循证护理在提高断指再植患者再植体成活率及满意度的作用

目的通过观察患者的不同临床表现,探讨循证护理在提高断指再植患者再植体成活率及满意度的作用。方法选取2015年4月~2016年9月在我院进行治疗的90例断指再植患者,按照简单平均化方法将其分为两组,观察组和对照组均为45例,其中对照组患者采用常规护理,观察组患者采用循证护理,观察记录两组患者的相关临床指标数据。结果观察组患者的断指再植体成活率(93.33%)显著较对照组高(75.56%),差异有统计学意义(P<0.05);观察组断指再植体的功能状况评分优良率(93.33%)明显较对照组高(80.00%),差异有统计学意义(P<0.05);观察组患者的护理满意率(95.56%)显著高于对照组(73.34%),差异有统计学意义(P<0.05)。观察组采用循证护理干预后患者的HAMA评分明显低于对照组,差异有统计学意义(P<0.05)。结论循证护理在提高断指再植患者再植体成活率及患者满意度比较显著,HAMA评分较低,可有效推进断指再植患者的恢复进程,值得在临床上推广应用。

指动脉转位吻合术对断指再植患者再植指体成活率的影响

目的:观察指动脉转位吻合术对断指再植患者再植指体成活率的影响。方法:选取断指再植患者62例为研究对象,按照随机数字表法分为对照组与观察组各31例。对照组行自体小静脉移植术,观察组行指动脉转位吻合术。比较两组再植指体成活率、手功能恢复优良率和指腹两点辨别觉阈值。结果:观察组再植指体成活率和手功能恢复优良率均高于对照组,差异有统计学意义(P<0.05);观察组术后指腹两点辨别觉阈值低于对照组,差异有统计学意义(P<0.05)。结论:指动脉转位吻合术治疗断指再植患者可提高再植指体成活率和手功能恢复优良率,以及降低指腹两点辨别觉阈值的效果优于自体小静脉移植术治疗效果。

坛紫菜与长紫菜种间杂交后代的细胞崩溃现象与成活后代的表现型观察比较

坛紫菜壳孢子萌发的第一次和第二次分裂为减数分裂,结束后形成了一个基因型不同的四分体,随后由这个四分体发育成一个基因型嵌合的叶状体。由坛紫菜与长紫菜种间杂交所产生的杂合丝状体成熟后释放出壳孢子,后者在分裂初期出现了大量的细胞崩溃死亡,通过对单个的壳孢子萌发体进行定点跟踪观察后发现,细胞崩溃死亡不仅会发生在减数分裂的直接产物即处于二细胞期、三细胞期、四细胞期的萌发体,当细胞数大于4个的萌发体在进行有丝分裂时也会出现细胞崩溃死亡。绝大部分的壳孢子能进行第一次减数分裂,形成处于二细胞期的萌发体,随后进行第二次减数分裂,形成处于三细胞期或四细胞期的萌发体。培养4 d,78.6%的壳孢子已发育成含2~4个细胞的萌发体,其余为未分裂的壳孢子萌发体;在含2~4个细胞的萌发体中未出现细胞崩溃死亡的萌发体的百分率为99.7%,0.3%的个体出现了细胞崩溃死亡。随着培养时间的延长,大多数处于二细胞期的萌发体发育成处于三细胞期和四细胞期的萌发体,而大规模的细胞崩溃死亡也出现在处于三细胞期和四细胞期的萌发体中。培养14 d,处于三细胞期和四细胞期的萌发体的百分率分别为38.6%和37.2%,它们当中含有崩溃死亡细胞的个体百分率分别为99.5%和99.2%。此外,8.9%的萌发体能够发育成含4个以上细胞的个体,但在随后的有丝分裂中也出现了细胞崩溃死亡现象。培养35 d,大部分的萌发体其体细胞已全部崩溃死亡,但仍有约1%的萌发体能成活下来,可它们并非是由一个完整的四分体发育而来,而是由四分体中的1~2个成活细胞发育而来。培养45 d,可把成活体的形态和颜色分成类亲本型和重组型两大类。研究表明,利用紫菜种间杂交的后代在壳孢子萌发初期会出现细胞崩溃死亡的现象,不仅可以用于辅助更精确地鉴别物种,而且可以从其成活后代中筛选出具有重组优势的新品系。

