Short-term effects of low-level PM2.5,PM10,O3,and tropical meteorological conditions on emergency department visits for respiratory diseases in Haikou,China

Objective:To assess the correlation between atmospheric pollutants,meteorological factors,and emergency department visits for respiratory diseases in Haikou City.Methods:Daily data on atmospheric pollutants,meteorological factors,and emergency department visits for respiratory diseases in Haikou City from 2018 to 2021 were collected.The Spearman rank correlation test was used to analyze the correlation,and a distributed lag non-linear model was employed to analyze the health effects and lag impacts of environmental factors.Subgroup analyses were conducted based on sex and age.Results:According to the criteria of International Classification of Diseases(ICD-10:J00-J99),a total of 221913 cases were included,accounting for 21.3%of the total emergency department visits in Haikou City.For every 1℃increase in temperature,the risk of emergency department visits increased by 1.029%(95%CI 1.016%-1.042%).Relative humidity greater than 80%reduced the risk of visits,while higher atmospheric pressure(>1010 hpa)also decreased the likelihood of daily emergency department visits.Higher concentrations of PM2.5(30-50μg/m^(3)),PM10(>60μg/m^(3)),and O_(3)(75-125μg/m^(3))were associated with increased visits.Higher temperatures(>25℃)have a greater impact on females and children aged 0-14 years,while males are more sensitive to low atmospheric pressure.Individuals aged 65 and above exhibited increased sensitivity to O_(3)concentration,and the effects of PM2.5,PM10,and O_(3)are more pronounced in individuals over 14 years old.Conclusions:Short-term exposure to high temperatures,particulate matter pollutants(PM_(2.5)and PM_(10)),and ozone(O_(3))is associated with increased emergency department visits for respiratory diseases.

Prevalence of allergic rhinitis and associated risk factors in middle school students from Haikou,China

Objective:To identify the prevalence and influencing factors of allergic rhinitis among middle school students in Haikou,and to provide reference for the prevention and treatment of allergic rhinitis among middle school students in Haikou.Methods:The stratified cluster sampling method was adopted to randomly select the middle school students(aged 12-18)from 8 ordinary or vocational middle schools in Xiuying District,Longhua District,Meilan District and Qiongshan District of Haikou as the survey subjects.The self-made questionnaire was used to conduct the survey from April to May in 2022.Results:A total of 2169 valid questionnaires were collected,the effective rate was 86.6%(2169/2479),814(37.5%)male students and 1355(62.5%)female students.The prevalence rate of allergic rhinitis reported by middle school students in Haikou was 39.8%(863/2169),including 599 cases of intermittent allergic rhinitis(69.4%)and 264 cases of persistent allergic rhinitis(30.6%).The January,February,November and December were the periods of high incidence of symptoms each year.The results of multivariate logistic regression analysis showed that:using antibiotics 5 times a year[OR=2.07,95%CI(1.24-3.45),P=0.005],using antibiotics 3-4 times a year[OR=1.77,95%CI(1.23-2.55),P=0.002],family history of allergic rhinitis[OR=3.84,95%CI(2.67-5.54),P<0.001],history of sinusitis[OR=7.77,95%CI(3.22-18.76),P<0.001],damp living environment[OR=2.87,95%CI(2.00-4.13),P<0.001],history of asthma[OR=8.69,95%CI(1.93-39.12),P=0.005],urban residents[OR=1.68,95%CI(1.35-2.09),P<0.001],frequent exposure to dust[OR=1.59,95%CI(1.20-2.12),P=0.001],male[OR=1.35,95%CI(1.10-1.66),P=0.005],furry pet[OR=1.39,95%CI(1.10-1.75),P=0.006],daily sleep time<8 hours[OR=1.30,95%CI(1.07-1.58),P=0.009]were risk factors for allergic rhinitis.Conclusion:The prevalence of allergic rhinitis among middle school students in Haikou was higher than reported in most areas of China.Male,urban residents,antibiotic use,sleeping less than 8 hours a day,feeding furry pets,living in humid environment,frequent exposure to dust,family history of allergic rhinitis,history of sinusitis and history of asthma were risk factors for allergic rhinitis.Family history of allergic rhinitis,sinusitis and asthma were the most significant factors.

