革兰阴性杆菌10年耐药性变化分析

目的 对重庆医科大学附属第二医院2001年1月1日至2009年12月31日10年临床标本中分离的主要革兰阴性杆菌耐药性变化进行分析,为临床合理用药提供依据.方法 采用回顾性方法对十年间大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌和不动杆菌的药敏结果用WHONET 5.4软件进行统计分析.结果 大肠埃希菌、肺炎克雷伯菌对亚胺培南耐药率小于5％;对阿米卡星、哌拉西林/他唑巴坦、头孢吡肟耐药率小于30％;对三代头孢、头孢西丁和氨曲南耐药率为40％左右;对青霉素类、喹诺酮类和磺胺类耐药率大于50％.铜绿假单胞菌对头孢他啶、头孢吡肟和亚胺培南耐药率小于40％;对其余监测抗生素耐药率大于50％.不动杆菌属对亚胺培南耐药率小于25％(2009年除外),对其余监测抗生素耐药率很高,维持在50％ ～ 96％.铜绿假单胞菌、鲍曼不动杆菌泛耐药菌检出率分别为0～14％和0～48％.结论 革兰阴性杆菌对常用抗菌药物的耐药已非常普遍,且有逐年升高的趋势;肠杆菌科对碳青霉烯类、阿米卡星、哌拉西林/他唑巴坦、头孢吡肟耐药率相对较低;非发酵菌耐药性增加明显,铜绿假单胞菌、不动杆菌泛耐菌增加明显;严格控制抗菌药物的应用及耐药菌和泛耐药菌的传播和爆发流行已迫在眉睫.     

补光对越冬灰仓鼠体重、主要器官指数及精子数量的影响

目的研究补光对灰仓鼠(Cricetulus migratorus)越冬时脏器器官的影响。方法室温下将其分为自然光照组和补充光照组,分别在第0、30、48和150天时测定动物的体重和脏器器官的重量,应用涂片法检查精子的数量。结果自然光照时,精子数量在冬至时变化不大,但冬至后第18天,灰仓鼠的睾丸系数降到最低值,精子数量仅为422枚,第150天时恢复到正常繁殖状态,精子数量达到7440枚。其他脏器指数在冬至时最高,第150天时最低。补充光照后,雌雄鼠体重高峰值时间均比自然光照组提前100 d,各器官指数变化与体重变化情况相类似,但睾丸和子宫系数维持稳定,精子数量未发现减少。结论在自然光照时越冬灰仓鼠的脏器指数逐渐下降,第150天时脏器指数达至最高值,睾丸指数在冬至后第18天下降到最低值,处于非繁殖状态。补充光照后,越冬灰仓鼠的精子数量和子宫指数变化不大,一直维持繁殖状态。     

2012 年全球上市新药

对2012 年全球上市新药的基本信息,包括通用名、商品名、结构式、CAS 号、研发公司、上市国家和主要适应证进行汇总,为新药研发工作者提供参考。     

双向电泳结合质谱分析长双歧杆菌XY01分泌蛋白质图谱

菌体的分泌蛋白质在宿主和菌体的相互作用之间起着重要的作用. 本研究采用双向凝胶电泳的方法建立了长双歧杆菌XY01分泌蛋白质图谱,通过MALDI-TOF/TOF质 谱鉴定和数据库搜索,对鉴定到的分泌蛋白进行了分析. 共检测到21个蛋白质点, 成功鉴定18个蛋白质点,分别代表14个不同的蛋白质,等电点分布在4.5～7.0之间 ,分子质量分布在20 ～65 kD之间;通过COGs分类和功能分析,信号肽和细胞定位及KEGG代谢通路分析. 结果表明,这些蛋白质对菌体细胞壁/膜的形成、生物信号传导和物质代谢等起着重要作用. 研究结果为长双歧杆菌蛋白质组学和基因组学的研究提供了参考.     

光敏剂HMME对人骨肉瘤细胞U-2OS的光动力作用及其作用机制的初步研究

目的：探讨光敏剂（HMME）介导的光动力疗法对人骨肉瘤细胞U-2OS的杀伤效应及机制研究。方法：使用不同浓度（0、10、20、30、40μg.ml-1）的光敏剂,采用不同光照能量（0、3、6、9 J.cm-2）照射人骨肉瘤细胞,与空白对照组、药物对照组（无光照但加光敏剂）和光照对照组（不加光敏剂但加光照）进行比较,MTT法检测细胞的存活率,选择半数有效量药物浓度和光照能量,作为实验组。以空白对照组为对照,采用Hoechst33342染色法,观察细胞凋亡情况。用western blot方法检测细胞凋亡蛋白caspase-7、caspase-9和PARP-1。结果：MTT结果显示,空白对照组、药物对照组和光照对照组对细胞存活率在96.7%和100%之间,药物的半数有效量为40.1μg.ml-（16 J.cm-2）和25.0μg.ml-（19 J.cm-2）。Hoechst33342染色法观察到实验组细胞明显凋亡。westen blotting检测结果,实验组与对照组相比,caspase-7、caspase-9和PARP-1表达明显增高。结论：HMME-PDT对人骨肉瘤细胞U-2OS有显著的杀伤效应,且呈光敏剂浓度和光照强度依赖性,其杀伤效应与caspase途径相关。     

Knowledge Levels and Training Needs of Disaster Medicine among Health Professionals,Medical Students,and Local Residents in Shanghai,China

Background

Disaster is a serious public health issue. Health professionals and community residents are main players in disaster responses but their knowledge levels of disaster medicine are not readily available. This study aimed to evaluate knowledge levels and training needs of disaster medicine among potential disaster responders and presented a necessity to popularize disaster medicine education.

