专科层次临床医学专业课程建设效果调查分析

目的:了解临床医学专业课程建设情况,总结专科层次临床医学专业教育教学的主要成绩,查找专业建设存在的问题,为专科层次临床医学专业教育教学改革提出改进意见。方法:对我校2013届(应届生)306名、2011届和2012届(往届生)333名专科层次临床医学专业毕业生进行问卷调查,主要调查内容包括:课程内容、课程资源和课程评价。结果:专科层次临床医学专业毕业生认为本专业核心课程知识和技能模块设计合理,且应届毕业生认可度高于往届毕业生;对专业类纸质图书、纸质期刊等课程资源满意度高,认为专业类精品课程、教学视频等课程资源需要进一步改善;毕业生对专业知识考评认可度较高,应届生认可度优于往届生。结论:专科层次临床医学专业课程建设效果较好,特别是课程内容安排和课程评价合理,但在专业技能训练和课程资源建设方面需重点加强。     

肝包虫病的诊断现状及进展

肝包虫病是畜牧地区常见的寄生虫病,是一种人畜共患病,非牧地区偶尔也可以见到,可以通过与狗等动物密切接触直接感染,还可以通过呼吸道吸入虫卵或经消化道误食含有虫卵感染的食物或水源等方式感染使人患病,并且可以寄生于人体内各个部位,但以肝脏最为多见,严重危害人体健康和畜牧业的发展。加强肝包虫病的诊断是防控本疾病的重要措施之一,在不能排除肝包虫病的情况下,应结合病史、化验室检查、B超、CT等影像学检查、免疫学检查进行综合分析,给出明确诊断,以防止误诊、漏诊。近年来随着分子生物学以及病原学等技术的发展,为包虫病的诊断提供更多的方法和信息,本文将从肝包虫病的病史及临床表现、影像学检查、免疫学检查、分子生物学检查及病原学检查等方面对其诊断现状及进展做一综述。     

Square‐Centimeter‐Sized High‐Efficiency Polymer Solar Cells: How the Processing Atmosphere and Film Quality Influence Performance at Large Scale

Organic solar cells based on two benzodithiophene‐based polymers (PTB7 and PTB7‐Th) processed at square centimeter‐size under inert atmosphere and ambient air, respectively, are investigated. It is demonstrated that the performance of solar cells processed under inert atmosphere is not limited by the upscaling of photoactive layer and the interfacial layers. Thorough morphological and electrical characterizations of optimized layers and corresponding devices reveal that performance losses due to area enlargement are only caused by the sheet resistance of the transparent electrode reducing the efficiency from 9.3% of 7.8% for PTB7‐Th in the condition that both photoactive layer and the interfacial layers are of high layer quality. Air processing of photoactive layer and the interfacial layers into centimeter‐sized solar cells lead to additional, but only slight, losses (<10%) in all photovoltaic parameters, which can be addressed to changes in the electronic properties of both active layer and ZnO layers rather than changes in layer morphology. The demonstrated compatibility of polymer solar cells using solution‐processed photoactive layer and interfacial layers with large area indicates that the introduction of a standard active area of 1 cm² for measuring efficiency of organic record solar cells is feasible. However electric standards for indium tin oxides (ITO) or alternative transparent electrodes need to be developed so that performance of new photovoltaic materials can be compared at square centimeter‐size.     

Ordered Nanoscale Heterojunction Architecture for Enhanced Solution‐Based CuInGaS2 Thin Film Solar Cell Performance

Nanopatterned CuInGaS₂ (CIGS) thin films synthesized by a sol‐gel‐based solution method and a nanoimprint lithography technique to achieve simultaneous photonic and electrical enhancements in thin film solar cell applications are demonstrated. The interdigitated CIGS nanopatterns in adjacent CdS layer form an ordered nanoscale heterojunction of optical contrast to create a light trapping architecture. This architecture concomitantly leads to increased junction area between the p‐CIGS/n‐CdS interface, and thereby influences effective charge transport. The electron beam induced current and capacitance–voltage characterization further supports the large carrier collection area and small depletion region of the nanopatterned CIGS solar cell devices. This strategic geometry affords localization of incident light inside and between the nanopatterns, where created excitons are easily dissociated, and it leads to the enhanced current generation of absorbed light. Ultimately, this approach improves the efficiency of the nanopatterned CIGS solar cell by 55% compared to its planar counterpart, and offers the possibility of simultaneous management for absorption and charge transport through a nanopatterning process.     

Modeling of cell adhesion and deformation mediated by receptor–ligand interactions

The current work is devoted to studying adhesion and deformation of biological cells mediated by receptors and ligands in order to enhance the existing models. Due to the sufficient in-plane continuity and fluidity of the phospholipid molecules, an isotropic continuum fluid membrane is proposed for modeling the cell membrane. The developed constitutive model accounts for the influence of the presence of receptors on the deformation and adhesion of the cell membrane through the introduction of spontaneous area dilation. Motivated by physics, a nonlinear receptor–ligand binding force is introduced based on charge-induced dipole interaction. Diffusion of the receptors on the membrane is governed by the receptor–ligand interaction via Fick’s Law and receptor-ligand interaction. The developed model is then applied to study the deformation and adhesion of a biological cell. The proposed model is used to study the role of the material, binding, spontaneous area dilation and environmental properties on the deformation and adhesion of the cell.     

