Intraocular pressure before and after capsulorhexis using two viscoelastic substances and two surgical approaches in enucleated porcine eyes

AIM:To investigate the influence of ophthalmic viscoelastic devices(OVDs)and different surgical approaches on the intraocular pressure(IOP)before and after creation of the curvilinear circular capsulorhexis(CCC)as a measure for anterior chamber stability during this maneuver.METHODS:Prospective experimental WetLab study carried out on enucleated porcine eyes.IOP was measured before and after CCC with the iCare Rebound tonometer(iCare ic200;iCare Finland Oy,Vantaa,Finland).The OVDs used were a cohesive one[Z-Hyalin,Carl Zeiss Meditec AG,Germany;hyaluronic acid(HA)]and a dispersive[Z-Celcoat,Carl Zeiss Meditec AG,Germany;hydroxy propylmethylcellulosis(HPMC)].The CCC was created using Utrata forceps or 23 g microforceps in different combinations with the OVDs.RESULTS:Using the Utrata forceps the IOP dropped from 63.65±6.44 to 11.25±3.63 mm Hg during the CCC.The use of different OVDs made no difference.Using the 23 g microforceps the IOP dropped from 65.35±8.15 to 36.55±6.09 mm Hg.The difference between IOP drop using either Utrata forceps or 23 g microforceps was highly significant regardless of the OVD used.CONCLUSION:Using the sideport for the creation of the capsulorhexis leads to a lesser drop in IOP during this maneuver compared to the main incision in enucleated porcine eyes.The use of different OVD has no significant influence on IOP drop.

Enhancement of porcine in vitro embryonic development through luteolin‑mediated activation of the Nrf2/Keap1 signaling pathway

Background Oxidative stress,caused by an imbalance in the production and elimination of intracellular reactive oxygen species(ROS),has been recognized for its detrimental effects on mammalian embryonic development.Luteolin(Lut)has been documented for its protective effects against oxidative stress in various studies.However,its specific role in embryonic development remains unexplored.This study aims to investigate the influence of Lut on porcine embryonic development and to elucidate the underlying mechanism.Results After undergoing parthenogenetic activation(PA)or in vitro fertilization,embryos supplemented with 0.5μmol/L Lut displayed a significant enhancement in cleavage and blastocyst formation rates,with an increase in total cell numbers and a decrease in the apoptosis rate compared to the control.Measurements on D2 and D6 revealed that embryos with Lut supplementation had lower ROS levels and higher glutathione levels compared to the control.Moreover,Lut supplementation significantly augmented mitochondrial content and membrane potential.Intriguingly,activation of the Nrf2/Keap1 signaling pathway was observed in embryos supplemented with Lut,leading to the upregulation of antioxidant-related gene transcription levels.To further validate the relationship between the Nrf2/Keap1 signaling pathway and effects of Lut in porcine embryonic development,we cultured PA embryos in a medium supplemented with brusatol,with or without the inclusion of Lut.The positive effects of Lut on developmental competence were negated by brusatol treatment.Conclusions Our findings indicate that Lut-mediated activation of the Nrf2/Keap1 signaling pathway contributes to the enhanced production of porcine embryos with high developmental competence,and offers insight into the mechanisms regulating early embryonic development.

Interlayer repair with porcine small intestinal submucosa versus internal repair with tragus cartilage in endoscopic tympanoplasty

