临床路径在老年性白内障手术患者中的应用评价

目的 探讨临床路径在老年性白内障手术患者中的应用及实施效果。方法 选取2009年6月—2012年6月期间在某三甲医院住院手术治疗的3 758 例老年性白内障病人为研究对象,采用对照研究,经患者同意,将其分为对照组（1 995例）和观察组（1 764例）,比较两组平均住院日、平均住院费用、西药费用、辅助诊断费、患者满意度、健康知识知晓程度。结果 观察组的平均住院日、平均住院费用、西药费用、辅助诊断费、并发症发生率均低于对照组（P <0.000 1）, 患者满意度及健康知识掌握情况均高于对照组（P<0.05）,差别具有统计学意义。结论 临床路径应用于白内障手术,可以缩短住院天数,降低医疗费用及辅助诊断费,提高患者的满意度,提高患者对健康知识的掌握率,减少术后并发症的发生。     

绩效考核管理对护理服务质量的影响

?????? 目的 探讨科学有效的绩效考核管理方案,与护理人员分配体系挂钩,以调动护士工作的积极性和主动性,提高护理质量。方法 以2011年开展绩效考核管理的护理单元为研究对象,从护理人员岗位层级、完成护理工作数量、护理工作质量、病人对护理服务的满意程度等方面量化考核,并与未进行绩效管理前的考核成绩进行比较。结果 各护理单元实行绩效考核后,各项护理指标、病人的满意度均明显提高,差异有显著性（P <0.01）。结论 实施护理人员的绩效考核管理,能有效地提高护理质量,提高病人的满意度,有利于提升优质护理服务内涵,促进优质护理服务的深入持续发展。     

老年性白内障患者住院费用及相关因素的现况调查

目的 探讨老年性白内障住院患者住院费用的年龄、性别和不同医院的分布特点,为提供科学收费标准提供参考依据。方法 采用整群抽样的方法对2009年不同医院9 464例老年性白内障患者的住院费用及相关因素进行横断面调查并进行初步分析。结果 将老年白内障患者按<60岁、60~80岁、>80岁分为3组,床位费、西药费、检验费、放射费、特检费、治疗费、手术费和护理费均随年龄增加而增加且存在统计学差异。以上费用,男性患者均高于女性且存在统计学差异。海军医院患者最高（P<0.05）,其他由高至低依次为全军陆军医院、全军空军医院和全军二炮医院患者。结论 卫生决策部门应针对其不同特点制定适宜收费标准,有必要跟进研究不同病种费用区别的制度或管理层面的原因。

     

医护人员心理资本、应对方式与工作倦怠关系

目的 探讨医护人员心理资本、应对方式与工作倦怠的关系。方法 采用心理资本量表、简易应对方式量表和Maslach工作倦怠量表通用版对河北省某省级三甲医院101名医护人员进行调查。结果 （1）医生自我效能得分高于护士,成就感低落得分低于护士(P<0.05)。（2）心理资本与工作倦怠（乐观与成就感低落相关除外）呈显著负相关(P<0.01 or P<0.05),消极应对与成就感低落呈显著正相关(P<0.01)。（3）希望对情绪衰竭和玩世不恭有明显负向预测(P<0.01,P<0.001),自我效能(P<0.001)和消极应对(P<0.05)对成就感低落分别有负向和或正向预测作用。结论 提升心理资本水平,调整消极应对方式能有效预防和矫治医护人员工作倦怠;医院管理层应关注护士群体的心理状态。     

模拟失重不同时长对大鼠抑郁样行为的影响

目的 本研究旨在观察不同持续时间的模拟失重对大鼠抑郁样行为和海马超氧化物歧化酶（SOD）和过氧化氢酶（CAT）的影响，以探究其影响及可能的作用机制。方法 采用后肢悬挂（HLS）尾吊法模拟大鼠失重状态。将大鼠分为对照组和不同模拟失重时间尾吊组（尾吊时长分别为1、2、3、4周）。采用旷场实验（OFT）、新物体识别实验（NORT）、强迫游泳实验（FST）观察大鼠抑郁样行为，采用酶联免疫吸附试验（ELISA）法测定海马SOD和CAT活性。结果 OFT结果显示，与对照组相比，HLS不同时间大鼠的僵滞时间增加（P<0.05，P<0.01）。在NORT中，与对照组相比，HLS不同时间大鼠对新物体的探索潜伏期增加，探索次数和时间减少（P<0.05，P<0.01）。在FST中，与对照组相比，HLS不同时间大鼠在FST中的不动时间增加，攀爬次数减少（P<0.05，P<0.01）。与对照组相比，HLS不同时间组大鼠海马组织中SOD和CAT水平均下降（P<0.05，P<0.01）。结论 短时间或长时间的失重都会导致大鼠产生类抑郁样行为。     

