HFOV联合PS对治疗新生儿ALI/ARDS的疗效及对肺动态顺应性的影响

摘要 目的：探讨高频振荡通气（HFOV）联合肺表面活性物质（PS）对治疗新生儿急性肺损伤/急性呼吸窘迫综合征（ALI/ARDS）的疗效及对肺动态顺应性的影响。方法：选择2018年1月至2020年12月我院新生儿科收治的160例ALI/ARDS患儿进行研究,按照随机数表法分为观察组和对照组,每组80例。对照组患儿给予常频通气（CMV）模式联合PS治疗,观察组患儿给予HFOV模式联合PS治疗。比较两组患儿一般治疗情况、治疗前后肺动态顺应性、动脉血氧分压（PaO₂）、动脉二氧化氮分压（PaCO₂）、氧合指数（OI）、血清肿瘤坏死因子-α（TNF-α）、白细胞介素（IL）-6、IL-10的变化,以及治疗期间并发症发生情况。结果：观察组胸片恢复正常时间、机械通气时间、氧暴露时间、ICU停留时间、住院时间结果均明显短于对照组（P＜0.05）,两组患儿病死率相比较,无统计学意义（P＞0.05）;治疗后12 h、24 h、48 h时,观察组肺动态顺应性及PaO₂、OI结果明显高于对照组,PaCO₂明显比对照组低,差异有统计学意义（P＜0.05）;治疗后48 h时,观察组血清TNF-α、IL-6水平均明显低于对照组,IL-10明显比对照组高,差异有统计学意义（P＜0.05）;两组治疗期间,呼吸机相关性肺损伤、颅内出血、气漏、呼吸道感染的总发生率比较,无统计学意义（P＞0.05）。结论：HFOV联合PS治疗新生儿ALI/ARDS疗效明显,可有效改善患儿肺动态顺应性,促进血气分析指标恢复,且可降低炎症因子的表达,值得推广应用。     

缅甸稻飞虱的发生和防控情况(英文)

稻飞虱是缅甸水稻种植区常见且分布广泛的一类害虫,可造成农作物不同程度的减产.稻飞虱的爆发与高产品种的大规模推广种植具有一致性,同时其种群变化也与天气条件有关.近年来,缅甸中部部分省份稻飞虱大量孳生,在一定程度上,这与氮肥施用水平有关.雨季稻飞虱种群增加,7月和8月为高峰期.在缅甸,主要通过培育抗虫、抗旱、抗逆等水稻品种来防控稻飞虱.同时用诱虫灯进行早期入侵的虫源的监测,必要时,采用化学杀虫剂防治.缅甸部分农场还采用了病虫害综合管理系统(IPM),以建立健康、安全、可调节的水稻生态系统及可持续的病虫害管理.     

不同林龄桉树人工林林下物种多样性和生物量的动态变化

采用空间代替时间法和典型抽样法,以四川省威远县桉树(Eucalyptus robusta)人工林为研究对象,综合分析其林下植被物种组成及重要值、灌木层和草本层地上、地下和全株生物量以及物种多样性指数(Shannon-Wiener多样性指数H、Simpson优势度指数H′、丰富度指数D和Pielou均匀度指数JSW),探究林下植被的物种多样性和生物量在5个不同林龄(4,5,6,7,8年生)下的动态变化及二者之间的相关性。结果表明:调查到植物共有210种,隶属79科151属,草本层物种数多于灌木层。草本层的五节芒(Miscanthus floridulus)、芒萁(Dicranop?teris pedata)和灌木层的野牡丹(Melastoma malabathricum)、戟叶悬钩子(Rubus hastifolius)在不同林龄下都占据主要优势地位。随着林龄的增大,郁闭度加大,灌木层的D、H和H′值均表现为先增后减的规律;草本层D、H和H′值均呈先增后减再增再减的双峰趋势。草本层各生物量呈先增后减再增的变化趋势;灌木层各生物量呈先增后减的变化趋势。物种多样性与生物量呈显著正相关,草本层的D、H指数是影响生物量的直接因子。桉树人工林林下植被物种分布、组成、物种多样性和生物量对林龄变化的响应不同,表现为不同的动态特征规律,相关结果为我国西南地区桉树林管理提供了数据支撑。     

