术前预后营养指数和血清转铁蛋白与老年髋部骨折患者术后切口愈合的关系及其预测价值分析

摘要 目的：研究术前预后营养指数（PNI）和血清转铁蛋白（TRF）与老年髋部骨折（HF）患者术后切口愈合不良（PWH）的关系及其预测价值。方法：选取2020年1月～2022年3月南京市中医院收治的252例接受手术治疗老年HF患者,根据术后切口愈合情况分为PWH组（n=27）和非PWH组（n=225）。收集患者基础资料、术前PNI和血清TRF水平。采用多因素Logistic回归分析老年HF患者术后PWH的影响因素,受试者工作特征（ROC）曲线分析PNI和血清TRF水平对老年HF患者术后PWH的预测价值。结果：252例老年HF患者术后出现27例PWH,其中24例切口长时间不愈合,3例切口裂开。与非PWH组比较,PWH组体质量指数（BMI）和白蛋白、淋巴细胞计数（LC）、PNI、血清TRF水平更低,糖尿病比例和术中出血量更高（P＜0.05）。多因素Logistic回归分析显示,BMI≥18.5 kg/m²（OR=0.648,95％CI：0.457～0.919）、PNI（OR=0.954,95％CI：0.932～0.976）、血清TRF（OR=0.484,95％CI：0.307～0.761）升高是老年HF患者术后PWH的保护因素,糖尿病（OR=2.651,95％CI：1.182～5.948）、术中出血量增加（OR=1.013,95％CI：1.005～1.021）是危险因素（P＜0.05）。ROC曲线分析显示,PNI和血清TRF水平单独与联合预测老年HF患者术后PWH的曲线下面积（AUC）分别为0.808、0.770、0.871,灵敏度分别为70.37％、55.56％、92.59％,特异度分别为80.65％、85.81％、70.32％。二者联合预测老年HF患者术后PWH的AUC大于二者单独预测（P＜0.05）。结论：术前PNI和血清TRF水平降低是老年HF患者术后PWH的危险因素,二者联合对老年HF患者术后PWH的预测价值较高。     

地市尺度气候调节服务评估——以福州市为例

生态系统服务是衔接生态系统功能和人类福利的桥梁,气候调节服务在生态系统服务中占有极其重要的地位。对气候调节服务发生的全过程进行评估,对科学开展生态系统服务评估具有重要意义。本研究以福州市为案例,开展地市尺度气候调节服务评估,分析气候调节服务在行政单元、地类尺度上的时空变化特征。结果表明: 2015、2018年,福州市气候调节服务总实物量分别为4.01×10¹² MJ(价值量6139.44亿元,GDP为5618.08亿元)和4.66×10¹² MJ(价值量7140.02亿元,GDP为7856.81亿元),气候调节服务价值大致与当年GDP相当。主要的土地利用/覆被类型是森林、耕地、水域,分别占福州市国土面积的57%、15%和9%;水域对福州市气候调节服务贡献最大,2018年贡献度超过60%,高于林地(12%)及耕地(13%)。建成区、东部农耕区域气候调节服务价值较低。2015、2018年,福州市土地利用/覆被变化面积为1805.5 km²,变化最大的用地类型是耕地、林地,主要的土地利用转移方向是耕地与林地、林地与园地、耕地与城镇村及工矿用地之间的转化;气候调节服务总实物量变化了6.74×10¹¹ MJ,相应的价值变化量为1035.8亿元;气候调节服务变化集中在闽侯、闽清、永泰等中西部地区,以及罗源、福清等西部山区;水域的气候调节服务变化最剧烈,水域类型转化会产生极为强烈的气候调节服务变化,远高于其他用地类型转换的效果。     

Reliability of ultrasound speckle tracking with singular value decomposition for quantifying displacement in the carpal tunnel

Inhibited movement patterns of carpal tunnel structures have been found in carpal tunnel syndrome (CTS) patients. Motion analysis on ultrasound images allows us to non-invasively study the (relative) movement of carpal tunnel structures and recently a speckle tracking method using singular value decomposition (SVD) has been proposed to optimize this tracking. This study aims to assess the reliability of longitudinal speckle tracking with SVD in both healthy volunteers and patients with CTS.Images from sixteen healthy volunteers and twenty-two CTS patients were used. Ultrasound clips of the third superficial flexor tendon and surrounding subsynovial connective tissue (SSCT) were acquired during finger flexion-extension. A custom made tracking algorithm was used for the analysis. Intra-class correlation coefficients (ICCs) were calculated using a single measure, two-way random model with absolute agreement and Bland-Altman plots were added for graphical representation.ICC values varied between 0.73 and 0.95 in the control group and 0.66–0.98 in the CTS patients, with the majority of the results classified as good to excellent. Tendon tracking showed higher reliability values compared to the SSCT, but values between the control and CTS groups were comparable.Speckle tracking with SVD can reliably be used to analyze longitudinal movement of anatomical structures with different sizes and compositions within the context of the carpal tunnel in both a healthy as well as a pathological state. Based on these results, this technique also holds relevant potential for areas where ultrasound based dynamic imaging requires quantification of motion.     

