肺癌患者生活质量调查及化疗期间发生抑郁的影响因素分析

目的:探讨肺癌患者化疗前后生活质量的变化及化疗期间发生抑郁的影响因素。方法:将2015年1月～2019年12月我院收治的80例肺癌患者纳入研究。所有患者均接受化疗干预,采用健康状况调查简表(SF-36)评分评估患者化疗前后生活质量,以抑郁自评量表(SDS)评估患者抑郁发生情况。对肺癌患者化疗期间发生抑郁的影响因素进行单因素以及多因素Logistic回归分析。结果:化疗后患者的各项生活质量评分均低于化疗前(P0.05)。80例肺癌患者化疗期间出现46例抑郁症,抑郁症发生率为57.50%。经单因素分析发现:性别、受教育程度、家庭月收入、疼痛程度、知晓病情均与肺癌患者化疗期间发生抑郁有关(P0.05)。经多因素Logistic回归分析可得:女性、家庭月收入2500元、Ⅰ度及以上疼痛、知晓病情均是肺癌患者化疗期间发生抑郁的独立危险因素(OR=7.295、1.692、3.952、4.015,P0.05)。结论:化疗会在一定程度上降低肺癌患者的生活质量,同时会增加患者抑郁症发生风险,女性、家庭月收入2500元、Ⅰ度及以上疼痛、知晓病情均是肺癌患者化疗期间发生抑郁的独立危险因素。     

关节镜下同期行冻结肩松解术对肩袖损伤患者的治疗效果评估

目的:评估关节镜下同期行冻结肩松解术对肩袖损伤患者的治疗效果。方法:选择2015年3月到2018年3月在我院诊治的肩袖损伤患者70例进行研究,按随机数表法将其分为观察组(n=36)和对照组(n=34)。对照组采用传统小切口肩袖修复术治疗,观察组采用关节镜下同期行冻结肩松解术进行治疗。比较两组治疗后疗效、手术时间、术中出血量、住院时间、疼痛减轻时间、治疗前后VAS、美国肩肘外科协会评分(ASES)、Contant-Muley评分的变化情况。结果:治疗后,观察组总有效率为94.44%,显著高于对照组(73.53%,P0.05);观察组手术时间、术中出血量、住院时间及疼痛减轻时间均显著低于对照组(P0.05);两组VAS、ASES、Contant-Muley评分较治疗前均显著改善(P0.05),且观察组VAS评分明显低于对照组,ASES及Contant-Muley评分显著高于对照组(P0.05)。结论:关节镜下同期行冻结肩松解术治疗肩袖损伤的临床疗效显著优于传统小切口肩袖修复术治疗,其可显著促进关节功能恢复,并减轻患者痛苦。     

原发性子宫大B细胞淋巴瘤一例报告及文献复习

摘要 目的：总结原发性子宫恶性淋巴瘤的临床表现、影像及病理学特点,以期提高对原发性子宫恶性淋巴瘤的认识及诊治水平。方法：通过PubMed、万方、维普、中国知网数据库检索2001年1月至2019年12月报道的原发性子宫恶性淋巴瘤的文献,结合首都医科大学附属北京妇产医院收治的1例原发性子宫大B细胞淋巴瘤的病例资料,对此类患者临床表现、影像及病理学特点、治疗方案及预后进行总结。结果：患者女,64岁,发现盆腔肿物半月伴有绝经后阴道流血,盆腔CT提示：宫体与宫颈局部巨大团块状软组织密度灶,宫底及宫体上段可见内膜。宫腔镜下组织活检病理：（宫内物）符合低分化恶性肿瘤,结合免疫组化结果,诊断原发性子宫大B细胞淋巴瘤。行开腹全子宫及双侧附件、大网膜及腹膜后淋巴结清扫术,术后接受CHOP方案化疗六程,现治疗后随访17月,未发现复发。结论：原发性子宫恶性淋巴瘤极少见,组织学上以大B 细胞淋巴瘤为主,临床表现缺乏特异性。最终需要结合免疫组化确诊。该疾病恶性程度高,治疗上以根治性手术联合化疗为主,预后较差。     

不同农药对木瓜秀粉蚧的毒力及复配增效作用

为筛选对入侵害虫木瓜秀粉蚧毒力较好的农药及复配增效配比,为该虫的化学药剂防治提供理论依据,本文采用叶面喷雾法测定了11种农药对木瓜秀粉蚧2龄若虫的室内毒力,挑选毒力较好的两种药剂进行复配,筛选增效配比,并进行田间药效试验。结果表明,11种农药对木瓜秀粉蚧的毒力大小依次为:螺螨酯>哒螨灵>噻虫胺>联苯菊酯>矿物油>高效氯氰菊酯>炔螨特>啶虫脒>吡虫啉>噻螨酮>四螨嗪。哒螨灵与螺螨酯(60∶40)复配共毒系数最大,为182.47。田间药效试验发现,混配药剂防效均高于单剂且达到差异显著。     

