住院耳聋患者临床流行病学特征及疗效分析

目的:描述住院耳聋患者的临床流行病学特征及治疗效果。方法:采用描述流行病学方法,收集哈尔滨医科大学附属第二医院耳鼻喉科2010年1月-2012年12月收治的748例耳聋患者的临床资料进行统计学分析。结果:748例耳聋患者中,男性394例(52.67%),女性354例(47.33%),P=0.7391,不同年龄段性别构成无统计学差异;单耳发病占75.40%,双耳发病占24.60%,10岁以下及70岁以上的患者双侧耳聋较多;听力损失程度构成由高到低依次为:极重度199例(30.99%)、重度139例(21.65%)、中重度100例(15.58%)、轻度95例(14.80%)、中度80例(12.46%)及语频正常29例(4.52%),10岁以下较其他各年龄段发生极重度听力损失较多;伴发高血压者93例(12.43%)、糖尿病者56例(7.49%)、冠心病者48例(6.42%)、脑血管疾病者31例(4.14%);治愈145例(19.38%),好转547例(73.13%),未治愈45例(6.02%),总有效率为92.51%。结论:耳聋发病以突发性耳聋为主,年龄30-69岁居多,单侧耳聋较双侧耳聋发病多,而儿童双耳发病较多,年龄小、听力损失程度轻者预后较好,听力损失严重且预后较差。     

A test of traditional diversity measures and taxonomic distinctness indices on benthic diatoms of soda pans in the Carpathian basin

Saline lakes are threatened all over the world and their conservation has been a key issue. Various diversity indices are available for ecological status assessments, however, with poorly explored relevance and applicability in saline, alkaline pans. Therefore, traditional diversity measures (species richness and Shannon diversity) and taxonomic distinctness indices (Average [AvTD] and Variance of Taxonomic Distinctness [VarTD]) were tested in more than 100 sampling sites of 39 soda pans in Central-Europe to find sufficient indicators of the ecological condition and simultaneously to facilitate their preservation according to the modern conservation practices. Results of the analyses showed that healthy soda pan ecosystems with high level of natural stress and reduced habitat heterogeneity are characterized by low diversity diatom assemblages. In soda pans where the stress can be extremely high from natural reasons, oligopoly of closely related species can develop: the average taxonomic distinctness appeared between genus and family level. The non-DNA-sequence based phylogenetic diversity measures (AvTD and VarTD), were generally sensitive to the trophic state of the lakes, in contrast to traditional diversity metrics, which were unequivocally indicative for the special physical and chemical parameters (e.g. conductivity, pH) of the soda pans. In some cases, when the response of the diversity measures for a given environmental variable (pH, temperature) overlapped, the AvTD was found to be a more precise indicator of the environmental changes (pH) than traditional ones. The decreasing tendency of the AvTD along the intensified natural impact may be explained by the long available time for the species to adapt to these special environments.     

冬虫夏草产业化实践和思考

冬虫夏草产业化是众多企业及研究人员关注的热点。本论文基于人工繁育实践,结合相关报道,阐述冬虫夏草产业化现状及存在的问题,旨在展示冬虫夏草人工繁育研究成果,为实现冬虫夏草产业化发展提供思路和参考。     

Differences in oscillatory whistles produced by spinner (Stenella longirostris) and pantropical spotted (Stenella attenuata) dolphins

Acoustic recordings of two closely related species, spinner dolphin (Stenella longirostris) and pantropical spotted dolphin (Stenella attenuata), were investigated from four different geographic locations: two in the Central Tropical Pacific, one in the Eastern Tropical Pacific and one in the Indian Ocean. The two delphinid species occur in tropical and warm temperate waters, with overlapping ranges. They produce very similar vocalizations, but at the same time their calls exhibit a certain degree of intraspecific variation among different geographic locations as has been observed in other delphinid species. Oscillatory whistles (whistles with at least two oscillations in their frequency contours) were identified and manually extracted from the recordings. Whistles with four or more maxima (oscillations) occurred only in spinner dolphins and they were present in all geographic regions investigated. In addition, the oscillatory whistles with two and three maxima were significantly more frequent in spinner than in spotted dolphins. The differences in oscillatory whistles for these two species seem to be consistent across study areas and therefore, could be used in addition to other whistle features to help distinguish between them.     

