生物净化废气技术的进展

生物技术以其能在常温常压下将污染物降解为无毒无害的简单物质、无二次污染、运行费用低等优点,目前已应用于许多废气处理,并已经形成了一套关于可生化气体的净化原理和工业应用经验的重要体系。文中介绍了生物技术处理污水处理厂、养殖场排放的恶臭气体、工厂排放的硫化物的发展,并分析了解决生物膜堵塞的途径,以及分子生物学在废气生物处理中的应用研究,提出生物净化废气技术的发展方向,期待该技术在国内能得到更广泛的应用。     

生物净化废气技术的进展

生物技术以其能在常温常压下将污染物降解为无毒无害的简单物质、无二次污染、运行费用低等优点,目前已应用于许多废气处理,并已经形成了一套关于可生化气体的净化原理和工业应用经验的重要体系。文中介绍了生物技术处理污水处理厂、养殖场排放的恶臭气体、工厂排放的硫化物的发展,并分析了解决生物膜堵塞的途径,以及分子生物学在废气生物处理中的应用研究,提出生物净化废气技术的发展方向,期待该技术在国内能得到更广泛的应用。     

建立新生大鼠吸入麻醉模型及异氟醚对其海马凋亡的影响

目的:建立新生大鼠吸入麻醉模型并探讨吸入麻醉药异氟醚对其海马凋亡的影响。方法:Penlon Prima SP麻醉机、异氟醚挥发罐及自制带进出气口的麻醉小室。共55只7日龄的SD大鼠用于实验。将其中35只大鼠随机分为7组(n=5)。实验组(Ⅰ-Ⅵ组)异氟醚挥发罐刻度分别为0.125%,0.25%,0.5%,1%,1.5%,2%;新生大鼠置于自制密封麻醉小室内,分别通入含上述异氟醚浓度的混合气体。对照组(第Ⅶ组)给予未混合异氟醚的30%的氧气。将小室安放于37℃恒温箱内。调节气体流量2L/min。实验组于通入气体5,10,15,30,90,180,360 min(T1-7)时于小室出口处抽取10mL气体,采用气相色谱法测定麻醉小室内异氟醚浓度。于通入气体360 min(T7)自新生大鼠左心室采血行血气分析;另取SD大鼠20只,随机分为对照组(C组,n=10),1.5%异氟醚组(I组,n=10),按上述方法建立异氟醚吸入麻醉模型,麻醉结束后2h处死大鼠,采用免疫组织化学法观察C组和I组大鼠大脑海马区Active caspase-3的表达。结果:①麻醉小室出口异氟醚浓度(Y)与麻醉机挥发罐异氟醚浓度(X)的直线回归方程为Y=1.5472X-0.0575(r=0.9993)。②血气分析结果显示:Ⅰ-Ⅵ组与Ⅶ组血气分析组间差异无统计学意义(P0.05)。③免疫组化结果显示:与C组相比,I组大鼠海马Active caspase-3明显增加,差异有统计学意义(P0.05)。结论:通过麻醉机、异氟醚挥发罐及自制密封带进出气口的麻醉小室成功建立了新生大鼠异氟醚麻醉模型;为进一步研究异氟醚及相关吸入麻醉药对突触发生期的神经毒性提供了实验基础。     

不同麻醉方法对胃肠道肿瘤手术病人细胞免疫功能的影响

目的:探讨不同麻醉方法对胃肠道肿瘤患者围术期外周血T细胞亚群以及白细胞介素-2(IL-2)的影响.方法:选择胃肠道肿瘤手术患者40例,随机分为两组.采用单纯全麻者为对照组,采用全麻复合硬膜外麻醉者为治疗组.分别于麻醉前、麻醉后不同时间点抽取静脉血,流式细胞术测定CD4+T及CD8+T细胞亚群数量,ELISA法测定血清IL-2的浓度.结果:麻醉后两组患者的CD4+T细胞、CD4+/CD8+比值和血清IL-2浓度均有所下降,与麻醉前比较差异有统计学意义(P＜0.05),治疗组患者的CD4+T细胞及IL-2下降程度不如对照组患者明显,且恢复较快,两组间差异有统计学意义(P＜0.05).结论:胃肠道肿瘤患者在麻醉手术后其细胞免疫功能受到不同程度的抑制,但复合麻醉较单纯全麻的免疫抑制效应低且恢复较快.     

