难治性急性白血病研究现状与进展

难治性急性白血病治疗反应差,诱导缓解率低,复发率高,生存期短,因而是白血病治疗中的难题。本文从难治性急性白血病诊断标准与免疫学、细胞遗传学及分子生物学特征,多药耐药与难治性白血病,难治性急性白血病治疗现状以及治疗展望五大方面阐述了难治性急性白血病研究现状与进展。基础与初步临床研究显示中药配合化疗能够提高难治性急性白血病围化疗期临床缓解率。认为中药在提高难治性白血病临床疗效方面具有潜在临床应用前景和开发的商业价值,值得进行深入研究。     

骨折电流疗法的改良

目的:针对电流治疗骨折等疾病时存在的问题,提出相应的改进方法。方法:分析以往使用电流对骨折等疾病进行治疗时存在的电化学副作用、创口易于感染、重复施术不便等问题,提出相应的诸如使用溶液导电、隔离电解物、使电极与创口闭合生长等改进方法;并提出将电流治疗与药物治疗相结合的骨科疾病电流疗法改良方案。结果:将电流与药物相结合治疗骨折等疾病是很有可行性的治疗方法,本法不仅克服了已往疗法存在的一些问题,还为骨伤药物直接进入病患部位提供了有效的平台,使骨折、骨不连等疾病能够快速愈合。今后应加强研究骨折愈合各阶段所需的直接注射药物及其配比。完善电流—药物复合电极使用方法,以便与本法尽快进入临床实践。结论:将电流与药物相结合治疗骨折等疾病是很有可行性的治疗方法。     

The Current Status of Preclinical Endocrine Education in U.S. Medical Schools

ObjectiveTo characterize the current landscape of preclinical medical endocrine education in U.S. allopathic medical schools.MethodsU.S. endocrine curriculum directors were asked to voluntarily complete a 16-question email survey surveying the status of endocrine preclinical education at their medical school.ResultsSixty-nine of 155 (45%) endocrine block director respondents completed the online survey between July 2021 and September 2021. A larger incoming class, a longer duration of the endocrine curriculum, and the offering of a separate endocrine curriculum (ie apart from the teaching of other organ systems) were each independently associated with an increased number of faculty teaching the course. Schools that used a gland-/organ-based curriculum only and those that used a combination of gland-/organ-based curriculum with topic-based curriculum differed significantly in their use of large lectures, small groups, and several curriculum components, including point of care glucose testing, continuous glucose monitoring, and insulin pumps.ConclusionThis survey study reports the current landscape of preclinical endocrine education in the United States and describes opportunities to improve interest in pursuing endocrinology as a career.     

高校新型植物标本馆的建立与发展——以河南农业大学植物标本馆为例

高校标本馆作为重要的科普和教学实践基地,是连接大学与社会的桥梁,在提升高校社会影响力和加快高校发展中起着重要作用。目前,高校标本馆普遍存在经费少和缺乏管理等问题。如何立足高校现状,有效解决标本采集和标本数字化过程中耗时耗力的难题,建设具有地方特色的新型植物标本馆,是高校标本馆建设关注的焦点之一。该文以河南农业大学植物标本馆新馆建设为例,介绍了河南农业大学标本馆成立以来,充分发挥高校的人力资源优势,让学生通过实验课或野外实习积极参与新型植物标本馆的建设,基本实现了标本采集、制作、鉴定和数字化的同步进行。在这一过程中,既有效锻炼了学生能力,加深了学生对植物形态的认识,发挥了植物标本馆在教学、科学研究及科学普及中的积极作用,又极大地丰富了标本馆馆藏量,有效地促进了高校新型植物标本馆的发展。     

Importance of an appropriate visual presentation for avoiding a misconception of the menstrual cycle

Family planning, the prevention of unwanted pregnancy, and women’s reproductive health are topics that have received close attention for decades. It would therefore be fair to assume that there exists a good knowledge of the menstrual cycle. However, it is clear that many people have various misconceptions about the menstrual cycle and fertile days or ovulation, and that this process is still largely taught with the aid of materials and images that have not changed for many years. We investigated the effect of moving away from the usual teaching practice of using a 28-day diagram showing ovulation on the 14th day. A total of 184 students from three different high schools, aged between 17 and 18, participated in this research. The students who were taught using three diagrams showing different durations of the menstrual cycle showed a significantly better adoption of the facts and concepts compared to the students who were taught using a diagram of the average 28-day cycle. Our results confirmed that it is highly important to use appropriate visual displays in the teaching of the menstrual cycle and that it is essential to enhance the visual literacy of students and teachers.     

