高血压患者用药的依从性

高血压是人类健康面临的一个重要挑战,对患者及其家庭和社会造成了巨大的疾病负担。药物治疗是控制高血压的重要手段,合理应用抗高血压药能使90%的患者血压处于正常范围,但实际高血压的控制率仍很低,且发病率逐年上升,究其根本原因,是由于患者用药依从性不良。本文综述了高血压患者用药依从性的概念、现状及评估方法,并对其影响因素进行了详细的阐述,指出应积极干预及加强健康教育,以最大限度提高患者的用药依从性,降低高血压带来的靶器官损害,并进一步对寻求更准确、客观的用药依从性评估方法做出展望。     

DIAGNOSTIC SELF‐TESTING: AUTONOMOUS CHOICES AND RELATIONAL RESPONSIBILITIES

Diagnostic self‐testing devices are being developed for many illnesses, chronic diseases and infections. These will be used in hospitals, at point‐of‐care facilities and at home. Designed to allow earlier detection of diseases, self‐testing diagnostic devices may improve disease prevention, slow the progression of disease and facilitate better treatment outcomes. These devices have the potential to benefit both the individual and society by enabling individuals to take a more proactive role in the maintenance of their health and by helping society improve health and reduce health costs. However, the full implications of future home‐based diagnostic technology for individuals and society remain unclear due to their novelty. We argue that the development of diagnostic tools, especially for home use, will heighten a number of ethical challenges. This paper will explore some of the ethical implications of home‐based self‐testing diagnostic devices for the autonomous and relational dimensions of the person. This will be facilitated by examining the impact of diagnostic devices for individual autonomy, for the delivery of accurate diagnosis and for the personal significance of the information for the user. The latter will be examined using Charles Taylor's view of personhood and his emphasis on human agency and interpretation. While the ethical issues are not necessarily new, the development of home‐based self‐testing diagnostic devices will make issues regarding autonomy, accuracy of information and personal significance more and more demanding. This will be the case particularly when an individual's autonomous choices come into conflict with the person's relational responsibilities.     

Plasmid pSym1-32 from Rhizobium leguminosarum bv. viceae, controlling nitrogen-fixing activity, effectiveness of symbiosis, competitiveness, and acid tolerance

The symbiotic plasmid (pSym1-32) of the highly effective Rhizobium leguminosarum bv. viceae 1-32 strain was identified after the conjugal transfer of replicons carrying Tn5-mob into the plasmidless Agrobacterium tumefaciens Gm1-9023 strain. Plasmid pSym1-32 was transferred into R. leguminosarum bv. viceae strains Y14 (showing low effectiveness of symbiosis with Vicia villosa) and Y57 (unable to fix nitrogen). Transconjugants formed Fix+ nodules on roots of V. villosa and had a highly enhanced nitrogen fixing ability, increased plant weight, and increased nitrogen accumulation compared to the recipient strains. Variation of transconjugants in symbiotic properties (accompanied by alterations in plasmid composition in some of the conjugants) was detected. Moreover, the donor strain R. leguminosarum bv. viceae 1-32 was shown to be more efficient in the competitiveness and acid tolerance than the recipient Y14 strain. Both these properties were transmitted upon transfer of pSym1-32 into the recipient. Thus, plasmid pSym1-32 was shown to carry genes involved in the control of the nitrogen fixing ability, symbiotic effectiveness, competitiveness, and acid tolerance in R. leguminosarum bv. viceae.     

圆瓣姜花根茎挥发油的化学成分

利用水蒸汽蒸馏法提取圆瓣姜花根茎挥发油,运用毛细管气相色谱-质谱联用法对挥发油进行了分析,分离出60个峰,鉴定了其中的51种成分,所鉴定成分占挥发油总量的97.32%,其主要化学成分为单萜及倍半萜类化合物。     

康氏木霉纤维素酶系中C_x酶多分子型的分离纯化及某些性质

从康氐木霉(Trichoderma k(?)ningii)白色变异株As 3.4001的粗酶制剂中,获得了纤维素酶系中的一组C_x酶(C_(x1) C_(x2) C_(x3) C_(x4))。分离步骤包括Sephadex G-75凝胶过滤,DEAESephadex A-50离子交换层析,ConA-Sepharose亲合层析,SE-Sephadex C-50离子交换层析及聚丙烯酰胺凝胶电泳。C_(x1)与C_(x2)的分子量不同而所带电荷相同,它们的分子量各自为44,500和34,000。C_(x2)—C_(x4)的分子量相同而所带电荷不同。纯化的C_(x1)—C_(x4)经聚丙烯酰胺凝胶电泳鉴定为单带。比较它们对羧甲基纤维素钠(CMC-Na)的糖化力及液化力表明在作用方式的随机性上C_(x2)>C_(x3)>C_(x1)>C_(x4)。     

