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111.
摘要 目的:探讨脓毒症患儿血清淀粉样蛋白A(SAA)、降钙素原(PCT)、C反应蛋白(CRP)与预后的关系,并分析三者对脓毒症的诊断价值。方法:纳入我院于2016年8月~2020年6月期间收治的脓毒症患儿60例开展回顾性研究,作为脓毒症组,选取同期于我院进行体检的健康儿童40例作为对照组,比较两组血清SAA、PCT、CRP水平。根据脓毒症患儿1个月内的生存、死亡情况,分成生存组(n=42)、死亡组(n=18),比较两组临床资料及血清SAA、PCT、CRP水平,经COX回归模型分析脓毒症患儿死亡的危险因素。绘制受试者工作特征(ROC)曲线分析血清SAA、PCT、CRP对脓毒症的诊断价值。结果:脓毒症组血清SAA、PCT、CRP水平显著高于对照组(P<0.05)。死亡组器官障碍数量>2个、脓毒性休克患儿占比分别为55.56%、44.44%,显著高于生存组的19.05%、9.52%(P<0.05);死亡组入院后1 h内使用抗菌治疗患儿占比为38.89%,显著低于生存组的69.05%(P<0.05);死亡组血清SAA、PCT、CRP水平高于生存组(P<0.05)。COX多因素分析结果显示,器官障碍数量>2、脓毒性休克及血清SAA、PCT、CRP水平升高是脓毒症患儿死亡的危险因素(P<0.05),而入院后1 h内使用抗菌治疗是脓毒症患儿死亡风险的保护性因素(P<0.05)。血清SAA、PCT、CRP单独及三者联合诊断脓毒症的曲线下面积(AUC)分别为0.808、0.780、0.761、0.912。结论:脓毒症患儿血清SAA、PCT、CRP明显升高,三者升高均为脓毒症患儿死亡的危险因素,且对脓毒症具有一定诊断价值。 相似文献
112.
摘要 目的:探讨急性肾损伤的危险因素及尿液可溶性程序性死亡受体1(spd-1)、白细胞介素18(IL-18)及胱抑素C(Cys-C)对急性肾损伤的预测价值。方法:选择2018年10月至2019年10月于我院就诊的急性肾损伤患者120例作为观察组,同时选取肾功能正常患者118例作为对照组,收集两组患者的临床资料,检测尿液spd-1、IL-18、Cys-C的含量,采用Logistic回归分析急性肾损伤的危险因素,并绘制ROC曲线,评估尿液spd-1、IL-18、Cys-C对急性肾损伤的预测价值。结果:观察组血清尿素氮(BUN)明显高于对照组(P<0.05)。观察组尿液spd-1、IL-18、Cys-C明显高于对照组(P<0.05)。Logistic回归分析结果显示,尿液spd-1(OR=1.461,P=0.000)、IL-18(OR=1.742,P=0.003)、Cys-C(OR=1.241,P=0.002)是急性肾损伤的危险因素。尿液spd-1预测急性肾损伤曲线下面积(AUC)为0.660,特异度为0.640,灵敏度为0.646;IL-18预测急性肾损伤的AUC为0.672,特异度为0.669,灵敏度为0.675;Cys-C预测急性肾损伤的AUC为0.643,特异度为0.649,灵敏度为0.673;三者联合检测预测急性肾损伤的AUC为0.792,特异度为0.667,灵敏度为0.917。结论:spd-1、IL-18、Cys-C在急性肾损伤患者尿液中含量明显增加,尿液spd-1、IL-18、Cys-C增加是急性肾损伤的危险因素,且三者联合检测对急性肾损伤的预测价值较高,具有一定的临床意义。 相似文献
113.
摘要 目的:探讨与比较冠状动脉核磁共振(MR)血管成像和CT对可疑冠心病患者心脏事件的预测价值。方法:2018年4月到2020年10月选择在本院诊治的103例可疑冠心病患者作为研究对象,所有患者都给予冠状动脉MRI血管成像与64层螺旋CT冠状动脉成像检查,记录影像学特征。随访患者的预后并进行预测价值分析。结果:103例可疑冠心病患者随访到2021年4月1日,发生心血管不良终点事件23例(不良事件组),发生率为22.3%。不良事件组的MRI血管成像显示右冠状动脉血管长度与内径都低于非不良事件组(P<0.05)。不良事件组的CT显示斑块率、斑块性质等与非不良事件组对比差异有统计学意义(P<0.05),两组斑块位置对比差异无统计学意义(P>0.05)。多因素Cox回归分析显示斑块性质、斑块率、右冠状动脉血管长度与内径都为导致心血管不良终点事件的重要因素(P<0.05)。结论:冠状动脉MRI血管成像和CT都可有效预测可疑冠心病患者心脏事件发生情况,能满足临床诊断可疑冠心病与预测预后的要求。 相似文献
114.
115.