Methods

A self-reporting questionnaire survey on knowledge level and training needs of disaster medicine was conducted in Shanghai, China, in 2012. A total of randomly selected 547 health professionals, 456 medical students, and 1,526 local residents provided intact information. The total response rate was 93.7%.

Results

Overall, 1.3% of these participants have received systematic disaster medicine training. News media (87.1%) was the most common channel to acquire disaster medicine knowledge. Although health professionals were more knowledgeable than community residents, their knowledge structure of disaster medicine was not intact. Medical teachers were more knowledgeable than medical practitioners and health administrators (p = 0.002). Clinicians performed better than public health physicians (p<0.001), whereas public health students performed better than clinical medical students (p<0.001). In community residents, education background significantly affected the knowledge level on disaster medicine (p<0.001). Training needs of disaster medicine were generally high among the surveyed. ‘Lecture’ and ‘practical training’ were preferred teaching methods. The selected key and interested contents on disaster medicine training were similar between health professionals and medical students, while the priorities chosen by local residents were quite different from health professionals and medical students (p<0.001).

Conclusions

Traditional clinical-oriented medical education might lead to a huge gap between the knowledge level on disaster medicine and the current needs of disaster preparedness. Continuing medical education and public education plans on disaster medicine via media should be practice-oriented, and selectively applied to different populations and take the knowledge levels and training needs into consideration.     

NtGNL1基因通过调控囊泡运输影响烟草根毛的极性生长

极性生长是植物生长发育中的常见现象,但囊泡运输与极性生长的关系还未完全明确。花粉管和根毛是植物细胞极性生长的典型模式。早期研究显示NtGNL1(Nicotiana tabacum GNOM-LIKE 1)通过调节囊泡的后高尔基体转运来影响烟草的花粉管生长。本文以NtGNL1 RNAi转基因植株为材料,研究NtGNL1基因在根毛生长中的作用。结果表明,NtGNL1 RNAi转基因植株的根毛生长明显滞后于野生型,且其根毛出现膨大、弯折、扭曲等形态,与NtGNL1 RNAi转基因植株的花粉管异常形态类似。q RT-PCR检测RNAi转基因株系根毛中PIN1、PIN2、GL2、ROP6、RHD6基因的m RNA表达量,显示PIN2和GL2的表达量显著下调,PIN1、ROP6和RHD6的表达量变化不明显。FM4-64染色表明烟草根表皮细胞和根毛的囊泡分布都受到影响,即NtGNL1基因也影响根毛中的囊泡运输。BFA处理加剧了囊泡的聚集程度,提示根毛尖端还存在其它对BFA敏感并调控囊泡运输的基因。以上证据显示,NtGNL1基因通过囊泡运输途径影响烟草根毛的极性生长,NtGNL1基因的表达下调也影响了PIN2和GL2的表达,从而间接影响根毛的极性生长。     

Differences in Sugar Accumulation and Mobilization between Sequential and Non-Sequential Senescence Wheat Cultivars under Natural and Drought Conditions

Wheat leaf non-sequential senescence at the late grain-filling stage involves the early senescence of younger flag leaves compared to that observed in older second leaves. On the other hand, sequential senescence involves leaf senescence that follows an age-related pattern, in which flag leaves are the latest to undergo senescence. The characteristics of sugar metabolism in two sequential senescence cultivars and two non-sequential senescence cultivars under both natural and drought conditions were studied to elucidate the underlying mechanism of drought tolerance in two different senescence modes. The results showed that compared to sequential senescence wheat cultivars, under natural and drought conditions, non-sequential senescence wheat cultivars showed a higher leaf net photosynthetic rate, higher soluble sugar levels in leaves, leaf sheaths, and internodes, higher leaf sucrose synthase (SS) and sucrose phosphate synthase (SPS) activity, and higher grain SS activity, thereby suggesting that non-sequential senescence wheat cultivars had stronger source activity. Spike weight, grain weight per spike, and 100-grain weight of non-sequential senescence cultivars at maturity were significantly higher than those of sequential senescence cultivars under both natural and drought conditions. These findings indicate that the higher rate of accumulation and the higher mobilization of soluble sugar in the leaves, leaf sheaths and internodes of non-sequential senescence cultivars improve grain weight and drought tolerance. At the late grain-filling stage, drought conditions adversely affected leaf chlorophyll content, net photosynthetic rate, soluble sugar and sucrose content, SS and SPS activity, gain SS activity, and weight. This study showed that higher rates of soluble sugar accumulation in the source was one of the reasons of triggering leaf non-sequential senescence, and higher rates of soluble sugar mobilization during leaf non-sequential senescence promoted high and stable wheat yield and drought tolerance.     

霍氏啮小蜂的卵巢发育和卵子发生

霍氏啮小蜂是一些鳞翅目和双翅目昆虫蛹的寄生蜂。本文描述该寄生蜂从亚洲玉米螟羽化后0,6 12,18,24,30,36,42,48,54,60,66和72 h的卵巢发育和卵子发生过程。霍氏啮小蜂雌性生殖系统为典型的膜翅目姬小蜂类型,包括2个卵巢,每个卵巢通常有8-9根卵巢管,另有1对输卵管附腺,1个受精囊和1个受精囊腺等。卵黄和卵子形成于羽化后12 h,刚羽化的雌蜂不含成熟卵(成熟卵指数OI=0),成熟卵出现在羽化后24 h,成熟卵数量随后不断增加至数量较为稳定。卵巢管内卵数与雌蜂的体长和头宽呈正相关,相关系数分别为0.859和0.907。研究结果表明霍氏啮小蜂属卵育型(synovigeny)寄生蜂,本文还讨论了卵育型霍氏啮小蜂的卵成熟策略。