Rapid and radical amniodrainage in the treatment of severe twin–twin transfusion syndrome†

We have evaluated the role of a rapid and radical method of amniodrainage in the treatment of severe twin–twin transfusion. The outcome of 15 patients with severe twin–twin transfusion for which a amniodrainage was performed by means of a vacuum bottle system was compared with the outcome of 15 patients with a similar condition, matched for gestational age at the time of the initial procedure and drained using a standard procedure. In the study group the amniodrainage ended when no amniotic fluid could be aspirated, whereas the women in the standard group were drained with a syringe system and the fluid was removed until the deepest amniotic fluid pool was <8 cm. At the initial procedure, the mean volume of amniotic fluid drained was significantly (p<0.05) higher (3252 vs 2153 ml) and the length of the procedure significantly (p<0.001) shorter (21 vs 41 min) in the study group than in the standard group. The mean post-procedure amniotic fluid index was significantly (p<0.001) smaller (2.9 vs 7.7 cm) after radical amniodrainage than after the standard amniodrainage. The mean number of procedures was significantly (p<0.001) lower (1.5 vs 5.6) in the study group compared to the standard group. In the study group the mean placental thickness increased significantly (p<0.001) from 9 mm before the procedure to 49 mm after, and the overall perinatal survival rate was 80% and the proportion of pregnancies with at least one survivor was 93%. The present data indicate that early, rapid and radical amniodrainage is an effective and low-cost therapy for severe twin–twin transfusion syndrome. Compared to the standard amniodrainage technique it also appears to reduce the need for multiple procedures. Copyright © 2001 John Wiley & Sons, Ltd.     

Aseptically collected calf serum as an effective alternative to fetal calf serum in the culture of amniotic fluid cells

The growth-promoting activities of three different bovine sera have been compared in primary and secondary amniotic fluid cell cultures. In secondary amniotic fluid cell micro- cultures, aseptically collected calf serum (CS) was slightly, though not significantly more effective than fetal calf serum (FCS) in promoting DNA synthesis, while newborn calf serum (NCS) was significantly less effective than either CS or FCS. All three sera were optimally effective at concentrations of 10 per cent (v/v). Significant variation in quality occurred within four batches of each of CS and FCS, but not within four batches of NCS. A selected batch of CS was significantly more effective in promoting the growth of primary amniotic fluid cell cultures than were a number of batches of FCS then in routine laboratory use. It is suggested that CS may serve as an effective and economical alternative to FCS in the culture of amniotic fluid cells, thereby expanding the scope of serum batch testing. A possible explanation for the varying growth-promoting activities of different sera is discussed.     

Unexpected structural chromosome rearrangements in prenatal diagnosis

Among 5315 prenatal diagnoses performed for various indications (maternal age, neural tube defect, metabolic diseases, X-linked diseases, pathologic pregnancies) 29 unexpected structural chromosome rearrangements were found in fetal cells. Fourteen were de novo chromosome rearrangements, six unbalanced, and eight balanced. Fifteen were inherited and balanced rearrangements. This high frequency of structural anomalies is discussed.     

废钻井液、泥浆的处理与控制对策

介绍中原油田分公司实施源头控制,减少废钻井液产生和利用无害化技术处理钻井废弃泥浆的实践,分析存在的主要问题,提出减少废钻井液产生的控制对策.     

The estimated reduction in the odds of loss-of-control type crashes for sport utility vehicles equipped with electronic stability control

INTRODUCTION: Using data from the NASS General Estimates System (GES), the method of induced exposure was used to assess the effects of electronic stability control (ESC) on loss-of-control type crashes for sport utility vehicles. METHOD: Sport utility vehicles were classified into crash types generally associated with loss of control and crash types most likely not associated with loss of control. Vehicles were then compared as to whether ESC technology was present or absent in the vehicles. A generalized additive model was fit to assess the effects of ESC, driver age, and driver gender on the odds of loss of control. In addition, the effects of ESC on roads that were not dry were compared to effects on roads that were dry. RESULTS: Overall, the estimated percentage reduction in the odds of a loss-of-control crash for sport utility vehicles equipped with ESC was 70.3%. Both genders and all age groups showed reduced odds of loss-of-control crashes, but there was no significant difference between males and females. With respect to driver age, the maximum percentage reduction of 73.6% occurred at age 27. The positive effects of ESC on roads that were not dry were significantly greater than on roads that were dry.     

