基于信息化平台的临床科室精准管理探索

精准医学时代,临床科室的“精准管理”是应用高度结构化、自动化、精准化的信息管理平台进行科室的全面监管和预警,能够通过精准预测,精准监督,精准定位来提高预测准确性和预测能力,制定合理有效的计划目标,规范医疗诊疗行为,改进医疗服务流程,提高科研效率质量以及有针对性地进行人才培养和个性化教学管理,在医院的科室管理中具有较好的临床应用性及推广价值。     

建设适应重庆地区的区域医学影像信息和大数据分析平台

由于重庆地区的医疗水平参差不齐,所以建设重庆地区区域医疗影像信息化系统,实现各类影像信息共享,对提供高效的医疗卫生服务具有非常重要的意义。目前,建设重庆地区区域医疗影像交互平台面临着整体设计集成程度和扩展性不高、医学影像标准不统一、数据安全与质量标准不完整、平台没有整合大数据分析挖掘方法等问题。为此,首先对重庆地区区域影像平台的整体结构进行了设计,提出了区域影像交互平台的五层体系结构;其次在五层体系结构基础上制定和加强了影像数据标准和信息安全体系;并且在区域影像中心的基础上,嵌入了医学影像大数据分析工具。应用结果证明,交互平台具有较高的集成程度和扩展性,平台标准的制定和加强能有效的提高交互效率,加强数据安全和质量管理,并且平台可对海量数据进行有效的分析。     

基于网格的医学信息平台设计

针对目前医学信息应用模式的局限性,提出一种基于网格的平台技术,促进网络环境下的医学资源共享和互用。其中采用面向网格工具包的中间件设计,简化了服务集成和调用。实验模型的建立验证平台的可行性及实用价值。     

MDMPR:小鼠发育代谢表型库

小鼠发育代谢表型库(Mouse Developmental and Metabolic Phenotype Repository,MDMPR)是一个致力于小鼠资源和表型数据实时共享的开放性平台,它依托于科技部重点研发计划“发育编程及其代谢调节”专项项目“建立小鼠发育代谢表型库”。该项目预计在5年内完成500个发育代谢相关小鼠敲除模型的建立,并对其表型数据进行标准化的解析、建立表型数据库。MDMPR作为一个资源及数据集成的库,由多个子系统作为支撑,包括ES细胞数据库、项目管理系统、繁育管理系统、精子库管理系统、表型分析系统,信息化管理深入到项目中每个环节,从基因突变ES细胞制备、基因突变小鼠制备、小鼠繁育,精子冻存到最终的表型分析、数据处理及展示,保证了MDMPR产生数据的真实性及实时性。MDMPR除了不断地推进项目进行,增加自身产生的数据外,也在积极的整合其他的资源及数据,如人特异性基因敲除ES细胞库、蛋白相互作用数据库(STRING)、核心转录调节环路(dbCoRc)和Enhancer-Indel数据库,今后还将进一步整合,帮助发育代谢及其他领域的研究人员能够一站式的获取所需资源和数据、加快研究进程,最终服务于全人类的医疗事业。     

Development of a novel affinity chromatography resin for platform purification of lambda fabs

Antigen‐binding fragments (Fabs) are novel formats in the growing pipeline of biotherapeutics. Sharing similar features to monoclonal antibodies (mAbs) with regard to expression, Fabs are considered as unchallenging for upstream development. Yet for downstream processing, the mature mAb downstream purification platform is not directly applicable. New approaches need to be found to achieve a lean purification process that maintains quality, productivity, and timelines while being generically applicable independent of the expression system. In a successful collaboration, BAC BV, GE Healthcare, and Novartis Pharma AG have developed a new affinity chromatography medium (resin) suitable to support cGMP manufacturing of lambda Fabs. We show that using this novel chromatography medium for the capture step, a purification platform for lambda Fabs can be established. © 2014 American Institute of Chemical Engineers Biotechnol. Prog., 30:1311–1318, 2014     

New technique for studying reaction forces during primate behaviors on vertical substrates

