Associations of common noncommunicable medical conditions and chronic diseases with chronotype in a population-based health examination study

Chronotype is an emerging predictor of health and longevity, and understanding its influence on chronic diseases is important for constructing conceptual models of long-term pathways to health. We assessed the associations of chronotype with health status in the general Finnish adult population. Our population-based data were derived from the National FINRISK 2012 study and consisted of 4414 participants, aged 25–74?years, living in Finland. As part of their health examination, participants were asked about their circadian preference to the daily activities (morningness–eveningness) and a diagnosis or treatment for a set of common noncommunicable medical conditions and chronic diseases during the past 12?months. We found that there were 1935 (43.8%) morning types (MTs) and 595 (13.5%) evening types (ETs) and that 1884 (42.7%) were intermediates. As compared with the MTs, the ETs had significantly greater odds for depression (OR = 2.44, 95% CI = 1.52–3.90, p < 0.001) and other mental disorders (OR = 5.18, 95% CI = 2.32–11.52, p < 0.001). The odds were also increased for gallstones, and chronic obstructive pulmonary disease, but these did not remain significant after controlling for multiple testing. Responses to the single-item subjective estimation on the chronotype yielded the association of the definitely evening type of persons with the diagnosis or treatment of cardiac insufficiency (OR = 1.99, 95% CI = 1.02–3.88, p = 0.044) that was corroborated as the greater the eveningness score was, the more common the diagnosis or treatment of cardiac insufficiency was (β = 0.92, 95% CI = 0.85–0.98, p = 0.013). This exploratory study adds further support to the role of evening chronotype in chronic disease risk, albeit underlying mechanisms remain to be elucidated.     

Incredible affinity of Kattosh with PPAR‐γ receptors attenuates STZ‐induced pancreas and kidney lesions evidenced in chemicobiological interactions

Since ancient times, plants have been used as green bioresources to ensure a healthier life by recovering from different diseases. Kattosh (Lasia spinosa L. Thwaites) is a local plant with various traditional uses, especially for arthritis, constipation and coughs. This research investigated the effect of Kattosh stem extract (LSES) on streptozotocin‐induced damage to the pancreas, kidney, and liver using in vitro, in vivo and in silico methods. In vitro phytochemical, antioxidative and anti‐inflammatory effects of LSES were accomplished by established methods followed by antidiabetic actions in in vivo randomized controlled intervention in STZ‐induced animal models for four weeks. In an in silico study, LSES phytocompounds interacted with antidiabetic receptors of peroxisome proliferator‐activated receptor‐gamma (PPAR, PDB ID: 3G9E), AMP‐activated protein kinase (AMPK, PDB ID: 4CFH) and α‐amylase enzyme (PDB ID: 1PPI) to verify the in vivo results. In addition, LSES showed promising in vitro antioxidative and anti‐inflammatory effects. In contrast, it showed a decrease in weekly blood glucose level, normalized lipid profile, ameliorated liver and cardiac markers, managed serum AST and ALT levels, and increased glucose tolerance ability in the animal model study. Restoration of pancreatic and kidney damage was reflected by improving histopathological images. In ligand–receptor interaction, ethyl α‐d‐glucopyranoside of Kattosh showed the highest affinity for the α‐amylase enzyme, PPAR, and AMPK receptors. Results demonstrate that the affinity of Kattosh phytocompounds potentially attenuates pancreatic and kidney lesions and could be approached as an alternative antidiabetic source with further clarification.     

高职医学微生物学检验课程教学改革与实践

针对当前高职医学检验专业文理兼招、学生基础薄弱的实际情况,在微生物学检验课程教学中,以微生物检验岗位工作任务为引领,以强化技能训练为主导,课程设计了基础知识、基本技能、技术应用及单元实训四大模块,将微生物学理论知识融合于技能训练项目之中,构建"串行体系"结构的课程体系,部分实验内容采用学生自主设计,并且教学方法多措并举,考核方式多元化。结果表明:通过课程改革与实践,激发了学生学习兴趣,培养了学生的创新能力和实践动手能力,教学效果明显。     

现代生物技术在食品检测中的应用

介绍了DNA探针、PCR技术、免疫检测技术在食品微生物及转基因成分检测中的应用。着重阐述了PCR技术的工作原理、应用及其发展前景。同时简要介绍了生物芯片及其在食品检测中的应用前景     

临床微生物检验和细菌耐药性监测探析

目的：探讨临床微生物检验和细菌耐药性监测。方法：对临床分离出的致病菌的耐药情况以及敏感性进行回顾分析,检查出各种病菌对各类抗菌药物的敏感率和耐药率,本文以葡萄球菌属、肠杆菌科、非发酵菌的代表菌种的耐药性和敏感性为例。结果：通过选取金黄色葡萄球菌、表皮葡萄球菌、溶血葡萄球菌、大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、鲍曼不动杆菌为例进行回顾分析,它们对抗菌药物的耐药率、敏感率具体情况如文中表格所示。结论：临床病原菌的耐药性问题不容忽视,治疗时要根据药物的敏感性和耐药性选择适当的抗菌药物,合理使用抗菌药物,减轻抗菌药物的耐药寿命。     

