Rapid prenatal diagnosis of Patau's syndrome in a fetus with an abdominal wall defect by 72 hour culture of cells from amniotic fluid

A woman in the 32nd week of pregnancy was referred for investigation because of fetal abnormalities, including an abdominal wall defect, detected by ultrasonography. In view of the increased risk of chromosome abnormality, amniocentesis was performed to enable informed decisions about the management of the pregnancy and delivery to be taken. Cells from the liquor were inoculated into standard lymphocyte culture medium and incubated for 72 h. Slides with a high mitotic index and good quality metaphases, comparable to those from a blood culture, were obtained after harvesting. Cytogenetic analysis showed the karyotype to be 46,XY,—14,+t(13ql4q), which is consistent with Patau's syndrome. This technique appears to be an option for rapid karyotyping in cases of abdominal wall defect, where a chromosomal abnormality is suspected.     

环境管理的现状分析与对策

针对我国目前环境管理的现状,提出了存在的问题,并且据此提出对策思考。     

S-100 protein and neuron-specific enolase in amniotic fluid as markers of abdominal wall and neural tube defects in the fetus

The aim of this study was to determine whether there is increased leakage of neuron-specific enolase (NSE) and S-100 protein into amniotic fluid in pregnancies with neural tube defects, since both these proteins are produced by neural tissue, and to compare the value of these substances for detecting such defects with that of the more conventional techniques of alpha-fetoprotein (AFP) and acetylcholinesterase (AChE) gel electrophoresis. Amniotic samples from 25 mid-pregnancies (15–17 weeks' gestation) with neural tube defects (14 with open spina bifida and 11 with anencephaly) and from seven mid-pregnancies with abdominal wall defects were compared with a control material consisting of 80 amniotic fluid samples from 80 consecutive mid-pregnancy amniocenteses, with normal karyotypes and AFP concentrations. All of the above cases of abnormalities were primarily detected through increased AFP levels in the amniotic fluid. Amniotic fluid samples from 13 pregnancies with fetuses with autosomal chromosomal abnormalities and seven amniotic fluid samples contaminated with blood were also included in the investigation. It is concluded from the results that the conventional AFP assay combined with AChE gel electrophoresis is the best method for screening amniotic fluid for neural tube defects and defects of the abdominal wall. Neither NSE nor S-100 assay alone proved to be superior for the detection of these cases in mid-trimester amniotic fluid. The S-100 assay, however, could give additional information in cases where AChE gel electrophoresis is not decisive; for example, in samples contaminated with blood.     

关于既有民用建筑定期安全检测与维修问题的探讨

分析了既有民用建筑的现状，论述了既有民用建筑进行定期安全检测与维修的重要性，建议国家应制定既有民用建筑定期安全检测与维修的相关法规，并加强管理，保证实现工程的设计使用年限及延长建筑物的使用寿命，最大程度地发挥投资效益。     

间歇式加煤锅炉SO2的定电位电解法测试技术探讨

针对间歇式加煤锅炉SO2的排放特性和平均排放浓度测试，结合两种常用的智能烟气分析仪，列举定电位电解法在实际测试中的应用情况以及不同测试分析仪器的功能性特点，指出当前在实际测试过程中存在的人为随意性和易出现的测试误差，提出消除和减少误差的相应对策。     

上海市污水处理设施问题探析

介绍了上海市污水处理设施的现状，并剖析了其存在的问题，如管网配套建设问题，有效处理问题，污水回用及设施的运行管理等。在此基础上，提出了一些有针对性的调控对策建议，以促进上海的水资源可持续利用。     

Iniencephaly is not uniformly fatal

Iniencephaly is an uncommon, but not rare, lesion involving a fusion between the posterior occipital bone and the cervical spine. Many cases are associated with other cranio-cervical abnormalities and anencephaly, and most are associated with other structural abnormalities. The prognosis is thought to be dismal. We describe a male infant, one of twins, who was diagnosed prenatally as having iniencephaly. The child was born without complication and has grown and thrived. This is the fourth patient with long-term survival with iniencephaly. We recommend that non-directive counselling be applied when presenting the findings of iniencephaly to parents.     

多级A/O工艺在国内的应用现状

多级A/O工艺目前在国内市政和部分工业污水处理领域应用较多,具有预处理和污泥处理系统简单,污泥负荷低、处理效果好且稳定,投资低,曝气系统效率高、运行成本较低,维护管理简便等特点,但是在实际运行中也发现存在一些问题,如土池结构不适合地下水位高的地区的局限性,沉淀池效果较差、稳定池多余占地且污泥淤积难以清除,关键设备国产质量有待提高,工业污水处理少数水质指标偏高,需要设计人员选择适合其条件的场合应用,并进一步总结、改进和完善.     

企业污染治理设施运行存在的问题和政府管理对策

由浙江省嘉兴市环境保护主管部门的环境处罚案件表明,排污企业污染治理设施运行存在的问题是导致超标排污的主要原因.在通过对该市大量排污企业污染治理设施运行管理情况调查分析的基础上,总结出目前企业内部污染治理设施运行管理中存在的主要问题有:企业对环保工作主观重视程度不够、污染治理设施建设滞后引起超负荷运行、疏于维护管理导致不能发挥正常治污效果、操作管理人员专业文化素质偏低引起操作不当以及处理设施被擅自改变、拆除或者闲置;同时对这些问题的产生原因进行了分析.并从宣传教育、加强企业环境管理、严格执法和推行政策等方面提出了相应的管理对策.     

食品安全管理存在问题及其对策研究

食品是人类赖以生存和发展的重要物质基础。当前食品安全形势严峻,面临来自多方面的挑战。食物中毒、滥用杀虫剂、采用新技术和新工艺等带来的食品安全问题,还有生产流通环节的问题。笔者论述了食品安全的定义及内涵;介绍国内、外食品安全现状的基础上,分析了食品安全的重要性;进而提出了食品安全的可行性对策:完善我国食品安全法律法规与标准体系,建立和健全食品安全管理的专门机构,加强食品流通秩序的管理,构建系统的食品安全教育培训体系,加强社会监督,发挥消费者在食品安全问题中的积极作用等。