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81.
Feto-fetal transfusion syndrome contributes heavily to high rates of perinatal mortality and morbidity in monochorionic multiple pregnancies. Its prenatal management has been controversial for at least 25 years. We review the recent literature in order to present the basis for a pragmatic reappraisal of the management of this condition. Laser surgery of the chorionic plate inter-twin anastomoses is the best first-line treatment when the syndrome develops before 26 weeks' gestation. Survival (including quality of survival) and gestational age at delivery are improved when compared to serial amnioreduction. Second-line treatment options include repeat-laser, intra-uterine blood transfusion, serial amnioreduction, selective feticide using bipolar cord coagulation or elective delivery, depending upon gestational age and the severity of the disease and its complications. We have found that fetoscopic placental surgery has proven itself over simplicity of amnioreduction. There is no evidence that treatment should be customized according to the stage of the disease at diagnosis. Early recognition of the syndrome through fortnightly serial ultrasound follow-up of all monochorionic pregnancies should ensure timely referral and make up for geographical constraints. Laser surgery should now be available in fetal medicine units that are managing at least 20 cases per year. Copyright © 2005 John Wiley & Sons, Ltd. 相似文献
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PTA高效降解菌制备与PTA废水生物处理研究 总被引:3,自引:0,他引:3
筛选出了4株对苯二甲酸(TA)的高效降解菌,利用诱变技术,使菌种的DNA结构发生突变,提高了菌种降解性能,并对优化后的菌种进行固定化包埋,形成高效菌对苯二甲酸(PTA)废水生物处理技术,处理负荷达到5kgCOD/m3·d以上。 相似文献
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A remote sensing system of vehicle emissions based on tunable diode laser technology 总被引:2,自引:1,他引:1
As being an effective real-time method of monitoring vehicle emissions on-road, a remote sensing system based on the tunable diode laser (TDL) technology was presented, and the key technologies were discussed. A field test in Guangzhou(Guangdong, China) was performed and was found that the factors, such as slope, instantaneous speed and acceleration, had significant influence on the detectable rate of the system. Based on the results, the proposal choice of testing site was presented. 相似文献
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在役起重机主梁变形是导致起重机事故发生的重要因素之一.国内现阶段对于起重机主梁变形检测还停留在传统的检测方法.其检测低效率、实施高风险、结果多误差等因素使传统检测方法暴露出诸多弊端.文章通过对比验证,引入三维激光扫描检测方法,对起重机主梁腹板进行扫描并建模分析得出主梁腹板整体变形的结果,此方法可以提高腹板变形检测数据精... 相似文献
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Past research on fluvial dynamics at the confluence of two alluvial rivers has mainly focused on downstream flow structure and bed scoring, often using laboratory experiments and numerical modeling. Little is investigated about yearly and episodic dynamics of confluence mouth bars that can affect downstream morphology using field measurements. In this study, we analyzed the migration of a confluence mouth bar of two free meandering alluvial rivers, the Amite and Comite Rivers in coastal Louisiana, USA from 2002 to 2017. Remote sensing images were utilized to investigate the decade‐long morphologic changes. To assess episodic dynamics, we employed terrestrial laser scanning measurements to acquire high‐accuracy digital elevation models at the confluence before and after three floods in 2017. Our study found that the Amite‐Comite confluence mouth bar migrated downstream 55 m in the past 15 years, and its angle reduced by 55° from 100° to 45°. The fast migration was a result of sediment deposition and channel deformation around the confluence mainly during the years when the tributary‐to‐main channel discharge was lower (<0.25). The study further reveals that a single moderate flood could strongly affect the mouth bar, as shown by an increase of the projected surface area by 114% and an increase of volume of the confluence mouth bar by 68%. 相似文献
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以草酸青霉(Penicillium oxalicum)D1为出发菌株,经过紫外线、亚硝酸以及紫外与亚硝酸复合诱变处理,选育出1株高产纤维素酶突变株NU-H,与出发菌株相比,CMCase酶活提高69.8%,滤纸酶活提高75.28%,另外木聚糖酶活,还原糖得率也有显著地提高。通过单因子及正交实验,研究了突变株纤维素酶对稻草粉水解的最适宜条件。结果表明,该菌株酶解糖化的最佳条件为:温度50℃,时间28 h,纤维素酶浓度为60%,底物浓度3%,pH 4.8,还原糖得率为23.25%。 相似文献
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目的 改善2219铝合金钨极氩弧焊焊缝的耐腐蚀性能。方法 采用激光冲击技术对焊缝进行强化处理,比较分析处理前后的表面残余应力、物相组成和元素状态,通过静态浸泡失重法和电化学试验测量腐蚀速率的变化。结果 经过激光冲击强化处理后,2219铝合金焊缝部位的元素状态没有改变,但焊缝区域的残余拉应力变为残余压应力。2219铝合金钨极氩弧焊接区域的自腐蚀电位明显下降,相比未经激光冲击处理的试件,焊核区和焊接过渡区的平均腐蚀电流分别减小了14%和12.7%,腐蚀速率分别减小了16.9%和12.9%。结论 激光冲击强化可以有效提升2219铝合金钨极氩弧焊焊缝区域的耐腐蚀性能,可以为提升特种装备安全性和轻量化提供技术参考。 相似文献