锂盐的作用机制及临床应用研究进展

锂是人体内的一种微量元素且以化合物的形式广泛存在于自然界。作为一种古老的治疗精神疾病方面的药物,锂盐被用来治疗双相情感障碍已超过60年,而现在锂盐在临床上表现出来的新应用已经越来越引起医学界的广泛重视。现代研究表明,锂盐是一种强大的糖原合成酶激酶-3(GSK-3β)抑制剂,锂盐除对脑细胞过度活动起抑制作用外,还具有营养神经和保护神经、抗炎、抗氧化、抗癌、免疫调节以及对甲状腺功能亢进的治疗作用。锂盐化学结构相对简单,而且目前人们对锂盐的使用经验及对锂离子的血药浓度监测手段已日趋成熟,所以锂盐具有相当好的临床应用前景,未来更进一步加大对锂盐的临床应用及作用机制的研究力度。现就锂盐新发现的作用机制及临床应用作一综述。     

Effects of land preparation and maize cultivar on efficiency of N-fertilizer applied at different times and by different methods in maize—mungbean association using15N

Summary A field experiment was conducted using¹⁵N-labelled urea on a Reddish Brown Lateritic (Peleustult) soil. Growing two crops on flat land and on soil ridges of 15 cm height produced similar comparative effects from fertilizer on maize. However, fertilizer applied by broadcasting on maize with a 50 cm effective band followed by incorporating was more useful to mungbean than that applied by banding below the cereal seed rows when crops were grown on flat land. The reverse was observed when crops were grown on ridges. It was deduced that the maize cultivar was not likely to affect comparative efficiencies of fertilizer. For fertilizer application at sowing, broadcasting in 50 cm maize effective band followed by incorporating was slightly superior to banding below maize seed rows. Side-dressing of fertilizer to maize at 4 weeks after sowing was superior to application at sowing. Evenly-split application, at sowing and at 4 weeks after sowing, was either only slightly superior or comparable to non-split application by banding below maize seed rows at sowing, depending on placement method of the first application. Soil moisture status as a possible factor rendering discrepancy in the comparative efficiencies obtained by different authors is discussed.     

益生菌在幽门螺杆菌根除治疗中的应用

幽门螺杆菌(Helicobacter pylori,H.pylori)是导致活动性胃炎、消化性溃疡、胃癌、胃黏膜相关淋巴组织淋巴瘤等消化系统疾病的重要病因之一,已被世界卫生组织确认为Ⅰ类致癌因子,根除H.pylori对防治上述疾病有重要意义。目前临床上主要采用含抗生素的三联或四联药物进行H.pylori的根除,虽然取得一定的疗效,但随着抗生素耐药率逐年增加,根除率持续下降,限制了其广泛应用。此外,初次或多次治疗失败后再治疗可选择的药物很少。近年来人们开始尝试将益生菌应用在H.pylori根除治疗中,并取得一定疗效。本文就益生菌在辅助根除幽门螺杆菌方面的研究进展作一简单综述。     

目标教学法在护理教学查房中的应用价值分析

目的:探讨目标教学法在护理教学查房中的临床应用价值,以培养护生的临床思维能力,并且提高实践工作能力。方法:选取我院2014年5月~2014年9月在急诊科实习的护生120人为研究对象,在实习之初,按照随机的原则将其分为观察组与对照组,每组60人。在查房中,观察组实施目标教学法,对照组实施常规护理教学法。实习结束后,调查两组护生对查房时教学与课堂效果的满意程度,记录两组护生病历书写的质量以及在实习结束后,通过考核,统计两组护生的在理论成绩、基础护理成绩、专科护理成绩以及护理综合技能方面的成绩,然后对所得到的数据进行统计,以探讨目标教学法在护理教学查房中的临床应用价值。结果:从查房时教学的满意程度及对课堂效果的满意程度来看,观察组都高于对照组,差异具有统计学意义(P0.05);观察组病历书写优良的人数为48,优良率为80%,高于对照组,差异具有统计学意义(P0.05);观察组护生的理论成绩、基础护理成绩、专科护理成绩及护理综合技能的成绩均高于对照组,差异具有统计学意义(P0.05)。结论:目标教学法是一种科学、合理并且适合时代发展要求的新型教学法,应用于护理教学查房中,能提高护生的主动性,激发护生的学习兴趣,充分发掘其潜能,做到理论与实际的结合,从而提高学习者的自身能力,值得临床推广应用。     

