结直肠息肉切除术患者肠道微生态失调分析及其与癌变进展的相关性

目的分析结直肠息肉切除术患者肠道微生态失调情况及其与癌变进展的相关性。方法前瞻性选择2015年7月至2016年7月在我院行结直肠息肉切除术的89例患者为研究对象,评价所有研究对象手术前后肠道菌群计数、肠道菌群失调情况,采用单因素和多因素Logistic回归分析结直肠息肉切除术患者癌变的影响因素。结果结直肠息肉患者术后大肠埃希菌计数(10.85±0.50)、粪肠球菌计数(10.12±0.55)显著高于术前(8.34±0.41,7.76±0.37)(均P0.01),结直肠息肉患者术后双歧杆菌计数(2.56±0.68)、乳杆菌计数(2.83±0.71)显著低于术前(5.20±1.06,5.93±0.88)(均P0.01)。结直肠息肉患者术后Ⅰ度菌群失调比例(23.60%)显著低于术前(55.06%)(P0.05),结直肠息肉患者术后Ⅱ、Ⅲ度菌群失调比例(50.56%,25.84%)显著高于术前(34.83%,10.11%)(均P0.05)。随访3年显示89例结直肠息肉切除术患者癌变率为33.71%,性别、病理类型不同的结直肠息肉切除术患者癌变率差异无统计学意义(均P0.05),年龄、遗传史、息肉直径、肠道菌群失调程度不同的结直肠息肉切除术患者癌变率差异具有统计学意义(均P0.05)。年龄、遗传史、肠道菌群失调程度是结直肠息肉切除术患者癌变的影响因素(均P0.05)。结论结直肠息肉切除术患者存在明显肠道微生态失调情况,肠道微生态失调是结直肠息肉切除术患者癌变的危险因素,这对临床防治结直肠息肉切除术患者癌变有重要指导意义。     

老年冠心病患者血尿酸水平与肠道菌群的关系

目的探讨老年冠心病患者血尿酸(SUA)水平与肠道菌群的关系,为该类患者的治疗提供参考。方法选择2018年5月至2019年5月我院收治的83例冠心病患者为研究组,选择同期我院83例健康体检者的作为对照组。比较两组对象SUA水平及粪便标本中肠道菌群分布情况(乳杆菌、双歧杆菌、幽门螺杆菌、大肠埃希菌、链球菌);比较不同菌群紊乱程度冠心病患者SUA水平;比较不同SUA水平冠心病患者肠道菌群分布情况。采用Pearson相关分析冠心病患者SUA水平与肠道菌群相关性。结果研究组患者肠道乳杆菌、双歧杆菌数量明显低于对照组(均P<0.05),而肠道幽门螺杆菌、大肠埃希菌、链球菌数量明显高于对照组(均P<0.05)。研究组患者SUA水平明显高于对照组(P<0.05),不同菌群紊乱程度冠心病患者SUA水平有差异有统计学意义(均P<0.05)。不同SUA水平冠心病患者肠道乳杆菌、双歧杆菌、幽门螺杆菌、大肠埃希菌、链球菌数量差异有统计学意义(均P<0.05)。冠心病患者SUA水平与肠道乳杆菌、双歧杆菌数量呈负相关(r=-0.872、-0.912,均P<0.001),与肠道幽门螺杆菌、大肠埃希菌、链球菌数量呈正相关(r=0.915、0.896、0.889,均P<0.001)。结论冠心病患者存在肠道细菌紊乱及高尿酸现象。冠心病患者SUA水平与肠道菌群显著相关,检测冠心病患者SUA水平对监测肠道菌群状态及治疗方案制定具有重要意义。     

耐多药肺结核患者心理健康状况调查及与应对方式、社会支持的相关性研究

摘要 目的：探讨耐多药肺结核患者心理健康状况的影响因素,分析其及与应对方式、社会支持的相关性。方法：选择2018年4月至2020年5月我院诊治的101例耐多药肺结核患者作为观察组,选择同期99例敏感肺结核患者作为对照组。两组均测评症状自评量表-90(SCL-90)评分、医学应对问卷(MCMQ)评分以及社会支持评定量表(SSRS)评分,分析SCL-90总评分与MCMQ各因子评分、SSRS总评分的相关性,采用Logistic回归模型分析心理健康状况的影响因素。结果：与对照组相比,观察组的躯体化、人际关系、抑郁、焦虑、敌对性、恐怖和精神病性评分以及总评分明显提高（P<0.05）。与对照组相比,观察组的面对评分、客观支持、主观支持、支持利用度评分以及总评分均降低（P<0.05）。Pearson相关性分析显示,SCL-90总评分与MCMQ评分中的回避和屈服评分呈正相关性（r=0.386、0.311,均P<0.05）,SCL-90总评分与SSRS总评分呈负相关（r=-0.332,P<0.05）。多因素Logistic回归分析显示,经济状况差、躯体健康状况差、病情严重、睡眠质量差和生活满意度低是耐多药肺结核患者心理健康不良的独立危险因素（P<0.05）。结论：耐多药肺结核患者心理健康状况差,应对方式选择面对较少,总体社会支持水平较低,患者的心理健康状况与应对方式、社会支持存在一定的相关性。在提供躯体性治疗的基础上,应结合患者的心理健康状况及相关危险因素给予适当干预。     

