A test of a model for planktivorous filter feeding by bream Abramis brama

Synopsis The planktivorous feeding of bream, Abramis brama on Daphnia hyalina and Bosmina coregoni was analyzed in a stepwise regression analysis with the average size (and standard deviation) of consumed organisms as dependent variable and the size of the fish, the average size (and standard deviation) of the organisms and their density in the environment as independent variables. Three basic predictions on filter feeding were formulated and tested. It was predicted that the (average) prey size should increase with fish size, but that the standard deviation should decline. Secondly the prey size should be strongly correlated with the prey size available and thirdly the prey density should have little effect on the size selection. These hypotheses could not be rejected for bream>10 cm feeding on B. coregoni and for bream>20 cm feeding on D. hyalina. The hypotheses were not valid for smaller bream as these acted as particulate or combined filter- and particulate feeders.     

Utilidad y seguridad de los ingresos directos a una unidad hospitalaria de agudos de un servicio de geriatría valorados por atención geriátrica en residencias

Background and objectiveMore than half of institutionalized older people need a emergency department visit annually, with high resources consumption and higher risk of adverse events, due to high complexity. Direct admission to Acute Geriatric Unit (AGU), after geriatric consultant and nursing home medical team assessment, could be a safety and effective alternative to emergency department (ED) admission.MethodsRetrospective observational study of AGU patients admitted by Nursing Home Geriatric Team between January, 1st and December, 31st, 2021. Planned admissions and SARS-CoV-2 positive patients were excluded. Medical (sociodemographic, clinical, functional and cognitive) records and outcomes data (inpatient mortality, hospital and ED lenght of stay, transfer to ED and delirium within 48 h after admission, hospital discharge location) were collected.ResultsTwo hundred and six patients directly admitted, 101 through ED (N 307). 62.5% with Barthel index <40, 65% with dementia, 56.4% with Charlson index ≥3. Inpatient mortality was 14.6% in direct admission, 20.8% in ED referral group, p = 0.14. Hospital lenght of stay was 9.61 ± 6.01 days in direct admission, 11.22 ± 5.36 days in ED group, p = 0.02. 27.7% of patients with delirium in direct admission and 36.6% in ED group; only one patient was transferred to ED, within 48 h after admission.ConclusionsDirect admission is a safety and effective alternative to ED referral in institutionalized older people after geriatric assessment, due to no increased mortality, shorter length of stay and hospital cost reduction.     

生态产品价值实现模式应用场景及其运行机制——基于典型案例文本数据的实证分析

因地制宜选择实现模式是建立健全生态产品价值实现机制、践行"两山理论"的重要举措。利用自然资源部和生态环境部推介的生态产品价值实现典型案例文本词频数据,采用随机森林分析方法,从自然资本、生态服务和参与主体三个角度,实证总结了不同价值实现模式的应用场景及其运行机制。研究表明:生态产业化经营模式主要是用于农地自然资本,通过市场手段激励农户等经营主体参与,提升农地供给生态产品的功能。生态资源指标及产权交易模式主要是用于林地自然资本,通过生态权益交易,协调公共和私人部门之间的利益,以保护森林的调节服务功能。生态补偿模式主要是用于水域自然资本,通过建立受益者和保护者之间的补偿机制,提升水域的调节和供给服务功能。生态修复及价值提升模式主要是用于废弃工矿用地自然资本,通过政府部门和市场主体联合开展修复整治,提升废弃工矿用地的文化服务和供给功能。研究结果为因地制宜建立生态产品价值实现推进机制提供政策参考。     

家庭干预对喉癌患者术后生活质量的影响

目的:探讨家庭干预对喉癌术后患者生活质量的影响。方法:将66例喉癌术后患者随机分为干预组和时照组,两组病人均进行常规治疗和护理,干预组在此基础上对患者实施针对性家庭干预。采用Terrell生活质量调查表分别在实施干预前及实施干预后进行评估。结果:干预组患者干预后对健康知识掌握率显著高于对照组(P<0.05),生活质量明显高于对照组(P<0.05)。结论:对喉癌术后病人实施针对性家庭干预,可以提高喉癌术后病人生活质量。     

