某大型综合医院护理人力资源配置研究

?????? 目的 从目前护理人员承担的工作量出发,探讨临床科室护理人员配置理想床护比,为医院护理人力配置提供依据。方法 以工作量测算法作为核心研究方法,采用工现场观察法对西安市某大型综合医院42个临床科室护士的工作量进行测算,并使用Excel、SPSS17.0统计软件进行公式运算和统计分析。结果 （1）临床科室护理人员的工作时间超过标准工作时间6小时;（2）所调研科室现有床护比仅为1: 0.46,缺编41.50%;（3）依据目前的工作量需要,内科病房的床护比应为1:0.62,外科病房床护比应为1:0.63,监护科室为1:2.08,平均床护比1:0.78。结论 临床科室医师人员配备亟待补充,医院应根据实际工作量进行合理测算后配置护理人员,通过工时测定提出了的理想床护比可为其他医院提供参考。     

Tetanic contraction induces enhancement of fatigability and sarcomeric damage in atrophic skeletal muscle and its underlying molecular mechanisms

Muscle unloading due to long-term exposure of weightlessness or simulated weightlessness causes atrophy, loss of functional capacity, impaired locomotor coordination, and decreased resistance to fatigue in the antigravity muscles of the lower limbs. Besides reducing astronauts＇ mobility in space and on returning to a gravity environment, the molecular mechanisms for the adaptation of skeletal muscle to unloading also play an important medical role in conditions such as disuse and paralysis. The tail-suspended rat model was used to simulate the effects of weightlessness on skeletal muscles and to induce muscle unloading in the rat hindlimb. Our series studies have shown that the maximum of twitch tension and the twitch duration decreased significantly in the atrophic soleus muscles, the maximal tension of high-frequency tetanic contraction was significantly reduced in 2-week unloaded soleus muscles, however, the fatigability of high- frequency tetanic contraction increased after one week of unloading. The maximal isometric tension of intermittent tetanic contraction at optimal stimulating frequency did not alter in 1- and 2-week unloaded soleus, but significantly decreased in 4-week unloaded soleus. The 1-week unloaded soleus, but not extensor digitorum Iongus （EDL）, was more susceptible to fatigue during intermittent tetanic contraction than the synchronous controls. The changes in K＋ channel characteristics may increase the fatigability during high-frequency tetanic contraction in atrophic soleus muscles. High fatigability of intermittent tetanic contraction may be involved in enhanced activity of sarcoplasmic reticulum Ca2＋-ATPase （SERCA） and switching from slow to fast isoform of myosin heavy chain, tropomyosin, troponin I and T subunit in atrophic soleus muscles. Unloaded soleus muscle also showed a decreased protein level of neuronal nitric oxide synthase （nNOS）, and the reduction in nNOS-derived NO increased frequency of calcium sparks and elevated intracellular resting Ca2＋ concentration （[Ca2＋]i） in unloaded soleus muscles. High [Ca2＋]i activated calpain-1 which induced a higher degradation of desmin. Desmin degradation may loose connections between adjacent myofibrils and further misaligned Z-disc during repeated tetanic contractions. Passive stretch in unloaded muscle could preserve the stability of sarcoplasmic reticulum Ca2＋ release channels by means of keeping nNOS activity, and decrease the enhanced protein level and activity of calpain to control levels in unloaded soleus muscles. Therefore, passive stretch restored normal appearance of Z-disc and resisted in part atrophy of unloaded soleus muscles. The above results indicate that enhanced fatigability of high-frequency tetanic contraction is associated to the alteration in K＋ channel characteristics, and elevated SERCA activity and slow to fast transition of myosin heavy chain （MHC） isoforms increases fatigability of intermittent tetanic contraction in atrophic soleus muscle. The sarcomeric damage induced by tetanic contraction can be retarded by stretch in atrophic soleus muscles.     

非损伤微测技术在植物根系生长发育研究中的应用

进出组织和细胞的无机离子的运输对植物生命极为重要。膜片钳和荧光成像等传统方法技术要求高、设备要求先进且测得的数据很难直接用于样品植株上。"非损伤微测技术"因其具有非损伤性、高的时空分辨率的特点,使其可以在不破坏样品的前提下测到样品的生理特征和生命活动规律,测得的数据生理真实性高,可以直接应用于样品植株上。文章较详细地介绍了运用非损伤微测技术,尤其是用于测量离子流的SIET技术和MIFE技术,及其在测量植物根部净离子流量以研究植物根系生长发育的一些报告。     

特比萘芬联合伊曲康唑治疗孢子丝菌病失败1例

伊曲康唑和特比萘芬治疗孢子丝菌病（sporo-trichosis）有效安全,目前已成为孢子丝菌病治疗指南中的推荐用药[1].但少数患者单用伊曲康唑或特比萘芬不能有效控制病情,研究显示两药分别联合碘化钾溶液或两药联合治疗皮肤型孢子丝菌病显示疗效增强2-6].最近,我们诊治1例由球形孢子丝菌引起的皮肤固定型孢子丝菌病患者,采用特比萘芬联合伊曲康唑治疗失败,之后经特比萘芬联合碘化钾溶液治疗才获得痊愈.鉴于该病例治疗过程的特殊性,我们对其分离菌株进行了一些相关的实验研究,现报道如下.     