Monitoring and analysis of contamination of Vibrio parahaemolyticus and Vibrio alginolyticus in seafood in Haikou

Objective:To investigate the contamination and distribution of Vibrio parahaemolyticus and Vibrio alginolyticus in seafood in Haikou City.Methods:Three types of seafood sold in Haikou from 2020 to 2022 were collected,Vibrio parahaemolyticus and Vibrio alginolyticus were detected according to the National Food Safety Standard Food Microbiological Examination of Vibrio parahaemolyticus(GB 4789.7-2013),and they were identified by real-time fluorescence PCR.The detection of Vibrio parahaemolyticus and Vibrio alginolyticus in different kinds of seafood,different years and different quarters was analyzed.Results:A total of 119 seafood samples were collected.Among them,24 samples were positive with Vibrio parahaemolyticus,with a positive rate of 20.1%;46 samples were positive with Vibrio alginolyticus,with a positive rate of 38.7%.Among various types of seafood,shrimp have the highest positivity rate for Vibrio parahaemolyticus at 50%,while shellfish have the highest positivity rate for Vibrio alginolyticus at 48%.Comparing between monitoring years,the positive rate of Vibrio alginolyticus was the highest in 2021(76.7%),while the positive rate of Vibrio parahaemolyticus was the highest in 2022(25%).Comparing between different quarters,the positivity rate for Vibrio alginolyticus was found to be highest in the second quarter at 80%,while the positivity rate for Vibrio parahaemolyticus was highest in the fourth quarter at 33.3%.There were statistically significant differences(P<0.05)in the positivity rate for Vibrio alginolyticus in different years and quarters,as well as in the positivity rate for Vibrio parahaemolyticus in different types and quarters.Conclusion:Vibrio parahaemolyticus and Vibrio alginolyticus were found in seafood products in Haikou City from 2020 to 2022.It is recommended that relevant departments strengthen supervision to ensure the safety of seafood products consumed by the public.

Analysis of the relationship between 24-hour sodium and blood pressure and the dietary status based on mobile phone APP in the high-risk population of hypertension in Haikou

Objective:To understand the dietary intake of high-risk population with hypertension in Haikou,and to analyze the relationship between dietary intake and blood pressure,especially the relationship between sodium intake and blood pressure,so as to provide a scientific basis for salt reduction.Methods:A multi-stage cluster sampling 2021 was used from July to December to collect 3-4 cscs from each of the four districts in Haikou.A total of 15 cscs were collected,295 permanent residents aged 55-74 were recruited from 15 community service centers,with 20 eligible subjects from each community.The subjects underwent general physical examination,laboratory tests,and a dietary survey using the self-developed Android phone APP“Nutrition Assistant”(registration number:2021SR1547832).SPSS 21.0 was used 2 for t test,x^(2) test and multiple Regression analysis.Result:In Haikou,69.4%of the subjects had energy intake above energy requirement,and 44.8%had fat intake above the acceptable range of macronutrients.There were only differences in energy,carbohydrate,vitamin B 6 and sodium intake(t=-2.174,-1.990,2.333,-5.442,P=0.031,0.048,0.021,<0.001,respectively).There were significant differences in BMI,family history of chronic diseases,systolic blood 2 pressure and diastolic blood pressure(f value or x^(2) value were 4.260,19.045,139.916,36.864,P value were 0.015,<0.001,<0.001,<0.001,respectively).Multiple Regression analysis analysis showed that 24h sodium excretion was significantly correlated with systolic and diastolic blood pressure(t=12.964,P<0.001),systolic and diastolic blood pressure increased by 0.135 mmhg and 0.068 mmhg,respectively.Conclusion:The dietary intake of the middle-aged and elderly people at high risk of hypertension in the Haikou community was unbalanced,and the intake of sodium salt was strongly correlated with blood pressure,it is necessary to continue to promote salt reduction as one of the key ways to prevent and control hypertension.

