心力衰竭患者AKI发生的临床预测模型构建

摘要 目的：构建心力衰竭患者AKI（acute kidney injury）发生的临床预测模型,对早期高危患者识别提供依据。方法：回顾性分析新疆医科大学第一附属医院2018年1月至2020年12月明确诊断心力衰竭患者350例,其中AKI患者104名（29.7%）,非AKI患者246名（70.3%）,将其按7:3 比例随机分为建模队列(n=245)和验证队列(n=105)。构建 LASSO回归分析建模队列,基于 logistic 回归结果构建HF-AKI（heart failure-acute kidney injury）患者的诺顿图,同时对模型进行校准,同时验证模型效益。结果：单因素分析得到25个差异变量,LASSO回归、多因素逐步logistics 回归,最终得到5个差异变量：年龄、住院天数、入院肌酐、射血分数、是否使用抗生素。构建HF-AKI 患者的临床预测模型并绘制成诺顿图。构建训练组和验证组诺顿图的 ROC曲线 AUC大小分别为 0.730和 0.794,通过Hosmer-Lemeshow检验,验证组虽然没有训练组的拟合优度优异,但P＞0.05,表明该诺顿图模型同样具有良好的校准度。结论：本研究成功构建了HF-AKI的临床预测模型,经过系列验证提示该模型的训练组和验证组均具有净收益范围,具有一定的临床价值。     

Flux ratios and pump stoichiometries at sites II and III in liver mitochondria. Effect of slips and leaks.

Addition of bovine serum albumin to state 4 mitochondria results in a depression of the proton leak and of the resting respiration of 70 and 25%, respectively. The conductance membrane potential diagram, both in the ohmic and in the non-ohmic region, shows that in the presence of bovine serum albumin the level of ohmic conductance is lowered while that of non-ohmic conductance is increased toward higher delta psi values. The same effect is observed during operation of the different proton pumps. Addition of chloroform affects the conductance membrane potential diagram in the following manner: there is no effect in the ohmic region with all pumps, while there is an effect in the non-ohmic region either at site III or at sites II plus III but not at site II. This suggests a possible effect of chloroform at the level of the cytochrome oxidase proton pump. During titration with oligomycin of the ATPase proton pump the conductance potential diagram shows a region of non-ohmicity only in the presence but not in the absence of an ATP-regenerating system. Protonophoric uncouplers such as carbonyl cyanide p(trifluoromethoxy)phenylhydrazone and intrinsic uncouplers such as chloroform have different effects on the relationship between rates of charge translocation and of oxygen consumption, and thus on the pump stoichiometries, in that the slope of the diagram is modified by the latter but not by the former. The differential effects of protonophores and of intrinsic uncouplers on the stoichiometries have been analyzed by computer simulations and represent an additional criterion to distinguish between extrinsic and intrinsic mechanisms of uncoupling.     

Molecular Interaction Map of the Mammalian Cell Cycle Control and DNA Repair Systems

Eventually to understand the integrated function of the cell cycle regulatory network, we must organize the known interactions in the form of a diagram, map, and/or database. A diagram convention was designed capable of unambiguous representation of networks containing multiprotein complexes, protein modifications, and enzymes that are substrates of other enzymes. To facilitate linkage to a database, each molecular species is symbolically represented only once in each diagram. Molecular species can be located on the map by means of indexed grid coordinates. Each interaction is referenced to an annotation list where pertinent information and references can be found. Parts of the network are grouped into functional subsystems. The map shows how multiprotein complexes could assemble and function at gene promoter sites and at sites of DNA damage. It also portrays the richness of connections between the p53-Mdm2 subsystem and other parts of the network.     

