新型冠状病毒肺炎疫情中医护人员个人防护装备的选择与使用

个人防护设备(personal protective equipment,PPE)是控制院内感染的必要装备,可有效降低医护人员职业暴露的风险。 目前,新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)疫情引起国际高度关注,国内已确诊7万多例患者,死亡人数超过 2 700 人。此外,医护人员的感染超过 3 000 多例,这给医护人员(尤其是为COVID-19患者提供近距离诊疗和护理的医务人员),带来了新的风险和挑战。 本文从PPE的应用标准,正确穿、脱方法及预防防护后暴露的注意事项进行汇总和讨论。     

丽江乌头根中的二萜生物碱成分研究

为了寻找丽江乌头中结构新颖的化合物,丰富丽江乌头的化学成分多样性,本文对丽江乌头(Aconitum forrestii Stapf)根部的化学成分进行研究,采用硅胶柱层析从其乙醇提取物中分离得到14个化合物。通过HR-ESI-MS、1D和2D NMR等波谱技术鉴定了它们的结构,其中化合物1是一个新的乌头碱型二萜生物碱,命名为8-O-methyl-14-O-anisoylchasmanine(1)。其余13个化合物均为已知化合物:14-acetoxy-8-O-methylsachaconitine(2)、14-acetyltalatizamine(3)、talatisamine(4)、chasmanine(5)、ezochasmanine(6)、crassicautine(7)、geniculatine C(8)、cammaconine(9)、vilmoraconitine(10)、aconitramine A(11)、vilmorrianine G(12)、hemsleyaconitine G(13)和heterophylloidine(14)。测试了所有化合物对阿霉素诱导的H9c2心肌细胞损伤的保护活性,结果显示化合物3、10、11和12表现出一定的保护作用。     

胭脂红景天引种至西藏日喀则其渗透调节物质及保护酶活性的变化

胭脂红景天叶片呈胭脂红色,花开红色,具有极强的耐寒性和耐旱性,是优良的城市绿化植物。为了扩大胭脂红景天的应用范围,丰富恶劣生境的绿化材料,本试验对从哈尔滨引种到西藏日喀则表现良好的胭脂红景天进行了生理适应性研究。结果表明,随着栽植时间的延长,胭脂红景天叶片中丙二醛含量逐渐升高,但增加的幅度较小,脯氨酸含量先降低后升高,SOD、POD、CAT等保护酶的活性均呈先升高后降低的趋势。胭脂红景天可以通过增加体内渗透调节物质含量和提高保护酶活性来调节自身的生理代谢,适应日喀则地区高辐射、干旱等条件。     

Three dimensional structure of the anthrax toxin translocon–lethal factor complex by cryo‐electron microscopy

We have visualized by cryo‐electron microscopy (cryo‐EM) the complex of the anthrax protective antigen (PA) translocon and the N‐terminal domain of anthrax lethal factor (LF_N) inserted into a nanodisc model lipid bilayer. We have determined the structure of this complex at a nominal resolution of 16 Å by single‐particle analysis and three‐dimensional reconstruction. Consistent with our previous analysis of negatively stained unliganded PA, the translocon comprises a globular structure (cap) separated from the nanodisc bilayer by a narrow stalk that terminates in a transmembrane channel (incompletely distinguished in this reconstruction). The globular cap is larger than the unliganded PA pore, probably due to distortions introduced in the previous negatively stained structures. The cap exhibits larger, more distinct radial protrusions, previously identified with PA domain three, fitted by elements of the NMFF PA prepore crystal structure. The presence of LF_N, though not distinguished due to the seven‐fold averaging used in the reconstruction, contributes to the distinct protrusions on the cap rim volume distal to the membrane. Furthermore, the lumen of the cap region is less resolved than the unliganded negatively stained PA, due to the low contrast obtained in our images of this specimen. Presence of the LF_N extended helix and N terminal unstructured regions may also contribute to this additional internal density within the interior of the cap. Initial NMFF fitting of the cryoEM‐defined PA pore cap region positions the Phe clamp region of the PA pore translocon directly above an internal vestibule, consistent with its role in toxin translocation.     