运用湿润再生疗法治疗指尖组织离断伤的临床观察

目的:探讨湿润再生疗法与原位回植术治疗指尖组织离断伤的临床效果。方法:选择2021年1月至2023年6月江门市五邑中医院骨伤科收治的80例指尖组织离断伤患者随机分为两组。对照组采用原位回植术治疗,观察组应用湿润再生疗法治疗。比较两组治疗效果、指体成活率、创面愈合时间、治疗前后手指功能评分。结果:观察组治疗有效率为92.50%,高于对照组的72.50%(P<0.05)。观察组指体成活率为95.00%,高于对照组的75.00%(P<0.05)。观察组创面愈合时间短于对照组(P<0.05)。治疗后,两组手术功能能力、外观、感觉、运动项目评分均高于治疗前(P<0.05);治疗后同时期,观察组手指功能各项目评分均高于对照组(P<0.05)。结论:运用湿润再生疗法治疗指尖组织离断伤的效果较好,可提高患者指体成活率,缩短患者创面愈合时间,改善其手指功能,临床价值显著。

循征护理在断指再植患者术后护理中的效果评价

目的：探讨循征护理在断指再植患者术后护理中的临床效果.方法：在医院2015年7月~2016年12月期间诊治的断指再植患者中抽取36例作研究对象,遵从随机抽签原则予以分组,观察组（n=18）在术后护理中应用循证护理模式,对照组（n=18）应用常规护理模式,对比2组患者护理后断肢再植体成活率、再植体功能优良率.结果：观察组患者的再植体功能优良率是100.00%,断肢再植体成活率是94.44%;对照组患者的再植体功能优良率是77.78%,断肢再植体成活率是66.67%;2组指标比较有统计学差异（P〈0.05）.结论：循征护理在断指再植患者术后护理中的临床效果,可提升患者断指再植体的成活率,并最大限度恢复患者断指再植体功能,值得借鉴.

Hydrothermal synthesis of monodisperse Zn_(x)Cd_(1-x)S spheres and their photocatalytic properties

Monodisperse ZnxCd1-xS spheres were successfully fabricated with a high yield by a facile hydrothermal route.The as-prepared samples were characterized by X-ray diffractometry,scanning electron microscopy and UV-vis diffusion reflectance spectroscopy.The results indicate that all the prepared samples have the same hexagonal wurtzite phase and exhibit good size uniformity and regularity.Degradation of rhodamine-B（RhB） was used to evaluate the photocatalytic activities of ZnxCd1-xS samples.Zn0.4Cd0.6S possessed the best photocatalytic activity and exhibited high stability during the reaction.

章姬草莓的脱毒及组培快繁技术研究

对章姬草莓的脱毒检测及组培快繁进行研究,提出了用热处理法脱毒、用指示植物嫁接法检测、用已脱毒苗的茎尖进行组培快繁的有效技术,该技术可使组培苗100％无病毒,外殖体成活率达80％,成苗率90％以上。

Clinical study on safety of adult-to-adult living donor liver transplantation in both donors and recipients