Analysis of the Freezing Damage to Biennial Eucalyptus dunnii and Eucalyptus smithii in Haikou Forest Farm

In winter of 2013,cold weather occurred in Kunming,and biennial E. dunnii and E. smithii in Haikou Forest Farm suffered different degrees of freezing damage. The freezing damage to them was analyzed here. The results showed that in the families of E. dunnii,families suffering severe and especially severe freezing damage accounted for 7. 7%,while 92. 3% of families suffered moderate and below freezing damage; in the families of E. smithii,56. 7% of families suffered severe and especially severe freezing damage,while families suffering moderate and below freezing damage accounted for 43. 3%. There was significant difference between two species of eucalyptuses in tree height（ P 〈0. 05）,while there was extremely significant difference in freezing damage grade and index（ P 〈0. 01）. There was significantly negative correlation between the tree height and freezing damage grade of E. dunnii and E. smithii,with the correlation coefficients of- 0. 374 and- 0. 234. That is,the freezing damage grade would decrease with the increase of tree height.

Analysis of hyperuricemia in physical examination population of a hospital in Haikou

Objective:Explore the influencing factors of Hyperuricemia(HUA)in natural people aged 35-74 in Haikou.Methods:Between June 2017 and December 2020,8754 different study subjects aged 35-74 years were enrolled for the baseline survey at the physical examination center of a tri partite hospital in Haikou.Results:Overall detection rate of HUA was 18.5%,including 25.6%in male and 10.4%in female.HUA detection rates varied between the 35-45 and 46-55 age groups(P<0.05).The binary logistic results showed that high blood pressure,triglyceride,low density lipoprotein and creatinine were the risk factors of HUA(P<0.05).Conclusions:The baseline survey results show that the detection rate of HUA in a hospital in Haikou is relatively high.Men and groups with high blood pressure,creatinine,triglyceride and low-density lipoprotein should be the key groups for the early prevention and treatment of hyperuricemia(HUA).

Effectiveness Evaluation of the Construction of the Natural Forest Resources Protection Project in Haikou Forest Farm of Kunming

The current situation about the natural forest resources protection project in Haikou Forest Farm of Kunming on the protection of forest resources, forest fire prevention, forest administration resource management, forest pests, and money management was briefed. Achievements made in the implementation of natural forest protection project in Haikou Forest Farm were analyzed, and problems existing in the project as well as corresponding countermeasures were expounded.

Analysis on the Influencing Factors of Job Burnout of Nurses in Haikou Tertiary Hospital

Objective: To understand the influencing factors of job burnout among nurses in Haikou 3A hospital and explore its direct and indirect effects, so as to provide a scientific basis for the work efficiency of nursing staff. Methods: Between November 2, 2015 and November 2015, using multi stage random sampling, self-administered questionnaire survey was conducted among 1049 nursing staff, using the path analysis method to study the effect of direct and indirect factors effect. Results: The total score of job burnout of nurses was 38.44 ± 7.55, high occupational burnout was 0.9%, moderate occupational burnout was 66.5%, and low occupational burnout was 32.6%. The scores of job burnout were compared among the nurses with different titles, and less achievement (F = 8.342, P < 0.001) and depersonalization (F = 3.12, P = 0.025) were statistically significant. Nurses’ Job Burnout and job stressors were the first, and the canonical correlation coefficient was 0.4397 (F = 20.54, P < 0.0001), indicating that the more problems existed in patient care, the greater the degree of emotional exhaustion. The first canonical correlation coefficient of job burnout and job satisfaction of nurses was 0.3791 (F = 12.8, P < 0.0001), indicating that the better the family and work balance, the less individualized nurses were. The path analysis results showed that the 4 dimensions of job stressors (management and interpersonal problems) is positive, the direct effect of the strongest (0.219), the total effect of sort of work pressure source of 4 dimensions (0.245) > 5 dimensions of work pressure source (0.125) > title (−0.112) job satisfaction scores (−0.097). Conclusion: Job stress, job satisfaction and job title are the factors that affect job burnout. The 4 and the direct and indirect effects of job stressors are the strongest, and measures should be taken to solve these problems.

