细锥香茶菜甲素的结构订正和丙素的化学结构

前已报道［１］从唇形科香茶菜属植物细锥香茶菜（Ｒａｂｄｏｓｉａｃｏｅｔｓａ（Ｂｕｃｈ．Ｈａｎ．ｅｘＤ．Ｄｏｎ）Ｈａｒａ）中分离到３个结晶单体,并测定了其中两个单体——细锥香茶菜甲素（１）和乙素的结构。本文通过１Ｈ－１ＨＣＯＳＹ、１３Ｃ－１ＨＣＯＳＹ和ＮＯＥＳＹ,修订细锥香茶菜甲素（１）的结构为（２）,并经理化常数测定和光谱分析,确定了另一结晶单体——微量新成分细锥香茶菜丙素（３）的结构。（２）Ｒ１＝Ｒ２＝Ｒ４＝Ｈ,Ｒ３＝ＯＡｃ,Ｒ５＝ＯＣＨ３（３）Ｒ１＝Ｒ３＝Ｒ４＝Ｈ,Ｒ２＝ＯＡｃ,Ｒ５＝ＯＣＨ…     

乳腺癌AgNOR计数与癌胚抗原的免疫组化研究

应用核仁组成区嗜银蛋白（ＡｇＮＯＲ）技术及癌胚抗原（ＣＥＡ）免疫组化染色对９８例乳腺良、恶性病变进行对比研究。结果表明：ＡｇＮＯＲ计数与肿瘤增殖活跃程度及生物学行为是一致的。乳腺癌中ＡｇＮＯＲ计数显著高于良性病变（Ｐ＜０．０１）。浸润癌ＡｇＮＯＲ计数比其他类型乳腺癌高。ＣＥＡ染色在乳腺良性病变中基本阴性,恶性病变中阳性率８０．８％。乳腺癌中ＡｇＮＯＲ计数与ＣＥＡ分布之间呈线性相关（ｒ＝０．８２,Ｐ＜０．０５）。ＣＥＡ阳性乳腺癌组与ＣＥＡ阴性组ＡｇＮＯＲ计数差异显著（Ｐ＜０．０５）。提示：ＡｇＮＯＲ定量研究和ＣＥＡ分布在乳腺良、恶性病变的鉴别及肿瘤恶性程度的研究中具有相似的参考价值。     

国产前原鹅观草的订正

对我国文献中记载的前原鹅观草（Ｒｏｅｇｎｅｒｉａｍａｙｅｂａｒａｎａ（Ｈｏｎｄａ）Ｏｈｗｉ）的标本和植物,与原产于日本的该种进行了比较形态学、细胞学研究,二者差异显著。作者认为我国所记载的该种种名应是山东鹅观草（Ｒｏｅｇｎｅｒｉａｓｈａｎｄｏｎｇｅｎｓｉｓ（Ｂ．Ｓａｌｏｍｏｎ）Ｊ．Ｌ．Ｙａｎｇ,Ｙ．Ｈ．ＺｈｏｕｅｔＹｅｎ）,其内稃先端钝圆,长为外稃的３／４,染色体数为２ｎ＝４ｘ＝２８,具ＳＹ染色体组,结实率达９０％以上,过去被错定为Ｒ．ｍａｙｅｂａｒａｎａ。而Ｒ．ｍａｙｅｂａｒａｎａ在日本系一天然杂种,其内稃先端尖,与外稃等长或稍短,染色体数为２ｎ＝６ｘ＝４２,具ＨＳＹ染色体组,结实率极低,仅０．２％～０．４％。     

福建九龙棘蛙和小棘蛙的核型和Ag—NORs研究

福建两种棘蛙的核型和Ａｇ－ＮＯＲｓ观察结果如下：九龙棘蛙，２ｎ＝２６（２２Ｍ＋４ＳＭ），ＮＦ＝５２，５＋８模式，Ａｇ－ＮＯＲｓ位于６ｐｉｎｔｅｒ，小棘蛙，２ｎ＝２６（２０Ｍ＋６ＳＭ），ＮＦ＝５２，５＋８模式，次缢痕和Ａｇ－ＮＯＲｓ在６ｐｉｎｔｅｒ。二者均未发现与性别分化相关的异形染色体。根据已知棘蛙属内的核型资料，对该属种间和居群间的核型演化机制进行了讨论。     

