人工神经网络模型在水质预警中的应用研究进展

水质预警模型是大数据时代构建环境智能决策与管理体系的关键技术.近年来,水质自动化监测能力的提升以及测管协同对环境模型的强烈需求,激发了研究人员探索新的建模方法并努力提高模型预测性能.其中,人工神经网络(Artificial Neural Network, ANN)模型发展迅速.本文综述了3大类ANN模型的发展历史和模型结构特点,梳理了ANN模型在水质数据软测量、数据异常检测和时间序列预测等方面的研究进展,归纳了一般建模流程、技术建议和常用的模型性能指标,发现ANN模型的应用依赖于监测数据质量,存在模型可解释性差、模型运行硬件资源要求较高等不足,提出未来水质预警模型的研发思路和重点,需要加快推进水环境监测技术与预警模型的协同发展和业务化应用,通过多种应用场景检验实现技术迭代,形成大数据驱动的水质在线监测-智能预警-应急管理支撑体系,助力我国环境治理能力现代化.     

Issues associated with possible implementation of Non-Invasive Prenatal Testing (NIPT) in first-tier screening: A rapid scoping review

In recent years, as the implementation and use of Non-Invasive Prenatal Testing (NIPT) have increased, the cost of the test has been decreasing. The cost of NIPT is expected to fall further in the upcoming years. As a result of the decreasing cost of NIPT, many jurisdictions may change their prenatal screening policies toward abandoning serum-based screening and instead, implement and support NIPT as the first-tier screening for all women. There are several concerns in replacing first-trimester screening with NIPT. In this scoping review, we aimed to map the existing knowledge about possible issues in the systematic implementation of NIPT as the primary method of first-tier screening and to assess if any jurisdiction has altered its policy and discontinued serum-based prenatal screening in exchange for NIPT. The Medline database (Ovid) and Google Scholar was searched and all the studies discussing, investigating, or reporting on the systematic implementation of NIPT as the primary method of first-tier screening were included. All the studies went through a two-stage screening process and included full-text articles were reviewed. We did not find any articles indicating a country or region that replaced traditional prenatal screening by NIPT. The included articles were charted, and the data about the possible issues in the systematic implementation of NIPT as the primary method of first-tier screening are summarized narratively and presented in tables in four categories. The findings of this scoping review may be informative for stakeholders and policymakers regarding recent changes in NIPT implementation policies around the world and may aid with developing policy for NIPT implementation with a broader perspective.     

Artificial intelligence,fetal echocardiography,and congenital heart disease

There has been a recent explosion in the use of artificial intelligence (AI), which is now part of our everyday lives. Uptake in medicine has been more limited, although in several fields there have been encouraging results showing excellent performance when AI is used to assist in a well-defined medical task. Most of this work has been performed using retrospective data, and there have been few clinical trials published using prospective data. This review focuses on the potential uses of AI in the field of fetal cardiology. Ultrasound of the fetal heart is highly specific and sensitive in experienced hands, but despite this there is significant room for improvement in the rates of prenatal diagnosis of congenital heart disease in most countries. AI may be one way of improving this. Other potential applications in fetal cardiology include the provision of more accurate prognoses for individuals, and automatic quantification of various metrics including cardiac function. However, there are also ethical and governance concerns. These will need to be overcome before AI can be widely accepted in mainstream use. It is likely that a familiarity of the uses, and pitfalls, of AI will soon be mandatory for many healthcare professionals working in fetal cardiology.     

The safety of obstetrical ultrasound: a review

Ultrasound is a commonly employed imaging modality in obstetrics and is generally regarded as safe to the fetus. Current ultrasound technology, however, has significantly higher output potential than older machines used in most clinical studies, and the safety profile for the increasing use of Doppler, 3-dimensional (D) and 4-D ultrasound with modern machines is unknown. This article reviews the current status of ultrasound safety within obstetrics, including proposed mechanisms of harm, existing scientific and clinical evidence regarding those mechanisms, and considerations of safety for the clinical user. Copyright © 2009 John Wiley & Sons, Ltd.     