A Study on Job Satisfaction, Stressors and Job Burnout of Nurses in a Third-Class Hospital in Haikou

Objective: With the development of society, people’s requirements and standards for nursing work continue to improve, under the premise of nursing human resources are relatively insufficient, nursing work from nursing skills to service attitude to ensure quality, this standard brings great work pressure to nursing staff, in addition, the increasing medical disputes, It increases the risk factor of personal safety attack in the workplace of nurses, and further increases the psychological pressure of nurses, thus increasing the incidence of job burnout of nurses. Methods: A multi-stage random sampling was adopted to conduct a questionnaire survey among 1049 nursing staff on December 1, solstice and December 30, 2015. The current situation of nurses’ job satisfaction, stressors and job burnout and its influencing factors were analyzed. Results: 1) The total score of nurses’ job satisfaction was 91.52 ± 17.99 points;2) The total score of nurses’ work stressors was 86.52 ± 21.95 points;3) The total score of nurses’ job burnout was 38.44 ± 7.55 points;4) The aspects of patient care, management and interpersonal relationship were significantly correlated with nurses’ burnout (P < 0.001), and the total score of job satisfaction was positively correlated with nurses’ burnout, while the total score of job satisfaction was negatively correlated with nurses’ burnout. There was a significant correlation between job title and nurse burnout (P < 0.001). Conclusion: The job burnout of nurses is related to nurse satisfaction and work pressure. The problems of management and interpersonal relationship, title, total score of job satisfaction and patient care are the main problems of nurses’ job burnout.

Analysis of the disease spectra in patients seeking emergency medical treatment in Haikou, China

Objective: To explore the characteristics of medical emergency disease spectra in Emergency Department of Haikou, China;and to provide clinical data for emergent disease treatment as well as emergency department personnel and equipment management. Methods: A total of 11870 patients (over 16 years old) who visited Emergency Departments of the First Affiliated Hospital of Hainan Medical University, Haikou city from January 1, 2015, through December 31, 2015 were selected. Data on patients' age, sex, diagnosis, treatment duration, and treatment month were analyzed with Microsoft Excel. Results: Peak treatment times were from 18:00 to 24:00. The top four diseases were involved with respiratory, digestive, nervous, and cardiovascular systems, respectively. Respiratory problems peaked from November to February and digestive problems peaked from February to August. Temperatures ranging from >22.5 ℃to 26 ℃ and high humidity exacerbated respiratory and digestive system diseases. Conclusion:The frequency of specific diseases that require emergency room care are affected by the local climate of Hainan Province.

Green Haikou: an Ideal Living Place in Asia

In the picturesque South China, there is an ideal living place that is in spring all the year round with the charms of coconut palms and sea waves. This is Haikou. I hope that our Japanese friends will come to Haikou either for a tour or for investment.

