肝胆外科住院医师规范化培训教学探讨

住院医师培训是医学教育中重要环节之一,是提高临床医疗水平的关键。因此,如何探索科学、合理的住院医师培养方案,已成为临床医学教育探索的重要课题。本文对肝胆外科住院医师规范化培训的实践进行了总结分析,希望对提高肝胆外科住院医师规范化培训效果起到一定的促进作用。     

阿尔茨海默病患者血液标本外吐小体中miRNA-135a的检测

目的：提取轻度认知障碍（MCI）、阿尔茨海默型痴呆（DAT）患者血液标本以及PC-12细胞培养基标本中的外吐小体并检测其中miRNA-135a含量。方法：使用超速离心法分离7例MCI、18例DAT患者、健康对照组的血清和血浆及PC-12细胞培养基中的外吐小体,使用实时定量PCR检测外吐小体中miRNA-135a的含量。结果：在PC-12细胞培养基、血清和血浆标本外吐小体中检出了miRNA-135a。MCI和DAT患者血清、血浆外吐小体miRNA-135a水平显著低于健康对照组（P〈0.05）,但MCI患者血清、血浆外吐小体miRNA-135a水平与DAT患者相比无显著性差异（P〉0.05）。MCI、DAT和健康对照三者的血清和血浆标本外吐小体miRNA-135a水平均无相关性（P〉0.05）。结论：本研究证实了血液和脑脊液标本外吐小体中存在miRNA-135a,对将外吐小体miRNA作为AD诊疗潜在标志物提供了证据。     

室内外评价在黄淮海夏玉米区释放玉米螟赤眼蜂防治亚洲玉米螟的可行性

为了评价在黄淮海夏玉米区释放米蛾卵繁育的玉米螟赤眼蜂Trichogramma ostriniae防治亚洲玉米螟Ostrinia furnacalis的可行性,本试验在室内组建了玉米螟赤眼蜂在亚洲玉米螟卵上的实验种群生命表的基础上,在河南省鹤壁市滑县测定了玉米螟赤眼蜂对亚洲玉米螟的防治效果,筛选出了具有较好防治效果的释放密度和释放方法。结果显示,米蛾卵繁育的玉米螟赤眼蜂在亚洲玉米螟卵上的净生殖力R0为9.8240,单雌平均产雌率R0'为12.6256,2013年在河南省鹤壁市滑县释放玉米螟赤眼蜂能使亚洲玉米螟虫口密度减退73.91%,释放密度为2.25×105头/hm2。2014年在鹤壁市淇滨区钜桥镇采用传统的人工挂卡和新型的无人机释放玉米螟赤眼蜂,亚洲玉米螟虫口密度减退54.55%-68.16%。结果表明,在黄淮海夏玉米区释放米蛾卵繁育的玉米螟赤眼蜂防治玉米螟是可行的。     

Expression Profiles of Long Noncoding RNAs and Messenger RNAs in Mn-Exposed Hippocampal Neurons of Sprague–Dawley Rats Ascertained by Microarray: Implications for Mn-Induced Neurotoxicity

Manganese (Mn) is an essential trace element, while excessive expose may induce neurotoxicity. Recently, lncRNAs have been extensively studied and it has been confirmed that lncRNAs participate in neural functions and aberrantly expressed lncRNAs are involved in neurological diseases. However, the pathological effects of lncRNAs on Mn-induced neurotoxicity remain unclear. In this study, the expression profiles of lncRNAs and messenger RNAs (mRNAs) were identified in Mn-treated hippocampal neurons and control neurons via microarray. Bioinformatic methods and intersection analysis were also employed. Results indicated that 566, 1161, and 1474 lncRNAs meanwhile 1848, 3228, and 4022 mRNAs were aberrantly expressed in low, intermediate, and high Mn-exposed groups compared with the control group, respectively. Go analysis determined that differentially expressed mRNAs were targeted to biological processes, cellular components, and molecular functions. Pathway analysis indicated that these mRNAs were enriched in insulin secretion, cell cycle, and DNA replication. Intersection analysis denominated that 135 lncRNAs and 373 mRNAs were consistently up-regulated while 150 lncRNAs and 560 mRNAs were consistently down-regulated. Meanwhile, lncRNA {"type":"entrez-nucleotide","attrs":{"text":"BC079195","term_id":"50926238"}}BC079195 was significantly up-regulated while lncRNAs uc.229- and {"type":"entrez-nucleotide","attrs":{"text":"BC089928","term_id":"59808777"}}BC089928 were significantly down-regulated in three comparison groups. The relative expression levels of 3 lncRNAs and 4 mRNAs were validated through qRT-PCR. To the best of our knowledge, this study is the first to identify the expression patterns of lncRNAs and mRNAs in hippocampal neurons of Sprague–Dawley rats. The results may provide evidence on underlying mechanisms of Mn-induced neurotoxicity, and aberrantly expressed lncRNAs/mRNAs may be useful in further investigations to detect early symptoms of Mn-induced neuropsychiatric disorders in the central nervous system.     

