A LONG TERM EFFECT EVALUATION OF TOTAL HIP PROSTHETIC REPLACEMENT

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Long-term effects of early antibiotic intervention on blood parameters,apparent nutrient digestibility, and fecal microbial fermentation profile in pigs with different dietary protein levels

Backgroud： This study aimed to determine the effects of early antibiotic intervention（EAI） on subsequent blood parameters, apparent nutrient digestibility, and fecal fermentation profile in pigs with different dietary crude protein（CP） levels. Eighteen litters of piglets（total 212） were randomly allocated to 2 groups and were fed a creep feed diet with or without in-feed antibiotics（olaquindox, oxytetracycline calcium and kitasamycin） from postnatal d 7 to d 42. On d 42, the piglets within the control or antibiotic group were mixed, respectively, and then further randomly assigned to a normal-（20%, 18%, and 14% CP from d 42 to d 77, d 77 to d 120, and d 120 to d 185,respectively） or a low-CP diet（16%, 14%, and 10% CP from d 42 to d 77, d 77 to d 120, and d 120 to d 185,respectively）, generating 4 groups. On d 77（short-term） and d 185（long-term）, serum and fecal samples were obtained for blood parameters, microbial composition and microbial metabolism analysis.Results： EAI increased（P 〈 0.05） albumin and glucose concentrations in low-CP diet on d 77, and increased（P 〈 0.05） urea concentration in normal-CP diet. On d 185, EAI increased（P 〈 0.05） globulin concentration in normal-CP diets, but decreased glucose concentration. For nutrient digestibility, EAI increased（P 〈 0.05）digestibility of CP on d 77. For fecal microbiota, the EAI as well as low-CP diet decreased（P 〈 0.05） E. coli count on d 77. For fecal metabolites, on d 77, EAI decreased（P 〈 0.05） total amines concentration but increased skatole concentration in low-CP diet. On d 185, the EAI increased（P 〈 0.05） putrescine and total amines concentrations in low-CP diets but reduced（P 〈 0.05） in the normal-CP diets. The low-CP diet decreased the concentrations of these compounds.Conclusions： Collectively, these results indicate that EAI has short-term effects on the blood parameters and fecal microbial fermentation profile. The effects of EAI varied between CP levels, which was characterized by the significant alteration of glucose and putrescine concentration.

LONG-TERM EFFECT OF HOMOHARRINGTONINE ON CHRONIC GRANULOCYTIC LEUKEMIA

Objective: To observe the long-term effect of homoharringtonine (HHT) on chronic granulocytic leukemia (CGL) and its pharmacological mechanism. Methods: 76 patients with newly diagnosed early chronic phase CGL received treatment of merely 1.5 mg/m2 daily HHT for induction remission and long-term maintenance treatment. The apoptosis rate of bone marrow CD34+ cells induced by HHT was assayed with flow cytometer. Results: 86.8% patients achieved CHR, 13.2% patients PHR and 31.8% patients got cytogenetic response in HHT treatment group, which was longer than 31 (8-54) months in hydroxyurea (HU) group (P<0.05). The effect of apoptosis induction HHT was stronger on CGL-CP patients bone marrow CD34+ cells than on normal person bone marrow CD34+ cells. Conclusion: HHT is a very effective drug for remission induction and long-term maintenance treatment in early chronic phase CGL patients.

MANUAL ACUPUNCTURE PRODUCES LONG TERM INHIBITION OF THE NOCICEPTIVE TRANSMISSION TO WIDE DYNAMIC RANGE NEURONS IN THE SPINAL CORD OF THE RAT

singe unit discharge recordings were made from 42 WDR neurons in spinal dorsal horn in the rat. These neurons could he driven by electrical stimull activiting innocuous and noxious afferent fibres in the ipsilateral plantar nerve. Traditional manual acupuncture delivered at the local acupoints Zusanli, Chengshan, Kunlun and Yongquan induced a strong inhibition or the C-fiber response. in 19 of 42 neurons obtained but did not after the A-fibre response of the neurons. The inhibition of the fibre response outlasted the period of acupuncture for more than 30 min. Neither Anor C-fibre responses in the remaining 23 neurous could be affected by manual acupuncture. These results suggest that the acupuncture stimulation specifically influences nociceptive nociceptive transmission,maybe through a presynaptic action,Furthermore, the fact that the inhibitory effect outlasts the stimulation by more than 30 min indicates that either a neuromodulatory ,presumably peptidergic action is at hand or that a temporary synaptic modification occurs in the spinal dorsal horn.

