The safety of fetoscopy: (I). Effect of umbilical vessel puncture on the fetal heart rate and cord histology

The fetal heart rate (FHR) was continuously monitored during 42 umbilical vessel punctures performed at the placental insertion of the cord in 24 diagnostic fetoscopies in which pure fetal blood was obtained. In only one patient did a deceleration first appear during puncture and aspiration of fetal blood. In two patients decelerations preceded fetoscopy and in two others they began during the fetoscopy but before puncture of an umbilical vessel. In 19 patients, the FHR did not change at all during the procedure. Fetal haemorrhage after sampling was either absent or minimal. Six pregnancies were terminated because a positive diagnosis had been made and 18 healthy babies were born. Umbilical cords were examined after 7 terminations of pregnancy and after 6 deliveries. In the former group the puncture could just be seen with the naked eye and the needle track was demonstrated histologically in 6. No traces of the puncture or other abnormalities were found in the cords after delivery. Fetal blood sampling from umbilical cord vessels, particularly at the placental insertion of the cord, is the technique of choice since pure fetal blood can be obtained without increasing the risk of fetoscopy.     

GA优化的湖泊富营养化评价的普适公式探讨

在适当设定富营养化指标的“本底值”情况下,当指标值用于对应“本底值”的相对值表示时,可采用S型曲线描述湖泊富营养化的发展程度,公式中的参数可视为与指标特性无关,采用遗传算法对公式参数优化,得到对多项指标均适用的富营养化程度的指数公式,并提出用广义模糊对比因子赋权新方法计算富营养化综合指数。该评价方法物理意义明确,计算简单,使用方便,具有普适性、可比性和实用性。     

恶臭采样技术及质量保证

针对现有国标方法中的恶臭采样技术进行了更为全面的叙述。对环境和特殊情况下的采样,并提出了现实的和可行的方法,保证了采样的规范性和数据的权威性。对恶臭采样的质量保证也提出了较高的要求。     

Rare non-mosaic trisomies in chorionic villus tissue not confirmed at amniocentesis

This paper reports eight cases of non-mosaic, rare, and typically lethal trisomies diagnosed in chorionic villi and not confirmed by amniocentesis. Four cases were 47,XX, + 16; two cases were 47,XX, +2; one was 47,XX, + 12; and one was 47,XY, +7. There have been no known complications in any of these gestations. These eight cases were found in a series of approximately 12 000 samples processed in our laboratory (0.07 per cent). We conclude that (1) rare non-mosaic trisomy not reflecting the fetal condition is an occasional source of diagnostic ambiguity in chorionic villus sampling; and (2) when encountered, a follow-up amniocentesis should be recommended to the patient to confirm or rule out the abnormality. We propose the term ‘confined placental abnormality’ to describe non-mosaic trisomies and other related abnormalities found only in chorionic tissue.     

宁夏盐池县社会经济与环境协调发展的策略分析

本文通过分析宁夏盐池县的自然条件、自然资源以及社会经济发展与环境的关系,应用权图影响结构模型对该县社会经济与环境系统进行了定量的分析与研究。建立了7个模型,并通过预测、比较实施不同发展策略后各模型的系统状态,找出了使系统优化运行的灵敏调控点,分析了各分项调整策略之间相互制约、相互促进的关系,提出了使该县社会经济与环境协调发展的策略。     

Chorionic villus sampling—short-term versus long-term culture in a subtle 2; 18 translocation

Prenatal diagnosis on chorionic villous tissue was performed for a woman with the karyotype 46,XX,t(2;18)(q32;q12)—a subtle ‘difficult’ translocation. The case illustrates the necessity of good quality cytogenetics for accurate prenatal diagnosis. For chorionic villi this can be obtained only with long-term culture.     

Transabdominal chorionic villus sampling: Analysis of 350 consecutive cases

We report a series of 350 patients submitted to transabdominal chorionic villus sampling (CVS). A technique using two ultrasound-guided needles and a suction pump was used. In most cases, the procedure was performed between 9 and 13 weeks. Twenty-one pregnancies were selectively terminated; nine spontaneous abortions followed the procedure and one fetal loss after 28 weeks was recorded; 153 pregnancies are in progress and 169 delivered fetuses are alive and well. Transabdominal biopsy is a feasible and effective technique for CVS.     

Spontaneous abortion after transcervical chorionic villus sampling: A case report

A case of spontaneous abortion after transcervical CVS is presented. Despite no evidence of bacteria in the vagina and cervix prior to sampling and the prophylactic use of Metronidazole, pathological evidence of chorioamnionitis was found. The implications of this are discussed.     

三峡库区小城镇水环境与工业产业结构优化模型——以万州区分水镇为例

以长江上游三峡库区腹部的重庆市万州区分水镇为研究对象,根据2005年分水镇工业各行业的结构特点及各行业对水环境的污染特点,建立水环境--经济工业结构多目标优化模型,选取工业生产总值最大和COD排放量最小作为优化目标,量化分水镇2010年工业结构,选择出符合当地经济发展"十一五"规划目标和水环境保护目标的工业结构优化方案,提出具体的工业产业发展建议,达到减少工业污染物对境内长江次级河流瀼渡河的污染,有效地改善瀼渡河水质状况,同时保证分水镇社会、经济、水环境的可持续发展的目的.文章同时也对三峡库区小城镇的工业产业结构优化调整,获得既符合经济发展目标又满足水环境保护要求的合理的工业产业结构,提供可借鉴的思路和方法.     

炼油厂"三泥"离心脱水处理研究

通过对目前炼油厂“三泥”性状的调查，利用已有污泥处理设施进行了炼油厂“三泥”离心分离的现场试验，并分析了影响“三泥”离心分离处理工艺的主要因素，发现了离心机转速和絮凝剂投加量对“三泥”离心分离的有关规律和最佳操作条件，在此基础上，提出了适合炼油厂“三泥”处理系统的优化方案。