Christian Schimper Rupert Keckeis Eduard Burtscher Avinash P. Manian 《Biocatalysis and Biotransformation》2013,31(5-6):383-389
Cellulosic fabric samples of cotton, viscose, lyocell and modal were pretreated with steam and dry heat in the range of 100–190°C. The samples were then treated with a Trichoderma reesei cellulase preparation (total culture filtrate – TC), with mechanical agitation, at a high enzyme dosage of 75% by weight of fabric, for 8 hours. Generally, viscose proved to be easily degradable, followed by cotton and modal. The degree of hydrolysis was the least for Lyocell. Dry heat pretreatments exerted a lower influence on degradation rate than steam pretreatments which showed a distinct maximum at a steam temperature of 130°C. The hydrolysis rate varied strongly depending on treatment conditions and fibre type. Water retention values in treated substrates were changed by up to 20% of initial values. 相似文献
116.
There are two main types of arrangement of differentiated cells within the radial cell files of secondary phloem in conifer trees. In the C-type arrangement, characteristic of the Cupressaceae, fibre (F), parenchyma (P) and sieve (S) cells are arranged in recurrent groups, such as the “standard” cellular quartet (FSPS). In the P-type arrangement, characteristic of the Pinaceae, there are no fibres and one of the characteristic recurrent arrangements is the cellular sextet (PSSSSS). In addition, in both C-type and P-type arrangements, similar cell types are often organised into tangential bands. A simulation model, based on the theory of L-systems, was devised to account for the determination of these two types of regular and recurrent patterns of differentiated phloem cells. It was based on the supposition that, in the meristematic portion of the phloem domain, there are specific spatio-temporal patterns of periclinal cell division. When new cells are produced, those already present are displaced along the cell file, occupying a predictable number of cellular positions as a result of each round of cell division. Each cellular position is assumed to be associated with a specific value of a morphogen, such as the auxin, indole acetic acid, relevant for vascular differentiation. Using published quantitative data on the distribution auxin across the phloem, and assuming specific threshold values of auxin necessary for the determination of each cell type, it was found that sequences of F, S or P cells developed in accordance with the specific pattern of cell division and the related positional values of auxin experienced by the cells during their displacement through the immediately post-mitotic zone of cell determination. The model accounts not only for the typical C-type and P-type cellular arrangements, but also for certain variant arrangements. It provides a working example of the concepts of positional information and positional value for patterned differentiation within a developing plant tissue. There are similarities between the way groups of phloem cells develop and the differentiation of somites in the embryos of vertebrates. 相似文献
117.
Abstract We quantified the effects of anthropogenic disturbances on the structure and biodiversity of boreal forests on acidic soils and created a statistically supported rational set of indicators to monitor the stand “naturalness”. For that, we surveyed various traits of tree layer, understory, herb layer, forest floor and several widely accepted biodiversity epiphytic indicators in 252 old‐aged boreal stands in Estonia, mostly dominated by Scots pine or Norway spruce. Multifactorial general linear model analyses showed that many forest characteristics and potential indicators were confounded by the gradient of soil productivity (reflected by the forest site type), local biogeographic gradients and also by stand age. Considering confounding effects, boreal forests in a near‐natural state have more large‐diameter trees (diameter at breast height >40 cm) and larger variety of diameter classes, higher proportion of spruce or deciduous trees, a larger amount of coarse woody debris in various stages, a more closed tree canopy and denser understory than managed mature forests. By increasing light availability above the field layer, forest management indirectly increases the coverage of herbs and lichens on the forest floor but reduces the alpha‐ and beta‐diversity of herbs and the proportion of graminoids. Human disturbances reduce the relative incidence of many commonly accepted biodiversity indicators such as indicator lichens, woodpeckers, wood‐dwelling insects or fungi on trees. The test for the predictive power of characteristics reacting on disturbance revealed that only a fraction of them appeared to be included in a diagnostic easy‐to‐apply set of indicators to assess the nature quality of boreal forest: the amount of dead wood, the proportion of deciduous trees, the presence of specially shaped trees and woodpeckers and, as an indicator of disturbances, the forest herb Melampyrum pratensis. Many of these indicators have already been implemented in practice. 相似文献
118.
