2型糖尿病患者血糖波动与心律失常和下肢血管病变的关系及其影响因素分析

目的:探讨2型糖尿病(T2DM)患者血糖波动与心律失常和下肢血管病变的关系,分析影响T2DM心律失常和下肢血管病变的因素。方法:选择2019年7月到2020年6月我院收治的82例T2DM患者,根据是否合并心律失常分为心律失常组28例和无心律失常组54例,根据是否合并下肢血管病变分为下肢血管病变组31例和无下肢血管病变组51例。所有患者均通过72 h监测血糖获得日内平均血糖波动幅度(MAGE)、日间血糖平均绝对差(MODD)、全天血糖标准差(SDBG)、全天血糖波动次数(NGE)。比较组间差异,分析影响T2DM患者心律失常和下肢血管病变的因素。结果:心律失常组MAGE、MODD、SDBG、NGE、糖化血红蛋白(HbA1c)、胰岛素抵抗指数(HOMA-IR)、T2DM病程、同型半胱氨酸(Hcy)、丙二醛(MDA)高于无心律失常组(P<0.05)。下肢血管病变组T2DM病程、Hcy、MDA、HOMA-IR、MAGE、MODD、SDBG、NGE均高于无下肢血管病变组(P<0.05)。Logistic回归分析结果显示MDA、HOMA-IR、MAGE、MODD是T2DM患者心律失常的危险因素(P<0.001),MAGE、MODD、SDBG是T2DM患者下肢血管病变的危险因素(P<0.001)。结论:T2DM患者血糖波动与心律失常和下肢血管病变均有关,血糖波动增加是T2DM心律失常和下肢血管病变的危险因素。     

Isaac Lea's Palaeosauropus (= “Sauropus”) primaevus: A Review of His Discovery

In 1849, Isaac Lea named Sauropus primaevus for footprints from Mount Carbon, Pennsylvania, USA, then the oldest fossil vertebrate footprints reported. In 1902, O. P. Hay constructed a new ichnogenus Palaeosauropus for this ichnospecies. Palaeosauropus has been one of the most frequently reported Mississippian footprint ichnogenera in North America and remains a valid ichnotaxon. The holotype of Palaeosauropus (= “Sauropus”) primaevus (referred to as P. primaevus), consisting of a single manus/pes pair, is described and illustrated in Lea (1853) Lea, I. 1853. On the fossil foot-marks in the Red Sandstones of Pottsville, Schuylkill County, Penna. Transactions of the American Philosophical Society, 10(new series): 307–315.  [Google Scholar] and is housed at the Academy of Natural Sciences in Philadelphia, Pennsylvania (ANS9752). Lea's large specimen of P. primaevus (approximately 86 cm by 53 cm), that included a trackway of six manus/pes pairs, described and illustrated in 1853 and 1855, was a combination of ANS9752 and a second specimen represented by a plaster cast housed at the National Museum of Natural History (USNM487148). Historical documents and examination of the Mauch Chunk Formation at Mount Carbon, Pennsylvania, enabled the identification of Lea's tracksite, originally reported to be a few hundred feet (about 75 m) from the former Mount Carbon Hotel. Our forensic evidence indicates the type locality for P. primaevus is approximately 90 m south from the southwest corner of Centre and Main Streets in Mount Carbon, Pennsylvania, with geographical coordinates of N 40° 40' 25.7”, W 76° 11' 14.9”. The type locality is within the middle member of the Mauch Chunk Formation, a fluvial sequence of late Mississippian (Visean) Age.     

The Mississippian Tetrapod Footprint Ichnogenus Palaeosauropus: Extramorphological Variation and Ichnotaxonomy

Palaeosauropus primaevus is a tetrapod footprint ichnotaxon first described from the Upper Mississippian (Visean) Mauch Chunk Formation near Pottsville, Pennsylvania, United States. Our relocation of the type locality and stratigraphic horizon of P. primaevus, a long-available but unstudied collection of tetrapod footprints from these strata, and our new collections allow a much fuller characterization of this ichnotaxon and the range of extramorphological variation encompassed by it. P. primaevus is characterized as the footprints of a quadruped with a pentadactyl pes and a tetradactyl manus, in which the pes frequently oversteps the manus and with which tail drags are common. In the manus, all digits are relatively broad and have rounded tips, digit III is longest, and digit IV is more widely separated from digit III than the other digits are from each other. The pes has five digits that are also wide and blunt-tipped, digit IV is longest, and digit V projects nearly laterally. P. primaevus is the track of a relatively large temnospondyl (～400 mm gleno-acetabular length) and documents the Mississippian presence of such large amphibians long before their body fossil record. Palaeosauropus also occurs in Mississippian strata in Indiana and is distinguished from the geologically younger but similar temnospondyl footprint ichnogenus Limnopus by its relatively narrower manus and pes that lack broad and rounded sole impressions.     

Triassic trace fossils from lacustrine shoreline deposits of the Passaic formation,douglassville, pennsylvania

Lake‐margin deposits of the Late Triassic Passaic Formation, Douglassville, Pennsylvania, have yielded a moderate variety of trace fossils. The greatest diversity and abundance of trace fossils occurs on the sole of a thin gray claystone overlain and underlain by gray siltstones. Specimens of Cochlichnus anguineus, Helminthoidichnites tenuis, Helminthopsis hieroglyphica, Treptichnus pollardi, and paired trails reflect simple, unspecialized, horizontal grazing as well as feeding traces under very shallow water lacustrine conditions. The lack of commonly associated Scoyenia burrows in these deposits may possibly be related to the degree of maturation of the organic debris available. The traces, as well as a lack of meniscate burrows, compare favorably to the Mermia ichnofacies, except Passaic deposits exhibit evidence of subaerial exposure. This unit most likely records a lacustrine expansion whereby grazing trails were emplaced under fully subaqueous conditions. Subsequent shallowing and desiccation, followed by sediment influx during rainstorms, favored preservation of these traces.

