Ergonomic Status of Laparoscopic Urologic Surgery: Survey Results from 241 Urologic Surgeons in China

Background

The prolonged and frequent use of laparoscopic equipment raises ergonomic risks that may cause physical distress for surgeons. We aimed to assess the prevalence of urologic surgeons’ physical distress associated with ergonomic problems in the operating room (OR) and their awareness of the ergonomic guidelines in China.

Methods

A sample of 300 laparoscopic urologists in China was assessed using a questionnaire on demographic information, ergonomic issues in the OR, musculoskeletal symptoms, and awareness of the ergonomic guidelines for the OR.

Results

There were 241 survey respondents (86.7%) with valid questionnaires. Among the respondents, only 43.6% placed the operating table at pubic height during the actual operation. The majority of the respondents (63.5%) used only one monitor during the procedure. Only 29.9% placed the monitor below the eye level. More than half of the respondents (50.6%) preferred to use manual control instead of the foot pedal. Most of the respondents (95.0%) never used the body support. The respondents experienced discomfort in the following regions, in ascending order: leg (21.6%), hand (30.3%), wrist (32.8%), shoulder (33.6%), back (53.1%), and neck (58.1%). The respondents with over 250 total operations experienced less discomfort than those with less than 250 total operations. Most of the respondents (84.6%) were unaware of the ergonomic guidelines. However, almost all of the respondents (98.3%) regarded the ergonomic guidelines to be important in the OR.

Conclusions

Most of the laparoscopic urologists were not aware of the ergonomic guidelines for the OR; hence, they have been suffering from varying degrees of physical discomfort caused by ergonomic issues. There is an urgent need for education regarding ergonomic guidelines in the OR for laparoscopic urologists in China.     

Comparative Study on the Accumulation of Storage Protein in the Soybean Seeds with High and Low Protein Contents

The difference in storage protein accumulation between two soybean was compared by SDS-PAGE and electron microscopy. The results showed that the “Gongjiao 8059-3” (protein content 45 %) was more rapid in protein accumulation rate and higher in protein content than that in “GD 1515” (protein content 35 %) during cotyledon development. The subunits (7S and l1S) of the storage protein accumulated earlier in “Gongjiao 8059-3” than in “GD 1515”. Under electron microscope, the protein accumulated in vacuoles was similar between the two cultivars, but the protein density was higher and the volume of protein bodies was larger in cells after mid developing stage in “Gongjiao 8059-3”. These results showed that difference in protein contents may be based on biochemical and structural alterations.     

内蒙古阿拉善左旗早石炭世有孔虫动物群的发现

笔者首次发现内蒙古阿拉善左旗地区井下早石炭世晚期有孔虫动物群,经研究计有１４属１８种,其中小有孔虫１２属１６种（１新属,新种）Ｔｉｎｇ２属２种,这一孔虫动物群的发现,除证明该地区存在早石炭世地层外,对当时岩相古地理面貌的分析,也具有重要意义。     

濒危种裂叶沙参种群生命表和存活曲线的研究及其与广布种泡沙参的对照

以近缘广布种泡沙参为对照,本文编制了濒危种裂叶沙参种群的标准生命表、存活曲线以及海拔２３００～２４００ｍ、２７００～２９００ｍ、２９００～３１００ｍ和３１００～３４００ｍ区域４个种群的生命表,存活曲线。根据其生活史,讨论了裂叶沙参各种群特定年龄的存活量、死亡量和死亡率等重要参数。裂叶沙参种群存活曲线属ＤｅｖｅｙＣ型,１～５年生死亡率最高,个体最长寿命２５年。而泡沙参种群的死亡高峰期是１～３年,个体最长寿命２１年。导致裂叶沙参种群幼龄个体死亡的内在原因是其较弱的抗逆性和适应能力;外在原因是严重的干旱、外界干扰和群落内的光照不足。裂叶沙参种群适应不良环境的能力较泡沙参弱：在海拔２７００ｍ以下地区,由于外界干扰和环境干旱,除水份条件较好的特殊生境,大多种群呈严重衰退趋势,不能满足编表条件,只有海拔２７００ｍ以上区域的种群呈稳定或扩展趋势;而泡沙参各种群在不同海拔区域均呈稳定或扩展趋势,满足编表条件。从海拔２３００ｍ到３４００ｍ,不同裂叶沙参种群个体寿命呈：短长短的格式,与外界严酷较好严酷的环境相对应。这表明裂叶沙参种群在严酷环境条件下改变了其生存对策,缩短了个体寿命。     

湖南泥盆纪棋子桥期层状礁的对比研究

湖南泥盆纪棋子桥期的生物层状礁分布很广,类型也很复杂。根据它们不同的古生态特征,可分为６种类型。不同类型分布在不同的古地理位置上,分别形成不同的沉积环境。某些类型的层状礁与其后形成的过缘礁关系密切,对寻找边缘具有重要的批示意义。     

不同海拔梯度的高山红景天种群适应机制的初步探讨

本文采用水平切片淀粉凝胶电泳技术分析分布于吉林省长白山北坡的高山红景天在４个海拔梯度的遗传变异,并结合形态指标和态因子探讨高山红主天的适应机制。     

Docking dinucleotides to HIV-1 integrase carboxyl-terminal domain to find possible DNA binding sites

HIV-1 integrase mediates a processed viral DNA into the host genome DNA. The binding modes between HIV-1 integrase and viral/host DNA have not been clarified until now. The C-terminal domain of integrase has been found to be a DNA-binding domain. In this work, we have explored the possible DNA binding sites of dimeric C-terminal domain by docking dinucleotides to HIV-1 integrase. The docking results suggest that two symmetrical DNA-binding sites are likely located on the outside surface of the dimeric C-terminal domain and not located in the groove. Those sites are in agreement with the experimental data.     

蓝猪耳合子和二胞原胚细胞的分离(简报)

合子是被子植物个体发育的第一个细胞.合子分裂的规律性是植物早期胚胎发生的种属甚至是科的特征,也是控制早期个体发育的关键阶段.