Influence of alterations in culture condition and changes in perfusion parameters on the retention performance of a 20 μm spinfilter during a perfusion cultivation of a recombinant CHO cell line in pilot scale

Since 1969 much attention has been devoted to the useof spinfilter systems for retention of mammalian cellsin continuous perfusion cultivations. Previousinvestigations dealt with hydrodynamic conditions,fouling processes and upscaling. But hydrodynamicconditions and fouling processes seem to have asecondary importance in spinfilter performance duringauthentic perfusion cultivations. Obviously,alterations in culture condition are more relevantespecially during long-term processes. Therefore, ourpratical approach focussed on the performance qualityof a commercially available 20 m spinfilterduring a perfusion cultivation of a recombinant CHOcell line in pilot scale regarding the followingissues: 1) retention of viable cells in thebioreactor; 2) removal of dead cells and cell debrisfrom the bioreactor; 3) alterations in culturecondition; and 4) changes in perfusion mode.Furthermore, we tested the performance of 20 mspinfilters in 2 and 100 l pilot scale using solidmodel particles instead of cells. Our investigationsshowed that retention of viable cells in pilot scalewas independent of spinfilter rotation velocity andperfusion rate; the retention increased from 75 to 95%corresponding to operation time, enlarging celldiameter and enhanced formation of aggregates in theculture during the perfusion cultivation. By means ofthe Cell Counter and Analyzer System (CASY) anoperation cut off of 13 m was determined forthis spinfilter. Using solid model particles in 2 lscale, optimal retention was achieved at a tip speedof 0.43 m s^-1 (141 rpm) – furtherenhancement of spinfilter rotation velocity up to0.56 m s^-1 (185 rpm) decreased the retentionrapidly. In pilot scale best retention performance wasobtained with tip speeds of 0.37 m s^-1(35 rpm) and 1.26 m s^-1 (120 rpm). Hence,significant retention in pilot scale could already beachieved with low agitation. Therefore, the additionof shear force protectives could be avoided so thatthe purification of the target protein from thesupernatant would be facilitated.     

Aquatic worms eating waste sludge in a continuous system

Aquatic worms are a biological approach to decrease the amount of biological waste sludge produced at waste water treatment plants. A new reactor concept was recently introduced in which the aquatic oligochaete Lumbriculus variegatus is immobilised in a carrier material. The current paper describes the experiments that were performed to test whether this concept could also be applied in continuous operation, for which worm growth is an important condition. This was tested for two mesh sizes of the carrier material. With an increase in mesh size from 300 to 350 μm, worm biomass growth was possible in the reactor at a rate of 0.013 d⁻¹ and with a yield of 0.13 g dw/g VSS digested by the worms. Mass balances over the worm reactors showed the importance of correcting for natural sludge breakdown, as the contribution of the worms to total VSS reduction was 41–71%.     

腹腔镜辅助下阴式子宫切除术与阴式子宫全切除术治疗子宫良性病变的临床比较

目的:探究阴式子宫全切除术与腹腔镜辅助下阴式子宫切除术治疗子宫良性病变的临床效果。方法:选择2011年10月~2013年9月我院收治的子宫良性病变的患者120例,其中行腹腔镜辅助下阴式子宫切除术80例(研究组)和行阴式子全宫切除术40例(对照组),观察并分析两组的临床指标及手术并发症。结果:研究组住院费用明显高于对照组(P0.05),手术时间、术中出血量及住院时间均低于对照组(P0.05);研究组无邻近脏器损伤,对照组输尿管损伤2例(5.00%),研究组患者出现手术损伤率明显低于对照组,差异存在统计学差异(x2=3.968,P=0.046);对两组患者术后随访1年,两组患者均无出现再手术情况;两组患者术后阴道残端均愈合较好,未出现阴道残端漏,患者无大小便困难及其他不适。结论:腹腔镜辅助下阴式子宫切除术治疗子宫良性病变疗效优于阴式子宫全切术,其手术时间、术中出血量及住院时间均较低,创伤小,更有利于患者恢复健康,在临床上值得应用推广。     

Vaginal deposition of frozen-thawed semen in Norwegian Dairy goats: Comparison of single and double insemination with equal total number of spermatozoa

In a field trial, a total of 472 Norwegian Dairy goats showing natural estrus were artificially inseminated with frozen-thawed semen. The farmers themselves performed vaginal deposition of 400 × 10⁶ spermatozoa; one half of the does received two straws (200 × 10⁶ spermatozoa/straw) at the same time (single AI), while the other half received two straws (200 × 10⁶ spermatozoa/straw) 12 h apart (double AI). The commercially available extender Andromed^® was used for dilution. The does were housed at 15 different farms, and on average 31 does were inseminated per farm. Non return rates (NRR) and kidding rates after single insemination were 64.3% and 58.3%, respectively. Double inseminations resulted in a NRR of 62% and a kidding rate of 57%. No significant difference between single and double AI was seen in the study. This study indicates that single or double vaginal insemination with an equal total number of frozen-thawed spermatozoa (400 × 10⁶) can give acceptable fertility results in Norwegian Dairy goats. However, studies on reducing sperm numbers are called for to allow AI donor bucks to be used to their fullest potential.     

