动态心电图在小儿心律失常与心率变异性诊断中的意义

目的：研究动态心电图（DCG）诊断小儿心律失常及心率变异性（HVR）的临床价值。方法：560 例患者均进行常规心电图和动 态心电图的检查,由两组专业人员分别对心电图（ECG）和动态心电图（DCG）的检查结果进行（评价）,比较两种检查手段的不同 类型的心律失常的诊出率;评价不同类型心律失常的HVR。结果：ECG对各型心律失常的总诊出率为25.00%,对不同类型心率失 常的诊出率分别为5.71%、1.43%、9.29%、6.43%和2.14%;DCG 总诊出率为62.85%,对不同类型心率失常的诊出率分别为 16.43%、6.43%、17.86%、14.29%和7.86%,二者具有统计学差异（P＜0.05）。不同类型的心律失常的HVR不同,其中室性心动过速 和室性期前收缩的各项指标均明显低于其他类型（P＜0.05）。结论：DCG对不同心律失常的诊出率明显高于ECG,并能有效反应 不同类型心率失常的HVR,在小儿心律失常的诊断中具有一定的临床价值。     

Extension of dynamic range of sensitive nanoparticle-based immunoassays

Nanoparticles have successfully been employed in immunometric assays that require high sensitivity. Certain analytes, however, require dynamic ranges (DRs) around a predetermined cut-off value. Here, we have studied the effects that antibody orientation and addition of free solid-phase and detection antibodies have on assay sensitivity and DR in traditional sandwich-type immunoassays. D-dimer and cardiac troponin I (cTnI), both routinely used in critical care testing, were applied as model analytes. The assays were performed in microtitration wells with preimmobilized solid-phase antibody. Inherently fluorescent nanoparticles coated with second antibody were used to detect the analyte. The selection of antibody orientation and addition of free solid-phase or detection antibody, with nanoparticles and calibrator, desensitized the assays and extended the DR. With D-dimer the upper limit of the DR was improved from 50 to 10,000 ng/ml, and with cTnI from 25 to 1000 ng/ml. Regression analysis with the Stago STA Liatest D-dimer assay yielded a slope (95% confidence interval) of 0.09 (0.07–0.11) and a y-intercept of −7.79 (−17.87–2.29) ng/L (n = 65, r = 0.906). Thus it is concluded that Europium(III)-chelate-doped nanoparticles can also be employed in immunoassays that require wide DRs around a certain cut-off limit.     

Modelling the optimal timing in metabolic pathway activation—Use of Pontryagin's Maximum Principle and role of the Golden section

The time course of enzyme concentrations in metabolic pathways can be predicted on the basis of the optimality criterion of minimizing the time period in which an essential product is generated. This criterion is in line with the widely accepted view that high fitness requires high pathway flux. Here, based on Pontryagin's Maximum Principle, a method is developed to solve the corresponding constrained optimal control problem in an almost exclusively analytical way and, thus, to calculate optimal enzyme profiles, when linear, irreversible rate laws are assumed. Three different problem formulations are considered and the corresponding optimization results are derived. Besides the minimization of transition time, we consider an operation time in which 90% of the substrate has been converted into product. In that case, only the enzyme at the lower end of the pathway rather than all enzymes are active in the last phase. In all cases, biphasic or multiphasic time courses are obtained. The biological meaning of the results in terms of a consecutive just-in-time expression of metabolic genes is discussed. For the special case of two-enzyme systems, the role of the Golden section in the solution is outlined.     

A label-free nanoparticle aggregation assay for protein complex/aggregate detection and study

The detection, analysis, and understanding of protein complexes/aggregates and their formation process are extremely important for biomolecular research, diagnosis, and biopharmaceutical development. Unfortunately, techniques that can be used conveniently for protein complex/aggregate detection and analysis are very limited. Using gold nanoparticle immunoprobes coupled with dynamic light scattering (DLS), we developed a label-free nanoparticle aggregation immunoassay (NanoDLSay) for protein aggregate detection and study. Glyceraldehyde 3-phosphate dehydrogenase (GAPDH), a protein target used routinely in Western blot as a loading control, is demonstrated here as an example. Through this study, we discovered that GAPDH has a strong tendency to form large aggregates in certain buffer solutions at a concentration range of 10-25 μg/ml. The strong light scattering property of gold nanoparticles immunoprobes greatly enhanced the sensitivity of the dynamic light scattering for protein complex/aggregate detection. In contrast to fluorescence techniques for protein complex and aggregation study, the protein targets do not need to be labeled with fluorescent probe molecules in NanoDLSay. NanoDLSay is a very convenient and sensitive tool for protein complex/aggregate detection and study.     

Regret‐Regression for Optimal Dynamic Treatment Regimes

Summary We consider optimal dynamic treatment regime determination in practice. Model building, checking, and comparison have had little or no attention so far in this literature. Motivated by an application on optimal dosage of anticoagulants, we propose a modeling and estimation strategy that incorporates the regret functions of Murphy (2003, Journal of the Royal Statistical Society, Series B 65, 331–366) into a regression model for observed responses. Estimation is quick and diagnostics are available, meaning a variety of candidate models can be compared. The method is illustrated using simulation and the anticoagulation application.     

