小儿下呼吸道感染痰培养标本病原菌构成分析

目的了解小儿下呼吸道感染病原菌的分布及对常用抗菌药物的耐药状况。方法对2710例小儿下呼吸道感染患者痰标本进行培养,用VITEK-2Compact微生物鉴定系统鉴定菌种和药敏试验,WHO-NET5．4软件对数据进行分析。结果共分离病原菌675株,革兰阴性杆菌457株,占67．7％,主要为大肠埃希菌、肺炎克雷伯菌;革兰阳性球菌159株,占23．5％,主要为金黄色葡萄球菌、肺炎链球菌;真菌59株,占8．7％,主要为白色假丝酵母菌。结论小儿下呼吸道感染病原菌以革兰阴性杆菌为主,耐药性较为严重,应不断加强耐药性监测,合理使用抗菌药物。     

泌尿生殖道支原体培养及耐药性差异分析

目的检测本地区人群泌尿生殖道溶脲脲原体（Uu）和人型支原体（Mh）感染的发生率;分析其对9种抗生素的药物敏感性差异,用以指导临床的抗生素治疗。方法采用法国生物梅里埃Mycoplasma IST2试剂盒对支原体进行分离培养鉴定和药物敏感性试验;分析2008—2013年本地区支原体感染患者耐药性的差异。结果在本地区8168例疑似NGU的患者中检出支原体2564例,阳性检出率为31．39％,其中仅uu感染的患者1833例（22．44％）,Uu和Mh混合感染的患者623例（7．63％）,仅Mh感染的患者108例（1．32％）。仅uu感染的患者对PRI、JOS、DOT、TET、CLA、AZI、ERY、OFL和CIP九种抗生素的敏感率分别为99．8％、99．4％、96．3％、91．9％、90．O％、89．7％、69．7％、4．O％和0．5％;Uu和Mh混合感染的患者对9种抗生素的敏感率分别为96．3％、96．1％、94．8％、79．5％、12．0％、11．7％、1．4％、1．0％和0．3％;仅Mh感染的患者对9种抗生素的敏感率分别为100％、100％、100％、90．7％、0％、0％、O％、14．8％和13．9％。结论本地区泌尿生殖道支原体感染以Uu感染最为常见,Uu和Mh混合感染次之,Mh感染最为少见;对支原体的抗生素治疗首选PRI、JOS、DOT;TET、AZI、CLA可适当使用,而ERY、OFL、CIP则不宜选用。     

Differential regulation of cell death programs in males and females by Poly (ADP-Ribose) Polymerase-1 and 17 β estradiol

Cell death can be divided into the anti-inflammatory process of apoptosis and the pro-inflammatory process of necrosis. Necrosis, as apoptosis, is a regulated form of cell death, and Poly-(ADP-Ribose) Polymerase-1 (PARP-1) and Receptor-Interacting Protein (RIP) 1/3 are major mediators. We previously showed that absence or inhibition of PARP-1 protects mice from nephritis, however only the male mice. We therefore hypothesized that there is an inherent difference in the cell death program between the sexes. We show here that in an immune-mediated nephritis model, female mice show increased apoptosis compared to male mice. Treatment of the male mice with estrogens induced apoptosis to levels similar to that in female mice and inhibited necrosis. Although PARP-1 was activated in both male and female mice, PARP-1 inhibition reduced necrosis only in the male mice. We also show that deletion of RIP-3 did not have a sex bias. We demonstrate here that male and female mice are prone to different types of cell death. Our data also suggest that estrogens and PARP-1 are two of the mediators of the sex-bias in cell death. We therefore propose that targeting cell death based on sex will lead to tailored and better treatments for each gender.     

Intestinal concentrations of free and encapsulated dietary medium-chain fatty acids and effects on gastric microbial ecology and bacterial metabolic products in the digestive tract of piglets