同期施行冠状动脉搭桥和心脏瓣膜手术的体外循环

目的总结和分析同期施行冠状动脉搭桥和心脏瓣膜手术的体外循环方法。方法125例患者分为3组:M组(冠脉病变及二尖瓣病变)75例,A组(冠脉病变及主动脉瓣病变)34例,D组(冠脉病变及二尖瓣和主动脉瓣病变)16例。心肌保护采用4:1冷含血停搏液,应用单纯顺灌、顺灌逆灌结合、顺灌桥灌结合、顺逆灌和桥灌结合技术。结果术中转流平稳,血流动力学稳定,监测指标均在正常范围,无手术死亡。结论同期施行冠状动脉搭桥和心脏瓣膜手术,术中良好的心肌保护方法和合理的体外循环灌注是保证手术顺利成功的重要因素。     

食管癌患者手术前后免疫功能改变对外周血细胞凋亡的影响

为探讨食管癌手术前后患者外周血细胞的凋亡情况。利用流式细胞仪对70例食管癌手术前及其手术后10天~14天患者外周血细胞的DNA和CD4,CD8和CD16/56含量进行了分析。结果显示:手术前后患者外周血细胞的凋亡有差异(P<0.05),但血细胞的DNA合成期细胞比率(S-phage fraction,SPE)、细胞增长指数无明显的差异(P>0.05)。两组的CD4/CD8比值或CD16/56比例有明显差异(P<0.001)。实验数据表明:手术前患者的细胞凋亡增加可能有利于平衡肿瘤细胞的恶性增殖;而外周血细胞的CD8、NK(自然杀伤细胞,natural killer cells)增高,可能有助于这种平衡作用。但手术后患者肿瘤负荷减轻,免疫功能恢复常态,细胞凋亡率相应降低。     

Development and evaluation of acid-buffering bioadhesive vaginal tablet for mixed vaginal infections

An acid-buffering bioadhesive vaginal tablet was developed for the treatment of genitourinary tract infections. From the bioadhesion experiment and release studies it was found that polycarbophil and sodium carboxymethylcellulose is a good combination for an acid-buffering bioadhesive vaginal tablet. Sodium monocitrate was used as a buffering agent to provide acidic pH (4.4), which is an attribute of a healthy vagina. The effervescent mixture (citric acid and sodium bicarbonate) along with a superdisintegrant (Ac-Di-sol) was used to enhance the swellability of the bioadhesive tablet. The drugs clotrimazole (antifungal) and metronidazole (antiprotozoal as well as an antibacterial) were used in the formulation along with Lactobacillus acidophilus spores to treat mixed vaginal infections. From the ex vivo retention study it was found that the bioadhesive polymers hold the tablet for more than 24 hours inside the vaginal tube. The hardness of the acid-buffering bioadhesive vaginal tablet was optimized, at 4 to 5 kg hardness the swelling was found to be good and the cumulative release profile of the developed tablet was matched with a marketed conventional tablet (Infa-V). The in vitro spreadability of the swelled tablet was comparable to the marketed gel. In the in vitro antimicrobial study it was found that the acid-buffering bioadhesive tablet produces better antimicrobial action than marketed intravaginal drug delivery systems (Infa-V, Candid-V and Canesten 1).     

三峡水库运行期间原生动物群落的时空异质性

于2010年10月—2011年6月三峡水库正常运行周期内对库区干流原生动物进行调查,研究其空间分布及水库周期排蓄期间的变化。共检测到原生动物99种,蓄水后纤毛虫有增多的趋势。水库运行的不同阶段优势种不同,大致演变为:砂壳纤毛虫(蓄水期)—非砂壳类纤毛虫(高位运行期间)—有壳肉足虫(低位运行期间)。不同水域优势种也存在差异,从上游到下游特征指示种变化为:有壳肉足虫(变动回水区)—纤毛虫(湖泊区)。结果表明,三峡水库原生动物的分布具有明显的时空异质性(P0.05),影响原生动物时空分布的主要因素有透明度、温度、电导率和叶绿素a。原生动物平均密度为952.19个/L,平均生物量为8.14μg/L。蓄水期上游现存量高于下游,低位运行期间则低于下游。原生动物Marglef和Shannonn-Weiver多样性指数平均值分别为3.78和2.18,1月份最低,6月份最高。蓄水175 m后上游变动回水区原生动物具有较高的丰度。水库冬蓄夏排的运行模式模糊了河流本身的季节变化,使原生动物的种类和现存量更多的受水库水动力学的影响,使水体理化因子和水文特征呈现明显的时空差异,最终形成原生动物种群的时空异质性分布。     

香港特区公营医院运行机制评估及对内地的启示

回顾香港医疗融资的发展历程并简述香港公营医院的运营状况与开支构成比,重点分析香港公营医院的管理机构——香港医院管理局,研究其宗旨任务与目标策略相结合的管理医院管理战略,跟踪其主要经费来源的变化趋势,对其财务状况进行深入探究并进行预测。在对香港公营医院运行机制进行评估的基础上,探讨香港公营医院存在的问题以及对内地的启示,为内地医院管理机构借鉴香港逐步建立以政府投入为主体的医疗融资体系提供参考。     

1800例女性阴道分泌物检测分析

目的分析北京丰台地区女性阴道感染情况。方法随机抽取2010年1月至2010年8月期间在北京市丰台区铁营医院就诊女性1800例,采用湿片镜检方法对就诊者的阴道分泌物进行检测。结果通过对1800患者的阴道分泌物进行检测发现,检出细菌性阴道病(BV)患者、外阴阴道念珠菌病(VVC)患者、滴虫性阴道炎(TV)患者共计887例(占总数的49.28%),其中单一性感染718例(占发病人数的80.95%),混合感染169例(占发病人数的19.05%)。结论细菌性阴道病的发病率较高,阴道混合感染日趋严重。及时正确的检测出阴道感染的病原菌、合理用药,是阴道感染提高治愈率、降低复发率的有效手段。