扁桃体部分切除术最新进展

扁桃体切除术是耳鼻咽喉科最常见的手术之一,临床上治疗由于扁桃体肥大所致的儿童睡眠阻塞性呼吸暂停综合征,最常用的手术方式为双侧扁桃体切除术。扁桃体在儿童生长发育过程中具有重要的免疫功能,完全切除扁桃体对儿童的免疫功能具有一定的影响。且扁桃体全部切除术后常见一些并发症如出血及疼痛,这使得许多学者提出了扁桃体部分切除术。扁桃体部分切除术较扁桃体全部切除术相比,手术时间短、术后并发症少,在缓解儿童阻塞症状的同时,保留了一部分扁桃体,对于免疫功能也有一定的保留。本文将从扁桃体部分切除术治疗儿童睡眠呼吸暂停综合征的临床疗效以及术后出血、术后疼痛方面作一综述,为扁桃体部分切除术应用于临床提供合理依据。     

A new single nucleotide polymorphism in the rabbit (Oryctolagus cuniculus) myostatin (MSTN) gene is associated with carcass composition traits

This study aimed at the identification of genetic variations in the myostatin (MSTN) gene and testing their effects on carcass quality traits. We comparatively sequenced Giant Grey (GG) and New Zealand White (NZW) rabbits that were founders of a cross‐bred population. Alignment of our sequence data with the GenBank sequence of the rabbit MSTN gene (Ensembl Gene ID ENSOCUG00000012663) identified three single nucleotide polymorphisms (SNPs). The two novel SNPs (c.?125T>C, c.373+234G>A) and one known SNP (c.747+34C>T) were subsequently analysed for linkage with carcass composition traits in 363 F₂ animals of the cross GG × NZW. Significant linkage was found between c.373+234G>A and nine carcass composition traits (P < 0.05). No significant effects were found for c.?125T>C and c.747+34C>T. Because the linked SNP is located in intron 1 and no genetic variation was found in the coding region, further investigations are necessary to understand the functional effect of the c.373+234G>A variant on the variability of the traits.     

The need for biological assessment of water quality: Australian perspective

Abstract Biological assessment of water quality in Australia is entering a stage of rapid development largely because of the inclusion of biological indicators in water quality guidelines and growing concern for ecological values. Approaches to water quality assessment include toxicity testing, use of biomarkers and several methods using community structure. For assessment diverse organisms such as fish, algae and (the most commonly used) macro-invertebrates are used. Interaction of data analysis with methods of data collection requires co-ordinated research on both fronts. Recent developments in the use of multivariate statistics to produce models for predicting water quality are likely to be useful in Australia. Much innovative work is still needed in Australia on the use of algae and fish, defining tolerance categories and establishing monitoring programmes performed in time-frames equivalent to those in use for physical and chemical methods.     

Regional ecological risk assessment using a relative risk model: A case study of the Darwin Harbour,Darwin, Australia

There are many proposed and ongoing commercial, industrial, and residential developments within the Darwin Harbour catchment in Northern Australia, to accommodate the projected population growth over the next 20 years. Hence, it is necessary to ensure the balance between these developments and ecosystem conservation. We evaluated ecological risk for the Darwin Harbour using a relative risk model (RRM). The catchment was divided into 22 risk regions based on small catchment boundaries and their homogeneity. Through the RRM, we ranked and summed the stressors and habitats within regions. The interaction between stressors and habitats were modeled through exposure and effect filters. The ecological assessment endpoints were maintenance of the mangrove health and the maintenance of water quality. The risk regions—Myrmidon Creek, Blackmore River, Bleesers Creek, and Elizabeth River—showed the highest total relative risk for ecological assets. These risk regions had a high percentage cover of industrial, commercial, and residential areas; diffuse entry points; and climate change effects. Creek A, Sandy Creek, West Arm, and Pioneer Creek were the risk regions with lowest total relative risk scores. The RRM is a robust application that is suitable for a large geographic area where multiple stressors are of concern.     

