Factors associated with multiple-pass procedures during chorionic villus sampling: A video analysis

Multiple placental passes during chorionic villus sampling (CVS) increase the risk of fetal loss; however, specific factors that predispose to repeat aspiration have not been delineated. To identify anatomic and technical variables associated with multiple-pass procedures, a detailed review of 205 videotaped CVS procedures (single pass = 163; multiple pass = 42) was performed, blinded to pregnancy outcome. The route of sampling did not influence the need for multiple aspiration attempts (transabdominal—30/ 135; transcervical—12/70), nor was placental location alone discriminatory. However, the combination of a posterior placenta and uterine retroversion was observed more frequently in the multiple-pass cohort (8/42 vs. 9/163; p<0.05). In transabdominal cases, suboptimal needle placement (e.g., perpendicular to the placental long axis) was more common in the initial aspiration of a multiple-pass procedure (21/30 vs. 38/105;p<0.01), while limited penetration of the catheter tip (e.g., just inside the placental edge) characterized a majority of multiple-pass cases in the transcervical subset (7/12 vs. 3/58; p<0.0001). A case-control cohort was constructed to evaluate the impact of these technical variables on sampling efficacy, independent of the influence of uterine position and placental site. In that analysis, suboptimal location and/or orientation of the sampling device remained characteristic of multiple-pass cases. We conclude that further reduction in the frequency of multiple-pass procedures might be achieved by consistent placement of the device tip in the central placental mass. Unlike amniocentesis, where any point of amnion entry will suffice, this technical nuance should be emphasized with CVS to maximize the single-pass success rate.     

“华夏古陆”考异

自葛利普创名“华夏古陆”以来,经过半个多世纪的论辩与考订,对其地质构造属性,至今仍然否定与肯定交迭起伏,莫衷一是,本文从推覆构造,陆地漂移等实际资料着手,加以论证,认为它是经历深刻改造和发生巨大位移的变质岩断片体,地质构造属性已非“华夏古陆”原义。     

Fluid Mechanics of Biological Surfaces and their Technological Application

 A survey is given on fluid-dynamic effects caused by the structure and properties of biological surfaces. It is demonstrated that the results of investigations aiming at technological applications can also provide insights into biophysical phenomena. Techniques are described both for reducing wall shear stresses and for controlling boundary-layer separation. (a) Wall shear stress reduction was investigated experimentally for various riblet surfaces including a shark skin replica. The latter consists of 800 plastic model scales with compliant anchoring. Hairy surfaces are also considered, and surfaces in which the no-slip condition is modified. Self-cleaning surfaces such as that of lotus leaves represent an interesting option to avoid fluid-dynamic deterioration by the agglomeration of dirt. An example of technological implementation is discussed for riblets in long-range commercial aircraft. (b) Separation control is also an important issue in biology. After a few brief comments on vortex generators, the mechanism of separation control by bird feathers is described in detail. Self-activated movable flaps (=artificial bird feathers) represent a high-lift system enhancing the maximum lift of airfoils by about 20%. This is achieved without perceivable deleterious effects under cruise conditions. Finally, flight experiments on an aircraft with laminar wing and movable flaps are presented.     

Internal circulating fluidized bed incineration system and design algorithm

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大庆油田落地原油对土壤污染的研究

大庆油田是中国最重要的原油生产基地,开发建设50多年来,已累计生产原油18.2亿吨.不可避免地在油田生产过程中产生大量的落地原油,对土壤造成了严重的污染.落地原油在土壤中的迁移主要有横向迁移和纵向迁移:横向迁移对土壤的污染成辐射状分布,污染强度随污染源的距离增加而迅速降低,污染源周围污染最重的区域在0 m～40 m范围内,占总量90%以上,横向迁移范围确定在150 m以内;落地原油纵向迁移绝大部分集中在距土壤表面0 cm～10 cm范围内,竖向迁移一般不超过70 cm.落地原油污染土壤中主要污染物包括总烃、芳烃、酚、苯并[a]芘和硫化物,通过落地原油污染土壤的模拟实验可知总烃、芳烃、苯并[a]芘和硫化物含量,随原油浓度增加而明显增加,呈明显正相关性;其一元线性回归方程分别为Y=0.470X-17.88、Y=0.119X-6.13、Y=0.0076X-0.30、Y=0.000055X 0.089.     

复合混凝剂处理印染废水

为了处理高浓度、高色度、高COD的印染废水，利用硫酸亚铁、工业废酸和金属下脚料自行配制了复合混凝剂，并将其与聚合双酸铝铁、聚合氯化铝铁、硫酸亚铁对印染废水的混凝效果进行对比。研究表明，复合混凝剂处理印染废水具有成本低、效果好的特点。当硫酸亚铁的投加量为200mg/L，复合混凝剂的投加量为1280mg／L，PAM的用量为2mg／L时，脱色率达94．9％，COD去除率达78．1％，悬浮固体（SS）去除率达90．9％。     

Carrier screening for cystic fibrosis

A number of different models of CF carrier screening have now been tested in pilot trials. Apart from opportunistic and cascade testing (which are strictly speaking not true forms of screening), the major programmes have been directed either to young adults in primary care or to pregnant women in antenatal clinics. Only in the latter form of screening has sufficient data been collected to allow conclusions to be reached on the optimum mode of delivery. It seems very probable that when CF carrier screening passes into routine service, it will be the antenatal couple model that is used.     

Neonatal lung function following mid-trimester amniocentesis

Three hundred and fifty-four women who underwent midtrimester genetic amniocentesis were matched for age, parity, indication, and smoking history, with an equivalent number of women who had declined the procedure, for the purpose of comparing the neonatal respiratory status of their offspring. There was no evidence that the infants exposed to genetic amniocentesis were compromised.     

微孔过滤法回收废水中活性炭的研究

研究和讨论了应用微滤法净化和回收废水中活性炭的工艺过程，在实验条件下获得最佳的工艺设计参数，得取了满意的回收效果。