Screening for fetal Down syndrome with maternal serum hCG and oestriol: A prospective study

We report the preliminary results of a prospective study aimed at evaluating the effectiveness of Down syndrome (DS) screening using second-trimester measurement of maternal serum human chorionic gonadotrophin (hCG) and unconjugated oestriol (uE3) together with maternal age. Reference values for hCG, uE3, and the hCG/uE3 ratio in normal pregnancies were established from more than 3000 normal gestations and found to follow a log-normal statistical distribution. Risk evaluation was made using reference values for affected pregnancies from retrospective studies. Screening of 10 000 women under 38 years resulted in 412 amniocenteses and the prenatal diagosis of six cases of DS, whereas four cases remained undetected until term. In a parallel study, diagnostic amniocentesis was performed in women over 38 years and in women with a previous affected child, and an evaluation of the risk of fetal DS based on serum hCG and uE3 levels was made in all cases. Fourteen cases of DS were detected. Median values for hCG and uE3 in the 24 affected pregnancies were close to the 90th and tenth centiles of the normal reference values, respectively, and thus are in good agreement with the values reported by others in retrospective studies.     

电梯部件错误安装的危害

通过检验案例发现的隐患,阐述了安全部件在电梯运行中的重要性。对安全部件安装过程中存在的问题,分析了失效原因以及存在的问题,提出了解决方法。     

Temporal changes in the utilization of amniocentesis for prenatal diagnosis by women of advanced maternal age, 1976–1983

Utilization of amniocentesis for prenatal diagnosis because of the indication of advanced maternal age (≥ 35 years at delivery) was examined in the population of B.C. over an 8-year period (1976–1983). As of 1983, approximately one out of three eligible women (≥ 35 years at delivery) is having the test. In the older group (≥ 38 years at delivery) approximately one out of two eligible women is having the test. The data do not indicate that the proportion of eligible women having amniocentesis has reached a plateau; utilization is continuing to increase. It appears that prenatal diagnosis is an ethically acceptable alternative for a large proportion of the population.     

预冷冻浓缩系统与气相色谱-质谱法测定空气中苯的测量不确定度评定

根据 Top－down技术中的控制图法,运用预冷冻浓缩系统与气相色谱－质谱联用对苯标准样气进行多次测定。通过计算和评定,得出当苯的测定浓度为100×10^－9时,不确定度为5．1×10^－9。     

苏州河上海市区段表层沉积物中多环芳烃的分布及特征

参照美国EPA8000系列方法、质量保证和质量控制,对苏州河上海市区段的表层沉积物中16种优控多环芳烃类有机物(PAHs)进行了分析.结果表明,苏州河上海市区段的表层沉积物均受到了很大程度的污染,其中处于市区中段的昌化路桥、西康路桥和长寿路桥断面的PAHs含量较高,处于黄浦江入口附近的四川路桥、河南路桥和福建路桥断面的含量较低.同时发现,近十几年来苏州河沉积物中的PAHs含量和成分发生了一定的变化,对其原因作了初步探讨.