益智仁-乌药药对调控PI3K/Akt/mTOR通路介导细胞自噬保护肾小球足细胞的作用机制研究

目的研究益智仁-乌药药对通过调控PI3K/Akt/mTOR信号通路促进足细胞自噬治疗糖尿病肾病(Diabetic Nephropathy,DN)的作用。方法60只造模成功的C57BL/KSJ-db/db(以下简称db/db)小鼠随机分为模型组、二甲双胍组、缬沙坦组、益智仁-乌药药对(低、中、高剂量)组,每组10只;另取10只C57BL/KSJ-db/m(以下简称db/m)小鼠为正常组,正常组和模型组给予生理盐水,治疗组小鼠分别给予相应药物,给药8周后检测小鼠肾脏病理学改变,足细胞自噬体数量、结构及相关蛋白表达。结果与模型组相比,益智仁-乌药药对组可显著减轻糖尿病肾病小鼠肾小球基底膜增厚情况,增加足细胞自噬体数量,显著升高自噬相关蛋白表达(P<0.05),降低PI3K/Akt/mTOR信号通路相关蛋白的表达(P<0.05)。其中益智仁-乌药药对高剂量组各指标改善优于益智仁-乌药低、中剂量组。结论益智仁-乌药药对通过抑制PI3K/Akt/mTOR信号通路激活,提高足细胞自噬水平,减轻足细胞损伤,发挥治疗糖尿病肾病的作用。

奥氮平对乳腺癌相关巨噬细胞增殖与分化功能的影响

目的探讨奥氮平对乳腺癌细胞共培养体系中人急性髓系白血病细胞系THP-1细胞增殖和分化功能的影响。方法体外培养THP-1细胞、人乳腺癌MDA-MB-231细胞,建立THP-1与MDA-MB-231共培养组,用CCK-8法检测奥氮平处理后的THP-1单独组、共培养组中THP-1的活性变化;用qRT-PCR法检测奥氮平对佛波酯诱导的THP-1单独组、共培养组中THP-1表面分子CD68、CD80、CD163的表达,以及炎症因子IL-1β、IL-6、IL-12、TGF-α、TGF-β和IL-10的表达,同时进一步检测巨噬细胞极化相关miRNA分子miRNA9、miRNA155和miRNA34a的表达。结果奥氮平能抑制THP-1单独组和共培养组中THP-1的增殖活性(P<0.05);在佛波酯诱导THP-1向巨噬细胞分化的研究中,奥氮平能够显著提高THP-1单独组CD68分子的表达(P<0.05),而在共培养组中CD68、CD80、CD163的表达则均显著升高(P<0.05)。在THP-1单独组中,奥氮平仅能够促进IL-12的表达;在共培养组中,奥氮平使CCL2、CXCL10、IL-1β、IL-10、IL-6、IL-12、TNF-α表达水平显著升高(P<0.05)。在巨噬细胞分化相关miRNA的研究中,在奥氮平作用下,THP-1单独组中miR155和Let7c的表达显著升高(P<0.05),miR146、miR9和miR34a的表达变化无差异;在与MDA-MB-231共培养条件下,miR34a和Let7c显著升高(P<0.05)。结论在肿瘤细胞存在的情况下,奥氮平可参与肿瘤相关巨噬细胞表面分子、炎症因子以及巨噬细胞极化相关miRNA分子表达的调节,这为进一步利用奥氮平治疗乳腺癌提供了新思路。

雷帕霉素上调人脐静脉内皮细胞自噬活性抑制细胞增殖

目的探讨人脐静脉内皮细胞(HUVECs)自噬激活对细胞增殖的影响。方法使用雷帕霉素(Rapa)处理HUVECs,Western blot法检测微管相关蛋白1轻链3(LC3)、Beclin 1和unc-51样激酶1(ULK1)的表达,透射电镜(TEM)检测自噬小体,丹酰尸胺染色(MDC)检测自噬荧光;CCK-8法和EdU法检测自噬激活对细胞增殖的影响;血管形成实验检测成管能力。结果Rapa处理后,与对照组相比,LC3、Beclin 1和ULK1表达增强,实验组绿色自噬荧光表达强于对照组,TEM可见自噬小体;CCK-8和EdU结果显示,与对照组相比,实验组细胞自噬活化后细胞增殖能力减弱,成管能力降低。结论在一定时间内,Rapa上调HUVECs自噬活性抑制细胞增殖。