Quantitation and sensory properties of three newly identified pyroglutamyl oligopeptides in sake

Three new peptides: (pGlu)L-ethyl, (pGlu)LFGP-ethyl and (pGlu)LFNP-ethyl, were identified in the search for pyroglutamyl oligopeptide ethyl esters in sake. The ethyl esterified peptides in sake were quantitated using stable isotope dilution analysis and additional quantitation of (pGlu)L was performed using an external standard method. The concentrations of (pGlu)L-ethyl and (pGlu)L in 33 commercial sake samples ranged from 0.16 to 1.57 mg/L and 1.49 to 7.55 mg/L, respectively. The sensory properties of the pyroglutamyl oligopeptide ethyl esters and corresponding non-esterified peptides were examined: the estimated difference threshold of (pGlu)L (2.0 mg/L) and (pGlu)L-ethyl (0.267 mg/L) was exceeded in 32 and 26 samples, respectively. Estimated thresholds of (pGlu)LFGP-ethyl and (pGlu)LFNP-ethyl were often lower than the levels in quantitated sake samples. The sensory effects of these pyroglutamyl dipeptides on a model sake quality may be negative because of their unpleasant taste, however, (pGlu)LFNP-ethyl may be positive because of its mild taste.     

SHCBP1:乳腺癌治疗候选靶点和潜在预后标志物

探讨SHCBP1在乳腺癌及其不同亚型中的表达特征和预后价值。利用Oncomine, bc-GenExMiner v4.2, Kaplan-Meier plotter, GSE41994及STRING数据库分析乳腺癌病人SHCBP1的mRNA表达水平及其与乳腺癌患者生存率的相关性等。结果:(1)乳腺癌组织中SHCBP1的mRNA水平明显高于正常组织样本,但不同分子亚型的乳腺癌患者中SHCBP1的表达水平不同;(2)SHCBP1表达升高可导致Luminal A亚型更短的无转移生存期(Distant metastasis-free survival,DMFS)和无病生存期(Disease-free survival, DFS);(3)在雌激素受体阳性(ER+)、孕酮受体阳性(PR+)亚型、仅接受辅助化疗、仅接受辅助化疗的ER(+)与接受包括或排除内分泌治疗乳腺癌患者中,SHCBP1表达升高则无复发生存率(Relapse-free survival,RFS)显著缩短;(4)SHCBP1和CDC45 mRNA表达水平之间呈正相关,并可能与KIF23等10种蛋白相互作用。结论:SHCBP1是一种很有前景的乳腺癌预后指标和潜在的治疗靶点。     

TEAC antioxidant activity of 4-hydroxybenzoates

The influence of pH, intrinsic electron donating capacity, and intrinsic hydrogen atom donating capacity on the antioxidant potential of series of hydroxy and fluorine substituted 4-hydroxybenzoates was investigated experimentally and also on the basis of computer calculations. The pH-dependent behavior of the compounds in the TEAC assay revealed different antioxidant behavior of the nondissociated monoanionic form and the deprotonated dianionic form of the 4-hydroxybenzoates. Upon deprotonation the radical scavenging ability of the 4-hydroxybenzoates increases significantly. For mechanistic comparison a series of fluorobenzoates was synthesized and included in the studies. The fluorine substituents were shown to affect the proton and electron donating abilities of 4-hydroxybenzoate in the same way as hydroxyl substituents. In contrast, the fluorine substituents influenced the TEAC value and the hydrogen atom donating capacity of 4-hydroxybenzoate in a way different from the hydroxyl moieties. Comparison of these experimental data to computer-calculated characteristics indicates that the antioxidant behavior of the monoanionic forms of the 4-hydroxybenzoates is not determined by the tendency of the molecule to donate an electron, but by its ability to donate a hydrogen atom. Altogether, the results explain qualitatively and quantitatively how the number and position of OH moieties affect the antioxidant behavior of 4-hydroxybenzoates.     

