea that the majority of in situ colonies are independent of one another. The following conclusions are drawn: (1) analysis of a single metaphase from a number of different colonies enhances the confidence for excluding mosaicism; (2) analysis of more than one cell per colony offers little advantage; (3) exclusion of a given level of mosaicism requires analysis of fewer metaphases using the in situ method; (4) the confidence for excluding mosaicism is high with both in situ and flask techniques, using the provided guidelines; and (5) it is shown that the two-stage approach used by many laboratories is currently the most efficient way to exclude mosaicism.     

试论Java与木材加工业自动化控制和安全生产的关系

Java(Java也是美国加里福尼亚州Sun Microsystems公司的注册商标)正快速成为一种用于加工制造业和系统集成的计算机编程语言。相对于标准C和C^ 计算机语言而言，Java的多功能性和支持众多计算机操作系统和平台的显著特点，使它能在装备有不同计算机平台和控制系统的机械设备上使用提供了最大的方便性。从而提高了木材产品加工过程的安全性。本文就Java软件系统在木材加工和家具加工过程中的应用以及潜在问题进行探讨。     

Radiogenic Lead Isotopes and Time Stratigraphy in the Hudson River, New York

Radionuclide, radiogenic lead isotope and trace metal analyses on fine-grained sediment cores collected along 160 km of the upper and tidal Hudson River were used to examine temporal trends of contaminant loadings and to develop radiogenic lead isotopes both as a stratigraphic tool and as tracers for resolving decadal particle transport fluxes. Very large inputs of Cd, Sb, Pb, and Cr are evident in the sediment record, potentially from a single manufacturing facility. The total range in radiogenic lead isotope ratios observed in well-dated cores collected about 24 km downstream of the plant is large (e.g., maximum difference in ²⁰⁶Pb/²⁰⁷Pb is 10%), characterized by four major shifts occurring in the 1950s, 1960s, 1970s and 1980s. The upper Hudson signals in Cd and radiogenic lead isotopes were still evident in sediments collected 160 km downstream in the tidal Hudson. The large magnitude and abrupt shifts in radiogenic lead isotope ratios as a function of depth provide sensitive temporal constraints that complement information derived from radionuclide analyses to significantly improve the precision of dating assignments. Application of a simple dilution model to data from paired cores suggests much larger sediment inputs in one section of the river than previously reported, suggesting particle influxes to the Hudson have been underestimated.     

Estimating the Recreational-Use Value for Hiking in Bellenden Ker National Park, Australia

The recreational-use value of hiking in the Bellenden Ker National Park, Australia has been estimated using a zonal travel cost model. Multiple destination visitors have been accounted for by converting visitors’ own ordinal ranking of the various sites visited to numerical weights, using an expected-value approach. The value of hiking and camping in this national park was found to be $AUS 250,825 per year, or $AUS 144,45 per visitor per year, which is similar to findings from other studies valuing recreational benefits. The management of the park can use these estimates when considering the introduction of a system of user pays fees. In addition, they might be important when decisions need to be made about the allocation of resources for maintenance or upgrade of tracks and facilities.