Biliary lithiasis in early pregnancy and abnormal development of facial and distal limb bones (Binder syndrome): a possible role for vitamin K deficiency

BACKGROUND: Binder syndrome is a maxillonasal dysostosis characterized by midface and nasal hypoplasia, sometimes associated with short terminal phalanges of fingers and toes and transient radiological features of chondrodysplasia punctata. Warfarin- or phenytoin-induced vitamin K deficiency during early pregnancy is a well-established etiology for this syndrome, which occurs nevertheless sporadically in most cases. CASE(S): We describe here the first case, to our knowledge, of Binder syndrome in a child whose mother presented with biliary lithiasis in early pregnancy. The mother proved to have a decrease in clotting factors II, VII, and X, and in prothrombin time, at 11 weeks of gestation, which was highly suggestive of vitamin K deficiency. CONCLUSIONS: The biliary lithiasis-induced vitamin K deficiency in early pregnancy is likely to have resulted in Binder syndrome. This observation should prompt physicians to carefully check for vitamin K deficiency in pregnant women presenting with biliary lithiasis, in order to prevent Binder syndrome in the fetus by providing intravenous vitamin K supplementation as soon as possible. Finally, reassuring genetic counseling regarding the genetic risk for future pregnancies is to be provided to the parents.     

Analysis of bacterial diversity in acidic pond water and compost after treatment of artificial acid mine drainage for metal removal

The microbial population of a sludge amended leaf compost material utilized for treatment of artificial acid mine drainage was studied by culture-independent molecular methods. Iron-rich and sulfurous wastewater (artificial acid mine drainage) was circulated through a column bioreactor for 16 months. After 12 months the column was inoculated with a mixed culture from an acidic pond receiving acid mine drainage from a tailings impoundment at a decommissioned site in Kristineberg, North Sweden. Hydrogen sulfide odor and the formation of black precipitates indicated that sulfate-reduction occurred in the column. 16S rDNA gene analysis by denaturing gradient gel electrophoresis, cloning, and sequencing as well as fluorescent in situ hybridization confirmed the presence of microorganisms closely related to sulfate-reducing bacteria and microorganisms from the genera Pseudoxanthmonas, Dechlorosoma, Desulfovibrio, Agrobacterium, Methylocapsa, Rhodococcus, Sulfobacillus, and some unidentified bacteria. Sulfate-reducing bacteria were found in the column bioreactor 2 weeks after inoculation, but not thereafter. This suggests they were in low abundance, even though sulfate remediation rates were significant. Instead, the population contained species similar to those previously found to utilize humic substances released from the compost material.     

Lymph drainage of the mammary glands in female cats

The mammary gland is a common site of neoplasms in the female cat. All the malignant tumors metastasize to a lesser or a greater extent through the lymphatic system. However, the anatomical knowledge of this system is not sufficiently well known in cats to develop a reasoned model for the extirpation of these glands in case of malignant tumors. A study of the lymph drainage in 50 female cats was done by indirect injection in vivo of India ink inside the mammary parenchyma. After a waiting interval, mammary glands were extracted and the thoracic cavity opened. All the lymph nodes were examined after clearing. The success rate of the colorations of lymph nodes and lymph vessels was 91.8%. Out of the 100 observed mammary chains, the two intermediate mammary glands (T2, A1) may drain caudally to the superficial inguinal lymph center and/or cranially to the axillary lymph center. The T1 gland always drains exclusively cranially and A2 exclusively caudally. The two mammary glands (T1 and A1) often drain towards the sternal cranial lymph nodes, but 100% of the T2 drain towards it. This research assumes that the limit between the two directions of drainage can exist only between glands T2 and A1. The results obtained with the study of the 1st, 2nd, 3rd, and 4th mammary glands permit production of new and more complete data of functional significance that will eventually aid block dissection surgical technique in the removal of malignant tumors in cats.     

