心脑血管疾病大额住院消费统计分析

通过对医院2004-2006年心脑血管疾病大额住院消费(消费大于50000元,以下简称大额消费)病例发病率高的前五种疾病的构成情况、药费、材料费消耗情况进行分析,认为加强大额病例中发病率高的病种的重点管理,是降低医疗费用的有效途径。建议制定常见病大额病种预定额付费方案和审查报销制度;采用适宜技术;控制药费,防止过度医疗,有效地遏制医疗费用的过快增长。     

Evidence that the C-terminus of OprM is involved in the assembly of the VceAB-OprM efflux pump

Although the architecture of tripartite multiple drug resistance (MDR) efflux pumps of Gram-negative bacteria has been well characterized, the means by which the components recognize each other and assemble into a functional pump remains obscure. In this study we present evidence that the C-terminal domain of the Pseudomonas aeruginosa OprM and the α-helical hairpin domain of Vibrio cholerae VceA play an important role in the recognition/specificity/recruitment step in the assembly of a functional, VceAB-OprM chimeric efflux pump. To our knowledge, this is the first evidence directly linking the C-terminal domain of an outer membrane efflux protein to its recruitment during the assembly of a tripartite efflux pump.     

两个猪苓菌株生长速度及酯酶同工酶比较研究

对不同地理分布的猪苓纯培养菌株进行了种性和酯酶同工酶的比较研究,结果表明,鸡爪苓（Z）纯培养菌株和猪屎苓（ZJ）纯培养菌株的种性有很大不同,两个纯培养菌株的酯酶同工酶酶带类型差异较大,亲缘关系较远。     

Synthesis of modified fragments of fibrinogen and their effect on the activity of proteolytic enzymes

New analogues of the Gly-Pro-Arg and Arg-Gly-Asp fragments of fibrinogen were synthesized: Gly-Pro-Arg-Pro (I), Gly-Pro-Arg-Pro-Met-OMe (II), Gly-Pro-Arg-Pro-Phe (III), Gly-Pro-Arg-Pro-Asp (IV), Gly-Pro-Arg-Pro-Glu (V), and Arg-Asn-Trp-Asp (VI). Their effect on the activity of proteases of various types was studied with the method of lysis of fibrin plates. All the peptides were found to inhibit plasmin activity (by 60–85%) and the γ-subunit of nerve growth factor (by 55–93%). Tetrapeptide (VI) proved to be an effective inhibitor of tissue activator of plasminogen and the γ-subunit of nerve growth factor (by 96 and 93%, respectively). The peptides exerted practically no effect on the activity of urokinase and moderately inhibited the activity of streptokinase [(III), IV), and (VI)], papain [(I), (II), IV), and (VI)], subtilisin [(V) and (VI)], α-chymotrypsin [(III), (V), and VI)], and Bacillus subtilis metalloprotease (VI). They inhibit trypsin [except for (I) and (III)] when applied on fibrin plates at a concentration of 1 × 10^?2 M, while, at the concentration of 1 × 10^?3 M, (I) and (II) induced an increase in proteolytic activity by 35 and 47%, respectively.     

Studies on the energy coupling sites of photophosphorylation IV. The relation of proton fluxes to the electron transport and ATP formation associated with Photosystem II

1. By using dibromothymoquinone as the electron acceptor, it is possible to isolate functionally that segment of the chloroplast electron transport chain which includes only Photosystem II and only one of the two energy conservation sites coupled to the complete chain (Coupling Site II, observed P/e₂ = 0.3–0.4). A light-dependent, reversible proton translocation reaction is associated with the electron transport pathway: H₂O → Photosystem II → dibromothymoquinone. We have studied the characteristics of this proton uptake reaction and its relationship to the electron transport and ATP formation associated with Coupling Site II.

2. The initial phase of H⁺ uptake, analyzed by a flash-yield technique, exhibits linear kinetics (0–3 s) with no sign of transient phenomena such as the very rapid initial uptake (“pH gush”) encountered in the overall Hill reaction with methylviologen. Thus the initial rate of H⁺ uptake obtained by the flash-yield method is in good agreement with the initial rate estimated from a pH change tracing obtained under continuous illumination.

3. Dibromothymoquinone reduction, observed as O₂ evolution by a similar flash-yield technique, is also linear for at least the first 5 s, the rate of O₂ evolution agreeing well with the steady-state rate observed under continuous illumination.

