Chorionic villus sampling: Analysis of fetal losses to delivery,placental pathology,and cervical microbiology

A population of 1639 patients were seen for chorionic villus sampling (CVS). Embryonic death was identified at ultrasound in 5.3 per cent of patients. The number of patients undergoing CVS was 1551, with 1416 transcervical procedures and 135 transabdominal procedures. The most common indication for CVS was advanced maternal age. Spontaneous pregnancy losses identified by increased risk of pregnancy loss with increasing aspiration attempts. The total fetal loss for this population was 5.4 per cent with the pregnancy loss estimated due to procedure being 1.2 per cent. Analysis of placentae from patients having CVS and amniocen-tesis showed no differences. Microbiological assessment prior to CVS was similar to previous publications.     

Dystrophin protein and rflp analyis for fetal diagnosis and carrier confirmation of duchenne muscular dystrophy

A pregnant woman with indeterminate Duchenne muscular dystrophy (DMD) carrier status, but with DMD diagnosed in her deceased brother (unavailable for study), presented for prenatal diagnosis, intending to continue the pregnancy only if proven unaffected with DMD with near absolute certainty. Creatine kinase (CK) assays to clarify carrier status were inconclusive. Male sex in the fetus was identified, but DNA restriction fragment length polymorphism (RFLP) analysis was not yet available to this centre to investigate the possible transmission of the DMD gene, and the pregnancy was terminated. Tissue histology and dystrophin protein analysis demonstrated the absence of DMD. In a situation with proven maternal carrier status, future fetal inheritance of the opposite maternal X chromosome would indicate the presence of DMD. However, maternal carrier status remained in doubt through a second pregnancy, even with RFLP studies, and was finally established when dystrophin analysis confirmed the presence of DMD in the second fetus. Histologic findings are presented, contrasting features in the two fetuses. The value of dystrophin analysis for establishing the diagnosis of fetal DMD, in this case proving maternal carrier status in a difficult situation, and for demonstrating DMD gene:RFLP haplotype relationships is illustrated.     

气态甲醛对大鼠肺组织影响的病理学观察

为了研究大鼠吸入甲醛后其肺组织病理结构的改变并探讨其损伤机理,以雌性Wisar大鼠为实验材料,采用动式吸入方式染毒15d(暴露组甲醛浓度32～37mg·m-3,每日暴露4h)后,取肺组织进行光镜及透射电镜观察.光镜观察结果表明,甲醛暴露后,大鼠肺组织主要表现为间质性肺炎和肺泡性肺炎的病理学特点,肺泡壁毛细血管扩张、充血、出血严重,个别区域可见大量炎细胞浸润,肺内细支气管和肺泡腔内见大量血细胞,部分肺泡腔内有透明膜形成,内含脱落的肺泡上皮细胞.电镜观察结果表明,甲醛暴露后,大鼠肺泡上皮细胞损伤严重,线粒体嵴断裂、肿胀、空泡化,部分肺泡上皮细胞胞膜溶解,细胞器丢失,细胞坏死、脱落.推测甲醛吸入可致大鼠肺病理损伤,损伤机理可能与自由基损害和醛糖还原酶(AR)表达变化有关.     

实验性糖尿病新西兰兔主要器官组织的病理学观察

将雄性新西兰兔随机分为:基础饲料组(即对照组:n=15)和高糖高脂饲料组(即实验组:n=15,喂食10％猪油,37％白蔗糖混合53％的基础饲料).共观察12周.于12周实验结束时,全部处死动物,取动物心脏、肝脏、胰腺、肾脏,用1O％福尔马林液固定,常规石蜡包埋切片,H、E染色,光学显微镜下观察并照相.结果表明:动物心肌细胞肥大,并出现灶性坏死,淋巴细胞浸润,心肌细胞间成纤维细胞增生和毛细血管增生,胶原纤维增加;肝细胞有明显脂肪变性,细胞肿胀;肾脏表现有肾小球球囊增大,细胞增多,毛细血管壁增厚,肾小管上皮细胞胞体增大;胰腺组织表现为胰岛分布稀疏,数量减少,胰岛萎缩,胰岛细胞数量减少,成纤维细胞增生.     

中型景观尺度下斑块类型和地理特征影响杨树人工林干部病害的发生——以河南省清丰县为例

景观病理学在开展病原扩散、病害发生及其严重程度方面以其全新的视角,为森林病害的区域控制提供了新的研究技术及理论支持。首次利用景观病理学原理和方法对河南省清丰县一个中型景观下杨树人工林干部病害发生特征开展了研究,目的是解析在大尺度下斑块类型和地理特征对杨树人工林病害发生的影响。在100 km2的调查区域,以种植方式和林分类型划分斑块类型,分析显示发病株率在不同斑块间差异显著：农田间作斑块的林木发病株率显著低于孤立斑块、纯林斑块、混交林等斑块的发病株率;但发病株率在孤立斑块、纯林斑块及混交林等斑块间无显著差异。抚育管理措施对预防和减轻杨树人工林干部病害的发生起到关键左右：精细管理林分（有修枝、施肥和锄草）的林木发病株率（p=0.001）和发病指数（p〈0.001）均显著低于粗放管理林分（无修枝、无施肥和锄草等）。人类活动,如无序修剪和放牧很可能是造成村落附近林分发病率显著高于其他地点林分的主要原因。采用logistic回归,以品种编号、树龄、树高、林分密度、林分郁闭度、林分类型、斑块类型、地理特征,等为自变量建立病害发生预测模型。方程拟合达到极显著水平（Wald=71.248,p〈0.001）。方程总的预测正确率为68.2%,发病的预测正确率为79.8%。