Fetal cholecystomegaly: A prenatal marker of aneuploidy

The fetal gall bladder can now be easily identified during the second and third trimesters using high-resolution ultrasonography. In this report we present eight fetuses with an enlarged gall bladder detected on prenatal ultrasonography at a mean gestational age of 24.6 weeks (range 19–31 weeks). Additional ultrasonographic findings were present in four cases: fetal anomalies and intrauterine growth retardation in three and polyhydramnios in one. Of those cases associated with fetal anomalies, one woman underwent amniocentesis at 21 weeks revealing trisomy 18. The other two declined prenatal karyotyping; neonatal karyotyping revealed trisomy 13 in one and trisomy 18 in the other. Although an enlarged fetal gall bladder can be a normal variant in the second and third trimesters, the prenatal detection of cholecystomegaly should prompt a search for associated anomalies and other markers of aneuploidy. If found, prenatal karyotyping should be considered.     

泰国和越南的产业改革和养虾业通向生态、社会及经济可持续发展的道路

越南的养虾业正处在对生产体系的基础改造,使其转变成一个重要产业的过程中.该地区其他国家的经验,特别是高投入生产体系占主导地位的泰国的经验表明,现在正是通过干预使养虾业改道进入在生态、社会和经济上更可持续的道路.在泰国,实施强化的体系和复杂的产业组织的多年经验并没有获得可持续的解决办法.这里所面临的任务是使社会重新赢得控制并沿着更有效和良性发展的道路改变改革的发展方向.我们的分析结果表明,这两个国家的现行方法不可能使养虾业可持续的发展,需要对整个对虾的生产、喂养、加工、供销及管理的方式进行全面改革.     

可持续发展与草原生态环境保护——以内蒙古草原区为例

草原具有自然和社会两方面的功能，在实现这些功能的过程中，应该遵循可持续性发展原则来维持健康的草原。草原的自然功能是社会功能的基础和保障，草原的社会功能是自然功能的延伸和发展，社会功能的发挥是建立在自然功能实现基础之上的。内蒙古地区在发展过程中要以科学发展观为指导，把建设社会主义新牧区的任务与草原发展的丰富内涵结合起来，加强草原生态环境保护，建设环境友好型和资源节约型社会。     

上海生活垃圾资源化产业的发展探讨

概述了国内外生活垃圾资源化利用的现状，对上海生活垃圾资源化利用状况和问题作了分析，探讨了垃圾资源化利用的价值和实现途径，提出了促进上海生活垃圾资源化产业发展的几点建设。     

Population growth, management and environmental degradation in China

Environmental problems in China can be divided into two large classes: pollution and destruction of natural environment. Environmental degradation is particularly serious in areas with rapid population growth. In this paper, some of China's major environmental problems, particularly those concerned with land, forests, and continental waters are introduced in order to see how population growth and management have affected these resources over the past few decades. It is also explained how the Chinese plan to cope and eventually solve these problems.     

Prenatal diagnosis of congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency by steroid analysis in the amniotic fluid of mid-pregnancy: Comparison with HLA typing in 17 pregnancies at risk for CAH

Amniotic fluid (AF) levels of 17-hydroxyprogesterone (17OHP) and testosterone (T) were determined at 16–17 weeks in 17 pregnancies at risk for CAH and results compared to 75 normal controls. The fetus was predicted to be unaffected in 12 cases on the findings of normal AF levels of both 17OHP and T and the latter allowed a correct prediction of fetal sex in all instances. HLA typing confirmed normality in 12 cases revealing 5 carriers, 5 homozygous normal and 2 indeterminate. Steroid levels of the 2 groups were similar. Three fetuses were predicted to be CAH affected on unambiguously high levels of 17OHP and T (in female only). HLA typing was in agreement, and the diagnosis was confirmed in 2 abortuses and a female newborn by physical and hormonal studies. In the last 2 cases AF levels of OHP and T were normal but HLA (A/B/C) genotypes were identical to the CAH affected siblings. Normal physical and hormonal findings in the 2 aborted fetuses would exclude the possibility of an in utero virilizing form of CAH. The discrepancy could be explained on the basis that the fetuses had an allelic form of 21-hydroxylase deficiency or on the basis of recombination (not fully tested). It is concluded that a fully informative prenatal diagnosis of CAH should not rely entirely on HLA typing but on hormonal studies.     

中国环境镉接触人群低骨密度及肾功能不全的研究

25年前,Ambio曾载文提出应警惕环境镉污染引起的健康效应.1998年在中国进行了这方面的研究,评价了因食用大米而接触镉人群的前臂骨密度(BMD)和肾功能,发现尿镉(CdU)或血镉(CdB)高的绝经后妇女及血镉(CdB)高的男性,BMD均有所下降.在CdB或CdU与肾功能不全(视黄醇结合蛋白排泄增加)之间也发现了明显的、有统计学意义的剂量-效应关系及剂量-反应关系.第一次报道了日本以外的亚洲地区镉接触人群中存在骨不良效应.本文的意义在于阐明了亚洲的环境镉接触人群中仍存在着与肾和骨(镉的比较严重的有害效应)的联合效应,也讨论了一些欧洲镉接触人群的骨效应.