Cardiac blood flow studies in fetuses with haemoglobin bart's disease

Blood flow across the atrioventricular valves and outflow tracts was measured in 55 normal fetuses and 32 fetuses with haemoglobin (Hb) Bart's disease between 18 and 26 weeks of gestation. The mean velocities remained unchanged in both normal and affected fetuses over the gestations studied. The volume flow across both atrioventricular valves and outflow tracts increased as the gestation advanced in both normal and affected fetuses, but was significantly higher in affected than in normal fetuses. The same magnitude of increased flow was found in both hydropic and non-hydropic fetuses with Hb Bart's disease. These findings suggest that fetuses with severe and long-standing anaemia have a remarkable cardiac compensatory mechanism for the maintenance of tissue oxygenation. In response to anaemia and circulatory loading, the cardiac chambers and outflow tracts enlarge proportionately up to twice the normal values. Because of this response and the operation of the Frank-Starling mechanism, the heart is able to maintain a normal mean velocity of propulsion and the net output is increased to two to three times that in normal fetuses. Hydropic changes in these anaemic fetuses appear unrelated to cardiac failure as cardiac failure is not observed at the time that hydropic changes develop.     

中国医院污水处理现状及前景分析

医院污水具有空间污染、急性传染和潜伏性传染等特征,不有效处理会成为一条疫病扩散的重要途径,并严重污染环境.本文首先提出了中国医院污水的处理现状,找出与发达国家之间的差距,进而对中国医院污水处理的前景进行了分析,提出中国医院污水处理中应改善的几个方面.     

Evaluation of a prenatal screening procedure for β-thalassaemia carriers in a chinese populationbased on the mean corpuscular volume (MCV)

Haemoglobin A₂ (HbA₂) levels were determined on 25 β-thalassaemia carriers by the microcolumn method and were found to range from 4.5–7.2 per cent (mean 5.2±0.82 S.D.). The haemoglobin level (Hb), mean corpuscular volume (MCV), plasma ferritin and HbA₂ levels were measured on a further 299 cconsecutive Chinese pregnant women at a gestation of less than 24 weeks. 18 patients (6 per cent) had HbA₂ level greater than 4.5 per cent and were diagnosed to be β-thalassaemic carriers. It was observed that all these patients had a MCV below 75 fl. If this level is selected in a screening procedure based on measurement of MCV alone all β-thalassaemia carriers could be detected and 11 per cent of the population screened would require HbA₂ estimation. At a lower cut-off level of 70 fl, 8 per cent of the population screened wouid require HbA₂ measurement (a decrease of 27 per cent) but the detection rate will be lowered considerably (83 per cent). The high false positive rate at all cut-off levels of MCV was largely due to the prevalence of iron deficiency anaemia in the population. Estimation of plasma ferritin level in patients with low MCV will reduce this false positive rate, but there will be a considerable delay in diagnosis in patients with concomitant iron deficiency and β-thalassaemia. The presence of iron deficiency in β-thalassaemia carriers did not reduce their HbA₂ level below the diagnostic range in this study. Measurement of Hb level did not appear to be useful as a screening method since one third of the β-thalassaemia carriers had a Hb level over 11 g/dl. The validity of the MCV cut-off levels derived from the first part of the study was assessed in screening a larger population. 61 β-thalassaemia carriers (6 per cent) were detected out of 1166 patients screened. This incidence was not significantly different from the first part of the study. All these 61 patients had a MCV less than 75 ml. It was concluded that a two-step screening policy, based on MCV measurement followed by HbA₂ estimation when the MCV value is less than 75 fl, is suitable for our population. It is efficient, straight forward with excellent sensitivity and required less time and effort for both laboratory staff and clinicians.     

浅谈一元线性回归在清洁生产审核中的应用

回归分析法是分析相关因素相互关系的一种数理统计方法,这种方法通常应用在预测分析中,如在市场预测时的产品需求预测,而这种方法亦可用于企业清洁生产审核,通过建立一元回归方程,从而表明消耗-生产之间的关系,并更深入地对绩效进行简单的分析,本文就一元线性回归在企业清洁生产审核中的应用进行了简要论述.     

中国自然灾害和减灾对策(之五)——开拓"综合减灾"新理念

近年世界上自然灾害损失增长日益严重,联合国副秘书长杨·埃格兰向联合国第61次大会报告了《国际减灾战略的执行情况》,近年内115个国家因自然灾害有93 000人丧生,经济损失比前十年平均值高出2.6倍、水灾次数大约高出50%.     

推行清洁生产是防治污染的有效方法

概述了清洁生产的重要性，以大庆化工二厂为例，阐述了推行清洁生产收到的显著的经济和环境效益     

甘肃河西保护地水热资源及其在栽培中的再利用研究

通过试验,用气候学原理,对保护地内水热资源的再利用作了系统分析,定量得出再利用资源值后,将其结果应用到瓜菜生产中,得出当地瓜菜生产的适播期和部分热量指标,为保护地设计提供了理论依据。     

绿色机动车—燃料电池汽车

简要叙述了燃料电池汽车的技术特点，主要有：能量转化效率高，ＣＯ２排放量比内燃机汽车低，基本不产生有毒气体，不要充电。在此基础上较详细地介绍了世界各国的燃料电池汽车研究现状，并针对上海市机动车污染严重的现状，提出了发展燃料电池汽车及其相关产业的建议。     

盐城凹陷凝析油地球化学特征

运用碳同位素、气相色谱、色谱 质谱、流体包裹体技术 ,研究了盐城凹陷凝析油地球化学特征 ,并与永安凹陷永 7井凝析油、下扬子海相原油进行了对比。该凝析油碳同位素为 -2 8 8‰～ 3 0 5‰ ,全油色谱中含有一定的长链正构烷烃 ,Pr/Ph为 1 5 6,三环萜烷含量高 ,伽玛蜡烷含量低 ,重排甾烷含量高 ,C2 9甾烷 >>C2 7甾烷 >C2 8甾烷。石蜡指数、庚烷值表明原油为高成熟凝析油 ,甲基菲指数MPI表明原油为未熟—低熟原油 ,C2 9甾烷 2 0S/ (2 0S+2 0R)值表明原油为成熟原油。这种成熟度的差异可能与不同成熟度原油的混合作用有关。油气主要充注时间为 6～ 1 5Ma。凝析油的主体可能源于泰州组烃源岩 ,凝析油的形成与蒸发分馏作用密不可分     

Ultrasound evaluation of pregnancies at risk for homozygous α-thalassaemia-1

Twenty-six pregnant Chinese women who were at risk of giving birth to a fetus affected with homozygous α-thalassaemia-1 were examined serially by ultrasound. Six of these 26 pregnancies were affected. In one third of the affected pregnancies progressive fetal ascites appeared before 24 weeks gestation and these pregnancies were terminated. In the remaining two thirds abnormal estimated fetal weight-placental volume (EFW-PV) ratio and fetal growth retardation as evidenced by a falling biparietal diameter (BPD), femur length (FL) but a normal abdominal circumference (AC) was apparent by 28 weeks gestation. Increased transverse cardiac (TC) diameter was another consistent finding but appeared late. All these features appeared before the onset of fetal ascites. A normal EFW-PV ratio and fetal growth until 28 weeks gestation was a reassuring sign of normality. Abnormal EFW-PV ratio was the earliest sign to appear in affected pregnancies and a normal ratio until 28 weeks gestation had a 100 per cent predictive value.