Fetal brain imaging in isolated congenital heart defects – a systematic review and meta-analysis

Congenital heart defects (CHDs) are associated with neurodevelopmental (ND) delay. This study aims to assess evidence for impaired prenatal brain development, in fetuses with CHD. A systematical search was performed, and 34 studies evaluating the fetal brain [magnetic resonance imaging (MRI) or ultrasound] in isolated CHD were included (1990–2015). Data regarding cerebral abnormalities, head circumference growth and middle cerebral artery flow were extracted. Prenatal MRI was studied in ten articles (445 fetuses), resulting in a pooled prevalence of 18% (95%CI −6%; 42%) for combined structural and acquired cerebral abnormalities. Prenatal head circumference was studied in 13 articles (753 fetuses), resulting in a pooled z-score of −0.51 (95%CI −0.84; −0.18). Doppler was studied in 21 articles (1412 fetuses), resulting in a lower middle cerebral artery pulsatility index (z-score −0.70 95%CI −0.99; −0.41) in left-sided CHD only. We conclude that prenatal MRI and ultrasound demonstrate brain abnormalities, delay in head growth and brainsparing in subgroups of CHD. However, large MRI studies are scarce, and ultrasound data are biased towards severe and left-sided CHD. Long-term follow-up studies correlating prenatal findings with postnatal ND outcome are limited, and data are lacking to support counseling families regarding ND outcome based on prenatal findings suggestive of altered brain development. © 2016 John Wiley & Sons, Ltd.     

污水磷回收新产物——蓝铁矿

渐行渐近的磷危机使磷回收从理论已经走向实践.磷回收产物形式很多,但经济、具有高附加值的产物才能驱动企业自愿实施.在污水处理生物污泥中新近发现的蓝铁矿(Vivianite,Fe_3(PO_4)_2·8H_2O)沉淀物因潜在的特殊用途以及经济价值而备受关注.自然界,蓝铁矿广泛存在于地表水体沉积物中,是一种非常稳定(K_(sp)=10~(-36))的磷铁化合物.决定蓝铁矿生成的条件除富铁、富磷之内在因素外,还需要环境中存在合适的还原性条件(ORP-300 mV)以及中性上下的pH条件(6～9).实践中,污水或污水处理过程中有时刚好存在蓝铁矿形成的内、外在条件,荷兰污水处理厂在生物污泥中便检测发现有蓝铁矿物质的存在.为推动蓝铁矿基础及其应用研究,本文综述蓝铁矿化学性质、经济价值及回收潜力;分析pH、ORP、微生物、硫化物等环境影响因素;辨析其在生物污泥中的生成路径;提出从污泥中分离、提纯蓝铁矿的研发思路.     

Influence of coagulation mechanisms and floc formation on filterability

Minimizing particles in water is a key goal for improving drinking water quality and safety.The media filtration process,as the last step of the solid–liquid separation process,is largely influenced by the characteristics of flocs,which are formed and controlled within the coagulation process.In a laboratory-based study,the impacts of the physical characteristics of flocs formed using aluminum sulfate on the filtration treatment of two comparative water samples were investigated using a photometric dispersion analyzer and a filterability apparatus.In general,the optimum dosage for maximizing filterability was higher than that for minimizing turbidity under neutral p H conditions.For a monomeric aluminum-based coagulant,the charge neutralization mechanism produced better floc characteristics,including floc growth speed and size,than the sweep flocculation mechanism.In addition,the charge neutralization mechanism showed better performance compared to sweep flocculation in terms of DOC removal and floc filterability improvement for both waters,and showed superiority in turbidity removal only when the raw water had high turbidity.For the different mechanisms,the ways that floc characteristics impacted on floc filterability also differed.The low variation in floc size distribution obtained under the charge neutralization mechanism resulted in the flocs being amenable to removal by filtration processes.For the sweep flocculation mechanism,increasing the floc size improved the settling ability of flocs,resulting in higher filter efficiency.