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1.
The in utero course of the anemic fetus has improved dramatically, owing to early diagnosis and cordocentesis transfusion. In utero invasive procedures such as amnio- and cordocentesis have become important modalities in the evaluation and treatment of anemic fetuses. However, they carry risks for both the mother and fetus. A valid and sensitive noninvasive means of following the anemic fetus is the evaluation of changes in the middle cerebral artery peak systolic flow velocity (MCA-PSV). This is a sensitive tool for both the evaluation of fetal anemia and response to treatment. Intracerebral vessels respond earliest to the fetal anemic state, and are readily accessible for ultrasound examination. We describe the methodology and evolving clinical applications of MCA-PSV measurement in the fetus, through an overview of the literature describing the development and application of MCA-PSV measurement in fetuses at risk of fetal anemia of various immune and nonimmune etiologies, illustrated by index cases from our center. MCA-PSV measurement is essential in the diagnosis, evaluation, and management of cases of fetal anemia. The use of this modality lessens the need for invasive procedures. The method is readily accessible and should be integrated into the repertoire of all obstetric ultrasound centers. Copyright © 2006 John Wiley & Sons, Ltd. 相似文献
2.
Guntis Brūmelis Dennis H. Brown Olgerts Nikodemus Didzis Tjarve 《Environmental monitoring and assessment》1999,58(2):201-212
Heavy metal concentrations in Hylocomium splendens collected around a metal smelter in Latvia showed very high concentrations of Zn (>200 g/g), and elevated concentrations of Pb (38.3 g/g) and Cu (18.3 g/g). In an attempt to better evaluate the potential toxicity of the high Zn concentrations, a serial elution method was used to determine the concentrations of zinc in intercellular, extracellular exchangeable cell wall, intracellular, and particle fractions. The intercellular Zn concentrations represent the water soluble component of the total concentrations, and were low with no clear trends. Zn concentrations in the extra- and intracellular and particle fractions decreased exponentially from the pollutant source. Intracellular Zn concentrations in moss close to the emission source are within the range considered to be potentially toxic, from other single element exposure studies. The proportion of Zn in the relatively insoluble particle fraction, which is least associated with environmental risk, was greater closer to the pollution source, reaching > 30% in the oldest Hylocomium splendens segments. 相似文献
3.
鲍学杰 《环境监测管理与技术》1996,8(5):9-11
指出了环境污染纠纷调处与环境行政处罚的性质,程序,结果等均不相同,在理论上不能将两者混一谈,实践中应区别对待。 相似文献
4.
Fractionation of Cu, Pb and Zn in certified reference soils SRM 2710 and SRM 2711 using the optimized BCR sequential extraction procedure 总被引:4,自引:0,他引:4
Sequential extraction of metals from solid media is a common analytical tool used in environmental and exploration geochemistry. A number of procedures exist, but without harmonization and standardization, meaningful comparisons are tenuous without baseline data. A newly developed, standardized sequential extraction procedure (optimized BCR) was applied to two contaminated certified reference soils from Montana, US (SRM 2710 and SRM 2711) for Cu, Pb and Zn. Four operationally defined fractions were isolated, acid extractable, reducible, oxidizable, and residual (by aqua regia). Fraction-specific concentrations, percentages and recoveries for Cu, Pb and Zn were used to explore differences between the optimized BCR procedure and three other sequential extraction schemes with published data for SRM 2710 and 2711 (i.e. Tessier scheme, Geological Survey of Canada scheme and the original BCR scheme). Results indicate significant differences between the four schemes, even for schemes that are closely associated (i.e. the original and optimized BCR schemes). Order-of-magnitude fraction-specific concentration differences were observed, especially for Pb in the reducible fraction. Differences between schemes are worrisome because trends varied between metals, between fractions and between reference soils. These data reinforce the need for increased adoption of standardized sequential extraction procedures and further examination of different solid media. 相似文献
5.
