多学科协作诊治模式下的营养干预在老年骨折患者围术期的应用

目的研究多学科协作诊治模式(MDT)下的营养干预对围术期老年骨折患者的干预效果。方法选取新疆维吾尔自治区人民医院骨科2018年9月至2019年9月收治的42例行常规治疗的围术期老年患者作为非MDT组,选取同期43例实施MDT模式并给予营养干预的围术期老年患者作为MDT组,比较两组患者术后基本情况、并发症发生情况及恢复情况。结果术后MDT组患者总蛋白、白蛋白水平均高于非MDT组,NRS2002评分、CRP、IL-6水平均低于非MDT组,差异均有统计学意义(t=-3.679 6、-4.138 8、9.073 3、-6.669 5、-4.500 2,P=0.000 4、0.000 1、0.000 1、0.000 1、0.000 1)。MDT组患者住院时间少于非MDT组,差异有统计学意义(髋关节置换术:t=2.154 8,P=0.034 1;膝关节置换术:t=2.491 9,P=0.018 9)。MDT组患者肠道功能恢复情况明显优于非MDT组,差异有统计学意义(χ~2=10.512 1,P=0.001 2)。结论 MDT模式下的营养干预能够有效促进老年骨折患者的术后康复,有利于预防并发症的发生。     

Topographic heterogeneity lengthens the duration of pollinator resources

The availability of sufficient and diverse resources across time is important for maintenance of biodiversity and ecosystem functioning. In this study, we examine the potential for variation in environmental conditions across topographic gradients to extend floral resource timing. Flowering time on a landscape may vary across topography due to differences in abiotic factors, species turnover, or genotypic differences. However, the extent to which this variation in phenology affects overall flowering duration on a landscape, and the components of diversity that influence flowering duration, are unexplored. We investigate whether differences in flowering time due to topography yield an overall extension in duration of flowering resources in a northern California grassland. We recorded flowering time of pollinator resource species across four successive spring growing seasons (2015–2018) on paired north and south aspects. Flowering time differences were evaluated both at the community level and within species present on both paired aspects. The role of plasticity was examined in an experimental case study using genotypes of Lasthenia gracilis. We found that aspect is a strong determinant of phenology, with earlier flowering on warmer south‐facing slopes. Aspect differences resulted in complementarity in timing of flowering resources across sites, as aspects that started flowering earlier also ended earlier. Complementarity between north and south aspects served to extend the flowering time of pollinator resources by an average of 4–8 days (8%–15%), depending on the year. This extension can be attributed to both within‐species responses to aspect differences and species turnover. Flowering of L. gracilis genotypes was distinct across aspects, demonstrating that plasticity can drive the extension of flowering duration. Our findings indicate that heterogeneous topography can extend overall flowering time of pollinator resources, which may support pollinator biodiversity. Extension was most pronounced at the community level, which incorporates species turnover as well as plastic and genotypic differences within species.     

AAI to DDD pacing mode inappropriate switches in a dual chamber pacemaker due to ventricular blanking period

A 90-year-old woman received a dual chamber pacemaker (PM) for a sick sinus syndrome. The PM was programmed with SafeR AAI-DD pacing mode at 60 bpm. During a standard follow up, some memorized electrograms (EGMs) were found in SafeR diagnostics, with atrial pacing (Ap) not followed by any ventricular sensing/pacing event, due to simultaneous junctional activity falling into ventricular blanking period during Ap and, for this reason, unsensed by the PM. Blanking periods can affect PM functioning if not revealed and adjusted.     

稳定同位素生物考古学的概念、简史、原理和目标

上世纪70年代末以降,考古遗址中出土生物材料的稳定同位素分析,在考古学和生物考古研究领域越来越发挥重要作用,成为现代考古学研究的重要组成部分。国内外学界常将其定位为分析技术,从未从学科层面予以考虑和重视。鉴于同位素分析的重要性以及学科发展的迫切性,将其由分析技术层面上升至学科层面实属大势所趋。本文将之前的“稳定同位素分析”首次命名为“稳定同位素生物考古学”（简称为同位素生物考古学）,将其列为广义概念下生物考古学的重要学科分支之一。本文详细介绍了稳定同位素生物考古学的概念、研究简史、分析原理和研究目标;在分析原理上,除已有的“我即我食”和“我非我食”之外,还首次提出了“我即我是”和“我即我居”;并对今后如何深入开展研究进行了展望。     

Les sépultures italiennes du Paléolithique supérieur. Reconstitutions du régime alimentaire

The identification of dietary habits is increasingly seen as a fundamental aspect for studying the ancient human populations. Accordingly, several projects aiming to identify Paleolithic individuals’ dietary patterns were developed to analyze the organic component of bone tissue and identify isotopic markers to reconstruct the food typology. Bone fragments from six individuals were selected for carbon and nitrogen stable isotopes analysis. The interpretation of human isotopic data was framed through a dataset of twenty-one Italian Paleolithic individuals. The isotopic data generated for the Paleolithic individuals agree with the information already provided by the archaeological record concerning the Italian hunter and gatherer communities. Their subsistence economy was essentially grounded upon the exploitation of high protein foods, either from terrestrial fauna resources or inland lacustrine or riverine species.     

