烧伤早期伴发脓毒症患者血清PCT、hs-CRP、COR及WBC的动态变化及临床意义

目的:探讨烧伤早期伴发脓毒症患者血清降钙素原(PCT)、超敏C反应蛋白(hs-CRP)、皮质醇(COR)和白细胞计数(WBC)水平并分析其临床价值。方法:回顾性分析2014年12月至2018年1月本院收治的63例烧伤早期患者的临床资料,其中19例患者伴发脓毒症(脓毒症组),44例患者未伴发脓毒症(无脓毒症组),另选取30例于本院进行体检的志愿者作为健康对照组,依据病情严重程度将脓毒症患者分为脓毒症休克组(n=4)、严重脓毒症组(n=7)、一般脓毒症组(n=8),依据预后情况分为预后良好组(n=13)和预后不良组(n=6)。动态检测并对比所有研究对象血清PCT、hs-CRP、COR和WBC水平。结果:无脓毒症组、脓毒症组血清PCT、hs-CRP、COR和WBC水平高于健康对照组,且脓毒症组高于无脓毒症组(P<0.05)。烧伤后7 d、11 d、15 d,脓毒症组血清PCT、hs-CRP、COR和WBC水平均高于无脓毒症组(P<0.05)。脓毒症休克组血清PCT、hs-CRP、COR和WBC水平高于严重脓毒症组、一般脓毒症组,且严重脓毒症组患者高于一般脓毒症组患者(P<0.05)。预后不良组血清PCT、hs-CRP、COR和WBC水平高于预后良好组(P<0.05)。结论:血清PCT、hs-CRP、COR和WBC水平在烧伤早期伴发脓毒症患者中水平异常升高,与病情严重程度有关,上述指标对预后判断有一定的临床参考价值。     

CRP、PCT、WBC联合检测对中老年社区获得性肺炎的诊断效果

目的:研究C反应蛋白(C-reactive protein,CRP)、降钙素原(Procalcitonin,PCT)以及白细胞(White blood cell,WBC)联合检测对中老年社区获得性肺炎患者的诊断效果。方法:选择2018年1月～2019年1月我院收治的76例中老年社区获得性肺炎患者为观察组,同期在我院体检中心选取30例健康体检者为对照组。检测两组研究对象的CRP、PCT及WBC水平。采取肺炎严重程度CURB-65评分将观察组的76例患者分为低危组(n=63例),CURB-65评分3分,以及高危组(n=13例),CURB-65评分≥3分;依照观察组的转归情况分为存活组(n=70例)以及死亡组(n=6例),比较观察组和对照组患者,低危组和高危组患者,存活组和死亡组患者的CRP、PCT及WBC水平的差异。结果:观察组患者的CRP、PCT及WBC水平明显高于对照组(P0.05);高危组患者的CRP、PCT水平明显高于低危组患者(P0.05),而WBC水平两组无明显差异(P0.05);死亡组患者的CRP、PCT水平明显高于存活组患者(P0.05),而WBC水平两组无明显差异(P0.05)。经Pearson相关分析发现,CURB-65评分与PCT、CRP均呈明显的正相关(t=0.532,0.497,P均0.05)。结论:CRP、PCT以及联合检测可以为中老年社区获得性肺炎的诊断提供有利的信息,且CRP、PCT与患者的病情严重程度有一定的相关性。     

八种常见儿童感染性疾病相关指标差异性研究

摘要 目的：探讨异型淋巴细胞、白细胞、中性粒细胞、淋巴细胞、单核细胞、C-反应蛋白及血沉等在儿童感染性相关疾病不同疾病种类、不同年龄段及性别的差异情况,并进行分析,从而为疾病的诊断、鉴别诊断及治疗提供依据。方法：选取2017年1月-2018年12月266例患感染性疾病的儿童,根据疾病类型分为八组,分别为传染性单核细胞增多症（41例）、EB病毒感染（18例）、支气管肺炎（43例）、支气管炎（42例）、急性上呼吸道感染（48例）、急性化脓性扁桃体炎（18例）、肺炎（19例）、粒细胞减少（37例）等,应用检验相关手段,对患儿异型淋巴细胞、白细胞、中性粒细胞、淋巴细胞、单核细胞、C-反应蛋白及血沉等进行检测,采用SPSS17.0统计学分析软件,计算各检验结果的平均值与标准差,进行相关t检验,进而对不同疾病的检验项目进行统计学分析。结果：在八种疾病相关检验的比较中,传染性单核细胞增多症与其余七种感染性疾病在异型淋巴细胞、中性粒细胞、淋巴细胞及血沉的数据进行比较,其之间比较差异有统计学意义（P<0.05）,其余各组疾病相关指标没有统计学差异。在年龄段的分组比较中,异型淋巴细胞在各年龄段之间比较差异有统计学意义（P<0.05）。在性别分组比较中,白细胞在性别与各年龄段之间比较差异有统计学意义（P<0.05）。结论：不同种类感染性疾病及不同年龄、性别相关细胞检查存在差异,各类检测结果的综合对比分析,更有利于疾病的诊断及鉴别诊断。     