盐酸纳美芬用于腹腔镜下宫外孕手术麻醉复苏的临床观察

目的 ：本文旨在探讨盐酸纳美芬用于腹腔镜下宫外孕手术麻醉复苏的临床效果。方法：将50例ASAⅠ-Ⅱ级于腹腔镜下行宫外孕手术患者随机分为两组：盐酸纳美芬组（A组）和对照组（B组）。两组患者分别于手术缝皮结束时静脉注射盐酸纳美芬注射液0.25μg/kg和盐酸纳洛酮4μg/kg。观察并记录手术维持时间,术中输液量、术中输血量、失血量和尿量,术中麻醉用药消耗量。术毕停麻醉用药后自给目的药物起病人恢复自主呼吸时间、呼之睁眼时间、拔管时间、定向力恢复时间和离开手术室时间;同时观察病人离开手术室时的意识及躁动情况。结果：比较两组患者术后自主呼吸恢复时间、呼之睁眼时间、拔管时间、定向力恢复时间和离开手术室时间,纳美芬处理组患者麻醉复苏效果优于对照组（P〈0.05）。A组患者于离开手术室时的意识状态优于B组（P〈0.05）。结论：与纳洛酮相比,盐酸纳美芬用于腹腔镜下宫外孕手术麻醉后复苏临床效果良好且更加稳定,有利于患者麻醉复苏。     

MS-222对两种规格的异齿裂腹鱼麻醉效果研究

通过MS-222对2种规格的异齿裂腹鱼进行麻醉行为特征研究, 为高原鱼类的麻醉以及运输提供技术支持。试验表明: MS-222麻醉大规格(25.0±1.5) cm和小规格(14.8±2.3) cm异齿裂腹鱼时, 在麻醉时期3期以内, 呼吸频率增加并之间无显著性差异, 在麻醉4期以后呼吸频率才开始显著下降。MS-222麻醉大规格和小规格异齿裂腹鱼的有效质量浓度分别为150—180 mg/L和150 mg/L。在此浓度范围内, 大规格异齿裂腹鱼在MS-222麻醉液中, 5min之内达到4级麻醉状态, 5min之内苏醒恢复, 且在麻醉液中浸浴20min后成活率为100%时的浓度; 小规格异齿裂腹鱼在MS-222麻醉液中, 5min之内达到4级麻醉状态, 7min之内苏醒恢复, 且在麻醉液中浸浴20min后成活率为100%时的浓度。大规格异齿裂腹鱼在180 mg/L的MS-222溶液中麻醉5min, 在空气中进行暴露0—15min, 复苏时间无显著性差异(P>0.05); 小规格异齿裂腹鱼在150 mg/L的MS-222溶液中麻醉5min, 在空气中进行暴露0—15min, 复苏时间存在显著性差异(P<0.05)。     

手术室药品管理方法与体会

我院是一所以服务妇女、儿童为主的妇幼保健院,手术科室设有妇科、产科、小儿外科及普通外科;手术室内设6张手术台,每天平均实施12台手术。手术室的工作十分繁重,人员相对不足,手术及麻醉用药量大,药品种类多,特别是一些贵重新特药的广泛应用,更加重了手术室药品的管理难度。科室于2002年开始对手术室药品管理进行改革,由过去的无固定人员管理,调整为现在的定人、定量管理,并制定了各项管理制度,明确责任,从而使药品管理制度化、规范化,取得了满意的效果,现介绍如下。     

室内观赏植物对甲醛的吸收及抗逆效果研究

该研究采用密封舱法模拟室内甲醛污染环境(熏蒸箱内甲醛浓度设置为0.1~0.5 mg·m~(-3),熏气时间12 h),对6种常见室内观赏植物进行甲醛熏蒸实验,测定了植物对甲醛的吸收效率、叶面伤害指数及过氧化物酶(POD)等指标。结果表明:这6种常见观赏植物对甲醛均具较好的净化效果,甲醛熏蒸浓度为0.1~0.3 mg·m~(-3),白鹤芋对甲醛的净化效果最好;熏蒸浓度0.5 mg·m~(-3),绿萝和吊兰具有较好的净化和抗逆性能;铁线蕨对甲醛的耐受力较弱,适合作为室内甲醛污染的指示性植物。几种受试植物的POD酶与甲醛吸收率呈显著正相关关系(P0.05),表明植物POD活力变化是受甲醛胁迫后的主要抗逆应答机制之一。     