Evolution of interfacial dislocation networks during long term thermal aging in Ni-based single crystal superalloy DD5

Interfacial dislocations found in single crystal superalloys after long term thermal aging have an important effect on mechanical properties. Long term thermal aging tests for DD5 single crystal superalloy were carried out at 1,100 ℃ for 20, 100, 200, 500 and 1000 h, and then cooled by air. The effect of long term thermal aging on the dislocation networks at the γ/γ' interfaces was investigated by FE-SEM. Results showed that during the long term thermal aging at 1,100 ℃, misfit dislocations formed firstly and then reorientation in the(001) interfacial planes occurred. Different types of square or rectangular dislocation network form by dislocation reaction. Square dislocation networks consisting of four groups of dislocations can transform into octagonal dislocation networks, and then form another square dislocation network by dislocation reaction. Rectangular dislocation networks can also transform into hexagonal dislocation networks. The interfacial dislocation networks promote the γ' phase rafting process. The dislocation networks spacings become smaller and smaller, leading to the effective lattice misfit increasing from-0.10% to-0.32%.

Long-term efficacy of capecitabine plus oxaliplatin chemotherapy on stage Ⅲ colon cancer: A meta-analysis

BACKGROUND Many clinical studies for the long-term survival or efficacy of capecitabine plus oxaliplatin(XELOX)in colon cancer have already been studied,but its clinical benefit is controversial.AIM To evaluate the long-term efficacy of XELOX regimen in comparison with other adjuvant chemotherapy protocols in colon cancer.METHODS By searching the PubMed,EMBASE and Cochrane databases,a total of 12 randomized controlled trials involving 6698 stageⅢcolon cancer cases(XELOX protocol:n=3298 cases;other adjuvant chemotherapy protocol:n=3268 cases)were included.The parameter outcomes included the overall survival and the disease-free survival.The quality control of selected literature was based on the Jadad scale and the GRADE system.RESULTS In comparison to other adjuvant chemotherapy regimen,XELOX regimen showed a better overall survival(odds ratio=1.29,95% confidence interval:1.15-1.44,P<0.0001)and a better disease-free survival(odds ratio=1.32,95%confidence interval:1.18-1.46,P<0.0001)for colon cancer patients,suggesting the XELOX regimen can be a good option for postoperative treatment of stage III colon cancer.CONCLUSION The XELOX regimen can be a preferred option for adjuvant treatment of stageⅢcolon cancer after surgery.

Assessment of Long-Term Compost Application on Physical, Chemical, and Biological Properties, as Well as Fertility, of Soil in a Field Subjected to Double Cropping

The aim of this article was to assess the influence of long-term application of compost on the physical, chemical, and biological properties, as well as the fertility, of soil in a field subjected to double cropping (paddy rice and barley), mainly by integrating previous studies of the effects of compost and manure on soil qualities. Continuous compost application, especially at a high level (30 Mg·ha-1·y-1), into the double cropping soils increased the activities of organic C-, N-, and P-decomposing enzymes and the contents of organic C, total N, and microbial biomass N, as well as the cation exchange capacity, thereby contributing to the enhancement of soil fertility. Also, the compost application increased the degree of water-stable soil macroaggregation (>0.25 mm), which was correlated significantly (r > 0.950, p < 0.05) with the contents of hydrolyzable carbohydrates (with negative charge) and active Al (with positive charge), and resulted in the modification of soil physical properties. Furthermore, the application increased the amount of soil organic matter, including humic acid with a low degree of darkening and fulvic acid, and contributed to C sequestration and storage. Physical fractionation of soil indicated that about 60% of soil organic C was distributed in the silt-sized (2 - 20 μm) aggregate and clay-sized (<2 μm) aggregate fractions, while about 30% existed in the decayed plant fractions (53 - 2000 μm). The results obtained unambiguously indicate that long-term application of compost can improve soil qualities in the field subjected to double cropping, depending on the amount applied.