4. Such measurements of the initial rates of O₂ evolution and H⁺ uptake yield an H⁺/e⁻ ratio close to 0.5 for the Photosystem II partial reaction regardless of pH from 6 to 8. (Parallel experiments for the methylviologen Hill reaction yield an H⁺/e⁻ ratio of 1.7 at pH 7.6.)

5. When dibromothymoquinone is being reduced, concurrent phosphorylation (or arsenylation) markedly lowers the extent of H⁺ uptake (by 40–60%). These data, unlike earlier data obtained using the overall Hill reaction, lend themselves to an unequivocal interpretation since phosphorylation does not alter the rate of electron transport in the Photosystem II partial reaction. ADP, P_i and hexokinase, when added individually, have no effect on proton uptake in this system.

6. The involvement of a proton uptake reaction with an H⁺/e⁻ ratio of 0.5 in the Photosystem II partial reaction H₂O → Photosystem II → dibromothymoquinone strongly suggests that at least 50% of the protons produced by the oxidation of water are released to the inside of the thylakoid, thereby leading to an internal acidification. It is pointed out that the observed efficiencies for ATP formation (P/e₂) and proton uptake (H⁺/e⁻) associated with Coupling Site II can be most easily explained by the chemiosmotic hypothesis of energy coupling.     

林带阻力系数与透风系数关系的理论分析

根据冲量定理分析了林带对气流的阻力,首次得到了林带阻力系数的估算模式（Ｃｄ＝（１．８＋０．２α）（１－α）ｓｉｎ２ω,并利用有关文献发表的资料进行了验证．文章还对来流平行林带时林带对气流的阻力进行了讨论,指出来流平行林带时林带对气流的阻力仅为来流垂直林带时林带对气流阻力的０．７—１．１％,可以不予考虑．     

The detection of salivary enzymes of phytophagous Hemiptera: a compilation of methods

The role of Hemipteran saliva and salivary enzymes is central to an understanding of the etiology of damage that these insects cause to plants. The dilute nature of the salivary secretions and the minute quantities in which they are often obtainable have made analysis and detection of salivary components very difficult. Such investigations in this laboratory have led us to formalise the techniques involved and we believe that the compilation of these methods presented herein may be useful to other research workers in this area. Methods are described for acid and alkaline phosphatase, esterase, /S-glucosidase, carbohydrases, invertase, amylase, proteinase, pectinase, cellulase, catalase, peroxidase, catechol oxidase, superoxide dismutase and ascorbic oxidase.     

2种嵩草属植物形态特征对生境干旱化的响应

该研究于西藏自治区东南部的东达山高山草甸沿生境干旱化梯度设置10个样地,采用线性回归方法分析优势种高山嵩草(Kobresia pygmaea)和矮生嵩草(K.humilis)叶片数量与其它构件数值(分株数量、茎基直径、根系数量和根系长度)之间的关系,并采用线性回归斜率测度分株功效、叶片萌生能力、根系分生功效和根系伸长功效,以探讨嵩草的分株能力、茎基生长和根系生长对生境干旱化过程的响应机制。结果显示:(1)2种嵩草植物的叶片数量与4种构件数值均为显著线性正相关关系。(2)随着生境干旱化程度增加,高山嵩草分株数量增加,矮生嵩草分株受干旱抑制程度高,分株数量呈下降趋势;2种嵩草分株功效下降,即单株叶片数量因干旱化程度增加而减少。(3)2种嵩草的茎基直径、叶片萌生能力随着生境干旱化程度增加而下降;高山嵩草叶片萌生能力的变化与生境干旱化梯度一致,具有连续性;矮生嵩草叶片萌生能力对生境干旱化的适应性弱,干旱到一定程度发生骤降。(4)随着生境干旱化,高山嵩草的根系数量和长度均增加,矮生嵩草根系长度增加,但数量却无规律变化;2种嵩草的根系分生功效和根系伸长功效均下降。研究表明:嵩草属植物分布的最适宜生境为表面稍有积水的沼生生境。为适应生境干旱化,高山嵩草降低叶片萌生率以减少蒸腾作用,增加分株数量以增强对空间的占有能力,并增加根系数量和长度来提高对土壤水分的吸收能力,因此对干旱有较强适应性且分布范围广;矮生嵩草只通过降低叶片萌生率,增加根系长度响应干旱化生境,其分布范围较窄。     

