右美托咪定联合经皮穴位电刺激对混合痔剥扎术后患者肠胃功能及术后疼痛的影响

摘要 目的：探讨右美托咪定联合经皮穴位电刺激对混合痔剥扎术后患者肠胃功能及术后疼痛的影响。方法：选择2022年3月-2022年7月我院行混合痔剥扎术的患者60例,将60例患者随机分为对照组（30例）与观察组（30例）,对照组患者给予右美托咪定镇痛,观察组给予术前经皮穴位电刺激,时间为手术开始前2 min至手术结束,右美托咪定使用方法、剂量同对照组。对比两组患者术前、术后0.5 h、1 h、2 h、3 h的疼痛评分,对比两组患者的术后疼痛疗效,对比两组创面愈合时间、腐肉完全脱落时间、住院时间及胃肠功能恢复情况,对比两组术前、术后的血管活性肠肽、胃动素及胃泌素水平。结果：术前及术后3 h时,两组的疼痛评分对比无统计学意义（P>0.05）;术后0.5 h、1 h、2 h时,观察组的疼痛评分明显较对照组低（P<0.05）。观察组的术后疼痛有效率明显较对照组高,P<0.05。观察组的创面愈合时间、腐肉完全脱落时间及住院时间明显较对照组低（P<0.05）。观察组的肠鸣音恢复时间、术后恶心呕吐发生率及排气时间明显较对照组短（P<0.05）。术前,两组的血管活性肠肽、胃动素及胃泌素水平对比无统计学意义（P>0.05）;术后,两组血管活性肠肽、胃泌素水平升高,胃动素水平降低,且观察组变化幅度明显较对照组低（P<0.05）。结论：右美托咪定联合经皮穴位电刺激可改善混合痔剥扎术后患者肠胃功能及术后疼痛情况。     

超声引导下腔内射频消融联合点式剥脱治疗下肢静脉曲张的临床效果观察

目的:探讨超声引导下腔内射频消融(radiofrequency endovenous obliteration,RFO)联合点式剥脱治疗下肢静脉曲张的临床疗效及安全性。方法:选取2017年10月至2018年10月哈尔滨医科大学附属第一医院收治的下肢静脉曲张患者共320例(320条肢体),将其随机分为观察组200例和对照组120例。观察组200例(200条肢体)采用超声引导下腔内射频消融联合点式剥脱进行治疗,对照组120例(120条肢体)采用传统大隐静脉高位结扎剥脱、曲张静脉点式剥脱治疗。比较两组患者平均住院时间、术后并发症的发生情况及术后1年下肢静脉的彩超随访情况。结果:观察组患者平均住院时间较对照组显著缩短,术后皮肤瘀斑、皮下血肿、隐神经损伤、切口感染的发生率显著低于对照组(P0.05),两组患者术后1年复查,其复发率及大隐静脉主干闭塞情况比较差异没有统计学意义(P0.05)。结论:与传统大隐静脉高位结扎剥脱、曲张静脉点式剥脱治疗相比,超声引导下腔内射频消融联合点式剥脱治疗下肢静脉曲张的疗效及安全性均更高,有利于患者术后康复。     

Copper complexing capacity in fresh-waters using the catechol-cathodic stripping voltammetric method

Abstract

The catechol-cathodic stripping voltammetric (CSV) method for measurement of the copper complexing capacity of marine and estuarine waters, has been modified and applied to fresh-waters. The optimum catechol concentration needed was the major difference between the two methods. It was found necessary to separately optimise the catechol concentration for each of the three fresh-water samples tested, presumably because of the much greater differences in the concentration of complexing ligands in fresh-water compared with marine or estuarine waters. This limits the usefulness of the CSV method for the determination of the complexing capacity of fresh-waters.

The total ligand concentration ([L_t]) and conditional stability constants (*K) derived for the three fresh-waters are compared with similar data obtained using an anodic stripping voltammetric (ASV) method. The set of copper-binding ligands determined using the CSV method were slightly lower in concentration, but stronger binding, than those obtained using the ASV method (CSV: [L_t] 0.04–0.06 μM, log K(pH 6) 8.9–9.4; ASV: [L_t] 0.11–0.17 μM, log *K(pH 6) 7.9–8.1).     

High rate algal pond operating strategies for urban wastewater nitrogen removal

Two experimental high rate algal ponds (HRAPs) (1.5m², 570 L per unit), each with a secondaryclarifier for algal biomass separation (0.025 m²,without recirculation), were fed with urban wastewaterfor a one-year period (June 1993 to July 1994). TheHRAPs were installed on the roof of the Department ofHydraulic, Coastal and Environmental Engineering ofthe Technical University of Catalonia, Barcelona,Spain (lat. 41^° 24 42 N; long. 2^° 742 E). Nitrogen removal efficiency and changes intotal nitrogen, total organic nitrogen,NH₄ ⁺-N, and oxidized nitrogen underdifferent hydraulic retention times (HRTs) werecompared. HRAP A was always operated at a higherHRT than HRAP B. Both HRAPs were subjected to thesame environmental conditions of solar radiation, airtemperature and influent water quality. Grab samplesof influent, effluent of the HRAP (mixed liquor) andfinal effluent from the clarifiers were taken once aweek. The annual average nitrogen removal was 73% forHRAP A, and 57% for HRAP B. Higher removal in HRAP Awas due to a lower inorganic nitrogen concentration inits effluent. Significant differences (p> 0.05) inthe relative proportions of nitrogen forms between thetwo HRAPs were observed only in autumn and winter.This was mainly because HRAP B did not achieve a highlevel of NH₄ ⁺-N removal by stripping andalgal uptake, as observed in HRAP A. NH₄ ⁺-Nstripping was the most important mechanism fornitrogen removal (mean efficiency of 47% and 32% inHRAP A and B, respectively) followed by algal uptake,and subsequent algal separation in the clarifiers(mean efficiency of 26% and 25% in HRAP A and Brespectively). The conclusion of this study is thatHRT determines both the nitrogen removal efficiencyand the distribution of nitrogen forms in the effluentof a HRAP. The nitrogen removal level can becontrolled through suitable HRT operating strategies.By operating at a HRT of 4 days in spring and summer,and 10 days in autumn and winter, nitrogenconcentration in the effluent of a HRAP system can bereduced to less than 15 mg L^-1 N.     