Sphingomyelin/phosphatidylcholine/cholesterol phase diagram: boundaries and composition of lipid rafts

The ternary system palmitoylsphingomyelin (PSM)/palmitoyloleoylphosphatidylcholine (POPC)/cholesterol is used to model lipid rafts. The phase behavior of the three binary systems PSM/POPC, PSM/cholesterol, and POPC/cholesterol is first experimentally determined. Phase coexistence boundaries are then determined for ternary mixtures at room temperature (23 degrees C) and the ternary phase diagram at that temperature is obtained. From the diagram at 23 degrees C and the binary phase diagrams, a reasonable expectation is drawn for the ternary phase diagram at 37 degrees C. Several photophysical methodologies are employed that do not involve detergent extraction, in addition to literature data (e.g., differential scanning calorimetry) and thermodynamic rules. For the ternary phase diagrams, some tie-lines are calculated, including the one that contains the PSM/POPC/ cholesterol 1:1:1 mixture, which is often used in model raft studies. The diagrams here described are used to rationalize literature results, some of them apparently discrepant, and to discuss lipid rafts within the framework of liquid-ordered/liquid-disordered phase coexistence.     

An updated angiosperm classification

DAHLGREN, C, 1989. An updated angiosperm classification. A new two-dimensional diagram, reflecting the system of classification of the angiosperms, is presented. It combines the dicotyledon diagram in G. Dahlgren (1989) and an adapted monocotyledon diagram after that in Dahlgren (1985) in a single diagram. An updated monocotyledon taxonomy is presented and the classification is appended.     

Correlation between protein kinase C alpha activity and membrane phase behavior.

Lipid activation of protein kinase C alpha (PKC alpha) was studied by using a model mixture containing 1, 2-dimyristoyl-sn-glycero-3-phosphocholine (DMPC), 1, 2-dimyristoyl-sn-glycero-3-phosphoserine (DMPS), and 1, 2-dimyristoyl-sn-glycerol (1,2-DMG). This lipid mixture was physically characterized by differential scanning calorimetry (DSC), Fourier transform infrared spectroscopy (FTIR), and 31P-nuclear magnetic resonance (31P-NMR). Based on these techniques, a phase diagram was constructed by keeping a constant DMPC/DMPS molar ratio of 4:1 and changing the concentration of 1,2-DMG. This phase diagram displayed three regions and two compounds: compound 1 (C1), with 45 mol% 1,2-DMG, and compound 2 (C2), with 60 mol% 1,2-DMG. When the phase diagram was elaborated in the presence of Ca2+ and Mg2+, at concentrations similar to those used in the PKC alpha activity assay, the boundaries between the regions changed slightly and C1 had 35 mol% 1,2-DMG. The activity of PKC alpha was studied at several temperatures and at different concentrations of 1,2-DMG, with a maximum of activity reached at 30 mol% 1,2-DMG and lower values at higher concentrations. In the presence of Ca2+ and Mg2+, maximum PKC alpha activity occurred at concentrations of 1,2-DMG that were close to the boundary in the phase diagram between region 1, where compound C1 and the pure phospholipid coexisted in the gel phase, and region 2, where compounds C1 and C2 coexisted. These results suggest that the membrane structure corresponding to a mixture of 1,2-DMG/phospholipid complex and free phospholipid is better able to support the activity of PKC alpha than the 1,2-DMG/phospholipid complex alone.     

Angle diagrams of light scattering in the suspension of isolated myofibrils in native, contracted and relaxed states

An angle diagram of light scattering of myofibril suspensions was extremely asymmetric in the range of 0.05 to 10 degrees. The extent of asymmetry increased at relaxation and sharply decreased at contraction of myofibrils. Angle diagrams for myofibril light scattering calculated according to the approximate formulae of Mie theory, were close to those obtained in the experiment. It was shown that a high extent of asymmetry of calculated diagrams is determined by a low refractive index of myofibrils rather than by great dimensions of myofibrils. It is supposed that changes in the shape of scattering diagram and in other optical characteristics of myofibril and actomyosin suspensions associated with changes in their functional states depend mostly upon changes in the inner arrangement of particles rather than in their dimensions.     

RNA-guided DNA assembly

We propose molecular models for homologous DNA recombination events that are guided by either double-stranded RNA (dsRNA) or single-stranded RNA (ssRNA) templates. The models are applied to explain DNA rearrangements in some groups of ciliates, such as Stylonychia or Oxytricha, where extensive gene rearrangement occurs during differentiation of a somatic macronucleus from a germline micronucleus. We describe a model for RNA template guided DNA recombination, such that the template serves as a catalyst that remains unchanged after DNA recombination. This recombination can be seen as topological braiding of the DNA, with the template-guided alignment proceeding through DNA branch migration. We show that a virtual knot diagram can provide a physical representation of the DNA at the time of recombination. Schematically, the braiding process can be represented as a crossing in the virtual knot diagram. The homologous recombination corresponds to removal of the crossings in the knot diagram (called smoothing). We show that if all recombinations are performed at the same time (i.e., simultaneous smoothings of the crossings) then one of the resulting DNA molecules will always contain all of the gene segments in their correct, linear order, which produces the mature DNA sequence.     