Detecting the native ligand orientation by interfacial rigidity: SiteInterlock

Understanding the physical attributes of protein‐ligand interfaces, the source of most biological activity, is a fundamental problem in biophysics. Knowing the characteristic features of interfaces also enables the design of molecules with potent and selective interactions. Prediction of native protein‐ligand interactions has traditionally focused on the development of physics‐based potential energy functions, empirical scoring functions that are fit to binding data, and knowledge‐based potentials that assess the likelihood of pairwise interactions. Here we explore a new approach, testing the hypothesis that protein‐ligand binding results in computationally detectable rigidification of the protein‐ligand interface. Our SiteInterlock approach uses rigidity theory to efficiently measure the relative interfacial rigidity of a series of small‐molecule ligand orientations and conformations for a number of protein complexes. In the majority of cases, SiteInterlock detects a near‐native binding mode as being the most rigid, with particularly robust performance relative to other methods when the ligand‐free conformation of the protein is provided. The interfacial rigidification of both the protein and ligand prove to be important characteristics of the native binding mode. This measure of rigidity is also sensitive to the spatial coupling of interactions and bond‐rotational degrees of freedom in the interface. While the predictive performance of SiteInterlock is competitive with the best of the five other scoring functions tested, its measure of rigidity encompasses cooperative rather than just additive binding interactions, providing novel information for detecting native‐like complexes. SiteInterlock shows special strength in enhancing the prediction of native complexes by ruling out inaccurate poses. Proteins 2016; 84:1888–1901. © 2016 Wiley Periodicals, Inc.     

Spectral feature differences between shrub and grass communities and shrub coverage retrieval in shrub-encroached grassland in Xianghuang Banner,Nei Mongol,China北大核心CSCD

Aims: Shrub-encroached grassland has become an important vegetation type in China's arid and semi-arid region. Our study objective is to explore the spectral features of shrub and grass communities, as well as their empirical relationships with shrub coverage. The quantitative estimation of shrub cover based on medium-resolution Landsat satellite imagery provides the practical basis for long term retrieval of large areas of shrub expansion in the grassland region. Methods: Linear models and Multiple Endmember Spectral Analysis Model (MESMA) based on medium resolution Landsat satellite imagery were developed to quantify the shrub coverage in a shrub-encroached grassland region in Xianghuang Banner, Nei Mongol using the spectral features and their seasonal differences between the shrub and grass communities. Important findings: Compared to Leymus chinensis and Stipa krylovii dominated grass communities, Caragana microphylla community had a higher normalized difference vegetation index (NDVI), modified red edge normalized difference vegetation index (mNDVI705), and red edge slope. The red edge position of C. microphylla community shifted to longer wavelengths. The average and the maximum shrub coverage was 13% and 25%, respectively, in the shrub-encroached grassland based on both models. The correlation coefficient of determination (R2) and root mean square error (RMSE) of the linear model was 0.31 and 0.05, respectively. We found that the linear model based on seasonal differences of shrub and grass community was more suitable for retrieving shrub coverage in the study area from medium resolution imagery than the MESMA model that is based on mid-summer images.     

Synthesis,anticancer activity,and SAR analyses of compounds containing the 5:7-fused 4,6,8-triaminoimidazo[4,5-e][1,3]diazepine ring system

Described herein are our limited structure–activity relationship (SAR) studies on a 5:7-fused heterocycle (1), containing the 4,6,8-triaminoimidazo[4,5-e][1,3]diazepine ring system, whose synthesis and potent broad-spectrum anticancer activity we reported a few years ago. Our SAR efforts in this study are mainly focused on judicial attachment of substituents at N-1 and N⁶-positions of the heterocyclic ring. Our results suggest that there is some subtle correlation between the substituents attached at the N-1 position and those attached at the N⁶-position of the heterocycle. It is likely that there is a common hydrophobic binding pocket on the target protein that is occupied by the substituents attached at the N-1 and N⁶-positions of the heterocyclic ligand. This pocket appears to be large enough to hold either a C-18 alkyl chain of N⁶ and no attachment at N-1, or a combined C-10 at N⁶ and a CH₂Ph at N-1. Any alkyl chain shorter or longer than C-10 at N⁶ with a CH₂Ph attached at N-1, would result in decrease of biological activity.     

