Prenatal diagnosis of congenital gastric outlet obstruction

A case of gastric outlet obstruction diagnosed prenatally at 22 weeks' gestation is described. The differential diagnosis and the clinical management of this rare condition are discussed, and an updated literature review is presented.     

MSAFP levels and oesophageal atresia

This study was undertaken to evaluate the relationship between maternal serum alpha-fetoprotein (MSAFP) levels and oesophageal atresia (OA). OA occurred in 16 fetuses of mothers who had an MSAFP test in the study interval. The multiple of the median (MOM) value for MSAFP averaged 1·54 ± 0·65 (range 0·5–2·9 MOM), which was significantly higher than the value seen in controls. The median MOM was 1·35. Using a cut-off of 2·5 MOM, the sensitivity of MSAFP for detecting OA was 19 per cent. Although OA should be considered in the differential diagnosis of an elevated MSAFP level, MSAFP cannot be considered an appropriate screening test for OA given the low sensitivity.     

饮食业油烟道火灾的模糊事件树分析

对饮食业油烟道火灾事故进行事件树分析时,历史数据的缺乏常常导致无法进行事件序列的定量计算.针对这一问题,利用专家对事故的模糊评判,引入模糊事件树进行定量计算研究.在模糊集理论的基础上,结合德尔菲法和判断矩阵法, 将模糊性语言转换为三角模糊数或梯形模糊数,应用模糊数截集以及模糊数清晰化方法,对后果事件发生概率进行计算.研究表明,饮食业油烟道火灾事故概率的模糊事件树分析是切实可行的,有助对饮食业油烟道火灾的认识、预防和扑救工作.     

污泥膜覆盖好氧发酵堆体流场模拟及应用研究简

运用Gambit软件建立了污泥好氧发酵堆体的多孔介质模型，通过自行设计的实验装置获得了堆体的通风粘性阻力系数和惯性阻力系数以及功能膜压差与透气量之间的关系，用Fluent软件分析了堆体不同截面形状及底部通风管数量对堆体通风均匀性的影响，为确定合理的通风管数量及截面几何形状提供理论依据。对上海奉贤区城镇污水厂污泥处理工程发酵仓进行堆体流场模拟，确定堆体采用小拱形截面形状，堆高2 m，宽8 m，底部设置4条通风管，实际运行效果良好。     

电除尘器进口矩形烟道气流分布改进的CFD模拟

应用CFD软件对某电厂电除尘器进口矩形烟道内气流分布进行数值模拟.结果表明:电除尘器原进口矩形烟道监测截面的气流分布极其不均匀,数值模拟结果与实验结果速度分布趋势比较吻合.基于此,通过多次改变电除尘器进口矩形烟道内导流板的数量、位置、尺寸等结构参数,使得改造后烟道监测截面风量偏差降到了±2.2%,气流分布相对均方根值均...     

Current status of prenatal diagnosis,operative management and outcome of esophageal atresia/tracheo-esophageal fistula

Ultrasonographic features suggestive of esophageal atresia with or without tracheo-esophageal fistula (EA/TEF) are only in a small minority of fetuses with EA/TEF (<10%) identifiable on prenatal scans. The prenatal diagnosis of EA/TEF relies in principle, on two nonspecific signs: polyhydramnios and absent or small stomach bubble. Polyhydramnios is associated with a wide range of fetal abnormalities, but most commonly it pursues a benign course. Similarly the sonographic absence of a stomach bubble may point to a variety of fetal anomalies. The combination of polyhydramnios and absent stomach bubble in two small series offers a modest positive predictive value of 44 and 56% respectively. Prenatal scanning for EA/TEF identifies a larger proportion of fetuses with Edwards syndrome; there is also a higher proportion of isolated EA in comparison to postnatal studies. Current ultrasound technology does not allow for a definite diagnosis of EA/TEF and therefore, counseling of parents should be guarded. Postnatal diagnosis of EA is confirmed by the failure to pass a firm nasogastric tube into the stomach; on chest X-ray, the tube is seen curling in the upper esophageal pouch. Corrective surgery for EA/TEF is well established and survival rates of over 90% can be expected. Copyright © 2008 John Wiley & Sons, Ltd.     

丰镇发电厂送风系统噪声原因分析及降噪研究

振动和噪声普遍存在于火电厂锅炉送风系统中 ,是电厂噪声污染的一个重要来源 ,严重影响电厂安全、经济、文明运行。有效地降低送风系统的振动和噪声是火电厂急需解决的问题。笔者针对丰镇火电厂送风系统结构和运行参数 ,对由此产生的噪声进行了细致的测量 ,分析了产生振动和噪声的原因 ,认为送风机蜗舌处产生的气动噪声和管道二次涡流是引发送风系统振动和噪声的主要原因。根据产生振动和噪声的原因 ,并结合电厂要求 ,进行了技术改造即在直管中安装栅格网及弯管处安装导流栅以消除局部涡流。技术改造方案实施后经测量的结果表明 ,冷风道的噪声下降了 7～ 1 6dB ,明显降低了送风系统的振动和噪声。     

Duct-venting of dust explosions in a 20 L sphere at elevated static activation overpressures

Ducts are often recommended in the design of dust explosion venting in order to discharge materials to safe locations. However, the maximum reduced overpressure increases in a duct-vented vessel rather than in a simply vented vessel. This needs to be studied further for understanding the duct-venting mechanism. Numerous duct-vented dust explosion experiments were conducted, using a 20 L spherical chamber at elevated static activation overpressures, ranging from 1.8 bar to 6 bar. Duct diameters of 15 mm and 28 mm, and duct lengths of 0 m (simply venting), 1 m and 2 m, were selected. Explosion pressures both in the vessel and in the duct were recorded by pressure sensors, with a frequency of 5 kHz. Flame signals in the duct were also obtained by phototransistors. Results indicate that the secondary explosion occurring in the duct increases the maximum reduced overpressure in the vessel. The secondary explosion is greatly affected by the duct diameter and static activation overpressure, and hence influences the amplification of the maximum reduced overpressure. Larger static activation overpressure decreases the severity of the secondary explosion, and hence decreases the increment in the maximum reduced overpressure. The secondary pressure peak is more obvious as the pressure accumulation is easier in a duct with a smaller diameter. However, the increment of the maximum reduced overpressure is smaller because blockage effect, flame front distortion, and turbulent mixing due to secondary explosion are weaker in a narrow duct. The influence of duct length on the maximum reduced overpressure is small at elevated static activation overpressures, ranging from 1.8 bar to 6 bar at 15 mm and 28 mm duct diameters.