用电子自旋共振（ESR）研究肾缺血移植和再灌注过程产生的自由基

在低温（－１００℃）用ＥＳＲ检测和分析了大鼠肾缺血,移植和再灌注过程中出现的ＥＳＲ信号,发现在体（ｉｎｖｉｖｏ）肾缺血１小时再灌注２分钟肾组织除了出现ｇ＝２．００４０的醌类自由基以及ｇ＝１．９３７０和ｇ＝１．９７３０处与过渡金属离子有关的信号外,在低场区又出现一个很明显的信号（ｇ＝２．０８１２）,该信号的位置同及ＬＯＯ．的ｇ     

云南三种同域分布的棘蛙（蛙科Ranidae：无尾目Anura）的核型和银带研究

本文比较分析了云南景东地区三种同域分布棘蛙的核型和Ａｇ－ＮＯＲｓ。花棘蛙２ｎ＝２６（１６Ｍ＋ １０ＳＭ）,ＮＦ＝５２,次缢痕和Ａｇ－ＮＯＲｓ位于１ｐｉｎｔｅｒ,Ｎｏｓ．２－４,８,９等为ＳＭ。棘肛蛙２ｎ＝４０（１６Ｍ＋ ２０ＳＭ＋２ＳＴ＋２Ｔ）,ＮＦ＝７８,Ｎｏｓ．５－９,１１－１３,１５,１７等１０对为ＳＭ,Ｎｏ．３为ＳＴ,Ｎｏ．１８为Ｔ,其余 均为Ｍ,Ａｇ－ＮＯＲｓ位于１１Ｐ。二种的Ａｇ－ＮＯＲｓ都有异形现象。双团棘胸蛙２ｎ＝６４Ｔ,次缢痕和Ａｇ－ ＮＯＲＳ在４ｑｐｅｒ。都未发现异形性染色体。最后,对棘蛙属的核型演化机制和物种形成方式作了讨论。     

用电子自旋共振（ESR）研究肾缺血移植和再灌注过程产生的自由基

在低温（－１００℃）用ＥＳＲ检测和分析了大鼠肾缺血,移植和再灌注过程中出现的ＥＳＲ信号,发现在体（ｉｎｖｉｖｏ）肾缺血１小时再灌注２分钟肾组织除了出现ｇ＝２．００４０的醌类自由基以及ｇ＝１．９３７０和ｇ＝１．９７３０处与过渡金属离子有关的信号外,在低场区又出现一个很明显的信号（ｇ＝２．０８１２）,该信号的位置同及ＬＯＯ．的ｇ     

四种无尾两栖动物的核型和银染

本文报道了二种角蟾和二种树蛙的核型和银染ＮＯＲ：无量出角蟾：２ｎ＝２６（２４＋２ＳＭ），５＋８，ＳＣ和Ａｇ－ＮＯＲｓ位于６ｑ＾ｐｅｒ沙坪角蟾：２ｎ＝２６（１６Ｍ＋８ＳＭ＋２ＳＴ），５＋８，ＳＣ位于１ｑ＾ｐｅｒ，但Ａｇ－ＮＯＲｓ有二对，分别是ｌｑ＾ｐｅｒ和２ｑ＾ｐｅｒ；黑蹼树蛙：２ｎ＝２６（２４Ｍ＋２ＳＭ），５＋８，ＳＣ和Ａｇ－ＮＯＲｓ在ｌｐ＾ｉｎｔｅｒ；背条跳树蛙；２ｎ＝１６（１２Ｍ＋４ＳＭ），Ｓ     

表油菜素内酯对绿豆幼叶衰老的促进作用

表油菜素内酯（ｅｐｉＢＲ）０．０５ｍｇ／Ｌ能促进绿豆幼叶的衰老,其叶绿素和蛋白质含量均明显低于对照。绿豆幼叶经ｅｐｉＢＲ处理后,可使过氧化物酶活性明显增加,但同工酶谱无变化;超氧化物歧化酶（ＳＯＤ）和过氧化氢酶（ＣＡＴ）活性随ｅｐｉＢＲ处理时间的延长而降低。ｅｐｉＢＲ能促进丙二醛（ＭＤＡ）含量增加,而其含量与ＳＯＤ和ＣＡＴ活性是显著负相关。     

表油菜素内酯对绿豆幼叶衰老的促进作用

表油菜素内酯（ｅｐｉＢＲ）０．０５ｍｇ／Ｌ能促进绿豆幼叶的衰老,其叶绿素和蛋白质含量均低于对照。绿豆幼叶经ｅｐｉＢＲ处理后,可使过氧化物酶活性明显增加,但同工酶谱无变化;超氧化物歧化酶（ＳＯＤ）和过氧化氢酶（ＣＡＴ）活性随ｅｐｉＢＲ处理时间的延长而降低。ｅｐｉＢＲ能促进丙二醛（ＭＤＡ）含量增加,而其含量与ＳＯＤ和ＣＡＴ活性呈显著负相关。     

Early treatment with parenteral penicillin in meningococcal disease.

