2型糖尿病合并高血压患者个性化延续护理研究

为探讨个性化延续护理对2型糖尿病合并高血压患者生活质量及服药依从性影响,本研究选取2015年6月至2017年1月在哈励逊国际和平医院治疗的150例2型糖尿病合并高血压患者,随机分组,对照组患者应用常规护理,试验组患者给予个性化延续护理,观察比较两组患者血糖、血压、焦虑自评量表(self-rating anxiety scale, SAS)、抑郁自评量表(self-rating depression scale, SDS)、自尊量表(self-esteem scale,SES)、依从性差异。结果显示,12个月后试验组患者空腹血糖(7.59±1.26) mmol/L,糖化血红蛋白(glycated hemoglobin, HbAIC)(5.62±1.28)%较对照组明显下降(p<0.05);12个月后试验组患者收缩压(116.08±9.41) mmHg、舒张压(90.35±6.92) mmHg明显低于对照组(p<0.05);试验组患者SAS (35.13±4.27)分、SDS (31.42±2.09)分、SES (25.01±5.85)分同对照组比较明显改善(p<0.05);试验组患者依从性97.33%、不良生活习惯改善94.67%、健康知识掌握98.67%同对照组比较显著升高(p<0.05)。本研究结论初步表明针对2型糖尿病合并高血压患者应用个性化延续护理可改善患者血糖和血压水平,提高患者生活质量和治疗依从性,值得推广应用。     

Magnetic Field–Suppressed Lithium Dendrite Growth for Stable Lithium‐Metal Batteries

Lithium metal is the most attractive anode material due to its extremely high specific capacity, minimum potential, and low density. However, uncontrollable growth of lithium dendrite results in severe safety and cycling stability concerns, which hinders the application in next generation secondary batteries. In this paper, a new and facile method imposing a magnetic field to lithium metal anodes is proposed. That is, the lithium ions suffering Lorentz force due to the electromagnetic fields are put into spiral motion causing magnetohydrodynamics (MHD) effect. This MHD effect can effectively promote mass transfer and uniform distribution of lithium ions to suppress the dendrite growth as well as obtain uniform and compact lithium deposition. The results show that the lithium metal electrodes within the magnetic field exhibit excellent cycling and rate performance in a symmetrical battery. Additionally, full batteries using limited lithium metal as anodes and commercial LiFePO₄ as cathodes show improved performance within the magnetic field. In summary, a new and facile strategy of suppressing lithium dendrites using the MHD effect by imposing a magnetic field is proposed, which may be generalized to other advanced alkali metal batteries.     

基于光谱技术的产前检测方法研究进展

优生优育是我们重要的国策。自二胎政策颁布以来,高龄产妇数量呈现明显上升的趋势,先天性畸形儿的发生几率变大。传统的产前检测方法存在较高流产风险、灵敏度低、耗时等问题,探寻一种无损快捷、经济灵敏的产前检测方法至关重要。本文首先介绍了常见的胎儿出生缺陷及当前临床常见的产前检测方法的优缺点,重点综述了光谱技术的特点及其在产前检测中的应用。其中包括光谱核型、实时荧光定量PCR、SNP等位基因位点分析等利用荧光光谱分析方法和拉曼光谱在产前检测中的应用情况。特别阐述了表面增强拉曼光谱SERS在生物检测中的优势,最后总结并展望了SERS光谱在产前检测的应用。     

长链非编码RNA LINC00885在人食管癌细胞中的作用研究

探讨长链非编码RNA LINC00885对人食管癌细胞EC109增殖、迁移与侵袭的影响。构建LINC00885基因过表达质粒（pcDNA3.1-LINC00885）和shRNA敲低质粒（pLKO.1-LINC00885）。分别采用集落形成实验检测EC109细胞增殖能力;划痕实验检测EC109细胞横向迁移能力;Transwell实验检测EC109细胞纵向迁移能力及侵袭能力;流式实验检测LINC00885对于细胞周期的调控;实时定量PCR方法检测LINC00885 mRNA转录水平;Western blot检测BMP7及上皮间充质转化（epithelial-to-mesenchymal transition,EMT）通路相关蛋白（VIMENTIN、β-catenim和ZO-1）表达水平。在过表达LINC00885的EC109细胞中,细胞的增殖能力、迁移能力及侵袭能力均显著增强,BMP7蛋白表达升高;而在敲低表达LINC00885的EC109细胞中,细胞的增殖能力、迁移能力与侵袭能力均显著降低,BMP7蛋白表达也随之降低。另外,在过表达LINC00885的EC109细胞中,EMT通路蛋白VIMENTIN、β-catenim表达水平显著升高,而ZO-1表达水平显著降低。通过探究LINC00885对食管癌细胞增殖、迁移能力的影响,旨在验证LINC00885在食管癌中的功能,以期为临床治疗食管癌奠定理论基础。     