AIM： TO investigate the safety of adult-to-adult living donor liver transplantation （A-A LDLT） in both donors and recipients. METHODS： From January 2002 to July 2006, 50 cases of A-A LDLT were performed at West China Hospital, Sichuan University, consisting of 47 cases using right lobe graft without middle hepatic vein （HHV）, and 3 cases using dual grafts （one case using two left lobe, 2 using one right lobe and one left lobe）. The most common diagnoses were hepatitis B liver cirrosis, 30 （60%） cases; and hepatocellular carcinoma, 15 （30%） cases in adult recipients. Among them, 10 cases had the model of end-stage liver disease （HELD） with a score of more than 25. Donor screening consisted of reconstruction of the hepatic blood vessels and biliary system with 3-dimension computed tomography and volumetry of whole liver and right liver volume. Various improved surgical techniques were adopted in the procedures for both donors and recipients. RESULTS： Forty-nine right lobes and 3 left lobes （2 left lobe grafts for 1 recipient, 1 left lobe graft for 1 recipient who had received right lobe graft donated by relative living donor） were obtained from 52 living donors. The 49 right lobe grafts, without HHV, weighed 400 g-850 g （media 550 g）, and the ratio of graft volume to recipient standard liver volume （GV/SLV） ranged from 31.74% to 71.68% （mean 45.35%）. All donors＇ remnant liver volume was over 35% of the whole liver volume. There was no donor mortality. With a follow- up of 2-52 mo （media 9 too）, among 50 adult recipients, complications occurred in 13 （26%） cases and 4 （8%） died postoperatively within 3 mo. Their 1-year actual survival rate was 92%.CONCLUSION： When preoperative CT volumetry shows volume of remnant liver is more than 350, the ratio of right lobe graft to recipients standard liver volume exceeding 40%, A-A LDLT using right lobe graft without MHV should be a very safe procedure for both donors and recipients, otherwise dual grafts liver transplantation should be considered.

对行断指再植手术后的患者实施循证护理的临床效果观察

目的:探讨循证护理在断指再植术后的临床效果。方法:选取本院2016年7月—2019年6月接收的70例断指再植术患者,利用电脑随机法分为两组,常规组35例行术后常规化护理,研究组35例术后则在常规组的基础上进行循证护理。观察对比两组护理效果。结果:研究组断指再植体成活率、满意度高于常规组(P<0.05);研究组断指再植体肌力、关节活动度、感觉、外形、遗留症状等各项功能评分高于常规组(P<0.05);研究组术后HAMD评分、HAMA评分、并发症总发生率明显低于常规组(P<0.05)。结论:断指再植术后通过循证护理不仅可以提高患者满意度、再植体成活率,改善患者再植体功能,而且还可以减轻患者负面情绪、减少并发症,这对于患者预后恢复十分有利,值得在临床中大力推荐、普及。

Synthesis and activity of hydroxyethylene peptidomimetic inhibitors of humanβ-secretase

A series of β-secretase peptidomimetic inhibitors with Leu＊Ala hydroxyethylene dipeptide isostere were synthesized and their β-secretase inhibitory activities were measured. The most potent compound N9 showed an inhibitory rate of 59.66% （10 mg/mL）. Compound N9 might be further modified by means of computational chemical methodology.

Adult-to-adult living donor liver transplantation for acute liver failure in China

