基于景观地形的小流域单元减灾调控评价研究

近年来,中国诸多大中城市内涝灾害频发。武汉市作为城市内涝频发的典型城市,其建成区地表高度（20.0~24.0 m）大多低于外江常年所处的洪水位高度（23.9 m）,在区域性暴雨条件下,极易引发内涝灾害。武汉由于其内涝典型性,2013年被列为全国31个重点防洪城市之一,2015年被列入首批海绵城市试点城市之一。从城市内涝发生机理出发,以水文角度的小流域单元作为内涝风险区划的基本单元,利用小流域单元分析武汉市景观地形要素（地表高程、地表起伏度、地表粗糙度）与城市内涝积水密度的相关性及其影响程度,量算统计出小流域单元的内涝风险等级。基于此,提出武汉市小流域单元减灾地形调控评价。以武汉市作为城市内涝问题的研究案例,以期为武汉市内涝缓解提供新的思考路径,具有典型性和必要性。     

SHCBP1:乳腺癌治疗候选靶点和潜在预后标志物

探讨SHCBP1在乳腺癌及其不同亚型中的表达特征和预后价值。利用Oncomine, bc-GenExMiner v4.2, Kaplan-Meier plotter, GSE41994及STRING数据库分析乳腺癌病人SHCBP1的mRNA表达水平及其与乳腺癌患者生存率的相关性等。结果:(1)乳腺癌组织中SHCBP1的mRNA水平明显高于正常组织样本,但不同分子亚型的乳腺癌患者中SHCBP1的表达水平不同;(2)SHCBP1表达升高可导致Luminal A亚型更短的无转移生存期(Distant metastasis-free survival,DMFS)和无病生存期(Disease-free survival, DFS);(3)在雌激素受体阳性(ER+)、孕酮受体阳性(PR+)亚型、仅接受辅助化疗、仅接受辅助化疗的ER(+)与接受包括或排除内分泌治疗乳腺癌患者中,SHCBP1表达升高则无复发生存率(Relapse-free survival,RFS)显著缩短;(4)SHCBP1和CDC45 mRNA表达水平之间呈正相关,并可能与KIF23等10种蛋白相互作用。结论:SHCBP1是一种很有前景的乳腺癌预后指标和潜在的治疗靶点。     

野生田头菇菌株的驯化及其子实体营养成分分析

采自湖南洞庭湖大通湖区芦苇湿地的野生菌株,经鉴定为田头菇Agrocybe praecox。通过驯化实现人工栽培,栽培原料以芦苇屑为主,使用液体菌种和覆土栽培方式,初潮菇平均生物转化率为45.6%。营养成分分析表明：以芦苇屑为栽培培养基,子实体中矿物元素含量分别为K（2 190mg/kg）、Fe（16.2mg/kg）、Mg（59.7mg/kg）、Ca（33.4mg/kg）,必需氨基酸含量占比高达44.85%,谷氨酸、蛋氨酸、天冬氨酸含量高,是一种高蛋白、低脂肪、高钾低钠的食用菌。     

基于CT血管成像的血流储备分数对肺癌的诊断价值

目的:探讨基于CT血管成像的血流储备分数对肺癌淋巴结转移的诊断价值。方法:2018年1月到11月选择在本院进行诊治的肺癌患者60例,所有患者都给予常规CT检查与CT血管成像,记录成像特征与相关血流储备分数-血流量(blood flow,BF)、血容量(blood volume,BV)、平均通过时间(mean transit time,MTT),判断诊断价值。结果:在60例患者中,病理确诊为淋巴结转移20例,非淋巴结转移40例。转移组的毛刺征、分叶征、棘突征、空泡征等CT征象发生率显著高于非转移组(P0.05)。转移组的肺动脉BF、BV值显著低于非转移组(P0.05),MTT值显著高于非转移组(P0.05)。在60例患者中,Spearman相关分析显示淋巴结转移与MTT成显著正相关性(P0.05),与BF、BV值成显著负相关性(P0.05)。结论:CT血管成像在肺癌中的应用能反映患者的血流储备分数状况,有利于判断患者的淋巴结转移情况,有很好的应用价值。     

