军队中心医院基于平衡计分卡成本控制体系评价指标的建立

目的 为军队医院评价医疗成本运行现状和成本管理,提供一套科学、完整的评价指标体系。方法 基于平衡计分卡（BSC）原理和医院发展规律筛选指标,采用德尔菲法（Delphi）结合层次分析法(AHP) 确定各维度指标的权重。结果 从BSC的4个维度建立了一套完整反映医院成本控制战略目标的核心指标及权重,包括4个一级指标、11个二级指标以及42个三级指标。结论 指标体系设计科学、合理全面,权重系数的确定合理,可进一步用于军队医院的成本控制评价。     

地表蒸散的遥感估算模型及其在农业干旱监测中的应用

蒸散是地表水热交换的主要过程,其空间特征差异明显,而遥感技术的发展与应用使得区域蒸散估算成为现实.本文介绍了基于能量平衡法的单层与双层遥感蒸散模型,并对这2类遥感模型的优缺点分别进行了评述和比较.重点综述了近年来得到发展和应用的大气-陆地交换反演模型(ALEXI),阐述其主要结构、特色和过程.该模型通过耦合双层能量平衡模型(TSEB)和简化边界层模型,减少以往模型对台站气象数据的依赖,明显提高区域蒸散估算精度.研究表明,基于该模型的蒸散胁迫指数(ESI)具有很强的区域干旱监测能力.在今后研究中,多元遥感数据融合技术、陆面数据同化系统与遥感蒸散模型的结合将成为该领域的研究热点.     

盐胁迫对四季竹细胞膜透性和矿质离子吸收、运输和分配的影响

采用盆栽控制试验,研究了土壤不同NaCl浓度(0(CK)、1‰、2‰、3‰、4‰、5‰和6‰)处理45 d对四季竹叶片脱落率和细胞膜透性以及立竹器官K+、Na+、Ca2+和Cl-等矿质离子的吸收、运输和分配的影响.结果表明,1‰～2‰NaCl处理对四季竹叶片脱落率和离子渗漏率无显著影响,3‰～6‰ NaCl处理显著提高了叶片脱落率和离子渗漏率,四季竹的盐胁迫伤害随土壤盐浓度的增大而加剧.随着Na+、Cl-在四季竹立竹各器官中的显著增加,竹根、竹秆、竹枝K+含量逐渐下降,Ca2+含量变化较小,并且K+、Ca2+在竹根、竹秆中的向上选择性运输能力逐渐减弱.由于竹叶在低浓度(1‰～2‰)和高浓度(3‰～6‰)盐胁迫下分别对Ca2+和K+具有较高的选择性吸收能力,随盐浓度的增大,竹叶K+含量迅速升高,Ca2+含量先升高后下降,这对维持竹叶的营养平衡和正常生长具有重要意义.3‰～6‰NaCl处理时,Na+、Cl-在竹叶中的浓度显著高于立竹其他器官,不仅降低了竹叶的渗透势,有利于水分的向上运输,而且四季竹还可以通过叶片脱落的方式降低体内的盐分含量,减轻盐离子毒害.     

敲减MC4R表达对牛胎儿成纤维细胞CMS系统关键因子的影响

为获得敲减黑素皮质素4受体（melanocortin 4 receptor,MC4R）基因的牛胎儿成纤维细胞,并探讨其在能量平衡神经调节系统中的作用,将构建成功并已鉴定为有效序列的短发夹状RNA (short hairpin RNA, shRNA)真核表达载体pGSH1 GFP MC4R,利用阳离子脂质体转染牛胎儿成纤维细胞并使用G418筛选稳定转染细胞株.利用实时荧光定量和Western印迹检测MC4R及中枢黑素皮质素系统(central melanocortin system, CMS)关键因子的表达水平变化.结果表明,在稳定转染的牛胎儿成纤维细胞系中, MC4R表达显著抑制,瘦蛋白(leptin)和阿黑色素原(POMC)表达下调,黑素皮质素拮抗物agouti相关蛋白(AGRP)和MC3R表达上调,而神经肽Y (NPY)表达无明显改变.综上所述,本研究成功获得了敲减MC4R基因表达的牛胎儿成纤维细胞.相关基因表达水平检测结果提示, MC4R的表达水平对CMS系统中的各关键基因的表达有不同的抑制或促进影响.     

