The first trimester ‘combined test’ for the detection of Down syndrome pregnancies in 4939 unselected pregnancies

The high detection rate (DR) for Down syndrome (DS) pregnancies which can be achieved by measuring fetal nuchal translucency (NT) early in pregnancy can be improved by combining it with placental hormones [pregnancy-associated plasma protein A (PAPP-A) and free β-human chorionic gonadotrophin (fβ-hCG)] and maternal age (‘combined test’). In this study we wanted to assess the DR using the ‘combined test’ in an unselected population of self-referred pregnant women at a false-positive rate (FPR) of about 5%. NT, PAPP-A, fβ-hCG and maternal age were measured in all women with singleton pregnancies who booked for delivery in our hospital from 1 December 1997 to 31 April 2000 and who were between 10 and 13 completed weeks of gestation [crown–rump length (CRL) 35–70 mm]. The specific DS risk was calculated using the computer program Alpha Version 5aa (Logical Medical Systems, London, UK). A total of 4939 women were tested. Out of 14 DS pregnancies that occurred during this period of time, 12 were detected with the test. A total of 246 women had a false-positive test result in a non-DS pregnancy (FPR 5.0%). This makes the ‘combined test’ by far the best test for the detection of DS pregnancies in a low-risk population. The constant increase in maternal age at the time of delivery can also lead to an improved DR if a simple age-dependant protocol for DS detection is used, but only at the price of a much higher number of amniocenteses and subsequent abortions. The DR for DS can be increased much more markedly using the ‘combined test’ with a FPR that still remains at the level as it was in the early 1970s. Copyright © 2002 John Wiley & Sons, Ltd.     

微生物絮凝剂产生菌的初步筛选及条件试验

从活性污泥中筛选到18株絮凝剂产生菌,经复筛得到一株高效絮凝剂产生菌L-3.分别研究了碳源、氮源、无机盐、初始pH值、培养温度等对其产生絮凝剂的影响.结果表明,葡萄糖、玉米淀粉是较好的碳源,酵母膏为最佳氮源,最适宜培养温度为30 ℃,初始pH为7～9,摇床转速为160 r/min.     

基于高通量分析方法的长江干流重庆段抗生素种类特征及来源初探

采用高通量分析方法对长江干流重庆段11个流域断面、2个市政污水处理厂进水和6个养殖场废水的潜在抗生素进行筛查,并结合抗生素使用调查探讨其来源。结果表明,(1)共检出83种抗生素,其中流域内检出36种,污水处理厂和养殖场废水中检出70种;磺胺间甲氧嘧啶检出率最高,在流域水体和废水的检出率分别为91%和55%,喹诺酮类是检出抗生素的主要类型;(2)长江干流重庆段下游检出抗生素数量高于上游检出抗生素;(3)有20种抗生素可能由上游携带和重庆市内排放2种方式进入流域,7种抗生素可能由上游携带入境,9种抗生素可能由重庆市内排放引入长江。