Effect of two cooling protocols on the post-thaw characteristics of Iberian ibex sperms

The rate at which lethal intracellular ice forms during sperm cryopreservation is highly dependent on the cooling protocol. The present work compares two cooling protocols for use with Iberian ibex (Capra pyrenaica) sperm by assessing the effects on the motility, viability, and size of frozen-thawed sperm cells. Ejaculates, obtained from six adult ibex males via transrectal, ultrasound-guided massage of the accessory sex glands plus electroejaculation if necessary, were cooled via either 1) Protocol 1 (decelerating cooling), involving cooling in liquid nitrogen vapor from 5 °C to −35 °C (40 °C/min), from −35 °C to −65 °C (17 °C/min), and then from −65 °C to −85 °C (3 °C/min); or 2) Protocol 2 (accelerating cooling) involving cooling in a biological freezer from 5 °C to −5 °C (4 °C/min), from −5 °C to −110 °C (25 °C/min), and then from −110 °C to −140 °C (35 °C/min). Compared to fresh ejaculates, sperm quality at thawing was found to be reduced by both protocols (p < .05), but especially by Protocol 1. Sperm head size was also significantly reduced by both protocols, although the Protocol 1 sperm heads were also significantly smaller than those of Protocol 2 sperms heads (p < .05). In fresh sperm samples, clustering analyses revealed two subpopulations of sperms with different morphometric characteristics, SP1 with larger cells, and SP2 with smaller cells. Both cooling protocols caused reduction in the proportion of SP1 cells, and an increase in the proportion of SP2 cells. In conclusion, the decelerating cooling protocol (Protocol 1) caused greater cryodamage to the sperm cells than the accelerating protocol (Protocol 2).     

Differential effects of circadian typology on sleep-related symptoms,physical fatigue and psychological well-being in relation to resilience

Various physiological and psychological functions are influenced by circadian typology (CT), which was reported to be related to resilience. However, few studies have assessed the effects of CT in relation to resilience. The aim of the present study was to assess the influence of CT on sleep-related symptoms, physical fatigue and psychological well-being in relation to resilience. The present study included a total of 1794 healthy hospital employees, and they completed the Morningness–Eveningness Questionnaire, Connor–Davidson Resilience Scale, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Fatigue Severity Scale, Hospital Anxiety and Depression Scale and World Health Organization Quality of Life Scale Abbreviated Version. Subjects with evening type showed lower sleep quality, more daytime sleepiness and physical fatigue than neither types and morning types. Additionally, evening types were more depressed and anxious and reported a poorer quality of life. CT was found to be a significant predictor of sleep quality, but CT was minimally associated with physical fatigue and psychological well-being in the regression analysis. Instead, resilience was substantially related to all of the variables measured. In conclusion, CT independently predicts sleep quality, but the effects of CT on physical fatigue and psychological well-being are negligible compared to those of resilience.     

尼泊尔生态系统质量评估与时空格局变化——基于参照条件的评估方法

良好的生态系统质量是维持人类社会供给需求和可持续发展目标实现的重要保障。针对尼泊尔自然地理环境复杂多样，区域间气候差异明显的特点，结合基于参照条件的评估方法可以得到生态系统质量的相对水平值，其结果能够反映出不同的变化信息。植被是区域生态系统质量变化的重要指示器，利用尼泊尔五大地理区以及四种主要植被生态系统类型划分出20个生态评估区，从表征植被生态系统的水平结构、生产功能和垂直结构3个方面计算生态参数相对密度指标（RVI），结合主成分分析法构建植被生态系统质量指数（VEQI），并以其国家自然保护区为参照，构建基于参照条件的生态系统质量评估模型，计算了尼泊尔2016和2020年基于参照条件的植被生态系统质量指数（VEQI''）并分析其生态系统质量的时空格局变化。结果表明：（1）2016至2020年，尼泊尔生态系统质量现实值VEQI的平均值增加了3.49%，总体上，在参照生态系统质量（VEQI_ref）提高（约1.41%）的背景下，生态系统质量相对水平值VEQI''增加了1.42%；（2）对于尼泊尔地区，评估区89%分位数的VEQI与其对应的国家自然保护区的参照值具有很强的相关性，总体差异较小，可以代替作为参照值；（3）从空间格局变化趋势来看，尼泊尔生态系统质量变好、基本稳定和变差的面积分别占植被生态系统总面积的74.16%、14.25%和11.59%。与数量不足、较难收集利用的野外观测台站数据相比，国家自然保护区更接近理想参照生态系统的假设，通过有限的自然保护区确定生态评估区的参照值，实现生态系统质量的快速评估，其结果具有更好的时空可比性，可以为区域生态质量变化评估及量化分析等方面提供参考。     

Pre-emptive Quality Control of a Misfolded Membrane Protein by Ribosome-Driven Effects

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