昆明市呈贡区红火蚁工蚁消长动态及防控适期

红火蚁Solenopsis invicta Buren是我国重要的入侵害虫,2003年10月我国台湾发现其发生,2004年9月广东吴川也发现其危害,其后16年发生范围迅速扩大,已经入侵15个省区并具明显扩散趋势,给入侵区生产、生活造成严重的负面影响.2013年10月云南省首次在元谋县发现红火蚁入侵,其后相继在昆明、玉溪、丽江、临沧、文山等地发现其危害.为明确新入侵区红火蚁的发生规律,为其防治提供科学依据,本文采用诱饵诱集法系统调查了云南省昆明市呈贡区红火蚁工蚁年发生动态,并分析了工蚁觅食强度与温度、降雨的关系.结果表明,该地区工蚁动态表现为双峰型,即年内出现两个明显盛期,分别在7-8月和10-11月,其具体动态为1-5月觅食工蚁数量少,数量增长缓慢,6-7月逐渐增加,8月觅食工蚁数量达到最大,平均每个诱集瓶可以诱集294头,而后减少;10-11月又进入一个盛期,12月又开始减少.全年中2月份红火蚁最少,平均诱集工蚁数量为15头/瓶.通过对温度、降雨量与捕获到工蚁的数量进行相关性分析,发现温度、降雨量均与捕获工蚁数量存在显著相关性.以气温25℃或者地面温度21℃作为标准提出,4月下旬-8月下旬为昆明地区应用饵剂防控红火蚁最适温度时间范围.     

Portrait of visual cortical circuits for generating neural oscillation dynamics

The mouse primary visual cortex (V1) has emerged as a classical system to study neural circuit mechanisms underlying visual function and plasticity. A variety of efferent-afferent neuronal connections exists within the V1 and between the V1 and higher visual cortical areas or thalamic nuclei, indicating that the V1 system is more than a mere receiver in information processing. Sensory representations in the V1 are dynamically correlated with neural activity oscillations that are distributed across different cortical layers in an input-dependent manner. Circuits consisting of excitatory pyramidal cells (PCs) and inhibitory interneurons (INs) are the basis for generating neural oscillations. In general, INs are clustered with their adjacent PCs to form specific microcircuits that gate or filter the neural information. The interaction between these two cell populations has to be coordinated within a local circuit in order to preserve neural coding schemes and maintain excitation–inhibition (E–I) balance. Phasic alternations of the E–I balance can dynamically regulate temporal rhythms of neural oscillation. Accumulating experimental evidence suggests that the two major sub-types of INs, parvalbumin-expressing (PV⁺) cells and somatostatin-expressing (SOM⁺) INs, are active in controlling slow and fast oscillations, respectively, in the mouse V1. The review summarizes recent experimental findings on elucidating cellular or circuitry mechanisms for the generation of neural oscillations with distinct rhythms in either developing or matured mouse V1, mainly focusing on visual relaying circuits and distinct local inhibitory circuits.     

鼎湖山南亚热带常绿阔叶林植物功能性状变异与不同垂直层次个体生长的关联

建立植物功能性状与群落动态之间的关联是功能生态学的核心问题之一。本文基于鼎湖山1.44 ha塔吊样地的两次调查数据, 通过采集样地内所有4,142株个体的6种植物功能性状, 对比分析了个体水平植物功能性状和物种水平功能性状均值对不同垂直层次(灌木层、亚冠层和林冠层)个体生长的影响差异。首先, 分析了不同垂直层次下各植物功能性状的变化趋势; 其次, 计算了不同垂直层次下各植物功能性状的种内和种间变异水平; 最后, 运用结构方程模型探讨了植物功能性状、光竞争以及地下竞争对不同垂直层次树木生长的影响。结果表明: (1)不同垂直层次下的植物功能性状表现出明显的分异, 由灌木层至林冠层, 叶面积、比叶面积和能量供求关系指数显著降低, 而叶片厚度和叶片干物质含量显著升高; (2)不同垂直层次下植物功能性状的种间变异均大于种内变异, 且林冠层的种内功能性状变异均大于灌木层和亚冠层; (3)基于个体水平植物功能性状的结构方程模型较物种水平功能性状均值对生长具有更高的解释程度, 且个体水平植物功能性状的引入更有利于提高对灌木层个体生长的预测能力; (4)光竞争和地下竞争主要通过影响功能性状间接影响植物生长。由灌木层至林冠层, 同种间的相互作用逐渐减弱, 异种间的相互作用逐渐增强。综上, 将个体水平植物功能性状纳入分析有助于更好地理解群落的结构和动态。     