Kaposi’s Sarcoma Associated with Gastrointestinal Bleeding: A Rare Complication of Long-Term Corticosteroid Therapy

Corticosteroid therapy has revolutionized the treatment of many diseases in medicine. The most concerned diseases are chronic inflammatory diseases. Its use may be either short-term or long-term, thus generating several side effects, some of which are conventional and known, but others are rare, such as Kaposi’s sarcoma. We report here a particular clinical observation. Observation: This is a patient of 37 years, who consults in Internal Medicine for the treatment of mucocutaneous lesions, papular nodular, hyper pigmented, budding and disseminated appeared after six months of corticosteroid therapy. This treatment was introduced for the treatment of acoustic neurinoma. The patient is not diabetic or alcoholic and has a negative HIV status. The diagnosis of Kaposi’s sarcoma was made by histology of biopsied skin lesions which concluded for a regular proliferation without atypia spindle cell or mitosis. The lesions persisted over a month despite discontinuation of corticosteroid therapy. Treatment with Bleomycin was necessary. The outcome was favorable under treatment with progressive and complete disappearance of lesions after 15 treatments. Conclusion: The classical side effects of long-term corticosteroid are known, but Kaposi sarcoma complicating long-term corticosteroid is rare in the literature. It is vital that any long-term corticosteroid should be the subject of careful and regular monitoring.

Long-term acupuncture treatment has a multitargeting regulation on multiple brain regions in rats with Alzheimer＇s disease：a positron emission tomography study

The acute effect of acupuncture on Alzheimer＇s disease,i.e.,on brain activation during treatment,has been reported.However,the effect of long-term acupuncture on brain activation in Alzheimer＇s disease is unclear.Therefore,in this study,we performed long-term needling at Zusanli（ST36）or a sham point（1.5 mm lateral to ST36）in a rat Alzheimer＇s disease model,for 30 minutes,once per day,for 30 days.The rats underwent 18F-fluorodeoxyglucose positron emission tomography scanning.Positron emission tomography images were processed with SPM2.The brain areas activated after needling at ST36 included the left hippocampus,the left orbital cortex,the left infralimbic cortex,the left olfactory cortex,the left cerebellum and the left pons.In the sham-point group,the activated regions were similar to those in the ST36 group.However,the ST36 group showed greater activation in the cerebellum and pons than the sham-point group.These findings suggest that long-term acupuncture treatment has targeted regulatory effects on multiple brain regions in rats with Alzheimer＇s disease.

Thermomechanical analysis of long-term global modal and local deformation measurements of the Kishwaukee Bridge using the bootstrap

In this paper we present a comparative analysis of global frequency and local deformation data for a large concrete bridge. The asymptotic probability distributions of the central statistics are presented, and compared with empirical bootstrap estimates. Bootstrapped distributions are calculated from reference data obtained during 1999–2000 and used to develop change-point alarm criteria for the structure, using reasonable sensitivity measures developed from FEM simulations and structural analysis. The implications of the frequency data are discussed in conjunction with the strain and displacement measurements in order to discern if the load carrying capacity of the bridge has been affected. The critical need for more advanced temperature compensation models for large structures continually in thermal disequilibrium is discussed.

