Recent and historical discharge of a large European river system - oxygen isotopic composition of river water and skeletal aragonite of Unionidae in the Rhine

Seasonal variations in the oxygen isotopic composition of Rhine River water were analyzed in detail and compared with the oxygen isotopic record from recent and historical specimens of freshwater bivalves (Unionidae). The purpose of this study was to investigate the potential use of these aragonitic bivalves as proxy recorders for varying amounts and sources of discharge, and thereby infer climate change. Seasonal variations in the river water δ¹⁸O are on the order of 1-2‰. During summer, Alpine melt-water contributes significantly to the total discharge, resulting in average values of −10 to −10.5‰, whereas the non-Alpine contribution is higher during winter, as indicated by mean δ¹⁸O values of −8.5 to −9‰. The basic pattern of the modern seasonal variation of δ¹⁸O of river water can be described by a numerical mass balance approximation of the various contributions from the Alpine and non-Alpine catchments with their average δ¹⁸O composition. The δ¹⁸O of growth increments in the prismatic shell layer of Anodonta corresponds perfectly to what is predicted by known fractionation of ¹⁸O between water and aragonite. Shell growth is restricted to water temperatures above 8-10°C, so variations in δ¹⁸O and the river water temperature are faithfully recorded by relatively large growth increments during summer. The distinctive isotopic signatures of individual flood events during summer and autumn are also recorded in the shells.     

两种狐尾藻属（小二仙草科）植物在中国的新记录

互花狐尾藻 Myriophyllum alterniflorum DC.和刺果狐尾藻M．tuberculatum Roxb．为中国首次记录。     

基本药物制度实施与乡镇卫生院补偿机制转变

目的 了解乡镇卫生院各项收支及药品补偿状况,探讨基本药物制度实施后,取消药品加成对乡镇卫生院的影响。方法 收集华东三省49家乡镇卫生院财务及药品收支数据,对定量资料进行统计分析。结果 乡镇卫生院主要的补偿渠道依然是药品收入,乡镇卫生院收入增长主要归因于增加药品收入。在财政补助收入大幅增加的情况下,乡镇卫生院对药品收入的依赖程度有所降低。结论 基本药物制度的实施对乡镇卫生院的平稳运行有影响,可采取加强财政补助、建立综合补偿机制、遏制药品价格虚高等措施保证乡镇卫生院在改革中的平稳运行。     

山东苔藓植物新记录

该研究通过对采自山东的苔藓植物标本进行鉴定,首次发现裂齿藓[ Dichodontium pellucidum (Hedw.) Schimp.]和粗疣藓[ Fauriella tenuis (Mitt.) Cardot]在山东的分布,这也是昂氏藓科(Aongstroemiaceae)裂齿藓属( Dichodontium Schimp.)和粗疣藓属( Fauriella Besch.)的苔藓植物在山东的首次发现。文中还详细描述了裂齿藓和粗疣藓的形态特征,绘制了墨线图,并进行了相应的讨论。     

湖南的新记录植物（二）

本文报导了湖南植物分布新记录科１个,新记录属２个,新记录种１４个,新记录变种１个．     

中国尾孢菌属及其近似属的研究 XII.(英文)

报道2个新种:寄生在荩草Arthraxon hispidus (Thunb.) Makino上的荩草菌绒孢Mycovellosiella arthraxonis, 寄生在扁担杆属Grewia sp. 植物上的扁担杆色链隔孢Phaeoramularia grewiae和7个中国新记录种。文中为新种提供了拉丁文简介、英文描述和图。研究的标本保存在中国科学院微生物研究所菌物标本馆 (HMAS)。     

食管癌患者术前营养风险评估及与术后吻合口瘘和住院时间的关系研究

摘要 目的：评估食管癌患者术前营养风险及其影响因素,并分析其与术后吻合口瘘和住院时间的关系。方法：回顾性分析2017年1月至2020年12月在合肥市第二人民医院胸外科行手术治疗的105例食管癌患者的临床资料,患者术前均完善营养风险筛查表-2002（NRS-2002）对其营养风险的评估,根据评估结果分为营养风险组（≥3分,43例）和无营养风险组（＜3分,62例）,采用单因素及多因素Logistic回归分析食管癌患者术前营养风险的影响因素,比较不同术前营养风险状态患者术后吻合口瘘发生率以及住院时间的差异。结果：食管癌患者的术前营养风险较高,营养风险发生率为40.95%（43/105）。单因素分析结果显示,营养风险组年龄≥65岁、入院体质量指数＜18.5 kg/m²、术前接受过新辅助放化疗、过去1周膳食摄入不足、术前白蛋白＜35 g/L的患者比例高于无营养风险组（P＜0.05）。多因素Logistic回归分析结果显示,术前接受过新辅助放化疗、过去1周膳食摄入不足、术前白蛋白＜35 g/L是食管癌患者术前存在营养风险的危险因素（P＜0.05）。营养风险组术后胸腔吻合口瘘、颈部吻合口瘘发生率高于无营养风险组（P＜0.05）,住院时间长于无营养风险组（P＜0.05）。结论：术前新辅助放化疗、过去1周膳食摄入情况、术前白蛋白水平是食管癌患者术前营养风险的影响因素,术前营养风险会增加患者术后吻合口瘘发生风险,延长患者住院时间。     

公立医院开展项目支出预算绩效评价的探讨

目前,我国大部分公立医院尚未广泛开展内部项目支出预算绩效评价工作。随着财政部与国家卫生和计划生育委员会的预算项目绩效管理的深入开展,公立医院通过加强多部门的合作,以战略发展为导向开展项目支出预算绩效评价工作对提高资金使用效益具有重要意义。     

Bats of Lithuania: distribution, status and protection

The Lithuanian bat fauna includes 14 species. Myotis daubentoni, Pipistrellus nathusii, Plecotus auritus and Eptesicus serotinus are the most abundant and widespread species, although recently P. auritus has disappeared from some hibernacula. There are still abundant populations of Myotis nattereri, Myotis brandti and Barbastella barbastellus in hibernacula, while their status in summer is unknown. Myotis dasycneme is probably very rare and endangered. The status of Myotis mystacinus and Nyctalus leisleri is not clear, but they are most likely very rare because very few specimens have been found. So far little is known about status of Nyctalus noctula, Pipistrellus pipistrellus, Eptesicus nilssoni and Vespertilio murinus because these species are common only during autumn bat migration along the Baltic Sea coast. Two other species, Myotis bechsteini and Rhinolophus hipposideros, have been rejected from the list of bats of Lithuania, because old references to records of these species were not reliable. From what is currently known it seems that: (i) the northern limits of distribution of B. barbastellus and E. serotinus reach the middle of Lithuania between 55°N and 56°N, which may also be the southern limit of abundance of E. nilssoni; (ii) the wintering site with the largest numbers of bats in Lithuania is the vaults of Kaunas fortress, where every year eight species are found hibernating in numbers estimated as follows: M. daubentoni 400–500, M. nattereri 200–300, M. brandti 80–100, B.barbastellus 200–300, P. auritus 40–60, M. dasycneme 15–20 and a few E. serotinus and E. nilssoni. In Lithuania nine bat species have been protected by law since 1991, as species included in the Red Data Book. Also 11 bat reserves have been designated in Kaunas fortress to protect the most important hibernation sites in Lithuania.