PKP 在治疗多节段胸腰椎骨质疏松压缩性骨折方面的应用

目的:探讨经皮椎体后凸成形术(PKP)治疗多节段骨质疏松性椎体压缩性骨折(OVCF)的疗效和安全性。方法:应用PKP治疗37例共112节胸腰椎多节段骨质疏松性椎体压缩骨折,分析患者术前、术中、术后的临床及影像学资料,采用模拟视觉评分(VAS)及Oswesty功能障碍指数(ODI)评价术前、术后疼痛缓解及日常活动功能恢复情况。结果:13例一次手术完成1节椎体,12例一次手术完成2～3节段椎体,12例两次手术完成3～4个节段椎体。1例术中出现一过性血压降低和呛咳。VAS评分术前为(8.55±1.22)分,术后1周为(2.12±1.09)分,术后3个月为(2.01±1.07)分;ODI值术前为83.02±11.14,术后1周为25.23±7.17,术后3个月为27.45±9.67,疼痛缓解及日常活动功能恢复明显。结论:初步的临床结果显示PKP是多节段骨质疏松性椎体压缩性骨折的有效治疗方法,单椎体信号改变者治疗效果好于多椎体信号改变者。多椎体信号改变者只选择第一责任椎的单节段PKP可能获得更好的效果;多节段患者同时选择第一和第二责任椎一次完成PKP术效果可能好于分次完成。一次治疗多椎体病变更为经济、适用。     

急诊PCI 治疗中应用血栓抽吸术及主动脉内球囊反搏术 与血浆脑钠肽水平、心功能参数的关系

目的:观察血栓抽吸术与主动脉内球囊反搏术(IABP)联用在急诊冠状动脉介入治疗(PCI)的疗效。方法:ST段抬高型急性心肌梗塞(AMI)行急诊冠状动脉造影提示大量血栓征象、并行血栓抽吸术患者98例,随机分为实验组和对照组,实验组术前行IABP后联合血栓抽吸;对照组仅进行血栓抽吸。观察两组患者的BNP及心功能参数。结果:术后24小时两组BNP有普遍升高趋势,对照组升高更明显(P<0.01),术后2周普遍回降,实验组下降更明显(P<0.01);2周后实验组的心脏指数(CI)、每搏指数(SI)、混合静脉血氧饱和度(SvO2)均高于对照组(P<0.01)。结论:对于行急诊冠状动脉介入治疗的患者联合使用主动脉内球囊反搏术和血栓抽吸术,可以明显改善患者的心肌缺血情况,增加冠脉灌注,有利于患者心功能的恢复。     

Toward using δ13C of ecosystem respiration to monitor canopy physiology in complex terrain

In 2005 and 2006, air samples were collected at the base of a Douglas-fir watershed to monitor seasonal changes in the delta13CO2 of ecosystem respiration (delta13C(ER)). The goals of this study were to determine whether variations in delta13C(ER) correlated with environmental variables and could be used to predict expected variations in canopy-average stomatal conductance (Gs). Changes in delta13C(ER) correlated weakly with changes in vapor pressure deficit (VPD) measured 0 and 3-7 days earlier and significantly with soil matric potential (psi(m)) (P value <0.02) measured on the same day. Midday G (s) was estimated using sapflow measurements (heat-dissipation method) at four plots located at different elevations within the watershed. Values of midday Gs from 0 and 3-7 days earlier were correlated with delta13C(ER), with the 5-day lag being significant (P value <0.05). To examine direct relationships between delta13C(ER) and recent Gs, we used models relating isotope discrimination to stomatal conductance and photosynthetic capacity at the leaf level to estimate values of stomatal conductance ("Gs-I") that would be expected if respired CO2 were derived entirely from recent photosynthate. We compared these values with estimates of Gs using direct measurement of transpiration at multiple locations in the watershed. Considering that the approach based on isotopes considers only the effect of photosynthetic discrimination on delta13C(ER), the magnitude and range in the two values were surprisingly similar. We conclude that: (1) delta13C(ER) is sensitive to variations in weather, and (2) delta13C(ER) potentially could be used to directly monitor average, basin-wide variations in Gs in complex terrain if further research improves understanding of how delta13C(ER) is influenced by post-assimilation fractionation processes.     