Optimized cultivation of highly-efficient degradation bacterial strains and their degradation ability towards pyrene

Two bacterial strains,Pyl and Py4,have been tamed and isolated through long cultivation with polycyclic aromatic hydrocarbon-pyrene as the single carbon source.It has been proven that they are both highly-efficient pyrene degrading bacteria and both Bacillus sp..The pyrene degradation ability of separated Pyl,Py4 and the consortium of equal Pyl and Py4 was studied in this project.It is shown that pyrene degradation rates were 88% in 10hr by Py1,84% in 14hr by Py4,and 88% in 8hr by the consortium.It was also determined that the best degradation temperatures were 37℃ and pH 7.0 respectively.The influence of different nutrient substrates added in the degradation experiments was also studied.It was shown that sodium salicylate,sodium acetate and yeast exuact had obvious simulative effect,but glucose had no obvious effect.     

Allelotypic characteristics of thorotrast-induced intrahepatic cholangiocarcinoma: comparison to liver cancers not associated with thorotrast

To elucidate the genetic alterations that are specific to Thorotrast-induced liver cancers and their possible roles in tumorigenesis, we analyzed loss of heterozygosity (LOH) at 37 loci. Our previous study of liver cancers that were not associated with Thorotrast found LOH at 9 of these loci to be characteristic of intrahepatic cholangiocarcinoma (ICC), at 19 to be characteristic of hepatocellular carcinoma (HCC), and at 9 to be common to both ICC and HCC. LOH analysis was also performed in tissues of cholangiolocellular carcinoma, which is thought to originate from a common stem cell progenitor of hepatocytes and bile duct epithelial cells. We found frequent LOH at D4S1538, D16S2624 and D17S1303 to be common to all the subtypes of liver cancers, independent of the specific carcinogenic agent. In contrast, LOH at D4S1652 generally was not observed in Thorotrast-induced ICC. LOH analysis revealed that Thorotrast-induced ICC shares some LOH features with both ICC and HCC that were not induced by Thorotrast; however, it is more similar to ICC than to HCC in terms of genetic changes. This study could narrow down the crucial chromosomal loci whose deletions are relevant to hepatobiliary carcinogenesis irrespective of the carcinogenic agent. The study of LOH at loci other the those crucial ones may help us understand how the phenotype of liver cancers is determined.     

不明原因男性不育人群中睾丸特异性乳酸脱氢酶基因突变的发现及其意义

为了研究睾丸特异性乳酸脱氢酶,即乳酸脱氢酶C4(LDH-C4)基因突变在男性不育发病中的作用,利用LDH-C4特异性底物对100名不明原因男性不育症患者的精子LDH-C4进行活性显色,用变性高效液相色谱(DHPLC)技术对LDH-C4活性低下的患者进行LDHC基因PCR产物的突变筛查,对DHPLC峰形异常的PCR产物进行序列测定.筛选到一组精子LDH-C4活性明显下降的患者,其中1名患者的LDHC基因PCR产物在DHPLC中呈异常洗脱峰.对这一PCR产物进行序列测定,发现患者LDHC基因第5外显子的115位碱基发生了T→A的杂合改变(GenBank登录号GU479375),该突变使LDHC基因的178位密码子由原来的TTG(编码亮氨酸)变为TAG(终止密码子),形成截短的C亚基.T克隆-测序进一步证实了该无义突变的杂合状态.这是在人类LDHC基因上发现的第一个突变,提示LDHC基因突变可能是男性不育发病的原因之一.     

龙凤湿地与珰奈湿地底泥细菌古菌多样性及其对环境因子的响应

【背景】城市湿地和天然湿地受到人为扰动影响的程度显著不同。【目的】研究2种不同类型湿地底泥微生物多样性及种类的差异。【方法】采集冬夏两季城市湿地(龙凤湿地)和天然湿地(珰奈湿地)的底泥样品,使用16S rRNA基因测序技术测定底泥中细菌和古菌群落结构,分析2种湿地底泥的细菌、古菌差异及环境因素与微生物的相关性。【结果】龙凤湿地底泥中的硫杆菌属(Thiobacillus)、芽孢杆菌属(Bacillus)和鞘氨醇单胞菌属(Sphingomonas)丰度显著高于珰奈湿地(P<0.05);Methanoregula在珰奈湿地底泥中的丰度高于龙凤湿地;冬季厌氧绳菌属(Anaerolinea)和甲烷八叠球菌属(Methanosarcina)在珰奈湿地底泥中的丰度显著高于龙凤湿地(P<0.05)。【结论】龙凤湿地与珰奈湿地的差异主要影响湿地底泥中参与元素循环的细菌和产甲烷古菌的丰度,人为干扰和低温会降低湿地中微生物的多样性,pH、盐分和碱性磷酸酶是显著影响微生物多样性的环境因素。