In contrast, the Scoyenia ichnofacies consists of feeding burrows of Scoyenia gracilis and Spongeliomorpha milfordensis within reddish brown siltstones and mud‐stones (redbed sequence). The Scoyenia ichnofacies records limited exploitation, by opportunistic infaunal deposit feeders, of lake‐margin nutrients carried in during occasional rainstorms that punctuated otherwise extended periods of aridity.     

Late Albian Dinosaur Tracks from the Cratonic (Eastern) Margin of the Western Interior Seaway,Nebraska, USA

At least 22 tridactyl dinosaur tracks, poorly preserved in various degrees of expression, have recently been found at an exposure in the Dakota Formation (Lower Cretaceous, Albian) in Jefferson County, Nebraska. These tracks generally have broad, blunt digits and a broad posterior margin. The largest of the tracks measures 57 cm in length and 58 cm in width. All of the tracks lie within a stratigraphic horizon of 40 cm or less, but they do not form a single trackway. We interpret the trackmakers to have been ornithopods.

The Jefferson County tracks are in a well-cemented sandstone with oscillation ripples, at a stratigraphic level between two well-established sequence boundaries. Channel forms and lateral accretion units are common in the stratigraphic interval enclosing the tracks, and the site is interpreted as a bar or sand flat in a tidally influenced river.

The Jefferson County tracks are only the second known occurrence of large Mesozoic tetrapod tracks east of the Rocky Mountain Front-High Plains Margin, including the Black Hills of South Dakota, west of the Atlantic Coastal Plain, and north of the Gulf Coastal Plain. Further, this paper is the first documentation of in situdinosaur fossils from the Nebraska-Iowa area.     

Possible noncalcareous algae in the upper part of the bell canyon formation (Permian), New Mexico

A new genus and species of alga called Sinoglypha nassichuki is identified and described from Guadalupian rocks of the Delaware Basin, New Mexico. It occurs in tilted to almost upright position in laminites generally accepted as being deposited in deep, anoxic water. The fossils are noncalcareous, having a wavy nature. They are not classed as trace fossils of animals. They are leafy, 2–5 cm long and may be preserved in original position.

If Sinoglypha is an alga it leads to the tentative, but not new, conclusion that perhaps the water was not deep but shallow enough for light penetration—30 meters for the upper part of the Bell Canyon Formation.     

A New Pterosaur Tracksite from the Jurassic Summerville Formation,Near Ferron,Utah

Pterosaur tracks (cf. Pteraichnus) from the Summerville Formation of the Ferron area of central Utah add to the growing record of Pteraichnus tracksites in the Late Jurassic Summerville Formation and time-equivalent, or near time-equivalent, deposits. The site is typical in revealing high pterosaur track densities, but low ichnodiversity suggesting congregations or “flocks” of many individuals. Footprint length varies from 2.0 to 7.0 cms. The ratio of well-preserved pes:manus tracks is about 1:3.4. This reflects a bias in favor of preservation of manus tracks due to the greater weight-bearing role of the front limbs, as noted in other pterosaur track assemblages. The sample also reveals a number of well-preserved trackways including one suggestive of pes-only progression that might be associated with take off or landing, and another that shows pronounced lengthening of stride indicating acceleration.

One well-preserved medium-sized theropod trackway (Therangospodus) and other larger theropod track casts (cf. Megalosauripus) are associated with what otherwise appears to be a nearly monospecific pterosaur track assemblage. However, traces of a fifth pes digit suggest some tracks are of rhamphorynchoid rather than pterodactyloid origin, as usually inferred for Pteraichnus. The tracks occur at several horizons in a thin stratigraphic interval of ripple marked sandstones and siltstones. Overall the assemblage is similar to others found in the same time interval in the Western Interior from central and eastern Utah through central and southern Wyoming, Colorado, northeastern Arizona, and western Oklahoma. This vast “Pteraichnus ichnofacies,” with associated saurischian tracks, remains the only ichnological evidence of pre-Cretaceous pterosaurs in North America and sheds important light on the vertebrate ecology of the Summerville Formation and contiguous deposits.     

Correlation between macrophyte vegetation and some water properties in the irrigation system of the Lower river Po Plane

Abstract

The distribution of macrophytic plant communities, defined by phytosociological numerical methods, in the irrigation system of the Lower river Po Plane was correlated with water characteristich. Water samples were collected periodically within phytocoena well-characterized from the phytosociological viewpoint. Nymphaeid-dominated communities (all. Nymphaeion) usually occur in deeper waters than elodeid- myriophyllid-, and ceratophyllid-dominated vegetation types (all. Potamogetonion). Hydrochemically, all of the studied waterbodies can be classified as rich in electrolytes and in bicarbonates. The distribution of phytocoena reflects a gradient in nutrient content: the Nymphoidetum peltatae characterizes waters moderately rich; the Myriophyllum spicatum community and the Trapetum natantis fairly rich; the Potamogetonetum pectinati and the Ceratophyllum demersum community very rich in nutrients.