A fluorescence-based indicator for nanofiltration fouling propensity caused by effluent organic matter (EfOM)

Effluent organic matter (EfOM) is one of the major foulants responsible for the occurrence of membrane fouling during advanced wastewater treatment using nanofiltration (NF) technology. In this present study, we have reported a simple fouling indicator based on the properties of fractional fluorescence and molecular weight, termed as fluorescence-size-index (FSI), to predict the fouling propensity of NF when filtrating EfOM. Specifically, EfOM collected from twenty-one real sewage samples were first analyzed to quantify their fluorescent compositions and concentrations. The results showed that the EfOM consisted mainly of humic-like substances, soluble organism metabolites and fulvic-like substances, characterized by small-molecule organic matters (<5 kDa) and hydrophobic fractions. Second, the major NF fouling fractions of EfOM were determined based on their fluorescent properties. It was observed that small-molecule hydrophobic components with humic-like fluorescence properties continuously influenced the flux decline rate throughout the whole operation, while macromolecular hydrophilic components with fluorescent properties of apparent aromatic hydrocarbon proteins were primarily responsible for the initial, rapid flux decline. Furthermore, the constructed FSI has proven to be useful in guiding the selection of pretreatment methods for preventing NF fouling.     

Formation of micro‐spherulitic barite in association with organic matter within sulfidized stromatolites of the 3.48 billion‐year‐old Dresser Formation,Pilbara Craton

The shallow marine and subaerial sedimentary and hydrothermal rocks of the ~3.48 billion‐year‐old Dresser Formation are host to some of Earth's oldest stromatolites and microbial remains. This study reports on texturally distinctive, spherulitic barite micro‐mineralization that occur in association with primary, autochthonous organic matter within exceptionally preserved, strongly sulfidized stromatolite samples obtained from drill cores. Spherulitic barite micro‐mineralization within the sulfidized stromatolites generally forms submicron‐scale aggregates that show gradations from hollow to densely crystallized, irregular to partially radiating crystalline interiors. Several barite micro‐spherulites show thin outer shells. Within stromatolites, barite micro‐spherulites are intimately associated with petrographically earliest dolomite and nano‐porous pyrite enriched in organic matter, the latter of which is a possible biosignature assemblage that hosts microbial remains. Barite spherulites are also observed within layered barite in proximity to stromatolite layers, where they are overgrown by compositionally distinct (Sr‐rich), coarsely crystalline barite that may have been sourced from hydrothermal veins at depth. Micro‐spherulitic barite, such as reported here, is not known from hydrothermal systems that exceed the upper temperature limit for life. Rather, barite with near‐identical morphology and micro‐texture is known from zones of high bio‐productivity under low‐temperature conditions in the modern oceans, where microbial activity and/or organic matter of degrading biomass controls the formation of spherulitic aggregates. Hence, the presence of micro‐spherulitic barite in the organic matter‐bearing Dresser Formation sulfidized stromatolites lend further support for a biogenic origin of these unusual, exceptionally well‐preserved, and very ancient microbialites.     