锦鸡儿植物对盐碱地土壤理化性质和细菌群落的影响

锦鸡儿属的多种植物在干旱/半干旱区域水土保持等方面具有显著的作用效果,该研究以柠条锦鸡儿、中间锦鸡儿和小叶锦鸡儿为材料,选择宁夏银北西大滩核心试验站的盐渍化荒地为研究对象,分析了3种锦鸡儿建植1年对盐碱地土壤理化性质及土壤细菌群落的影响,以了解该类植物在盐碱地改良中的作用及生态效应。结果显示:(1)种植锦鸡儿1年能够显著降低盐碱地土壤全盐含量和pH,提高土壤全氮和全磷含量。(2)种植锦鸡儿不影响其非根际土壤细菌群落的α多样性,但小叶锦鸡儿非根际土壤细菌群落的香浓指数最低。(3)不同种锦鸡儿对盐碱地细菌群落结构的影响有所不同,小叶锦鸡儿根际/非根际细菌群落的结构分别与对照土壤以及柠条、中间锦鸡儿根际土壤存在明显差异;在属水平,包括假黄色单胞菌属、新鞘氨醇菌属及根瘤菌属在内的12个优势细菌属的相对丰度在小叶锦鸡儿非根际土壤中显著增加。(4)db-RDA分析表明,盐碱地土壤全盐、全氮及全磷含量分别解释了锦鸡儿非根际细菌群落结构变异信息的23.5%、25.4%和22.2%,3种因子累计共解释48.5%的细菌群落变异(P0.05),但这些因子对锦鸡儿根际细菌群落的变化无显著影响。研究表明,短期种植锦鸡儿属植物对盐碱地土壤理化性质具有一定改良效果,且不影响非根际土壤细菌群落的α多样性,但不同种锦鸡儿对土壤细菌群落结构的影响存在差异。     

温光条件与寒地水稻产量和源库特征的关系

采用大田试验,以寒地水稻为研究对象,分析试验区2011—2014年气温和太阳辐射,比较不同年份间温光条件差异,探讨温光条件与水稻干物质积累、源库光合特征、产量及其构成之间的关系。结果表明:生育期内日活动积温利用率和日有效积温利用率呈逐年增加的趋势,而太阳辐射呈逐年降低的趋势,其中灌浆期太阳辐射强度以2014年居高;生育期内日活动积温和日有效积温及其利用率、抽穗后日平均太阳辐射强度与粒数、结实率、千粒重以及产量显著或极显著正相关;生育期内活动积温与产量(R~2=0.69)、生物产量(R~2=0.49)、抽穗期茎鞘干质量(R~2=0.74)及粒叶比(R~2=0.34)、收获指数(R~2=0.63)、群体生长速率(R~2=0.78)和净同化率(R~2=0.73)均呈二次函数关系,且拟合效果均达极显著水平,而与叶面积指数呈极显著正相关关系(R=0.80)。     

流式细胞术研究细胞凋亡的方法与技术

细胞发生凋亡时,会伴随着一系列形态学、生物化学及分子生物学性质的变化,包括细胞皱缩,核染色质凝聚,细胞膜通透性改变,Caspases激活,线粒体跨膜电位降低,膜磷酯酰丝氨酸外化,胞质Ca2+浓度升高,DNA片段化及含量变化等特点.应用流式细胞术进行细胞凋亡的研究,对于探讨胚胎发育、衰老以及研究肿瘤的发生、发展和转化等病理生理过程和病毒感染及免疫等具有十分重要的意义.本文就细胞凋亡的特征、基于细胞膜功能的流式细胞术检测方法和基于细胞器功能的流式细胞术检测方法等关键性问题进行了阐述.     

Experimental and Mathematical Simulation of Population Dynamics of Rhizospheric Bacteria under Conditions of Cadmium Stress

The method of membrane filters was used to study the population dynamics of bacteria belonging to the genera Arthrobacter, Flavobacterium, and Klebsiella in barley (Hordeum vulgare) rhizosphere under conditions of cadmium stress (5–15 mg Cd/g soil). Mathematical simulation allowed us to demonstrate that the phytoprotective effect is implemented via the following succession of events: the bacteria synthesize phytohormones (IAA and ethylene) → root excretory activity increases → the number of the bacteria in the rhizoplane grows → the flux of bacteria migrating from the rhizoplane to the rhizosphere increases → the number of bacteria binding cadmium ions in the rhizosphere grows → the amount of free ions entering the plant decreases. Among the bacteria studied, K. mobilis 880 displayed the highest migration and immobilization activity and the best survival rate under conditions of cadmium stress. Consequently, K. mobilis 880 is recommended for use in biopreparations for stimulating plant growth under conditions of heavy metal pollution.