微小RNA(microRNA)在肝细胞肝癌发生发展中的作用研究进展

MicroRNA是近几年发现的一种非编码小分子RNA,其主要功能体现在参与调节生物个体发育、细胞增殖与分化、肿瘤细胞的发生等多种病理过程中。MicroRNA在调控癌基因和抑癌基因的表达过程中,以及在肝细胞肝癌发生和发展中发挥着关键性的作用。本综述对microRNA在肝细胞肝癌发生发展中的作用进行汇总,以期为肝细胞肝癌的临床诊断以及治疗提供理论参考。     

In memory of Professor Tang Yan‐Cheng: New perspectives in systematic and evolutionary biology

In China, three institutes for botanical research were established in the 1920s. They were the Department of Botany, Biological Laboratory of the Science Society of China (1922, Nanjing), the Fan Memorial Institute of Biology (1928, Beiping), and the Institute of Botany, Beiping Academy of Sciences (1929, Beiping).     

An innovative protein expression system using RNA polymerase I for large-scale screening of high-nucleic-acid content Saccharomyces cerevisiae strains

Saccharomyces cerevisiae is the preferred source of RNA derivatives, which are widely used as supplements for foods and pharmaceuticals. As the most abundant RNAs, the ribosomal RNAs (rRNAs) transcribed by RNA polymerase I (Pol I) have no 5′ caps, thus cannot be translated to proteins. To screen high-nucleic-acid content yeasts more efficiently, a cap-independent protein expression system mediated by Pol I has been designed and established to monitor the regulatory changes of rRNA synthesis by observing the variation in the reporter genes expression. The elements including Pol I-recognized rDNA promoter, the internal ribosome entry site from cricket paralytic virus which can recruit ribosomes internally, reporter genes (URA3 and yEGFP3), oligo-dT and an rDNA terminator were ligated to a yeast episomal plasmid. This system based on the URA3 gene worked well by observing the growth phenotype and did not require the disruption of cap-dependent initiation factors. The fluorescence intensity of strains expressing the yEGFP3 gene increased and drifted after mutagenesis. Combined with flow cytometry, cells with higher GFP level were sorted out. A strain showed 58% improvement in RNA content and exhibited no sequence alteration in the whole expression cassette introduced. This study provides a novel strategy for breeding high-nucleic-acid content yeasts.     

Loci and candidate gene identification for soybean resistance to Phytophthora root rot race 1 in combination with association and linkage mapping

Molecular Breeding - Northern corn leaf blight (NCLB) is one of the main diseases of maize, which greatly reduces production and causes millions of dollars in losses worldwide annually....     

Cleavage and degradation of EDEM1 promotes coxsackievirus B3 replication via ATF6a‐mediated unfolded protein response signalling

Our previous study of coxsackievirus B3 (CVB3)‐induced unfolded protein responses (UPR) found that overexpression of ATF6a enhances CVB3 VP1 capsid protein production and increases viral particle formation. These findings implicate that ATF6a signalling benefits CVB3 replication. However, the mechanism by which ATF6a signalling is transduced to promote virus replication is unclear. In this study, using a Tet‐On inducible ATF6a HeLa cell line, we found that ATF6a signalling downregulated the protein expression of the endoplasmic reticulum (ER) degradation‐enhancing α‐mannosidase‐like protein 1 (EDEM1), resulting in accumulation of CVB3 VP1 protein; in contrast, expression of a dominant negative ATF6a had the opposite effect. Furthermore, we found that EDEM1 was cleaved by both CVB3 protease 3C and virus‐activated caspase and subsequently degraded via the ubiquitin‐proteasome pathway. However, overexpression of EDEM1 caused VP1 degradation, likely via a glycosylation‐independent and ubiquitin‐lysosome pathway. Finally, we demonstrated that CRISPR/Cas9‐mediated knockout of EDEM1 increased VP1 accumulation and thus CVB3 replication. This is the first study to report the ER protein quality control of non‐enveloped RNA virus and reveals a novel mechanism by which CVB3 evades host ER quality control pathways through cleavage and degradation of the UPR target gene EDEM1, to ultimately benefit its own replication.     

The Fruit Dropping Characters of Sweet Cherry and Its Interior Causes in Insufficient Chilling Zone

Russian Journal of Plant Physiology - Attempts had been made to provide evidences insight into the pattern and physiological mechanism of sweet cherry fruit dropping. However, the fruit abscission...