Objective Endoscopic tympanoplasty includes various surgical methods,such as internal repair,interlayer repair,and external overlay.This technique requires autologous materials,allografts,and xenografts,which are used to repair tympanic membrane(TM)perforation.To obtain good results,appropriate surgical methods and repair materials should be selected.This study aims to assess the efficacy of repairing refractory TM perforations in the porcine small intestinal submucosa(SIS)during transcanal endoscopic type I tympanoplasty.Method A retrospective chart review was performed on patients who underwent TM perforation repair with porcine SIS and tragus cartilage between January 2022 and September 2022 at Sir Run Run Shaw Hospital,Zhejiang University School of Medicine.Perforation size,tympanic status,pre-and postoperative symptoms,follow-up data,wound healing rates,and hearing improvement were analysed.Results Of the 115 patients included in the study,56 underwent interlayer repair with porcine SIS of the TM,and 59 patients underwent internal repair with tragus cartilage.No significant difference was found between the two groups at baseline in terms of age,sex,disease course,perforation side,tympanic status,underlying disease,or preoperative infection.The total postoperative effective rate of interlayer implantation with porcine SIS was 91.07%(51 patients),and that of internal implantation with tragus cartilage was 88.14%(52 patients).No significant difference was found in terms of the graft success rate between the two surgical methods(p=0.887).Postoperative pure tone auditory(PTA)and air-bone gap(ABG)density significantly increased in both groups compared with before surgery(p<0.05).However,the postoperative PTA and ABG density were not significantly different 3 months post-surgery between the two groups(p>0.05).Compared to those in the internal implantation group,the patients in the interlayer group had a shorter operation duration(51.36±6.76 min vs.59.71±7.45 min,t=6.298,p<0.001)and less blood loss(11.91±2.61 mL vs.15.27±2.57 mL,t=7.019,p<0.001).Conclusions Our study suggests that the porcine SIS,as well as the tragus cartilage,has a high success rate in repairing irreversible TM perforation.Endoscopic tympanoplasty via interlayer implantation with porcine SIS offers distinct advantages,including the absence of donor-site incision and scar formation,and ease of graft modification and manipulation.

Development of Multi-PCR for Differentiation of Vaccine Strain and Field Isolate of Porcine Pseudorabies Virus

Three pairs of primer were designed for amplification of porcine pseudorabies virus （PRV） gB, gE, and TK gene by multiplex PCR （multi-PCR） in order to differentiate vaccine strains from field isolates. Three specific bands were obtained respectively at the expected size, 427 bp （gB gene）, 298 bp （gEgene）, and 208 bp （TKgene）, Then four different gene-deleted vaccines of PRV were detected by multi-PCR. One ex- pected specific band was observed in one of samples, while two bands in the others. As shown by the detection results, the multi-PCR has high sensitivity and specificity and should be applied in pathogen diagnosis and epidemiological investigation in the future.

Expression of Porcine Reproductive and Respiratory Syndrome Virus ORF7 Gene and Purification and Immunological Activity Analysis of the Recombinant Protein

[Objective] The aim of this study was to realize efficient expression of the porcine reproductive and respiratory syndrome virus （PRRSV） ORF7 gene in genetic engineering bacteria and analYze the immunological activity of the recombinant protein after purification. [ Method] The constructed recombinant expression vector pET-ORF7 was transformed into Escherichia co1BL21 （DE3） and induced by IPTG under the optimal condition. After analysis of SDS-PAGE and Western Blot, the expression products were purified by Ni-NTA His · Bind Resin chrom- atographic column under denaturing condition and renatured by gradient dialysis. Subsequently, the immunological activity of the renatured recombinant protein was detected by Westem Blot and indirect ELISA. [ Result] The recombinant plasmid pET-ORF7 expressed in E. coli successfully, and the fusion protein was in the form of inclusion body. By SDS-PAGE detection, the molecular weight of the expression protein was approximate 33 kD, according with the expectation. Analysis by Bandscan software showed that the expressed fusion protein was about 50% of total bacterial protein of BL21 （DE3）. Wastem Blot and indirect ELISA detection showed that the renatured protein could react with PRRSV positive serum specifically, indicating its good immunological activity. [ Conclusion] This study lays a foundation for the preparation of PRRSV monoclonal antibody and diagnostic kit.

Differential Expression of APOEGene in Porcine Fetal Fibroblast Cells

[Objective]The aim was to study the differential expression ofAPOEgene in different generations of porcine fetal fibroblasts cells.[Method]The first,tenth,fifteenth,twentieth,twenty-fifth,fiftieth generations of porcine fetal fibroblast cells,which were normally grown and passed,were collected before total RNA was extracted respectively.The expression ofAPOEgene in different generations of porcine fetal fibro-blast cells was detected by RT-PCR technique.[Result]The expression level of porcine APOE mRNA in the first generation of porcine fetal fi-broblast cells was the highest,and then it gradually decreased with the increase of cell generations and was the lowest in the fiftieth generation.[Conclusion]The expression ofAPOEgene had the selective trend in different generations of porcine fetal fibroblast cells.

