2型糖尿病患者下肢血管病变的危险因素分析

目的:探讨2型糖尿病患者发生下肢血管病变的危险因素.方法:回顾性分析我院2009年12月～2011年12月收治的98例2型糖尿病患者的临床资料,通过彩色多普勒超声检查其下肢血管,按下肢血管有无病变将其分为单纯2型糖尿病租和2型糖尿病合并下肢血管病变组,通过非条件Logistic回归分析导致2型糖尿病患者发生下肢血管病变的危险因素.结果:彩色多普勒超声检查结果显示,98例2型糖尿病患者中,61例发生不同程度下肢血管病变,占62.24％.与单纯2型糖尿病组比较,下肢血管病变组患者年龄、病程、收缩压及低密度脂蛋白胆固醇的差异均有统计学意义(P＜0.05),经非条件Logistic回归分析,患者的年龄、病程、SBP及LDL-L是下肢血管病变的独立危险因素(P＜0.05).结论:2型糖尿病患者下肢血管病变的发生与患者的年龄、病程、血压及血脂情况密切相关.     

Genetic monitoring of progeny derived from natural spawning of Acipenser ruthenus Linnaeus, 1758 and Acipenser stellatus Pallas, 1771 as well as their hybrids in the Lower Volga river during the period 2017 to 2019

The state of natural spawning of sturgeons in the Lower Volga River was investigated through genetic monitoring of juveniles (larvae, fingerlings, subadults) captured at seven traditionally used monitoring locations. Sampling was performed during the period 2017–2019. In total, 460 individuals were caught and genotyped using a set of six microsatellite loci (Afug41, Afug51, Afug135, An20, AoxD161, AoxD165) and mtDNA control region sequencing. The observed species-specific microsatellite alleles revealed the presence of juvenile sturgeons originating from natural spawning also included some hybrids between Acipenser stellatus and A. ruthenus. Thus, the majority of sterlet breeding takes place in natural spawning grounds but also sterlet hybridizes with a small number of stellate sturgeons. Juveniles of other sturgeon species were not identified, and it is concluded that natural spawning activities of Russian sturgeon, beluga and ship sturgeon were insignificant or even absent in the Lower Volga during the observation period.     

Evolutionary patterns of Clavatoraceae (Charophyta) in the mesogean basins analysed according to environmental change during Malm and lower cretaceous

Evolutionary patterns of Clavatoraceae during the Malm and the Lower Cretaceous can be understood by considering how palaeoecological constraints of these charophytes were affected by palaeoenvironmental change. Speciation of Clavatoraceae reached maxima in the Tithonian and especially in the Lower Barremian, coinciding with an important areal extension and environmental diversification of freshwater swamps. Extinction reached a peak in the Upper Barremian, coinciding with the marine flooding of freshwater environments in Mesogea, and continued through the Aptian and Albian due to substitution of carbonatic freshwater swamps by terrigenous deltaic environments and probably by development of highly competitive aquatic flora of angiosperms. Anagenetic change within species attained maxima during the Berriasian and Lower Barremian, when freshwater environments became extensively developed. Absence of change (stasis) was marked during the Valanginian and Hauterivian, in a geological context of environmental stability and areal reduction of the freshwater environments.     

Green algae from the Lower Cretaceous carbonate of northern Shiraz (Zagros Mountains,SW Iran)

In northern Shiraz (SW Iran), Lower Cretaceous carbonate was studied in detail. In this study, nine species of dasycladacea algae were classified. There are different species of dasycladacea algae which belong to seven different genera: Actinoporella, Cylindroporella, Dissocladela, Heteroporella, Neomeris, Salpingoporella, Trinocladus; one species of udoteaceae belongs to Bouenia; one species of acetabulariaceae belongs to Clypeina and the microproblematicum Coptocampylodon was also seen. Among the green algae, dasycladaceae and acetabulariceae are the most frequent and udoteaceans are rare in Zagros Mountains. The genus of Trinocladus is a new record for Lower Cretaceous (Upper Albian) in SW Iran.     