2型糖尿病患者血糖波动与心律失常和下肢血管病变的关系及其影响因素分析

目的:探讨2型糖尿病(T2DM)患者血糖波动与心律失常和下肢血管病变的关系,分析影响T2DM心律失常和下肢血管病变的因素。方法:选择2019年7月到2020年6月我院收治的82例T2DM患者,根据是否合并心律失常分为心律失常组28例和无心律失常组54例,根据是否合并下肢血管病变分为下肢血管病变组31例和无下肢血管病变组51例。所有患者均通过72 h监测血糖获得日内平均血糖波动幅度(MAGE)、日间血糖平均绝对差(MODD)、全天血糖标准差(SDBG)、全天血糖波动次数(NGE)。比较组间差异,分析影响T2DM患者心律失常和下肢血管病变的因素。结果:心律失常组MAGE、MODD、SDBG、NGE、糖化血红蛋白(HbA1c)、胰岛素抵抗指数(HOMA-IR)、T2DM病程、同型半胱氨酸(Hcy)、丙二醛(MDA)高于无心律失常组(P<0.05)。下肢血管病变组T2DM病程、Hcy、MDA、HOMA-IR、MAGE、MODD、SDBG、NGE均高于无下肢血管病变组(P<0.05)。Logistic回归分析结果显示MDA、HOMA-IR、MAGE、MODD是T2DM患者心律失常的危险因素(P<0.001),MAGE、MODD、SDBG是T2DM患者下肢血管病变的危险因素(P<0.001)。结论:T2DM患者血糖波动与心律失常和下肢血管病变均有关,血糖波动增加是T2DM心律失常和下肢血管病变的危险因素。     

Quantifying energetic and fitness consequences of seasonal heterothermy in an Arctic ungulate

Animals have adapted behavioral and physiological strategies to conserve energy during periods of adverse conditions. Heterothermy is one such adaptation used by endotherms. While heterothermy—fluctuations in body temperature and metabolic rate—has been shown in large vertebrates, little is known of the costs and benefits of this strategy, both in terms of energy and in terms of fitness. Hence, our objective was to model the energetics of seasonal heterothermy in the largest Arctic ungulate, the muskox (Ovibos moschatus), using an individual‐based energy budget model of metabolic physiology. We found that the empirically based drop in body temperature (winter max ~−0.8°C) overwinter in adult females resulted in substantial fitness benefits in terms of reduced daily energy expenditure and body mass loss. Body mass and energy reserves were 8.98% and 14.46% greater in modeled heterotherms compared to normotherms by end of winter. Based on environmental simulations, we show that seasonal heterothermy can, to some extent, buffer the negative consequences of poor prewinter body condition or reduced winter food accessibility, leading to greater winter survival (+20%–30%) and spring energy reserves (+10%–30%), and thus increased probability of future reproductive success. These results indicate substantial adaptive short‐term benefits of seasonal heterothermy at the individual level, with potential implications for long‐term population dynamics in highly seasonal environments.     

Pedicle screw-based posterior dynamic stabilisation of the lumbar spine: in vitro cadaver investigation and a finite element study

Pedicle screw-based dynamic constructs either benefit from a dynamic (flexible) interconnecting rod or a dynamic (hinged) screw. Both types of systems have been reported in the literature. However, reports where the dynamic system is composed of two dynamic components, i.e. a dynamic (hinged) screw and a dynamic rod, are sparse. In this study, the biomechanical characteristics of a novel pedicle screw-based dynamic stabilisation system were investigated and compared with equivalent rigid and semi-rigid systems using in vitro testing and finite element modelling analysis. All stabilisation systems restored stability after decompression. A significant decrease in the range of motion was observed for the rigid system in all loadings. In the semi-rigid construct the range of motion was significantly less than the intact in extension, lateral bending and axial rotation loadings. There were no significant differences in motion between the intact spine and the spine treated with the dynamic system (P>0.05). The peak stress in screws was decreased when the stabilisation construct was equipped with dynamic rod and/or dynamic screws.     

Automated localisation and boundary identification of superficial femoral artery on MRI sequences

In this paper, an automated method to localise the right superficial femoral artery (SFA) and identify its boundary on magnetic resonance imaging (MRI) sequences without contrast medium injection is proposed. Some anatomical knowledge combined with the mathematical morphology is used to distinguish SFA from other vessels. Afterwards, the directional gradient, continuity and the local contrast are applied as features to identify the artery's boundary using dynamic programming. The accuracy analysis shows that the system has average unsigned errors 3.1 ± 3.1% on five sequences compared to experts' manual tracings.