First trimester serum screening for down's syndrome

Screening for Down's Syndrome has been shown to be effective at 10 weeks of pregnancy. A multicentre study (the First trimester serum screening study) has shown that there are two biochemical markers of choice at this time in pregnancy, namely pregnancy associated placental protein A (PAPP-A) and the free β-sub-unit of human chorionic gonadotrophin (free β-hCG). When used together with maternal age these two biochemical markers have an estimated detection rate of 62% and a 5% false-positive rate. The results are consistent with those obtained from a systematic review of the world literature. Other markers are less predictive of Down's syndrome though there is still some uncertainty over the value of dimeric inhibin-A at 10 weeks of pregnancy. Nuchal translucency measurement, from an ultrasound examination performed at about 10 weeks of pregnancy, is associated with Down's syndrome and is emerging as an important potential screening marker. At present there is uncertainty over its quantitative performance and performance when combined with biochemical markers. The resolution of these issues is currently the subject of active research. Ten week screening for Down's syndrome is an advance that is now technically possible though there is still insufficient information to justify its use in routine screening practice.     

生活饮用水放射性水平调查

目的：为了解吉林省饮用水中放射性水平。方法：依据《生活饮用水卫生规范》和《饮用天然矿泉水标准》,采用BH1217型弱α,β测量仪和FD一125室内氡钍测定仪,对饮用水总α、总β和5个行政区域矿泉水中226Ra放射性水平分析测定。结果：自来水,深井水的总α放射性含量分别为13×10-3Bq/L,16.7×10-3Bq/L。总β放射性含量分别为82×10-3Bq/L,71×10-3Bq/L,57×10-3Bq/L。五个行政区域的226Ra平均值为8.6×10-3Bq/L。结论：吉林省生活饮用水中总α、总β和226Ra放射性活度在国家卫生标准限值范围内。     

氯消毒对产ESBLs菌β-内酰胺酶类抗性基因接合转移的抑制作用

以产超广谱β-内酰胺酶（ESBLs）的大肠杆菌T413和NK5449分别作为供体菌和受体菌进行接合试验,研究氯消毒处理供体菌对β-内酰胺酶类抗性基因接合转移的抑制作用.结果表明,供体菌质粒上的bla_CTX-M和bla_TEM基因可接合转移至受体菌,接合转移频率为6.57×10^-2.当氯消毒接触时间为30min,有效氯浓度在0.25~1.5mg/L时,接合转移频率未出现数量级的降低,而有效氯浓度为2mg/L时,接合转移频率则骤降至2.02×10^-5.在CT值为60（mg·min）/L的各种组合中,4mg/L×15min对接合转移的抑制效果最佳.氯消毒后的供体菌数量与接合转移频率呈正相关.经高剂量氯消毒后的供体菌具有较高的再生长率,但接合转移频率却很低.高剂量氯消毒会损伤供体菌菌体结构和功能,使胞外分泌物减少,阻碍质粒传递.