Percutaneous Exposure to VX: Clinical Signs, Effects on Brain Acetylcholine Levels and EEG

The nerve agent VX has a variable and delayed absorption through the skin, which may have implications for treatment regimens. In the present study, central and peripheral effects of percutaneous VX intoxication were investigated in hairless guinea pigs. Although onset times of clinical signs varied considerably, the relative onset times of signs of poisoning were shown to have a predictive value for survival time. All animals showed elevation of brain choline (Ch) levels. Only two of six animals demonstrated seizure activity on EEG, which was accompanied by acetylcholine (ACh) accumulation. The non-seizing animals displayed only marginal increases of ACh levels, but significant changes in all EEG bands. Acetylcholinesterase activity was highly inhibited in brain and diaphragm. The increases in Ch levels and EEG effects observed in non-seizing animals probably reflected those of ischemia induced by peripheral effects leading to cardiorespiratory compromise. In conclusion, clinical signs will mainly serve as indicators for the onset and maintenance of treatment in subsequent studies. Special issue article in honor of Dr. Frode Fonnum.     

Soil CN ratio as a scalar parameter to predict nitrous oxide emissions

Forested histosols have been found in some cases to be major, and in other cases minor, sources of the greenhouse gas nitrous oxide (N₂O). In order to estimate the total national or global emissions of N₂O from histosols, scaling or mapping parameters that can separate low‐ and high‐emitting sites are needed, and should be included in soil databases. Based on interannual measurements of N₂O emissions from drained forested histosols in Sweden, we found a strong negative relationship between N₂O emissions and soil CN ratios (r²_adj=0.96, mean annual N₂O emission=ae^{(?b CN ratio)}). The same equation could be used to estimate the N₂O emissions from Finnish and German sites based on CN ratios in published data. We envisage that the correlation between N₂O emissions and CN ratios could be used to scale N₂O emissions from histosols determined at sampled sites to national levels. However, at low CN ratios (i.e. below 15–20) other parameters such as climate, pH and groundwater tables increase in importance as regulating factors affecting N₂O emissions.     

黑河流域生态经济带分异协调规律与耦合发展模式

在西北干旱地区建设黑河流域生态经济带,是从根本上高效配置流域水资源,彻底化解流域上,下游利益冲突,实现利益共享,保护流域生态环境,推进流域可持续发展,全面实施国务院黑河流域分水方案的重要途径,通过对黑河流域生态经济带上－中－下游投入产出效益的比较分析和流域上、中、下游生态－生产、生活系统发展分异及互动协调关系的分析,提出了黑河流域生态经济带上－中－下游多维互动的协调耦合发展模式,进而提出了黑河流域生态经济带建设与发展的主要途径,包括推进黑河流域经济发展一体化和集成管理公司化,大力推行全流域水资源的差异化有偿使用制度,实施流动上、中、下游的水权转让贸易,实行规范的流域财政转移支付制度,建立流域资源与生态环境和经济的整合帐户体系,实行跨行政区域河流边界水量水质达标交接制度,等等。     

家兔肋胸膜淋巴孔的发现

为了研究成年家兔肋胸膜淋巴孔的超微结构与三维构形 ,作者应用扫描电镜和透射电镜对成年家兔肋胸膜淋巴孔进行观察 ,用计算机图像处理系统对胸膜淋巴孔作图像数据化处理 ;NaOH溶液消化间皮细胞 ,裸露间皮下结缔组织和筛斑 (maculacribriform)。发现肋胸膜立方形间皮细胞 (cuboidalmesothelialcell)之间有圆形或椭圆形的胸膜淋巴孔 (pleurallymphaticstomata) ,其平均面积和平均密度分别为 :7 2 0± 3 6 9μm2 和 1 2 1±0 72个 / 0 0 1mm2 。扁平形间皮细胞表面未见淋巴孔。胸膜淋巴孔籍胸膜下小管与毛细淋巴管相通。仅在立方形间皮下结缔组织中发现有筛斑。肋胸膜上还可见闭合淋巴孔 (closedlymphaticstomata)和由巨噬细胞组成的乳斑 (milkyspot)。覆盖在肋骨上的胸膜无淋巴孔分布。家兔胸膜淋巴孔通过胸膜下小管与淋巴管直接相连 ,形成从胸膜腔至脉管系的惟一直接通路。     

Treatment of acid mine drainage by sulphate-reducing bacteria using permeable reactive barriers: A review from laboratory to full-scale experiments

Acid mine drainage in-situbioremediation has in the last decades drawnthe attention in the field of environmentalbiotechnology. The most recent treatmenttechnique are the permeable reactive barriersusing sulphate-reducing bacteria. This viewdescribes the basis of many of the currentapproaches to use sulphate-reducing bacteria inacid mine drainage treatment, from laboratoryto full-scale realisations, and the limitationsencountered when applied to full scaleapplications.