Ecological types of running water based on stream hydraulics in The Netherlands

The factors determining life conditions in running waters can be arranged in a hierarchical scheme. One of the main factors is stream velocity, which is described by Manning's formula. By transformation of the formula a set of variables is acquired with which a diagram is constructed to contain all hydraulic conditions in running water. By measuring the ground slope and the hydraulic radius at a certain station this station can be placed in the diagram. Data from Dutch streams and rivers form definite clusters enabling us to describe types of running waters on this base. The distribution patterns of stream organisms in accordance with stream hydraulics can be fit into the diagram as well.     

新版Tilia软件:中文指南和使用技巧*

Tilia软件一直是微体古生物学特别是孢粉学科使用最为普遍的一款专业计算机程序。该软件主要将样品数据经统计计算分析,将每个样品化石科属类型含量以图谱的形式依据地层深度或时间顺序排列显示,使化石数据转换为地层图式。基于各科属特别是优势或建群类型含量上下层位变化特点和规律,划分生物组合带,以图的形式直观解读生物群落的地史演替和环境变化等科学问题。由于此软件一直在英文语境下运行,功能多样,操作较为复杂,往往令国内初学者难以入手和深入。本文将以新版Tilia 2.0.45软件为对象,基于先期积累的使用经验,结合我国学者的思维方式,通过简单的孢粉数据实例,图解步骤和过程,力求通俗易懂。为此,推出"基础版"和"高阶版"两种使用说明以满足不同层次的人员需求,前者针对初学者旨在短时间内快速入门掌握孢粉百分比图谱制作的基本技巧,后者面向有一定操作经验学者力求在浓度图谱、通量图谱及"深度-年代"模型和Neotoma全球生态数据库等方面拓展提高。     

A lyotrope gradient method for liquid crystal temperature-composition-mesomorph diagram construction using time-resolved x-ray diffraction.

A new method for rapidly constructing isobaric temperature-composition-mesomorph (T-C) diagrams is described. The method involves establishing a lyotrope concentration gradient in a liquid crystal lengthwise in an x-ray capillary tube. At a fixed temperature such a sample corresponds to an isotherm in the corresponding isobaric T-C diagram. The concentration gradient is conveniently established by bringing the two components into contact in the capillary and allowing limited diffusion of one component into the other. Phase boundaries are located and phases are identified and structurally characterized continuously along the length of the capillary using time-resolved x-ray diffraction. Repeating the measurement on the same sample at a series of temperatures in the range of interest completes that T-C diagram. The method has been used to construct the T-C diagram for detergent/water and lipid/water binary and ternary systems in the 20-120 degrees C range. They agree well with and extend the results obtained by conventional methods.     

Estimating person view-factors from fish-eye lens photographs

A simple technique is described whereby view-factors can be estimated for a person at locations where the building geometry is complex. Procedures are outlined for the construction of a polar diagram whose grid cells give equal person view-factors: the diagram is designed to overlay a fish-eye lens photograph, enabling the estimation of view-factors of distinctive surfaces in the photograph image for standing and seated people.     