Effect of octanol:water partition coefficients of organophosphorus compounds on biodistribution and percutaneous toxicity

Knowledge of partition coefficient (log P) data can play a critical role in understanding the pharmacokinetic and pharmacodistributive properties of toxic organophosphorus (OP) compounds. Using a recently published gas chromatographic method, the octanol:water log P values for the compounds tabun (GA), sarin (GB), cyclosarin (GF), and O-ethyl-S-(2-diisopropylaminoethyl) methylphosphonothiolate (VX) were determined to be 0.384 +/- 0.033, 0.299 +/- 0.016, 1.038 +/- 0.055, and 0.675 +/- 0.070, respectively. Based on these data, the log P value of the fluorophosphonate fragment, common to GB, soman (GD), and GF, was determined to be -2.256 +/- 0.273. The predictive value for absorption and distribution of the determined log P values was compared to measured values. The time to onset of local fasciculations (47.3, 29.0, 8.8, 8.5, and 6.3 min, respectively) in guinea pigs exposed percutaneously to equilethal doses of GA, VX, GF, GB, or GD was used as an indicator of dermal penetration. There was a good correlation (r = 0.95) between the measured log P value and the rate of onset of local fasciculations. Assuming a direct correspondence, equilibrium tissue:blood log P may be estimated from octanol:water log P. Comparison of the estimated and directly measured tissue:blood log P revealed a correlation of 0.8 for GD in liver, muscle, and adipose tissue. Our results demonstrate the use of log P data to both predict absorption and determine the distribution of OP compounds in tissues. This facilitates further estimates of in vivo OP effects from in vitro experiments.     

安徽某铁矿酸性矿山废水中真核生物的群落结构特征

【目的】研究酸性矿山废水中真核生物的群落结构特征以及群落结构与环境因子之间的关系。【方法】利用分子生物学方法,通过构建18S rRNA基因克隆文库进行系统发育分析;利用典范对应分析(CCA)方法解析环境因子对真核生物群落结构的影响。【结果】系统发育分析表明:子囊菌门(Ascomycota)普遍存在于4个样品中,并在样品1和样品3中占统治地位,而绿藻门(Chlorophyta)和担子菌门(Basidiomycota)分别为样品2和样品4的优势类群。该酸性矿山废水中的克隆与许多已知的耐酸耐重金属真核生物亲缘关系较近,如Sarcinomyces petricola、Penicillium janthinellum、Coniochaeta velutina、Trichoderma viride、Chlorellaprotothecoides var.acidicola、Ochromonas sp.等。此外,样品中还存在大量的已知人类病原菌,如Lecythophorahoffmannii、Cryptococcus neoformans。CCA分析表明:TN、SO24-、Fe2+、Eh是影响真核生物群落空间分布的主要因素。【结论】所研究的酸性矿山废水中真核生物的群落结构在时间和空间上均有较大差异,这可能与水体的理化性质有关;高含量人类致病菌的存在是之前研究所未发现的;酸性环境中真核生物的生态学研究有助于开发高效处理酸性矿山废水的方法。     

Percutaneous Transvenous Angioplasty of Left Innominate Vein Stenosis Following Right Side Permanent Pacemaker Implantation- A Left Femoral Vein to Left Axillary Vein Approach

Central venous stenosis after the insertion of a permanent pacemaker is a well recognized complication. This late complication is encountered when there is a need to change the pacemaker lead or extract it. We describe a young male who had such a complication after many years after right side pacemaker implantation. The lesion was managed percutaneously leading to placement of a new lead from the left side.     

中国主要入海河流河口集水区划分与分类

采用GIS技术开展中国主要入海河流的流域边界及其汇水单元、河口集水区的划分及其分类。基于ArcGIS水文分析模块划分出15条入海河流的汇水单元,并通过5种不同汇水单元面积等级的划分来表达各入海河流汇水单元的详细程度;划分的流域面积与相关文献资料对比偏差在10%以内;在流域与汇水单元划分的基础上,基于感潮河段的数据收集,确定出88个中国主要入海河流的河口集水区。通过建立分类指标体系,采用聚类分析方法,划分出5类河口:第一类EDA主要分布在环渤海地区、山东半岛和广东沿海;第二类EDA主要分布在长江口和杭州湾周围;第三类EDA主要分布在江苏北部沿海和辽东半岛;第四类包括山东江苏交界处沿海、江苏南部沿海;第五类主要分布在福建浙江沿海、珠江口、长江口、海河口附近、辽河河口附近,并利用快速生物评价法验证河口分类的合理性。研究成果可为进一步开展我国近海河口和海域营养盐基准制订与生态分区提供基础空间数据与方法借鉴。     