AIM:To investigate the long-term outcome of recipients and donors of adult-to-adult living-donor liver transplantation(AALDLT) for acute liver failure(ALF).METHODS:Between January 2005 and March 2010,170 living donor liver transplantations were performed at West China Hospital of Sichuan University.All living liver donor was voluntary and provided informed consent.Twenty ALF patients underwent AALDLT for rapid deterioration of liver function.ALF was defined based on the criteria of the American Association for the Study of Liver Diseases,including evidence of coagulation abnormality [international normalized ratio(INR) ≥ 1.5] and degree of mental alteration without pre-ex-isting cirrhosis and with an illness of < 26 wk duration.We reviewed the clinical indications,operative procedure and prognosis of AALDTL performed on patients with ALF and corresponding living donors.The potential factors of recipient with ALF and corresponding donor outcome were respectively investigated using multivariate analysis.Survival rates after operation were analyzed using the Kaplan-Meier method.Receiver operator characteristic(ROC) curve analysis was undertaken to identify the threshold of potential risk factors.RESULTS:The causes of ALF were hepatitis B(n = 18),drug-induced(n = 1) and indeterminate(n = 1).The score of the model for end-stage liver disease was 37.1 ± 8.6,and the waiting duration of recipients was 5 ± 4 d.The graft types included right lobe(n = 17) and dual graft(n = 3).The mean graft weight was 623.3 ± 111.3 g,which corresponded to graft-torecipient weight ratio of 0.95% ± 0.14%.The segment Ⅴor Ⅷ hepatic vein was reconstructed in 11 right-lobe grafts.The 1-year and 3-year recipient's survival and graft survival rates were 65%(13 of 20).Postoperative results of total bilirubin,INR and creatinine showed obvious improvements in the survived patients.However,the creatinine level of the deaths was increased postoperatively and became more aggravated compared with the level of the survived recipients.Multivariate analysis showed that waiting duration was independently correlated with increased mortality(P = 0.014).Furthermore,ROC curve revealed the cut-off value of waiting time was 5 d(P = 0.011,area under the curve = 0.791) for determining the mortality.The short-term creatinine level with different recipient's waiting duration was described.The recipients with waiting duration ≥ 5 d showed the worse renal function and higher mortality than those with waiting duration < 5 d(66.7% vs 9.1%,P = 0.017).In addition,all donors had no residual morbidity.Furthermore,univariate analysis did not show that short assessment time induced the high morbidity(P = 0.573).CONCLUSION:Timely AALDLT for patients with ALF greatly improves the recipient survival.However,further systemic review is needed to investigate the optimal treatment strategy for ALF.

Recent advances in application of iron‐based catalysts for CO_(x) hydrogenation to value‐added hydrocarbons

The widespread utilization of fossil fuels has caused an associated increase in CO_(2) emissions over the past few decades,which has resulted in global warming and ocean acidification.CO hydrogenation(Fischer‐Tropsch synthesis,FTS)is considered a significant route for the production of liquid fuels and chemicals from nonpetroleum sources to meet worldwide demand.Conversion of CO_(2) with renewable H_(2) into valuable hydrocarbons is beneficial for reducing dependence on fossil fuels and mitigating the negative effects of high CO_(2) concentrations in the atmosphere.Iron‐based catalysts exhibit superior catalytic performance in both FTS and CO_(2) hydrogenation to value‐added hydrocarbons.The abundance and low cost of iron‐based catalysts also promote their wide application in CO_(x) hydrogenation.This paper provides a comprehensive overview of the significant developments in the application of iron‐based catalysts in these two fields.The active phases,promoter effect,and support of iron‐based catalysts are discussed in the present paper.Based on understanding of these three essential aspects,we also cover recent advances in the design and preparation of novel iron‐based catalysts for FTS and CO_(2) hydrogenation.Current challenges and future catalytic applications are also outlined.

Adult to adult living related liver transplantation: Where do we currently stand?

Adult to adult living donor liver transplantation (AALDLT) was first preformed in the United States in 1997. The procedure was rapidly integrated into clinical practice, but in 2002, possibly due to the first widely publicized donor death, the number of living liver donors plummeted. The number of donors has since reached a steady plateau far below its initial peak. In this review we evaluate the current climate of AALDLT. Specifically, we focus on several issues key to the success of AALDLT: determining the optimal indications for AALDLT, balancing graft size and donor safety, assuring adequate outflow, minimizing biliary complications, and maintaining ethical practices. We conclude by offering suggestions for the future of AALDLT in United States transplantation centers.

Culture of Eriocheir sinensis Larvae in Ponds in Greenhouse

A total of 15 pools were selected from a greenhouse, and they were randomly and evenly divided into three groups.In each group, one stocking density of Eriocheir sinensis was arranged. The results showed that after 45-d culture, the crab number per kilogram reached about 300 with survival rate of about 20%; the initial stocking density had significantly effect on the body size of E. sinensis on sell, instead on the survival rate of E. sinensis larvae. Therefore, it is feasible to conduct the culture of E. sinensis larvae in a pool in greenhouse.