Volumetric hand‐held optoacoustic angiography as a tool for real‐time screening of dense breast

Existing mammographic screening solutions are generally associated with several major drawbacks, such as exposure to ionizing radiation or insufficient sensitivity in younger populations with radiographically‐dense breast. Even when combined with ultrasound or magnetic resonance imaging, X‐Ray mammography may still attain unspecific or false positive results. Thus, development of new breast imaging tools represents a timely medical challenge. We report on a new approach to high‐resolution functional and anatomical breast angiography using volumetric hand‐held optoacoustic tomography, which employs light intensities safe for human use. Experiments in young healthy volunteers with fibroglandular‐dominated dense breasts revealed the feasibility of rendering three‐dimensional images representing vascular anatomy and functional blood oxygenation parameters at video rate. Sufficient contrast was achieved at depths beyond 2 cm within dense breasts without compromising the real‐time imaging performance. The suggested solution may thus find applicability as a standalone or supplemental screening tool for early detection and follow‐up of carcinomas in radiographically‐dense breasts.

Volumetric handheld optoacoustic tomography scanner uses safe pulses of near‐infrared light to render three‐dimensional images of deep vascular anatomy, blood oxygenation and breast parenchyma at video rate.     

元江干热河谷木质藤本的多样性及其与宿主树木的关系

木质藤本是森林生态系统的重要组分。本研究在元江干热河谷地区随机设置了30个20 m×20 m的样方,调查样方中胸径≥0.5 cm的木质藤本多样性及其与宿主树木之间的关系。结果显示:30个样方中记录到胸径≥0.5 cm的木质藤本植物共945株(隶属于22种20属11科),其中,豆科木质藤本的丰富度和多度最高;胸径≤2 cm的木质藤本占个体总数的63.7%;茎缠绕类木质藤本的个体数最多。样方中胸径≥5 cm的树木共有1060株(隶属于38种31属16科),36.0%的树木上至少附藤1株。不同径级和不同树皮粗糙度的树木被木质藤本侵扰的百分比之间存在极显著差异(P0.001)。随着宿主树木平均枝下高的增加,附藤率呈下降趋势。76.5%的木质藤本选择离其根生长点最近的树木进行攀援。表明元江干热河谷中的木质藤本以小径级占优势,树木胸径、枝下高、树皮粗糙度和木质藤本根生长点到树木的距离是影响木质藤本侵扰树木的重要因素,支持木质藤本对宿主树木的侵扰具有选择性的假说。研究结果对中国西南干热河谷退化植被的恢复与物种多样性保护具有重要意义。     

基于居群观测的木鱼坪淫羊藿复合种形态比较和分类学启示

基于"居群"概念,对木鱼坪淫羊藿复合种(Epimedium franchetii species complex)进行了系统的标本查阅,并于花期对该复合种9个居群的野外形态进行了观测和比较研究。结果显示,竹山淫羊藿(E.zhushanense K.F.Wu et S.X.Qian)花瓣为紫红色,易于与其它物种区分;时珍淫羊藿(E.lishihchenii Stearn)在模式产地(江西庐山)的JXLS居群中有1/5的个体根茎为结节状(并非像模式种一样根茎细长),其叶背被毛细长的性状较稳定,且与木鱼坪淫羊藿(E.franchetii Stearn)叶背被粗短伏毛的性状区别明显;JXJA居群(江西靖安)地理分布靠近江西庐山,叶背被毛也与时珍淫羊藿类似,但其典型的粗壮根茎则与木鱼坪淫羊藿一致,因此将其处理为木鱼坪淫羊藿-时珍淫羊藿过渡类型;保靖淫羊藿(E.baojingense Q.L.Chen et B.M.Yang)与木鱼坪淫羊藿主要区别在于前者小叶柄、叶柄、茎和节部密被柔毛,尤以节部明显,叶背被细长毛,而木鱼坪淫羊藿小叶柄、叶柄、茎和节部均光滑,叶背被粗短伏毛;HBFX居群(湖北房县)和HBMP居群(湖北神农架)小叶柄、叶柄、茎、节部和叶背均疏被毛,被毛特征介于木鱼坪淫羊藿和保靖淫羊藿之间,因此将HBFX和HBMP居群处理为木鱼坪淫羊藿-保靖淫羊藿过渡类型。聚类分析结果表明,9个居群可划分为3类,竹山淫羊藿与其它类群种间界限明显,建议将其从木鱼坪淫羊藿复合种中分离出来;木鱼坪淫羊藿与时珍淫羊藿和保靖淫羊藿的关系复杂;保靖淫羊藿与木鱼坪淫羊藿主要是被毛上的差异,地理上存在同域分布,推测其为微生境导致的生态宗,将其处理为木鱼坪淫羊藿的变种;时珍淫羊藿与木鱼坪淫羊藿地理分布相对隔离,是由地理隔离引起的地理宗,将其处理为木鱼坪淫羊藿亚种。     

14种剑蕨属植物的孢子形态特征及其系统分类学意义

利用扫描电子显微镜对水龙骨科(Polypodiaceae)剑蕨属(Loxogramme)14种植物的孢子形态和表面纹饰进行了观察。结果显示:剑蕨属的孢子具有单裂缝和三裂缝两种类型,个别物种具有中间过渡类型。剑蕨属的孢子纹饰为蠕虫状或浅波纹状。经比较发现,具三裂缝孢子的物种通常植株较小,而具单裂缝的种类则通常植株较大。从进化的角度来看,三裂缝孢子为原始类型,单裂缝孢子为进化类型,因而从孢子形态特征的角度支持剑蕨属为水龙骨科基部类群。