乡镇工业电镀行业主要污染物排放量的估算方法

电镀分有氰电镀与无氰电镀两类。乡镇工业电镀行业的环境污染最主要是氰污染和铬污染。本文针对乡镇电镀行业的特点,调查了湖南省沅江市、四川省新都县、湖北省黄陂县、汉川县以及江苏省部分县市乡镇电镀厂,将收集资料及实际监测资料进行回归分析,得出乡镇电镀行业的污染物发生量大小与原材料的消耗有关,可以用多元回归方程估算乡镇电镀行业主要污染物发生量。这一估算方法简单易行,实用可靠,操作方便。     

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.     

国土空间规划“三条控制线”划定的沈阳实践与优化探索

国务院机构改革前,生态保护红线、永久基本农田、城镇开发边界三条控制线分别由国家不同部委主导划定,存在划定过程统筹协同不够、划定结果交叉重叠、实施管理困难等问题。国务院机构改革后,自然资源部负责建立国土空间规划体系,要求在资源环境城镇能力和国土空间开发适宜性评价基础上,自上而下逐级统筹划定落实三条控制线。本文总结了沈阳作为试点城市,在三条控制线划定中的矛盾冲突表现与成因,构建三条控制线与生态、农业、城镇三大空间关系,建立管控体系与调整规则,并阐释在市级权限范围内的调整优化做法。研究发现：三条控制线存在空间交叉重叠、功能难以区分的现象,主要是因为基本农田承担了限制城市空间蔓延的使命,指标不允许跨行政区调整导致部分基本农田不得不安排到城镇内部;由于概念界定不同导致部分城市公园被划入生态保护红线;生态保护红线内的部分耕地被先期划为永久基本农田。提出国土空间规划背景下三条控制线优化建议：一是突出既是政策线又是技术线的特征,自上而下和自下而上相结合划定;二是国家自上而下对基本农田调整政策和制度进行创新;三是建立事权分级管理机制,合理预留地方事权弹性。     

Second-trimester maternal serum alpha-fetoprotein (MSAFP) iselevated in women with adverse pregnancy outcome associated with inherited thrombophilias

Obstetric complications, such as severe pre-eclampsia, fetal growth restriction, abruptio placentae, or stillbirth are associated with abnormally elevated second-trimester maternal serum alpha-fetoprotein (MSAFP) and β subunit of human chorionic gonadotrophin (βhCG). This has been attributed to placental abnormalities. Women with thrombophilias have been shown to have abnormalities of the placenta resulting in adverse pregnancy outcome in these patients. The purpose of the present study was to evaluate whether women with pregnancy complications and inherited thrombophilias have abnormally elevated second-trimester MSAFP or βhCG. Sixty-two women with pregnancy complications were tested for inherited thrombophilias several months after delivery. The thrombophilia group included 29 women with pregnancy complications and an inherited thrombophilia and the control group included 33 other patients without thrombophilia. Patients in the thrombophilia group had a higher median MoM MSAFP compared to the controls (1.337 vs 1.086, p=0.0516). The incidence of abnormally elevated MSAFP (>2.5 MoM) was also significantly higher in the thrombophilia group compared to controls (21% vs 3%, p=0.04). Neither the median MoM βhCG nor the incidence of abnormally elevated βhCG were significantly different between the groups. We conclude that second trimester MSAFP, but not βhCG, is abnormally elevated in patients with thrombophilia and obstetric complications. Copyright © 2001 John Wiley & Sons, Ltd.