卡瑞利珠单抗结合仑伐替尼用于中晚期肝癌患者的近远期疗效

目的:探究卡瑞利珠单抗结合仑伐替尼用于中晚期肝癌患者的近远期疗效。方法:选取吉安市中心人民医院2022年1月—2023年8月收治的90例中晚期肝癌患者,按1∶1比例原则将患者随机分为对照组(n=45)和观察组(n=45)。对照组予以仑伐替尼,观察组在此基础上予以卡瑞利珠单抗。对比两组肝功能、免疫细胞水平、肿瘤标志物水平、临床疗效等。结果:治疗后,观察组总胆红素(total bilirubin,TBIL)、丙氨酸氨基转移酶(alanine aminotransferase,ALT)、国际标准化比值(international normalized ratio,INR)均低于对照组,白蛋白(albumin,ALB)高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组免疫功能指标[成熟的T淋巴细胞(CD3^(+))(68.66±5.91)%、辅助性T细胞(CD4^(+))(45.56±5.19)%、CD4^(+)/CD8^(+)(1.87±0.39)]均高于对照组[(62.13±4.87)%、(38.92±4.35)%、(1.58±0.21)],差异均有统计学意义(P<0.05)。治疗后,观察组甲胎蛋白(alpha-fetoprotein,AFP)(3.12±0.53)μg/L、血清细胞角质蛋白19抗体(CK19)(83.32±10.25)U/mL均低于对照组的(3.86±0.78)μg/L、(95.20±10.43)U/mL,差异均有统计学意义(P<0.05)。观察组临床总有效率(42.22%)高于对照组(22.22%)(χ^(2)=4.121,P=0.042)。结论:中晚期肝癌使用仑伐替尼结合卡瑞利珠单抗治疗,有助于抑制肿瘤生长,改善患者免疫与肝功能,临床疗效显著,值得临床推广。

天然和饱水红砂岩三轴压缩蠕变变形试验研究

蠕变特性和长期强度是红砂岩地区岩体工程安全评价的关键要素,饱水软化效应对红砂岩蠕变特性和长期强度具有重要影响.采用全自动岩石三轴压缩伺服流变仪,开展天然与饱水红砂岩的三轴压缩试验和三轴压缩蠕变试验.试验结果表明:峰值强度、弹性模量和蠕变破坏应力因饱水软化效应而降低,围压对其降幅有削弱作用,蠕变破坏应力与峰值强度的比值在0.75~0.98之间;饱水软化效应能增强蠕变瞬时变形,减弱蠕变变形及蠕变应变速率;环向应变比轴向应变更早进入稳态蠕变阶段和加速蠕变阶段;稳态蠕变速率与偏压的变化关系符合指数函数关系;长期强度因饱水软化作用而降低,却因围压增加而增大,长期强度与峰值强度的比值在0.62~0.92之间;裂纹损伤应力与长期强度相差较大,裂纹损伤应力视为长期强度有待进一步考究.

海河流域河湖生态环境复苏十年成效评估及展望

海河流域水生态问题突出,一度出现河流断流、湖泊萎缩、水生态系统退化等问题。近年来海河流域大力开展河湖生态环境复苏工作,回顾了2014年以来主要措施及成效,选取流域3大水系52条河流和5个重点湖泊为主要评价对象,围绕河流有水时长、河流有水河长和水面面积、湖泊水位、地下水水位、河湖水质状况、河湖水生态状况6项指标,采用水文监测和遥感解译分析相结合的方法进行河湖生态环境复苏成效评估。结果显示:2014年以来,海河流域河流的有水时长、有水河长和水面面积均有所提升,地下水水位回升,全流域劣Ⅴ类水质基本消除,生物多样性及河湖面貌得到改善。在此基础上分析了当前实现水利高质量发展面临的新要求和新挑战,为巩固河湖生态环境复苏成效,建议严格水资源管理,推进多水源调度,健全生态流量保障体系,完善长效治理机制,加快数字孪生海河建设,提升监管评价能力,努力实现海河流域河湖健康与流域可持续发展目标。

