舒血宁注射液联合前列地尔注射液治疗糖尿病周围血管病变的临床疗效观察

目的:观察联合应用舒血宁注射液与前列地尔注射液治疗糖尿病周围血管病变的临床疗效和安全性.方法:以药物降低血糖为基础,舒血宁注射液与前列地尔注射液联合应用于78例糖尿病周围血管病变患者,14天为一个疗程,患者在治疗前后行双下肢动脉彩色多普勒超声检测.结果:治疗后,患者的股动脉、胭动脉及足背动脉管径较治疗前显著增加,血流速度较治疗前明显加快(P＜0.05).间歇性跛行症状好转,肢体皮温上升,足背动脉开始有搏动.治疗中无不良反应,亦无出血倾向.结论:舒血宁注射液与前列地尔注射液联合治疗糖屎病周围血管病变是一种安全有效的治疗方法.     

血液科感染患者致病菌的临床资料分析

目的：探讨血液病患者的感染特点,为临床治疗提供病原学依据。方法：回顾性分析北京友谊医院2008年7月至2011年7月血液科住院患者临床分离出病原菌的情况。结果：原发病以血液系统恶性肿瘤为主。共培养出致病菌357株,包括革兰阴性杆菌（40.8%）;革兰阳性球菌（24.1%）;真菌（35.1%）。引起感染最常见的革兰阴性杆菌为铜绿假单胞菌,最常见的革兰阳性球菌为粪肠球菌,最常见的真菌为白色假丝酵母菌。革兰阴性杆菌来源为血29.4%,痰46.6%,尿10.3%;革兰阳性球菌来源为血14%,痰47.7%,尿10.4%;真菌来源为血8%,痰60.8%,尿4%。66.4%真菌感染患者中性粒细胞〈1.5×109/L。结论：血液病感染的致病菌以革兰阴性杆菌为主,呼吸道是主要感染部位。对于中性粒细胞减少的血液病感染患者,真菌感染的几率明显增加,经验性抗真菌治疗具有一定的意义。     

吐鲁番市胃食管反流病发生相关危险因素分析（附280例报道）

目的：探讨280例胃食管反流病（GERD）的分布特点及危险因素。方法：对临床诊断和胃镜确诊的280例GERD患者进行临床和风险因子相关性分析。结果：不论汉族还是维族,男性患者比例均明显高于女性;汉族患者高发年龄段早于维族患者（z=-2．939,P=0．003,）;汉族和维族患者占反流性食管炎和Barrett食管比例分别为42．4％、81_3％及56．5％、18．8％,其中汉族患者Barrett食管比例较高（X2=14．358,P=0．000）;肥胖、习惯性便秘、重体力活动者、饮食习惯不良在维族患者中的比例较高（P〈0．001）。结论：GERD与性别、年龄密切相关,男性多于女性,汉族患者发病年龄高峰旱于维族患者;汉族患者Barrett食管发生比例高于维族患者;肥胖、习惯性便秘、重体力活动、饮食习惯不良可能是GERD尤其是维族人群GERD的危险因素。     

小鼠帕金森病模型的行为学及组织病理学改变的观察分析

目的:观察1-甲基4苯基-1,2,3,6-四氢吡啶(MPTP)诱导的帕金森病小鼠模型的行为学及组织学变化.方法:C57/BL小鼠腹腔注射MPTP 25 mg/kg,每周2次,连续5周.通过旷场实验和强迫游泳实验检测小鼠的行为变化,分别使用抗酪氨酸羟化酶(TH)单克隆抗体和抗诱生型一氧化氮合酶(iN0S)单克隆抗体、抗精氨酸酶Ⅰ(Arg1)多克隆抗体作为多巴胺能神经元和小胶质细胞M1、M2两种极化表型的分子标志进行免疫荧光染色.结果:旷场实验中,模型组小鼠的活动总路程较对照组小鼠有减少趋势,但无明显统计学差异(P＞0.05),而其中央活动时间较正常对照组明显缩短(P＜0.05);强迫游泳实验中,模型组小鼠在水中的不动时间较对照组显著延长(P＜0.05).与对照组相比,模型组小鼠中脑黑质致密部TH阳性神经细胞数目减少约87％,两组TH阳性神经细胞计数比较差异显著(P＜0.01).模型组iNOS所染M1型小胶质细胞数量较对照组增加约54％,有显著性差异(P＜0.05),而Arg1标志的M2型细胞数量,虽较对照组有减少趋势,但无明显统计学差异(P＞0.05).结论:MPTP所致的C57/BL小鼠行为学及神经病理学改变与临床PD患者类似,脑内黑质区小胶质细胞两种极化表型混合存在,但M1型极化较正常有所改变,M2型变化不明显.     

Understanding and addressing religion among people with mental illness

This article reviews recent advances in the domain of psychiatry and religion that highlight the double‐edged capacity of religion to enhance or damage health and well‐being, particularly among psychiatric patients. A large body of research challenges stereotyped views of religion as merely a defense or passive way of coping, and indicates that many people look to religion as a vital resource which serves a variety of adaptive functions, such as self‐regulation, attachment, emotional comfort, meaning, and spirituality. There is, however, a darker side to religious life. Researchers and theorists have identified and begun to study problematic aspects of religiousness, including religiously‐based violence and religious struggles within oneself, with others, and with the divine. Religious problems can be understood as a by‐product of psychiatric illness (secondary), a source of psychiatric illness (primary), or both (complex). This growing body of knowledge underscores the need to attend more fully to the potentially constructive and destructive roles of religion in psychiatric diagnosis, assessment, and treatment. In fact, initial evaluative studies of the impact of spiritually integrated treatments among a range of psychiatric populations have shown promising results. The article concludes with a set of recommendations to advance future research and practice, including the need for additional psychiatric studies of people from diverse cultures and religious traditions.     