OBJECTIVE--To measure the effect of parenteral antibiotics given before admission to hospital on mortality and on bacteriological investigations in meningococcal disease. DESIGN--Retrospective review of hospital notes and laboratory and public health medicine department records. SETTING--Three health districts in south west England. SUBJECTS--Patients with meningococcal disease in Gloucester district presenting between 1 January 1982 and 31 December 1991 (n = 190); patients with meningococcal disease in Plymouth (n = 118) and Bath (n = 73) districts presenting between 1 January 1988 and 31 December 1991 (total = 381). MAIN OUTCOME MEASURE--Number of deaths from meningococcal disease. RESULTS--Parenteral antibiotic given by general practitioners was associated with a substantial reduction in mortality (from 9% to 5%; relative risk 0.6, 95% confidence interval 0.2 to 1.5); patients with a rash were more likely to be given parenteral antibiotics, and mortality was further reduced (from 12% to 5%; 0.5, 0.2 to 1.4). In a district where such treatment was regularly encouraged its use increased from 5% to 40% of cases over 10 years (p = 0.00001). Treatment with parenteral antibiotics before admission made isolation of meningococci from blood and cerebrospinal fluid less likely but did not affect nasopharyngeal cultures. CONCLUSIONS--General practitioners should carry benzylpenicillin in their emergency bags at all times and should administer it promptly, preferably intravenously, whenever meningococcal disease is suspected, unless the patient has had an anaphylactic reaction to penicillin. Specimens for culture should include a nasopharyngeal swab.     

Prospective study of interaction between alcohol, NSAID use and polymorphisms in genes involved in the inflammatory response in relation to risk of colorectal cancer

Inflammatory bowl disease predisposes to cancer of the colorectum, and the use of non-steroidal anti-inflammatory drugs (NSAIDs) decreases the risk; hence genetic variations that modify the inflammatory response may alter the risk of colorectal cancer (CRC). The purpose of this study was to determine if polymorphisms associated with an altered inflammatory response are associated with colorectal cancer risk, and to investigate the possible interaction with lifestyle factors such as alcohol use, smoking and NSAID use. We studied 355 adenocarcinoma cases and 753 control persons, nested within the prospective "Diet, Cancer and Health" study. None of the polymorphisms were associated with risk of colorectal cancer. A statistically significant interaction between PPARgamma2 Pro(12)Ala and alcohol was found, where alcohol use was associated with a 22% increased risk of CRC per 10g alcohol/day among carriers of the variant allele but not among homozygous wild type allele carriers (P for interaction=0.02). Moreover, an interaction between DLG5 R30Q and NSAID use was found (P for interaction=0.02). Our results do not suggest that inborn variations in the inflammatory response play any major role in risk of colorectal cancer.     

Are amoxycillin and folate inhibitors as effective as other antibiotics for acute sinusitis? A meta-analysis

Objectives: To examine whether antibiotics are indicated in treating uncomplicated acute sinusitis and, if so, whether newer and more expensive antibiotics with broad spectra of antimicrobial activity are more effective than amoxycillin or folate inhibitors. Design: Meta-analysis of randomised trials. Setting: Outpatient clinics. Subjects: 2717 patients with acute sinusitis or acute exacerbation of chronic sinusitis from 27 trials. Interventions: Any antibiotic versus placebo; amoxycillin or folate inhibitors versus newer, more expensive antibiotics. Main outcome measurements: Clinical failures and cures. Results: Compared with placebo, antibiotics decreased the incidence of clinical failures by half (risk ratio 0.54 (95% confidence interval 0.37 to 0.79)). Risk of clinical failure among 1553 randomised patients was not meaningfully decreased with more expensive antibiotics as compared with amoxycillin (risk ratio 0.86 (0.62 to 1.19); risk difference 0.9 fewer failures per 100 patients (1.4 more failures to 3.1 fewer failures per 100 patients)). The results were similar for other antibiotics versus folate inhibitors (risk ratio 1.01 (0.52 to 1.97)), but data were sparse (n=410) and of low quality. Conclusions: Amoxycillin and folate inhibitors are essentially as effective as more expensive antibiotics for the initial treatment of uncomplicated acute sinusitis. Small differences in efficacy may exist, but are unlikely to be clinically important.