The influence of low dietary levels of free and encapsulated medium-chain fatty acids on their concentrations in the digesta, the gastric microbial ecology and bacterial metabolic products in the gastrointestinal tract (GIT) in weaned piglets was studied. Starting after weaning, 36 piglets were fed a diet without (Control) or with medium-chain fatty acids uncoated (MCFA) or coated with vegetable fat and lecithin (MCFAc). After 4 weeks, the animals were killed, and digesta from the stomach and different sections of the GIT were collected. The concentrations of caprylic (p < 0.001) and capric (p = 0.001) acids were higher in the stomachs of piglets fed diets MCFA and MCFAc compared to the Control group. The concentrations dropped rapidly along the GIT, regardless of encapsulation, and tended to be higher in groups MCFA and MCFAc compared to the Control. Compared to the Control group, ingestion of diet MCFAc led to an increase in the number of eubacteria (p = 0.001), enterobacteriaceae (p < 0.001), clostridial clusters I (p = 0.001) and IV (p = 0.019), Lactobacillus johnsonii (p < 0.001) and Lactobacillus amylovorus (p = 0.001) in gastric contents. A similar trend was seen with diet MCFA. Relative concentrations of short-chain fatty acids were characterised by lower propionic acid levels (p = 0.045), numerically (p < 0.1) higher acetic, lower n-butyric and i-valeric acid concentrations in the small intestine. Lactic acid concentrations were not significantly changed in the GIT, but ammonia concentrations increased (p < 0.001) in the distal small intestine in the MCFA and MCFAc groups. In conclusion, medium-chain fatty acids affected microbial ecology parameters in the gastric contents and bacterial metabolites in the small intestine. At low dietary levels, medium-chain fatty acids may be regarded as modulators of the gastric microbiota in weaned piglets.     

Der Einfluß von Vitamin A und β-Carotin auf die Fruchtbarkeit bei suboptimalen und optimalen Vitamin-B-Gaben

Die vorliegenden Untersuchungen sind Bestandteil eines komplexen Forschungsprogramms zur Weiterentwicklung der energetischen Futterbewertung im Nettoenergie‐Fett‐System. Sie wurden mit dem Ziel durchgeführt, neue Ergebnisse zur Erfassung des Zusammenhanges zwischen Ort und Art der Nährstoffverdauung und der energetischen Verwertung von Rationen bei der Tierart Rind zu erarbeiten. Für 9 Rationsvarianten mit jeweils 3 Varianten der Stärkeherkunft (Gerste, Mais, Kartoffeln) und ihres Rationsanteiles (50, 25 und 10 %) wurde an weitgehend ausgewachsenen Ochsen mit Hilfe von duodenalen Brückenfisteln auf dem Ernährungsniveau 1.7 die ruminale Nährstoffverdaulichkeit gemessen. Bei Stärkeeinnahmen zwischen 484 und 2573 g je Tier und Tag wurden Mengen an ruminai und postruminal verdauter Stärke zwischen 444 und 2336 bzw. 10 und 284 g je Tier und Tag bestimmt. Für die organische Substanz, Stärke, wasserlöslichen Kohlenhydrate und N‐freien Reststoffe wurden hohe relative Anteile der ruminai verdauten an den scheinbar verdauten Nährstoffen mit Werten zwischen 78 und 88, 83 und 98, 93 und 97 bzw. 88 und 100% ermittelt.     

泌尿生殖道非淋菌性感染的病原学以及耐药性分析

目的：探究泌尿生殖道非淋茵性感染的病原学以及耐药性,指导临床合理用药。方法：对我院2006年3月．2011年12月确诊的2136例非淋菌性泌尿生殖道感染患者进行标本采集,对病原体及其耐药性进行检测分析。结果：淋茵感染泌尿生殖道病原茵主要为CT及支原体,男性患者CT感染率高于女性患者,女性患者支原体感染率高于男性患者,此外,念珠茵、滴虫及其他难以检出细菌亦属于致病病原茵的一种;在12种抗生素中,多西环素、米诺环素及交沙霉素敏感率较高,均〉80％,罗红霉素、红霉素及环丙沙星敏感度较低,均〈20％。结论：非淋茵感染泌尿生殖道病原菌主要为CT及支原体,男性患者CT感染率高于女性患者,女性患者支原体感染率高于男性患者,病原茵对多西环素、米诺环素及交沙霉素耐药性较低,但不同地域病原茵耐药性亦存在差异,应按照实际情况进行耐药性检测,指导临床合理用药。     

Transcription of the human microsomal epoxide hydrolase gene (EPHX1) is regulated by an HNF-4α/CAR/RXR/PSF complex