Pressure-Temperature Stability, Ca(2+) Binding, and Pressure-Temperature Phase Diagram of Cod Parvalbumin: Gad m 1

Fish allergy is associated with IgE-mediated hypersensitivity reactions to parvalbumins, which are small calcium-binding muscle proteins and represent the major and sole allergens for 95% of fish-allergic patients. We performed Fourier transform infrared and tryptophan fluorescence spectroscopy to explore the pressure-temperature (p-T) phase diagram of cod parvalbumin (Gad m 1) and to elucidate possible new ways of pressure-temperature inactivation of this food allergen. Besides the secondary structure of the protein, the Ca(2+) binding to aspartic and glutamic acid residues was detected. The phase diagram was found to be quite complex, containing partially unfolded and molten globule states. The Ca(2+) ions were essential for the formation of the native structure. A molten globule conformation appears at 50 °C and atmospheric pressure, which converts into an unordered aggregated state at 75 °C. At >200 MPa, only heat unfolding, but no aggregation, was observed. A pressure of 500 MPa leads to a partially unfolded state at 27 °C. The complete pressure unfolding could only be reached at an elevated temperature (40 °C) and pressure (1.14 GPa). A strong correlation was found between Ca(2+) binding and the protein conformation. The partially unfolded state was reversibly refolded. The completely unfolded molecule, however, from which Ca(2+) was released, could not refold. The heat-unfolded protein was trapped either in the aggregated state or in the molten globule state without aggregation at elevated pressures. The heat-treated and the combined heat- and pressure-treated protein samples were tested with sera of allergic patients, but no change in allergenicity was found.     

Are lipid phase transitions responsible for chilling damage in human platelets?

In previous studies we have proposed that the well-known chilling-induced activation of human blood platelets can be ascribed at least in part to a thermotropic phase transition in membrane lipids. The evidence that this is the case is reviewed and amplified in this review, followed by an examination of the available physical data concerning phase transitions in lipid mixtures that mimic the mixture found in platelet membranes. Assuming complete mixing at all temperatures and equal contributions of the members of the mixture to the phase transition, the lipid mixture found in platelets should give values for Tm ranging from about 1 degrees C to about 16 degrees C, depending on the isomers present in the mixture. (The former value is not in agreement with the observed Tm, but the latter is in excellent agreement.) However, examination of the phase diagram for a binary pair of lipids found in platelet membranes shows that ideal mixing almost certainly does not occur; instead of a linear phase diagram, a convex one was obtained. This shape for the phase diagram, which would displace Tm to an unexpectedly elevated temperature, is in agreement with previously published phase diagrams for mixtures of this type. The prediction, based on thermodynamic properties of lipids found in the platelets, is that Tm will be displaced upward in more complex mixtures of the composition found in platelets, a prediction that requires experimental testing.     

A new 2D-based method for myocardial velocity strain and strain rate quantification in a normal adult and paediatric population: assessment of reference values

Background

Cardiac time intervals have been described as a measure of cardiac performance, where prolongation, shortening and delay of the different time intervals have been evaluated as markers of cardiac dysfunction. A relatively recently developed method with improved ability to measure cardiac events is Tissue Doppler Imaging (TDI), allowing accurate measurement of myocardial movements.

Methods

We propose the state diagram of the heart as a new visualization tool for cardiac time intervals, presenting comparative, normalized data of systolic and diastolic performance, providing a more complete overview of cardiac function. This study aimed to test the feasibility of the state diagram method by presenting examples demonstrating its potential use in the clinical setting and by performing a clinical study, which included a comparison of the state diagram method with established echocardiography methods (E/E' ratio, LVEF and WMSI). The population in the clinical study consisted of seven patients with non ST-elevation myocardial infarction (NSTEMI) and seven control subjects, individually matched according to age and gender. The state diagram of the heart was generated from TDI curves from seven positions in the myocardium, visualizing the inter- and intraventricular function of the heart by displaying the cardiac phases.

Results

The clinical examples demonstrated that the state diagram allows for an intuitive visualization of pathological patterns as ischemia and dyssynchrony. Further, significant differences in percentage duration between the control group and the NSTEMI group were found in eight of the totally twenty phases (10 phases for each ventricle), e.g. in the transition phases (Pre-Ejection and Post-Ejection). These phases were significantly longer (> 2.18%) for the NSTEMI group than for the control group (p < 0.05). No significant differences between the groups were found for the established echocardiography methods.

Conclusion

The test results clearly indicate that the state diagram has potential to be an efficient tool for visualization of cardiac dysfunction and for detection of NSTEMI.     