Cellular and molecular mechanisms of intestinal fibrosis

Fibrosis is a chronic and progressive process characterized by an excessive accumulation of extracellular matrix (ECM) leading to stiffening and/or scarring of the involved tissue. Intestinal fibrosis may develop in several different enteropathies, including inflammatory bowel disease. It develops through complex cell, extracellular matrix, cytokine and growth factor interactions. Distinct cell types are involved in intestinal fibrosis, such as resident mesenchymal cells (fibroblasts, myofibroblasts and smooth muscle cells) but also ECM-producing cells derived from epithelial and endothelial cells (through a process termed epithelialand endothelial-mesenchymal transition), stellate cells, pericytes, local or bone marrow-derived stem cells. The most important soluble factors that regulate the activation of these cells include cytokines, chemokines, growth factors, components of the renin-angiotensin system, angiogenic factors, peroxisome proliferator-activated receptors, mammalian target of rapamycin, and products of oxidative stress. It soon becomes clear that although inflammation is responsible for triggering the onset of the fibrotic proc-ess, it only plays a minor role in the progression of this condition, as fibrosis may advance in a self-perpetuating fashion. Definition of the cellular and molecular mechanisms involved in intestinal fibrosis may provide the key to developing new therapeutic approaches.

Mesocosm Hatcheries Using Semi-intensive Methodologies and Species Diversification in Aquaculture

Mesocosm hatcheries using semi-intensive culture methodologies are characterized by large tanks （40 m3） for fish larvae production at low densities （2-8 larvae/L）, with live prey production within the tank supplemented by exogenous sources of feed. Due to the high biological quality of larvae produced and low level of technological input, these methodologies are regarded as an interesting option to meet the increasing fry demand from the aquaculture industry. This study aimed to describe the experience at Centro de Maricultura da Calheta, Madeira Island, Portugal, with the establishment of a mesocosm hatchery for the production of marine fish larvae. Production trials were initiated with gilthead seabream Sparus aurata. This larval species presented faster growth in total body length （TL） per day （TL = 3.7516e~ ~293day, R2 = 0.9404）, higher survival rate （SR = 31.9%） and comparable swimbladder inflation rates （SB = 90%） to those of larvae reared with intensive methodologies. High larval performance was obtained with two candidate species for aquaculture： the red porgy Pagruspagrus （TL = 3.212e~~39day, R2 = 0.995; SR = 15.3%; SB = 95.7%） and the white seabream Diplodus sargus （TL = 3.6355e~~413day, R2= 0.9824; SR = 25%; SB --- 100%）. Testing ofa 110 m3 mesocosm rearing tank with white seabream larvae revealed limitations associated to larger tanks namely, the amount and quality of live feed required daily. First trials with striped jack （Pseudocararoc dentex） larvae resulted in low larval survival （0.04%）, but the use of a white tank avoided culture management constraints related to positive phototropism. The present results suggest that a mesocosm using semi-intensive methodologies may contribute to species diversification and consequently, to the sustainable development of aquaculture.

Isolation and Purification of Triptolide from the Leaves of Tripterygium wilfordii Hook F

Triptolide is an important active component of Tripterygium wilfordii Hook F (TWHF) and possesses anti-inflammatory, immunosuppressive, male anti-fertility, and anticancer properties. A new method combining different techniques, including solid-liquid extraction, liquid-liquid partition, column chromatography and high-speed counter-current chromatography (HSCCC) but avoiding the use of chloroform, was developed for the isolation and purification of triptolide from the leaves of TWHF. 48 mg of triptolide at 96.5% purity was obtained from 1 kg of air-dried leaves of TWHF.

