Direct contact is required between serum albumin and hamster spermatozoa for capacitation in vitro

A dialysis unit was used to test whether direct physical contact between serum albumin and hamster spermatozoa is required for capacitation and/or the acrosome reaction. Sperm and bovine serum albumin (BSA) were incubated cither together (direct incubation) or separated by a dialysis membrane (indirect incubation). Sperm viability was supported with “sperm motility factors” (hypotaurine and epinephrine) and polyvinylalcohol (PVA). Spermatozoa became capacitated and underwent acrosome reactions when directly incubated in medium containing BSA (TALP-PVA), but did not undergo acrosome reactions when indirectly incubated with BSA (medium TLP-PVA). When sperm were first incubated for 4 hr indirectly with BSA, followed by 4 hr direct incubation with BSA, capacitation did not occur during indirect incubation. These findings indicate that an “intimate association” is necessary between serum albumin and spermatozoa to support capacitation under in vitro incubation conditions. The data are consistent with the concept of direct transfer of compounds from sperm to albumin and/or vice versa during sperm capacitation.     

终末期肾病透析患者的疲劳与生活质量的相关性研究

目的:评价终末期肾病行透析治疗患者的疲劳,探讨疲劳的影响因素及其与生活质量之间的相关性。方法:采用自行设计的患者一般情况调查问卷、多维疲劳量表MIF-20、健康状况问卷量表SF-36对204例ESRD进行血液透析与腹膜透析治疗的患者进行调查,分析治疗效果差异之间的相关因素。结果:204例透析患者的疲劳总分为60.47+11.75;经多元线性逐步回归分析透析患者疲劳的主要相关因素为年龄、文化程度、经济状况;除疲劳的活动减少与生活质量的躯体疼痛、情感职能无显著相关外,两者总分及各维度之间均呈显著性负相关。结论:终末期肾病透析患者存在重度疲劳;临床上重视患者的疲劳评估,进行有效干预,提高患者生活质量。     

Sorption of metals by extracellular polymers from the cyanobacterium Microcystis aeruginosa fo. flos-aquae strain C3-40

The sorption of cadmium (II), copper (II), lead (II),manganese (II), and zinc (II) by purified capsularpolysaccharide from the cyanobacterium Microcystis aeruginosafo. flos-aquae strainC3-40 was examined by four methods: equilibriumdialysis, metal removal from solution as detected byvoltammetry, metal accumulation by capsule-containingalginate beads, and calorimetry. The polysaccharide'ssaturation binding capacities for these metals rangedfrom 1.2 to 4 mmol of metal g^-1 of capsule, whichcorresponds to 1 metal equivalent per 2 to 4saccharide subunits of the polymer. Competitionbetween paired metals was tested with simultaneous andsequential additions of metal. Cadmium (II) andlead (II), as well as lead (II) and zinc (II), competedrelatively equally and reciprocally for polymerbinding sites. In contrast, manganese (II) stronglyinhibited the binding of cadmium (II) and lead (II), butitself was not substantially inhibited by either theprior or simultaneous adsorption of cadmium (II) or lead (II).The data are interpreted with respect to overlap ofbinding sites and possibilities of altered polymerconformation or solvation. Calorimetric studies oflead (II) and cadmium (II) association reactions withthe polysaccharide suggest that the enthalpies aresmall and that the reactions may be driven by entropy.     

Removal of inorganic anions from drinking water supplies by membrane bio/processes

This paper is designed to provide an overview of the main membrane-assisted processes that can be used for the removal of toxic inorganic anions from drinking water supplies. The emphasis has been placed on integrated process solutions, including the emerging issue of membrane bioreactors. An attempt is made to compare critically recently reported results, reveal the best existing membrane technologies and identify the most promising integrated membrane bio/processes currently being under investigation. Selected examples are discussed in each case with respect to their advantages and limitations compared to conventional methods for removal of anionic pollutants. The use of membranes is particularly attractive for separating ions between two liquid phases (purified and concentrated water streams) because many of the difficulties associated with precipitation, coagulation or adsorption and phase separation can be avoided. Therefore, membrane technologies are already successfully used on large-scale for removal of inorganic anions such as nitrate, fluoride, arsenic species, etc. The concentrated brine discharge and/or treatment, however, can be problematic in many cases. Membrane bioreactors allow for complete depollution but water quality, insufficiently stable process operation, and economical reasons still limit their wider application in drinking water treatment. The development of more efficient membranes, the design of cost-effective operating conditions, especially long-term operations without or with minimal membrane inorganic and/or biological fouling, and reduction of the specific energy consumption requirements are the major challenges.     

腹膜透析和血液透析对终末期肾脏疾病患者钙磷代谢及微炎症状态的影响

目的:探讨腹膜透析(PD)和血液透析(HD)对终末期肾脏疾病(ESRD)患者钙磷代谢及微炎症状态的影响。方法:选择2016年1月~2017年2月我院收治的ESRD患者94例为研究对象,采用随机数字表法分为PD组(47例)和HD组(47例),PD组给予非卧床持续性PD治疗,HD组给予HD治疗,治疗6个月后比较两组血清钙磷代谢水平和微炎症状态,并统计两组并发症的发生率。结果:治疗6个月后,两组血清钙水平与治疗前相比显著升高,血清磷水平显著降低(P0.05),但HD组与PD组比较无差异(P0.05);治疗6个月后,两组血清C-反应蛋白(CRP)水平较治疗前明显升高,且HD组高于PD组,差异有统计学意义(P0.05),治疗6个月后,两组降钙素原(PCT)水平与治疗前相比显著降低,差异有统计学意义(P0.05),但HD组与PD组比较无差异(P0.05);PD组感染、低蛋白血症的发生率高于HD组,HD组高血压、心律失常、充血性心衰的发生率高于PD组,差异均有统计学意义(P0.05)。结论:PD和HD治疗均可改善ESRD患者钙磷代谢紊乱,但两者都将加剧患者微炎症反应,其中HD对患者微炎症状态的影响更大。     

腹膜透析患者相关感染情况调查及护理对策

目的 调查腹膜透析患者相关感染情况,探讨护理对策以降低腹膜透析患者相关感染的发生率。方法 选取2010年5月至2014年8月宁波市鄞州区第二医院收治腹膜透析患者165例,观察腹膜透析患者相关性感染的发生、感染致病菌的分布以及透析护理中发病情况,分析腹膜透析患者相关感染发生的原因。结果 165例腹膜透析患者共有79例发生108次相关感染,其中腹膜炎32例共41次,出口感染17例共28次,出口处合并隧道感染28例共37次,隧道感染2例共2次;79例感染患者共有58例细菌培养为阳性,阳性率为73.42%。分离出病原菌63株,其中革兰阳性菌40株（占63.49%）,革兰阴性菌19株（占30.16%）,真菌4株（占6.35%）;108次腹膜透析相关感染发生的原因：操作因素共67次,患者因素36次,环境因素3次,原因不明2次。结论 腹膜透析患者相关感染的致病菌主要为革兰阳性菌和革兰阴性菌,接触性感染和患者身体因素是腹膜透析患者相关感染的重要原因,采用恰当的护理对策能够有效降低感染发生率,有利于患者生活质量的提高。