The first unequivocal remains of medium to large-sized mustelids from the middle Miocene Halamagai and Kekemaideng formations have been found in the Ulungur River area, Xinjiang, northwestern China. These new fossils ...The first unequivocal remains of medium to large-sized mustelids from the middle Miocene Halamagai and Kekemaideng formations have been found in the Ulungur River area, Xinjiang, northwestern China. These new fossils are referred to the hypercarnivorous mustelid Hoplictis Ginsburg, 1961 and denote the first record of the genus in East Asia.We define Hoplictis baihu n. sp., for the mustelid from Tieersihabahe(Halamagai Fm.), which represents the smallest species of the genus. This primitive form is closer to H. florancei and H. noueli than to H. anatolicus and later, larger and more derived Hoplictis spp., from Europe and North America. A large toothless mandible from Duolebulejin(Kekemaiden Fm.) is assigned to Hoplictis cf. helbingi, and it presumably might represent the first record of H. helbingi outside Western Europe. The systematic position of Hoplicitis in relation to Ischyrictis with which it is similar is clarified. The occurrence in East Asia of two species of Hoplictis greatly expands the known distribution and diversity of the genus, and supports a Palaearctic Neogene dispersal event of carnivorans between Europe and Asia during the late Shanwangian–early Tunggurian equivalent to MN5–6 in Europe, and indication of another dispersal event from Europe to North America,through Northwest China during the late Tunggurian, equivalent to MN7–8 in Europe.展开更多
[目的]为全面分析我国中医类医院资源时空分布与差异性,对2009-2021年我国中医类医院卫生资源区域差异性和配置公平性展开研究,探讨我国中医类医院资源配置现状,为政策制定提供参考。[方法]采用卫生资源集聚度和空间自相关分析我国31个...[目的]为全面分析我国中医类医院资源时空分布与差异性,对2009-2021年我国中医类医院卫生资源区域差异性和配置公平性展开研究,探讨我国中医类医院资源配置现状,为政策制定提供参考。[方法]采用卫生资源集聚度和空间自相关分析我国31个省(自治区、直辖市)中医类医院卫生资源配置的公平程度。[结果]2009-2021年,我国中医类医院卫生资源东西部区域差异性显著,东部地区按地理面积配置的集聚度高,西部地区按人口分布配置的集聚度高;空间分布呈聚集特征,全局Moran s I指数总体呈下降趋势;物力资源和人力资源的局部Moran s I指数分布存在较明显的空间差异。[结论]我国中医类医院卫生资源空间集聚度逐渐减弱,但东西部地区差异仍较明显,西部地区人力资源相对匮乏。展开更多
目的探索肺结核患者血清甲壳质酶蛋白40(chitinase protein 40,YKL-40)、β-防御素-2(human beta defensin 2,HBD-2)水平及其对肺结核的诊断价值。方法选取2021年6月—2023年6月山东省立医院收治的86例肺结核患者为肺结核组,根据痰涂片...目的探索肺结核患者血清甲壳质酶蛋白40(chitinase protein 40,YKL-40)、β-防御素-2(human beta defensin 2,HBD-2)水平及其对肺结核的诊断价值。方法选取2021年6月—2023年6月山东省立医院收治的86例肺结核患者为肺结核组,根据痰涂片结果分为活动性肺结核组(n=50)和非活动性肺结核组(n=36),另选取86例来自我院体检中心的健康受试者作为对照组。检测所有受试者血清中YKL-40、HBD-2水平并分析肺结核患者血清中YKL-40与HBD-2的相关性;采用受试者工作特征(receiver operating characteristic,ROC)曲线分析血清中YKL-40、HBD-2水平对肺结核及活动性肺结核的诊断价值。结果肺结核组血清YKL-40、HBD-2水平高于对照组(P均<0.05);活动性肺结核组血清YKL-40、HBD-2水平高于非活动性肺结核组(P均<0.05)。肺结核患者血清中YKL-40与HBD-2的水平呈正相关(r=0.601)。YKL-40、HBD-2及2者联合诊断肺结核的曲线下面积(area under the curve,AUC)分别为0.895、0.922、0.962,2者联合诊断优于单独诊断;YKL-40、HBD-2及2者联合诊断活动性肺结核的AUC分别为0.891、0.881、0.959,2者联合诊断优于单独诊断。结论肺结核患者血清YKL-40、HBD-2水平显著升高,且随病情加重而升高,2者对肺结核及活动性肺结核的具有一定的诊断价值。展开更多
