连续性血液净化在肾衰危重病人抢救中的应用及效果评价

目的:探讨连续性血液净化在危重病人抢救中的应用及效果评价.方法:选取2010年1月～2012年11月我院收治的危重病人共26例,均采用连续性静脉-静脉血液滤过方法治疗,比较治疗前后的心脏血流动力学参数、肾功能与电解质的变化,观察全部患者治疗前后的临床症状改善情况及临床转归.结果:治疗前后的心率、中心静脉压、平均动脉压、心指数及心排出量差异均存在统计学意义(P＜0.05);治疗后患者的血尿素氮、肌酐及钾水平均明显低于治疗前(P＜0.05);治疗后患者的低血压、低血氧、昏迷改善率分别为66.67％、71.43％及62.50％;26例患者中死亡14例(53.85％),存活12例(46.15％).结论:连续性血液净化可以积极有效地治疗危重病患者,选择治疗的时候需要针对患者的情况进行综合判断和全面评估.     

Density-dependent dispersal complicates spatial synchrony in tri-trophic food chains

Spatial synchrony can increase extinction risk and undermines metapopulation persistence. Both dispersal and biotic interactions can strongly affect spatial synchrony. Here, we explore the spatial synchrony of a tri-trophic food chain in two patches connected by density-dependent dispersal, namely the strategies of prey evasion (PE) and predator pursuit (PP). The dynamics of the food chain are depicted by both the Hastings–Powell model and the chemostat model, with synchrony measured by the Pearson correlation coefficient. We use the density-independent dispersal in the system as a baseline for comparison. Results show that the density-independent dispersal of a species in the system can promote its dynamic synchrony. Dispersal of intermediate species in the tri-trophic food chain is the strongest synchronizer. In contrast, the density-dependent PP and PE of intermediate species can desynchronize the system. Highly synchronized dynamics emerged when the basal species has a strong PE strategy or when the top species has a moderate PP strategy. Our results reveal the complex relationship between density-dependent dispersal and spatial synchrony in tri-trophic systems.     

Overexpression of Smad2 in Tgf-beta3-null mutant mice rescues cleft palate

Transforming growth factor (TGF)-beta3 is an important contributor to the regulation of medial edge epithelium (MEE) disappearance during palatal fusion. SMAD2 phosphorylation in the MEE has been shown to be directly regulated by TGF-beta3. No phospho-SMAD2 was identified in the MEE in Tgf-beta3-null mutant mice (Tgf-beta3-/-), which was correlated with the persistence of the MEE and failure of palatal fusion. In the present study, the cleft palate phenotype in Tgf-beta3-/- mice was rescued by overexpression of a Smad2 transgene in Keratin 14-synthesizing MEE cells following mating Tgf-beta3 heterozygous mice with Keratin 14 promoter directed Smad2 transgenic mice (K14-Smad2). Success of the rescue could be attributed to the elevated phospho-SMAD2 level in the MEE, demonstrated by two indirect evidences. The rescued palatal fusion in Tgf-beta3-/-/K14-Smad2 mice, however, never proceeded to the junction of primary and secondary palates and the most posterior border of the soft palate, despite phospho-SMAD2 expression in these regions at the same level as in the middle portion of the secondary palate. The K14-Smad2 transgene was unable to restore all the functional outcomes of TGF-beta3. This may indicate an anterior-posterior patterning in the palatal shelves with respect to TGF-beta3 signaling and the mechanism of secondary palatal fusion.     

汶川地震救援官兵睡眠质量与睡眠自适应的关系研究*

目的:考察汶川地震救援官兵在连续作业状态下睡眠质量及其与睡眠自适应的关系。方法:采用匹兹堡睡眠质量问卷,在地震爆发后约65天左右,对122名救援官兵进行调查;采用匹兹堡睡眠质量问卷和军人睡眠自适应量表,在地震爆发后约102天,对2000名救援官兵进行调查。结果:地震救援官兵在执行任务中睡眠质量差者占72%,结束任务后睡眠质量差者占30%。两组睡眠质量各分量表得分除"催眠药物"因素外均有显著差异;救援官兵的睡眠自适应水平偏低,平均分为2.74,低于理论中点分3分;睡眠质量与睡眠自适应水平之间的关系较为密切,除了与对睡眠的影响因素相关不显著外(相关系数为-.027),与睡眠自适应总体水平及其5个因子的相关在.16-.533之间(P<0.001);睡眠的积极暗示、睡眠的抗干扰力和睡眠的积极态度等3个因子是影响军人睡眠质量总体水平的主要因素。结论:使官兵形成和睡眠有关的积极、正确的信念与态度能够有效改善人们的睡眠质量。     

以雷贝拉唑、左氧氟沙星为基础的三联补救疗法的临床观察

目的:观察以雷贝拉唑、左氧氟沙星为基础的三联疗法对幽门螺杆菌根除失败的补救疗法的临床疗效.方法:幽门螺杆菌根除失败的患者50例,予雷贝拉唑20mg,阿莫西林1.0,一天两次;左氧氟沙星0.5,一天一次;口服一周.停药1个月后行13C呼气试验检测来判断幽门螺杆菌根除率.结果:49例完成了整个研究过程,意向处理分析(ITT)根除率为82.00％,完成治疗分析(PP)根除率为83.67％,总的副作用发生率为12.00％,症状缓解率95.92％.结论:以雷贝拉唑、左氧氟沙星为基础的短程三联疗法对根治失败的幽门螺旋杆菌感染患者是一种安全、有效的治疗方案.     

