基于FMEA的C形臂X线机的使用风险分析与控制

??????? 目的 基于失效模式与效应分析（FMEA）方法分析控制C形臂X线机的使用风险。方法 成立FMEA 5人小组,运用现场观察和访谈的方法,识别C形臂X线机使用的潜在失效模式,并对其发生的严重度、发生概率及检测的难易度进行评价打分,计算失效原因的风险优先指数。结果 FMEA小组找出了必须优先解决的C臂机使用的失效模式,制定并实施了改进措施,在不增加管理成本的基础上,取得了良好的管理效果。结论 FMEA可以评估医疗设备使用过程的失效,并能排序优先解决的问题,不增加管理成本就能预防问题的发生,是有效的过程管理工具。     

基于FMEA和POSSUM评分的手术风险评估研究

??????? 目的 研究建立手术风险评估的架构,以正确决策手术时机。方法 采用用于计数死亡率和并发症发生率的生理学和手术严重性（POSSUM）评分原理进行分层计分,同时引用失效模式与效应分析方法对手术可能发生故障模式的严重度及发生可能性及风险因素的影响度3个维度进行评估。结果 建立了手术前风险预警机制及手术评估架构,利用评估架构对某综合医院2010年200例80岁高龄的手术病人进行了术前评估,结果手术后并发症的发生率较2009年同年龄的手术病人的并发症下降了10.45%。结论 在手术前对手术相关因素进行评估,可以为手术时机的选择提供参考。     

淹水-控温模式下砷污染水稻土溶液中砷形态的变化

以水稻种植区的砷污染土壤为研究对象,采用高效液相色谱(HPLC)-电感耦合等离子体质谱(ICP-MS)联用分析测试系统,研究了不同培养温度(5、27和50 ℃)对灭菌和不灭菌的土壤淹水后其溶液中砷赋存形态变化的影响.结果表明： 在土壤溶液中检测到的砷形态只有无机三价砷(As^Ⅲ)、无机五价砷(As^V)和有机的二甲基砷(DMA^V),未检测到单甲基砷(MMA^V)的存在;在不同控温条件下随淹水时间的延长,As^Ⅲ逐渐转变为砷的主要赋存形态,平均比例约为64%;As^V次之,约占35%,DMA^V的含量相对最低,约占1%;土壤灭菌与否对土壤溶液中五价砷的水平没有明显影响,但明显影响了五价砷的还原和促进了无机三价砷的甲基化,并且灭菌的促进效果随着淹水及培养时间的延长而逐渐降低;50 ℃、淹水23 d时,灭菌土壤溶液中DMA^V浓度最高,为23.7 ng·mL^-1,这说明灭菌土壤中残留的某些嗜热微生物成为优势菌群并促进了土壤溶液中砷的甲基化.结合水稻生长的实际环境条件对该研究结果进行分析,培养温度27 ℃淹水23 d后不灭菌的自然土壤溶液中砷浓度处于较低水平,因此在砷污染的水稻种植区建议采用短周期干湿交替的水分管理模式,在保障产量的情况下可尽量降低土壤溶液中砷的水平.     

稻草还田方式对双季水稻产量和土壤碳库管理指数的影响

采用田间定位试验,设置不施肥(CK)、单施化肥(NPK)、稻草切碎全量还田+化肥(SNPK)和稻草全部烧灰还田+化肥(SINPK)4个处理,研究不同稻草还田方式对双季稻产量和土壤碳素形态、碳库管理指数的影响.结果表明:2010—2011年两年四季的水稻平均产量SNPK与SINPK处理基本持平,但均显著高于NPK处理,增幅为5.7%～7.3%.与NPK和SINPK相比,SNPK能显著提高早稻产量,增幅在3.8%～8.8%.与单施化肥和稻草烧灰还田相比,SNPK提高了土壤不同形态碳素含量和碳库管理指数,总有机碳、活性碳、矿化碳和碳库管理指数分别提高了1.8%～2.0%、5.9%～6.5%、16.0%～41.6%和7.3%～7.8%.土壤碳库管理指数与早、晚稻产量呈显著抛物线关系,相关系数分别为0.999和0.980.SNPK能显著提高翌年早稻产量及土壤不同形态碳素含量和碳库管理指数.     

Describing maize (Zea Mays L.) landrace persistence in the Bajío of Mexico: A survey of 1940s and 1950s collection locations

Passport data for Mexico’s Guanajuato State were used to locate the sites where maize was collected in the 1940s and 1950s in an effort to document and conserve diversity. A map presenting survey points illustrates that collections have occurred repeatedly in the same locations. Observations of these locations reveal that urbanization and industrialization, not high yielding varieties, are displacing traditional varieties. Non-linear principal components analysis was used to assess associations between variables in areas where maize persists. Landraces appear to be associated with mountains and mesas, mixed cropping, little or no access to irrigation and areas classified as having low agricultural capacity; conversely, landraces have more commonly been replaced in areas of high agricultural capacity. The areas of high agriculture capacity, located in the riparian areas and plains, also have been the easiest to develop for urban and industrial use. Increasingly high rates of urbanization and development in areas of high agriculture capacity will impede the conservation of crop diversity in these areas.     