基于奥马哈理论的护理模式 对慢性阻塞性肺疾病患者肺功能及细菌感染率的影响

目的探讨基于奥马哈理论的护理模式对慢性阻塞性肺疾病(COPD)患者肺功能、症状控制、细菌感染率及生活质量的影响。方法选取2018年1月至2019年1月我院收治的134例COPD患者,采用随机数字表法将研究对象分为观察组(n=69)与对照组(n=65),对两组患者住院期间肺功能、症状控制情况、细菌感染率、睡眠情况以及生活质量进行评估和分析。结果观察组患者肺功能情况优于入院时(P0.05)。两组患者泌尿系统感染发生率最高,其次为褥疮创面感染和口腔感染。观察组患者泌尿系感染的发生率低于对照组(P0.05)。两组患者干预后PSQI量表评分和CAT评分均低于入院前,且观察组患者总分低于对照组(均P0.05)。干预后观察组患者SF-36评分均高于对照组(均P0.05)。结论在基于奥马哈理论的护理模式下,COPD患者的肺功能得到加强,继发感染的发生减少,生活质量得到提高。     

The southwestern Atlantic reef fish fauna: composition and zoogeographic patterns

The Brazilian coast, the Caribbean and the tropical South Atlantic oceanic islands reef ichthyofauna separated into two major clusters: (1) the western Atlantic continental margin and Bermuda, further divided into (1a) the western North Atlantic, and (1b) the Brazilian coast; and (2) the South Atlantic oceanic islands, also divided in (2a) the Brazilian offshore islands, and (2b) Ascension and St Helena. Species geographic ranges suggest the recognition of only two western Atlantic zoogeographic provinces for tropical marine shore fishes. A Brazilian Province, including the offshore localities of Atol das Rocas, Fernando de Noronha, Trindade and St Paul's Rocks, and an expanded West Indian Province that includes Bermuda. Ascension and St Helena should be regarded as a separated Central Atlantic Province.     

离子导入疗法对防治糖尿病视网膜病变及改善症状的临床研究

目的：探讨离子导入疗法对糖尿病视网膜病变患者进行护理的临床效果。方法：选取88例（122眼）糖尿病视网膜病变患者,随机分为照组和实验组,其中对照组44例（58眼）,给予常规护理治疗;实验组44例（64眼）,在对照组基础上采用离子导入疗法进行护理。观察患者视网膜改变、视力的改善及自觉症状改善情况。结果：实验组实施干预后,视网膜改变、视力的改善、自觉症状的改善显效率明显高于对照组,差异有统计学意义（P〈0．01）。结论：离子导入疗法有助于改善糖尿病视网膜病变患者眼底血液循环。促进出血点吸收、改善临床症状,操作简单易行,患者易于接受。     

不同灌溉模式对稻田土壤及糙米重金属积累的影响

为探讨降低土壤和糙米重金属的灌溉模式, 选取江西省萍乡地区的中度重金属污染稻田, 研究了灌浆期习惯性灌溉(间歇性灌溉)和长期淹水灌溉2种灌溉模式对水稻产量、糙米重金属及土壤理化性质的影响。结果表明: 与习惯性灌溉相比, 长期淹水灌溉条件下的水稻产量降低1.25%; 糙米Cd和Pb含量分别降低42.79%和3.70%, 其中糙米Cr含量显著降低44.81%, 但糙米Hg含量显著增加200%, 糙米无机As含量增加3.29%; 土壤Cd含量降低38.77%, 其中土壤有效态Cd含量和阳离子交换量显著降低72.08%和36.71%, 但土壤pH和有机质增加0.97%和6.32%; 同时相关性分析发现糙米Cr含量与土壤有机质呈显著负相关, 与阳离子交换量呈显著正相关, 糙米Hg含量与土壤有效态Cd含量和阳离子交换量呈极显著负相关。长期淹水灌溉可有效降低污染稻田土壤Cd进入水稻, 实现水稻安全生产, 但会增加糙米Hg积累和减产。