Diastrophic dysplasia: A specific prenatal diagnosis by ultrasound

In a pregnant woman without increased genetic risk, the presence of distrophic dysplasia of the fetus was diagnosed sonographically at 31 weeks' gestation and definitively distinguished from other skeletal dysplasias. In all prenatal diagnoses of diastrophic dysplasia reported so far, this autosomal recessive congenital condition had occurred in the family's previous children and this made the diagnoses of fetal diastrophic dysplasia easier. The reported case was diagnosed due to evidence of an extreme shortening of all long bones of the extremities associated with other skeletal deformities which, taken as a whole, are typical of this syndrome: micrognathia, cervical kyphosis, persistent extension limitation in elbow and knee joints, club feet, ulnar diviation of hands, shortened phalanges, and, in particular, abduction of thumbs (‘hitchhiker thumbs’) and big toes.     

Long-chain alkanes in the atmosphere: A review

As a representative species of intermediate volatile organic compounds (IVOCs), long-chain alkanes are considered to be important precursors of secondary organic aerosols (SOA) in the atmosphere. This work reviews the previous studies on long-chain alkanes in the atmosphere: (1) the detection methods and filed observations of long-chain alkanes in both gas and particle phases are summarized briefly; (2) the laboratory studies of long chain alkanes are reviewed, the kinetic data, reaction mechanism, SOA yields, and physicochemical properties of SOA are included in detail; (3) the research progress related to model simulations of long-chain alkanes are also discussed. In addition, based on available research results, several perspective contents are proposed that can be used as a guideline for future research plans.     

A scoping study on the costs of indoor air quality illnesses: an insurance loss reduction perspective

The number of indoor air quality (IAQ)-related health complaints in commercial buildings, and the frequency of litigation over the effects of poor IAQ is increasing. These increases have ramifications for insurance carriers, which pay for many of the costs of health care and general commercial liability. However, little is known about the actual costs to insurance companies from poor IAQ in buildings. This paper reports on the results of a literature search of buildings-related, business and legal databases, and interviews with insurance and risk management representatives aimed at finding information on the direct costs to the insurance industry of poor building IAQ, as well as the costs of litigation. The literature search turned up little specific cost information, but indicated that there is a strong awareness and growing concern over the “silent crisis” of IAQ and its potential to cause large industry losses. The source of these losses includes both direct costs to insurers from paying health insurance and professional liability claims, as well as the cost of litigation. In spite of the lack of data on how IAQ-related health problems affect their business, the insurance industry has taken the anecdotal evidence about their reality seriously enough to alter their policies in ways that have lessened their exposure.     

Early amniocentesis: A clinical review

Early amniocentesis at less than 14 weeks gestation is becoming more common in prenatal diagnosis populations. Randomized studies are minimal and have not had the power to determine the accuracy and safety of the procedure compared to chorionic villus sampling or mid-trimester amniocentesis. Procedures at 11⁺⁰-12⁺⁶ weeks should be considered experimental. This clinical review considers the ethics, embryology, and clinical experience (cytogenetics, AFP, AChE, procedure and cytogenetic failures, spontaneous and therapeutic pregnancy losses, congenital anomalies) of early amniocentesis.     

Prenatal diagnosis in Canada — 1990: A review

This paper presents the results of a detailed study of the genetic prenatal diagnostic services available in Canada in 1990. All 22 genetic centres offering prenatal diagnostic services as well as the 64 laboratories processing samples were surveyed. Data were collected from each to determine what testing was being done, how many women were being tested, for what conditions, and with what outcomes. Also, data on the 35 formal outreach sites were collected. The statistics presented are for the 1990 calendar year. This survey was conducted for the Canadian Royal Commission on New Reproductive Technologies.     

SERS detection of arsenic in water: A review

Arsenic (As) is one of the most toxic contaminants found in the environment. Development of novel detection methods for As species in water with the potential for field use has been an urgent need in recent years. In past decades, surface-enhanced Raman scattering (SERS) has gained a reputation as one of the most sensitive spectroscopic methods for chemical and biomolecular sensing. The SERS technique has emerged as an extremely promising solution for in-situ detection of arsenic species in the field, particularly when coupled with portable/handheld Raman spectrometers. In this article, the recent advances in SERS analysis of arsenic species in water media are reviewed, and the potential of this technique for fast screening and field testing of arsenic-contaminated environmental water samples is discussed. The problems that remain in the field are also discussed and an outlook for the future is featured at the end of the article.     