Daily shoaling patterns in the zebrafish Danio rerio

Shoaling intensity in zebrafish Danio rerio is believed to vary throughout subjective day and night hours. This experiment examines long term variations in shoaling behavior. Adult zebrafish Dan io rerio were maintained under a 12：12 LD cycle （with dim red light serving as reduced visibility during subjective dark hours）, and their shoaling behavior was monitored every hour for a three-day period of time. Our results show that zebrafish perform shoaling behavior throughout subjective day and under reduced visibility conditions, although mean shoaling times during the light phase were significantly higher than mean shoaling times during the dark phase. However, on the 3^rd day of the experiment, mean shoaling times during the subjective night had increased and mean shoaling times during the subjective day had decreased. This shift in intensity was not seen on the first two days of the study, and may represent the influence of experience on the behavior of the test fish. We believe this study shows that shoaling behavior changes with light/dark cycles and that fish shoal even during reduced visibility conditions.     

Foliar nitrogen and phosphorus stoichiometry of alien invasive plants and co-occurring natives in Xishuangbanna

Aims How alien invasive plants and co-occurring native plants utilize nutrients is one of major issues in invasion ecology. Foliar nitrogen (N) and phosphorus (P) contents and stoichiometry can elucidate the uptake ability and limitation status of nutrients in plants, which provides basic knowledge for understanding the invading ability and co-occurrence or disappearance of plants.
Methods Based on typical alien invasive plants (Chromolaena odorata, Ageratina adenophora) and native plants in southwestern China, this study focused on strategies of N and P utilization among invasive plants and native plants under different invasion conditions. The species compositions, aboveground biomass, leaf N and P contents and leaf N:P were investigated for plants in plots with no invasion and with different invasion extents (estimated by the plot-based percentage of invaders’ biomass in total community) at Mt. Kongming in Xishuangbanna region, Yunnan Province, China.
Important findings The species number decreased significantly with the invasion extent of both C. odorata and A. adenophora, although the aboveground biomass was greatly enhanced. Leaf N and P contents did not differ between the two studied invaders, but they showed significantly higher N and P levels than both co-occurring and only native species (p < 0.05). Besides, leaf N and P contents of invaders increased with the invasion extent, and leaf N of native plants also showed an increasing trend with the invasion extent. When the influence of invasion was checked for the same species, leaf P contents decreased, whereas leaf N and N:P increased for most native plants under invasion. Based on the absolute foliar N and P contents, N:P values, we inferred that native plants were still limited by N, although N availability might be enhanced by invasion. Both invasive plants had leaf N:P values lower than 10, suggesting a higher P uptake relative to N uptake. All above results highlighted a higher N and P uptake of typical alien invasive plants in southwestern China.     

利用胎盘研究藏羚羊(Pantholops hodgsonii)初生性别比例

为研究藏羚羊初生性别比例,判断母羊怀孕期间有无偏性选择孕育过程,根据藏羚羊繁殖特点,在可可西里自然保护区卓乃湖藏羚羊产羔地收集到116份藏羚羊胎盘样品,阿尔金山兔子湖产羔地收集到32份胎盘样品,参照文献中对牛科动物进行性别鉴定的3对特异性引物,利用分子生物学方法对样品性染色体类型进行鉴定,从而得到藏羚羊新生羊羔的性别,即藏羚羊初生性比。结果显示,148份藏羚羊胎盘样品中共有雌性76头,雄性72头,初生性比为1︰1.06,经χ~2检验,差异不显著(P=0.742),说明藏羚羊初生性比未明显偏离理论值1︰1。以上研究表明,雌性藏羚羊在怀孕期间无偏性选择作用或这种选择作用非常微弱,不足以影响藏羚羊种群性别比例;而且,利用胎盘对藏羚羊进行初生性比研究是可行的,其他有类似繁殖模式的野生动物也可用此方法研究其初生性比。     