基于生计资本的农户可持续生计研究——以滇琼天然橡胶主产区为例

运用海南和云南橡胶主产区615个种植户的调查数据,测算了农户生计资本水平,设计了生计活动多样性指数和家庭收入多元化指数,通过多元线性回归模型和中介效应模型,探讨了生计资本配置对农户可持续生计的影响机制。研究发现:1)农户生计资本积累有助于丰富农户家庭生计活动和收入来源结构,尤其是金融资本积累有助于提升农户生计活动多样性水平;不同生计资本结构对农户生计结果的影响存在地域性差异;自然资本禀赋对海南产区的收入多元化水平有显著推动作用,但在云南产区却可能存在“诅咒”效应。2)地域差异、生产决策和农户特性对可持续生计有重要影响。村庄所处的海拔高、距县城距离远对农户开展多样化生计构成挑战;割胶生产规律固化虽然可能会削弱农户其他生产经营活动,但由于其劳动力调整灵活性强,可更好地稳定家庭收入;土地细碎化具有多元化生计的效果,但不一定有收入效应;虽然贫困户身份可帮助农户获得相关政策的支持,但增强生计能力才是实现可持续生计的关键所在。3)生计资本对生计活动和家庭收入的影响存在中介效应。生计资本对生计多样性的促进作用,有52.70%是通过提高生计资本统筹能力实现的,家庭就业策略优化有助于增强生计资本对收入多元化的促进作用,中介效应达30.52%。最后,建议通过提高农户家庭生计资本统筹能力、加强生计能力建设、扩展就业信息渠道等来增强农户生计综合能力。

氯吡苯脲对贵妃杧果果实产量、品质和采后贮运特性的影响

氯吡苯脲(forchlorfenuron,CPPU)是杧果生产上使用的膨大剂,由于使用不规范,造成了品质下降、果实畸形等诸多问题。本研究选用12 a树龄的贵妃杧果树为试材,在盛花期后15 d,喷施不同质量浓度(10、20、60 mg/L)的CPPU,花后15、25、35d各喷1次,共喷3次,生理成熟期后采摘,研究CPPU对贵妃杧果果实产量、品质和采后贮运特性的影响。结果表明:幼果期经10~20 mg/L CPPU处理后能够增加杧果的果形指数、促进果实膨大和产量增加,当CPPU浓度增加至60 mg/L时,果实膨大明显,但会导致产量下降。CPPU处理后,果实采摘时(生理成熟期)果实的叶绿素、类红萝卜素含量明显升高,花色苷明显降低,果皮红度值(a^(*))偏小,其颜色偏绿;完熟期杧果的叶绿素、类红萝卜素含量高,花色苷含量低,高浓度CPPU处理果实果面红色偏少,黄色偏多,果皮a^(*)值偏小,部分果实偏绿色;完熟期的可溶性固形物含量降低,总酸增加,固酸比下降,口感甜度下降,低浓度影响较小,高浓度CPPU处理对内在影响较大。CPPU处理可降低杧果采后病害的发生,果实采后保持较高的硬度,明显延缓杧果储藏期果实软化,明显延长了杧果的贮藏时间,提高了其采后贮运特性。综合以上结论,幼果期喷施CPPU的适宜浓度为10~20 mg/L,盛花期后15~50d果实细胞旺盛分裂期效果最佳,可显著增加单果重和产量,对果实品质和果实转色影响不显著,并能延长贮藏时间,更利于采后贮运保鲜。

