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.     

Sonographic diagnosis of cystic adenomatoid malformation in-utero

Routine ultrasound examination at 30 weeks gestation revealed an intrapulmonary cystic mass in an otherwise normal fetus. Following delivery at term, the diagnosis of congenital cystic adenomatoid malformation of the right lung was confirmed, and an elective right middle lobectomy successfully performed at nine days of age.     

Prenatal diagnosis for the detection of down syndrome: Why are so few eligible women tested?

Postpartum women ≧ 33 years were interviewed about their attitudes to and knowledge and use of prenatal diagnosis. Overall, 68 per cent had heard of prenatal diagnosis; nevertheless, only 30 per cent of those ≧ 35 had actually been tested. The only significant difference between eligible women who were tested and those who were not was maternal age. Of those tested, half requested it for themselves; conversely, only two-thirds of women requesting the procedure actually received it. Among women not tested, 82 per cent were never offered the procedure by the physician. Expressed attitudes to prenatal diagnosis were strongly positive among all women, with 75 per cent continuing to want testing after learning both their age-specific risk of having an affected child and the possible risks of amniocentesis. The data document a potential demand for amniocentesis far in excess of current use and present service facilities. They suggest, moreover, that underuse may reflect professional hesitation and underreferral more than consumer lack of demand or reluctance to be tested.     

能源使用与环境质量关系模型研究

能源的大量使用导致环境质量的严重恶化。对经济增长过程中能源使用与环境质量关系模型进行了详细的研究，并提出了提高能源资源生产率的相应举措，以便有利于目前的“资源节约型、环境友好型”社会的建设。     

内电解组合工艺处理重度富营养化水体的初步中试试验

采用催化铁内电解-沸石床-生物活性炭组合工艺进行了处理重度富营养化水的中试试验.通过对进水与出水浊度、TP、CODMn、UV254、总铁、NH3-N、和NO2--N的监测,研究了本组合工艺对重度富营养化水体的处理性能.试验期间,水温约在10℃.初步结果表明,本组合工艺对浊度、TP、CODMn和UV254均有较好的去除作用,平均去除率达到50%以上,出水中铁含量均低于进水.由于水温过低,未观察到氨氮和亚硝酸盐氮的明显变化.     

南京市城市生活垃圾分类收集问卷调查

围绕南京市城市生活垃圾分类收集的问卷调查展开，揭示了南京市生活垃圾收集开展的现状，分析了其间存在的问题及成因，提出了相应的改进意见和解决办法，为生活垃圾分类收集在全国的推广提供了依据。     

Application of the analytic hierarchy process to select characterization and risk-based decision-making and management methods for hazardous waste sites

Environmental managers at U.S. Department of Defense (DoD) installations overseas are faced with the challenge of managing contaminated sites at these installations with little information on the extent of contamination or the risk posed by the site. In this regard, DoD managers overseas encounter a situation quite similar to the situation faced by decision makers in the U.S. who are managing brownfields. Innovative site characterization and risk-based decision-making methods, which are currently being developed for expeditious application at brownfield sites in the U.S., may also be appropriate for application at overseas DoD sites. In this paper, the analytic hierarchy process (AHP) is used by DoD decision makers to evaluate and rank innovative site characterization technologies and risk-based decision-making and management methods, for use at installations in Korea. Results indicate that for sites with high potential risk the decision makers preferred site characterization technologies that produce data of high quality and a method that can be used to establish credible risk-based remediation goals. This study provides a framework for applying characterization technologies and risk management to poorly characterized contaminated sites in developing countries, where resources for remedial actions may be limited.     

佛山五峰垃圾填埋场封场后CH4等浓度变化特征

通过对垃圾填埋场设置监测井监测，讨论了垃丧填埋场封场后在内部温度，渗滤液的ＰＨ值及Ｏ２，ＣＨ４、ＣＯ２等气体浓度在时间上与空间上的变化，认为在不同到３ａ的时间五峰垃圾填埋场内部垃圾分解的程度就已达到整个分解过程听中后期，提出在高温高湿地区要充分利用ＣＨ４资源，必须尽快直埋尽快封场或边填埋边使用。     

SBR法处理麻生物脱胶废水的T艺实验研究St

采用SBR法处理麻生物脱胶废水，实验考察了溶解氧、曝气时间、污泥负荷与处理效果的关系。结果表明，在限制性曝气及COD