The influence of visual stimulation on the behaviour of cats housed in a rescue shelter

This study explored the influence of 5 types of visual stimulation (1 control condition [no visual stimulation] and 4 experimental conditions [blank television screen; and, televised images depicting humans, inanimate movement, animate movement]) on the behaviour of 125 cats housed in a rescue shelter. Twenty-five cats were randomly assigned to one of the five conditions of visual stimulation for 3 h a day for 3 days. Each cat's behaviour was recorded every 5 min throughout each day of exposure to the visual stimuli. Cats spent relatively little of the total observation time (6.10%) looking at the television monitors. Animals exposed to the programmes depicting animate and inanimate forms of movement spent significantly more of their time looking at the monitors than those exposed to the moving images of humans or the blank screen. The amount of attention that the cats directed towards the television monitors decreased significantly across their 3 h of daily presentation, suggesting habituation. Certain components of the cats’ behaviour were influenced by visual stimulation. Animals in the animate movement condition spent significantly less time sleeping, and displayed a non-significant trend to spend more time resting, and in the exercise area of their pens, than those in the other conditions of visual stimulation. Overall, the results from this study suggest that visual stimulation in the form of two-dimensional video-tape sequences, notably that combining elements of prey items and linear movement, may hold some enrichment potential for domestic cats housed in rescue shelters. Such animals, however, may not benefit from this type of enrichment to the same degree as species with more well-developed visual systems, such as primates.     

除颤时间与心脏性猝死除颤复苏成功率的相关性分析

目的:研究除颤时间与心脏性猝死患者除颤复苏成功率的相关性。方法:选取2015年2月至2017年6月于我院接受除颤复苏治疗的心脏性猝死患者120例为研究对象。分析除颤时间与除颤复苏成功以及心功能舒张早期充盈峰速度(E峰)、左室射血分数(LVEF)、左心室舒张末期内径(LVEDD)以及E/舒张晚期充盈峰速度(A)水平的相关性。结果:电除颤时间2 min患者的复苏成功率为60.00%(21/35),显著高于电除颤时间2~5 min、5~10 min以及10 min患者的34.21%(13/38)、11.11%(3/27)、0.00%(0/20),而电除颤时间2~5 min患者的复苏成功率又显著高于电除颤时间5~10 min患者,差异均有统计学意义(均P0.05)。电除颤时间2 min、2~5 min、5~10 min以及10 min患者的E峰、LVEF、LVEDD以及E/A水平呈逐渐下降趋势,差异均有统计学意义(均P0.05)。Pearson相关性分析结果显示心脏性猝死患者除颤时间与除颤复苏成功率、E峰、LVEF、LVEDD以及E/A均呈负相关关系(r=-0.593,P=0.000;r=-0.476,P=0.001;r=-0.523,P=0.000;r=-0.502,P=0.000;r=-0.469,P=0.001)。结论:除颤时间与心脏性猝死患者除颤复苏成功率呈负相关关系,即除颤时间越早,患者复苏成功率越高。     

In vivo Tn<Emphasis Type="Italic">5</Emphasis>-based transposon mutagenesis of Streptomycetes

This paper reports the in vivo expression of the synthetic transposase gene tnp(a) from a hyperactive Tn5 tnp gene mutant in Streptomyces coelicolor. Using the synthetic tnp(a) gene adapted for Streptomyces codon usage, we showed random insertion of the transposon into the Streptomycetes genome. The insertion frequency for the hyperactive Tn5 derivative is 98% of transformed S. coelicolor cells. The random transposition has been confirmed by the recovery of ~1.1% of auxotrophs. The Tn5 insertions are stably inherited in the absence of apramycin selection. The transposon contains an apramycin resistance selection marker and an R6Kγ origin of replication for transposon rescue. We identified the transposon insertion loci by random sequencing of 14 rescue plasmids. The majority of insertions (12 of 14) were mapped to putative open-reading frames on the S. coelicolor chromosome. These included two new regulatory genes affecting S. coelicolor growth and actinorhodin biosynthesis.     

Postmetamorphic dispersal and recruitment of first breeders in a Bufo calamita metapopulation

The migratory capacity of metamorphs and their later integration into local breeding populations was studied in a Bufo calamita metapopulation inhabiting the northern Rhineland, Germany (1991–1994). A new tagging method allowed unequivocal distinction among metamorphs (n = 1,709), which originated either from the spring-breeding cohort in 1991 and 1992 or from the summer-breeding cohort in 1991. The life history of batch-marked individuals was followed until adulthood, focusing on postmetamorphic dispersal, choice of breeding locality and timing of adult reproduction. Almost all metamorphs left the patches used for breeding within a few weeks after emergence. They were found at about the same density in all favourable microhabitats in a radius of up to 2 km around their native patch. This demonstrates that even small toadlets (6–11 mm snout-to-vent length) migrate distances of several hundred metres within a short time and that they significantly help prevent local extinction in sink populations (rescue effect). Recaptures of reproductive adults originating from tagged metamorphs were limited to males belonging to the 1997 spring and summer cohorts. The absence of recaptured females was probably due to their greater vagility and later sexual maturation. First-breeding males (2 years old) without exception joined the breeding cohort from which they originated: early breeders originated from spawn of the spring cohort, mid-summer breeders from spawn of the summer cohort. This result is in accordance with the hypothesis that the integration of first breeders to a specific breeding cohort is genetically controlled in central European natterjacks. The exchange of individuals between different cohorts in the same patch is considerably less than the migratory exchange between the same breeding cohorts among local populations, as predicted from the allozyme data. Received: 28 October1996 / Accepted: 4 June 1997