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191.
Twelve second-trimester fetuses with cystic hygroma underwent fetal blood sampling for rapid karyotyping, haematologic evaluation, and blood gas analysis. An abnormal karyotype was found in seven cases: monosomy X in five, trisomy 21 in one, and trisomy 13 in the other. Eight often fetuses undergoing blood gas analysis showed hypoxaemia, five of which were growth-retarded. Nine pregnancies were terminated. Of the remaining three, only one fetus survived the perinatal period.  相似文献   
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Large scale dairy operations are common. In many cases the manure is deposited on a paved surface and then removed with a flushing system, after which the solids are separated, the liquid stored in ponds, and eventually the liquid applied on adjacent crop land. Management of liquid manure to maximize the fertilizer value and minimize water quality degradation requires knowledge of the interactive effects of mineralization of organic N (ON) to NH4+, crop uptake of mineral N, and leaching of NO3 on a temporal basis. The purpose of the research was to use the ENVIRO-GRO model to simulate how the amount of applied N, timing of N application, ON mineralization rates, chemical form of N applied, and irrigation uniformity affected (1) yields of corn (Zea mays) in summer and a forage grass in winter in a Mediterranean climate and (2) the amount of NO3 leached below the root zone. This management practice is typical for dairies in the San Joaquin Valley of California. The simulations were conducted for a 10-year period. Steady state conditions, whereby an equivalent amount of N applied in the organic form will be mineralized in a given year, are achieved more rapidly for materials with high mineralization rates. Both timing and total quantity of N application are important in affecting crop yield and potential N leaching. Major conclusions from the simulations are as follows. Frequent low applications are preferred to less frequent higher applications. Increasing the amount of N application increased both the crop yield and the amount of NO3 leached. Increasing irrigation uniformity increased crop yields but had variable effects on the amount of NO3 leached. A winter forage crop following a summer corn crop effectively reduced the leaching of residual soil N following the corn crop.  相似文献   
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A survey was conducted of the results of mid-trimester diagnostic amniocenteses in the Oxford Region from 1974 to 1981. The survey used data relating to all 4357 singleton pregnancies in which an amniocentesis was performed during this period. Follow-up information on outcome was obtained in respect of 4284 (98 per cent) pregnancies. A cell culture to determine karyotype and an alpha-fetoprotein determination was carried out in all cases. From 1974 to 1981 amniocenteses became increasingly common, rising from 2 to 32 per 1000 births. The most common indication for amniocentesis was a high risk of a chromosome abnormality–56 per cent of all amniocenteses. Within this group advanced maternal age was responsible for 89 per cent of the cases. The next most common indication was a high risk of a neural tube defect (37 per cent of all amniocenteses)–in 1974 a raised maternal serum alpha-fetoprotein level accounted for only 4 per cent of these; by 1981 this had risen to 67 per cent. There were seven false-positive and 132 true-positive diagnoses of neural tube defect; since 1981, with the introduction of amniotic fluid acetylocholinesterase determination as a secondary diagnostic test for neural tube defects, there have been no further false-positive diagnoses. In 1981 76 per cent of women aged 35 years or more did not have an amniocentesis. It is not known to what extent this was due to not offering women in this age group amniocentesis or to women not accepting such an offer.  相似文献   
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Hurler's disease was excluded in a fetus at 23 weeks' gestation by demonstrating normal iduronidase activity in fetal leucocytes following failure of amniotic cell culture after amnic-centesis at 16 and 19 weeks' gestation. The diagnosis was confirmed in the neonate.  相似文献   
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