新生血管性年龄相关性黄斑变性对抗VEGF治疗的耐药性危险因素分析

摘要 目的：探究新生血管性年龄相关性黄斑变性对抗血管内皮生长因子（VEGF）治疗的耐药性危险因素。方法：选取2019年5月至2021年5月于我院接受治疗的90例nAMD患者作为研究对象,进行VEGF治疗,根据患者的耐药情况将其分为耐药组（n=19）和非耐药组（n=71）,统计患者资料,对比分析产生耐药性的危险因素。结果：危险因素与AMD类型、PED、椭圆体带完整性、积液、出血、BCVA、眼压、CRT异常有关（P<0.05）,危险因素与性别和平均年龄无关（P>0.05）;Ⅰ型CNV患者在VEGF治疗前后CRT水平未出现显著变化（P>0.05）,II型CNV患者和混合型CNV患者治疗前后CRT水平均显著降低（P<0.05）。Logistic回归分析显示：最终进入主效应模型的因素即抗VEGF治疗的耐药性发生的多因素为积液、PED、出血、AMD类型。结论：新生血管性年龄相关性黄斑变性（nAMD）对抗VEGF治疗出现耐药性与积液、出血和AMD类型有关。     

胃炎性纤维性息肉的临床特征及内镜下诊治

摘要 目的：研究胃炎性纤维性息肉（IFP）的临床特征及内镜下诊断和治疗情况。方法：收集2010.1.1~2021.1.1陕西省人民医院确诊的11例IFP,重点分析其超声内镜表现及临床特征,探索其内镜下治疗价值。结果：IFP多发生在胃窦,均发生于40岁以上人群,男女比例无明显差别,平均直径1.2 cm,大部分临床无症状,有时可引起出血或腹痛。超声内镜示其为粘膜下隆起,孤立、界清,表面多光滑,均起源于粘膜下层,呈低回声,界清,类圆形;内镜下粘膜挖除术治疗IFP,手术时间短,恢复快,并获得完整的标本,术后病理有助确诊。结论：胃炎性纤维性息肉多发生40岁以上人群,多为胃窦孤立的粘膜下病变,多无症状,超声内镜有助于IFP的术前精确评估,内镜下粘膜挖除术是治疗IFP一项安全有效的方法,术后病理最终确诊。     

遮光处理对观赏栀子氮、磷、钾分配与生长的影响

为探究观赏栀子在不同遮光条件下生长和光合及氮、磷、钾(N、P、K)分配的规律,该研究对3种观赏栀子设置5种不同的遮光处理(0%、60%、70%、80%、90%),通过对观赏栀子的生长和光合及各器官N、P、K含量进行统计与分析,探究了不同遮光处理对观赏栀子栽植效果的影响。结果表明:(1)60%和0%遮光率的大花栀子、80%和70%遮光率的雀舌栀子、0%遮光率的花叶栀子均长势较好。(2)随着遮光率的增加,雀舌栀子和花叶栀子的净光合速率、胞间CO₂浓度、蒸腾速率逐渐降低,气孔导度、水分瞬时利用率在遮光率60%下达到最大值。(3)大花栀子总N量最高,器官含N量高低排序为叶、根、茎; 雀舌栀子总P量最高,器官含P量排序为根、茎、叶; 大花栀子在90%遮光率下含K量最高。综合考虑认为,雀舌栀子更耐荫蔽,适合在80%和70%的遮光条件下生长; 大花栀子次之,适合在60%和0%遮光条件下生长; 花叶栀子最不耐荫,适合在0%遮光条件下生长。     

Gamma and X-ray irradiation as a phytosanitary treatment against various stages of Planococcus lilacinus (Hemiptera: Pseudococcidae)