Key messages

• A major question in managing acute sinusitis is whether antibiotics should be used, and if so which drugs should be chosen
• In a comprehensive meta-analysis we evaluated evidence from randomised controlled trials comparing, firstly, antibiotics against placebo and, secondly, amoxycillin and folate inhibitors against newer, more expensive antibiotics
• Antibiotics were significantly more efficacious than placebo in achieving cure of clinical symptoms, but over two thirds of placebo patients showed spontaneous resolution or improvement of symptoms
• Amoxycillin and folate inhibitors had overall similar efficacy compared with newer antibiotics
• The current evidence does not justify the use of expensive, broad spectrum antibiotics in the community for treating uncomplicated acute sinusitis

     

THE ISSUE OF ANTIBIOTIC USE IN THE LIVESTOCK INDUSTRY: WHAT HAVE WE LEARNED?

It is generally believed that it is better to use medicinal products as therapeutics to treat disease situations, using high doses for short periods of time, rather than as prophylactics, when low doses are fed continuously. It is therefore the continuous use of low levels of medicinal products as growth promoters in farm animals that has been brought into question, as it is thought that this may increase the risk of development of bacterial resistance to antibiotics used as therapeutic drugs to treat disease in humans.     

Perioperative Antibiotics to Prevent Acute Endophthalmitis after Ophthalmic Surgery: A Systematic Review and Meta-Analysis

BackgroundPost-operative endophthalmitis is a rare and dreaded complication in ophthalmic operations because it often induces irreparable vision loss. Although many ophthalmological studies aimed at reducing the rate of endophthalmitis have been performed around the world, controversy continues to surround some issues, including the choice of antimicrobials and their route of administration, duration and timing. The aim of this study is to investigate some of these unresolved issues.MethodsA systematic review and meta-analysis of randomized controlled trials and observational studies was performed. The PubMed, EMBASE, Cochrane Library and Clinical Trials databases were searched to identify studies published until Feb. 2016. The relative risk (RR) for each clinical outcome data is presented with 95% confidence intervals (CIs). Pooled estimates of effects were calculated using random-effect models.ResultsThirty-four studies from twenty-four reports involving 1264797 eyes were included in this analysis. Endophthalmitis occurred, on average, in one out of 6177 eyes when intracameral vancomycin/moxifloxacin were used and in one out of 1517 eyes when intracameral vancomycin/moxifloxacin were not used. The relative risk (95% CI) of endophthalmitis was reduced to 0.20 (0.10, 0.42) when intracameral antibiotics were used (p<0.0001). The subconjunctival injection of antibiotics was not superior to other administration routes included in this study (RR = 1.67, 95% CI (0.55, 5.05), p = 0.36). A statistically significant difference was found in the rate of endophthalmitis between the use and lack of use of topical antibiotics (RR = 0.65, 95% CI (0.43, 0.99), p = 0.04). However, no statistically significant difference was found in microbial isolation rates between these groups (RR = 0.77, 95% CI (0.34, 1.75), p = 0.53). When long-term and short-term use of topical antibiotics before surgery were compared, a statistically significant difference was found in microbial isolation rates (RR = 0.57, 95% CI (0.44, 0.74), p<0.0001).ConclusionsThis meta-analysis concluded intracameral antibiotics are effective at preventing endophthalmitis in ocular surgery. A randomized controlled trial confirms the efficacy of cefuroxime but recent large cohort studies support the efficacy of vancomycin/moxifloxacin intracamerally. Intracameral antibitoics are superior to subconjunctival injections but that irrigation antibitoic data are not of enough quality to make a comparison. Different results were found in two clinical outcomes between the use or lack of use of topical antibiotic therapy, we did not find sufficient evidence to conclude that its use prevents endophthalmitis.     

Study of Environmental and Antimicrobial Agents Impact on Features of Bacterial Growth

Continuous, real-time observation of bacterial growth has a great advantage for studying the mechanisms of interactions of various compounds with the bacterial cell membrane. With the use of physical methods, which are specific for assessment of continuous changes in turbidity over time, we have shown that bacterial growth was affected by not only on types of antibiotics and phages, but also by their concentration in media. Low concentration of antibiotics and bacteriophages in media has no effect on the bacterial growth process. Our research has shown that if bacterial cell membrane is not completely saturated with antibiotics membrane sensitive sites (MSS), or bacteriophages free unbounded receptors are remained, bacterial growth continues unimpeded.     