Porcine Breeding Management in a Large-scale Piggery with Microbial Fermentation Bed

[Objective] The behavior of eating, drinking, defecating and peeing of 1 500 pigs in a large-scale microbial fermentation bed-equipped piggery was observed. We hoped to find some simple indicators that could reflect the health status of swinery and to provide experience for the swinery performance management in large-scale microbial fermentation bed-equipped piggery. [Method] The body weight （BW）, daily BW gain, feed intake and other indicators of different-day-old pigs were recorded in details. Based on the recorded data, the models between BW, BW gain, average daily feed intake and feed/gain ratio and growth days （d） were established. In addition, the incidences of pox-like macula （dermatitis）, diarrhea （gastrointestinal disease）, cough （respiratory disease）, stiff pig （malnutrition）, conjunctivitis （eye disease） and foot inflection （trauma） among fattening pigs were also investigated. [Result] The BW range, average BW, daily BW gain, breeding days, daily feed intake range, average daily feed intake, staged feed intake, accumulated feed intake, feed/gain ratio and accumulated feed/gain ratio of different-day-old pigs were studied, respectively. Four dynamic models were established for the growth of pigs： （1） the BW （y）-age （x） mod- el： y=0.758 9x-19.883 （3=0.993 7）; （2） the BW gain （y）-age （x） model： y=1.039 5x05051 （F=0.885 4）; （3） the average daily feed intake （y）-age （x） model： y=0.023 5x-0.334 3 （F=0.991 7）; （4） the feed/gain ratio （y）-age （x） model： y=0.022x＋0.427 8 （P=0.988 5）. Based on these models, the corresponding theoretical growth value of pigs at different growth stage could be predicted. The main diseases occurred among the swinery in the large-scale microbial fermentation bed piggery included pox-like macula （dermatitis）, diarrhea （gastrointestinal disease）, cough （respiratory disease）, stiff pig （mal- nutrition）, conjunctivitis （eye disease） and foot inflection （trauma）. The deadly infec- tious diseases had been not found among the pigs. [Conclusion] When the actual BW, BW gain, average daily feed intake and feed/gain ratio were all lower than the theoretical values predicted by the models, the management should be enhanced. The average daily feed intake of 60 to 65-day-old pigs was lower than the theoretic value, indicating that the pigs could not adapt nicely to the fermentation bed at the very early stage. When the pigs grew up to 70 to 75 d old, the average daily feed intake was higher than the theoretical value, indicating that the pigs had adapted to the fermentation bed. In particularly, average daily feed intake of 75-day-old pigs was higher than the theoretical value by 21%. It was suggested the fermentation bed was conducive to the growth of pigs. Considering the occurrence of diseases among pigs, the overall incidence was relatively low. The incidence of each disease was all lower than 10% with little difficulty in treating. If the management of mattress was strength- ened, such as paying attention to feeding and keeping water clean, many diseases could heal by themselves.

Acute Toxicity of Recombinant Porcine Interferon-alpha

To observe the acute toxicity of recombinant porcine interferen-alpha （IFN-alpha） in mice and thus provide a basis for the clinical safety. [Method] According to the principles of acute toxicity, all the mice were divided into two major groups （intraperitoneally injected group and intramuscularly injected group） respectively at high dose, moderate dose and low dose. And the normal control group was also set up. Within 14 d after administration, the behavior of mouse and the degree of toxicity were continuously observed. The hematological indexes and biochemical indexes of blood were detected to obtain the preliminary toxicity data of the recombinant porcine IFN-alpha. And at the end of the experiment, mice were sacrificed for autopsy. [ Result] There was not significant difference in external performance, behavioral characteristics, body temperature, weight, pathological anatomy of visceral organs, hematological indexes and biochemical indexes between the experimental groups and the control group. [ Conclusion] The highest dose of porcine interferon （5.0 x 10s IU per mouse） in this experiment or the dose lower than this dosage should not have significant toxic effects on mice, and the recombinant porcine IFN-alpha is safe in clinical application.

