The effects of corticosteroids on immunoregulation in sarcoidosis.

The effects of in vivo hydrocortisone administration on the kinetics and functional capabilities of cells involved in the immune response in sarcoidosis were examined. Untreated sarcoidosis patients have a decrease in the absolute numbers of circulating T lymphocytes (P < 0.05). However, with regard to the proportions of T lymphocyte subpopulations, there is an increase in the relative proportions of IgG Fc receptor positive T cells (T_G) (P < 0.01), which have suppressor capabilities in certain in vitro systems of mitogen-induced antibody production, and a relative decrease in IgM Fc receptor positive T lymphocytes (T^M) which have helper effects in this system (P < 0.05). Additionally, sarcoidosis patients have circulating “suppressor” monocytes capable of suppressing anti-sheep red blood cell (SRBC) plaque-forming cell (PFC) responses by pokeweed mitogen (PWM)-stimulated lymphocytes. The in vitro removal of this cell abrogated this depressed response (P < 0.01). Intravenous administration of hydrocortisone produced a transient absolute T lymphocytopenia (P < 0.01) accompanied by a relative increase in T^G cells (P < 0.01) and a relative decrease in T_M cells (P < 0.02). Four hours after hydrocortisone therapy, at the point of maximal hydrocortisone-induced monocytopenia (P < 0.01), the suppressed ability of sarcoidosis lymphocytes to synthesize and secrete in vitro anti-SRBC antibody after polyclonal activation was corrected (P < 0.01), and PFC responses comparable to those seen in untreated normal subjects were obtained. These studies demonstrate that corticosteroid administration has profound effects on certain in vitro demonstrable immunoregulatory abnormalities in sarcoidosis.     

A sedimentation procedure for the detection of binding to concanavalin A and heparin to lipoproteins.

Specific enzymatic bands in disc gel electrophoresis are generally determined by either of two methods: (i) Gel is sliced and the enzymatic activity is assayed on each slice or (ii) gel is stained histochemically, if the product of the enzymatic reaction and the dye can form an insoluble precipitate, and the activity band is located on the gel by a color band. The former is laborious and often inaccurate in the calculation of electrophoretic mobility. The latter, often nonspecific, is not applicable when the enzymatic product cannot form an insoluble precipitate with the dye. Staining with tetrazolium salt has been widely employed for amine oxidase (1–6). However, this method has limitations: (i) Tetrazolium salt is nonspecific for amine oxidase and may show artifacts (6,7), and (ii) the use of tetrazolium salt is limited only to substrates containing indolamine such as tryptamine or serotonin (8). Other substrates, like benzylamine, the most active substrate for plasma amine oxidase, do not form a color band with tetrazolium salt.This communication reports a simple spectrophotometric method for the identification of the enzymatic activity band for amine oxidase on disc gel electrophoresis. Neither slice and assay nor staining is needed. This method may possibly also be used generally for other enzyme systems which have a specific absorption at ultraviolet or visible range.     

30年泰山繁殖鸟类种类变化

泰山位于山东省中部,是华北中东部地区海拔最高的山脉,地形多样,生境复杂,是鸟类重要的繁殖地和迁徙停歇地。根据1984~1988年和2013~2015年两个时期野外调查及访谈调查结果,比较了近30年泰山繁殖鸟类种类的组成变化。相比20世纪80年代记录的繁殖鸟类13目35科72种,2013~2015年的调查记录到繁殖鸟类11目34科84种,与30年前相比净增长12种繁殖鸟类,其中新增繁殖鸟类记录32种,消失鸟类记录20种。新增种类主要是林地和灌丛鸟类,多为东洋种,消失的种类主要是湿地和农田草地鸟类,多为古北种和广布种。鸟类新增和消失的原因多样,但主要是栖息地面积和质量的改变,同时私自放生也是一个重要原因。本研究结果可丰富泰山地区随时间尺度变化的鸟类本底数据,并为泰山鸟类的保护提供科学依据。     

8805例外科术后患者医院感染的调查与分析

目的探讨外科术后患者医院感染的发病情况及细菌分布、耐药性,为临床采取防范措施提供依据。方法以2006年1月1日至2006年12月31日全部手术患者为研究对象,前瞻性地调查患者的医院感染情况,并有样必采,进行微生物鉴定和药敏试验。结果外科术后患者医院感染人次发病率为2.2%,例次发病率为3.1%;鉴定出的226株病原体中,G 菌64株,占28.3%,G-菌126株,占55.8%,真菌36株,占15.9%。按分离菌株数排列,依序为大肠埃希菌、铜绿假单胞菌、热带假丝酵母菌、表皮葡萄球菌、溶血葡萄球菌、鲍曼不动杆菌、肺炎克雷伯菌、鲁氏不动杆菌、粪肠球菌、白假丝酵母菌、阴沟肠杆菌。MRSA和MRCNS检出率分别是66.7%和95.5%,大肠埃希菌等G-杆菌对3代头孢类等多种抗菌药物耐药率≥70%。结论该院外科术后患者医院感染发病率符合一般规律,其病原体以G-菌为主,且对3代头孢类等高档抗菌药物多重耐药。     