云南高原湿地湖滨带植物不同空间配置对生活污水N、P去除的影响

采用野外调查和室内模拟实验相结合的方法,对云南高原湿地常见的7种湖滨带植物群落开展污水净化试验研究,为云南高原退化湿地恢复与污染湖泊治理中植物的选择与空间配置提供依据。结果表明,湖滨带植物群落对污水浓度的耐受和净化降解是有限度的,在适合植物生长的污水浓度范围(TN:8.39～22.95mg·L-1;TP:0.61～1.96mg·L-1;NH4+-N:6.42～19.80mg·L-1)内,植物群落才能对污水起到高效的净化效果,对TP和NH4+-N的去除率均能达到30%以上,对TN的去除率也能达到20%。在较高浓度范围内,由茭草(Zizana caduciflora)、蓖齿眼子菜(Potamogeton pectinatus)和金鱼藻(Ceratophyllumdemersum)几种喜氮、磷植物组成的群落对污水的净化效果更好。但不同植物群落对污水的净化效果存在着差异(P<0.05),含同一种植物但其他组成植物不同的群落净化效果不同,表明植物种间存在相互作用,不同种类、不同生活型间相互协作,发挥着最大功能作用。     

四种麻醉药物对食蟹猴麻醉效果分析和选择应用

目的分析比对速眠新、氯胺酮、异氟烷和利多卡因4种不同麻醉药对食蟹猴的麻醉效果。方法总结实际工作中分别使用四种不同麻醉药物对食蟹猴作用的麻醉特点。结果速眠新、氯胺酮、异氟烷均能获得较好的麻醉效果,能满足不同手术、采样需要;局麻药利多卡因对食蟹猴麻醉的实际应用不理想。结论食蟹猴的手术及其他侵犯性操作等都应该考虑生物安全和动物福利要求,实行麻醉,但应根据食蟹猴实验内容要求和不同麻醉药特点选择合适的麻醉方法,确保人员和动物安全,实验结果不受影响。     

常用麻醉剂对麻醉小鼠超声心功能的影响

目的:比较常见的多种麻醉剂对小鼠心脏超声结果的影响。方法:C57BL/6小鼠25只,随机分5组,每组5只。首先在清醒状态下,借助小动物高频超声系统(Vevo2100)评价小鼠心功能,然后分别用戊巴比妥钠、水合氯醛、三溴乙醇、氯胺酮/地西泮及异氟烷麻醉,再次对心功能进行评价。比较6种不同处理情况下,超声反映的小鼠心功能的差异。结果:与清醒状态相比,5种麻醉方式下,小鼠的心率及心功能均有不同程度降低。其中,戊巴比妥钠、水合氯醛、三溴乙醇及异氟烷麻醉组的左心收缩功能显著降低(P0.01),而氯胺酮/地西泮麻醉的小鼠与清醒组相比,收缩功能无明显差异(P0.05),但其余参数也有显著差异(P0.01)。结论:不论何种麻醉方式,都会对小鼠心率及心功能造成一定影响,但其同组内仍具有可比性;因此应根据现实条件及实验需要选择麻醉剂,并贯彻始终,保持试验中麻醉条件的一致性。     