Effects of irrigation and air humidity preconditioning on water relations, growth and survival of Rosmarinus officinalis plants during and after transplanting

The effect of different irrigation and air humidity conditioning treatments on the morphological and physiological responses of Rosmarinus officinalis in nursery conditions was investigated in order to evaluate the degree of hardening resulting from these conditions. Rosmarinus officinalis seedlings were pot-grown during 4 months in two greenhouses (nursery period), in which two irrigation treatments were used (control and deficit). In one of these greenhouses, air humidity was controlled using a dehumidifying system (low humidity), in the other greenhouse the air conditions were not artificially modified (control humidity). After the nursery period, the plants of all treatments were transplanted and well watered (100% water holding capacity for 1 month, transplanting period). After this period, they received no water (establishment period). At the end of the nursery period it was seen that deficit irrigation had altered the morphology of the R. officinalis plants by reducing plant height, stem diameter, leaf area, total dry weight, and root length, while humidity influenced the parameters related with plant water relations. Low air humidity and deficit irrigation-induced tissue dehydration and lower stomatal conductance values (gs). The plants subjected to deficit irrigation developed leaf osmotic adjustment, which was maintained during the transplanting period. At that time, the plants that had been exposed to deficit irrigation and low humidity showed efficient stomatal regulation (lower gs values). After transplanting and during the establishment period, these plants showed a better water status (higher psil and gs values). Their post-planting survival rate improved as a result of acclimation processes.     

Mathematical analysis of a model describing evolution of an asexual population in a changing environment

We investigate a mathematical model for an asexual population with non-overlapping (discrete) generations, that exists in a changing environment. Sexual populations are also briefly discussed at the end of the paper. It is assumed that selection occurs on the value of a single polygenic trait, which is controlled by a finite number of loci with discrete-effect alleles. The environmental change results in a moving fitness optimum, causing the trait to be subject to a combination of stabilising and directional selection.This model is different from that investigated by Waxman and Peck [Genetics 153 (1999) 1041] where overlapping generations and continuous effect alleles were considered. In this paper, we consider non-overlapping generations and discrete effect alleles. However in [Genetics 153 (1999) 1041] and the present work, there is the same pattern of environmental change, namely a constant rate of change of the optimum.From [Genetics 153 (1999) 1041], no rigorous theoretical conclusion can be drawn about the form of the solutions as t grows large. Numerical work carried out in [Genetics 153 (1999) 1041] suggests that the solution is a lagged travelling wave solution, but no mathematical proof exists for the continuous model. Only partial results, regarding existence of travelling wave solutions and perturbed solutions, have been established (see [Nonlin. Anal. 53 (2003) 683; An integral equation describing an asexual population in a changing environment, Preprint]). For the discrete case of this paper, under the assumption that the ratio between the unit of genotypic value and the speed of environment change is a rational number, we are able to give rigorous proof of the following conclusion: the population follows the environmental change with a small lag behind, moreover, the lag is represented using a calculable quantity.     

State dependent behavior and the Marginal Value Theorem

The Marginal Value Theorem (MVT) is the dominant paradigm inpredicting patch use and numerous tests support its qualitativepredictions. Quantitative tests under complex foraging situationscould be expected to be more variable in their support becausethe MVT assumes behavior maximizes only net energy-intake rate.However across a survey of 26 studies, foragers rather consistently"erred" in staying too long in patches. Such a consistent directionto the errors suggests that the simplifying assumptions ofthe MVT introduce a systematic bias rather than just imprecision. Therefore, I simulated patch use as a state-dependent responseto physiological state, travel cost, predation risk, prey densities,and fitness currencies other than net-rate maximization (e.g.,maximizing survival, reproductive investment, or mating opportunities).State-dependent behavior consistently results in longer patchresidence times than predicted by the MVT or another foragingmodel, the minimize µ/g rule, and these rules fail to closely approximate the best behavioral strategy over a widerange of conditions. Because patch residence times increasewith state-dependent behavior, this also predicts mass regulationbelow maximum energy capacities without direct mass-specificcosts. Finally, qualitative behavioral predictions from theMVT about giving-up densities in patches and the effects oftravel costs are often inconsistent with state-dependent behavior.Thus in order to accurately predict patch exploitation patterns,the model highlights the need to: (1) consider predator behavior(sit-and-wait versus actively foraging); (2) identify activitiesthat can occur simultaneously to foraging (i.e., mate searchor parental care); and (3) specify the range of nutritional states likely in foraging animals. Future predictive modelsof patch use should explicitly consider these parameters.