基于SSR标记的陆地棉早熟相关种质遗传多样性分析

丰富的遗传变异对于提高作物的环境适应性和遗传改良进度至关重要。为了解我国早熟陆地棉种质资源遗传多样性,本研究利用136对SSR引物对186份陆地棉材料(96份早熟陆地棉材料和90份中、晚熟陆地棉材料)进行了遗传多样性分析,共检测到等位基因变异355个,平均2.61个。在早熟棉材料中,有134对多态性SSR引物扩增出341个条带,平均2.54个;中、晚熟材料中有133对多态性SSR引物,扩增出345个条带,平均2.59个。早熟棉材料的位点多态性信息含量(PIC)、有效等位基因数(Ne)、基因型多样性(H')分别为0.684、3.994和1.361;中、晚熟棉材料的PIC、Ne、H'分别为0.668、3.852和1.343。早熟棉材料和中、晚熟棉材料的Jaccard相似性系数分别在0.349~0.935和0.270~0.907之间,平均为0.635、0.666。遗传相似性系数总体平均值接近,但早熟棉变化范围较中、晚熟棉小。用类平均法(UPGMA)进行聚类可将186份材料分成2个类群。总体上来看,供试材料遗传相似性系数较高,说明我国陆地棉早熟相关种质遗传基础狭窄。本研究结果为早熟棉育种亲本选配,早熟棉种质创新提供依据。     

依达拉奉联合醒脑静治疗急性脑出血的临床疗效观察

目的:探究依达拉奉联合醒脑静治疗急性脑出血(ACH)的临床疗效及对炎症指标的影响。方法:本研究于2013年2月~2015年2月期间,选择我院收治的ACH患者128例为研究对象,采用随机数字法将其分为研究组(65例)和对照组(63例)。两组患者均给予一般常规治疗并给予依达拉奉,研究组患者在此基础上联用醒脑静注射液治疗。观察两组患者治疗前后炎症因子变化、采用美国国立卫生研究院的卒中量表(NIHSS)评价神经功能缺损修复情况、采用格拉斯哥昏迷评分(GCS)评价患者意识状态,并对比治疗后临床疗效。结果:治疗后两组患者C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)水平和NIHSS评分均出现明显降低(均P0.05),GCS评分均出现明显升高(P0.05),且研究组上述指标改善均优于对照组,差异均存在统计学差异(均P0.05);治疗后研究组有效率为87.69%,显著高于对照组的69.84%(X2=6.125,P=0.013)。结论:依达拉奉联合醒脑静治疗ACH,能够改善患者神经功能损伤及炎症反应,预后好,疗效确切,具有重要的临床价值。     

The Effect of N Fertilizer Placement on the Fate of Urea-15N and Yield of Winter Wheat in Southeast China

A field micro-plot experiment using nitrogen isotope (¹⁵N) labeling was conducted to determine the effects of placement methods (broadcast and band) and N rates (60, 150 and 240 kg ha^–1) on the fate of urea-¹⁵N in the wheat–soil system in Guangde County of Anhui Province, China. N fertilizer applied in bands increased grain yield by 15% compared with broadcast application. The N fertilizer application rate had a significant effect on grain yield, straw yield and aboveground biomass, as well as on N uptake and N concentration of wheat. The recovery of urea-¹⁵N was a little higher for broadcast (34.0–39.0%) than for band treatment (31.2–38.2%). Most of the soil residual N was retained in the 0–20 cm soil layer. At the N rates of 60 and 240 kg ha^–1, the residual ¹⁵N was higher for band (34.4 and 108.7 kg ha^–1, respectively) than for broadcast application (29.6 and 88.4 kg ha^–1, respectively). Compared with broadcast treatment, banded placement of N fertilizer decreased the N loss in the wheat–soil system. Band application one time is an alternative N management practice for winter wheat in this region.     

Zero-Heat-Flux Thermometry for Non-Invasive Measurement of Core Body Temperature in Pigs

Hypothermia is a severe, unpleasant side effect during general anesthesia. Thus, temperature surveillance is a prerequisite in general anesthesia settings during experimental surgeries. The gold standard to measure the core body temperature (T_core) is placement of a Swan-Ganz catheter in the pulmonary artery, which is a highly invasive procedure. Therefore, T_core is commonly examined in the urine bladder and rectum. However, these procedures are known for their inaccuracy and delayed record of temperatures. Zero-heat-flux (ZHF) thermometry is an alternative, non-invasive method quantifying T_core in human patients by applying a thermosensoric patch to the lateral forehead. Since the porcine cranial anatomy is different to the human’s, the optimal location of the patch remains unclear to date. The aim was to compare three different patch locations of ZHF thermometry in a porcine hypothermia model. Hypothermia (33.0°C T_core) was conducted in 11 anesthetized female pigs (26-30kg). T_core was measured continuously by an invasive Swan-Ganz catheter in the pulmonary artery (T_pulm). A ZHF thermometry device was mounted on three different defined locations. The smallest average difference between T_pulm and T_ZHF during stable temperatures was 0.21 ± 0.16°C at location A, where the patch was placed directly behind the eye. Also during rapidly changing temperatures location A showed the smallest bias with 0.48 ± 0.29°C. Location A provided the most reliable data for T_core. Therefore, the ZHF thermometry patch should be placed directly behind the left temporal corner of the eye to provide a non-invasive method for accurate measurement of T_core in pigs.