Combined Extracting Process and Activity Detection of Porcine Blood Superoxide Dismutase

[Objective] TO study the combined extracting process of porcine blood superoxide dismutase （SOD） and other bioactive substances and thus to provide technical basis for making full use of blood resources and large-scale production of SOD. [Method] Fibronectin, immunoglobulin, and hemoglobin were isolated from porcine blood, and SOD was extracted. Trace pyrogallol self-oxidation method to determine SOD activity was modified by optimizing the volume of pyrogallol and SOD samples, reaction temperature, and buffer pH. The specific activity of SOD was determined with the optimized extraction conditions. [ Result] The improved experimental conditions of SOD activity detection were as follows： 7 pyrogallol （50 mmol/L）, 3 ml Tris-HCI （50 mmol/L, pH 8.2）, reactive temperature at 25（3, and 10 pl SOD sample solution. The specific activity of extracted SOD was 5 056 U/mg protein. [ Conclusion] Four kinds of bioactive substance can be isolated from porcine blood by modern biological engi- neering integration technology, and the extracted SOD has better activity.

Culture of Porcine Peripheral Blood Monocyte-derived Dendritic Cells in vitro

[Objective] This study aimed to establish an in vitro culture model for porcine peripheral blood monocyte-derived dendritic cells （MoDCs）. [Method] Fresh peripheral blood mononuclear cells （PBMCs） were separated from pig, and precursor dendritic cells were obtained by adherence method. The dendritic cells were treated by recombinant porcine granulocyte-monocyte colony stimulating factor （rpGM-CSF） and recombinant porcine interleukin-4 （rplL-4） together, and lipopolysaccharide （LPS） respectively. The cells in different time periods were collected. The morphology of the collected cells was observed by scanning electron microscopy; the expression of surface molecules and phagocytic ability to FITC-dextran were detected by flow cy- tometry; and the stimulating ability for allogeneic T cells was detected by mixed lymphocyte reaction. [Result] The DCs suffering maturation induction in vitro showed typical dendritic morphology; compared with those of DCs untreated by LPS, the cell surface expression of CDla, CD80, CD86, SLAII and CD172a of DCs treated by LPS was significantly increased, the phagocytic ability was reduced slightly, and the stimulating ability for allogeneic T cells was enhanced to some extent. [Conclusion] An in vitro culture method was successfully established for porcine MoDCs in this study, laying a foundation for further study on the role of porcine MoDCs in immunoregulation and anti-virus infection.

Improvement of in vitro Cytoplasmic Maturation of Denuded Porcine Oocytes by Coculture with Follicular Mural Granulosa Cells

[Objective] This study aimed to improve the in vitro maturation quality of denuded porcine oocytes and provide scientific basis for establishing a stable and efficient denuded oocyte culture system. [Method] The first polar body extrusion rate, oocyte glutathione （GSH） content, positive rate of brilliant cresyl blue （BCB） staining and development potential of activated oocytes or fertilized oocytes were employed as main indicators to investigate the effects of follicular mural granulosa cell （MGC） coculture on cytoplasmic maturation of cumulus cell-removal oocytes （Denuded Oocyte, DO）. [Result] According to in vitro maturation results, compared with DO group, the first polar body extrusion rate of porcine oocytes in DO＋MGC group was not significantly different, but the nuclear maturation process was improved and was more similar to that in COC （cumulus-oocyte complex） group. Detection of GSH content in mature oocytes showed that there was no significant difference between DO＋ MGC group （optical density of 1 053.67） and COC group （optical density of 1 426.00） or between DO＋MGC group and COC＋GC group （optical density of 1 541.00）, however, GSH content in mature oocytes of DO group （optical density of 724.67） was significantly lower than that of COC group and COC＋GC group （P0.05）. Detection of glucose-6-phosphate dehydrogenase （G6PDH） activity showed that there was no significant difference in BCB positive oocyte rate between DO ＋MGC group （88.26% ） and COC group （92.75%） or between DO＋MGC group and DO group （82.86% ）, however, BCB positive oocyte rate of DO group was significantly lower than that of COC group （P0.05）. Furthermore, the cleavage rate and blastocyst rate of activated mature oocytes derived from DO ＋MGC group （94.98% and 43.67% , respectively） were significantly higher than those from DO group （52.54% and 8.97%, respectively） （P0.05）, and were not significantly different compared with those from COC group （97.11% and 38.30%, respectively）. In addition, the cleavage rate of fertilized oocytes derived from DO＋MGC group （72.65%） showed no significant difference compared with that from DO group （63.59%）, but the blastocyst rate of DO＋MGC group was significantly higher than that of DO group （9.88%） （P0.05）. [Conclusion] MGC coculture can significantly improve the in vitro cytoplasmic maturation quality of denuded porcine oocytes, thereby enhancing the subsequent developmental potential.

