胆管结石合并胆管癌的临床特征与诊治分析

目的：探讨胆管结石合并胆管癌的临床特征及诊治方法。方法：回顾性分析2000年1月-2009年12月我院收治的胆管结石合并胆管癌16例患者的临床病理资料。结果：胆管癌的发生率占同期胆管结石患者的3.1%,其临床表现以右上腹疼痛及反复的胆管炎发作为主,但缺乏特异性。术前胆管癌组患者AKP、γ-GT均有不同程度升高,ALT升高12例,总胆红素升高9例,与非胆管癌组相比,AKP、γ-GT、ALT、TBIL均显著升高（P〈0.01）,且胆管癌组术前血清CA19-9及CEA显著高于非胆管癌组（P〈0.01）,而两组间CA125及AFP水平比较无显著差异（P〉0.05）。16例患者中可进行手术治疗10例;其中根治性手术8例,姑息性手术2例。8例根治性手术患者的1、3年生存率分别为78.6%和36.4%;2例姑息性手术患者1、3年生存率分别为50.0%和0%,两组比较具有显著性差异（P〈0.05）。结论：胆管结石合并胆管癌的临床表现缺乏特异性,患者的疗效较差,对血清CA19-9和CEA显著升高者应行病理活检确诊,治疗手段应该力争实行根治性切除,有助于提高患者的生存期。     

The correlation between CT features and insulin resistance levels in patients with T2DM complicated with primary pulmonary tuberculosis

The aim is to investigate the correlation between computed tomography (CT) features and insulin resistance levels in patients with type 2 diabetes mellitus (T2DM) complicated with primary pulmonary tuberculosis (PTB). Nearly, 268 untreated PTB patients complicated with T2DM were divided into two groups according to the optimal cutoff value of HOMA-IR score for the Chinese population: HOMA-IR ≤ 2.69 (Group I: 74 patients), >2.69 (Group II: 194 patients). The basic characteristics and changes of CT manifestations were analyzed. In the two groups, the detection rate of large segmented leafy shadow was 39.2% and 78.9%; the air bronchogram sign detection rate was 40.5% and 80.9%; the discovery rate of mouth-eaten cavity was 33.8% and 73.7%; the thin-walled cavity detection rate was 2.7% and 16.0%; the rate of multiple cavities was 35.1% and 69.6%; and bronchial tuberculosis was found in 4.1% and 35.6%, respectively. The detection rates of lesions in Group II were significantly higher than in Group I (p < .05). HOMA-IR was found independently associated with large segmented leafy shadow, air bronchial sign, thin-walled cavity, and bronchial tuberculosis. The level of insulin resistance can effectively reflect the severity of PTB patients with T2DM. CT scan can directly provide image information in clinics. These two examinations can guide clinicians to accurately formulate subsequent treatment plans.     

A review of the allozyme data set for the Canarian endemic flora: causes of the high genetic diversity levels and implications for conservation

Background and Aims

Allozyme and reproductive data sets for the Canarian flora are updated in order to assess how the present levels and structuring of genetic variation have been influenced by the abiotic island traits and by phylogenetically determined biotic traits of the corresponding taxa; and in order to suggest conservation guidelines.

Methods

Kruskal–Wallis tests are conducted to assess the relationships of 27 variables with genetic diversity (estimated by A, P, H_o and H_e) and structuring (G_ST) of 123 taxa representing 309 populations and 16 families. Multiple linear regression analyses (MLRAs) are carried out to determine the relative influence of the less correlated significant abiotic and biotic factors on the genetic diversity levels.

Key Results and Conclusions

The interactions between biotic features of the colonizing taxa and the abiotic island features drive plant diversification in the Canarian flora. However, the lower weight of closeness to the mainland than of (respectively) high basic chromosome number, partial or total self-incompatibility and polyploidy in the MLRAs indicates substantial phylogenetic constraint; the importance of a high chromosome number is feasibly due to the generation of a larger number of linkage groups, which increase gametic and genotypic diversity. Genetic structure is also more influenced by biotic factors (long-range seed dispersal, basic chromosome number and partial or total self-incompatibility) than by distance to the mainland. Conservation-wise, genetic structure estimates (F_ST/G_ST) only reflect endangerment under intensive population sampling designs, and neutral genetic variation levels do not directly relate to threat status or to small population sizes. Habitat protection is emphasized, but the results suggest the need for urgent implementation of elementary reproductive studies in all cases, and for ex situ conservation measures for the most endangered taxa, even without prior studies. In non-endangered endemics, multidisciplinary research is needed before suggesting case-specific conservation strategies. The molecular information relevant for conservation should be conserved in a standardized format to facilitate further insight.     