持续颅内压监测对大面积脑梗死外科治疗预后的应用价值

目的:探讨持续颅内压(ICP)监测对大面积脑梗死外科治疗预后的应用价值。方法:选取2013年3月至2018年3月期间在我院接受治疗的大面积脑梗死患者100例作为研究对象,所有患者经去骨瓣减压术后行ICP监测和生命体征监测,通过结果分为:低压组62例(2.70kPa≤ICP5.30kPa),高压组38例(ICP≥5.30 kPa)。记录患者ICP监测数值,接收者操作特征(ROC)曲线分析患者预后情况,对患者进行术后3个月内随访,了解患者平常活动能力进行判断预后的状况。观察ICP与预后的相关性。结果:两组患者性别、年龄、室速、室性早搏、糖尿病、高血压病、脑卒中、高脂血症、风心病、冠心病、扩张性心肌病、既往心肌梗死、肥厚性心肌病、甲亢性心脏病等资料比较差异无统计学意义(P0.05)。低压组患者中预后良好的ICP监测值显著低于预后不良者(P0.05),高压组中预后良好的ICP监测值显著低于预后不良者(P0.05)。ICP预测大面积脑梗死外科治疗预后的ROC曲线面积0.704,采用最大约等指数计算得出ICP预测大面积脑梗死外科治疗预后的最大AUC面积相应参数截止值为4.89,其中敏感度为0.435,特异性为0.896。结论:持续ICP监测结果显示ICP值越小,患者的预后就越好,ICP值越高,患者的预后越差。ICP监测对大面积脑梗死外科治疗的预后具有预测价值,对判断和改善预后能起到有效帮助,值得在临床推广应用。     

不同分级及转归脓毒症患者血清PCT、D-D、CRP及血小板相关参数检测的临床意义

目的:探讨不同分级及转归脓毒症患者的血清降钙素原(PCT)、D-二聚体(D-D)、C反应蛋白(CRP)及血小板相关参数检测的临床意义。方法:回顾性分析2015年3月至2018年8月期间中国人民解放军西部战区总医院收治的92例脓毒症患者的临床资料,分析不同分级及转归脓毒症患者的血清中PCT、D-D和CRP水平、急性病生理与慢性健康评价系统Ⅱ(APACHEⅡ)评分及血小板相关参数[血小板计数(PLT)、血小板平均容积(MPV)、血小板分布宽度(PDW)、大型血小板比率(P-LCR)],并分析脓毒症患者PCT、D-D、CRP水平以及血小板相关参数与APACHEⅡ评分的相关性。结果:全身炎症反应综合征组、轻度脓毒症组、严重脓毒症组、脓毒性休克组血清PCT、D-D和CRP水平、MPV、PDW、P-LCR、APACHEⅡ评分逐渐升高(P0.05),PLT逐渐降低(P0.05)。存活组患者血清PCT、D-D、CRP水平、MPV、PDW、P-LCR、APACHEⅡ评分均低于死亡组(P0.05),PLT高于死亡组(P0.05)。Pearson相关分析显示,脓毒症患者血清PCT、D-D、CRP、MPV、PDW、P-LCR与APACHE II评分呈正相关(P0.05),PLT与APACHE II评分呈负相关(P0.05)。结论:脓毒症患者血清PCT、D-D、CRP及血小板相关指标可能参与了脓毒症的发展,通过检测其血清PCT、D-D、CRP水平及血小板相关参数可评估脓毒症患者的病情和预后。     

CT联合MRI在早期肝癌诊断临床价值分析

摘要 目的：探究CT联合MRI在早期肝癌诊断中的应用价值。方法：选择2016年6月至2019年6月于我院接受诊断治疗的78例已知或疑似肝癌患者,分别对其实施CT及MRI检测,以病灶部位病理学检查结果为金标准（50例确诊为早期肝癌,28例为良性病变）,分别评估CT、MRI、CT联合MRI对早期肝癌的诊断价值,将确诊为肝癌的50例患者按照病灶大小区分为直径≤3 cm组（21例）和>3 cm组（29例）,对比CT与MRI对不同直径肝癌诊断率。结果：（1）检测发现,CT对早期肝癌诊断一致性为73.08 %,灵敏度为72.00 %,特异度为75.00 %;（2）MRI对早期肝癌诊断一致性为82.05 %,灵敏度为82.00 %,特异度为82.14 %;（3）CT联合MRI检测对早期肝癌诊断一致性为93.59 %,灵敏度为92.00 %,特异度为96.43 %;（4）对比发现,对直径≤3 cm的早期肝癌患者,MRI诊断率明显高于CT（95.24 % vs 76.19 %,P<0.05）。结论：CT及MRI对早期肝癌均具有较好的诊断价值,但联合检测明显优于任一单独检测,同时对病灶直径≤3 cm的早期肝癌患者,MRI诊断准确率更高。     