坡向对暗紫贝母生长和繁殖特征的影响

在青藏高原东部的牛牛山和卡卡山,在其东、南、西、北4个坡面各设置一个海拔相同(3800m)的样地,每个样地中随机选择30株同龄级的暗紫贝母植株作为研究对象,然后比较各坡面的生态因子以及暗紫贝母的生长和繁殖特征。结果表明:1融雪时间、气温、土壤含水量在南北坡面间有显著的差异,但土壤p H在各坡面间无明显差异。2开始生长期、始花期和盛花期等物候阶段都是北坡最迟,南坡最早,而枯黄期在各坡面间无显著差异。3单叶面积、比叶面积和植株株高以北坡最大,南坡最小。4鳞茎生物量以南坡最大,北坡最小,东、西坡面的值介于南、北坡之间。5单粒果实的生物量在各坡面之间无明显的差异,果实生物量在地上部分中所占的比例以南坡最大,北坡最小。6单粒果实平均种子数以北坡最多,南坡最少;而种子千粒重则以南坡最重,北坡最轻。可见,坡面对暗紫贝母的生长和繁殖特征有显著的影响,尤其是在南北坡面之间大多数性状差异显著。     

全球森林土壤微生物生物量碳氮磷化学计量的季节动态

土壤微生物生物量在森林生态系统中充当具有生物活性的养分积累和储存库。土壤微生物转化有机质为植物提供可利用养分, 与植物的相互作用维系着陆地生态系统的生态功能。同时, 土壤微生物也与植物争夺营养元素, 在季节交替过程和植物的生长周期中呈现出复杂的互利-竞争关系。综合全球数据对温带、亚热带和热带森林土壤微生物生物量碳(C)、氮(N)、磷(P)含量及其化学计量比值的季节动态进行分析, 发现温带和亚热带森林的土壤微生物生物量C、N、P含量均呈现夏季低、冬季高的格局。热带森林四季的土壤微生物生物量C、N、P含量都低于温带和亚热带森林, 且热带森林土壤微生物生物量C含量、N含量在秋季相对最低, 土壤微生物生物量P含量四季都相对恒定。温带森林的土壤微生物生物量C:N在春季显著高于其他两个森林类型; 热带森林的土壤微生物生物量C:N在秋季显著高于其他2个森林类型。温带森林土壤微生物生物量N:P和C:P在四季都保持相对恒定, 而热带森林土壤微生物生物量N:P和C:P在夏季高于其他3个季节。阔叶树的土壤微生物生物量C含量、N含量、N:P、C:P在四季都显著高于针叶树; 而针叶树的土壤微生物生物量P含量在四季都显著高于阔叶树。在春季和冬季时, 土壤微生物生物量C:N在阔叶树和针叶树之间都没有显著差异; 但是在夏季和秋季, 针叶树的土壤微生物生物量C:N显著高于阔叶树。对于土壤微生物生物量的变化来说, 森林类型是主要的显著影响因子, 季节不是显著影响因子, 暗示土壤微生物生物量的季节波动是随着植物其内在固有的周期变化而变化。植物和土壤微生物密切作用表现出来的对养分的不同步吸收是保留养分和维持生态功能的一种权衡机制。     

甘肃小苏干湖盐沼湿地盐地风毛菊叶形态-光合生理特征对淹水的响应

盐沼湿地植物叶片功能性状对淹水的响应分析, 有助于探究植物叶片可塑性机制与光合生理特征间的内在关联性, 对深入理解盐沼湿地植物的生境抗逆性策略具有重要意义。根据小苏干湖湖水泛滥区静水持留时间长短分别设置: 轻度淹水区(静水持留30-90天)、中度淹水区(静水持留90-150天)、重度淹水区(静水持留150-210天) 3个试验样地, 以盐地风毛菊(Saussurea salsa)为研究对象, 研究了小苏干湖盐沼湿地盐地风毛菊叶片功能性状对淹水的响应。结果表明: 随着静水持留时间的增加, 轻度淹水区盐地风毛菊形态上采用小比叶面积(SLA)的肉质化小叶模式, 光合生理上具有高实际光合效率(Y(II))和低调节性能量耗散的量子产额(Y(NPQ))的协同变异; 重度淹水区盐地风毛菊形态和光合生理上则采用与轻度淹水区完全相反的协同变异策略; 在3个样地中, SLA与Y(II)、光化学淬灭(QP)和Y(NPQ)间均呈极显著相关关系; 叶绿素a含量和叶绿素b含量与调节性能量耗散的量子产额(Y(NO))均呈显著正相关关系。小苏干湖湖水泛滥区静水时空演变格局影响下, 盐地风毛菊种群通过改变叶面积、叶厚度和SLA等叶片形态特征, 适时调整叶片Y(II)和Y(NPQ)等光合生理特征, 实现植物叶片光合碳同化产物的收支平衡, 表现出对水盐异质性环境较强的耐受性, 反映了盐沼湿地植物在极端生存环境下的叶片可塑性和抗逆性机制。