Photoinactivation of Photosystem II in leaves

Photoinactivation of Photosystem II (PS II), the light-induced loss of ability to evolve oxygen, inevitably occurs under any light environment in nature, counteracted by repair. Under certain conditions, the extent of photoinactivation of PS II depends on the photon exposure (light dosage, x), rather than the irradiance or duration of illumination per se, thus obeying the law of reciprocity of irradiance and duration of illumination, namely, that equal photon exposure produces an equal effect. If the probability of photoinactivation (p) of PS II is directly proportional to an increment in photon exposure (p = kΔx, where k is the probability per unit photon exposure), it can be deduced that the number of active PS II complexes decreases exponentially as a function of photon exposure: N = N_oexp(−kx). Further, since a photon exposure is usually achieved by varying the illumination time (t) at constant irradiance (I), N = N_oexp(−kI t), i.e., N decreases exponentially with time, with a rate coefficient of photoinactivation kI, where the product kI is obviously directly proportional to I. Given that N = N_oexp(−kx), the quantum yield of photoinactivation of PS II can be defined as −dN/dx = kN, which varies with the number of active PS II complexes remaining. Typically, the quantum yield of photoinactivation of PS II is ca. 0.1μmol PS II per mol photons at low photon exposure when repair is inhibited. That is, when about 10⁷ photons have been received by leaf tissue, one PS II complex is inactivated. Some species such as grapevine have a much lower quantum yield of photoinactivation of PS II, even at a chilling temperature. Examination of the longer-term time course of photoinactivation of PS II in capsicum leaves reveals that the decrease in N deviates from a single-exponential decay when the majority of the PS II complexes are inactivated in the absence of repair. This can be attributed to the formation of strong quenchers in severely-photoinactivated PS II complexes, able to dissipate excitation energy efficiently and to protect the remaining active neighbours against damage by light.     

民勤绿洲边缘地下水位变化对植物种群生态位的影响

在民勤绿洲边缘,利用空间区域不同地下水位(湖区8～12m,泉山区15～17m,坝区20～23m)和时间序列(1984～1992年)民勤沙井子地区地下水位下降(7.45～11.65m)梯度,研究地下水位下降对荒漠植物种群生态位的影响。结果表明:空间区域地下水位下降,植物种群生态位宽度均减小,种群退化;时间序列地下水位下降,白刺种群在扩展,其它植物种群在退化。白刺种群生态位宽度在民勤绿洲边缘荒漠植物群落中最大,是该区的建群种。由于白刺种群在地下水位7.45～11.65m范围内扩展,民勤绿洲生态环境治理中地下水位达到该范围是一个主要目标。     

中医证候结构表征研究及其前景展望

当前中医理论基础研究,有证候判定规范、证候疗效评价、证候物质基础、方剂配伍规律等的4个主要领域,但其共同的关键科学问题是中医证候结构表征,主要目的都是为了提高辨证论治的准确性和临床疗效。针对中医证候的结构表征研究,以脾气虚证候的发生规律为切入点,通过理论推证结果与临床数据分析结论相互印证,来揭示证候的结构特征,建立起了中医证候的拓扑结构数学模型,挖掘出了中医理论体系的数学科学基础,在证候基础研究上体现出中医理论的自身规律与临床诊疗特色,具有广阔的应用前景。     

The Method of Unweighted Means in Unbalanced Analysis of Variance

For factorial experiments with unbalanced data the method of unweighted means is an alternate method of analysis which is computationally simpler than likelihood ratio based F-tests. The quality of the null approximation to the F-distribution of the statistic for the method of unweighted means and the power of this test relative to the likelihood ratio test are discussed. Recommendations are made of when in the course of data analysis the superior operating characteristics of the likelihood ratio test may not outweigh the computational simplicity of the method of unweighted means test.     

酵母内含子在基因序列中的分布对基因转录效率的影响

对酵母中高效转录和低效转录基因内含子序列寡核苷酸使用情况的对照分析,显示两类内含子的序列结构有差异,并且高效转录基因内含子序列含有较多潜在的转录因子结合位点,由此推测内含子可能参与基因转录的调控.这个结论有待更多的数据证实.对内含子和外显子在两组基因序列中的分布（长度、位置等）进行详细比较分析后显示,高效转录基因内含子和低效转录基因内含子的长度有比较明显的界限.两组基因中外显子长度的均值虽然有些差异,却没有明显的界限.基因序列长度与外显子长度的情况相似.虽然内含子的相对位置在两类基因中都很靠近5′端,但是从实际位置看,高效转录基因中比较多的内含子很靠近基因的5′端,有些则位于5′-UTR区域.这些结果提示,基因的转录效率与内含子的长度有关,与外显子及基因序列的长度无关,内含子的位置也可能影响转录效率,内含子对基因转录的调控可能与基因上游的转录调控有关联,或者是上游调控的延续.     