Induction of resistance against downy mildew on sunflower by rhizobacteria

Abstract

Induction of resistance to downy mildew caused by Plasmopara halstedii in sunflower was studied after treatment with PGPR (plant growth promoting rhizobacteria) strain INR7 (Bacillus spp). Treatment of sunflower seeds with 1×10⁸cfu/ml of PGPR strain INR7 resulted in decreased disease severity and offered 51 and 54% protection under green house and field conditions, respectively. The induction of resistance to P. halstedii by PGPR strain INR7 was accompanied by the accumulation of various host defense-related enzymes in susceptible sunflower seedlings. Enhanced activation of catalase (CAT), phenylalanine ammonia-lyase (PAL), peroxidase (POX), polyphenol oxidase (PPO) and chitinase (CHI) was evident at 6, 9, 12, 12 and 12h post inoculation, respectively, in sunflower seedlings raised from seeds treated with PGPR strain INR7. This enhanced and early activation of defense-related responses in the susceptible cultivar after treatment with PGPR strain INR7 was comparable to that in the resistant cultivar. The results indicate that PGPR strain INR7 induced resistance against P. halstedii in sunflower is mediated through enhanced expression of defense mechanism.     

Of Cecropias,Snarks and Boojums

We reply to Webber et al. (2011 Webber, BL, Born, C, Conn, BJ, Hadiah, JT and Zalamea, P-C. 2011. What is in a name? That which we call Cecropia peltata by any other name would be as invasive?. Plant Ecology & Diversity, 3: 241–245.  [Google Scholar]). Our study, Sheil and Padmanaba (2011 Sheil, D and Padmanaba, M. 2011. Innocent invaders? A preliminary assessment of Cecropia, an American tree, in Java. Plant Ecology & Diversity, 3: 231–240.  [Google Scholar]), was a preliminary assessment of the alien Neotropical tree Cecropia around Bogor, West Java, Indonesia. We highlighted the need for low-cost assessment approaches for addressing alien species and considered what might be achieved by local actors with limited resources. We successfully characterised the local distribution of Cecropia and identified, addressed and illustrated various concerns. Based on these results we asked how such studies might be useful and how they could be improved. Webber et al. criticise our study but fail to engage with its goals. Certainly, low-input local approaches lack the sophistication and rigour of larger international efforts, but such comparisons are unhelpful. Aside from a number of misunderstandings, we find Webber et al.’s principal arguments overstated, and unsupported by published information. The evidence that Cecropia causes harm is unconvincing; species-level identification is overemphasised; and the insistence on completing detailed research before considering management options is problematic. We offer some positive conclusions and repeat our plea for the development of effective low-input methods for evaluating and addressing naturalised organisms.     

Mechanism of action of the tuberculosis and Crohn disease risk factor IRGM in autophagy

Polymorphisms in the IRGM gene, associated with Crohn disease (CD) and tuberculosis, are among the earliest identified examples documenting the role of autophagy in human disease. Functional studies have shown that IRGM protects against these diseases by modulating autophagy, yet the exact molecular mechanism of IRGM's activity has remained unknown. We have recently elucidated IRGM's mechanism of action. IRGM functions as a platform for assembling, stabilizing, and activating the core autophagic machinery, while at the same time physically coupling it to conventional innate immunity receptors. Exposure to microbial products or bacterial invasion increases IRGM expression, which leads to stabilization of AMPK. Specific protein-protein interactions and post-translational modifications such as ubiquitination of IRGM, lead to a co-assembly with IRGM of the key autophagy regulators ULK1 and BECN1 in their activated forms. IRGM physically interacts with 2 other CD risk factors, ATG16L1 and NOD2, placing these 3 principal players in CD within the same molecular complex. This explains how polymorphisms altering expression or function of any of the 3 factors individually can affect the same process—autophagy. Furthermore, IRGM's interaction with NOD2, and additional pattern recognition receptors such as NOD1, RIG-I, and select TLRs, transduces microbial signals to the core autophagy apparatus. This work solves the long-standing enigma of how IRGM controls autophagy.     

Partial genotyping at polymorphic markers can improve heritability estimates in sibling groups

Accurate estimates of heritability () are necessary to assess adaptive responses of populations and evolution of fitness‐related traits in changing environments. For plants, estimates generally rely on maternal progeny designs, assuming that offspring are either half‐sibs or unrelated. However, plant mating systems often depart from half‐sib assumptions, this can bias estimates. Here, we investigate how to accurately estimate in nonmodel species through the analysis of sibling designs with a moderate genotyping effort. We performed simulations to investigate how microsatellite marker information available for only a subset of offspring can improve estimates based on maternal progeny designs in the presence of nonrandom mating, inbreeding in the parental population or maternal effects. We compared the basic family method, considering or not adjustments based on average relatedness coefficients, and methods based on the animal model. The animal model was used with average relatedness information, or with hybrid relatedness information: associating one‐generation pedigree and family assumptions, or associating one‐generation pedigree and average relatedness coefficients. Our results highlighted that methods using marker‐based relatedness coefficients performed as well as pedigree‐based methods in the presence of nonrandom mating (i.e. unequal male reproductive contributions, selfing), offering promising prospects to investigate in situ heritabilities in natural populations. In the presence of maternal effects, only the use of pairwise relatednesses through pedigree information improved the accuracy of estimates. In that case, the amount of father‐related offspring in the sibling design is the most critical. Overall, we showed that the method using both one‐generation pedigree and average relatedness coefficients was the most robust to various ecological scenarios.