Aim
Across the tropics, large‐bodied mammal species are threatened by rapid and widespread forest habitat conversion by either commercial logging or agricultural expansion. How such species use these habitats is an important area of research for guiding their future management. The tropical forest‐dwelling sun bear, Helarctos malayanus, is the least known of the eight bear species. Consequently, the IUCN/SSC Bear Specialist Group ranks research on this species as a top priority. This study aims to investigate landscape variables that influence sun bear habitat use in forests under varying levels of degradation and protection.Location
A 20,998 km2 Sumatra forest landscape covering Kerinci Seblat National Park (KSNP), Batang Hari Protection Forest (BHPF) and neighbouring logging and agricultural concessions.Methods
An occupancy‐based sampling technique using detection/non‐detection data with 10 landscape covariates was applied in six study areas that operated a total of 125 camera traps. The potential differences between habitat use (ψ) of sun bears were first modelled with broad‐scale covariates of study area, land‐use types and forest type. Sun bear habitat use was then investigated with the finer‐scale landscape features associated within these areas.Results
From 10,935 trap nights, sun bears were recorded at altitudes ranging from 365 to 1791 m. At a broad‐scale, habitat use increased with protection status, being highest in KSNP (0.688 ± 0.092, ± SE) and BHPF (0.621 ± 0.110) compared to production (0.418 ± 0.121) and convertible (0.286 ± 0.122) forests. Within these areas, sun bears showed a preference for forest that was further from public roads and villages and at a lower elevation.Main conclusions
The habitat suitability model identified several high‐quality habitat patches outside of the priority conservation areas for immediate protection. Consequently, conservation management strategies should emphasize the importance of high conservation value forests and prohibit further conversion of threatened lowland forests.119.
Local temperatures inferred from plant communities suggest strong spatial buffering of climate warming across Northern Europe 总被引:1,自引:0,他引:1
Jonathan Lenoir Bente Jessen Graae Per Arild Aarrestad Inger Greve Alsos W. Scott Armbruster Gunnar Austrheim Claes Bergendorff H. John B. Birks Kari Anne Bråthen Jörg Brunet Hans Henrik Bruun Carl Johan Dahlberg Guillaume Decocq Martin Diekmann Mats Dynesius Rasmus Ejrnæs John‐Arvid Grytnes Kristoffer Hylander Kari Klanderud Miska Luoto Ann Milbau Mari Moora Bettina Nygaard Arvid Odland Virve Tuulia Ravolainen Stefanie Reinhardt Sylvi Marlen Sandvik Fride Høistad Schei James David Mervyn Speed Liv Unn Tveraabak Vigdis Vandvik Liv Guri Velle Risto Virtanen Martin Zobel Jens‐Christian Svenning 《Global Change Biology》2013,19(5):1470-1481
Recent studies from mountainous areas of small spatial extent (<2500 km2) suggest that fine‐grained thermal variability over tens or hundreds of metres exceeds much of the climate warming expected for the coming decades. Such variability in temperature provides buffering to mitigate climate‐change impacts. Is this local spatial buffering restricted to topographically complex terrains? To answer this, we here study fine‐grained thermal variability across a 2500‐km wide latitudinal gradient in Northern Europe encompassing a large array of topographic complexities. We first combined plant community data, Ellenberg temperature indicator values, locally measured temperatures (LmT) and globally interpolated temperatures (GiT) in a modelling framework to infer biologically relevant temperature conditions from plant assemblages within <1000‐m2 units (community‐inferred temperatures: CiT). We then assessed: (1) CiT range (thermal variability) within 1‐km2 units; (2) the relationship between CiT range and topographically and geographically derived predictors at 1‐km resolution; and (3) whether spatial turnover in CiT is greater than spatial turnover in GiT within 100‐km2 units. Ellenberg temperature indicator values in combination with plant assemblages explained 46–72% of variation in LmT and 92–96% of variation in GiT during the growing season (June, July, August). Growing‐season CiT range within 1‐km2 units peaked at 60–65°N and increased with terrain roughness, averaging 1.97 °C (SD = 0.84 °C) and 2.68 °C (SD = 1.26 °C) within the flattest and roughest units respectively. Complex interactions between topography‐related variables and latitude explained 35% of variation in growing‐season CiT range when accounting for sampling effort and residual spatial autocorrelation. Spatial turnover in growing‐season CiT within 100‐km2 units was, on average, 1.8 times greater (0.32 °C km?1) than spatial turnover in growing‐season GiT (0.18 °C km?1). We conclude that thermal variability within 1‐km2 units strongly increases local spatial buffering of future climate warming across Northern Europe, even in the flattest terrains. 相似文献
120.
目的:通过对一定样本的肛周感染患者的超声影像分析,探讨超声检查在肛周感染性疾病中诊断的价值,旨在早期为临床提供早期干预证据.方法:利用飞利浦IU22超声对我院2010年10月到2012年10月收治的60例肛周感染患者进行扫查,根据病变部位,特征及超声声像图进行分型分析并与实际手术结果对照,评价超声在肛周感染性疾病上的诊断及治疗方法选择的价值.结果:超声诊断单纯型肛周脓肿28例,肛瘘20例,复合型肛周脓肿12例;与手术所见符合率分别为单纯脓肿93.33%,肛瘘100.0%,复合型肛周脓肿90.91%.术前超声诊断和手术确诊病例数之间没有统计学差异(P>0.05).结论:超声在肛周感染性疾病的诊断中具有快速、准确、经济等独特的优势,并可根据声像图对其作出较准确的分型,为临床治疗方法的选择提供可靠的依据. 相似文献