Determination of partition coefficient by the change of main phase transition

The molar partition coefficients of amphiphilic additives, e.g. local anesthetics, between the aqueous phase, the liquid crystal and the gel phase of lipid membrane can be determined based on a combination of phase transition data obtained at high and low concentrations of the lipid in aqueous phase. The data obtained at high lipid concentration allow to find the phase diagram lipid-additive in the aqueous environment. The combination of this diagram with data obtained at low lipid and additive concentrations provides direct information on the concentration of anesthetics in the lipid and thus allows the calculation of the partition coefficient.     

Pressure-temperature phase diagrams of biomolecules

The pressure-temperature phase diagram of various biomolecules is reviewed. Special attention is focused on the elliptic phase diagram of proteins. The phenomenological thermodynamic theory describing this diagram explains the heat, cold and pressure denaturations in a unified picture. The limitations and possible developments of this theory are discussed as well. It is pointed out that a more complex diagram can be obtained when the intermolecular interactions are also taken into account. In this case metastable states appear on the pressure-temperature (p-T) diagram due to intermolecular interactions. Pressure-temperature phase diagrams of other biopolymers are also discussed. While the p-T diagrams of helix-coil transition of nucleic acids and of gel-liquid crystal transition of lipid bilayers are non-elliptical, those of gelatinization of starch and of phase separation of some synthetic polymers show an elliptic profile, similar to that of proteins. Finally, the p-T diagram of bacterial inactivation is shown to be elliptic. From the point of view of basic science, this fact shows that the key factor of inactivation should be the protein type, and from the viewpoint of practical applications, it serves as the theoretical basis of pressure treatment of biosystems.     

Stable,metastable, and supercritical phases in solutions of globular proteins between upper and lower denaturation temperatures

The temperature trends of the standard thermodynamic functions of the native and denatured protein in solution are considered within the concept of excess mixing functions. It is assumed that some protein molecules adopt an intermediate state between native and denatured forms within the temperature range between cold and thermal denaturation and form metastable microphases as a result of a specific interaction with water. A phase diagram in the temperature–standard entropy coordinate plane representing an isobar family is proposed. Two limiting isobars are characterized by an entropy jump, which reflects the first-order phase transition between the native and denatured states. The isobars in the intermediate temperature range are represented as van der Waals curves, which reflect the equilibrium between the main phase of the molecules in native state and microphases. The difference between the phases disappears at critical points. It is assumed that the supercritical range is a macroscopically homogeneous single phase zone of reduced stability, which is represented by a dynamic system of monomers and oligomers of the native protein, monomers and clusters of the protein with partially unfolded structure. The phase diagram is collated with the elliptic phase diagram in the temperature–osmotic pressure plane.     

The signal-flow diagram of the oculomotor control system, — and its transferability to the more intricate skeletomotor control system

A signal-flow diagram of the oculomotor control system has been derived which is able to describe the three modes of its action 1) pursuit movements 2) voluntary saccadic movements and 3) the passive non-innervated state of extraocular muscles which exists during sleep. It has been taken into consideration that in the smooth pursuit system there is a neural integrator in order to bring back to zero the error between the position of the eye and an external constant reference point. [Evidence for integration in oculomotor pathways we have from experiments by Cohen and Komatsuzaki (1972) who used stimulation of the pontine reticular formation.] All this is achieved by a system of variable structure with three states. In skeletomotor systems likewise there are smooth compensatory movements and voluntary movements and a state without any innervation. Some neurological diseases can be interpreted as an impairment of switching at special spots of the signal-flow diagram or as a disconnection of signalpathways, respectively. From this can be concluded that the signal-flow diagram derived for the rather lucid oculomotor control system should be able to describe the basic function of skeletomotor control systems, too.     

Critical phenomena, phase equilibria, and the temperature and structural optimum of homeostasis, as revealed by a model system water-biopolymer-electrolyte

Equations of spinodal and two quasispinodals corresponding to critical and supercritical phase transitions leading to a rise of different dynamic structures of solution in the phase diagram of a model system water-biopolymer-electrolyte were obtained. The section of the phase diagram was considered where there exists the probability of quasi-equilibrium monomer-cluster and the principle of water-ion homeostasis is realized. Based on these results, a possible mechanism of origination of unspecific adaptation reactions of a biomolecular system at the stage of chemical evolution was suggested.