Background To establish the normal reference range of fetal thorax by two-dimensional (2D) and three-dimensional (3D) ultrasound VOCAL technique and evaluate the application in diagnosing fetal thoracic malformations. Methods A prospective cross-sectional study was undertaken involving 1077 women who have a normal singleton pregnancy at 13–40 weeks gestational age (GA). 2D ultrasound and 3D ultrasound VOCAL technique were utilized to assess fetal thoracic transverse diameter, thoracic anteroposterior diameter, thoracic circumference, thoracic area, lung volume, thoracic volume and lung-to-thoracic volume ratio. The nomograms of 2D and 3D fetal thoracic measurements were created to GA. 50 cases were randomly selected to calculate intra- and inter-observer reliability and agreement. In addition, the case groups including congenital skeletal dysplasia (SD) (15), congenital diaphragmatic hernia (CDH) (30), pulmonary sequestration (PS) (25) and congenital cystic adenomatoid malformation (CCAM) (36) were assessed by the nomograms and followed up subsequently. Results Both 2D and 3D fetal thoracic parameters increased with GA using a quadratic regression equation. The intra- and inter-observer reliability and agreement of each thoracic parameter were excellent. 2D fetal thoracic parameters could initially evaluate the fetal thoracic development and diagnose the skeletal thoracic deformity, and lung volume, thoracic volume and lung-to-thorax volume ratio were practical to diagnose and differentiate CDH, PS and CCAM. Conclusion We have established the normal fetal thoracic reference range at 13–40 weeks, which has a high value in diagnosing congenital thoracic malformations.

This paper focuses on increasing the efficiency in accelerating the rate of consolidation of prefabricated vertical drains (PVDs) in improved soft Bangkok clay using vacuum and heat preloading. Laboratory model tests were performed in new, large-scale consolidometers with PVD-improved reconstituted specimens using the following four schemes: surcharge preloading (PVD only), surcharge combined with vacuum pressure preloading (vacuum-PVD), surcharge combined with heat (thermo-PVD), and surcharge combined with heat and vacuum pressure (thermo-vacuum-PVD). Subsequently, the flow parameters in terms of the horizontal coefficient of consolidation (Ch) and the ratio between the horizontal hydraulic conductivity in the undisturbed zone (kh) to the horizontal hydraulic conductivity in the smear zone (ks), based on Hansbo's method. were investigated by back-calculation. The results show that the values of Ch were 1.93 m2/yr, 2.23 m2/yr, 4.17 m2/yr and 4.37 m2/yr for the PVD, vacuum-PVD, thermo-PVD and thermo-vacuum-PVD, respectively, with corresponding kh/ks values of 3.0, 2.7, 1.4 and 1.1, respectively. On the other hand, the increase in Ch of reconstituted specimens using the vacuum-PVD, thermo-PVD and thermo-vacuum-PVD were 15.54%, 116.06% and 126.42%, and the increases in kh/ks were 10.00%, 53.33% and 63.33%, respectively. Thus the vacuum-PVD can increase the horizontal coefficient of consolidation, Ch, resulting in a faster rate of settlement at the same magnitudes of settlement, compared with the PVD. The thermo-PVD and thermo-vacuum-PVD can further increase the coefficient of horizontal consolidation, Ch, with associated reduction of kh/ks values, by reducing the drainage retardation effects in the smear zone around the PVD, and consequently faster rates of consolidation were obtained. However, higher magnitudes of settlement were obtained upon application of heat owing to the associated collapse of the clay structure, similar to the results of previous investigations.

Paediatric age group is most vulnerable for the accidental foreign body (FB) ingestion which may go unnoticed. These patients present with symptoms or complications as a result of FB and may mimic other conditions on various investigations. We describe a 9-month old infant who ingested crystal gel ball and presented with vomiting for a month. On radiological imaging it was interpreted as duplication cyst of the duodenum. At operation, crystal gel ball was retrieved. Our case vindicates importance of keeping various possibilities in mind as differential diagnoses during evaluation and management of surgical ailments such as the duplication cyst of duodenum.

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