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91.
With growing awareness of the problems associated with prenatal cytogenetic diagnoses after CVS, attempts have been made to provide early amniocentesis as an alternative to CVS. Since 1990, at our clinic the gestational age limit for routine diagnostic amniocentesis has been successively lowered, first to 14 and then to 13 weeks of gestation. Thus, 811 prenatal diagnoses were performed after early amniocentesis at 13 weeks (n = 217) and at 14 weeks of gestation (n = 594). No problems were encountered. Culture failure was never observed in the early samples. Using the criteria ‘number of colonies’ and ‘culture duration until harvest’, early samples taken at 14 weeks did not differ significantly from the controls after standard amniocentesis performed at 15 and 16 weeks, respectively, whereas a minority of samples taken at 13 weeks experienced some delay in culturing. However, in each group at least 85 per cent of samples led to a diagnosis fulfilling our standard criteria of a safe diagnosis (at least 20 metaphases of at least five colonies from at least one primary culture after trypsinization) within 15 days. Some differences between the different groups can be recognized: culture duration of less than 11 days tends to be increasing after standard amniocentesis, whereas long culture duration (more than 20 days) is more often associated with early amniocentesis. However, this trend is only minimal and did not result in an increased risk of missing a diagnosis. 相似文献
92.
Three mutually dependent elements are required for the application of life cycle assessment: methodology, data and software. Obviously, the design of software is determined by the methodology and the type of data available. Conversely, the development of software dictates the way in which data should be collected and recorded, and improves the theoretical framework, as it forces one to state the principles clearly and unambiguously. The influence of the development of software on both data and methodology is addressed and illustrated by examples, with reference to two key terms: transparency and explicitness. Three types of influence are distinguished: the design of a protocol, the formulation in terms of recipes, and the presentation of data. 相似文献
93.
Sylvie Gagnon William Fraser Dr Bertrand Fouquette Adrien Bastide Marc Bureau Jean-Yves Fontaine Céline Huot 《黑龙江环境通报》1992,12(1):9-18
During a 7-year period, 117 fetal karyotypes were available from 131 genetic amniocenteses. These procedures were performed between 14 and 37 weeks' gestation for the following abnormal ultrasound findings: (1) intrauterine growth retardation (IUGR)—61 cases; (2) fetal malformation—71 cases; and (3) amniotic fluid volume (AFV) abnormality—60 cases. Chromosomal abnormalities were identified in 19 cases (16.2 per cent). Aneuploidy was 2.5 times as frequent in the presence of malformations than in their absence. No correlation was demonstrated between specific fetal malformations and specific chromosomal abnormalities. Aneuploidy was also twice as frequent in the presence of symmetrical IUGR than in its absence. No chromosomal abnormalities were found among eight cases of asymmetrical IUGR. Four cases of aneuploidy presented with isolated IUGR, three of these involving the X chromosome. The frequency of aneuploidy was the same with or without abnormalities of AFV (14.3 versus 16.4 per cent). No chromosomal abnormality was found associated with isolated AFV abnormalities. 相似文献
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Upper limb reduction was diagnosed by ultrasound scan at 17 weeks after chorion villus sampling at 9 weeks' gestation. Pregnancy was terminated and necropsy confirmed limb reduction in an otherwise normal fetus. The relationship of limb reduction to amniotic band syndrome is discussed. 相似文献
97.
Laperdina T. G. Melnikova M. V. Koval A. T. Sidorov Y. F. Nagorny V. A. Ostapchuk V. I. 《环境科学学报(英文版)》2000,(Z1)
IntroductionSiberiaandtheFarEastaretheoldestandtherichestgold miningareasofRussia .Intensivegold miningherestartedinthebeginningofthe 19thcentury(Vyazelshchikov ,1963) .Forthemostpartgold bearingoresandsandswereprocessedwiththeuseofamalgamationmethodforgolde… 相似文献
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