Assessment of penetration of quantum dots through in vitro and in vivo human skin using the human skin equivalent model and the tape stripping method

Quantum dots (QDs) are rapidly emerging as an important class of nanoparticles (NPs) with potential applications in medicine. However, little is known about penetration of QDs through human skin. This study investigated skin penetration of QDs in both in vivo and in vitro human skin. Using the tape stripping method, this study demonstrates for the first time that QDs can actually penetrate through the stratum corneum (SC) of human skin. Transmission electron microscope (TEM) and energy diverse X-ray (EDX) analysis showed accumulation of QDs in the SC of a human skin equivalent model (HSEM) after dermal exposure to QDs. These findings suggest possible transdermal absorption of QDs after dermal exposure over a relatively long period of time.     

津巴布韦奇马尼马尼人工松林中狒狒分布型和结群大小与树木剥皮的关系

本研究调查了人工松林中狒狒结群大小和家区面积与树木剥皮率的关系。于2003年9月至2004年8月间每月对每个狒狒结群进行5天观察,采用足迹计数法统计狒狒结群大小,对不同结群狒狒家区内具有新旧剥皮的树木数进行统计,以方差分析和回归分析狒狒结群大小和家区面积与树木剥皮之间的关系。结果表明:定居和访问松林的狒狒结群分布型不受结群和家区大小的影响而与季节有关。树木剥皮与狒狒结群大小和家区面积均无相关性,特别是雨季更是如此,揭示狒狒对树木剥皮不是对食物和水源短缺的反应。树木剥皮具有很大的月份间变异,与狒狒群定居和访问利用松林亦无相关。树木剥皮率与狒狒结群大小的关系说明树木剥皮是由于狒狒结群中少数个体的偶然剥皮行为造成的。     

Overcoming the thermodynamic limitation in asymmetric hydrogen transfer reactions catalyzed by whole cells

Whole lyophilized cells of an Escherichia coli overexpressing the alcohol dehydrogenase (ADH-'A') from Rhodococcus ruber DSM 44541 were used for the asymmetric reduction of ketones to secondary alcohols. The recycling of the required nicotinamide cofactor (NADH) was achieved in a coupled-substrate process. In the course of the reaction the ketone is reduced to the alcohol and the hydrogen donor 2-propanol is oxidized to acetone by one enzyme. This leads to a thermodynamic equilibrium between all four components determining the maximum achievable conversion. To overcome this limitation an in situ product removal technique (ISPR) for the application with whole cells was developed. In this method the most volatile compound is separated from the reaction vessel by an air flow resulting in a shift of the equilibrium towards the desired secondary alcohol. The so-called stripping process represents a simple and efficient method to overcome the thermodynamic limitation in biocatalytic reactions. Employing this method, the conversion of selected biotransformations was increased up to completeness.     

从植物共生菌宏基因组文库筛选新的生物催化酶基因

【目的】通过建立宏基因组文库的高通量保存与基于探针洗脱的多次膜杂交筛选方法,从植物共生菌宏基因组文库筛选具有生物催化潜力的新酶基因。【方法】首先根据滴度将初始文库噬菌体包装颗粒感染到EPI300-T1R E.coli,过夜培养后对应保存于96孔板;提取粘粒进行文库的杂交筛选。【结果】描述的洗脱条件可完全去除尼龙膜上与靶DNA结合的探针,并且尼龙膜上的靶DNA至少可用于7次探针杂交,从而明显提高宏基因组文库的筛选效率。【结论】以Enoate reductase(ER)和短链脱氢酶(SDR)的同源基因片段为探针,运用该方法经两轮筛选获得候选单克隆并进行了部分粘粒的测序,发现了新的ER和SDR同源基因,并克隆到相应的全长基因序列用于后续的表达与酶化学研究。     

Biological color stripping: A novel technology for removal of dye from cellulose fibers

This research work was carried out to compare the color stripping efficiency of optimized biological method with the chemical stripping, commonly employed in the textile industries. Knitted fabric dyed with Reactive black B dye in 2, 4 and 6% shades strengths was subjected to chemical and biological stripping processes individually. Biological stripping process was found many fold superior to chemical one. It was noted that shade strength does not showed any pronounced effect on the bursting strength of fabric but biological and chemical treatment affect the quality of fabrics in terms of bursting strength/durability of fabric. White rot fungus Ganoderma lucidum IBL-05 showed good potential for decolorization/color stripping of cotton fabric dyed with Reactive black B under optimized set of conditions. The chemical stripping technology is inferior to biological stripping process regarding the quality of fabric and percent color removal from cotton fabric dyed with Reactive black B dye.