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.     

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.     

宽域灰色决策法在企业环境经济效益综合评价中的应用

为了探索宽域灰色决策法用于企业环境经济效益评价的可行性和合理性，应用宽域灰色决策方法构建企业环境经济效益的综合评价模型，并将该方法用于实例分析．结果表明，宽域灰色决策法用于企业环境经济效益评价是可行的．     

废旧家电产品回收性能评价指标体系的建立

针对家电产品回收工艺流程决策评价的多阶段、多目标的特点,以及不同类型家电产品和不同回收工艺过程的动态特性,采用层次分类方法建立了以经济指标和环境指标为主要内容的回收工艺流程评价指标体系,对指标体系的组成进行了较为详细的分析,讨论了应该考虑的因素及有关计算方法。以电冰箱为例,用改进的模糊层次分析法与遗传算法相结合,介绍了回收工艺流程的优化决策方法。建立的指标体系不仅可以根据评价对象进行动态修改,而且具有较强的可操作性。     

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.     

污染生态学的新发展—污染进化生态学

污染胁迫的最显著效应是消除敏感物种或个体，导致植物居群进化。突变是进化的原料，选择是进化的手段，隔离是进化的条件，控制抗性性状的基因因物种及污染物的种类不同而异，但也会出现植物同时具有对某两种或几种污染物的抗性，即所谓协同抗性；污染除使植物衰退外，还可能导致一些遗传信息丧失，使抗性种群内物种单一，降低其适合度，对其它环境胁迫因素的抵抗力下降，即所谓适应代价。     

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.     

关于污水处理厂质量监理工作的探讨

污水处理已引起我国政府的高度重视。以此为契机，通过对阳江市第一净水厂工程监理工作的回顾，初步探讨了污水处理厂质量监理工作。