小儿下呼吸道感染痰培养标本病原菌构成分析

目的了解小儿下呼吸道感染病原菌的分布及对常用抗菌药物的耐药状况。方法对2710例小儿下呼吸道感染患者痰标本进行培养,用VITEK-2Compact微生物鉴定系统鉴定菌种和药敏试验,WHO-NET5．4软件对数据进行分析。结果共分离病原菌675株,革兰阴性杆菌457株,占67．7％,主要为大肠埃希菌、肺炎克雷伯菌;革兰阳性球菌159株,占23．5％,主要为金黄色葡萄球菌、肺炎链球菌;真菌59株,占8．7％,主要为白色假丝酵母菌。结论小儿下呼吸道感染病原菌以革兰阴性杆菌为主,耐药性较为严重,应不断加强耐药性监测,合理使用抗菌药物。     

在320排螺旋CT双下肢动脉成像中的护理配合效应

目的：探讨320排螺旋CT血管成像（CTA）在行双下肢动脉血管成像过程中,护理配合对的图像质量的影响。方法：将138例患者分为护理组（82例）及对照组（56例）,分别进行320排螺旋CT双下肢血管造影检查,经高压团注造影剂欧乃派克,进行三维重组,获取容积再观（VR）、曲面重组（CPR）和最大密度投影（MIP）图像。对照组的患者只进行口头的训练,没有其他的护理干预措施;实验组进行一系列的护理干预以提高患者的配合,减低在成像过程中的非生理性运动。用工作站进行图像后处理,显示双下肢动脉图像,对其图像质量和影响因素进行分析,并在检查过程中的护理干预加以总结。结果：对照组有2例患者穿刺部位不合理而影响图像质量,对双下肢的病变显示具有一定的影响,3例患者注射压力过高引起外渗,流速在2.5-3.5 ml/s,影响了图像的清晰度,其余均获得满意效果。结论：良好的护理配合有利于320排CT双下肢成像的顺利进行,精心的护理操作是取得检查成功的动脉成像保证。     

Hybridisation in Jacobaea – characterisation of hybrids between Jacobaea aquatica and J. vulgaris in Austria

Background: Hybridisation in Senecio/Jacobaea is frequent and of significance in speciation and evolution. Moreover, these genera are model systems for studying the evolution of pyrrolizidine alkaloids (PAs). Hybrids between Jacobaea aquatica and J. vulgaris have been reported from north-western Europe.

Aims: Our aim was to determine whether hybrids between Jacobaea aquatica and J. vulgaris also occurred in Austria, and if these hybrids could be responsible for the presumed increase of J. aquatica-like plants in this part of Europe. Furthermore, we tested if such hybrids showed an altered PA spectrum compared with parental species.

Methods: We used amplified fragment length polymorphisms (AFLPs) to analyse genetic diversity and structure, and gas chromatography–mass spectrometry (GC–MS) to identify PAs.

Results: We were able to identify genetically one hybrid population adjacent to a large J. aquatica population. The AFLP phenotypes of hybrids demonstrated a closer relationship to J. aquatica, suggesting frequent backcrossing. All hybrid individuals contained the same set of PAs as the parental species, but in differing amounts, plus four additional PAs, one of which may be novel.

Conclusions: Although hybridisation in Jacobaea is common, we were able to confirm only one hybrid population in Austria. Therefore, it seems unlikely that hybridisation plays a role in the presumed increase of J. aquatica in this area.     

Oxygen uptake,heart rate,perceived exertion,and integrated electromyogram of the lower and upper extremities during level and Nordic walking on a treadmill

The purpose of this study was to characterize responses in oxygen uptake ( V·O2), heart rate (HR), perceived exertion (OMNI scale) and integrated electromyogram (iEMG) readings during incremental Nordic walking (NW) and level walking (LW) on a treadmill. Ten healthy adults (four men, six women), who regularly engaged in physical activity in their daily lives, were enrolled in the study. All subjects were familiar with NW. Each subject began walking at 60 m/min for 3 minutes, with incremental increases of 10 m/min every 2 minutes up to 120 m/min V·O2 , V·E and HR were measured every 30 seconds, and the OMNI scale was used during the final 15 seconds of each exercise. EMG readings were recorded from the triceps brachii, vastus lateralis, biceps femoris, gastrocnemius, and tibialis anterior muscles. V·O2 was significantly higher during NW than during LW, with the exception of the speed of 70 m/min (P < 0.01). V·E and HR were higher during NW than LW at all walking speeds (P < 0.05 to 0.001). OMNI scale of the upper extremities was significantly higher during NW than during LW at all speeds (P < 0.05). Furthermore, the iEMG reading for the VL was lower during NW than during LW at all walking speeds, while the iEMG reading for the BF and GA muscles were significantly lower during NW than LW at some speeds. These data suggest that the use of poles in NW attenuates muscle activity in the lower extremities during the stance and push-off phases, and decreases that of the lower extremities and increase energy expenditure of the upper body and respiratory system at certain walking speeds.     

