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.     

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.     

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。     

Germination response of four pasture species to temperature,light, and post-harvest period

Abstract

The purpose of this research was to explore the effect of temperature, light, and post-harvest period, and their interactions, on seed germination ecology of four common pasture species in the Mediterranean environment. Mature seeds of Diplotaxis erucoides, Hirschfeldia incana, Hyoseris scabra (Mediterranean distribution) and Sonchus oleraceus (cosmopolitan distribution) were subjected to seven constant temperatures (10–40°C, at intervals of 5°C) under continuous darkness, or a 12 h/12 h light/dark photoperiod at 30, 150 and 270 days after harvest (DAH). Cumulative germination and germination speed were determined. In all the tested species, except S. oleraceus, light significantly enhanced germination. S. oleraceus seeds maintained germination values over 90%, in a wide range of temperatures (10–35°C), in the dark as well as in light. Seeds of H. incana germinated well soon after seed dispersal. In D. erucoides and H. scabra, germination increased with storage period, while in S. oleraceus there was no effect of seed age. In all the species, moreover, no germination was recorded at 40°C. Temperature, light, and post- harvest requirement may be regarded as an adaptation strategy to ensure optimal conditions for seedling development and survival in Mediterranean species, while the species with a cosmopolitan distribution germinates under almost all tested conditions.     

The plant landscape as inferred from a basket of the Roman town of Privernum (Latium,central Italy)

Abstract

Privernum was a rich Roman colony located 70 km southwest of Rome (southern Latium, central Italy). The archaeobotanical investigations focused on the garden and related structures of the luxury domus della Soglia nilotica. They are archaeologically and radiocarbon dated to the second half of the 1st century AD. The remains of a charred basket were found in the filling of the euripus, an ornamental water basin of the garden. The weaving was made with twisted strands of the leaves of Ampelodesmos mauritanicus (Poir.) T. Durand and Schinz; for the bottom and the handle/s of the basket, wood of evergreen oaks and ash and/or elm, respectively were probably used. The basket contained Pinus pinea seeds and cone scales, and Prunus persica endocarps, which were probably burnt in summer. The sediment in the drainage system and in the kitchen was processed for macro- and microremains. The results indicate the presence of spontaneous ruderal and weed flora elements, typical of human settlement areas, and crops.     

失代偿期肝硬化患者感染的危险因素及临床特点分析

目的：分析失代偿期肝硬化患者感染的相关危险因素和临床特点。方法：回顾性分析我院2012年4月--2013年4月住院的197例肝硬化失代偿期患者,比较感染患者与非感染患者的年龄、性别、肝功能分级、白细胞水平、门静脉内径、肝硬化并发症、侵入性操作措施、应用抗菌药物、住院时间等差异。结果：197例患者中发生感染的56例,其中以呼吸道和腹部感染为主。统计发现肝功能分级、白细胞水平、侵入性操作、住院时间及抗菌药的运用等与感染因素有关（P〈0．05）。结论：引起失代偿期肝硬化感染的危险因素是多方面的,临床特点也较突出,需要我们采取防措施去避免。