铋剂四联疗法联合不同药物对 幽门螺杆菌感染的疗效

目的分析铋剂四联疗法联合不同药物对幽门螺杆菌感染的疗效。方法入选患者依据治疗方案不同进行分组,其中A组患者采用铋剂四联方案(1种PPI+1种铋剂+2种抗生素)进行治疗,B组患者采用铋剂四联+思联康治疗,C组患者采用铋剂四联+荆花胃康治疗。3组患者均于根除治疗结束停药1个月后复查~(13)C呼气试验以评估疗效。对各方案的H.pylori根除率进行评比,并分析其临床疗效和成本-效益情况。结果按ITT集分析时,C组与A组患者根除率比较差异无统计学意义(χ~2=3.642,P=0.056),B组与A组和C组患者比较差异无统计学意义(χ~2=3.209、0.130,P0.05)。按PP集分析时,C组患者根除率最高,A组患者根除率最低,B、C组与A组患者比较差异有统计学意义(χ~2=4.620、4.419,P0.05),B、C两组根除率比较差异无统计学意义(χ~2=0.062,P0.05)。A组、B组和C组患者不良反应发生率按PP集计算分别为50.0%、7.9%和26.7%,3组患者不良反应发生率两两比较差异均有统计学意义(均P0.05)。成本-效益分析结果显示B组患者的成本-效果比值最小。结论综合有效性、安全性及成本-效益比分析,铋剂四联+思联康方案具有H.pylori根除率高,患者不良反应发生率低,成本效益比低的优势,提示此方案为本研究的最佳方案,值得临床推广应用。     

利用偏振光散射方法检测癌细胞

血液中病变细胞的检测是疾病诊断的重要依据.在癌症的诊断过程中,血液中存在癌变细胞说明身体已经有癌变组织.因此,识别和检测这些细胞在医学上具有重要的意义.偏振是光的固有属性,可以通过检测光与物质相互作用后的偏振变化来检测物质的性质.本文首次利用偏振光散射方法对悬浮在磷酸缓冲液中的癌细胞进行研究,利用红细胞和癌细胞以及活着的癌细胞和死亡的癌细胞在偏振特征上的不同,对其进行了成功的分辨.该方法具有非侵入、无损伤、高灵敏、高分辨的特点.为癌症诊断和治疗效果评估提供新思路.     

药用植物灯盏花种子储存条件及萌发特性研究

该文以云南春季野外采收灯盏花种子为材料,研究了不同储存湿度、储存温度、储存时间及不同光照、温度、吸胀条件等对其萌发率的影响。结果表明:(1)降低储存湿度(15%RH)和储存温度(-20、4℃)有利于种子保存,种子寿命可延长2 a多,萌发率在80%以上;高温(35、45℃)和高湿(60%RH)加快了种子衰老,不利于保存,种子为短命种子。(2)光照与否对种子萌发率无显著影响,为光中性种子,但光照有利于种子萌发后幼苗的形成。(3) 25℃为该种子萌发的最适宜温度,萌发率可达84.37%。(4)生产上播种时,尽量避免低温(4℃)和高温(30、35℃),有利于提高出苗率。(5)该种子对吸胀冷害不敏感,为抗冷型种子。因此,在种子研究和药材生产上,成熟种子采收后应及时干燥并密封存于低温下,来年春季及早播种;在育苗生产上,应提供适宜的光照条件,设置单独的恒温(25℃)育苗间,并避免低温季播种。通过研究灯盏花种子的适宜储存条件和萌发特性,为该珍稀药用物种的合理储存和高产栽培提供有效指导。     

