环境DNA(eDNA)技术作为新兴生物多样性监测方法,具有非侵入性、高效性及灵敏性的特点.为探究基于宏基因组测序的eDNA技术对喀斯特湖泊硅藻监测的适用性,以贵州草海为例,采集草海湖滨带的水样及表层沉积物样品,运用宏基因组学与eDNA相结...环境DNA(eDNA)技术作为新兴生物多样性监测方法,具有非侵入性、高效性及灵敏性的特点.为探究基于宏基因组测序的eDNA技术对喀斯特湖泊硅藻监测的适用性,以贵州草海为例,采集草海湖滨带的水样及表层沉积物样品,运用宏基因组学与eDNA相结合的方法,分析浮游及沉积硅藻的群落组成、生物多样性及KEGG代谢功能.结果表明:①草海硅藻群落共注释到4纲23目36科54属78种,在科分类阶元上以舟形藻科和海链藻科为优势类群.硅藻群落的Chao1指数平均值为42.88±15.35,Shannon-Wiener指数平均值为2.09±0.29.②硅藻群落KEGG通路功能最具代表性的是全局和概述图谱(global and overview maps),其次是能量代谢、翻译;优势KO基因主要为atpF基因、secA基因、rplT基因、rpoA基因、argH基因.③主坐标分析(PCoA)和相似性分析(ANOSIM)表明硅藻群落存在显著的环境介质差异;LEfSe分析揭示浮游硅藻群落的差异标志物主要为海链藻属(Thalassiosira)、小环藻属(Cyclotella),沉积硅藻主要是管状藻属(Fistulifera)、褐指藻属(Phaeodactylum)、微壳藻属(Nanofrustulum)等;Wilcoxon秩和检验表明,浮游硅藻的差异基因集中在叶酸生物合成通路、嘧啶代谢,沉积硅藻的差异基因集中在光合作用、氧化磷酸化等代谢功能.研究显示,高灵敏性的eDNA宏基因组技术能有效描述草海湖泊硅藻群落及多样性,在喀斯特湖泊生物多样性监测及水生态环境健康评估具有广阔的应用前景.展开更多
BACKGROUND Diabetes foot is one of the most serious complications of diabetes and an important cause of death and disability,traditional treatment has poor efficacy and there is an urgent need to develop a practical t...BACKGROUND Diabetes foot is one of the most serious complications of diabetes and an important cause of death and disability,traditional treatment has poor efficacy and there is an urgent need to develop a practical treatment method.AIM To investigate whether Huangma Ding or autologous platelet-rich gel(APG)treatment would benefit diabetic lower extremity arterial disease(LEAD)patients with foot ulcers.METHODS A total of 155 diabetic LEAD patients with foot ulcers were enrolled and divided into three groups:Group A(62 patients;basal treatment),Group B(38 patients;basal treatment and APG),and Group C(55 patients;basal treatment and Huangma Ding).All patients underwent routine follow-up visits for six months.After follow-up,we calculated the changes in all variables from baseline and determined the differences between groups and the relationships between parameters.RESULTS The infection status of the three groups before treatment was the same.Procalcitonin(PCT)improved after APG and Huangma Ding treatment more than after traditional treatment and was significantly greater in Group C than in Group B.Logistic regression analysis revealed that PCT was positively correlated with total amputation,primary amputation,and minor amputation rates.The ankle-brachial pressure and the transcutaneous oxygen pressure in Groups B and C were greater than those in Group A.The major amputation rate,minor amputation rate,and total amputation times in Groups B and C were lower than those in Group A.CONCLUSION Our research indicated that diabetic foot ulcers(DFUs)lead to major amputation,minor amputation,and total amputation through local infection and poor microcirculation and macrocirculation.Huangma Ding and APG were effective attreating DFUs.The clinical efficacy of Huangma Ding was better than that of autologous platelet gel,which may be related to the better control of local infection by Huangma Ding.This finding suggested that in patients with DFUs combined with coinfection,controlling infection is as important as improving circulation.展开更多
目的构建呼吸危重症精准诊疗体系,探索该体系对促进抗菌药物合理使用的价值,从源头上促进呼吸危重症抗菌药物合理使用。方法以2012—2021年中南大学湘雅医院呼吸重症监护专科出院病例为研究对象,将抗菌药物科学化管理模式融入呼吸危重...目的构建呼吸危重症精准诊疗体系,探索该体系对促进抗菌药物合理使用的价值,从源头上促进呼吸危重症抗菌药物合理使用。方法以2012—2021年中南大学湘雅医院呼吸重症监护专科出院病例为研究对象,将抗菌药物科学化管理模式融入呼吸危重症精准诊疗体系,对比该体系实施前后抗菌药物使用情况。结果共纳入出院病例2947例,其中实施前病例1105例,实施后病例1842例。出院诊断中涉及感染病例2643例,占89.7%,其中实施前963例(占87.1%),实施后1680例(占91.2%)。实施后在感染病例占比增加的情况下,抗菌药物使用率较实施前下降2.9%(97.0%VS 94.2%,P<0.001);抗菌药物使用强度较实施前下降12.4%(244.4 DDDs VS 214.1 DDDs),特殊使用级抗菌药物使用强度较实施前下降14.4%(131.0 DDDs VS 112.2 DDDs),均由高位波动转为线性下降(P<0.001)。结论呼吸危重症精准诊疗体系有效促进抗菌药物合理、精准使用,临床诊疗团队是该体系的核心,新兴诊疗技术发挥重要作用。展开更多