Systematics is crucial for the traditional Chinese medicinal studies and industry of macrofungi

Recently, it has been indicated that systematics is of no value to the traditional Chinese medicinal studies and industry of macrofungi. As a fungal taxonomist, I use three genera of the most famous medicinal macrofungi, viz. Sanghuangporus, Ganoderma and Ophiocordyceps, as examples to rebut this opinion. Generally, the well-established systematics are helpful in using correct Latin names for fungal species in medicinal studies; furthermore, the resulting medicinal functions can be exactly matched to a particular species; finally, the particular species can be applied for permissions of utilization in traditional Chinese medicinal industry. Therefore, systematics is crucial for unlocking the potential of macrofungi as valuable resources to be developed in the traditional Chinese medicinal studies and industry, and should continue to be of interest to not just fungal taxonomists but also biochemists, pharmacists and businessmen.     

Comparison of forest above‐ground biomass from dynamic global vegetation models with spatially explicit remotely sensed observation‐based estimates

Gaps in our current understanding and quantification of biomass carbon stocks, particularly in tropics, lead to large uncertainty in future projections of the terrestrial carbon balance. We use the recently published GlobBiomass data set of forest above‐ground biomass (AGB) density for the year 2010, obtained from multiple remote sensing and in situ observations at 100 m spatial resolution to evaluate AGB estimated by nine dynamic global vegetation models (DGVMs). The global total forest AGB of the nine DGVMs is 365 ± 66 Pg C, the spread corresponding to the standard deviation between models, compared to 275 Pg C with an uncertainty of ~13.5% from GlobBiomass. Model‐data discrepancy in total forest AGB can be attributed to their discrepancies in the AGB density and/or forest area. While DGVMs represent the global spatial gradients of AGB density reasonably well, they only have modest ability to reproduce the regional spatial gradients of AGB density at scales below 1000 km. The 95th percentile of AGB density (AGB₉₅) in tropics can be considered as the potential maximum of AGB density which can be reached for a given annual precipitation. GlobBiomass data show local deficits of AGB density compared to the AGB₉₅, particularly in transitional and/or wet regions in tropics. We hypothesize that local human disturbances cause more AGB density deficits from GlobBiomass than from DGVMs, which rarely represent human disturbances. We then analyse empirical relationships between AGB density deficits and forest cover changes, population density, burned areas and livestock density. Regression analysis indicated that more than 40% of the spatial variance of AGB density deficits in South America and Africa can be explained; in Southeast Asia, these factors explain only ~25%. This result suggests TRENDY v6 DGVMs tend to underestimate biomass loss from diverse and widespread anthropogenic disturbances, and as a result overestimate turnover time in AGB.     

Determination of inflection points of CyberKnife dose profiles within acceptability criteria of deviations in measurements

AimThe aim of this study was to determine the Inflection Points (IPs) of flattening filter free (FFF) CyberKnife dose profiles for cone-based streotactic radiotherapy. In addition, dosimetric field sizes were determined.BackgroundThe increased need for treatment in the early stages of cancer necessitated the treatment of smaller tumors. However, efforts in that direction required the modeling accuracy of the beam. Removal of the flattening filter (FF) from the path of x-ray beam has provided the solution to those efforts, but required a different normalization approach for the beam to ensure the delivery of the dose accurately. As a solution, researchers proposed a normalization factor based on IPs.Materials and methodsMeasurements using microDiamond (PTW 60019), Diode SRS (PTW 60018) and Monte Carlo (MC) calculations of dose profiles were completed at SAD 80 cm and 5 cm depth for 15–60 mm cones. Performance analysis of detectors with respect to MC calculation was carried out. Gamma evaluation method was used to determine achievable acceptability criteria for FFF CyberKnife beams.ResultsAcceptability within (3%–0.5 mm) was found to be anachievable criterion for all dose profile measurements of the cone beams used in this study. To determine the IP, the first and second derivatives of the dose profile were determined via the cubic spline interpolation technique.ConclusionDerivatives of the interpolated profiles showed that locations of IPs and 50% isodose points coincide.