一种平末端连接的有效方法

转化效率与质粒大小成反比,而当质粒大于１５ｋｂ时,转化效率将成为限制因素,此时提高连接效率极为必要,特别是对于具有普遍性而效率又低的平末端连接。我们在连接反应体系中,加入相应的产生平末端质粒载体的限制性内切酶Ｈｐａ Ｉ、或ＥｃｏＲ Ｖ,与不加Ｈｐａ Ｉ,或ＥｃｏＲ Ｖ的连接反应相对照,连接产物转化大肠杆菌ＪＭ１０９后,产生的转化子比率分别为１９．９％和１０．３％（ｐＦｐ７）,３２．６％和９．７％（     

Mechanisms of metal carcinogenesis

Experimental observations that pertain to mechanisms of metal carcinogenesis are summarized, with emphasis upon (a) interactions of metals with nucleic acids in vitro; (b) impairment by metals of the fidelity of DNA replication by DNA polymerase in vitro; (c) mutagenicity of metals in microorganisms; (d) cytogenetic aberrations induced by metals in tissue culture cells; (e) induction by metals of neoplastic transformation of tissue culture cells; and (f) nuclear uptake of metals in vivo and concomitant inhibitory effects of metals on synthesis of nucleic acids. Considered in toto, the experimental data support the somatic mutation hypothesis of chemical carcinogenesis. Sufficient experimental evidence is available regarding four carcinogenic metals (As, Be, Cr, and Ni) to permit speculations about the molecular reactions whereby these metals may induce somatic mutations. This article is an updated outgrowth of a review presented at the A. O. Beckman Conference on the Biochemistry of Cancer that was held in San Antonio, Texas, on September 6–8, 1978. The earlier draft of this article is being published in the proceedings volume.     

The Principles of Data Formalization for Building Biological Model of Shoot Development in Flowering Plants

Shoot system of a plant can be divided into elementary molecules composed of phyllome, internode, and meristem of the lateral bud. The capacity of plants for open growth is manifested as multiple reproductions of the modules. These main principles of plant structural organization can be used to formalize and integrate the data from various disciplines studying shoot development—genetics of development, morphology, etc. At the example of a model species Arabidopsis thaliana we show that the data on genetic control of shoot development can be considered in terms of rearrangement of individual modules. Several variants of the module structural reorganization are allowed: reduction or transformation of phyllome, change in the internode length, and triggering active/inactive status of the lateral shoot meristem. Each variant of module structure corresponds to specific pattern of genes activity. Such integration of the data on genetic and structural aspects of morphogenesis can form a basis for mathematical modeling of plant development.     

Biomathematics in Embryogenesis and the Conception of the Phoronomics of the Entropy

The fundamental ideas of the phoronomics of the entropy are developed. There are some important kinematic quantities and three kinematic decompositiones.     

提高米索前列醇用于晚期妊娠引产的安全性研究

探讨提高米索前列醇用于晚期妊娠引产的安全性措施。方法：通过腹部检查,头盆评分、Ｂ超及胎心电子监护选择引产对象１２６例,随机分为两组,各６３例。２５微克组：米索前列醇２５微克阴道用药,２４小时重复一次,总量５０微克。５０微克组：米索前列醇５０微克阴道用药,２４小时重复一次,总量１００微克。     

用离散量的方法识别蛋白质的超二级结构

用离散量的方法,对2208个分辨率在2.5I以上的高精度的蛋白质结构中四类超二级结构进行了识别。从蛋白质一级序列出发,以氨基酸(20种氨基酸加一个空位)和其紧邻关联共同为参数,当序列模式固定长取8个氨基酸残基时,对“822”序列模式3交叉检验的平均预测精度达到78.1%,jack-knife检验的平均预测精度达到76.7%;当序列模式固定长取10个氨基酸残基时,对“1041”序列模式3交叉检验的平均预测精度达到83.1%,jack-knife检验的平均预测精度达到79.8%。