脑卒中患者连续性护理的应用及效果评价

目的 探讨对脑卒中患者应用连续性护理的效果。方法 构建连续性护理模式,从入院开始进行连续性护理干预,通过患者住院天数、住院费用、再入院率、护理服务满意度、BI指数等指标评价应用效果。结果 连续性护理干预减少了患者住院天数、住院费用、再入院率（P<0.01,P<0.01,P<0.05）,提高了患者对护理服务的满意度及BI指数（P<0.05）。结论 连续性护理是脑卒中患者护理的有效途径,值得推广应用。     

老年性白内障日间手术临床路径模式效果分析

目的 借鉴国内外日间手术管理经验,在医药分开综合改革的背景下,探索实施老年白内障日间手术临床路径新模式。方法 对首都医科大学附属北京同仁医院2010年（临床路径实施前）、2013年（临床路径实施后）和2016年（日间手术临床路径模式开展后）老年性白内障治疗人均费用、平均住院日、术后感染率进行比较。结果 实施老年白内障日间手术临床路径新模式,平均住院日缩短,人均治疗费用降低,且差异均有统计学意义（P>0.05）。2010年、2013年、2016年的手术感染率都较低,差异无统计学意义（P>0.05）。结论 在保障医疗质量的前提下,老年性白内障日间手术临床路径新模式的实施,不仅提高医院和科室的经济效益,为政府节约医疗资源,而且还能降低患者的治疗费用,提高患者满意度。     

西藏麦地卡湿地大型土壤动物群落特征与环境因子关系

为了探究西藏麦地卡湿地国家级自然保护区大型土壤动物群落特征与环境因子的关系,于2020年7月和2021年8月根据其地理环境特征在其三个核心区共设置了3个样地（100 m×100 m）,每个样地设置2个样点作为重复;采用手检法收集大型土壤动物,并保存于75%乙醇的收集管中,圆筒式环刀（高30 cm,直径5 cm）取0~10 cm土样,测定相关环境因子。共捕获大型土壤动物336头,经鉴定隶属于3门5纲11目15科,优势类群为石蜈蚣科（Lithobiidae）、芫菁科（Meloidae）、拟步甲科（Tenebrionidae）;单因素方差分析显示,三个样地中,大型土壤动物个体数（F=0.194,P=0.833）、Shannon-Wiener多样性指数（H）（F=0.304,P=0.758）、Pielou均匀度指数（E）（F=0.346,P=0.732）和Simpson优势度指数（C）（F=0.245,P=0.797）均无显著性差异（P>0.05）。三个样地的Jaccard相似性系数（J）在0.56~0.65,为中等相似;功能类群以植食性为主,腐食性最少。Pearson相关性分析表明,Pielou均匀度指数（E）分别与海拔（Alt）和速效钾（RAK）呈极显著正相关（P<0.01）,Pielou均匀度指数（E）分别与土壤含水量（SWC）和全氮（TN）呈显著正相关（P<0.05）,个体数（N）与土壤盐度（SAL）呈极显著负相关（P<0.01）。     

品管圈降低肝胆外科非计划再手术发生率的应用研究

??????? 目的 降低肝胆二科非计划再次手术发生率。方法 综合运用品管圈的管理方法,分析影响非计划再次手术的主要原因,制定针对性措施实施过程改进。结果 实施改进措施后,非计划再次手术发生率由1.12%降低至0.21%,达到目标值＜0.5%（P=0.045）,月平均住院日由14.32天缩短至10.52天（P<0.001）。结论 品管圈管理方法的应用显著降低非计划再次手术发生率,缩短患者平均住院日,有利于提升手术质量,减少不良事件发生,保障患者生命安全。     

Preparation of hair for measurement of elements by inductively coupled plasma-mass spectrometry (ICP-MS)

The preparation of hair for the determination of elements is a critical component of the analysis procedure. Open-beaker, closedvessel microwave, and flowthrough microwave digestion are methods that have been used for sample preparation and are discussed. A new digestion method for use with inductively coupled plasma-mass spectrometry (ICP-MS) has been developed. The method uses 0.2 g of hair and 3 mL of concentrated nitric acid in an atmospheric pressurelow-temperature microwave digestion (APLTMD) system. This preparation method is useful in handling a large numbers of samples per day and may be adapted to hair sample weights ranging from 0.08 to 0.3 g. After digestion, samples are analyzed by ICP-MS to determine the concentration of Li, Be, B, Na, Mg, Al, P, S, K, Ca, Ti, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, Ge, As, Se, Rb, Sr, Zr, Mo, Pd, Ag, Cd, Sn, Sb, I, Cs, Ba, Pt, Au, Hg, Tl, Pb, Bi, Th, and U. Benefits of the APLTMD include reduced contamination and sample handling, and increased precision, reliability, and sample throughput.     