一种高效节能的生物三相流化床技术

将竖流式生物三相流化床改为封闭卧式生物三相流化床后 ,不但保留了竖流式生物三相流化床原有的优点 ,消除了竖流式生物三相流化床存在的一些缺陷 ,而且又新增了功能 ,特别是电耗下降近 4 0 %。并着重介绍封闭卧式生物三相流化床在地下车库或其它对高度有限制场所的应用实例。该设备在处理餐饮业废水和一些中、小型工业有机废水中有较高的推广价值。     

基于CFD的深水钻井溢油事故定量风险评估

针对深水钻井作业过程中的井喷溢油问题,基于计算流体力学(CFD)方法,通过UDF函数给定海流流剖面、波浪入口边界条件和海水静压分布情况,结合标准k-ε方程,采用VOF模型实现对油、气、水三相自由面的追踪,建立了溢油扩散事故数值仿真模型,评估深水条件下溢油扩散危害区域,研究海流流速、溢油量对原油扩散的影响。结果表明,海流流速和溢油量是原油扩散行为和危害区域分布范围的重要影响因素。     

Numerical simulation of small-scale pool fires of LNG

Liquefied natural gas (LNG) has been largely indicated as a promising alternative solution for the transportation and storage of natural gas. In the case of accidental release on the ground, a pool fire scenario may occur. Despite the relevance of this accident, due to its likelihood and potential to trigger domino effects, accurate analyses addressing the characterization of pool fires of LNG are still missing.In this work, the fire dynamic simulator (FDS) has been adopted for the evaluation of the effects of the released amount of fuel and its composition (methane, ethane, and propane), on the thermal and chemical properties of small-scale LNG pool fire. More specifically, the heat release rate, the burning rate, the flame height, and thermal radiation, at different initial conditions, have been evaluated for pool having diameter smaller than 10 m. Safety distances have been calculated for all the investigated conditions, as well.Results have also been compared with data and correlations retrieved from the current literature. The equation of Thomas seems to work properly for the definition of the height over diameter ratio of the LNG pool fire for all the mixture and the investigated diameters.The addition of ethane and propane significantly affects the obtained results, especially in terms of radiative thermal radiation peaks, thus indicating the inadequacy of the commonly adopted assumption of pure methane as single, surrogate species for the LNG mixture.     

Emerging conservation challenges and prospects in an era of offshore hydrocarbon exploration and exploitation

Globally, extensive marine areas important for biodiversity conservation and ecosystem functioning are undergoing exploration and extraction of oil and natural gas resources. Such operations are expanding to previously inaccessible deep waters and other frontier regions, while conservation‐related legislation and planning is often lacking. Conservation challenges arising from offshore hydrocarbon development are wide‐ranging. These challenges include threats to ecosystems and marine species from oil spills, negative impacts on native biodiversity from invasive species colonizing drilling infrastructure, and increased political conflicts that can delay conservation actions. With mounting offshore operations, conservationists need to urgently consider some possible opportunities that could be leveraged for conservation. Leveraging options, as part of multi‐billion dollar marine hydrocarbon operations, include the use of facilities and costly equipment of the deep and ultra‐deep hydrocarbon industry for deep‐sea conservation research and monitoring and establishing new conservation research, practice, and monitoring funds and environmental offsetting schemes. The conservation community, including conservation scientists, should become more involved in the earliest planning and exploration phases and remain involved throughout the operations so as to influence decision making and promote continuous monitoring of biodiversity and ecosystems. A prompt response by conservation professionals to offshore oil and gas developments can mitigate impacts of future decisions and actions of the industry and governments. New environmental decision support tools can be used to explicitly incorporate the impacts of hydrocarbon operations on biodiversity into marine spatial and conservation plans and thus allow for optimum trade‐offs among multiple objectives, costs, and risks.