维生素A、E水平与儿童反复呼吸道感染的相关性和危险因素研究

摘要 目的：研究维生素A（VA）、维生素E（VE）水平与儿童反复呼吸道感染（RRI）的相关性和危险因素。方法：选择本院2017年1月~2019年10月诊治的318例RRI患儿,同期选择285例健康体检儿童作为对照组,比较各组VA、VE表达情况,并分析儿童RRI发生的危险因素。结果：RRI组VA及VE水平低于对照组,VA及VE缺乏率高于对照组,差异有统计学意义（P<0.05）。1~3岁患儿VA及VE水平高于3~6岁组且高于>6岁组（P<0.05）。对照组和RRI组性别、出生时体重比较无统计学差异（P>0.05）;RRI组自然分娩、母乳喂养率低于对照组,偏食、过敏体质、抗生素滥用、人均居住面积<13 m²、母亲文化高中及以下率高于对照组（P<0.05）。多因素Logistic回归分析显示,早产、偏食、过敏体质、被动吸烟、抗生素滥用、人均居住面积<13 m²是RRI发生的独立危险因素,VA、VE、自然分娩、母乳喂养、母亲文化程度是RRI发生的保护因素。结论：RRI儿童VA、VE水平较低,且RRI的发生和多种危险因素相关,临床应针对性的进行预防干预。     

Correction for Covariate Measurement Error in Nonparametric Longitudinal Regression

Summary We introduce a correction for covariate measurement error in nonparametric regression applied to longitudinal binary data arising from a study on human sleep. The data have been surveyed to investigate the association of some hormonal levels and the probability of being asleep. The hormonal effect is modeled flexibly while we account for the error‐prone measurement of its concentration in the blood and the longitudinal character of the data. We present a fully Bayesian treatment utilizing Markov chain Monte Carlo inference techniques, and also introduce block updating to improve sampling and computational performance in the binary case. Our model is partly inspired by the relevance vector machine with radial basis functions, where usually very few basis functions are automatically selected for fitting the data. In the proposed approach, we implement such data‐driven complexity regulation by adopting the idea of Bayesian model averaging. Besides the general theory and the detailed sampling scheme, we also provide a simulation study for the Gaussian and the binary cases by comparing our method to the naive analysis ignoring measurement error. The results demonstrate a clear gain when using the proposed correction method, particularly for the Gaussian case with medium and large measurement error variances, even if the covariate model is misspecified.     

Assessing sustainability at farm-level: Lessons learned from a comparison of tools in practice

In the past decades a wide variety of tools have been developed to assess the sustainability performance of farms. Although multiple studies have compared tools on a theoretical basis, little attention has been paid to the comparing tools in practice. This research compared indicator-based sustainability assessment tools to gain insight in practical requirements, procedures and complexity involved in applying sustainability assessment tools. In addition, the relevance of the tools, as perceived by farmers, was evaluated. An overview of 48 indicator-based sustainability assessment tools was developed to, subsequently, select tools that address the environmental, social and economic dimension of sustainability, are issued in a scientific publication and suitable for assessing the sustainability performance of livestock and arable farms in Denmark. Only four tools (RISE, SAFA, PG and IDEA) complied with the selection criteria and were used to assess the sustainability performance of five Danish farms. The tools vary widely in their scoring and aggregation method, time requirement and data input. The farmers perceived RISE as the most relevant tool to gain insight in the sustainability performance of their farm. The findings emphasize the importance of context specificity, user-friendliness, complexity of the tool, language use, and a match between value judgements of tool developers and farmers. Even though RISE was considered as the most relevant tool, the farmers expressed a hesitation to apply the outcomes of the four tools in their decision making and management. Furthermore, they identified limitations in their options to improve their sustainability performance. Additional efforts are needed to support farmers in using the outcomes in their decision making. The outcomes of sustainability assessment tools should therefore be considered as a starting point for discussion, reflection and learning.     

Prediction of GABAA receptor proteins using the concept of Chou's pseudo-amino acid composition and support vector machine

The amino acid gamma-aminobutyric-acid receptors (GABA_ARs) belong to the ligand-gated ion channels (LGICs) superfamily. GABA_ARs are highly diverse in the central nervous system. These channels play a key role in regulating behavior. As a result, the prediction of GABA_ARs from the amino acid sequence would be helpful for research on these receptors. We have developed a method to predict these proteins using the features obtained from Chou's pseudo-amino acid composition concept and support vector machine as a powerful machine learning approach. The predictor efficiency was assessed by five-fold cross-validation. This method achieved an overall accuracy and Matthew's correlation coefficient (MCC) of 94.12% and 0.88, respectively. Furthermore, to evaluate the effect and power of each feature, the minimum Redundancy and Maximum Relevance (mRMR) feature selection method was implemented. An interesting finding in this study is the presence of all six characters (hydrophobicity, hydrophilicity, side chain mass, pK1, pK2 and pI) or combination of the characters among the 5 higher ranked features (pk2 and pI, hydrophobicity and mass, pk1, hydrophilicity and mass) obtained from the mRMR feature selection method. The results show a biologically justifiable ranked attributes of pk2 and pI; hydrophobicity, hydrophilicity and mass; mass and pk1; pk2 and mass. Based on our results, using the concept of Chou's pseudo-amino acid composition and support vector machine is an effective approach for the prediction of GABA_ARs.     