SBR法处理中药材有机废水工艺研究 总被引:2,自引:0,他引:2
应用SBR法对中药材有机废水进行了研究。考察了CODCR、BOD5、SS、NH3-H的处理效果,以及PH、水温、污泥负荷等条件对去除率的影响。运行结果表明,PHO 6.0-9.0、t为15-30℃、污沁荷0.3kgBOD5/kgMLSS.d,运行程序:进水0.5h(限制曝气)、曝气10h、脱氮1.5h,沉降0.5h,排水0.5h、闲置11h,周期时间24h时CODCR去除率88%、BOD594%、 相似文献
6.
目的 研究GJB 150.8A—2009《军用装备实验室环境试验方法第8部分:淋雨试验》中强化试验程序的工程实现方法.方法 在标准解读的基础上,以强化试验程序用喷嘴为对象,建立数值模型,分析喷嘴在强化试验程序过程中的流场分布,并基于分析结果给出强化试验程序试验装置设计的思路和方法.结果 在喷嘴内,压力变化剧烈,极短距离内由276 kPa迅速降至101 kPa.水流经过喷嘴经历了激烈的加速过程,从距离喷嘴出口0.01~0.4 m,水流速度从251 m/s迅速降至17.8 m/s,到远场趋于稳定.结论 分析结果对指导强化试验程序的试验装置的设计和试验实施具有重要参考意义. 相似文献
7.
8.
Multiple placental passes during chorionic villus sampling (CVS) increase the risk of fetal loss; however, specific factors that predispose to repeat aspiration have not been delineated. To identify anatomic and technical variables associated with multiple-pass procedures, a detailed review of 205 videotaped CVS procedures (single pass = 163; multiple pass = 42) was performed, blinded to pregnancy outcome. The route of sampling did not influence the need for multiple aspiration attempts (transabdominal—30/ 135; transcervical—12/70), nor was placental location alone discriminatory. However, the combination of a posterior placenta and uterine retroversion was observed more frequently in the multiple-pass cohort (8/42 vs. 9/163; p<0.05). In transabdominal cases, suboptimal needle placement (e.g., perpendicular to the placental long axis) was more common in the initial aspiration of a multiple-pass procedure (21/30 vs. 38/105;p<0.01), while limited penetration of the catheter tip (e.g., just inside the placental edge) characterized a majority of multiple-pass cases in the transcervical subset (7/12 vs. 3/58; p<0.0001). A case-control cohort was constructed to evaluate the impact of these technical variables on sampling efficacy, independent of the influence of uterine position and placental site. In that analysis, suboptimal location and/or orientation of the sampling device remained characteristic of multiple-pass cases. We conclude that further reduction in the frequency of multiple-pass procedures might be achieved by consistent placement of the device tip in the central placental mass. Unlike amniocentesis, where any point of amnion entry will suffice, this technical nuance should be emphasized with CVS to maximize the single-pass success rate. 相似文献
9.
以小清河干流底质为研究对象,为了更好地了解固体颗粒物上有毒金属被浸取进入液相情况.分析了三种不同浸取剂(DTPA、EDTA、NTA)的提取液中有毒金属Pb、Cr、Cu、Zn、Cd的含量。结果表明.金属浓度因浸取剂种类及金属本身类型不同而不同。由于固体颗粒物上金属的毒性及其可流动性与其存在形态密切相关。选取连续浸取法来考察底质样品中金属形态分布情况。结果表明.底质中Pb主要以氧化物键合态和碳酸键合态存在;Cr主要以有机键合态存在;Cu以有机键合态为优势存在;Zn主要以有机键合态和氧化物键合态存在;Cd主要以可交换态存在。 相似文献
10.
中国公路建设项目环境保护管理综述 总被引:5,自引:0,他引:5
综述了中国公路建没项目环境保护管理的有关规定,包括环境保护管理的内容与程序、分类管理、环境影响评价市批与环境影响咨洵收费管理等。 相似文献