The effect of a systemic arteriovenous fistula on the pulmonary arterial blood pressure in the fetal sheep

In order to investigate whether systemic arteriovenous fistula occurring during the fetal period could induce pulmonary hypertension at birth, a fistula was surgically created between the carotid artery and jugular vein of fetal lambs at 120 days' gestation. Mean pressures in the left pulmonary artery, aorta, atrium and ventricles were measured at birth in seven experimental animals and in five control animals. Mean left pulmonary pressure was significantly higher in the lambs with fistula as compared with the control group, suggesting that prenatal occurrence of systemic arteriovenous fistula may induce fetal pulmonary hypertension. The present study provides a new animal model that could be relevant for the study of mechanisms regulating pulmonary vascular tone in the perinatal period. Copyright © 2002 John Wiley & Sons, Ltd.     

Chromosomal abnormalities associated with a single umbilical artery

A single umbilical artery was seen in 10 out of 117 cytogenetically abnormal pregnancies. The abnormal karyotypes found to be associated with a single umbilical artery were trisomy 18 (n = 5), monosomy X (n = 2), triploidy (n = 1), sex chromosome (47,XYY; n = 1) and translocation (46t(X,5)(q13p15); n = 1). With the exception of the translocation case, all cases with a single umbilical artery had anatomical defects which were detectable ultrasonographically. This suggests that a single umbilical artery alone is not an indication for prenatal fetal karyotyping.     

探究性教学在大学语文课程中的运用——以讲授苏轼《水调歌头》一课为例

《大学语文》作为高职高专的一门公共基础课,因其丰富的人文内蕴、情感价值和审美趣味而承担了进一步提高大学生人文素质、增进文化修养的功能,从而培养大学生具有深厚人文精神的理想人格。在《大学语文》教学活动中开展探究性教学,既是教育改革全面实施素质教育的客观要求,也是大学生自我提升的内在需要。以讲授苏轼的《水调歌头·明月几时有》一课为例,阐述如何在高职高专《大学语文》课程的教学活动中引导和组织学生开展探究性教学。     

Prenatal pleural effusion associated with congenital pulmonary lymphangiectasia

A pleural effusion associated with congenital pulmonary lymphangiectasia was detected in a fetus in utero but was absent at the time of delivery. The pleural effusion was unilateral although the disease involved both lungs. In this case there was an association between polyhydramnios and congenital pulmonary lymphangiectasia.     

氧化石墨烯和多环芳烃与肺表面活性物质间的相互作用

为阐明氧化石墨烯与多环芳烃这一复合污染体系与肺表面活性物质（PS）的作用,考察了各组分之间的作用方式及效应,并对作用机制进行分析.结果表明,PS及其组分对多环芳烃有增溶作用,增溶能力依次为萘 < 苊 < 苯并（a）蒽;氧化石墨烯对多环芳烃和PS有一定的吸附作用,且多环芳烃和PS存在竞争吸附,入肺后PS及其组分占据多环芳烃的吸附位点而负载于氧化石墨烯表面;多环芳烃在PS及其组分增溶作用下在氧化石墨烯表面解析,毒性增强;DPPC由竞争吸附产生的解析效果尤为显著,当苯并（a）蒽的加入量到0.6mg/L时,DPPC于GO上吸附量减少了28.92mg/g;同时,多环芳烃和PS均会促使氧化石墨烯团聚,粒径增大3倍以上;C=C键的增多和化学键转化产生的作用力影响了氧化石墨烯的稳定性.本研究为复合污染对肺的潜在毒性效应及肺风险评估提供了一定的理论支撑.     

Single umbilical artery stenosis associated with intrauterine fetal death post-transfusion

Single umbilical artery is among the most common funicular vascular anomalies. In contrast, umbilical artery stenosis is rare, and has only been reported in three-vessel cords. We describe a case of single umbilical artery stenosis in a fetus with no associated malformations. Intrauterine fetal death occurred at 28weeks' gestation following cordocentesis and intravascular transfusion for Rhesus alloimmunization. Single umbilical artery stenosis may place the fetus at increased risk, particularly in cases requiring interventions involving cord manipulation. Copyright © 2002 John Wiley & Sons, Ltd.