Microsomal epoxide hydrolase (mEH) is a bifunctional protein that plays a central role in the metabolism of numerous xenobiotics as well as mediating the sodium-dependent transport of bile acids into hepatocytes where they are involved in cholesterol excretion and metabolism, lipid digestion and regulating numerous signaling pathways. Previous studies have demonstrated the critical role of GATA-4 and a C/EBPα–NF/Y complex in the regulation of the mEH gene (EPHX1). In this study we show that HNF-4α and CAR/RXR also bind to the proximal promoter region and regulate EPHX1 expression. Bile acids, which inhibit the expression of HNF-4α also decrease the expression of EPHX1. Studies also established that the binding of HNF-4α was essential for the activation of EPHX1 activity by CAR suggesting the formation of a complex between these adjacent factors. The nature of this regulatory complex was further explored using a biotinylated oligonucleotide of this region in conjunction with BioMag beads and mass spectrometric analysis which demonstrated the presence of an additional inhibitory factor (PSF), confirmed by co-immunoprecipitation and ChIP analyses, which interacted with DNA-bound CAR/RXR/HNF-4α forming a 4-component regulatory complex.     

Anatomy and histology of the gastrointestinal tract of the neo-tropical opossum (Didelphis marsupialis insularis,Allen 1902)

The morphology of the gastrointestinal tract (GI) is a strong indicator of the dietary habits of a species. The goal of this study was to describe the gross and microanatomy of the digestive tract of the neo-tropical opossum (Didelphis marsupialis insularis) and relate them to the animals’ food habits. GI tracts from 12 adult animals were used for this study. Results found the small intestine made up 65.9% of the GI tract, and the stomach was simple with a prominent caecum. Histologically, the oesophageal mucosa was non-keratinized and glands were found throughout the oesophagus. The large intestine showed a great number of goblet cells, the jejunum possessed well-developed villi, and Peyer's patches were absent in the ileum. The absence of keratinization of the epithelial lining of the oesophagus and stomach and a high lymphocytic infiltration throughout the small and large intestine reflected a more carnivorous diet, whereas the presence of a well-developed caecum in the large intestine indicated the ability to digest plant matter. Overall, the morphology of GI tract of D. m. insularis displayed both carnivorous and herbivorous features, allowing us to conclude that it is an omnivorous animal.     

血清PCT联合痰培养检测在呼吸道感染疾病中的应用

目的:研究血清降钙素原(PCT)联合痰培养检测在呼吸道感染疾病中的应用价值。方法:选择2012年1月至2014年12月在我院接受治疗的呼吸道感染患者100例进行研究。分析痰培养菌群的分布情况以及PCT的检测结果,对比痰培养细菌感染者及真菌感染者的菌种分类及PCT检测结果。结果:检出病原菌的患者PCT水平均分别显著高于正常菌群及未见细菌生长的患者,差异均有统计学意义(均P0.05)。细菌感染PCT阳性比例与真菌感染相比,差异无统计学意义(P0.05)。细菌感染中,革兰氏阳性菌的PCT水平(0.74±0.33μg/L)与革兰氏阴性菌(0.72±0.24μg/L)对比,差异无统计学意义(P0.05)。真菌感染中,白假丝酵母菌及烟曲霉菌的PCT阳性比例最高,分别为60.00%及80.00%。结论:血清PCT与痰培养检测应用于评价有呼吸道感染的患者病情,具有一定的反馈意义,但无法确定患者的呼吸道感染究竟是细菌感染亦或是真菌感染。     

肾静态显像诊断上尿路感染的临床研究

目的:探究肾静态显像(99m Tc-DMSA)在上尿路感染诊断工作中的应用意义。方法:选取2012年7月至2015年2月我院收治的60例上尿路感染患儿为研究对象,均行肾静态显像检查,并与B超检查结果进行对比分析。结果:肾静态显像提示:60例上尿路感染患儿中,肾脏损害占90.00%,其中8例肾疤痕形成,46例急性肾盂肾炎改变,6例正常;在肾脏病变范围上,≤2岁年龄组患儿较2岁年龄组患儿更为广泛,且前者程度更为严重。B超提示肾脏损害占26.67%,其中18例尿路感染反复发作;16例(26.67%)伴有急性肾盂肾炎改变,未检出肾疤痕。B超诊断上尿路感染的阳性率达26.67%,肾静态显像检查诊断上尿路感染的阳性率为90.00%,两者比较差异有显著性(P0.05)。结论:99mTc-DMSA在上尿路感染诊断工作中具有重要的应用意义,可明确病变性质、程度及范围,并可随访病变转归,指导临床治疗,属于上尿路感染的实验室补充性指标,值得临床积极推广。