外泌体在白血病中的重要调控作用

目前,白血病复发是患者死亡的主要原因之一。肿瘤细胞和微环境的相互作用,以及隐匿在骨髓中的肿瘤干细胞,促进了白血病的复发和向淋巴组织的转移,因此白血病的治疗、转移和复发问题受到广泛关注。外泌体是由绝大多数细胞分泌的双层脂质膜囊泡,可以调控细胞间的交流和信息传递。在白血病细胞、基质细胞和内皮细胞之间的相互联系中都涉及到外泌体,白血病细胞来源的外泌体存在于白血病患者的血浆中,能把其携带的白血病相关抗原及微小RNA呈递给靶细胞,促进白血病肿瘤细胞的增殖,有助于肿瘤细胞实现免疫逃避,保护白血病细胞抵抗化疗药物导致的细胞毒性作用,促进血管生成及肿瘤细胞的迁移。因此,外泌体与白血病的转移、治疗及预后密切相关,可以用来检测和监测白血病的进展。本文综述了外泌体的来源、形成与分泌机制,以及外泌体在白血病发生前、发展中、预后和免疫治疗中所扮演的重要角色。     

日本北海道虻类雌性外生殖器形态(双翅目：虻科)(英文)

【目的】利用日本北海道虻类评估和验证外生殖器在分类学上的意义。【方法】将虻类成虫标本浸渍在生理盐水中并置于双目显微镜下通过针和镊子在培养皿中进行解剖并绘图,观察第9背板、第10背板、尾叶、第8腹板、受精囊、受精囊管及生殖叉器的形态特征。【结果】在日本北海道共记录了虻科(Tabanidae) 3亚科7属38种。我们观察并描述了3亚科其中的6属24种的雌性外生殖器的主要特征。亚科之间存在明显差异;然而在一般情况下属之间很难建立一种方法来确定共同点;种之间只有在斑虻属Chrysops中有相似之处,其他属中则比较多样化。因此,亚科鉴定根据第9背板、第8腹板及受精囊足以进行区分,属及种鉴定需要结合第9背板、第10背板、尾叶、第8腹板、受精囊、受精囊管及生殖叉器各自的特征组合在一起才能区分开来。我们也制作了虻类外生殖器的检索表。【结论】和许多其他昆虫一样,外生殖器是虻科的重要分类特征,对于促进分类学和系统学的发展具有重要意义。本研究首次对分布在日本北海道的虻科雌性外生殖器进行了系统研究。     

Ecological importance of sedges: a survey of the Australasian Cyperaceae genus Lepidosperma

Background

Sedges (Cyperaceae) form an important ecological component of many ecosystems around the world. Sword and rapier sedges (genus Lepidosperma) are common and widespread components of the southern Australian and New Zealand floras, also occurring in New Caledonia, West Papua, Borneo, Malaysia and southern China. Sedge ecology is seldom studied and no comprehensive review of sedge ecology exists. Lepidosperma is unusual in the Cyperaceae with the majority of species occurring in dryland habitats.

Scope

Extensive review of ecological literature and field observations shows Lepidosperma species to be important components of many ecosystems, often dominating understorey and sedge-rich communities. For the first time, a detailed ecological review of a Cyperaceae genus is presented.

Conclusions Lepidosperma

species are long-lived perennials with significant abundance and persistence in the landscape. Speciation patterns in the genus are of considerable interest due to complex biogeographical patterns and a high degree of habitat specificity. Potential benefits exist for medicinal products identified from several Lepidosperma species. Over 178 organisms, including 26 mammals, 42 birds, six reptiles, five amphibians, eight arachnids, 75 insects, three crustaceans and 13 fungi, are found to be dependent on, or making use of, Lepidosperma species. A significant relationship exists between Lepidosperma species and the moth genus Elachista. Implications for the conservation and ecology of both sedges and associated species are discussed.     