Reproductive health in Turner syndrome: A narrative review

Turner syndrome (TS), a common chromosomal abnormality affecting females, is associated with partial or complete loss of the second sex chromosome. Although the classic karyotype is 45, X, the detection of mosaic TS is increasing. TS is a multi-system disorder with significant endocrine, cardiovascular and reproductive impacts. Accelerated ovarian follicular loss leads to primary amenorrhoea or premature ovarian insufficiency and infertility. Early diagnosis and counselling regarding hormone replacement therapy and future reproductive capacity, including fertility preservation, are essential to improve reproductive outcomes. Pubertal induction or estrogen replacement is usually required to optimise long-term health outcomes; however, initiation may be delayed due to delayed diagnosis. Spontaneous pregnancy occurs in a small number of women; however, many require donor oocytes and assisted reproductive technology to achieve a pregnancy. Pregnancy is a high risk especially when associated with congenital heart disease. Prepregnancy counselling by the multidisciplinary team (MDT) to identify contraindications and optimise pre-existing health issues is essential. Pregnancy management should be led by a maternal-fetal medicine unit with input from the MDT. This review examines reproductive health outcomes in women with TS and how best to manage them to reduce health risks and improve maternal and neonatal outcomes.     

Sequential precipitation samplers: A literature review

This report reviews the literature of sequential or within-event precipitation sampler construction and includes a limited survey of their applications. Collection apparatus have been classified as manually segmenting samplers, linked collection vessels, automatically segmenting samplers and continuous monitors (Robertson et. al., U.S. EPA Report, 1980). Design criteria for an ideal collector are discussed.     

Organic chloramines in chlorine-based disinfected watersystems: A critical review

This paper is a critical review of current knowledge of organic chloramines in water systems,including their formation, stability, toxicity, analyticalmethods for detection, and their impact on drinking water treatment and quality. The term organic chloramines may refer to any halogenated organic compounds measured as part of combined chlorine (the difference between themeasured free and total chlorine concentrations), andmay include N-chloramines, N-chloramino acids, N-chloraldimines and N-chloramides. Organic chloramines can form when dissolved organic nitrogen or dissolved organic carbon react with either free chlorine or inorganic chloramines. They are potentially harmful to humans and may exist as an intermediate for other disinfection by-products. However, little information is available on the formation or occurrence of organic chloramines in water due to a number of challenges. One of the biggest challenges for the identification and quantification of organic chloramines in water systems is the lack of appropriate analytical methods. In addition, many of the organic chloramines that formduring disinfection are unstable,which results in difficulties in sampling and detection. To date research has focussed on the study of organic monochloramines. However, given that breakpoint chlorination is commonly undertaken in water treatment systems, the formation of organic dichloramines should also be considered. Organic chloramines can be formed frommany different precursors and pathways. Therefore, studying the occurrence of their precursors in water systems would enable better prediction and management of their formation.     

Progress in carbon dioxide separation and capture： A review

This article reviews the progress made in CO2 separation and capture research and engineering. Various technologies, such as absorption, adsorption, and membrane separation, are thoroughly discussed. New concepts such as chemical-looping combustion and hydrate-based separation are also introduced briefly. Future directions are suggested. Sequestration methods, such as forestation, ocean fertilization and mineral carbonation techniques are also covered. Underground injection and direct ocean dump are not covered.     

Urban precipitation chemistry: A review and synthesis

Urban sampling sites have been specifically excluded from recent large networks for measuring chemical composition of precipitation. Because information on precipitation composition in urban areas is needed for a variety of current applications, it is useful to summarize present knowledge. Most of the available information is based on samples of bulk precipitation, collected by continuously open collectors. This method is now widely acknowledged to be of limited value because of its poor sampling characteristics for dry deposition. For many ions, particularly those residing on large airborne particles, urban bulk sampling yielded considerably higher concentrations than found in samples collected in ‘wet-only’ samplers. Spatial variability of ionic concentrations in urban areas is expressed in terms of the sample standard deviation of site precipitation-weighted means, as a percentage of the overall urban mean. Median values of the most major ions were near 30%; half of the available measurements were between 20 and 47%. Differences between urban and nearby rural concentrations of ions in precipitation were often reported. Those ions with some tendency to occur in higher concentrations in cities included Na⁺, Mg²⁺, Ca²⁺, NO₃⁻, SO₄²⁻ and Cl⁻. These differences should be viewed with caution, however, because they were usually based on one or two, possibly unrepresentative, rural sampling sites. Seasonal variations of urban [H⁺] were different in Europe and the U.S. Highest concentrations occurred in winter in Europe, but in summer in the U.S. There is a pressing need for additional urban precipitation chemistry monitoring and research.