瑞芬太尼复合右美托咪定在心脏手术中的麻醉效果及对血流动力学的影响

目的:分析瑞芬太尼(REM)复合右美托咪定(DEX)在心脏手术中的麻醉效果及对患者血流动力学的影响。方法:选取我院2013年12月至2015年9月行心脏手术的100例患者,按随机数字表法分为两组麻醉Ⅰ组和麻醉Ⅱ组各50例。麻醉Ⅱ组患者以REM复合DEX进行麻醉;麻醉Ⅰ组患者以REM行麻醉。比较不同麻醉方式的麻醉效果及对血流动力学的影响。结果:麻醉Ⅱ组患者手术不同时间点动脉压、心率、血氧饱和度变化不明显,(P0.05)。麻醉Ⅰ组患者插管即刻动脉压、心率、血氧饱和度下降显著,经t检验对比后有统计学意义(P0.05)。麻醉Ⅱ组Ramsay评分明显高于麻醉Ⅰ组,经t检验对比后有统计学意义(P0.05)。两组患者拔管、苏醒、恢复呼吸时间相近,无显著差异(P0.05)。麻醉Ⅱ组麻醉优良率明显高于麻醉Ⅰ组,经x~2检验对比后有统计学意义(P0.05)。结论:REM复合DEX在心脏手术中的麻醉效果确切,可维持患者血流动力学的平稳,提高镇静效果。同时不影响其拔管、苏醒和呼吸恢复,值得推广。     

Flushing induction chambers used for rodent anesthesia to reduce waste anesthetic gas

Anesthetic induction chambers used for medical research are a substantial source of waste anesthetic gas (WAG). Ideally, any generated waste gas should be actively vented away from personnel operating the chamber by either a ventilated hood or snorkel. Unfortunately, the ideal environment for anesthetizing rodents is not always available. In an effort to create a safer environment, the authors designed a system to reduce WAG. This system is portable, can be adapted to different precision vaporizing anesthetic systems and fits in a variety of physical locations. The system flushes anesthetic gas out of an induction chamber before operators open the chamber. To ensure that the system was adequately flushing the anesthetic gas, the authors measured WAG concentration in the environment above the induction chamber and directly behind the vent of an activated charcoal filter. They also compared the efficiency of the filters in vertical and horizontal positions. Finally, they measured the recovery time for mice and rats after flushing the anesthetic gas from an induction chamber. The results show that flushing the induction chamber was an inexpensive and effective method for reducing WAG accumulation in the air surrounding the chamber.     

A scavenging double mask to reduce workplace contamination during mask induction of inhalation anesthesia in dogs

Background  

Workplace contamination by the use of volatile anesthetic agents should be kept to a minimum if a potential health hazard is to be minimised. Mask induction of animals is a common procedure. The present study investigates the efficiency of a novel scavenging double mask in reducing waste gas concentrations in the breathing zone of the anesthetist performing this procedure.     

Heavy metals contamination and human health risk assessment in soils of an industrial area,Bandar Abbas – South Central Iran

The purpose of this study was to determine the contamination level, distribution, health risk and potential sources of Cr, Cd, Pb, Zn, Cu, Ni and As in 66 topsoil samples from industrial areas in Bandar Abbas County. The geoaccumulation index, pollution index and pollution load index were calculated to assess the pollution level in the industrial soils. The hazard index and carcinogenic risk were used to assess human health risk of heavy metals. Results showed that the contamination levels of heavy metals were in the descending order of Cu> Cd> Pb> Zn> As> Ni> Cr. Moreover, based on principal component analysis, Cd, Zn, Cu, and Pb originated mainly from anthropogenic sources, including power plants, oil and gas refinery, steel and zinc production factories and municipal waste landfills. For non-carcinogenic effects, hazard index of studied metals decreased in the order of Cr> As> Cd> Pb> Ni > Cu> Zn. Arsenic, chromium and cadmium were regarded as the priority pollutants. Carcinogenic risks due to Cd and As in suburban soils were within tolerable risk to human health; however, children faced more health risk in their daily life than adults via their unconscious ingestion and dermal contact pathway.     