Toxic Prorocentrum lima induces abnormal behaviour in juvenile sea bass

Juveniles of the European sea bass Dicentrarchus labrax were exposed to both cell-free medium and whole cell cultures of the dinoflagellate Prorocentrum lima strain PL2V. Fish were also fed a commercial fish diet in tanks containing live P. lima, and Artemia that had ingested the alga. Fish exposed to the cell-free medium and to whole cell cultures were stressed and behaved abnormally when compared to the behaviour of control fish, fish in normal seawater. Stress-related behaviours included hyperactivities (jumps, fast let-right turns, surface swims, etc), poor feeding reflexes and abstinence from feeding. Fish that directly ingested the alga or that ingested Artemia containing the alga died. Histological studies revealed that gills and liver of treated fish were impacted, as opposed to the normal conditions of same tissues in control fish. The diseased organs could have been responsible for the abnormal behaviours and death of treated fish. The aquaculture and ecological implications of the results are discussed.     

Host examination walk and oviposition site selection ofTrichogramma minutum: Studies on spherical hosts

The host examination behavior of the parasitoid wasp Trichogramma minutumon spherical Manduca sextahosts is described. The mean walking speed during host examination was 0.64 ± 0.03 mm s ^–1 and is independent of wasp size. The paths taken by the wasps are not evenly distributed over the host surface; the majority of time is spent below 45 ° latitude. The distribution of oviposition sites is also nonrandom with respect to latitude and is not influenced by phototaxic and geotaxic responses. The initial transit made by the wasps over the host surface is a straight path which frequently passes across the highest point on the host. The length and duration of the initial transit are independent of wasp body length. However, stride length and stepping rates are proportional to wasp body length, and small wasps take more steps to complete their initial transit. The roles of the examination walk in host recognition and host volume measurement by Trichogrammaare also discussed.     

以执业医师考试为导向的基础医学教学模式探索与实践

以社会需求为导向,加强基础医学课程教学模式探索,不断深化医学人才培养改革,已成为基础医学教育创新改革的目标需求。本文就近年来以执业医师考试为导向的基础医学课程教学模式探索与改革实践进行了分析和总结,着重从优化整合医学课程体系,实施基于病例和问题的PBL教学方法改革,加强辅导答疑重点培养学员综合素质与能力,加强师资队伍建设,加强针对性练习强度及合理设置考试方式,加强信息化教学手段等方面进行了讨论,以期为进一步深化基础医学教育改革和不断提高基础医学教学质量提供思路。     

真菌性食管炎患者抗真菌治疗期间血常规、免疫功能动态变化的特征分析

目的分析真菌性食管炎患者接受抗真菌治疗期间血常规及免疫功能动态变化的特征。方法将我院收治的42例真菌性食管炎患者纳入实验组,给予患者氟康唑联合克霉唑抗真菌治疗;同期收治的42例反流性食管炎纳入对照组,给予常规治疗。两组分别于入院时、治疗1 d、3 d、5 d、7 d及14 d,动态开展血常规检查及免疫功能指标监测。治疗过程中,观察两组不良反应。结果治疗期间,实验组白细胞计数呈下降趋势,中性粒细胞百分比则呈上升趋势;对照组白细胞计数呈下降趋势,中性粒细胞无明显变化。治疗1 d、3 d、5 d、7 d、14 d,组间白细胞计数差异显著(P<0.05);入院时、治疗1 d、3 d、5 d、7 d,组间中性粒细胞对比差异显著(P<0.05),治疗14 d,组间中性粒细胞百分比差异不显著(P>0.05)。实验组、对照组CRP均呈下降趋势,治疗1 d、3 d、5 d、7 d、14 d CRP水平组间对比差异有统计学意义(P<0.05);实验组、对照组食管炎患者IgM及IgG均呈升高趋势,治疗1 d、3 d、5 d、7 d、14 d对比,两组差异均具有统计学意义(P<0.05)。结论真菌性食管炎患者多伴明显免疫功能下降、中性粒细胞比例降低。治疗期间,血常规检查、免疫功能的动态监测可为真菌性食管炎患者的疗效评估提供临床依据。     

金标法与免疫发光法检测CEA在健康体检中的应用

目的：探讨金标法和免疫发光法检测CEA在健康体检中的应用价值。方法：对728例健康体检的个人同时应用金标法和免疫发光法测定CEA,对结果进行分析。结果：金标法测定的阳性率为0．69％,免疫发光法测定的阳性率为0．41％,两者具有高度一致性。结论：对健康体检人群应先用金标法进行定性,对阳性结果再用免疫发光法进行定量。