Genetic Variation Analysis of 3D Gene and Molecular Detection of Porcine Kobuvirus in 2013-2014

[Objective] This study aimed to investigate the prevalence and variation of porcine kobuvirus （PKV） in suckling piglets in China. [Method] In 2013-2014, 224 feces samples from suckling piglets with diarrhea in 27 pig farms of five provinces in China were collected to detect 3D genes of PKV with RT-PCR method; the sequences and genetic variation of 29 PKV 3D genes were analyzed. [Result] Total positive rate of PKV in feces samples from suckling piglets with diarrhea was 65.18% （146/224）; total positive rate of PKV in pig farms was 85,2% （23/27）; nucleotide sequences and the deduced amino acid sequences of 29 PKV 3D genes shared 87.0%-100% and 92.7%-100% homologies with six PKV-related 3D sequences, respectively. [Conclusion] PKV infection is prevalent in suckling piglets in China; PKV 3D genes exhibit high diversity.

弥漫大B细胞淋巴瘤^(18)F-FDG PET/CT特点及预测骨髓浸润的价值

目的探讨弥漫大B细胞淋巴瘤(DLBCL)18氟-脱氧葡萄糖(^(18)F-FDG)正电子发射断层/计算机断层扫描(PET/CT)特点及预测骨髓浸润的价值。方法回顾性分析70例经病理确诊为DLBCL患者的^(18)F-FDG PET/CT影像资料,以PET/CT存在局灶性骨髓浸润灶认定为骨髓浸润,根据是否发生骨髓浸润分为骨髓浸润组和骨髓正常组。其中骨髓浸润组分为局部浸润、弥漫浸润、局部伴弥漫浸润三组。观察代谢参数最大标准化摄取值(SUVmax)、肿瘤代谢体积(MTV)、病灶糖酵解总量(TLG)值,使用Spearman分析影像参数与Ann Arbor分期的相关性。绘制受试者工作特征曲线(ROC)分析PET/CT对骨髓浸润的诊断价值。结果经^(18)F-FDG PET/CT检查发现,骨髓浸润16例(22.86%),骨髓正常54例(78.14%),骨髓浸润中,局部浸润2例(12.50%)、弥漫浸润4例(25.00%)、局部伴弥漫浸润10例(62.50%);对比骨髓浸润组与骨髓正常组的^(18)F-FDGPET/CT参数发现,骨髓浸润组SUVmax、MTV和TLG值均高于骨髓正常组(P<0.05);对比不同临床分期的^(18)F-FDG PET/CT参数发现,4个临床分期的SUVmax、MTV和TLG值差异显著,均随着临床分期的进程而升高(P<0.05);Spearman分析显示,SUVmax、MTV和TLG与临床分期均成正相关(r=0.944,r=0.569,r=0.982,P均<0,001);SUVmax、MTV和TLG诊断骨髓浸润的AUC的面积分别为0.999、0.700、0.994(P均<0.05)。结论^(18)F-FDG PET/CT诊断DLBCL患者效能较高,其影像参数均呈现较高水平,与临床分期具有相关性,且其对骨髓浸润诊断价值较高。