胸腔镜辅助经胸内固定与传统开胸手术对多发肋骨骨折患者近远期的疗效比较

目的:比较胸腔镜辅助(VATS)经胸内固定与传统开胸手术对多发肋骨骨折患者近远期疗效。方法:对106例多发肋骨骨折患者资料进行回顾性分析,依据手术方式的不同分为传统组(传统开胸手术)和VATS组(VATS经胸内固定术),应用倾向性评分匹配法(卡钳值0.01,1∶1)匹配两组,最终每组各53例。比较两组患者围手术期指标、并发症发生率,术后疼痛程度(VAS)、病情恢复情况、远期疗效。结果:VATS组手术时间、总住院时间等均短于传统组(P<0.05),并发症发生率低于传统组(P<0.05);术后5 d及7 d,两组VAS评分均随时间延长而下降(P<0.05),且VATS组术后1、5、7 d VAS评分均低于传统组(P<0.05);VATS组骨折对位率、切口愈合率、术后效果优良率均高于传统组(P<0.05)。结论:与传统开胸手术相比,VATS经胸内固定手术可准确定位,缩短手术时间,能促进多发肋骨骨折术后恢复,术后并发症较少,远期疗效理想,值得推广应用。

长期护理保险对家庭劳动力市场供给的影响

长期护理保险旨在解决失能家庭的照护问题,但还需深入研究长期护理保险对家庭劳动力市场供给的影响。因此,研究基于家庭生产最大化理论模型分析长期护理保险影响家庭劳动力市场供给的替代效应和收入效应,并利用CHARLS 2011—2018年四期数据,建立交错双重差分模型,检验受访者父辈居住城市试点长期护理保险后对受访者家庭劳动力市场供给的影响。研究发现:长期护理保险使家庭市场劳动参与率提高5.5个百分点,市场劳动时间延长6.6%,其替代效应大于收入效应。此外,长期护理保险主要通过机构照护替代家庭照护,减少家庭照护时间,从而促进家庭劳动力市场供给。政策效果在性别、教育及城乡间具有显著异质性。研究结论丰富了关于实施长期护理保险和健康中国战略的内涵,为扩大长期护理保险试点和促进中老年人再就业提供了经验证据。

临沧车站高填方变形的实测分析

为了研究大临铁路站场的高填方变形,选择典型断面,在高填方体中埋设4排沉降板以及边坡观测桩,在边坡坡脚部位的土工格栅上布设柔性位移计。通过两年多长期观测,发现铁路站场高填方工程经过长达半年多的施工填筑以及竣工后超过12个月的静置,高填方体的沉降趋于稳定。填筑期间所发生的沉降量占总沉降量的最大百分比为69.05%。左、右边坡观测桩的测试结果显示,高填方的边坡也是稳定的,填土期间发生的沉降量占总沉降的最大比例为99.77%。填土结束后,土工格栅的变形基本稳定,说明边坡是稳定的。建议填筑结束后12个月方可开展后续施工。

尼妥珠单抗联合放化疗治疗局部晚期头颈部恶性肿瘤的临床效果

目的分析局部晚期头颈部恶性肿瘤实施尼妥珠单抗+放化疗治疗的价值。方法选取滕州市中心人民医院于2021年11月—2022年11月收治的72例局部晚期头颈部恶性肿瘤患者为研究对象,依掷骰子分为基础组和综合组,每组36例,基础组行放化疗,综合组加用尼妥珠单抗,对比两组的近远期疗效和不良反应。结果综合组的临床缓解率(58.33%),和临床控制率(88.89%)均高于基础组(30.56%、66.67%),差异有统计学意义(χ^(2)=5.625、5.143,P=0.018、0.023)。随访1年后综合组生存率(80.56%)高于基础组(58.33%),差异有统计学意义(P<0.05)。两组各项不良反应反应率比较,差异无统计学意义(P>0.05)。结论放化疗时辅以尼妥珠单抗治疗不会增加不良反应,且能维持高缓解率和控制率,提升远期生存率,适用于局部晚期头颈部恶性肿瘤患者。

