Sensitive Chemiluminescence Enzyme Immunoassay for Vascular Endothelial Growth Factor/Vascular Permeability Factor in Human Serum

A sandwich chemiluminescence enzyme immunoassay for measuring the level of VEGF /VPF in serum was constructed. The detectability of the assay is very low (1.0pg/ml) and the measurable range of the assay was very wide (1–1000 pg/ml). The assay showed that the average level of VEGF /VPF in human sera from healthy blood donors was approximately 19 pg/ml.     

The method matters: A guide for indicator aggregation in ecological assessments

Ecological assessment requires the integration of many physical, chemical, and/or biological quality elements. The choice of the aggregation method of such partial assessments into an overall assessment can considerably affect the assessment outcome – an issue that has been controversially discussed within the scientific community for the last decade. Current practice often considers only two different aggregation methods, the weighted arithmetic mean (additive aggregation) and the one-out, all-out method (minimum aggregation). However, both have important drawbacks. Additive aggregation compensates a bad status of one quality element by a number of elements featuring good status. Minimum aggregation can lead to overly pessimistic assessment results, since only the quality element in the worst status is considered. Here, we introduce a toolbox containing current and new aggregation methods, demonstrate and discuss their properties with simple, didactical examples, and suggest in which situations best to use them. Then, we illustrate the consequences of selected aggregation schemes for ecological river assessment with the case study of the Swiss Modular Concept of stream assessment (SMC), which we apply to ten river reaches in the Mönchaltdorfer Aa catchment in Switzerland. To be able to do so, we used multi-criteria decision analysis, i.e., multi-attribute value theory, to arrange the SMC quality elements into an objectives hierarchy, and to translate their individual assessments into value functions. Our case study revealed that choosing the most appropriate aggregation method particularly matters, if objectives with significantly different qualities are aggregated. We argue that redundant objectives (i.e., quality elements), often found at the lower levels of the objectives hierarchy, should best be aggregated additively allowing for compensation to increase the statistical significance of the results. Further, we suggest that complementary sub-objectives that often occur at higher levels may be optimally aggregated with a mixture of additive and minimum aggregation. Such a mixed method will allow some compensation, but nevertheless penalize for very bad states. Since here we compare commonly used aggregation methods with some which we believe have never been discussed in an assessment context before, our study concurrently informs ecological assessment in theory and in practice.     

野生田头菇菌株的驯化及其子实体营养成分分析

采自湖南洞庭湖大通湖区芦苇湿地的野生菌株,经鉴定为田头菇Agrocybe praecox。通过驯化实现人工栽培,栽培原料以芦苇屑为主,使用液体菌种和覆土栽培方式,初潮菇平均生物转化率为45.6%。营养成分分析表明：以芦苇屑为栽培培养基,子实体中矿物元素含量分别为K（2 190mg/kg）、Fe（16.2mg/kg）、Mg（59.7mg/kg）、Ca（33.4mg/kg）,必需氨基酸含量占比高达44.85%,谷氨酸、蛋氨酸、天冬氨酸含量高,是一种高蛋白、低脂肪、高钾低钠的食用菌。     

持续颅内压监测对大面积脑梗死外科治疗预后的应用价值

目的:探讨持续颅内压(ICP)监测对大面积脑梗死外科治疗预后的应用价值。方法:选取2013年3月至2018年3月期间在我院接受治疗的大面积脑梗死患者100例作为研究对象,所有患者经去骨瓣减压术后行ICP监测和生命体征监测,通过结果分为:低压组62例(2.70kPa≤ICP5.30kPa),高压组38例(ICP≥5.30 kPa)。记录患者ICP监测数值,接收者操作特征(ROC)曲线分析患者预后情况,对患者进行术后3个月内随访,了解患者平常活动能力进行判断预后的状况。观察ICP与预后的相关性。结果:两组患者性别、年龄、室速、室性早搏、糖尿病、高血压病、脑卒中、高脂血症、风心病、冠心病、扩张性心肌病、既往心肌梗死、肥厚性心肌病、甲亢性心脏病等资料比较差异无统计学意义(P0.05)。低压组患者中预后良好的ICP监测值显著低于预后不良者(P0.05),高压组中预后良好的ICP监测值显著低于预后不良者(P0.05)。ICP预测大面积脑梗死外科治疗预后的ROC曲线面积0.704,采用最大约等指数计算得出ICP预测大面积脑梗死外科治疗预后的最大AUC面积相应参数截止值为4.89,其中敏感度为0.435,特异性为0.896。结论:持续ICP监测结果显示ICP值越小,患者的预后就越好,ICP值越高,患者的预后越差。ICP监测对大面积脑梗死外科治疗的预后具有预测价值,对判断和改善预后能起到有效帮助,值得在临床推广应用。     