Field suppression of the peachtree borer,Synanthedon exitiosa,using Steinernema carpocapsae: Effects of irrigation,a sprayable gel and application method

The peachtree borer, Synanthedon exitiosa, is a major pest of stone fruit trees in North America. In prior studies, the entomopathogenic nematode, Steinernema carpocapsae, caused substantial reductions in S. exitiosa damage when applied by watering can to peach trees that were irrigated regularly. Here we report two additional studies that assessed S. carpocapsae efficacy in suppressing S. exitiosa damage in peach orchards; one study focused on irrigation requirements and the other on application method. In the first experiment we compared S. carpocapsae applied with and without irrigation, and application of a sprayable gel, Barricade®, as a potential replacement for irrigation. In the second experiment, we compared application methods that growers might use including a boom sprayer, handgun, trunk sprayer and watering can (used as a positive control). In both experiments chlorpyrifos was also included as a positive control, and in the application methods experiment an untreated (negative) control was also included. All treatments were applied in the fall of 2012 and 2013 and S. exitiosa infestation was assessed following the spring of 2013 and 2014, respectively. In the first experiment, nematodes applied without irrigation did not prevent high levels of infestation levels (75% of trees were infested) whereas nematodes applied with the sprayable gel suppressed damage at the same level as chlorpyrifos (<20% infestation). Thus, our results indicate that the sprayable gel applied to soil around the tree base can enhance entomopathogenic nematode efficacy, and the gel may be used as a substitute for irrigation when applying S. carpocapsae for S. exitiosa control; this finding may be applicable to similar pests in various cropping systems. This is the first report of direct application of the sprayable gel to soil (previous reports concerned aboveground applications). Also in the first experiment, intermediate levels of damage (31–38% infestation) were observed in plots that received nematodes with irrigation. We suspect that a higher rate of irrigation would have improved efficacy. In the second experiment, the boom sprayer, trunk sprayer and watering can methods of nematode application resulted in S. exitiosa infestations that were similar to the chemical insecticide standard treatment (chlorpyrifos) and below levels in the non-treated control, whereas the handgun treatment was not different from the untreated control or chemical standard.     

PBL教学法在发酵工程课程教学中的应用

根据发酵工程的课程特点,在课程教学中探索使用PBL教学方法。经过几年的教学实践,逐步形成了“一个问题串联一次课,一个作业串联整个课程”的PBL教学模式。结果显示,通过采用该模式,激发了学生的学习兴趣,提高了学生的自主学习能力、工程应用能力和创新意识,取得了良好的教学效果。     

清酒乳杆菌细菌素研究的现状及展望

清酒乳杆菌不仅可作为发酵香肠的发酵剂赋予香肠良好的风味和品质,而且绝大多数清酒乳杆菌细菌素对食源性致病菌单核增生李斯特菌具有较强的抑制作用。清酒乳杆菌细菌素种类多,性质各异。本文分别从清酒乳杆菌细菌素的种类,肉制品环境对清酒乳杆菌和细菌素稳定性的影响以及清酒乳杆菌细菌素在食品中的应用研究进行了概述,为寻找新的具有良好性能的清酒乳杆菌细菌素提供了参考。     

γ-聚谷氨酸的微生物合成、相关基因及应用展望

γ-聚谷氨酸是一种具有极强水溶性、生物相容性、可完全降解性的环境友好型新材料。介绍γ-聚谷氨酸的基本性质、微生物合成及其影响因素,综述其合成相关基因、合成酶复合体的研究进展及在水凝胶和药物载体方面的应用前景。     

MEWS系统在指导院前急性脑血管意外急救的临床应用

目的 探讨应用改良早期预警（MEWS）评分指导急性脑血管意外院前急救的临床价值.方法 将院前急救中临床诊断为急性脑血管意外的患者分为常规病情评估急救组（对照组）和进行现场MEWS评分指导急救组（实验组）,并比较两组患者的病死率及好转出院率.结果 对照组病死率为17.23%,好转出院率为82.77%;实验组病死率为8.76%,好转出院率为91.24%.两组比较,差异有统计学意义（P＜0.05）.结论 急性脑血管意外患者院前应用MEWS评分进行病情评估和指导急救,能降低患者的病死率及提高好转出院率,具有较好的应用价值,值得在院前脑血管意外急救中推广应用.