Genetic information improves the prediction of major adverse cardiovascular events in the GENEMACOR population

The inclusion of a genetic risk score (GRS) can modify the risk prediction of coronary artery disease (CAD), providing an advantage over the use of traditional models. The predictive value of the genetic information on the recurrence of major adverse cardiovascular events (MACE) remains controversial. A total of 33 genetic variants previously associated with CAD were genotyped in 1587 CAD patients from the GENEMACOR study. Of these, 18 variants presented an hazard ratio >1, so they were selected to construct a weighted GRS (wGRS). MACE discrimination and reclassification were evaluated by C-Statistic, Net Reclassification Index and Integrated Discrimination Improvement methodologies. After the addition of wGRS to traditional predictors, the C-index increased from 0.566 to 0.572 (p=0.0003). Subsequently, adding wGRS to traditional plus clinical risk factors, this model slightly improved from 0.620 to 0.622 but with statistical significance (p=0.004). NRI showed that 17.9% of the cohort was better reclassified when the primary model was associated with wGRS. The Kaplan-Meier estimator showed that, at 15-year follow-up, the group with a higher number of risk alleles had a significantly higher MACE occurrence (p=0.011). In CAD patients, wGRS improved MACE risk prediction, discrimination and reclassification over the conventional factors, providing better cost-effective therapeutic strategies.     

传统中药白芍原植物分类鉴定及根形态解剖研究

对我国主产地的白芍(Radix Paeonia alba)原植物10个居群进行调查及标本采集,植物鉴定结果为：川白芍原植物粉红花居群为原变种芍药Paeonia lactiflora Pall,白花居群为芍药变种毛果芍药P.lactiflora var.trichocarpa(Bunge)Stern;毫白芍原植物线条居群和蒲棒居群均为芍药;杭白芍原植物红花、白花、粉红花居群均为毛果芍药;陕西韩城、江苏东海、山东荷泽白芍均为芍药,各居群在花色及形态上有明显而稳定的变异。根横切面解剖结构显示,按木质部的排列方式可将白芍原植物10个居群分为两大类：第一类为有呈两个不相连的扇形中央导管群,并且有狭长、具分枝的从形成层到根中央部分连续排列的木质部,基本上是原植物芍药的植物特征,其中毫白芍线条居群兼有毛果芍药和芍药的特征;第二类为具有不明显的根中央扇形导管束,导管束呈环状围绕中央排列,并且有粗短不分枝的靠近形成层处成群的导管,与原植物毛果芍药的特征基本一致,其中杭白芍红花居群与川白芍白花居群根中央导管群呈现较明显的2个分离扇形排列,类似芍药。白芍原植物的种分类定位与花色无密切关联,但由于性状的稳定,可以考虑作为变种或变型定位。     

遗传学实验（十五）两倍体细胞株培养

实验原理 组织培养是把动物或植物细胞自机体取出放在玻 璃器皿里,选择和控制某些外界条件,使细胞继续分裂 生长的一种基础性实验技术;现在已广泛应用于生理 学、免疫学、病毒学、遗传学等方面,对细胞分化、发育、 肿瘤发生以及染色体研究等领域起着很大的作用。     

储藏中药材孳生粉螨的调查

采用清水漂浮法和塔氏电热集螨器分离法,共分离中药材样品129种,1290份,从中分离出粉螨44种,隶属7科25属。得出结论:中药材粉螨的污染严重,应加强对中药材螨类的防治,以保护中药材及预防人体螨病。     

Metabolomic Profile of the Genus Inula

Plants have a long history as therapeutics in the treatment of human diseases and have been used as source of medicines for ages. Searching for new biologically active natural products, many plants and herbs are screened for natural products with pharmacological activities. In this field, the genus Inula, which comprises more than 100 species, several of them being used in traditional medicine, is very important, especially due to the finding that several of the isolated pure secondary metabolites proved to possess important biological activities. Inula species have been reported as rich sources of sesquiterpene lactones, including eudesmanes, germacranes, guaianes, and dimeric structures, and since 2006 ca. 400 secondary metabolites, including more than 100 new natural products, some of them with relevant pharmacological activities, have been identified. Herein, we critically compile and update the information regarding the types of secondary metabolites found in the genus Inula and the progress in their isolation.