广东阳春重阳传统药市药用民族植物学研究

该研究自2013年开始对阳春开展了全面的中药资源普查工作,在全面了解阳春地区药用植物资源的基础上,于2013年和2014年两次对阳春重阳传统药市进行全面跟踪调查。结果表明：阳春重阳传统药市出售的药物种类丰富,共收集鉴定得出134种药用植物,隶属于60科117属,并对收集到的药用植物进行编目,包括俗名、学名、药用部位、用途和用法等。从药用植物的科、属分布上来看,其中种类较多的科有大戟科(11种)、蝶形花科(10种)、菊科(10种)、茜草科(9种)、马鞭草科(6种)、姜科(5种)、防己科(5种)。药用植物的种类广泛分布于各科和属中,而非集中于少数科、属内。此外,还对阳春重阳传统药市所形成的文化基础、植物应用特色和药材地域特色进行了分析,在药市中调查到一批具有当地特色的滋补养生类的药材,得出阳春当地具有将药用植物融入日常饮食的习惯。药市中售卖的药材功效与当地的自然环境密切联系,其中尤以治疗与岭南地区湿热的气候和瘴疠虫蛇等特点所引起的常见疾病为主。同时,对阳春药市的可持续发展提出了意见和建议。     

肺癌气道播散的研究概况

2015年,世界卫生组织对肺癌的分类提出了气道播散(spread through air spaces,STAS)的概念,作为肺腺癌侵袭的新模式。STAS指的是肺癌细胞在肺实质内经气道播散到肿瘤主灶边缘以外。近年来,随着对STAS研究的深入,研究结果表明STAS作为一种侵袭方式与其他侵袭行为和转移有关。STAS与肺癌的预后存在密切联系,并且与复发的风险独立相关。而选择的手术方式不同,STAS阳性患者的预后大不相同。在影像学方面,STAS有着其特殊的影像学特征,这些影像学特征可以作为STAS可能性估计的工具。因此能否通过影像学等方法判断出是否有STAS存在对选择手术方式和改善患者预后有重要指导意义。这篇综述将重点阐述近年来STAS在与不同类型肺癌的联系、影像学、基因突变等方面的研究概况。     

中国结节性硬化症患者的临床特点及诊断现状分析

目的:回顾结节性硬化症(TSC)在中国的诊断现状,分析中国TSC患者的临床特点,促进TSC的识别、规范化诊治和管理。方法:在维普数据库、万方数据库、中国知网、中国生物医学文献数据库、PubMed数据库中全面检索2001年-2014年13年间国内外发表的关于中国患者TSC的269篇所涉及的3171例TSC患者从皮肤、神经系统、肾脏、心脏、肺等多系统的临床特点对文献进行了统计和分析,并对TSC患者遗传学方面的基因检测情况进行了归纳和总结。结果:对照2012年TSC诊断指南,在对诊断标准中主要指征的报道中,共有247篇文献对2607例TSC患者的皮肤损害进行了描述,212篇文献对2395例TSC患者的神经系统损害的影像学表现进行了报道,有55篇文献报道了对348例患者进行的眼底检查中发现多发性视网膜错构瘤84例,32篇文献报道了对282例患者进行的心脏彩超检查中发现162例心脏横纹肌瘤,45篇文献在对282例患者进行的胸片检查、20篇文献在对36例患者进行的胸部CT检查中共发现淋巴管肌瘤病50例。在98篇文献报道的对696例患者进行的肾脏超声检查、51篇文献报道的对221例患者进行的肾脏CT检查和2篇文献报道的对2例患者进行的肾脏MRI检查中共发现肾脏血管平滑肌脂肪瘤416例;在58篇文献报道的对586例TSC患者进行的肝脏超声检查、30篇文献报道的对104例患者进行的腹部CT检查、2篇文献报道的对3例患者进行的腹部MRI检查中共发现肝脏血管平滑肌脂肪瘤141例。在诊断标准中的次要指征的报道中,对多发性肾囊肿的报道最多,而对牙釉质凹陷、Confetti皮损的描述却几乎缺失。在其他临床表现的研究中,癫痫的相关文献最多,有关智力评估的文献尚缺乏客观的智力评估标准。遗传学基因检测逐渐成为近几年文献报道的热点。结论:在过去13年间,中国医生对TSC的诊治作出了很大贡献,但诊断过程中仍存在对疾病认识的不足和对全局观念的缺乏,推广新版指南的诊断标准对于中国医生是十分有意义的。