道路交通事故致胫腓骨骨折的特点及救治

目的：总结交通事故伤中胫腓骨骨折的流行病学分类、特点及救治注意事项。方法：对136例交通事故伤中胫腓骨骨折患者的临床资料进行回顾性分析。结果：交通事故致胫腓骨骨折以多发伤及复合伤多见,经早期彻底清创、恰当的骨折固定、抗生素应用等,治愈77例,截肢2例,伤口浅表感染6例,骨髓炎1例。结论：交通事故伤中胫腓骨骨折大多伤情严重,感染率高,且开放性居多,早期及时选择合适的治疗方法是取得良好预后的关键。     

道路交通事故致胫腓骨骨折的特点及救治

目的:总结交通事故伤中胫腓骨骨折的流行病学分类、特点及救治注意事项。方法:对136例交通事故伤中胫腓骨骨折患者的临床资料进行回顾性分析。结果:交通事故致胫腓骨骨折以多发伤及复合伤多见,经早期彻底清创、恰当的骨折固定、抗生素应用等,治愈77例,截肢2例,伤口浅表感染6例,骨髓炎1例。结论:交通事故伤中胫腓骨骨折大多伤情严重,感染率高,且开放性居多,早期及时选择合适的治疗方法是取得良好预后的关键。     

医学图书馆馆藏建设的调查分析

探讨了目前医学图书馆馆藏结构的现状和馆藏建设策略的转变,在资金短缺的情况下,医学图书馆要确定有效的采购方案,保质保量,突出重点,加强网络协作,实现资源共享,以满足临床和科研的需要。     

Phytosterol plasma concentrations and coronary heart disease in the prospective Spanish EPIC cohort

Phytosterol intake with natural foods, a measure of healthy dietary choices, increases plasma levels, but increased plasma phytosterols are believed to be a coronary heart disease (CHD) risk factor. To address this paradox, we evaluated baseline risk factors, phytosterol intake, and plasma noncholesterol sterol levels in participants of a case control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) Spanish cohort who developed CHD (n = 299) and matched controls (n = 584) who remained free of CHD after a 10 year follow-up. Sitosterol-to-cholesterol ratios increased across tertiles of phytosterol intake (P = 0.026). HDL-cholesterol level increased, and adiposity measures, cholesterol/HDL ratios, and levels of glucose, triglycerides, and lathosterol, a cholesterol synthesis marker, decreased across plasma sitosterol tertiles (P < 0.02; all). Compared with controls, cases had nonsignificantly lower median levels of phytosterol intake and plasma sitosterol. The multivariable-adjusted odds ratio for CHD across the lowest to highest plasma sitosterol tertile was 0.59 (95% confidence interval, 0.36–0.97). Associations were weaker for plasma campesterol. The apolipoprotein E genotype was unrelated to CHD risk or plasma phytosterols. The data suggest that plasma sitosterol levels are associated with a lower CHD risk while being markers of a lower cardiometabolic risk in the EPIC-Spain cohort, a population with a high phytosterol intake.     

Apolipoprotein A-V, triglycerides and risk of coronary artery disease: the prospective Epic-Norfolk Population Study

In mouse models, apolipoprotein A-V (apoA-V) exhibits triglyceride (TG)-lowering effects. We investigated the apoA-V/TG relationship and the association of apoA-V with coronary artery disease (CAD) risk by determining serum apoA-V levels and genotypes in a nested case-control (n = 1,034/2,031) study. Both univariate and multivariate apoA-V levels showed no association with future CAD (P = 0.4 and 0.5, respectively). Unexpectedly, there was a significant positive correlation between serum apoA-V and TG in men and women (r = 0.36 and 0.28, respectively, P < 0.001 each) but a negative correlation between apoA-V and LPL mass (r = -0.14 and -0.12 for men and women respectively, P < 0.001 each). The frequency of the c.56C>G polymorphism did not differ between cases and controls despite significant positive association of c.56G with both apoA-V and TG levels. For -1131T>C, the minor allele was significantly associated with lower apoA-V yet higher TG levels and was overrepresented in cases (P = 0.047). The association of -1131T>C with CAD risk, however, was independent of apoA-V levels and likely acts through linkage disequilibrium with APOC3 variants. The positive correlation of apoA-V levels with TG levels, negative correlation with LPL levels, and lack of association with CAD risk highlight the need for further human studies to clarify the role of apoA-V.     

四川及其周边地区野生草莓资源调查、收集与评价

调查了四川及其周边地区(未包括青海省)野生草莓资源种类和地理分布,将收集的野生草莓资源进行迁地保存,并对其农艺性状、抗非生物和生物胁迫能力的变异进行了主成分分析。结果表明,四川及其邻近周边高海拔地区野生草莓主要分布在26°14’～33°22’N、96°57’～108°13’E、海拔823～4531m的垂直空间范围内。黄毛草莓(Fragaria nilgerrensisSchlecht.)、五叶草莓(F.pentaphylla Lozinsk.)、西南草莓(F.moupinensis(Franch.)Card.)和纤细草莓(F.gracilis Lozinsk.)是该区域分布的4个野生草莓种类,其中五叶草莓有红果和白果两个类型。黄毛草莓浆果具有特殊的蜜桃香气。株高、叶柄长度、小叶长度、小叶宽度、茸毛、耐旱性和耐热性是野生草莓遗传性状的主要指标,茸毛数量与抗逆性密切相关。