The cacao mealybug, Planococcus lilacinus Cock, is an important quarantine pest. Infested commodity should be subject to appropriate phytosanitary treatment, while irradiation is recommended for the cacao mealybug. Radio-tolerance comparison tests were conducted on the crawler, nymphs, and adult females of P. lilacinus at the X-ray radiation doses of 40, 80, and 120 Gy, respectively. The results showed that irradiation had a strong effect on preventing of development and reproduction; the adult female stage was identified as the most tolerant. During the following dose–response tests, among young and late females X-ray-irradiation (20–100 Gy), the late females were most tolerant when preventing F₁ generation 2nd instars emergence was used as the evaluation criterion. Minimum absorbed dose and its 95 % fiducial limits to provide probit 9 efficacy at 95 % confidence level (100 % mortality/inhibition in an estimated population of 93,616 individuals) were 131.5 Gy (122.5, 142.6 Gy) and 144.4 Gy (132.7, 159.4 Gy), estimating from the probit analysis on dose-mortality data of 1–30 and 1–10-day-old neonates laid by late females, respectively. In the large-scale confirmatory tests, a total of estimating 97,384 late females of P. lilacinus rearing on the pumpkins fruits were irradiated with gamma-ray at the target dose of 135 or 145 Gy (measured doses 126.1–163.0 Gy), which resulted in no F₁ generation 2nd nymphs developing during a 6-week post-treatment period. The treatment efficacy calculated is 99.9969 % at the 95 % confidence level. Therefore, a minimum absorbed dose of 163.0 Gy is recommended for phytosanitary treatment of P. lilacinus in infested commodity.     

4种种子处理剂对菜心安全性及保护作用评价

为评价4种种子处理剂对菜心种子的安全性以及对黄曲条跳甲Phyllotreta striolata (Fabricius)的防治效果和保苗作用,本研究开展了室内、田间安全性试验以及田间保护试验。室内安全性试验结果显示,40%溴酰·噻虫嗪种子处理悬浮剂、600 g/L吡虫啉悬浮种衣剂、18%噻虫胺种子处理悬浮剂、54%吡虫·氟虫腈悬浮种衣剂用量分别低于5 120、9 600、2 880、7 040 g(a.i.)/100 kg种子时,对菜心种子发芽和生长无影响。田间安全性及保护作用结果显示,40%溴酰·噻虫嗪种子处理悬浮剂和54%吡虫·氟虫腈悬浮种衣剂保护作用显著,菜心出苗后25 d的株高和鲜重与对照组相比均有增加,且差异显著。结果表明40%溴酰·噻虫嗪种子处理悬浮剂和54%吡虫·氟虫腈悬浮种衣剂对菜心种子具有较好的安全性,且对菜心苗期有良好的保护作用。     

Exosomes in tuberculosis: Still terra incognita?

Today, diagnosis, vaccination, and treatment of tuberculosis (TB) remain major clinical challenges. Therefore, an introduction of new diagnostic measures and biomarkers is necessary to improve infection control. The ideal biomarker for TB infection can be defined as a host or pathogen-derived biomolecule, which is potent for identifying infection and determining its clinical stage. Exosomes, defined as cell-derived nanovesicles released into biological fluids, are involved in cell–cell communication and immune modulation. These vesicles have emerged as a new platform for improving the clinical diagnosis and prognosis of different infectious diseases and cancers. The role of these nanovehicles, as alternative biomarkers for the improvement of TB diagnosis and treatment, has been demonstrated in a significant body of literature. In this review, we summarized recent progress in the clinical application of exosome-based biomarkers in TB infection.     

Dimethyl fumarate: Regulatory effects on the immune system in the treatment of multiple sclerosis

Dimethyl fumarate (DMF) is an important oral treatment option for various autoimmune diseases, such as multiple sclerosis (MS) and psoriasis. DMF and its dynamic metabolite, monomethyl fumarate (MMF) are the major compounds that exert therapeutic effects on several pathologic conditions in part, through downregulation of immune responses. The exact mechanism of DMF is yet to be fully understood even though its beneficial effects on the immune system are extensively studied. It has been shown that DMF/MMF can affect various immune cells, which can get involved in both the naive and adaptive immune systems, such as T cells, B cells, dendritic cells, macrophages, neutrophils, and natural killer cells. It is suggested that DMF/MMF may exert their effect on immune cells through inhibition of nuclear factor-κB translocation, upregulation of nuclear factor erythroid-derived 2(E2)-related factor antioxidant pathway, and activation of hydroxyl carboxylic acid receptor 2. In this review, the mechanisms underlying the modulatory functions of DMF or MMF on the main immune cell populations involved in the immunopathogenesis of MS are discussed.