介入技术在下肢动脉硬化闭塞症合并血栓形成中的应用

目的:探讨导管接触性溶栓(catheter-directed thrombolysis,CDT)联合球囊及支架成形术治疗下肢动脉硬化闭塞症合并血栓形成的临床疗效及安全性。方法:选择2011年1月~2014年12月收治的36例下肢动脉硬化闭塞症合并血栓形成性病变患者,先行置管溶栓治疗,再联合球囊及支架成形术治疗,观察其溶栓效果及血管再通情况。结果:本组溶栓总有效率为86.1%,尿激酶用量(75.5±34.6)万单位,溶栓后31例下肢缺血症状改善,下肢疼痛症状有不同程度减轻,下肢跛行距离明显延长,无垃圾脚发生。球囊及支架成形术后踝肱指数(ABI)由术前的0.39±0.11升高至术后的0.79±0.19,差异有统计学意义(P0.01)。随访1~48月,无死亡病例,9例出现支架内膜增生血管再狭窄,5例出现糖尿病膝下动脉狭窄闭塞,给予球囊扩张及支架成形术后下肢缺血症状减轻,其中1例患者于术后3年行下肢截肢治疗。结论:CDT联合球囊及支架成形术治疗下肢动脉硬化闭塞症合并血栓形成具有较高的临床价值,可以为PTA血管成形或支架置入赢得时机,改善下肢缺血,该方式创伤小,并发症少。     

Menez-Dregan 1 (Plouhinec,Finistère,France) : un site d’habitat du Paléolithique inférieur en grotte marine. Stratigraphie,structures de combustion,industries riches en galets aménagés

The Lower Palaeolithic site of Menez-Dregan I is currently the subject of an important excavation and has been part of a multidisciplinary project since 1991. It is an ancient marine cave whose roof has gradually collapsed and thus partly protected the site from erosion. In Menez-Dregan 1, the sedimentological evidence has been significantly reduced due to multiple episodes of marine erosion in the cave (low sedimentary preservation in terms of sedimentation and erosion process). However, the proximity of a section with a longer sedimentary record (Gwendrez cliff) has allowed for an attempt at correlation between the different deposits by way of a sedimentologic study applied to sandy marker beds (dunes). The resulting new data permitted a more precise chronostratigraphy of this site to be drawn up and contributed to further validation of dating. Three main stratigraphic units show distinct levels of human occupation at the site, separated by coastal deposits. The ESR dates tend to place the first human occupation in MIS 12 or at the end of MIS 13 (around 465,000 years). The ESR dating obtained at the base of layer 5 gave an age of 380,000 years. The geological analysis (sedimentology, stratigraphical correlations at short distance) tends to confirm these dates. The fauna has not preserved due to the acidic environment, leaving only the lithic industry to show how the human groups who settled at the site lived and, it is worth noting, mastered fire lighting, and or control, at a very early date (late MIS 13 or early MIS 12). The lithic industry from the upper levels (layer 5) is likely Colombanian and is composed of numerous flakes and cores alongside a great quantity of cobble tools (mostly choppers), fractured cobbles, and cobbles with isolated removals on various types of rocks, some cleavers and very rare bifaces. Additionally denticulates and notches form the main part of the light duty tools, together with scrapers. These retouched light duty tools are mainly made on flint, but quartz and glossy sandstone were also used. The last level of occupation (layer 4) probably shows the transition between Lower and Middle Palaeolithic. This may represent a regional cobble tool industry of the south armorican shoreline, however, it is still difficult to separate it totally from the classic European Acheulean from Northern France. These armorican lithic industries could indeed correspond with areas of specialised activities, as demonstrated for some Middle Palaeolithic groups with a cobble tools lithic industry. The notion of culture that could be chosen to explain this variability must be treated with caution, because it would only be based on the presence or absence of only one type of tool (the handaxe).