Recording reaction forces from primates during behaviors on vertical substrates, such as leaping, climbing, or biting trees, typically requires the design and construction of customized recording devices or mounting commercially available force platforms in a vertical position. The technical difficulties imposed by either option have hindered in vivo research on the kinetics of primate behaviors on vertical substrates. We describe a simple, inexpensive apparatus for recording forces from primate behaviors on vertical substrates. The apparatus includes an instrumented beam fastened directly to a horizontal force platform and a surrounding vertical substrate that does not contact the instrumented beam or platform. The contact piece at the end of the instrumented beam is positioned flush with the noninstrumented vertical substrate, and reaction forces elicited on this instrumented section are directed to the force platform. Because most of the vertical substrate is not instrumented, we can isolate and record forces from a single limb or jaw during a behavior. Biewener and Full ([1992] Biomechanics Structures and Positions: A Practical Approach; New York: Oxford University press, p. 45-73) gave seven criteria to consider when designing a customized force-recording device. Where appropriate, we tested if our apparatus met their criteria. The apparatus accurately records forces in three orthogonal directions, has low cross-talk, maintains a high frequency response, exhibits a linear response up to at least 200 Newtons, and displays a uniform response to a given force across the instrumented contact piece. Our design does not easily facilitate the identification of the point of force application. Therefore, joint moments cannot be easily calculated. This limitation, however, does not affect the apparatus's ability to accurately record the magnitude and direction of a force (as shown by other tests). We developed this apparatus to measure jaw forces during tree gouging in common marmosets (Callithrix jacchus), but the general design can be readily modified to study a variety of primate behaviors on vertical substrates.     

A biogeographical profile of the sand cockroach Arenivaga floridensis and its bearing on origin hypotheses for Florida scrub biota

Florida scrub is a xeric ecosystem associated with the peninsula's sand ridges, whose intermittent Pliocene–Pleistocene isolation is considered key to scrub endemism. One scrub origin hypothesis posits endemics were sourced by the Pliocene dispersal of arid‐adapted taxa from southwestern North America; a second invokes Pleistocene migration within eastern North America. Only one study to date has explicitly tested these competing hypotheses, supporting an eastern origin for certain scrub angiosperms. For further perspective, we conducted a genetic analysis of an endemic arthropod, the Florida sand cockroach (Arenivaga floridensis), with two aims: (1) to reconstruct the peninsular colonization and residence history of A. floridensis and (2) determine whether its biogeographic profile favors either origin hypothesis. We sequenced the cox2 mitochondrial gene for 237 specimens (65 populations) as well as additional loci (cox1, nuclear H3) for a subset of Florida roaches and congeners. Using Network and Bayesian inference methods, we identified three major lineages whose genetic differentiation and phylogeographical structure correspond with late Pliocene peninsula insularization, indicating Arenivaga was present and broadly distributed in Florida at that time. Stem and crown divergence estimates (6.36 Ma; 2.78 Ma) between A. floridensis and western sister taxa span a period of extensive dispersal by western biota along an arid Gulf Coast corridor. These phylogeographical and phylogenetic results yield a biogeographic profile consistent with the western origin hypothesis. Moreover, age estimates for the roach's peninsular residence complement those of several other endemics, favoring a Pliocene (or earlier) inception of the scrub ecosystem. We argue that eastern versus western hypotheses are not mutually exclusive; rather, a composite history of colonization involving disparate biotas better explains the diverse endemism of Florida scrub.     

Architecture and assembly of the Type VI secretion system

The Type VI secretion system (T6SS) delivers protein effectors to diverse cell types including prokaryotic and eukaryotic cells, therefore it participates in inter-bacterial competition and pathogenesis. The T6SS is constituted of an envelope-spanning complex anchoring a cytoplasmic tubular edifice. This tubular structure is evolutionarily, functionally and structurally related to the tail of contractile phages. It is composed of an inner tube tipped by a spike complex, and engulfed within a sheath-like structure. This structure assembles onto a platform called “baseplate” that is connected to the membrane sub-complex. The T6SS functions as a nano-crossbow: upon contraction of the sheath, the inner tube is propelled towards the target cell, allowing effector delivery. This review focuses on the architecture and biogenesis of this fascinating secretion machine, highlighting recent advances regarding the assembly of the membrane or tail complexes. This article is part of a Special Issue entitled: Protein trafficking and secretion in bacteria. Guest Editors: Anastassios Economou and Ross Dalbey.     

植物DNA条形码与生物多样性数据共享平台构建

DNA条形码基于较短的DNA序列实现物种的快速、准确鉴定, 不仅加快了全球生物物种的鉴定和分类步伐, 也为生物多样性的管理、保护和可持续利用提供了新思路和研究方法。植物DNA条形码标准数据库的不断完善, 将使植物多样性信息的快速获取成为可能; 将不同类型数据资源整合、共享和利用, 构建植物DNA条形码数据共享平台, 是满足公众对物种准确鉴定和快速认知的重要支撑。本文介绍了近年来植物DNA条形码的研究进展; 植物DNA条形码参考数据库的研发现状和存在的问题。结合上述问题, 围绕“大数据”时代背景, 对如何管理和使用好海量的植物信息, 如何构建数据共享平台提出了一些设想: (1)数据共享平台的元数据应尽可能翔实、丰富、准确和多关联; (2)数据标准应统一规范; (3)查询入口方便、迅速、多样, 易于管理, 便于实现更大程度的数据共享和全球化的合作交流。