多标记物法在心力衰竭风险评估中的应用

心力衰竭的发生发展涉及多条生理病理通路,选择不同通路中的多个生物标记物能够提高对心力衰竭风险评估的准确性。总结了心 力衰竭发生发展过程中与心肌损伤、内皮功能障碍、神经激素紊乱、炎症反应、氧化应激过程相关的生物标记物,基于多标记物评价方法 的数学模型及多标记物法在心力衰竭和药物心脏毒性风险评估中的应用。     

Ecological indicators of fruit and vegetable consumption (EIFVCs): A case study

Food and drink consumption was found to be responsible for around 20–30% of environmental impacts. Environmental impacts occur during all stages of the food production chain. However, households influence these impacts with through their choice of diet and habits, thus directly affecting the environment through food-related energy consumption and waste generation. With the multiplication of local policies for sustainable consumption, it has become increasingly useful to gather information on the evolution of the ecological impacts associated with household food consumption. Dealing with the indicators of household consumption of fruits and vegetables will enable changes in the population's lifestyles and the effectiveness of local policies to be monitored.The aims of this article are twofold: to provide a conceptual framework on the purposes of ecological indicators of fruit and vegetable consumption (EIFVCs) and to provide a methodological approach for selecting and measuring the most relevant EIFVCs at a local scale. Considering the great diversity of ecological impacts, the large number of potential EIFVCs must be reduced to obtain fewer EIFVCs, but that are relevant at local scale. To be relevant, the EIFVCs must provide information on the three phases of consumption (acquisition, use, and disposal) and on the upstream and downstream phases of the consumption process; they should evaluate the more problematic ecological impacts at the local scale (level of concern); and they have to only point out the ecological impacts that households can significantly reduce through their consumption rates. To measure relevant EIFVCs, three approaches must be combined: monitoring the ecological impacts, measuring the material and energy fluxes associated with household consumption, and analysing the consumer behaviours that result in the observed ecological impacts.As an illustration, the methodology is applied to the Bordeaux Metropolitan Area (France). In this area, eleven EIFVCs seem relevant. The use of surveys characterises all eleven of the EIFVCs, despite the difficulty of establishing quantified relationships between household behaviours and measured ecological impacts. The measuring of fluxes is possible for eight of them, whereas the monitoring of ecological impacts is only feasible for two of them.     

Modeling of high-temperature treatment of wood using the reaction engineering approach (REA)

A simple and accurate model of high-temperature treatment of wood can assist in the process design and the evaluation of performance of equipment. The high-temperature treatment of wood is essentially a drying process under linearly-increased gas temperature up to final temperature of 220-230 °C which is a challenging process to model. This study is aimed to assess the applicability and accuracy of the reaction engineering approach (REA) to model the heat treatment of wood. In order to describe the process using the REA, the maximum activation energy (ΔE_v,b) is evaluated according to the corresponding external conditions during the heat treatment. Results indicate that the REA coupled with the heat balance describes both moisture content and temperature profiles during the heat treatment very well. A good agreement towards the experimental data is indicated. It has also been shown that the current model is highly comparable in accuracy with the complex models.     

Prechemistry versus preorganization in DNA replication fidelity

The molecular origin of nucleotide insertion catalysis and fidelity of DNA polymerases is explored by means of computational simulations. Special attention is paid to the examination of the validity of proposals that invoke prechemistry effects, checkpoints concepts, and dynamical effects. The simulations reproduce the observed fidelity in Pol β, starting with the relevant observed X-ray structures of the complex with the right (R) and wrong (W) nucleotides. The generation of free energy surfaces for the R and W systems also allowed us to analyze different proposals about the origin of the fidelity and to reach several important conclusions. It is found that the potential of mean force (PMF) obtained by proper sampling does not support QM/MM-based proposals of a large barrier before the prechemistry state. Furthermore, examination of dynamical proposals by the renormalization approach indicates that the motions from open to close configurations do not contribute to catalysis or fidelity. Finally we discuss and analyze the induced fit concept and show that, despite its importance, it does not explain fidelity. That is, the fidelity is apparently due to the change in the preorganization of the chemical site, as a result of the relaxation of the binding site upon binding of the incorrect nucleotide. Finally and importantly, since the issue is the barrier associated with the enzyme-substrate (ES)/DNA complex at the chemical transition state and not the path to this complex formation (unless this path involves rate determining steps), it is also not useful to invoke checkpoints while discussing fidelity.     

祁连山典型林区生态服务功能间接价值估算

采用常规和替代市场评估技术,对祁连山北坡东段哈溪林区有机质生产、水源涵养、水土保持、固定CO2和净化空气5种生态系统服务功能间接价值进行了估算,并对3种不同植被类型的生态服务功能价值进行了比较。结果表明,哈溪林区5种服务功能总价值为52061.00万元,其中森林、灌丛和草地分别为19510.34万元、25200.01万元和7350.65万元。按有林地面积推算,祁连山森林生态系统提供的服务功能间接经济价值是天祝县国民生产总值的3～5倍,森林生态系统所提供的生态服务功能价值远远超过了当地社会创造的经济价值。就水源涵养和水土保持服务功能而言,灌丛提供的总价值最大。     

抗日本血吸虫pVAX1／SjHGPRT-SDISP多价疫苗对昆明小鼠的保护作用及其机制探讨

目的：探讨抗日本血吸虫生殖产卵编码基因多价疫苗pVAX1／sjHGPRToSDISP对昆明小鼠的保护作用及其机制。方法：选取昆明小鼠30只,分别使用pVAX1／sjHGPRToSDISP、pVAX1以及生理盐水,每只小鼠100ug或等量经左腿股四头肌注射。处理2周后,采集动物模型血样检测IgG、IL-2,IL-4,IL-10以及INF-Y表达量。处理4周后,以20±1条尾蚴贴腹感染,感染6周后检测减虫率、减卵率。结果：尾蚴攻击动物后6周,pVAX1／sjHGPRToSDISP免疫组的肝脏减虫率为42．2％,子宫与肝脏减卵率分别为68．04％以及72．96％。与对照组比较,差异有显著性。pVAX1／sjHGPRToSDISP免疫组虫体内IgG、IL-4以及INF．V表达量明显升高．与对照组比较差异有显著性（P〈0．05）。结论：pVAX1／sjHGPRToSDISP多价疫苗具有较好的免疫保护作用,且该类作用的机制与IgG、IL-4以及INF—v的表达升高存在关联。     

单鼻孔-蝶窦入路垂体瘤切除术的体会

目的：探讨经单鼻孔-蝶窦入路垂体瘤切除手术的效果。方法：应用单鼻孔-蝶窦入路切除22例垂体瘤患者。结果：22例患者手术均顺利进行并于术后3月均获随访,全切除14例,次全切除5例,部分切除3例。结论：经单鼻孔-蝶窦入路显微切除垂体瘤属于微侵袭及功能保护性手术,符合现代神经外科的发展方向,严格把握适应症及禁忌症,完善手术技巧是提高手术效果的关键。     

胸腰段骨折外科治疗的研究进展

胸腰椎骨折是骨科临床工作中常见的损伤。胸腰段骨折往往伴发不同程度的脊髓损伤,很大程度上影响患者的生活质量。准确把握其分型,并制定恰当、及时、有效的治疗方案,对伤员进行救治,恢复椎体的高度、序列与曲度,解除神经压迫,重建脊柱稳定性,减少近远期并发症,改善预后有着深远的意义。本文通过对胸腰段骨折的分类、手术入路、手术方式、不同类型骨折的治疗等四个方面的国内外近期研究成果作一综述。