慢性阻塞性肺疾病稳定期患者血清VAP-1、MSP、SDF-1水平与肺功能、炎性因子及生活质量的关系研究

摘要 目的：探讨慢性阻塞性肺疾病（COPD）稳定期患者血清血管黏附蛋白-1（VAP-1）、巨噬细胞刺激蛋白（MSP）、基质细胞衍生因子-1（SDF-1）水平与肺功能、炎性因子及生活质量的关系。方法：选取我院2018年9月～2020年9月收治的COPD稳定期患者116例作为COPD组,选取同期于我院体检的健康志愿者100例作为对照组。比较两组血清VAP-1、MSP、SDF-1水平以及肺功能指标[第1秒用力呼气容积（FEV1）、用力肺活量（FVC）、FEV1/FVC、最大呼气流速（PEF）]、炎症因子[白介素-6（IL-6）、白介素-17（IL-17）、白介素-22（IL-22）、肿瘤坏死因子-α（TNF-α）]水平。根据COPD稳定期患者的严重程度,分成轻度组（n=53）、中度组（n=34）、重度组（n=29）,比较三组上述各指标水平。采用COPD评估测试表（CAT）评估三组生活质量并进行比较,经Pearson线性相关分析血清VAP-1、MSP、SDF-1水平与肺功能、炎性因子及CAT评分的相关性。结果：COPD组血清VAP-1、MSP、SDF-1、IL-6、IL-17、IL-22及TNF-α水平均高于对照组,而FEV1、FVC、FEV1/FVC以及PEF低于对照组（P＜0.05）。轻度组血清VAP-1、MSP、SDF-1、IL-6、IL-17、IL-22、TNF-α水平及CAT评分较中度、重度组明显降低,且中度组低于重度组,而轻度组FEV1、FVC、FEV1/FVC、PEF较中度、重度组增高,且中度组高于重度组（P＜0.05）。Pearson线性相关分析提示,血清VAP-1、MSP、SDF-1水平与FEV1、FVC、FEV1/FVC、PEF呈负相关,三者与血清IL-6、IL-17、IL-22、TNF-α水平及CAT评分呈正相关（P＜0.05）。结论：COPD稳定期患者的血清VAP-1、MSP、SDF-1水平明显上调,且三者与患者的肺功能、炎症因子及生活质量密切相关,临床有望通过测定血清VAP-1、MSP、SDF-1水平,评估COPD稳定期患者病情进展情况。     

利用电子鼻评价桃果实香气

为了明确不同桃品种资源果实香气差异,对桃果实香气评价和品质改良提供参考,本研究利用电子鼻系统对桃品种资源果实整果香气进行测定和区分。通过PEN 3.5电子鼻系统采集74份不同品种资源桃果实芳香成分并得到了不同传感器的响应值,采用主成分(PCA)、线性判别法(LDA)和负荷加载(LO)方法分析数据。LO分析结果显示,硫化氢(W1W)、氮氧化物类(W5S)、甲烷类(W1S)、芳香成分与有机硫化物(W2W)传感器对供试桃果实香气的评价起主要作用;结合PCA和区分度值表明白花水蜜、脆保、春冠、奉罐1号、菊黄和红肉桃1号与其他供试品种资源的香气区别较大;LDA可将不同果实生育期桃较好区分,长、中、短不同果实生育期桃甲烷类和芳香成分与有机硫化物传感器响应值差异显著(P<0.05);LDA可将硬肉类型(肉质绵)与其他4种肉质类型桃(不溶质、硬溶质、软溶质和硬质)区分开,且硬肉类型与其他4种肉质类型桃甲烷类传感器响应值差异显著(P<0.05);LDA无法区分不同肉色的桃,且各传感器响应值差异不显著。结果表明,生育期长短对桃果实香气有明显影响;硬肉类型桃香气较独特;不同肉色桃香气接近。     

不同组织分离期对大圆头蛹虫草菌种性能的影响

为明确大圆头蛹虫草组织分离最佳分离时期,以大圆头蛹虫草优良母种为母本,采用组织分离法制备子代母种,以优良母种为对照,通过对不同组织分离期（35、40、45、50 d）子代母种平板培养、液体培养及栽培实验,考察不同组织分离期对子代母种培养性状及子实体形成能力的影响。结果表明,不同组织分离期大圆头蛹虫草子代母种培养性状存在较大的差异,其子实体形成能力与子代母种培养性状具有显著相关性,以组织分离期为40 d的子代母种性能表现最优,优良菌种筛选率最高（48%）,45 d次之（44%）,50 d最低（32%）。 明确大圆头蛹虫草优良菌种选育组织分离最佳时期为40 d,试验结果为大圆头蛹虫草优质菌种选育、复壮提供参考。     

A lonely dot on the map: Exploring the climate signal in tree-ring density and stable isotopes of clanwilliam cedar,South Africa

Clanwilliam cedar (Widdringtonia cedarbergensis; WICE), a long-lived conifer with distinct tree rings in Cape Province, South Africa, has potential to provide a unique high-resolution climate proxy for southern Africa. However, the climate signal in WICE tree-ring width (TRW) is weak and the dendroclimatic potential of other WICE tree-ring parameters therefore needs to be explored. Here, we investigate the climatic signal in various tree-ring parameters, including TRW, Minimum Density (MND), Maximum Latewood Density (MXD), Maximum Latewood Blue Intensity (MXBI), and stable carbon and oxygen isotopes (δ¹⁸O and δ¹³C) measured in WICE samples collected in 1978. MND was negatively influenced by early spring (October-November) precipitation whereas TRW was positively influenced by spring November-December precipitation. MXD was negatively influenced by autumn (April-May) temperature whereas MXBI was not influenced by temperature. Both MXD and MXBI were negatively influenced by January-March and January-May precipitation respectively. We did not find a significant climate signal in either of the stable isotope time series, which were measured on a limited number of samples. WICE can live to be at least 356 years old and the current TRW chronology extends back to 1564 CE. The development of full-length chronologies of alternative tree-ring parameters, particularly MND, would allow for an annually resolved, multi-century spring precipitation reconstruction for this region in southern Africa, where vulnerability to future climate change is high.