皇甫川流域中小型土壤动物对不同水土治理措施的响应

2007年9月至2008年9月,选择皇甫川流域人工松树林、人工杨树林、人工锦鸡儿灌木林、人工沙打旺草地和撂荒地等不同水土治理措施植被为采样地,以耕作农田为对照,研究了中小型土壤动物对不同水土治理措施的响应。结果表明,共捕获中小型土壤动物14 747只,隶属于5门7纲10类。优势类群为线虫,占群落总个体数的比例为95.53%,常见类群为螨类和弹尾类。不同水土治理措施样地中,中小型土壤动物群落个体数较农田有提高趋势,但无显著差异（P >0.05）;螨类和弹尾类个体数显著提高（P<0.05）;线虫个体数在人工沙打旺草地中显著高于农田（P<0.05）;中小型土壤动物垂直分布的表聚性较农田增强,并以地表凋落物覆盖显著的人工林最为明显。RDA分析表明,中小型土壤动物群落、螨类和弹尾类个体数与凋落物厚度、树（草）高和土壤有机质的变化之间呈显著正相关。以上结果说明,研究地区采取的几种水土治理植被均有利于中小型土壤动物群落的恢复;相比较,地表凋落物层显著的人工松树林、人工杨树林更加有益于螨类和弹尾类的恢复。     

Potential distribution of vulnerable Entandrophragma angolense (Welw.) C. DC. (Meliaceae) in East Africa

The various human‐induced threats imposed on nature have recently triggered the study of species' distributions. We developed potential suitability models using two algorithms for a threatened African mahogany, Entandrophragma angolense, in three East African countries; Kenya, Tanzania and Uganda. The effect of features selection and modelling algorithm selection on potential suitability predictions was explored. Occurrence records and high‐resolution environmental data were used. The two species distribution modelling techniques were genetic algorithm rule for prediction; and maximum entropy modelling. With Maxent, the area under the receiver characteristic operating curve (AUC) for potential distribution models tested on independent data ranged from 0.942 to 0.972 when using automatic features and from 0.974 to 0.666 with target or specific features. With GARP, AUC for potential distribution models ranged from 0.591 to 0.736 with all rule types and from 0.388 to 0.805 for specific rule types (Tables  1  and 2 ). The area under the E. angolense potential suitability was best predicted by soil, rainfall and aspect using GARP. Potential suitability increased with increasing aspect and decreased with increasing slope. Low rainfall and elevation increased potential suitability, while high levels of either variable decreased potential suitability. Potential suitability maps for vulnerable species require using a multi‐algorithm, fine scale data approach and incorporation of environmental variables like soil, slope, land use and elevation. Species distribution models can offer insight on the distribution requirements of vulnerable species and help guide the development of management plans. Results of this study suggest that E. angolense management plans should promote the protection of terrestrial forests surrounding water bodies including Mabira forest in Uganda.     

CD36 homolog divergence is responsible for the selectivity of carotenoid species migration to the silk gland of the silkworm Bombyx mori

Dietary carotenoids are absorbed in the intestine and delivered to various tissues by circulating lipoproteins; however, the mechanism underlying selective delivery of different carotenoid species to individual tissues remains elusive. The products of the Yellow cocoon (C) gene and the Flesh (F) gene of the silkworm Bombyx mori determine the selectivity for transport of lutein and β-carotene, respectively, to the silk gland. We previously showed that the C gene encodes Cameo2, a CD36 family member, which is thought to function as a transmembrane lipoprotein receptor. Here, we elucidated the molecular identity of the F gene product by positional cloning, as SCRB15, a paralog of Cameo2 with 26% amino acid identity. In the F mutant, SCRB15 mRNA structure was severely disrupted, due to a 1.4 kb genomic insertion in a coding exon. Transgenic expression of SCRB15 in the middle silk gland using the binary GAL4-UAS expression system enhanced selective β-carotene uptake by the middle silk gland, while transgenic expression of Cameo2 enhanced selective lutein uptake under the same GAL4 driver. Our findings indicate that divergence of genes in the CD36 family determines the selectivity of carotenoid species uptake by silk gland tissue and that CD36-homologous proteins can discriminate among carotenoid species.     