Periconceptional and Gestational Exposure to Antibiotics and Childhood Asthma

Background

Previous studies suggest that maternal antibiotics exposure during pregnancy may increase the risk of childhood asthma, but the results were inconsistent. Furthermore, most studies did not examine periconception period as an exposure window. We aim to assess the associations between maternal exposure to specific antibiotics before and during pregnancy and the risk of asthma in early childhood.

Methods

Data from the Collaborative Perinatal Project were used. Maternal exposure to antibiotics before and during pregnancy was recorded at each prenatal visit. A total of 39,907 singleton children were followed up to 7 years of age. Multilevel multiple logistic regression models were used to control for potential confounders and account for multiple pregnancies per woman.

Results

Maternal use of penicillin or chloramphenicol was associated with an increased risk of asthma in the offspring (adjusted odds ratio = 1.21, 95% confidence interval 1.08–1.36 for penicillin; 1.72 [1.14–2.59] for chloramphenicol). The risk was significantly increased if penicillin or chloramphenicol was used in the 1st trimester (1.09 [1.04–1.13] for penicillin and 1.23 [1.01–1.51] for chloramphenicol).

Conclusion

Maternal exposure to certain antibiotics is associated with childhood asthma by 7 years of age. Early pregnancy may be a sensitive window.     

Effectiveness of antibiotics in preventing meningococcal disease after a case: systematic review

Objective To summarise the evidence for the role of antibiotics in preventing further cases of meningococcal disease through chemoprophylaxis given to the index patient, household contacts, and children in day care settings after a single case.Design Systematic review.Methods Studies were identified by searching Embase (1983-2003), Medline (1965-2003), and CAB Health (1973-2003) and by contacting the World Health Organization and the European meningococcal disease surveillance network and examining references of identified papers. The review included all studies with at least 10 cases in which outcomes were compared between treated and untreated groups.Main outcome measure Subsequent cases of meningococcal disease 1-30 days after onset of disease in the index patient.Results Four observational studies and one small trial met the inclusion criteria. Meta-analysis of studies on chemoprophylaxis given to household contacts showed a significant reduction in risk (risk ratio 0.11, 95% confidence interval 0.02 to 0.58). The number needed to treat to prevent a case was estimated as 218 (121 to 1135). Primary outcome data were not available in studies of chemoprophylaxis given to the index patient: when prophylaxis had not been given, rate of carriage after discharge from hospital was estimated as 3% (0 to 6), probably an underestimate of the true rate. No studies of chemoprophylaxis in day care settings were identified that met the inclusion criteria.Conclusion There have been no high quality experimental trials looking at control policies for meningococcal disease. The best available evidence is from retrospective studies. The risk of meningococcal disease in household contacts of a patient can be reduced by an estimated 89% if they take antibiotics known to eradicate meningococcal carriage. Chemoprophylaxis should be recommended for the index patient and all household contacts.     

ANTIBIOTIC ANAPHYLAXIS

Anaphylactic reactions following the injection of penicillin or other antibiotics have increased greatly during the past several years. These untoward reactions to penicillin were infrequent during the first nine years of penicillin therapy and there can be no doubt that hypersensitivity to these drugs is developing in many people. Therefore promiscuous use of them is to be condemned. It is safer not to use antibiotics parenterally in patients with allergic conditions such as bronchial asthma. The further use of a particular antibiotic should be avoided if the patient has previously shown any hypersensitivity to that drug.A questionnaire was answered by more than 1,000 California physicians who reported that over 300 patients had severe anaphylactic reactions from parenteral penicillin and streptomycin. There were seven deaths.Since the antibiotics should still be used when needed, prevention of anaphylaxis is of fundamental importance. The frequency of these reactions can be greatly reduced by the use of antihistaminic solutions combined with the antibiotics. Treatment of these shock-like reactions demands the prompt administration of epinephrine intramuscularly, antihistaminic solutions intravenously and oxygen.     

THE SIGNIFICANCE OF INFECTION IN ALLERGIC DISEASE-Its Influence on Diagnosis and Management

The presence of infection in allergic disease produces a confused picture in which two different causative factors must be clearly separated by the physician if he is to treat the patient successfully. The effects of infection are not consistent. There are situations, as seen in infectious diseases, where symptoms of allergic disease are temporarily relieved and others where the infection may intensify or precipitate the allergic condition. It is likewise important to recognize the complications superimposed upon allergic disease by infection. In such cases, control of the infection is as dependent upon control of the allergy as it is upon antibiotics.