医疗服务分档评估指标体系的测试

医疗机构医疗服务具有差别性,原有的医疗服务定价方式已不能完全体现不同级别医疗机构医疗服务价值。医疗服务分档定价方式拉开了不同级别医院的差距,体现了医务人员的技术劳务价值,减少医疗资源的浪费,与以往的医疗服务价格定价方式相比,具有明显的优越性。前期课题组初步建立了医疗服务分档评估指标体系,为了解医疗服务分档评估指标体系在非营利性医疗机构中的运用情况,分别选取三级、二级、一级医院共4家非营利性医疗机构进行测试。测试结果与课题前期研究设想基本吻合。     

Monodisperse oligoethylene glycols modified Propofol prodrugs

The low water solubility of Propofol resulted in complicated formulation and adverse effects during its clinical application. To improve its water solubility and maintain its anesthetic effects, Propofol prodrugs with monodisperse oligoethylene glycols as solubility enhancer were designed and synthesized. Monodisperse oligoethylene glycols enable the concise manipulation of water solubility, biocompatibility and anesthetic effects. Through the physicochemical and biological assay, a few water soluble prodrugs of Propofol were identified as promising anesthetic to overcome the drawbacks associated with Propofol.     

Local anesthetics and divalent cations have the same effect on the headgroups of phosphatidylcholine and phosphatidylethanolamine

The effects of the local anesthetic dibucaine on the membrane headgroup conformations of phosphatidylcholine and phosphatidylethanolamine were determined using ²H- and ³¹P-NMR. The size of the deuterium quadrupole splittings of the two methylene segments of the choline and ethanolamine groups changed dramatically and the 31-phosphorus chemical shift anisotropy of the phosphatidylcholine headgroup decreased by about 7 ppm in the presence of local anesthetic. The quadrupole splittings of the 3-glycerol and choline methyl segments were relatively insensitive to the addition of dibucaine. The headgroup data for dibucaine addition paralleled similar data for the addition of various cations. These NMR results agree with the previous observation that these drugs displace calcium from phospholipids. The effects of this local anesthetic on these headgroups were distinctly different from the changes induced by cholesterol, heat and the general anesthetic chloroform.     

An Ecological Perspective on Medical Care: Environmental, Occupational, and Public Health Impacts of Medical Supply and Pharmaceutical Chains

Healthcare organizations are increasingly examining the impacts of their facilities and operations on the natural environment, their workers, and the broader community, but the ecological impacts of specific healthcare services provided within these institutions have not been assessed. This paper provides a qualitative assessment of healthcare practices that takes into account the life-cycle impacts of a variety of materials used in typical medical care. We conducted an ethnographic study of three medical inpatient units: a conventional cancer ward, palliative care unit, and a hospice center. Participant observations (73 participants) of healthcare and support staff including physicians, nurses, housekeepers, and administrators were made to inventory materials and document practices used in patient care. Semi-structured interviews provided insight into common practices. We identified three major domains that highlight the cumulative environmental, occupational health, and public health impacts of medical supplies and pharmaceuticals used at our research sites: (1) medical supply procurement; (2) generation, handling, and disposal of medical waste; and (3) pharmaceutical handling and disposal. Impacts discovered through ethnographic inquiry included occupational exposures to chemotherapy and infectious waste, and public health exposures to pharmaceutical waste. This study provides new insight into the environmental, occupational, and public health impacts resulting from medical practices. In many cases, the lack of clear guidance and regulations regarding environmental impacts contributed to elevated harms to the natural environment, workers, and the broader community.     

Simple assay of plasma sevoflurane and its metabolite hexafluoroisopropanol by headspace GC–MS

The anesthetic sevoflurane can now be delivered over periods of up to 48 h using a newly developed medical system, the AnaConDa (anesthetic conserving device). Lack of pharmacokinetic data on sevoflurane and its main metabolite (hexafluoroisopropanol, HFIP) in this indication prompted us to develop a headspace GC–MS method to quantify the two substances. The only previously published method for assaying the two substances could not be adapted to our study since it uses expensive and rarely employed system components together with toxic carbon disulfide as a dilution solvent. The method developed is straightforward and uses the relatively non-toxic solvent undecane as dilution solvent and chloroform as internal standard. The method is linear for a concentration range of 1–150 μg/ml, and presents high accuracy and precision. LOD and LOQ are 0.2 and 1 μg/ml, with a short analysis time (7.6 min for a single analysis). The method was applied to determine the plasma levels of sevoflurane and HFIP in six patients under 48-h anesthetic sedation delivered via the AnaConDa system. Average sevoflurane and HFIP concentrations plateaued at 75 and 4 μg/ml, respectively. Sevoflurane quickly tailed off after inhalation was stopped, and HFIP levels remained low.