Prenatal diagnosis of congenital cystic adenomatoid malformation of the lung by fetal lung biopsy

A case of type III congenital cystic adenomatoid malformation of the lung was successfully diagnosed prenatally by fetal lung biopsy. We performed this procedure at 22 weeks of gestation, using a biopsy gun system under ultrasound guidance. The pregnancy was undisturbed by the procedure but as the condition was incompatible with life, an abortion was performed. The diagnosis was confirmed at post-mortem examination. Fetal lung biopsy appears to be a useful method for prenatal diagnosis of fetal lung disorders.     

企业需要建立人性化的安全管理

由于我国对企业特别是海外来大陆投资的企业，缺乏严格的安全管理手段，致使不少企业屡次出现安全事故。为了减少企业安全事故的发生，提高企业安全度，要求企业在贯彻“安全第一，预防为主”的基本方针的基础上。建立“以人为本。以制度和伦理道德为约束的人性化的安全管理系统”。本文给出了该系统的模型，并对此模型进行了分析和解释，探讨了相关的几个理论基础，最后给出了人性化安全管理的实质。通过该系统的管理执行，使企业在尊重人权、尊重生命的前提下发展壮大，最终实现安全的全球化。     

Fetal cardiac anomalies and genetic syndromes

Cardiac anomalies may occur in isolation or can be part of a genetic syndrome. In this article, we describe some of the genetic syndromes commonly associated with cardiac anomalies where there are other sonographic features that may aid accurate prenatal diagnosis. Copyright © 2004 John Wiley & Sons, Ltd.     

Diagnosis,surveillance, and treatment of the anemic fetus using middle cerebral artery peak systolic velocity measurement

The in utero course of the anemic fetus has improved dramatically, owing to early diagnosis and cordocentesis transfusion. In utero invasive procedures such as amnio- and cordocentesis have become important modalities in the evaluation and treatment of anemic fetuses. However, they carry risks for both the mother and fetus. A valid and sensitive noninvasive means of following the anemic fetus is the evaluation of changes in the middle cerebral artery peak systolic flow velocity (MCA-PSV). This is a sensitive tool for both the evaluation of fetal anemia and response to treatment. Intracerebral vessels respond earliest to the fetal anemic state, and are readily accessible for ultrasound examination. We describe the methodology and evolving clinical applications of MCA-PSV measurement in the fetus, through an overview of the literature describing the development and application of MCA-PSV measurement in fetuses at risk of fetal anemia of various immune and nonimmune etiologies, illustrated by index cases from our center. MCA-PSV measurement is essential in the diagnosis, evaluation, and management of cases of fetal anemia. The use of this modality lessens the need for invasive procedures. The method is readily accessible and should be integrated into the repertoire of all obstetric ultrasound centers. Copyright © 2006 John Wiley & Sons, Ltd.     

地震安全性评价工作在城市建设中的重要作用

地震安全性评价工作在城市建设中起着非常重要的作用,为工程抗震提供精确的设计依据,提供科学合理的地震动参数,提出科学合理的设防要求,能够在一定程度上避免破坏性地震造成的损失,从而达到有效减灾的目的。