6周不同强度间歇性运动对肥胖大鼠体成分的影响*

目的:探讨不同强度间歇性运动对肥胖大鼠身体机能影响,为肥胖症的防治提供依据。方法:80只SD大鼠随机分成普通膳食组(n=20)和高脂膳食组(n=60),适应性喂养8周后,筛选普通膳食大鼠8只和高脂膳食肥胖大鼠32只,用于后续实验。将实验大鼠随机分为5组(n=8):普通对照组(CS),普通饲料喂养,不做任何运动;高脂安静组(HS):高脂饲料喂养,不作任何运动;高脂持续运动组(HC):进行60 min/d×5天/周×6周;高脂长时间低频率间歇性运动组(HLL):进行30 min/次×2次/天(间歇6 h)×5天/周×6周;高脂短时间高频率间歇性运动组(HSH):进行20 min/次×3次/天(间歇3 h)×5天/周×6周,各运动组大鼠在跑台上训练强度均为25 m/min。6周后,各组大鼠称重、检测RMR、FBG、TG等生化指标,并测量体脂及肌肉重量。结果:实验前,各组大鼠之间RMR、FBG、TG指标无统计学差异(P＞0.05);HSH、HLL、HC、HS组体重均明显高于CS组(P＜0.05)。实验后,HSH、HLL、HC组RMR均明显高于HS、CS组(P＜0.05),但HSH、HLL、HC组之间无显著性差异(P＞0.05);HS组体重高于CS组(P＜0.05),HSH、HLL、HC组体重明显低于HS组(P＜0.05),但三组之间无显著性差异(P＞0.05);HSH、HLL、HC组之间PF、EF、PF/W、EF/W均明显低于HS组(P＜0.01),而三者之间无统计学差异(P＞0.05);各组大鼠GM、QF均无显著性差异(P＞0.05),HSH、HLL、HC组之间GM/W、QF/W高于HS组(P＜0.05),而HSH、HLL、HC组之间无显著性差异(P＞0.05);HSH、HLL、HC组FBG、TG均明显低于CS、HS组(P＜0.05),但与HS组差异更显著(P＜0.01),而各训练组之间无显著性差异(P＞0.05)。结论:6周不同强度间歇性运动对肥胖大鼠体成分产生了良好的干预效果,且短时间高频率间歇性运动(HSH)效果可能更好。     

1064 nm Nd:YAG laser light affects transmembrane mitochondria respiratory chain complexes

Photobiomodulation (PBM) is a non‐plant‐cell manipulation through a transfer of energy by means of light sources at the non‐ablative or thermal intensity. Authors showed that cytochrome‐c‐oxidase (complex IV) is the specific chromophore's target of PBM at the red (600‐700 nm) and NIR (760‐900 nm) wavelength regions. Recently, it was suggested that the infrared region of the spectrum could influence other chromospheres, despite the interaction by wavelengths higher than 900 nm with mitochondrial chromophores was not clearly demonstrated. We characterized the interaction between mitochondria respiratory chain, malate dehydrogenase, a key enzyme of Krebs cycle, and 3‐hydroxyacyl‐CoA dehydrogenase, an enzyme involved in the β‐oxidation (two mitochondrial matrix enzymes) with the 1064 nm Nd:YAG (100mps and 10 Hz frequency mode) irradiated at the average power density of 0.50, 0.75, 1.00, 1.25 and 1.50 W/cm² to generate the respective fluences of 30, 45, 60, 75 and 90 J/cm². Our results show the effect of laser light on the transmembrane mitochondrial complexes I, III, IV and V (adenosine triphosphate synthase) (window effects), but not on the extrinsic mitochondrial membrane complex II and mitochondria matrix enzymes. The effect is not due to macroscopical thermal change. An interaction of this wavelength with the Fe‐S proteins and Cu‐centers of respiratory complexes and with the water molecules could be supposed.      

Wide‐field optical property mapping and structured light imaging of the esophagus with spatial frequency domain imaging