基于多参数磁共振成像特征的深度学习预测直肠癌患者的BRAF基因突变状态

目的探讨鼠类肉瘤病毒癌基因同源物B基因(B-Raf proto-oncogene serine/threonine kinase,BRAF)突变状态与直肠癌患者生存率的相关性。本研究旨在评估影像组学模型预测结直肠癌患者BRAF基因突变情况的可行性。材料与方法对我院2020年6月至2023年6月确诊为直肠癌的患者病例资料进行回顾性分析,采用外显子测序鉴定BRAF基因突变状态。通过生存分析评估BRAF基因突变与直肠癌预后的关系。从260名接受多参数MRI的直肠癌患者中提取7388个特征模块,包括术前T1加权图像(T1-weighted imaging,T1WI)、T2加权图像(T2-weighted imaging,T2WI)和对比增强T1加权图像(contrast-enhanced T1-weighted imaging,CE-T1WI)。随后,基于卷积神经网络(convolutional neural network,CNN)构建了放射组学模型。通过受试者工作特征曲线(receiver operating characteristic,ROC)曲线、准确率、敏感度和特异度等指标评估模型效能。结果本研究共纳入89例BRAF突变患者和171例BRAF野生型患者。两组在肿瘤恶性分期、年龄、性别等临床特征上差异无统计学意义(P>0.05),但5年生存率差异存在统计学意义,BRAF突变组生存期低于BRAF野生型组(P<0.001)。所构建模型的ROC曲线下面积(area under the curve,AUC)为0.929,与病理结果一致性分析的Kappa统计量为0.87,表明模型具有较高的预测价值。结论基于CNN的放射组学特征模型在区分直肠癌患者BRAF突变状态方面表现优异,为未来无创筛查BRAF突变状态提供了新的研究思路。

Preparation and Identification of Specific Monoclonal Antibody against Porcine Circovirus Type 2

BALB/c mice were immunized using synthetic tandem polypeptide of Cap protein epitope of porcine circovirus type 2 （PCV2） as the antigen. By using lym-phocyte hybridoma technique, a hybridoma cellline stably secreting monoclonal an-tibody against PCV2-rCap protein was successful y obtained and named as 670#. The ascites titer of the obtained monoclonal antibody was 1∶100 000. Western blot results showed that the monoclonal antibody could react with prokaryotical y ex-pressed PET32a-ORF2 recombinant protein, eukaryotical y expressed ORF1-ORF2 tandem protein and PCV2 whole virus celllysate. Indirect EILSA demonstrated that the monoclonal antibody could bind with ORF1-ORF2 tandem protein. Indirect im-munofluorescence assay （IFA） indicated that the monoclonal antibody could identify native PCV2 virus. The preparation of this monoclonal antibody provided technical tools for epitope analysis and molecular diagnosis of PCV2 virus.

基于TLR4 NF-κB通路-神经相关因子探究依达拉奉对急性脑梗死患者炎症反应与神经损伤的保护机制

目的基于Toll样受体4(TLR4)核因子-κB(NF-κB)通路-神经相关因子探究依达拉奉对急性脑梗死(ACI)患者炎症反应与神经损伤的保护机制。方法选取2020-07—2023-07保定市第一中心医院收治的110例ACI患者,以随机数字表法分为观察组、对照组,各55例,对照组给予阿替普酶溶栓,观察组给予阿替普酶溶栓联合依达拉奉治疗。比较2组疗效、神经功能[美国国立卫生研究院卒中量表(NIHSS)评分、改良Rankin评分]、TLR4 NF-κB通路指标(TLR4、NF-κB)、神经损伤相关因子[神经元特异性烯醇化酶(NSE)、中枢神经特异性蛋白(S-100β)、脑源性神经营养因子(BDNF)]、TLR4 NF-κB通路相关炎症因子[白介素-1β(IL-1β)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子(TNF-α)、五聚素3(PTX3)、脂蛋白相关磷脂酶A2(Lp-PLA2)]。结果观察组总有效率96.36%,高于对照组的83.64%(P<0.05)。治疗1、2周观察组NIHSS评分、改良Rankin评分均低于对照组(P<0.05),观察组TLR4、NF-κB均低于对照组(P<0.05)。相较于治疗前,2组治疗1、2周后S-100β、NSE水平明显下降,BDNF水平明显升高,观察组S-100β、NSE水平均低于对照组,BDNF水平高于对照组(P<0.05)。相较于治疗前,2组治疗1、2周后IL-1β、hs-CRP、TNF-α、PTX3、Lp-PLA2水平均明显下降,观察组IL-1β、hs-CRP、TNF-α、PTX3、Lp-PLA2水平均低于对照组(P<0.05)。结论依达拉奉对ACI患者的疗效显著,有利于缓解炎症反应,改善神经损伤,其保护机制可能与TLR4 NF-κB通路调控神经损伤、炎症反应相关因子有关。