植物乳杆菌素L-1对单核细胞增生李斯特氏菌作用机理的研究

以凝胶层析纯化的植物乳杆菌素作用单核细胞增生李斯特氏菌,结果表明该细菌素可以导致能量化的敏感细胞胞内K 、无机磷离子、乳酸脱氢酶、紫外吸收物质和ATP发生不同程度的泄漏,相应地破坏了膜Δψ和部分ΔpH,引起PMF的耗散,结果导致细胞的死亡。综合所测指标,可以推测植物乳杆菌素L-1对单增李斯特氏菌的作用目标主要是细胞膜,通过形成非选择性孔洞使得选择性离子和小分子生命物质外泄,从而打破原有平衡,最终引起细胞的衰亡。     

施氮量和栽培模式对旱地冬小麦旗叶衰老及其活性氧代谢的影响

以冬小麦小偃22为试验材料,研究3种栽培模式(常规栽培、覆草栽培、地膜覆盖)和3种施氮水平(施纯氮0、120和240 kg/hm2)下旗叶衰老与活性氧代谢特性.结果表明,与常规栽培(CK)相比较,覆草栽培条件下叶绿素含量始终较高(P<0.05),叶片衰老速度缓慢,代谢强度旺盛,有利于籽粒灌浆和光合产物的积累,产量显著增加(P<0.05).在灌浆前期,地膜覆盖条件下叶片叶绿素含量增加(P<0.05),叶片保护性酶活性(POD、CAT)提高,膜脂过氧化程度低;但在灌浆后期,叶绿素含量急剧下降,叶片衰老速度加快,膜脂过氧化程度加剧,产量仍显著增加(P<0.05).施用氮肥在一定范围内可提高旗叶叶绿素含量和保护性酶活性(POD、CAT),降低膜脂过氧化程度;施氮量为120 kg/hm2时,冬小麦旗叶叶绿素含量最高,叶片衰老迟缓,代谢强度降低缓慢,膜脂过氧化程度低,有利于小麦后期生长和籽粒灌浆,在3种栽培模式下产量均最高.     

三种杓兰根相关真菌多样性和生态功能

【背景】除了菌根真菌(Orchid mycorrhizal fungi,OrMF)外,兰科植物根中还有其它内生真菌,称为根相关真菌(Root-associated fungi,RAF)。【目的】采用分离培养的方法获得同一栖息地针叶林和灌木林两种不同生境西藏杓兰、黄花杓兰和无苞杓兰的RAF菌株,研究其真菌谱系、多样性和生态功能结构。【方法】从杓兰根碎屑中分离RAF,通过总DNA提取、PCR扩增及测序得到ITS(Internaltranscribedspacer)序列;进行系统发育和多样性分析,并通过NCBI数据库比对得到相似性最高序列的注释信息来分析RAF生态学特性。【结果】共分离得到278株RAF,25种OTU类型,包括23个子囊菌门OTU,2个毛霉菌门OTU。RAF物种丰富度分析发现西藏杓兰的较黄花杓兰高,不同生境没有显著差异;不同杓兰物种较不同生境的RAF群落分化程度高。生态功能分析显示25个OTU包括共生型、腐生型和致病型3种营养型,以及外生菌根菌群、植物病原菌群、内生真菌群、动物病原菌群、真菌寄生菌群、杜鹃花类菌根群、未定义的腐生菌群和不确定型8种共位群。【结论】阐明不同生境采集的不同杓兰中RAF的分布特点和生态功能,为未来研究RAF与杓兰属植物的共生关系奠定基础。     

Fish larvae distribution among different habitats in coastal East Africa

Fish larvae abundances, diversity and trophic position across shallow seagrass, coral reef and open water habitats were examined to characterize their distribution in coastal East Africa. Larvae were identified to family and analysed for abundance differences between sites and habitats, trophic level using stable-isotope analysis and parental spawning mode. Abundances differed greatly between sites with the highest numbers of larvae occurring in the open-water and seagrass habitats. Larval fish diversity was high across habitats with 51 families identified with small differences between sites and among habitats. Notably, larvae of abundant large herbivorous fishes present in reef and seagrass habitats were almost completely absent at all sampling locations. In the seagrass, demersal spawned larvae were more abundant compared with the reef and open-water habitats. Stable-isotope analysis revealed that fish larvae have a varied diet, occupying trophic level two to three and utilizing planktonic prey. This study offers new insights into distributional aspects of fish larvae along the East African coast where such information is sparse.     

Relation between sequence and structure of HIV-1 protease inhibitor complexes: a model system for the analysis of protein flexibility.

The flexibility of different regions of HIV-1 protease was examined by using a database consisting of 73 X-ray structures that differ in terms of sequence, ligands or both. The root-mean-square differences of the backbone for the set of structures were shown to have the same variation with residue number as those obtained from molecular dynamics simulations, normal mode analyses and X-ray B-factors. This supports the idea that observed structural changes provide a measure of the inherent flexibility of the protein, although specific interactions between the protease and the ligand play a secondary role. The results suggest that the potential energy surface of the HIV-1 protease is characterized by many local minima with small energetic differences, some of which are sampled by the different X-ray structures of the HIV-1 protease complexes. Interdomain correlated motions were calculated from the structural fluctuations and the results were also in agreement with molecular dynamics simulations and normal mode analyses. Implications of the results for the drug-resistance engendered by mutations are discussed briefly.