As the incidence of esophageal adenocarcinoma continues to rise, there is a need for improved imaging technologies with contrast to abnormal esophageal tissues. To inform the design of optical technologies that meet this need, we characterize the spatial distribution of the scattering and absorption properties from 471 to 851 nm of eight resected human esophagi tissues using Spatial Frequency Domain Imaging. Histopathology was used to categorize tissue types, including normal, inflammation, fibrotic, ulceration, Barrett's Esophagus and squamous cell carcinoma. Average absorption and reduced scattering coefficients of normal tissues were 0.211 ± 0.051 and 1.20 ± 0.18 mm^?1, respectively at 471 nm, and both values decreased monotonically with increasing wavelength. Fibrotic tissue exhibited at least 68% larger scattering signal across all wavelengths, while squamous cell carcinoma exhibited a 36% decrease in scattering at 471 nm. We additionally image the esophagus with high spatial frequencies up to 0.5 mm^?1 and show strong reflectance contrast to tissue treated with radiation. Lastly, we observe that esophageal absorption and scattering values change by an average of 9.4% and 2.7% respectively over a 30 minute duration post‐resection. These results may guide system design for the diagnosis, prevention and monitoring of esophageal pathologies.      

Axial resolution enhancement of light‐sheet microscopy by double scanning of Bessel beam and its complementary beam

The side lobes of Bessel beam will create significant out‐of‐focus background when scanned in light‐sheet fluorescence microscopy (LSFM), limiting the axial resolution of the imaging system. Here, we propose to overcome this issue by scanning the sample twice with zeroth‐order Bessel beam and another type of propagation‐invariant beam, complementary to the zeroth‐order Bessel beam, which greatly reduces the out‐of‐focus background created in the first scan. The axial resolution can be improved from 1.68 μm of the Bessel light‐sheet to 1.07 μm by subtraction of the two scanned images across a whole field‐of‐view of up to 300 μm × 200 μm × 200 μm. The optimization procedure to create the complementary beam is described in detail and it is experimentally generated with a spatial light modulator. The imaging performance is validated experimentally with fluorescent beads as well as eGFP‐labeled mouse brain neurons.      

Angular range,sampling and noise considerations for inverse light scattering analysis of nuclear morphology

In recent years, significant work has been devoted to the use of angle‐resolved elastic scattering for the extraction of nuclear morphology in tissue. By treating the nucleus as a Mie scattering object, techniques such as angle‐resolved low‐coherence interferometry (a/LCI) have demonstrated substantial success in identifying nuclear alterations associated with dysplasia. Because optical biopsies are inherently noninvasive, only a small, discretized portion of the 4π scattering field can be collected from tissue, limiting the amount of information available for diagnostic purposes. In this work, we comprehensively characterize the diagnostic impact of variations in angular sampling, range and noise for inverse light scattering analysis of nuclear morphology, using a previously reported dataset from 40 patients undergoing a/LCI optical biopsy for cervical dysplasia. The results from this analysis are applied to a benchtop scanning a/LCI system which compromises angular range for wide‐area scanning capability. This work will inform the design of next‐generation optical biopsy probes by directing optical design towards parameters which offer the most diagnostic utility.      

Artifact‐free objective‐type multicolor total internal reflection fluorescence microscopy with light‐emitting diode light sources—Part I

Total internal reflection fluorescence excitation (TIRF) microscopy allows the selective observation of fluorescent molecules in immediate proximity to an interface between different refractive indices. Objective‐type or prism‐less TIRF excitation is typically achieved with laser light sources. We here propose a simple, yet optically advantageous light‐emitting diode (LED)‐based implementation of objective‐type TIRF (LED‐TIRF). The proposed LED‐TIRF condenser is affordable and easy to set up at any epifluorescence microscope to perform multicolor TIRF and/or combined TIRF‐epifluorescence imaging with even illumination of the entire field of view. Electrical control of LED light sources replaces mechanical shutters or optical modulators. LED‐TIRF microscopy eliminates safety burdens that are associated with laser sources, offers favorable instrument lifetime and stability without active cooling. The non‐coherent light source and the type of projection eliminate interference fringing and local scattering artifacts that are associated with conventional laser‐TIRF. Unlike azimuthal spinning laser‐TIRF, LED‐TIRF does not require synchronization between beam rotation and the camera and can be monitored with either global or rolling shutter cameras. Typical implementations, such as live cell multicolor imaging in TIRF and epifluorescence of imaging of short‐lived, localized translocation events of a Ca²⁺‐sensitive protein kinase C α fusion protein are demonstrated.