How to measure,report and verify soil carbon change to realize the potential of soil carbon sequestration for atmospheric greenhouse gas removal

There is growing international interest in better managing soils to increase soil organic carbon (SOC) content to contribute to climate change mitigation, to enhance resilience to climate change and to underpin food security, through initiatives such as international ‘4p1000’ initiative and the FAO's Global assessment of SOC sequestration potential (GSOCseq) programme. Since SOC content of soils cannot be easily measured, a key barrier to implementing programmes to increase SOC at large scale, is the need for credible and reliable measurement/monitoring, reporting and verification (MRV) platforms, both for national reporting and for emissions trading. Without such platforms, investments could be considered risky. In this paper, we review methods and challenges of measuring SOC change directly in soils, before examining some recent novel developments that show promise for quantifying SOC. We describe how repeat soil surveys are used to estimate changes in SOC over time, and how long‐term experiments and space‐for‐time substitution sites can serve as sources of knowledge and can be used to test models, and as potential benchmark sites in global frameworks to estimate SOC change. We briefly consider models that can be used to simulate and project change in SOC and examine the MRV platforms for SOC change already in use in various countries/regions. In the final section, we bring together the various components described in this review, to describe a new vision for a global framework for MRV of SOC change, to support national and international initiatives seeking to effect change in the way we manage our soils.     

Dark microbial CO2 fixation in temperate forest soils increases with CO2 concentration

Dark, that is, nonphototrophic, microbial CO₂ fixation occurs in a large range of soils. However, it is still not known whether dark microbial CO₂ fixation substantially contributes to the C balance of soils and what factors control this process. Therefore, the objective of this study was to quantitate dark microbial CO₂ fixation in temperate forest soils, to determine the relationship between the soil CO₂ concentration and dark microbial CO₂ fixation, and to estimate the relative contribution of different microbial groups to dark CO₂ fixation. For this purpose, we conducted a ¹³C‐CO₂ labeling experiment. We found that the rates of dark microbial CO₂ fixation were positively correlated with the CO₂ concentration in all soils. Dark microbial CO₂ fixation amounted to up to 320 µg C kg^?1 soil day^?1 in the Ah horizon. The fixation rates were 2.8–8.9 times higher in the Ah horizon than in the Bw1 horizon. Although the rates of dark microbial fixation were small compared to the respiration rate (1.2%–3.9% of the respiration rate), our findings suggest that organic matter formed by microorganisms from CO₂ contributes to the soil organic matter pool, especially given that microbial detritus is more stable in soil than plant detritus. Phospholipid fatty acid analyses indicated that CO₂ was mostly fixed by gram‐positive bacteria, and not by fungi. In conclusion, our study shows that the dark microbial CO₂ fixation rate in temperate forest soils increases in periods of high CO₂ concentrations, that dark microbial CO₂ fixation is mostly accomplished by gram‐positive bacteria, and that dark microbial CO₂ fixation contributes to the formation of soil organic matter.     

Fluorescence characterization and microbial degradation of dissolved organic matter leached from salt marsh plants in the Yellow River Delta

盐沼植被是沿海水体中溶解有机物(Dissolved Organic Matter, DOM)的重要贡献者。然而,不同盐沼植物释放DOM的动力学特征尚缺乏系统研究和比较。黄河三角洲湿地是中国东海岸面积最大,保护最完善的沿海生态系统之一。本论文研究了2016年10月从黄河三角洲(Yellow River Delta, YRD)盐沼中采集的三种常见沼泽植物(芦苇(Phragmites australis),碱蓬(Suaeda salsa)和獐茅(Aeluropus littoralis)的DOM释放过程。通过测定溶解有机碳(Dissolved Organic Carbon, DOC)和溶解氮(Dissolved Nitrogen, DN)发现,植物叶片释放的DOM浓度远高于其根和茎。在27天的培养期内,平均有15%的生物碳和30%的生物氮以DOC和DN的形式通过植物叶片释放。从植物中释放的DOM非常不稳定,在27天的培养期内,细菌共消耗了92.4%–98.1%的DOC和88.0%–94.6%的DN。植物释放DOM的荧光特性表明,发色溶解的有机物(Chromophoric Dissolved Organic Matter, CDOM)是DOM的主要组分,而类蛋白组分是植物释放CDOM的主要组分。细菌的降解作用改变了DOM的荧光性质和化学组成。上述的室内研究结果得到了实地调查的充分支撑,表明在深秋时期黄河口湿地有大量DOM溢出。本研究结果表明,盐沼植物释放的DOM是沼泽和沿海水域DOC和DN的重要来源,而且易降解DOC和DN为黄河口湿地和邻近沿海水域中的微生物群落提供了重要的食物来源。     