Literature based species occurrence data of birds of northeast India

The northeast region of India is one of the world's most significant biodiversity hotspots. One of the richest bird areas in India, it is an important route for migratory birds and home to many endemic bird species. This paper describes a literature-based dataset of species occurrences of birds of northeast India. The occurrence records documented in the dataset are distributed across eleven states of India, viz.: Arunachal Pradesh, Assam, Bihar, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim, Tripura, Uttar Pradesh and West Bengal. The geospatial scope of the dataset represents 24 to 29 degree North latitude and 78 to 94 degree East longitude, and it comprises over 2400 occurrence records. These records have been collated from scholarly literature published between1915 and 2008, especially from the Journal of the Bombay Natural History Society (JBNHS). The temporal scale of the dataset represents bird observations recorded between 1909 and 2007. The dataset has been developed by employing MS Excel. The key elements in the database are scientific name, taxonomic classification, temporal and geospatial details including geo-coordinate precision, data collector, basis of record and primary source of the data record. The temporal and geospatial quality of more than 50% of the data records has been enhanced retrospectively. Where possible, data records are annotated with geospatial coordinate precision to the nearest minute. This dataset is being constantly updated with the addition of new data records, and quality enhancement of documented occurrences. The dataset can be used in species distribution and niche modeling studies. It is planned to expand the scope of the dataset to collate bird species occurrences across the Indian peninsula.     

Characterization of citrus pectin samples extracted under different conditions: influence of acid type and pH of extraction

Background and Aims

Pectin is a complex macromolecule, the fine structure of which is influenced by many factors. It is used as a gelling, thickening and emulsifying agent in a wide range of applications, from food to pharmaceutical products. Current industrial pectin extraction processes are based on fruit peel, a waste product from the juicing industry, in which thousands of tons of citrus are processed worldwide every year. This study examines how pectin components vary in relation to the plant source (orange, lemon, lime, grapefruit) and considers the influence of extraction conditions on the chemical and macromolecular characteristics of pectin samples.

Methods

Citrus peel (orange, lemon, lime and grapefruit) from a commercial supplier was used as raw material. Pectin samples were obtained on a bulk plant scale (kilograms; harsh nitric acid, mild nitric acid and harsh oxalic acid extraction) and on a laboratory scale (grams; mild oxalic acid extraction). Pectin composition (acidic and neutral sugars) and physicochemical properties (molar mass and intrinsic viscosity) were determined.

Key Results

Oxalic acid extraction allowed the recovery of pectin samples of high molecular weight. Mild oxalic acid-extracted pectins were rich in long homogalacturonan stretches and contained rhamnogalacturonan I stretches with conserved side chains. Nitric acid-extracted pectins exhibited lower molecular weights and contained rhamnogalacturonan I stretches encompassing few and/or short side chains. Grapefruit pectin was found to have short side chains compared with orange, lime and lemon. Orange and grapefruit pectin samples were both particularly rich in rhamnogalacturonan I backbones.

Conclusions

Structural, and hence macromolecular, variations within the different citrus pectin samples were mainly related to their rhamnogalacturonan I contents and integrity, and, to a lesser extent, to the length of their homogalacturonan domains.     

The Rumen Ciliate Fauna of Domestic Sheep (Ovis ammon aires) from the Turkish Republic of Northern Cyprus

ABSTRACT. Concentration and composition of ciliate protozoa in the families Ophryoscolecidae and Isotrichidae were determined in rumen contents of domestic sheep ( Ovis ammon aries ) from Cyprus. A total of five genera of Ophryoscolecidae were identified, Metadinium, Enoploplastron, Polyplastron, Epidinium , and Ophryoscolex , which included six species: Metadinium affine, Enoploplastron triloricatum, Polyplastron multivesiculatum, Epidinium ecaudatum, Epidinium graini, and Ophryoscolex purkynjei. Eight separate forms of Epidinium were identified ( E. ecaudatum f. ecaudatum, E, e. f. caudatum, E. e. f. bicaudatum, E. e. f. tricaudatum, E. e. f. quadricaudatum, E. graini f. graini, E. g. f. caudatricoronatum , and E. g. f. caudaquadricoronatum ), along with five forms of Ophryoscolex purkynjei (O. p. f. purkynjei, O. p. f. bifidobicinctus, O. p. f. bifidoquadricinctus, O. p. f. bicoronatus, O. p. f. tricoronatus , and O. p. f. quadricoronatus). Three species of Isotrichidae were observed, Isotricha intestinalis, I. prostoma , and Dasytricha ruminantium. This study reports new host records for three forms of Epidinium graini and Ophryoscolex purkynjei f. bifidobicinctus. The rumen fauna in the family Ophryoscolecidae from Cypriote domestic sheep appear to have limited diversity compared to those from Turkish and Far Eastern (Chinese/Japanese) sheep, while they are more diverse than those found in Western European (Scottish) and North American (Canadian/Alaskan) sheep.     