文摘环境DNA(eDNA)技术作为新兴生物多样性监测方法,具有非侵入性、高效性及灵敏性的特点.为探究基于宏基因组测序的eDNA技术对喀斯特湖泊硅藻监测的适用性,以贵州草海为例,采集草海湖滨带的水样及表层沉积物样品,运用宏基因组学与eDNA相结合的方法,分析浮游及沉积硅藻的群落组成、生物多样性及KEGG代谢功能.结果表明:①草海硅藻群落共注释到4纲23目36科54属78种,在科分类阶元上以舟形藻科和海链藻科为优势类群.硅藻群落的Chao1指数平均值为42.88±15.35,Shannon-Wiener指数平均值为2.09±0.29.②硅藻群落KEGG通路功能最具代表性的是全局和概述图谱(global and overview maps),其次是能量代谢、翻译;优势KO基因主要为atpF基因、secA基因、rplT基因、rpoA基因、argH基因.③主坐标分析(PCoA)和相似性分析(ANOSIM)表明硅藻群落存在显著的环境介质差异;LEfSe分析揭示浮游硅藻群落的差异标志物主要为海链藻属(Thalassiosira)、小环藻属(Cyclotella),沉积硅藻主要是管状藻属(Fistulifera)、褐指藻属(Phaeodactylum)、微壳藻属(Nanofrustulum)等;Wilcoxon秩和检验表明,浮游硅藻的差异基因集中在叶酸生物合成通路、嘧啶代谢,沉积硅藻的差异基因集中在光合作用、氧化磷酸化等代谢功能.研究显示,高灵敏性的eDNA宏基因组技术能有效描述草海湖泊硅藻群落及多样性,在喀斯特湖泊生物多样性监测及水生态环境健康评估具有广阔的应用前景.
基金Supported by the Chongqing Science and Technology Bureau and Health Commission of Chinese Medicine Technology Innovation and Application Development Project,No.2020ZY013540General Project of Chongqing Natural Science Foundation,No.CSTB2023NSCQMSX0246 and No.CSTB2022NSCQ-MSX1271Science and Health Joint Project of Dazu District Science and Technology Bureau,No.DZKJ2022JSYJ1001.
文摘BACKGROUND Diabetes foot is one of the most serious complications of diabetes and an important cause of death and disability,traditional treatment has poor efficacy and there is an urgent need to develop a practical treatment method.AIM To investigate whether Huangma Ding or autologous platelet-rich gel(APG)treatment would benefit diabetic lower extremity arterial disease(LEAD)patients with foot ulcers.METHODS A total of 155 diabetic LEAD patients with foot ulcers were enrolled and divided into three groups:Group A(62 patients;basal treatment),Group B(38 patients;basal treatment and APG),and Group C(55 patients;basal treatment and Huangma Ding).All patients underwent routine follow-up visits for six months.After follow-up,we calculated the changes in all variables from baseline and determined the differences between groups and the relationships between parameters.RESULTS The infection status of the three groups before treatment was the same.Procalcitonin(PCT)improved after APG and Huangma Ding treatment more than after traditional treatment and was significantly greater in Group C than in Group B.Logistic regression analysis revealed that PCT was positively correlated with total amputation,primary amputation,and minor amputation rates.The ankle-brachial pressure and the transcutaneous oxygen pressure in Groups B and C were greater than those in Group A.The major amputation rate,minor amputation rate,and total amputation times in Groups B and C were lower than those in Group A.CONCLUSION Our research indicated that diabetic foot ulcers(DFUs)lead to major amputation,minor amputation,and total amputation through local infection and poor microcirculation and macrocirculation.Huangma Ding and APG were effective attreating DFUs.The clinical efficacy of Huangma Ding was better than that of autologous platelet gel,which may be related to the better control of local infection by Huangma Ding.This finding suggested that in patients with DFUs combined with coinfection,controlling infection is as important as improving circulation.
文摘目的构建呼吸危重症精准诊疗体系,探索该体系对促进抗菌药物合理使用的价值,从源头上促进呼吸危重症抗菌药物合理使用。方法以2012—2021年中南大学湘雅医院呼吸重症监护专科出院病例为研究对象,将抗菌药物科学化管理模式融入呼吸危重症精准诊疗体系,对比该体系实施前后抗菌药物使用情况。结果共纳入出院病例2947例,其中实施前病例1105例,实施后病例1842例。出院诊断中涉及感染病例2643例,占89.7%,其中实施前963例(占87.1%),实施后1680例(占91.2%)。实施后在感染病例占比增加的情况下,抗菌药物使用率较实施前下降2.9%(97.0%VS 94.2%,P<0.001);抗菌药物使用强度较实施前下降12.4%(244.4 DDDs VS 214.1 DDDs),特殊使用级抗菌药物使用强度较实施前下降14.4%(131.0 DDDs VS 112.2 DDDs),均由高位波动转为线性下降(P<0.001)。结论呼吸危重症精准诊疗体系有效促进抗菌药物合理、精准使用,临床诊疗团队是该体系的核心,新兴诊疗技术发挥重要作用。