沈阳城市绿地系统的景观生态评价

运用景观生态学原理和方法,选取多样性指数、均匀度指数、破碎度指数、分离度指数、分维度指数、连通性指数等8个景观格局指数对沈阳市城市绿地系统的景观格局进行分析。结果表明:沈阳城市绿地景观总体表现为绿地率较低,绿地斑块分布不均衡,景观结构不合理,破碎度较高,分维数较低,景观类型较齐全,均匀度较低,景观分离度较小。针对存在的问题,提出了沈阳城市绿地景观生态规划建议。     

单性木兰种子雨与天然更新的初步调查

以位于广西木论国家级自然保护区内的单性木兰为对象,调查了其种子的天然散播和天然萌发、幼苗幼树的生长情况及鼠类对种子的取食危害情况。结果表明：单性木兰种子具休眠特性,种子到达地面后并不立即萌发,至次年4月初—4月中旬才见子叶出土;鼠类对单性木兰种子的取食具有长期性,从种子散播初期至种子萌发的这段时间鼠类均对其种子进行取食（包括地表和土壤中的种子）;利用铁丝网罩进行种子萌发的对比实验发现,即使是在无鼠类危害的情况下,单性木兰的种子萌发率也很低;单性木兰天然更新过程中由种子转化成幼苗这个阶段还存在着严重的障碍,低的种子萌发率难以满足单性木兰种群的正常更新。     

DCE-MRI联合DWI对直肠癌患者术前T、N分期及系膜淋巴结良恶性的诊断价值

摘要 目的：探讨动态对比增强磁共振(DCE-MRI)联合弥散加权成像（DWI）诊断直肠癌术前T、N分期和系膜淋巴结良恶性的价值。方法：收集2017年2月至2019年10月中国医科大学附属本溪中心医院和中国医科大学附属盛京医院接诊的80例直肠癌患者,均进行常规核磁共振成像（MRI）、DCE-MRI、DWI扫描,获得DCE-MRI、DWI定量参数[转运常数（K ^trans ）、细胞外血管外空间的体积分数（V _e ）、速率常数（K _ep ）、表观扩散系数(ADC)],比较不同T、N分期、不同性质系膜淋巴结DCE-MRI、DWI参数,及其对T、N分期和系膜淋巴结性质的诊断效能。结果：直肠癌癌灶K ^trans 、 K _ep 、V _e 高于正常肠壁,ADC低于正常肠壁（P＜0.05）。TNM分期为T_Ⅲ～Ⅳ期的患者K ^trans 、 K _ep 、V _e 高于T_Ⅰ～Ⅱ期,ADC低于T_Ⅰ～Ⅱ期（P＜0.05）;TNM分期为N₁期的患者K ^trans 、K _ep 、V _e 高于N₀期,ADC低于N₀期（P＜0.05）。联合诊断的灵敏度、特异度、阳性预测值、阴性预测值较高。结论：DCE-MRI联合DWI对直肠癌术前T、N分期、系膜淋巴结性质诊断价值较高。     

Heterogeneous communities with lognormal species abundance distribution: Species-area curves and sustainability

Heterogeneous species abundance models are models in which the dynamics differ between species, described by variation among parameters defining the dynamics. Using a dynamic and heterogeneous species abundance model generating the lognormal species abundance distribution it is first shown that different degrees of heterogeneity may result in equivalent species abundance distributions. An alternative to Preston's canonical lognormal model is defined by assuming that reduction in resources, for example reduction in available area, increases the density regulation of each species. This leads to species-individual curves and species-area curves that are approximately linear in a double logarithmic plot. Preston's canonical parameter gamma varies little along these curves and takes values in the neighborhood of one. Quite remarkably, the curves, which define the sensitivity of the community to area reductions, are independent of the heterogeneity among species for this model. As a consequence, the curves can be estimated from a single sample from the community using the Poisson lognormal distribution. It is shown how to perform sensitivity analysis with respect to over-dispersion in sampling relative to the Poisson distribution as well as sampling intensity, that is, the fraction of the community sampled. The method is exemplified by analyzing three simulated data sets.     

江西新建县土地利用时空动态特征分析

在RS与GIS支持下,以江西省新建县为研究区,采用与土地利用动态度相关的一系列时空特征指数,研究了1991、1996和2000年3个时间段上土地利用的时空动态特征.结果表明,单一土地利用动态中建设用地变化动态度最大;1991～2000年间研究区域综合土地利用动态度年均变化速度为0.165%,其中前5年变化速度比后4年快,为后者1.5倍多.1991、1996和2000年土地利用程度综合指数分别为243.68、244.08和244.87,稍高于全国平均水平23192.新建县1996～2000年各种土地利用类型总的空间转移量(转出或转入)比前一时段有所下降,土地利用变化逐渐由双向转移向单向不平衡转移转化.