Split notochord syndrome variant: prenatal findings and neonatal management

Spilt notochord syndrome is an extremely rare form of spinal dysraphism characterized by a complete cleft of the spine and a persistent communication between endoderm and ectoderm. A variant of split notochord syndrome was diagnosed in a 25-week-old fetus showing a prolapsed congenital colostomy and a spinal cystic lesion. The final diagnosis included protruding colon segment, imperforate anus with a rectourethral fistula and lipomyelomeningocele. The ultrasound features of the condition and the post-natal management are discussed. The neonate was successfully treated with a posterior sagittal anorectoplasty, while the lipomyelomeningocele was resected at a later stage. Copyright © 2005 John Wiley & Sons, Ltd.     

深圳湾流域面源与截排溢流污染特征及其对水环境的影响

随着点源污染逐步得到有效控制,面源与截排溢流污染对水环境的胁迫日益突出。基于土地遥感数据、城市排水管网等资料,构建流域—海湾一体化水环境模型,探讨深圳湾流域面源与截排溢流污染特征及其对水环境的影响,研究表明：（1）雨季COD、NH₃-N和TP单位面积面源与截排溢流污染负荷分别为17.21 t/km²与10.21 t/km²、0.17 t/km²与0.69 t/km²、0.04 t/km²与0.07 t/km²;（2）面源与截排溢流污染时间上主要集中于大雨及以上等级降水较多的5月和8月,空间上主要分布在截排工程集中、下垫面面积较大且坡度较陡的深圳河、大沙河和新洲河流域;（3）面源与截排溢流水体COD、NH₃-N和TP浓度可达地表水V类标准的3.7倍、18.2倍和8.5倍;（4）雨季COD、NH₃-N和TP浓度高于旱季的区域分别超过深圳湾总面积的40%、60%和65%。     

成都市及周边地区严重臭氧污染过程成因分析

结合天气形势,地面观测资料和WRF-CMAQ模式,分析了2017年7月8~15日成都市一次罕见持续O₃污染过程的特征及成因,量化了各个物理化学过程对此次污染过程的相对贡献,并通过敏感性实验分析了四川盆地内O₃及其前体物的区域传输和本地光化学反应对此次污染过程的影响.结果表明,此次O₃持续污染过程主要是因为四川盆地内盛行偏东风,导致盆地东部城市群的O₃及其前体物经区域输送到成都及周边地区,加之成都市出现小风、气温升高等气象条件进而形成,属于典型的传输性爆发污染.持续污染形成的主要物理化学机制体现为日间气相化学过程贡献为稳定的正值,加之输送过程贡献出现爆发式升高,进而导致近地面O₃小时净增量迅速上升且高达50μg/（m³·h）,随之O₃浓度迅速响应,产生爆发式增长.此外,敏感性实验结果显示此次成都市O₃持续污染的形成受区域输送影响较受本地光化学反应影响更为明显.O₃污染爆发前上游地区高浓度O₃及其前体物沿流场输送并在成都及周边地区不断积累,导致日间O₃浓度不断升高.     

A modular approach to Integrated Assessment modeling

In this paper, we present a new approach to model coupling that probably forms the methodological basis of a new generation of Integrated Assessment models. This approach respects the knowledge and expertise that is embodied in existing models and encourages their gradual evolution. Modularity is the guiding principle. Our approach is distinguished by the way modules are coupled which is based on an interplay of a job control module, a numerical coupling module, and a couple of stand-alone functional modules. The numerical coupling module - the core component - serves to treat the feedbacks between the functional modules. A first implemented example that couples an economic and a climate module by means of a two-phase meta-optimization is presented here. The algorithm and mathematical structure behind are discussed as well as important features such as convergence behavior and reliability.     

污泥综合处理技术系统的可行性分析

通过对污泥处理技术现状与污泥组成的分析，认为降低污泥的含水率是改善污泥可处理性的关键。以机械脱水加工热干燥过程可达到充分降低污泥含水率的目的。以此为主干所形成的污泥综合处理系统经能量与经济平衡分析，发现其能量输出大于输入，经济成本合理，有一定的技术经济可行性。     

Exencephaly in autosomal dominant brachydactyly syndrome

Exencephaly was diagnosed at 17 weeks in a 27-year-old primigravida with abnormalities of the hands and a family history suggestive of autosomal dominant brachydactyly and clinodactyly. In this family there was also a history of ‘anencephaly’. To our knowledge, this is the first report on the association of exencephaly and autosomal dominant brachydactyly. As the relationship between hand and cranial anomalies is well established, we suggest that this association in our case could be due to a defect in the same gene.     

Triploid fetus: An important consideration in the evaluation of very high maternal serum alpha-fetoprotein

Two patients referred for evaluation of very high maternal serum alpha-fetoprotein (10–20 multiples of the median) were carrying triploid fetuses with placentas showing features of partial hydatidiform mole. The diagnosis of fetal triploidy should be considered when there is a very high maternal serum alpha-fetoprotein and no ultrasound evidence of open neural tube defect, ventral wall defect, or any other explanation. Therefore, chromosomal analysis of amniotic fluid cells in such cases is essential.     

Prenatal diagnosis of pericentric inversion of chromosome no. 17 in a twin pregnancy

Although prenatal genetic diagnosis can usually provide prospective parents with information as to whether their fetus is affected with certain genetic conditions, the presence of twins and the uncertainty about the phenotype of some chromosome variations pose a major dilemma and make genetic counselling very difficult. Here, a case report of an unusual chromosome aberration (pericentric inversion of chromosome no. 17) in a twin pregnancy which was originally suspected to be monoamniotic but later proved to have two sacs was presented.     

Fetal cholecystomegaly: A prenatal marker of aneuploidy

The fetal gall bladder can now be easily identified during the second and third trimesters using high-resolution ultrasonography. In this report we present eight fetuses with an enlarged gall bladder detected on prenatal ultrasonography at a mean gestational age of 24.6 weeks (range 19–31 weeks). Additional ultrasonographic findings were present in four cases: fetal anomalies and intrauterine growth retardation in three and polyhydramnios in one. Of those cases associated with fetal anomalies, one woman underwent amniocentesis at 21 weeks revealing trisomy 18. The other two declined prenatal karyotyping; neonatal karyotyping revealed trisomy 13 in one and trisomy 18 in the other. Although an enlarged fetal gall bladder can be a normal variant in the second and third trimesters, the prenatal detection of cholecystomegaly should prompt a search for associated anomalies and other markers of aneuploidy. If found, prenatal karyotyping should be considered.     

Prenatal diagnosis of mosaic 4p – in a fetus with trisomy 21

Mosaicism for the Wolf-Hirschhorn syndrome, del(4)(p16), is extremely rare and has not been reported in association with a numerical chromosome abnormality. We report the prenatal diagnosis of mosaic del(4)(p16) and non-mosaic trisomy 21 in a 16-week female fetus. The pregnancy ended in spontaneous abortion at 34 weeks secondary to fetal demise. The fetus had features of both 4p – and trisomy 21.