Synthesis and Crystal Structure of 3,3′-(Hexane-1,6-diyl)bis(1-acetyl-5,5-dimethylhydantoin),a New Inducer of Differentiation

The title compound (C20H30N4O6, Mr = 422.48) was synthesized and its crystal structure was determined by X-ray diffraction method. It crystallizes in the triclinic system, space group P with cell parameters: a = 8.330(2), b = 8.468(2), c = 16.017(3) ? ?= 97.30(3), ?= 92.33(3), ?= 103.94(3)? V = 1084.7(4) ?, Dc = 1.294 g/cm3, Z = 2, F(000) = 452 and ?= 0.096 mm-1. The structure was refined to R = 0.0483 for 3732 observed reflections with I > 2s(I) and wR = 0.1335 for 4828 unique reflections. The hydantoin rings are planar and the two ring planes of one molecule are paralleled to each other.

THE INCREASE IN PLASMINOGEN ACTIVATOR INHIBITOR TYPE-1 EXPRESSION BY STIMULATION OF ACTIVATORS FOR PEROXISOME PROLIFERATOR-ACTIVATED RECEPTORS IN HUMAN ENDOTHELIAL CELLS

Objective.To investigate the effect of peroxis ome proliferator-activated recept ors(PPARs )activators on plasminogen activator inhibitor ty pe-1(PAI-1)expression in human umbilical vein e ndothelial cells and the possi-ble mechanism.Methods.Human umbilical vein endothelial ce lls(HUVECs )were obtained from normal fetus,and cul-tured conventionally.Then the HUVECs were exposed to test agents(linolenic acid,linoleic acid,oleic acid,stearic acid and prostaglandin J 2 respectively)in varying concentrations with fresh media.RT -PCR and ELISA were applied to determine the expression of PPARs and PAI-1in HUVECs.Results.PPARα,PPARδand PPARγmRNA were detected by using RT-PCR in HUVECs.Treatment of HUVECs with PPARαand PPARγactivators---linolenic acid,linoleic acid,oleic acid and prostaglandin J 2 respectively,but not with stearic a cid could augment PAI-I mRNA expression and protein secretion in a concentration-dependent manner.However,the mRNA expressions of 3subclasses of PPAR with their activators in HUVECs were not changed compared w ith controls.Conclusion.HUVECs express PPARs.PPARs activators may increase PAI-1expression in ECs,but the underlying mechanism remains uncle ar.Although PPARs expression was not enhanced after stimulated by their activators in ECs,the role of functionally active PPARs in regulating PA I-1expression in ECs needs to be further investigated by using transient gen e transfection assay.

Effect of dietary genistein on growth performance,digestive enzyme activity,and body composition of Nile tilapia Oreochromis niloticus

An 8-week feeding experiment was performed to evaluate the effect of dietary genistein on growth performance,body composition,and digestive enzymes activity of juvenile Nile tilapia(Oreochromis niloticus).Four isonitrogenous and isoenergetic diets were formulated containing four graded supplements of genistein:0,30,300,and 3 000 μg/g.Each diet was randomly assigned in triplicate to tanks stocked with 15 juvenile tilapia(10.47±1.24 g).The results show that 30 and 300 μg/gdietary genistein had no significant effect on growth performance of Nile tilapia,but the higher level of genistein(3 000 μg/g)significantly depressed the final body weight and specific growth rate.There was no significant difference in survival rate,feed intake,feed efficiency ratio or whole body composition among all dietary treatments.An assay of digestive enzymes showed that the diet containing 3 000 μg/ggenistein decreased stomach and hepatopancreas protease activity,and amylase activity in the liver and intestine,while a dietary level of300 μg/g genistein depressed stomach protease and intestine amylase activities.However,no significant difference in stomach amylase activity was found among dietary treatments.Overall,the results of the present study indicate that a high level of dietary genistein(3 000 μg/g,or above) would significantly reduce the growth of Nile tilapia,partly because of its inhibitory effect on the activity of major digestive enzymes.Accordingly,the detrimental effects of genistein,as found in soybean products,should not be ignored when applied as an alternative ingredient source in aquaculture.