Is maternal alpha-fetoprotein screening still of value in a low-risk area for neural tube defects?

Estimation of maternal serum alpha-fetoprotein (AFP) was used as a screening method for the detection of neural tube defects (NTDs) in 6344 women over three years. Of 88 (1.4 per cent) who had one or more serum AFP levels equal to, or greater than, 2.5 multiples of the median (MoM) for the relevant gestational age, 43 (0.68 per cent) underwent amniocentesis. There were eight NTDs. Four of these were screened by serum AFP, and all cases of spina bifida had serum AFP levels greater than 3.0 MoM, including one small open defect which was not seen on ultrasound. The other four cases of NTD, which were not screened, were identified by ultrasound. Of 64 singleton pregnancies 32 (50 per cent) had serum AFP levels between 2.5 and 3.0 MoM, and low birthweight (⪕2500 g) occurred in 29 per cent. Because of improvements in ultrasound techniques and the apparent falling incidence of NTD, the role of serum AFP as the primary screening procedure should be regularly reviewed. Effective screening is dependent on mothers booking early.     

有机磷酸酯诱导迟发性神经毒性及其对神经毒性酯酶(NTE)活性影响的动态研究

以成年产卵来航母鸡为试验动物，研究了三甲基苯基磷酸酯诱导的迟发性神经毒性。试验发现，母鸡口服ＴＯＣＰ后经过大约８－１０ｄ的潜伏期开始出现中毒症状，其表现为以步态失调为主要特征的运动障碍呈进行性加重，至２１ｄ开始便发展为瘫痪。     

Flow cytometric method to measure urea-resistant alkaline phosphatase from blood neutrophils for use in the prenatal screening of Down's syndrome

The histochemical measurement of urea-resistant alkaline phosphatase from maternal blood neutrophils is known to have a high detection rate for the prenatal detection of Down's syndrome pregnancies. However, because the histochemical method is laborious and subjective to use, it has not gained widespread acceptance in prenatal screening programmes. We present a simple and objective method for the measurement of urea-resistant alkaline phosphatase by flow cytometry. The method should allow the design of larger studies aimed at evaluating the role of neutrophil urea-resistant alkaline phosphatase in the prenatal screening for Down's syndrome.     

Expanding multiple marker screening for Down's syndrome to include Edward'S syndrome

Information on maternal age and maternal serum alpha-fetoprotein, unconjugated oestriol (uE₃), and human chorionic gonadotrophin (hCG) levels was used to investigate retrospectively the effect of estimating Edward's syndrome risk in women having multi-marker screening for Down's syndrome. The screened population comprised 15 pregnancies affected by Edward's syndrome, 15 with Down's syndrome and 5472 unaffected pregnancies. The use of all three markers to estimate Edward's syndrome risk would have led to the detection of 10–12 (67–80 per cent) cases with a false-positive rate of 0.3–0.6 per cent depending on the risk cut-off. A further case would have been detected as a result of screening for Down's syndrome alone. Similar results were obtained when the Edward's syndrome risk was based on uE₃ and hCG only. These data suggest that extending Down's syndrome screening to include Edward's syndrome risk will yield a high detection rate with only a small increase in the false-positive rate.     

毛细管柱气相色谱质谱法分析优先监测物的质量控制研究——Ⅰ.半挥发性有机物

报道了毛细管柱气相色谱质谱联用(GC-MS)方法分析半挥发性有机物的质量控制研究结果.对分析的全过程提出了质量控制标准.应用同位素标记内标物(IS),替代掺样物(SS)和基质掺样/重复基质掺样(MS/MSD)的回收率来判断样品处理与分析结果的可靠性.根据77种目标化合物,特别是标定检验化合物(CCC)和系统检验化合物(SPCC)的响应系数范围,确定GC-MS系统的工作状态和最终结果的正确性.给出了满足质量控制标准的12个土壤样品的结果.     

Serum PAPP-A measurements in first-trimester screening for Down syndrome

Serum PAPP-A measurements taken from 254 women in the first trimester are reported. Eleven chromosomal abnormalities were detected. The mean serum PAPP-A levels in cases of Down syndrome were 0.44 MOM at 9 weeks gestation, 0.15 MOM at 10 weeks, and 0.29 MOM at 11 weeks. The PAPP-A level at 10 weeks was below those of pregnancies which aborted spontaneously. At 11 weeks, the pregnancies with Down syndrome recorded the lowest PAPP-A levels at that gestation. On this small sample, offering chorionic villus sampling to women with singleton pregnancies and a PAPP-A level below 0.3 MOM (approximately 6.5 per cent of this at-risk group) would have detected all the Down syndrome fetuses at 10 weeks and 50 per cent at 11 weeks without selecting those cases destined to abort. This suggests that serum PAPP-A should continue to be investigated as a potential first-trimester screening test for Down syndrome.     

关于工程结构抗震设防标准的几个问题的讨论

对与工程抗震设防标准有关的几个问题进行了讨论。分析了多级设防目标中存在的一些问题,建议以结构抗震目标可靠度作为设防参数;讨论了影响结构目标可靠度的因素,建议通过对工程结构进行“投资——效益”分析制定结构最佳的抗震设防标准。     

事故树定量分析与安全指标的数学模型的建立

阐述了在该课题研究过程中，提出的一些新概念、新定义和新方法     

布袋式除尘在大型煤炭筛分系统中的成功应用

煤炭筛分系统在工作时产生的大量煤尘对环境造成污染，为解决这一问题，我们设计安装了两套煤炭筛分除尘系统，通过布袋式除尘器，把煤尘用布袋收集起来，解决了煤炭粉尘污染问题，通过三年的使用观察，效果非常明显。     

准确把握环境形势,认真落实"全面、协调和可持续的科学发展观",努力实现全面建设小康社会的可持续发展目标

本文主要论述了在实现我国中长期环境与资源保护战略目标过程中,环境形势的长期性、艰巨性和复杂性;指出必须通过发展观念、经济增长方式、经济体制和政策职能的转变,树立和落实全面、协调和可持续的科学发展观,促进经济、政治、文化、生态环境的全面发展。