GWAS 2011: Opportunities and challenges

The wide adoption of genome-wide association study (GWAS) has dramatically changed the landscape of the genetic studies of human diseases.Banking on the study design that employs large and multiple-independent samples,linkage disequilibrium (LD) -based systematic genome-wide interrogation,and vigorous statistical standard for declaring genetic association,GWAS has greatly advanced the genetic studies of human disease by successfully identifying over 4 thousands of genetic susceptibility SNPs or loci for 210 diseases/traits in human.Besides its unrivaled scientific achievements,GWAS has also transformed the communities of human genetics by stimulating unprecedented broad and large-scale collaboration and data sharing across different groups and countries,which has enabled some mega genetic studies where dozens or hundreds of thousands of samples were investigated through mete-analysis,providing enormous statistical power for discovering genetic variants,even the ones with very moderate effect on disease phenotype or physiological trait.While the success of GWAS has been widely recognized,there are many concerns on GWAS that are being passionately debated.In particular,there ate heated discussions on why only a limited proportion,quiet often a small proportion,of genetic heritability can be explained by the GWAS findings,and whether and how the GWAS findings have really advanced the biological investigation and understanding of disease mechanisms.Concerning these shortcomings of GWAS,many have genuinely questioned the perspective of translating the GWAS findings into clinical practice.To provide a platform to discuss the progresses and shortcomings of GWAS,a nature conference,titled “GWAS 2011:Opportunities and Challenges”,was organized through the collaboration between the Nature Genetics and Anhui Medical University,which was held in Hefei,China on May 19-21,2011.     

肾功能与内环境恒定（二）

肾功能与内环境恒定（二）陈淑凤（北京师范大学生物学系１００８７５）（续１９９５年２９（１）：１８）３．２．１血液的缓冲系统血浆中的缓冲对为：碳酸（ＨＺＣＯ３）”蛋白质磷酸氢Ｍ钠（Ｎａ。ＨＰＯ。）磷酸Ｍ氢钠（ＮａＨｚＰＯ。）红细胞中的主要缓冲对为：一碳...     

WNK1： analysis of protein kinase structure, downstream targets, and potential roles in hypertension

The WNK kinases are a recently discovered family of serine-threonine kinases that have been shown to play an essential role in the regulation of electrolyte homeostasis, lntronic deletions in the WNK1 gene resuk in its overexpression and lead to pseudohypoaldosteronism type Ⅱ, a disease with salt-sensitive hypertension and hyperkalemia. This review focuses on the recent evidence elucidating the structure of the kinase domain of WNK1 and functions of these kinases in normal and disease physiology. Their functions have implications for understanding the biochemical mechanism that could lead to the retention or insertion of proteins in the plasma membrane. The WNK kinases may be able to influence ion homeostasis through its effects on synaptotagmin function.     

茶树鲜花饮料澄清技术研究

茶树鲜花与茶叶具有相似的营养成分,榨汁后经调配可开发成适口性好、风味独特的鲜花饮料。对茶树鲜花饮料的壳聚糖絮凝、酶法澄清、超滤澄清效果进行了比较,结果表明,采用10万分子截留量的超滤膜处理获得能够较好的澄清效果,且对茶多酚造成的操作损失较小。     

应用体内外实验筛选可降低牛乳β-乳球蛋白过敏的乳杆菌

【目的】通过体内外实验评估5种乳杆菌缓解牛乳β-乳球蛋白(BLG)过敏的作用,为今后筛选具有抗过敏活性的乳杆菌提供参考。【方法】首先体外分析5种活的/热致死的乳杆菌促进小鼠原代淋巴细胞分泌细胞因子(CK)IFN-γ和IL-4的水平,随后应用小鼠BLG过敏模型评估这5种乳杆菌抑制过敏的能力。将实验动物随机分为空白组、BLG致敏组和5种活的/热致死乳杆菌组。采用ELISA法检测各组小鼠淋巴细胞分泌Thl/Th2型CK的水平,并测定小鼠血清中总IgE和BLG特异性IgE的含量。【结果】在体外可促进淋巴细胞分泌IFN-γ、抑制IL-4,使其IFN-γ/IL-4比值(代表Thl/Th2细胞平衡)显著高于正常对照组(P<0.05)的乳杆菌,在体内实验中也能有效提高致敏小鼠淋巴细胞的IFN-γ/IL-4分泌率,并显著降低致敏小鼠血清中总IgE和BLG特异性IgE的水平(P<0.05)。相反,在体外的IFN-γ/IL-4比值较低的乳杆菌,不能缓解特异性IgE抗体介导的食物过敏反应。【结论】基于乳杆菌体外刺激小鼠原代淋巴细胞分泌Th1/Th2型CK的结果,可以预测菌株在体内具有可通过纠正Th2占优势的Th1/Th2细胞失衡,下调抗体分泌量,缓解小鼠BLG过敏症状的能力。