间充质干细胞移植对放射性肠损伤修复作用的实验研究

探讨了人间充质干细胞(mesenchymal stem cells,MSCs)移植对NOD/SCID小鼠放射性肠损伤的修复作用．将雄性NOD/SCID小鼠随机分为3组,每组6只,即A组为空白对照组,B组为模型组,C组为治疗组．B组和C组小鼠全腹接受5 Gy ⁶⁰Co γ射线单次照射,剂量率为100 cGy/min．照射后B组小鼠经尾静脉注射生理盐水,C组小鼠移植MSCs．于移植后第15天取小鼠空肠标本,通过免疫荧光方法检测MSCs在受损肠道的定植和分化情况．结果表明,治疗组小鼠的生存状况明显好于模型组小鼠,病理切片显示小肠黏膜得到修复,免疫荧光结果显示MSCs可定植于辐射损伤的肠道,并表达波形蛋白(vimentin)和α-SMA．MSCs移植入肠损伤的小鼠体内后可在受损肠道定植,并向间质细胞分化,参与辐射损伤的修复.     

陕西省烟草灰霉病病原及云芝多糖对其防治研究

采用形态学观察和分子鉴定方法对2011年在陕西省发生的一种烟草未知病害的病原菌进行鉴定。从病叶组织分离纯化得到病原菌,通过致病性测定以及人工接种后再分离病菌,证明编号LJL007的菌株为该病的致病菌。依据病原菌的形态学和培养特征,将菌株LJL007鉴定为灰葡萄孢Botrytis cinerea Pers.,其有性型为富氏葡萄孢盘菌Botryotinia fuckeliana Whetzel。通过核糖体DNAITS序列分析,分离菌株LJL007序列(登录号:HM17900)与富氏葡萄孢盘菌序列(登录号:HM849615)同源性达100%,进一步证明该病原菌是灰葡萄孢Botrytis cinerea。云芝多糖在离体条件下,对灰葡萄孢的菌丝生长和孢子萌发均无直接抑制作用。云芝多糖对烟草灰霉病有较好预防保护作用,其预防效果可达56.29%。云芝多糖可显著提高烟草体内几丁质酶和β-1,3-葡聚糖酶活性,其活性峰值分别比对照提高56.89%和429.83%,说明云芝多糖可诱导植物产生抗病性。     

阿维菌素对半闭弯尾姬蜂保护酶系和解毒酶系的影响

为明确阿维菌素对半闭弯尾姬蜂保护酶系和解毒酶系的影响,采用试管药膜法以阿维菌素亚致死浓度(LC10和LC25)处理半闭弯尾姬蜂成虫,分别于处理后1、12、24和48 h测定其体内保护酶和解毒酶活性变化。结果表明,阿维菌素亚致死浓度处理后,随着时间的延长,对寄生蜂体内超氧化物歧化酶(SOD)和过氧化物酶(POD)活性总体表现为诱导作用;对过氧化氢酶(CAT)活性表现为先抑制后诱导作用;对酯酶(EST)、谷胱甘肽S-转移酶(GST)和多功能氧化酶(MFO)具有显著的抑制作用。研究结果为深入了解半闭弯尾姬蜂对阿维菌素的防御机理提供了一定的理论基础。     

Clinical,socio‐demographic and psychological characteristics in individuals with persistent psychotic experiences with and without a “need for care”

Individuals reporting persistent psychotic experiences (PEs) in the general population, but without a “need for care”, are a unique group of particular importance in identifying risk and protective factors for psychosis. We compared people with persistent PEs and no “need for care” (non‐clinical, N=92) with patients diagnosed with a psychotic disorder (clinical, N=84) and controls without PEs (N=83), in terms of their phenomenological, socio‐demographic and psychological features. The 259 participants were recruited from one urban and one rural area in the UK, as part of the UNIQUE (Unusual Experiences Enquiry) study. Results showed that the non‐clinical group experienced hallucinations in all modalities as well as first‐rank symptoms, with an earlier age of onset than in the clinical group. Somatic/tactile hallucinations were more frequent than in the clinical group, while commenting and conversing voices were rare. Participants in the non‐clinical group were differentiated from their clinical counterparts by being less paranoid and deluded, apart from ideas of reference, and having fewer cognitive difficulties and negative symptoms. Unlike the clinical group, they were characterized neither by low psychosocial functioning nor by social adversity. However, childhood trauma featured in both groups. They were similar to the controls in psychological characteristics: they did not report current emotional problems, had intact self‐esteem, displayed healthy schemas about the self and others, showed high life satisfaction and well‐being, and high mindfulness. These findings support biopsychosocial models postulating that environmental and psychological factors interact with biological processes in the aetiology of psychosis. While some PEs may be more malign than others, lower levels of social and environmental adversity, combined with protective factors such as intact IQ, spirituality, and psychological and emotional well‐being, may reduce the likelihood of persistent PEs leading to pathological outcomes. Future research should focus on protective factors and determinants of well‐being in the context of PEs, rather than exclusively on risk factors and biomarkers of disease states.