增强型体外反搏应用于不同NT-proBNP表达水平老年缺血性心力衰竭病人的临床疗效

目的:分析增强型体外反搏应用于不同N末端B型利钠肽原(NT-proBNP)表达水平老年缺血性心力衰竭病人的临床疗效。方法:选取2021年1月—2023年9月在我院治疗的缺血性心力衰竭老年病人105例。根据NT-proBNP表达水平分为低表达组(450~900 pg/mL,52例)和高表达组(901~1800 pg/mL,53例)。比较两组心功能指标、心肌损伤标志物、活动耐量、氧化应激、神经内分泌因子、血清学指标及临床疗效。结果:治疗后,两组左室射血分数(LVEF)、6 min步行距离、超氧化物歧化酶(SOD)高于治疗前,左室收缩末期容积(LVESV)、左室舒张末期容积(LVEDV)、明尼苏达州心功能不全生命质量量表(MLHFQ)评分、丙二醛(MDA)、活性氧(ROS)低于治疗前,且高表达组LVEF、6 min步行距离、SOD高于低表达组,LVESV、LVEDV、MLHFQ评分、MDA、ROS低于低表达组(P<0.05)。治疗后,两组肌酸激酶同工酶(CK-MB)、肌钙蛋白I(cTnI)、乳酸脱氢酶(LDH)、内皮素-1(ET-1)、血管紧张素转化酶(ACE)、醛固酮(ALD)、超敏C反应蛋白(hs-CRP)、同型半胱氨酸(Hcy)、肿瘤坏死因子α(TNF-α)低于治疗前,且高表达组CK-MB、cTnI、LDH、ET-1、ACE、ALD、hs-CRP、Hcy、TNF-α低于低表达组(P<0.05)。高表达组临床总有效率高于低表达组,差异有统计学意义(94.34%与73.08%,P<0.001)。结论:增强型体外反搏可改善老年缺血性心力衰竭病人活动耐量,对NT-proBNP高表达水平病人的临床疗效较好,可改善心功能指标、心肌损伤标志物及氧化应激水平,降低神经内分泌因子、血清学指标,且NT-proBNP高表达较NT-proBNP低表达临床疗效更好。

Co_(3)S_(4)/PES催化膜反应器氧化降解水中罗丹明B

基于过硫酸氢钾(PMS)的非均相高级氧化工艺(AOPs)在实际应用中一直受到PMS活化效率与活性氧物种(ROS)利用率低下的限制。本文以ZIF-67为前驱体、聚醚砜(PES)多孔膜为基底,采用金属有机框架(MOFs)模板配体交换策略,流动合成构建了Co_(3)S_(4)/PES催化膜反应器(CMR)。通过场发射电子显微镜(FESEM)、X射线衍射(XRD)等方法对催化膜进行了表征。结果显示,平均粒径为23 nm的Co_(3)S_(4)纳米颗粒被原位合成固载在PES膜孔中,负载量为15.9%,并沿膜厚度方向均匀分布。以活化PMS降解典型芳香族有机化合物罗丹明B(RhB)为例,研究了该催化膜的催化性能及反应机理。实验结果表明,浓度为20 mg/L的RhB溶液,在初始溶液pH为7、温度为25℃以及膜通量为0.80 mL/(min·cm^(-2))(对应于停留时间0.68 s)的条件下,Co_(3)S_(4)/PES催化膜具有90%以上的降解率,表观反应速率常数为97.83 min^(-1),转化频率达到了489.15 L/(min·g^(-1)),均高出Co_(3)S_(4)粉末传统悬浮间歇处理模式两个数量级,并且Co_(3)S_(4)/PES催化膜能够保持良好的稳定性。膜孔道的分散性有效防止了Co_(3)S_(4)纳米颗粒的聚集,过膜流动反应限域在微纳尺度的膜孔道内,强化了反应物与催化剂之间的质量传递与接触,加快了PMS的活化,从而实现了单线态氧(^(1)O_(2))的高效生成,并在RhB的快速降解中起主导作用。