内蒙古武川县农田退耕还草对粪金龟子群落的影响

2006年5-9月,诱捕法采集粪金龟子,以农田为对照,选择内蒙古武川县不同农田退耕管理方式为研究样地,分析了农田退耕后采取不同管理方式对粪金龟子群落的影响,以为农田退耕还草管理措施生态效应的评价和完善提供依据.共捕获粪金龟子21671头,隶属于3科5属25种.优势种为直蜉金龟(Aphodius rectus)和蜉金龟属(Aphodius sp.7),占总捕获量的比例分别为59.34％和11.71％.几种退耕管理方式都导致粪金龟子群落物种丰富度、生物量和多度提高,且具有显著的季节特征.Pearson相关分析表明,粪金龟子群落的物种丰富度、生物量和种数以及不同功能群和主要种的个体数与退耕年限、平均草高和植物群落盖度的变化存在显著正相关关系(P＜0.01或P＜0.05).由于长期农业耕作以及缺少大型食草动物和较大面积放牧草地,研究地区的粪金龟子群落组成以功能群Ⅱ和Ⅲ为主,功能群Ⅰ的多度和物种丰度较低.可以认为,在研究地区以农田景观为主要基质的区域,采取多样化的农田退耕管理方式,提高了生境的空间异质性,在减少人为耕作活动对粪金龟子影响的基础上,对粪金龟子物种丰度和多度的维持起到了促进作用.农田退耕、保留适当面积放牧草地或适当数量大型放牧家畜将有利于功能群Ⅰ物种丰度和多度的提高,有益于粪金龟子群落物种多样性和整体生态功能的维持.     

淋巴结转移阴性的胃癌患者临床病理特征及生存探讨

目的:探讨淋巴结转移阴性胃癌患者的临床病理特征以及预后影响因素。方法:收集2000年1月至2009年1月我院收治的胃癌患者325例,其中经病理检查显示淋巴结转移阴性的105例患者作为阴性组(LN-组),另229例阳性患者作为阳性组(LN+组),比较两组的临床病理特征及临床预后。结果:LN-组的肿瘤直径、浸润深度及术后化疗与LN+组比较差异显著(P0.05);LN-组的5年生存率为76.2%,显著高于LN+组的43.2%(P0.05)。未透浆膜的LN-患者3年、5年生存率显著高于浸透浆膜者,术后化疗的LN-患者5年生存率显著高于未化疗者(P0.05),肿瘤直径5 cm的LN-患者3、5年生存率显著高于≥5 cm者(P0.05)。单因素分析显示浸润深度、肿瘤大小及术后化疗与LN-胃癌患者的预后具有密切关系(P0.05)。COX多因素分析显示浸润深度是影响LN-胃癌患者临床预后的独立因素(P0.05)。结论:淋巴结转移阴性胃癌患者的病灶多位于中下部,男性多于女性,发病年龄多在60岁以内,肿瘤直径多不超过5 cm,浸润深度多未浸透浆膜,临床预后优于淋巴结转移阳性胃癌患者,浸润深度是影响淋巴结转移阴性胃癌患者临床预后的独立因素。     

住院耳聋患者临床流行病学特征及疗效分析

目的:描述住院耳聋患者的临床流行病学特征及治疗效果。方法:采用描述流行病学方法,收集哈尔滨医科大学附属第二医院耳鼻喉科2010年1月-2012年12月收治的748例耳聋患者的临床资料进行统计学分析。结果:748例耳聋患者中,男性394例(52.67%),女性354例(47.33%),P=0.7391,不同年龄段性别构成无统计学差异;单耳发病占75.40%,双耳发病占24.60%,10岁以下及70岁以上的患者双侧耳聋较多;听力损失程度构成由高到低依次为:极重度199例(30.99%)、重度139例(21.65%)、中重度100例(15.58%)、轻度95例(14.80%)、中度80例(12.46%)及语频正常29例(4.52%),10岁以下较其他各年龄段发生极重度听力损失较多;伴发高血压者93例(12.43%)、糖尿病者56例(7.49%)、冠心病者48例(6.42%)、脑血管疾病者31例(4.14%);治愈145例(19.38%),好转547例(73.13%),未治愈45例(6.02%),总有效率为92.51%。结论:耳聋发病以突发性耳聋为主,年龄30-69岁居多,单侧耳聋较双侧耳聋发病多,而儿童双耳发病较多,年龄小、听力损失程度轻者预后较好,听力损失严重且预后较差。