基金supported by the Chinese Academy of Sciences (Grant Nos.XDA20070203, XDB26000000, QYZDY-SSW-DQC-22, GJHZ1885)the National Natural Science Foundation of China (Grant Nos. 41430102 and 41772018, 41625005)
文摘The first unequivocal remains of medium to large-sized mustelids from the middle Miocene Halamagai and Kekemaideng formations have been found in the Ulungur River area, Xinjiang, northwestern China. These new fossils are referred to the hypercarnivorous mustelid Hoplictis Ginsburg, 1961 and denote the first record of the genus in East Asia.We define Hoplictis baihu n. sp., for the mustelid from Tieersihabahe(Halamagai Fm.), which represents the smallest species of the genus. This primitive form is closer to H. florancei and H. noueli than to H. anatolicus and later, larger and more derived Hoplictis spp., from Europe and North America. A large toothless mandible from Duolebulejin(Kekemaiden Fm.) is assigned to Hoplictis cf. helbingi, and it presumably might represent the first record of H. helbingi outside Western Europe. The systematic position of Hoplicitis in relation to Ischyrictis with which it is similar is clarified. The occurrence in East Asia of two species of Hoplictis greatly expands the known distribution and diversity of the genus, and supports a Palaearctic Neogene dispersal event of carnivorans between Europe and Asia during the late Shanwangian–early Tunggurian equivalent to MN5–6 in Europe, and indication of another dispersal event from Europe to North America,through Northwest China during the late Tunggurian, equivalent to MN7–8 in Europe.
文摘[目的]为全面分析我国中医类医院资源时空分布与差异性,对2009-2021年我国中医类医院卫生资源区域差异性和配置公平性展开研究,探讨我国中医类医院资源配置现状,为政策制定提供参考。[方法]采用卫生资源集聚度和空间自相关分析我国31个省(自治区、直辖市)中医类医院卫生资源配置的公平程度。[结果]2009-2021年,我国中医类医院卫生资源东西部区域差异性显著,东部地区按地理面积配置的集聚度高,西部地区按人口分布配置的集聚度高;空间分布呈聚集特征,全局Moran s I指数总体呈下降趋势;物力资源和人力资源的局部Moran s I指数分布存在较明显的空间差异。[结论]我国中医类医院卫生资源空间集聚度逐渐减弱,但东西部地区差异仍较明显,西部地区人力资源相对匮乏。
文摘目的探索肺结核患者血清甲壳质酶蛋白40(chitinase protein 40,YKL-40)、β-防御素-2(human beta defensin 2,HBD-2)水平及其对肺结核的诊断价值。方法选取2021年6月—2023年6月山东省立医院收治的86例肺结核患者为肺结核组,根据痰涂片结果分为活动性肺结核组(n=50)和非活动性肺结核组(n=36),另选取86例来自我院体检中心的健康受试者作为对照组。检测所有受试者血清中YKL-40、HBD-2水平并分析肺结核患者血清中YKL-40与HBD-2的相关性;采用受试者工作特征(receiver operating characteristic,ROC)曲线分析血清中YKL-40、HBD-2水平对肺结核及活动性肺结核的诊断价值。结果肺结核组血清YKL-40、HBD-2水平高于对照组(P均<0.05);活动性肺结核组血清YKL-40、HBD-2水平高于非活动性肺结核组(P均<0.05)。肺结核患者血清中YKL-40与HBD-2的水平呈正相关(r=0.601)。YKL-40、HBD-2及2者联合诊断肺结核的曲线下面积(area under the curve,AUC)分别为0.895、0.922、0.962,2者联合诊断优于单独诊断;YKL-40、HBD-2及2者联合诊断活动性肺结核的AUC分别为0.891、0.881、0.959,2者联合诊断优于单独诊断。结论肺结核患者血清YKL-40、HBD-2水平显著升高,且随病情加重而升高,2者对肺结核及活动性肺结核的具有一定的诊断价值。