老年冠心病患者服用抗血小板药物的依从性分析及护理对策

目的:分析老年冠心痛患者服用抗血小板药物的依从性,寻求护理干预的有效途径.方法:自行设计服用抗血小板药物依从性调查表,通过调查与健康教育相结合的方式,对128例年龄在68～95岁的老年冠心病患者服药依从性问题进行调查分析.结果:通过临床医师知道抗血小板药物作用的占100%;知道终身服用抗血小板药物意义的占35%;服用抗血小板药物遇到问题而自行停药的占0%;健康教育后能坚持终身服用抗血小板药物的占95%.结论:相对于老年冠心痛患者,有效的健康教育能极大地提高患者服药依从性.临床医护人员对患者进行健康教育的同时,对家属的教育也很重要.通过健康教育干预,使其掌握药物的基本知识,告知获益大于风险,启动家庭支持系统,可显著提高老年冠心病患者服用抗血小板药物依从性.     

光催化纳米TiO2抗乙型肝炎病毒效果的实验研究

纳米TiO2在光催化下能产生活性羟基,超氧离子(O2-),过氧羟基(·OOH)和过氧化氢,这些产物具有很强的氧化性,因而具有广谱杀菌功能[1].目前国内外已广泛用于陶瓷洁具、玻璃表面、瓷砖釉面、水处理、空气净化等[2～8],但纳米TiO2在光催化下是否具有抗病毒的作用,目前尚未见报道.本文以载有纳米TiO2的陶瓷碟(以下简称纳米瓷碟)和发泡镍网(以下简称纳米镍网)为材料,对纳米TiO2复合材料在不同光源照射下杀灭乙型肝炎病毒(HBV)的效果进行了实验研究,取得了令人满意的结果.     

中国稻弄蝶属Parnara分类与一新记录种(鳞翅目:弄蝶总科:弄蝶科)

记述中国稻弄蝶属Parnara Moore,18814种,其中圆突稻弄蝶Parnara apostata（Snellen,1866）为1新记录种。制作了分种检索表,进行了新记录种的成虫形态描述,提供了特征图。     

Parasites paralyze cellular host defense system to promote virulence

To promote their survival, intracellular pathogens must confront microbicidal activities induced by interferons. In this issue of Cell Host & Microbe, Fentress et?al. show that Toxoplasma gondii evades intracellular killing by deploying a virulence determinant, ROP18, which acts by directly phosphorylating and disabling an IFN-γ-inducible immunity-related GTPase involved in pathogen clearance.     

Diverse peptide presentation of rhesus macaque major histocompatibility complex class I Mamu-A 02 revealed by two peptide complex structures and insights into immune escape of simian immunodeficiency virus

Major histocompatibility complex class I (MHC I)-restricted CD8(+) T-cell responses play a pivotal role in anti-human immunodeficiency virus (HIV) immunity and the control of viremia. The rhesus macaque is an important animal model for HIV-related research. Among the MHC I alleles of the rhesus macaque, Mamu-A 02 is prevalent, presenting in ≥20% of macaques. In this study, we determined the crystal structure of Mamu-A 02, the second structure-determined MHC I from the rhesus macaque after Mamu-A 01. The peptide presentation characteristics of Mamu-A 02 are exhibited in complex structures with two typical Mamu-A 02-restricted CD8(+) T-cell epitopes, YY9 (Nef159 to -167; YTSGPGIRY) and GY9 (Gag71 to -79; GSENLKSLY), derived from simian immunodeficiency virus (SIV). These two peptides utilize similar primary anchor residues (Ser or Thr) at position 2 and Tyr at position 9. However, the central region of YY9 is different from that of GY9, a difference that may correlate with the immunogenic variance of these peptides. Further analysis indicated that the distinct conformations of these two peptides are modulated by four flexible residues in the Mamu-A 02 peptide-binding groove. The rare combination of these four residues in Mamu-A 02 leads to a variant presentation for peptides with different residues in their central regions. Additionally, in the two structures of the Mamu-A 02 complex, we compared the binding of rhesus and human β(2) microglobulin (β(2)m) to Mamu-A 02. We found that the peptide presentation of Mamu-A 02 is not affected by the interspecies interaction with human β(2)m. Our work broadens the understanding of CD8(+) T-cell-specific immunity against SIV in the rhesus macaque.     

Microbiological and production characteristics of the high-temperature Kongdian bed revealed during field trial of biotechnology for the enhancement of oil recovery

Microbiological technology for the enhancement of oil recovery based on the activation of the stratal microflora was tested in the high-temperature horizons of the Kongdian bed (60 degrees C) of the Dagang oil field (China). This biotechnology consists in the pumping of a water-air mixture and nitrogen and phosphorus mineral salts into the oil stratum through injection wells in order to stimulate the activity of the stratal microflora which produce oil-releasing metabolites. Monitoring of the physicochemical, microbiological, and production characteristics of the test site has revealed large changes in the ecosystem as a result of the application of biotechnology. The cell numbers of thermophilic hydrocarbon-oxidizing, fermentative, sulfate-reducing, and methanogenic microorganisms increased 10-10 000-fold. The rates of methanogenesis and sulfate reduction increased in the near-bottom zone of the injection wells and of some production wells. The microbial oil transformation was accompanied by the accumulation of bicarbonate ions, volatile fatty acids, and biosurfactants in the formation waters, as well as of CH4 and CO2 both in the gas phase and in the oil. Microbial metabolites promoted the additional recovery of oil. As a result of the application of biotechnology, the water content in the production liquid from the test site decreased, and the oil content increased. This allowed the recovery of more than 14000 tons of additional oil over 3.5 years.