双偶氮苯-二苯并[b,i]噻蒽-[2,3-b]苯-5,7,12,14-四酮衍生物分子的二阶非线性光学性质

使用密度泛函理论(DFT)M06-2X方法、采用6-311+g(d,p)基组,分别对26个双偶氮-二苯并[b,i]噻蒽-[2,3-b]苯-5,7,12,14-四酮衍生物分子进行结构优化与频率计算;使用含时密度泛函理论(TD-DFT)TD-M06-2X方法计算了a1~d6分子的前线分子轨道与电子吸收光谱,采用有效场FF方法研究了二阶非线性光学性质(NLO).研究结果表明,26个噻蒽四酮类衍生物分子的能隙在1.33—2.02 eV范围,归属于有机半导体;最低能量吸收峰波长在601.8~609.5nm范围;在增大分子的二阶非线性光学系数β_(μ)(或β_(0))值方面,含相同偶氮苯基团或含不同偶氮苯基团分别引入到二苯并[b,i]噻蒽-[2,3-b]苯-5,7,12,14-四酮分子两侧的2,10位优于2,9位,在2,10位分别端接含推、拉基团的偶氮苯优于含相同给电子基团的偶氮苯.在偶氮苯苯环对位分别端接强吸电子基(-NO_(2))与强供电子基(如-N(CH_(3))_(2)、-N(Ph)_(3)、-N-苯基咔唑等)可增强体系的二阶非线性光学性能,获得性能良好的非线性光学材料.

BUN/Cr、cTnⅠ、NT-proBNP在不同严重程度的急性左心衰竭患者中的诊断价值

目的:评估血尿素氮/肌酐比(blood urea nitrogen/creatinine ratio,BUN/Cr)、心肌肌钙蛋白Ⅰ(cardiac troponinⅠ,cTnⅠ)和N末端B型利钠肽原(NT-proBNP)在诊断急性左心衰竭患者的严重程度方面的有效性。方法:选取连云港市第二人民医院检验科2023年1月—2024年2月接收的122份急性左心衰竭患者的血清样本作为研究样本,根据急性生理学及慢性健康状况评分Ⅱ(APACHEⅡ)将患者分为轻症组(APACHEⅡ评分≤20分,45例)、重症组(APACHEⅡ评分21~30分,42例)及极重症组(APACHEⅡ评分≥31分,35例)。比较三组患者的血清BUN/Cr、cTnⅠ及NT-proBNP水平,采用Spearman分析评估血清BUN/Cr、cTnⅠ及NT-proBNP水平与急性左心衰竭患者严重程度的相关性,并构建受试者操作特征(ROC)曲线分析血清BUN/Cr、cTnⅠ及NT-proBNP水平对极重症急性左心衰竭患者的诊断价值。结果:极重症组的血清BUN/Cr、cTnⅠ及NT-proBNP水平均高于重症组、轻症组,且重症组均高于轻症组,差异均有统计学意义(P<0.05);相关性分析结果显示,血清BUN/Cr、cTnⅠ及NT-proBNP水平与急性左心衰竭患者的严重程度呈正相关(P<0.05);ROC曲线分析结果显示,血清BUN/Cr、cTnⅠ及NT-proBNP联合检测的敏感度、特异度分别为94.3%、90.8%,ROC曲线下面积(AUC)为0.969,优于单独检测。结论:在急性左心衰竭患者中,血清BUN/Cr、cTnⅠ及NT-proBNP的水平与疾病严重程度相关,联合检测可以有效诊断急性左心衰竭患者的疾病严重程度,具有较高的敏感度和特异度。