小数字大作用——经济和环境反馈干预对群体节能行为作用效果的现场对照实验

私人消费领域中的个体或家庭节能行为已日益受到重视,然而对于群体消费情境下的用能者而言,如何促进其主动节能还缺乏关注。为了评估信息反馈策略激励群体用户节电行为的有效性,本研究开展了一项为期18周的现场对照实验。根据节能动机的差异,实验分为3个实验组(经济型反馈组、抽象环境型反馈组、具体环境型反馈组),并设置一个无干预对照组,以评估三种干预策略促进节电行为的有效性。实验以电力系统记录的居住者的真实用电量数据为依据,运用倾向得分匹配-双重差分法,分析三种干预策略的节电效果。结果显示:经济型反馈组和具体环境型反馈组可以显著促进群体用能者主动节电。其中,经济型反馈组的节电效果最好(14.4%),其次是具体环境型反馈组(6.2%),而抽象环境型反馈组与对照组无显著差异。干预策略的长期效应检验进一步发现,随着干预停止,经济型反馈组和具体环境型反馈组的节能效果仍然存在。干预停止后,具体环境型反馈组的节电效果更好,证明了具体环境型反馈策略的长期有效性。此外,本研究还发现:群体特征异质性也会影响不同干预策略的节电效果。这些结论为如何在群体消费情境下利用反馈干预措施节约能源提供了依据和可行的建议。

预氧化联合激活剂促进微生物长效降解土壤中烷烃的研究

微生物降解是一种修复石油污染土壤中烷烃的技术,但该技术易受环境条件影响,修复效率较低。为找到一种使土壤微生物能够长期有效降解烷烃的方法,进行了预氧化联合微生物激活剂降解土壤中烷烃的研究,其中利用芬顿反应进行预氧化,微生物激活剂由葡萄糖和乙酸共同组成。通过激活组(预氧化结合激活剂)、非激活组Ⅰ(仅添加激活剂,不进行预氧化)、非激活组Ⅱ(仅进行预氧化,不添加激活剂)和空白组4种不同处理方法,探究石油污染土壤微生物的数量、呼吸活性、种群变化对烷烃降解效果的影响。结果表明:激活组中烷烃半衰期只需64 d,比非激活组Ⅱ缩短了333 d,其烷烃降解率长期维持较高值,其中0~20 d、20~40 d和40~60 d的降解率分别为14.23%、17.93%和15.73%,且每20 d的烷烃降解量均维持在1500 mg/kg以上。然而其他3组的烷烃降解率随着时间推移而显著降低,40~60 d时烷烃降解率最高仅有5.50%。预氧化后土壤中类腐殖酸和类富里酸的荧光标准积分体积分别是土壤氧化前的2.80倍和3.82倍,预氧化促进了土壤微生物的快速增长。在添加乙酸和葡萄糖后土壤微生物被激活,激活剂的利用率分别达到88.06%和91.38%,其土壤微生物呼吸活性(以每kg土壤中微生物产生CO_(2)的物质的量计,下同)维持在5.00 mol/kg以上,而非激活组的土壤微生物呼吸活性在40~60 d时最高只达到2.12 mol/kg。此外,激活组的石油降解菌数量(以每g土壤中含有的石油降解菌数量计)在后期超过了9.00 lg(CFU/g),形成了芽孢杆菌属、不动杆菌属、微杆菌属、链霉菌属和水杆菌属5种优势菌属,而非激活组最多只形成了3种优势菌属。研究显示,微生物长效降解土壤中的烷烃主要由其呼吸活性、石油降解菌数量、优势菌属数和营养利用率驱动。研究结果为解决土壤石油污染问题提供了一种经济有效的方法。

家庭住房负担对流动人口生育行为的影响——基于个体和流入地多层线性模型的检验

能否揭示住房负担对流动人口生育行为的影响机制是促进住房市场和人口和谐发展、提振生育的关键所在。在构建住房负担与流动人口生育行为关系模型基础上,采用能将流动人口微观个体和流入地宏观特征相联结的多层嵌套模型,检验住房负担对流动人口生育行为的影响及长期居住意愿在其中的重要作用。在此基础上,分别按结婚时间、第一胎性别将样本分组,剖析二者关系的异质规律。研究发现:住房负担加重是流动人口生育低迷的重要原因,且流入地的人均GDP会强化其对流动人口生育的抑制作用;长期居住意愿在住房负担对流动人口生育行为的影响中起到了部分中介作用,住房负担加重造成流动人口社会融入感和长期居住意愿下降,进一步加剧生育抑制效应;住房负担对流动人口生育行为的影响会随流动人口结婚时间长短、第一胎性别的不同而呈现异质性特征。