A Relevance Index for the habitat areas of Natura 2000 Network based on their Rarity and Representativeness

The 231 habitat types included in the European Environmental Agency (EEA) database of the Natura 2000 Network are distributed throughout more than 22 thousand Sites of Community Importance (SCI) covering around 128 million hectares in Europe. However, individual habitat areas have different conservation relevance according to the Rarity of the habitat type and their Representativeness in relation to the whole type.We propose a Relevance Index and evaluate it for each area of each habitat type, taking into account the Rarity of the habitat type, assessed by the extent of its occurrence in the Natura 2000 Network, and the Representativeness of the area, as the contribution of that area to the total extent of that habitat type in the Network.Results allow for an objective analysis of the Natura 2000 Network indicating, for example, that rarity of a habitat type in Natura 2000 Network does not necessarily correlate with its priority status, suggesting the need for reevaluation of the situation.The Relevance Index proposed for a given habitat area is the product of the Rarity Index of its habitat type and the Representativeness of the area. We demonstrate the application of the Index for the areas of three different Natura 2000 Sites. The Relevance Index of one Site (SRI) will be the sum of the Relevance Indices of its corresponding habitat areas (HRI). The same approach is applicable to regions, countries or for any habitat cluster allowing for the quantification of their contribution to the whole Natura 2000 Network.It is suggested that the Relevance index can also be applied in monitoring the components of the Natura 2000 Network, and is useful to support management decisions for conservation in Europe.     

Crystal and Molecular Structure of the Sodium Salt of the Dinucleotide Duplex d(CpG)

Abstract

The crystal and molecular structure of the sodium salt of deoxycytidylyl-{3′ ?5′)-deoxyguanosine has been determined from X-ray diffraction data. The crystals, obtained from an aqueous y- butyrolactone solution at pH = 5.3, are orthorhombic, P2₁2₁2₁, a= 10.640(2), b= 11.184(2) and c=44.618(4) A. The structure was refined to an R = 0.041. The d(CpG) structure is similar to the ammonium salt solved by Cruse et al.(1). Both structures form a parallel self base paired mini-double helix. In d(CpG).Na⁺, one of the two paired cytosines is protonated on N(3). The cytosines form 3 hydrogen bonds while the guanines form only 2. The Na⁺ ion is coordinated with five groups: two water molecules, 0(6) of guanine A, N(7) of guanine B and 0(5′) of cytosine B, forming a square pyramid. The hydration shell around the mini-helix is analysed and compared with that of the ammonium salt. d(CpG).Na⁺ is the second d(CpG) oligonucleotide found with a self base pairing arrangement despite of the fact that the crystallization conditions and counterion were different in both cases. The hypothesis that self base pairing is not only a crystallization artifact but may play a role under physiological conditions as a source of transversion mutations is discussed.     

miR-125b在急性加重期慢性阻塞性肺疾病患者血浆中的表达及与肺功能和炎症细胞因子的关系

目的:探讨微小RNA-125b(miR-125b)在急性加重期慢性阻塞性肺疾病(COPD)患者血浆中的表达及其与肺功能、炎症细胞因子的关系。方法:选择2016年11月至2019年1月应急总医院收治的69例急性加重期COPD患者作为急性加重组,并于同期随机选取58例稳定期COPD患者作为稳定组和50例健康体检者作为对照组。采用实时荧光定量PCR法检测各组血浆miR-125b表达水平;采用肺功能检测仪测定肺功能,包括用力肺活量(FVC)、第1秒用力呼气量(FEV_1)、FEV_1/FVC;采用酶联免疫吸附法测定血清炎症细胞因子,包括白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、高敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)。结果:急性加重组血浆miR-125b表达水平高于稳定组和对照组,差异有统计学意义(P0.05)。急性加重组、稳定组肺功能指标FVC、FEV_1、FEV_1/FVC低于对照组,且急性加重组低于稳定组,差异有统计学意义(P0.05)。急性加重组、稳定组血清炎症细胞因子IL-6、IL-8、hs-CRP、TNF-α水平高于对照组,且急性加重组高于稳定组,差异有统计学意义(P0.05)。Pearson相关分析结果显示,急性加重期COPD患者血浆miR-125表达水平与FVC、FEV_1、FEV_1/FVC呈负相关(P0.05),与IL-6、IL-8、hs-CRP、TNF-α呈正相关(P0.05)。结论:miR-125b在急性加重期COPD患者血浆中异常表达,并与肺功能及炎症细胞因子密切相关,可作为临床辅助诊断及评估患者病情严重程度的参考指标。