格网尺度下青海玛多县土地利用及生态系统服务价值空间自相关分析

开展黄河源区土地利用和生态系统服务价值空间量化评估,对于保障黄河流域生态安全具有重要意义。以黄河源区玛多县为例,基于3 km×3 km网格单元,应用空间自相关方法构建生态系统服务价值评价模型,定量评价了2015年玛多县土地利用/覆被空间自相关格局特征,可视化表达了玛多县生态系统服务价值空间信息。结果表明: 在3 km×3 km格网尺度下,不同覆盖度草地覆盖范围广阔;水域网格占总网格数的42.9%,在玛多县西北部分布密集;建设用地呈东北-西南走向的“线条式”分布;未利用土地体现为西南多、东北少的分布格局。在空间上,玛多县土地利用类型网格之间相互影响,表现为正相关性和聚集分布。水域的全局Moran I和局部Moran I值均最大,空间聚集性最强,局部连片度较高。建设用地的全局Moran I和局部Moran I值分别为0.293和0.127,空间自相关性最弱,在小范围内呈聚集特点。2015年,玛多县生态系统服务价值(ESV)为938.87亿元,网格的ESV平均值为3.20×10⁷元,最大值为19.96×10⁷元,水域分布网格是ESV的高值区。玛多县ESV分布格局整体上呈显著的空间正向自相关,ESV在网格之间为聚集分布。不同土地利用类型ESV网格总体呈高高、低低聚集,在局部零星为高低、低高聚集。可采取的国土空间规划与用途管制策略包括:水域、未利用土地采用强调生态溢出价值的“集中连片式”保护模式,高、中、低覆盖度草地采取主次分明、划区管理的“组团式”生态治理模式,建设用地在“廊道式”分布格局中采取小范围集约化开发利用模式。     

呼吸机相关性肺炎患者病原菌分布及血清sTREM 1和HMGB1的变化

目的探讨呼吸机相关性肺炎患者病原菌分布及血清高迁移率族蛋白1(HMGB1)和可溶性髓系细胞触发受体-1(sTREM-1)的变化。方法选取我院2016年3月至2019年5月收治的131例呼吸机相关性肺炎患者进行研究,检测入选患者病原菌感染情况,同时根据患者病情分为重症组与非重症组。另选取60例同期体检对象作为对照组,比较各组患者血清sTREM-1、HMGB1水平及临床肺部感染评分(CPIS),分析血清sTREM-1、HMGB1对呼吸机相关性肺炎的预测价值。结果 131例患者共检出病原菌415株,病原菌以革兰阴性菌为主,其次是革兰阳性菌,真菌的占比最低。革兰阴性菌中以铜绿假单胞菌和肺炎克雷伯菌为主,革兰阳性菌中以金黄色葡萄球菌为主。重症组、非重症组及对照组患者血清sTREM-1、HMGB1水平及CPIS评分依次递减,组间比较差异均有统计学意义(均P0.05)。Cochran Armitage趋势检验发现,血清sTREM-1、HMGB1水平及CPIS评分与呼吸机相关性肺炎严重程度呈线性增加趋势(Z=5.056、3.127、3.811,均P0.05)。诊断呼吸机相关性肺炎病情严重程度时,血清sTREM-1的AUC及敏感性、特异性最高,其次是CPIS和血清HMGB1,3个指标均对呼吸机相关性肺炎有一定诊断价值。结论革兰阴性菌是呼吸机相关性肺炎的主要致病菌,血清sTREM-1、HMGB1水平对呼吸机相关性肺炎的病情有一定诊断价值。     

Effects of Different Potassium (K) Fertilizer Rates on Yield Formation and Lodging of Rice

As one of the most important nutrients for plants, potassium (K) has substantial effects on growth and development of crops. Present study was conducted in three different sites in South China in late season in 2019 with the objective to study the effects of different applied amounts of K fertilizer on yield formation and lodging of rice. Four K fertilizer treatments, K₀: 0 kg potassium oxide (K₂O) ha⁻¹ (control); K₁: 64.20 kg K₂O ha⁻¹ ; K₂: 128.55 kg K₂O ha⁻¹ and K₃ 153.90 kg K₂O ha⁻¹ were applied in the field experiment. The results showed that K₂ and K₃ treatments significantly increased panicle number per unit area, grain number per panicle, seed-setting rate and the grain yield of rice compared with K₀ treatment. Higher net photosynthetic rates were recorded in K₂ and K₃ treatments than K₀ treatment at tillering stage, heading stage and maturity stage. K fertilizer treatments also increased the chlorophyll content and dry matter accumulation by 6.16–23.52% and 21.32–64.59% compared with K₀ treatment, respectively. Moreover, the total N and K accumulation in the aboveground tissues of rice significantly increased under K₂ and K₃ treatments compared with K₀ treatment. Furthermore, compared with K₀ treatment, K fertilizer treatments significantly enhanced the breaking-resistant strength by 40.94–144.24% and reduced the lodging index of rice by 13.14–36.72%.     

脓毒症患儿血清SAA、PCT、CRP水平与预后的关系及其诊断价值分析

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。     

急性肾损伤的危险因素及尿液spd-1、IL-18、Cys-C的预测价值分析

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。     

冠状动脉磁共振血管成像和CT对可疑冠心病患者心脏事件的预测价值的比较研究

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。