不同植物来源可溶性有机质对亚热带森林土壤酶活性的影响

探究不同植物来源可溶性有机质(DOM)进入土壤后对酶活性的影响, 可以为降水淋溶下亚热带地区不同森林生态系统土壤碳循环提供科学依据。该研究提取杉木(Cunninghamia lanceolata)、木荷(Schima superba)和楠木(Phoebe zherman) 3种植物鲜叶中的DOM分别输入杉木人工林土壤中, 以等量的去离子水添加为对照, 进行25天的室内培养。培养结束后测定土壤理化性质、微生物生物量和酶活性等指标。结果表明: 与对照处理(CT)相比, 添加3种叶片DOM后, 土壤总有机碳(SOC)、总氮(TN)含量和碳氮比均无显著变化。杉木叶片DOM添加处理(CL)的TN含量显著低于木荷叶片DOM添加处理(SL)和楠木叶片DOM添加处理(PL), 碳氮比显著高于SL和PL。3种叶片DOM输入整体上提高了土壤溶解有机碳(DOC)和溶解有机氮(DON)的含量。叶片DOM输入后土壤微生物生物量碳(MBC)含量无显著变化, 然而CL和SL的土壤微生物生物量氮(MBN)含量分别比CT降低了50.9%和51.1%, PL的MBN含量比CT提高了54.0%。与CT相比, 不同植物来源DOM输入后, β-葡萄糖苷酶(βG)、纤维素水解酶(CBH)和过氧化物酶(PEO) 3种酶活性均显著上升, 而多酚氧化酶(PPO)活性则显著下降; 此外, βG和CBH活性均表现出CL > SL > PL的特征。相关性分析的结果表明, 添加叶片DOM 3种处理的SOC、TN、MBN含量和βG、CBH活性都与所输入DOM的DOC含量和腐殖化指数(HIX)显著相关, 此外, 土壤MBN含量和PPO活性与输入叶片DOM的pH呈正相关关系。冗余分析(RDA)结果表明, 叶片DOM输入后引起土壤酶活性变化的关键因子是DON和DOC含量。总体来说, 不同植物来源DOM性质的差异会影响土壤碳循环水解酶的活性, 而叶片DOM输入后增加了土壤碳和氮的有效性, 引起4种碳循环酶的不同响应。     

典型温带雨养泥炭沼泽湿地地下部二氧化碳和甲烷浓度变化规律及其影响因素

为研究北方泥炭沼泽湿地二氧化碳（CO₂）和甲烷（CH₄）浓度随深度的变化规律及其影响因素,选取欧洲北部典型雨养泥炭地贝尔山湿地（BBM）和舒特兹山湿地（SBM）两个采样点,通过原位采集泥炭剖面温室气体、孔隙水以及土壤样品,结合傅里叶变换红外光谱（FTIR）技术、碳氮同位素技术,探讨泥炭土壤的分解程度及温室气体浓度变化的关系。研究结果表明：（1）BBM采样点地下部的CO₂浓度变化规律总体呈现随深度波动减少趋势,值多在3000 μmol/L附近波动,最大值为4210.74 μmol/L（120 cm）,SBM采样点的CO₂浓度随深度先增后减,60 cm以上在1800 μmol/L附近波动,60 cm以下在3000 μmol/L附近波动,最大值为4191.94 μmol/L（90 cm）;BBM和SBM地下部CH₄浓度都随深度增大,并且在60cm以下浓度增加较快,BBM最大值为735.90 μmol/L（260 cm）,SBM最大值为543.51 μmol/L（170 cm）。（2）BBM和SBM的δ¹³C_CH4的值均较小,表明大部分的¹²CH₄仍被储存在泥炭土壤中,而两个采样点的δ¹³C_CO2和分馏系数α_c均随深度增加,表明泥炭土中产甲烷方式为浅层以乙酸产甲烷为主,深层以H₂还原CO₂为主。（3）C/N、碳氮同位素比值、FTIR均显示SBM和BBM的有机质分解程度较低,因为两个采样点的低可溶性有机碳浓度和低pH值不利于分解,表明该地储存着大量有机碳。通过探讨北温带典型泥炭地温室气体的浓度变化规律及其影响因素,结果可为全球泥炭湿地碳排放提供理论支撑。