Micromanipulation of Gene Expression in the Adult Zebrafish Brain Using Cerebroventricular Microinjection of Morpholino Oligonucleotides

Manipulation of gene expression in tissues is required to perform functional studies. In this paper, we demonstrate the cerebroventricular microinjection (CVMI) technique as a means to modulate gene expression in the adult zebrafish brain. By using CVMI, substances can be administered into the cerebroventricular fluid and be thoroughly distributed along the rostrocaudal axis of the brain. We particularly focus on the use of antisense morpholino oligonucleotides, which are potent tools for knocking down gene expression in vivo. In our method, when applied, morpholino molecules are taken up by the cells lining the ventricular surface. These cells include the radial glial cells, which act as neurogenic progenitors. Therefore, knocking down gene expression in the radial glial cells is of utmost importance to analyze the widespread neurogenesis response in zebrafish, and also would provide insight into how vertebrates could sustain adult neurogenesis response. Such an understanding would also help the efforts for clinical applications in human neurodegenerative disorders and central nervous system regeneration. Thus, we present the cerebroventricular microinjection method as a quick and efficient way to alter gene expression and neurogenesis response in the adult zebrafish forebrain. We also provide troubleshooting tips and other useful information on how to carry out the CVMI procedure.     

Frequency of cyanogenesis in tropical rainforests of far north Queensland, Australia

BACKGROUND AND AIMS: Plant cyanogenesis is the release of toxic cyanide from endogenous cyanide-containing compounds, typically cyanogenic glycosides. Despite a large body of phytochemical, taxonomic and ecological work on cyanogenic species, little is known of their frequency in natural plant communities. This study aimed to investigate the frequency of cyanogenesis in Australian tropical rainforests. Secondary aims were to quantify the cyanogenic glycoside content of tissues, to investigate intra-plant and intra-population variation in cyanogenic glycoside concentration and to appraise the potential chemotaxonomic significance of any findings in relation to the distribution of cyanogenesis in related taxa. METHODS: All species in six 200 m(2) plots at each of five sites across lowland, upland and highland tropical rainforest were screened for cyanogenesis using Feigl-Anger indicator papers. The concentrations of cyanogenic glycosides were accurately determined for all cyanogenic individuals. KEY RESULTS: Over 400 species from 87 plant families were screened. Overall, 18 species (4.5 %) were cyanogenic, accounting for 7.3 % of total stem basal area. Cyanogenesis has not previously been reported for 17 of the 18 species, 13 of which are endemic to Australia. Several species belong to plant families or orders in which cyanogenesis has been little reported, if at all (e.g. Elaeocarpaceae, Myrsinaceae, Araliaceae and Lamiaceae). A number of species contained concentrations of cyanogenic glycosides among the highest ever reported for mature leaves-up to 5.2 mg CN g(-1) d. wt, for example, in leaves of Elaeocarpus sericopetalus. There was significant variation in cyanogenic glycoside concentration within individuals; young leaves and reproductive tissues typically had higher cyanogen content. In addition, there was substantial variation in cyanogenic glycoside content within populations of single species. CONCLUSIONS: This study expands the limited knowledge of the frequency of cyanogenesis in natural plant communities, includes novel reports of cyanogenesis among a range of taxa and characterizes patterns in intra-plant and intra-population variation of cyanogensis.     

Fine Structure of Sperm of Ekphymatodera thomasoni (Heteroderinae,Nemata)

Fine structure of developing sperm of the monospecific genus, Ekphymatodera, was compared with other Heteroderinae as part of a study to recognize diversity and phylogenetically informative characters within the subfamily. Sperm of Ekphymatodera originate from germ cells connected to a central rachis, a character which is shared with Globodera, but not with other Heteoderinae. In Ekphymatodera, and cyst-forming genera, a layer of cortical microtubules lies just beneath the surface of the plasma membrane. Sperm of Ekphymatodera are unique among Heteroderinae examined by the presence of spiral surface elevations on the filopodia, a character that may prove to be a synapomorphy for Sarisoderini. Fibrous bodies are abundant in spermatids; however, they do not persist in sperm of Ekphymatodera as they do in Meloidodera and Verutus. The male gonad of Ekphymatodera is lined by epithelial cells, which are greatly enlarged near the ejaculatory canal. These enlarged cells contain vesicles with concentric lamellar inclusions, not observed in other genera of the subfamily. Sperm of Heteroderinae are rich in diversity, and examination of additional representative species may indicate new phylogenetically informative characters.