经皮电刺激治疗外伤性外周神经损伤40例的效果分析

目的 本文分析使用经皮神经肌肉电刺激治疗外伤性周围神经损伤的临床疗效,探讨经皮电刺激对神经周围微循环的影响.方法 采用丹迪Keypoint型肌电图仪对40例上肢周围神经不全损伤的患者,行经皮神经肌肉电刺激治疗,配合运动疗法.治疗中使用激光多普勒血流仪(LDF)检测电刺激前、后神经周围微循环血流改变情况,并分析电刺激对微循环的影响.同时在治疗前、后行神经电生理检查对比检测,并对不同病程患者治疗后的效果作对比分析.利用以上分析手段观察受损神经功能的恢复情况.结果 40例臂丛神经、正中神经、桡神经、尺神经不全损伤的患者,经2-10个疗程的治疗后,受损神经功能治愈率达63％ (25/40),有效率为90％ (36/40).LDF检测结果显示电刺激后神经周围微循环血流量较刺激前增加23.36％-26.96％,改善受损神经局部微循环,神经肌电检测结果显示较治疗前有明显好转.在不同病程的患者中进行比较,病程越短者,效果越好.结论 经皮神经肌肉电刺激在外伤性周围神经损伤的治疗中,是一种行之有效的方法,可提高受损神经肌肉的兴奋度,促进受损神经局部的血液循环,有利于周围神经的再生.运动疗法的干预,能改善肌萎缩,增强肌协调力,预防关节僵硬,保持关节活动度,最终取得对外伤性周围神经损伤的满意疗效.应用激光多普勒血流成像技术,测得电刺激前、后神经周围微循环出现明显的血流量增加,证实电刺激能改善受损神经局部微循环.     

负压封闭引流术治疗犬胸壁全层缺损的实验研究

目的:探讨不同负压大小下的封闭负压引流术(vacuum sealing drainage,VSD)在治疗犬胸壁全层缺损创面愈合的效果。方法:25只健康成年犬的右胸壁制作3cm×4cm大小的全层缺损,随机分为5组,所有胸壁缺损处安装一次性封闭式负压吸引器,手动抽吸负压排出胸膜腔气体产生负压,致伤24小时后复查CT观察气胸情况;然后按照压力表显示调节负压至60kpa,40kpa,20kpa,10kpa,0kpa吸引胸壁,比较五组1d,3d,5d的伤口液体引流量,胸膜闭合时间;5d时伤口取材做HE染色及CD34免疫组化染色观察伤口愈合情况。结果:在60kpa和40kpa负压吸引下,1天引流液体量最多,分别为77.6±6.62 ml,77.8±4.97 ml;胸膜闭合最快,分别为3.2±1.30天,3.6±0.55天,但是60kpa组有一只犬血气分析显示为Ⅰ型呼吸衰竭;HE染色和CD34免疫组化染色显示各组均有肉芽组织增生及血管新生,且40kpa和60kpa负压组肉芽组织和血管密度明显多于其他组,二者之间无明显差异。结论:封闭负压吸引器对胸壁全层缺损创面有明显治疗作用,并且在40kpa负压下治疗效果最好而且安全。     

胸腔闭式引流联合尿激酶注入对包裹性胸腔积液的临床研究

目的:探讨胸腔闭式引流联合尿激酶注入对包裹性胸腔积液的临床疗效。方法:对我院2007年2月-2011年4月收治的包裹性胸腔积液患者87例,随机分为实验组以及对照组,实验组采用胸腔闭式引流联合尿激酶注入进行治疗,对照组采用常规治疗。结果:实验组患者临床疗效明显优于对照组(P<0.05);实验组患者治疗后其积液中蛋白量以及白细胞含量明显低于对照组(P<0.05);实验组患者治疗时间、胸膜壁厚度等比较明显优于对照组(P<0.05)。结论:对包裹性胸腔积液患者采用胸腔闭式引流联合尿激酶注入进行治疗,可有效改善患者预后,提高患者临床治疗效果。