维生素C辅助阿奇霉素序贯疗法治疗儿童肺炎支原体肺炎的疗效

目的:探讨维生素C辅助阿奇霉素序贯疗法治疗儿童肺炎支原体肺炎(MPP)疗效及其对免疫功能的影响。方法:选取106例MPP患儿为研究对象,按照治疗方式不同分为观察组和对照组,每组各53例。观察组患者采用维生素C辅助阿奇霉素序贯疗法治疗;对照组采用阿奇霉素治疗,疗程均为7 d。比较两组患儿临床疗效、症状缓解时间、肺功能、免疫功能及不良反应发生情况。结果:观察组患儿临床总有效率高于对照组(98.11%vs.86.79%,P<0.05)。治疗后,观察组患儿高热、咳嗽、肺啰音、胸片缓解时间短于对照组(P<0.05)。治疗前,两组患儿用力呼气肺活量占预计值百分比(FVC)、第1秒用力呼气肺活量(FEVl)、FEVl/FVC无统计学差异(P>0.05);治疗后,两组患儿FVC、FEVl、FEVl/FVC均升高,且观察组高于对照组(P<0.05)。治疗前,两组患儿外周血免疫球蛋白IgA、IgM、IgG水平无统计学差异(P>0.05);治疗后,两组患儿外周血IgA、IgG水平均升高,且观察组高于对照组(P<0.05);IgM水平均降低,且观察组低于对照组(P<0.05)。两组患儿治疗期间不良反应发生率比较,差异无统计学意义(P>0.05)。结论:阿奇霉素序贯疗法联合维生素C治疗儿童肺炎支原体肺炎能够提高疗效和免疫功能,值得临床推广。

PD-1单抗后线辅助治疗晚期结直肠癌患者对胃肠功能、肿瘤标志物的影响

目的分析程序性死亡受体-1(PD-1)单抗后线辅助治疗晚期结直肠癌患者对胃肠功能、肿瘤标志物的影响。方法前瞻性选取2020年1月至2023年1月海口市人民医院收治的105例晚期结直肠癌患者为研究对象,按照随机数字表法将患者分为对照组(n=50)、研究组(n=55)。对照组采用阿帕替尼治疗,研究组在对照组的基础上联合PD-1单抗后线治疗,3周为1个疗程,共治疗4个疗程。比较两组的临床疗效、胃肠功能改善时间,治疗前、治疗12周后的肿瘤标志物[癌胚抗原、糖类抗原(CA)72-4、CA199]、免疫功能(CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+))指标以及不良反应发生情况。结果治疗12周后,研究组的客观缓解率(ORR)、病情控制率(DCR)分别为78.33%、90.91%,均高于对照组(58.00%、70.00%),差异均有统计学意义(P<0.05)。研究组患者的首次排便时间、首次排气时间、肠鸣音消退时间分别为(51.50±5.02)、(35.52±4.25)、(44.28±4.80)d,均短于对照组[(69.37±6.40)、(50.63±5.10)、(53.50±6.15)d],差异均有统计学意义(P<0.05)。治疗12周后,研究组癌胚抗原、CA72-4、CA199水平分别为(12.57±1.64)ng/mL、(17.60±3.45)U/mL、(58.29±8.70)kU/L,均低于对照组[(17.24±2.50)ng/mL、(27.59±4.67)U/mL、(82.65±12.29)kU/L],差异均有统计学意义(P<0.05)。治疗12周后,研究组CD4^(+)、CD4^(+)/CD8^(+)水平分别为(21.42±3.54)%、0.73±0.30,均低于对照组[(28.39±4.38)%、1.12±0.41],CD8^(+)水平为(30.36±4.52)%,高于对照组[(25.71±3.30)%],差异均有统计学意义(P<0.05)。研究组的不良反应发生率为9.09%,稍低于对照组(16.00%),但两组比较差异无统计学意义(P>0.05)。结论通过PD-1单抗后线辅助治疗可有效改善晚期结直肠癌患者的临床疗效,效果明显,改善胃肠功能,降低肿瘤标志物指标水平,调节机体免疫功能,可为临床干预此病提供参考。

3.0T高分辨磁共振成像技术在急性缺血性脑卒中的应用及预后影响因素分析

目的:探讨3.0T高分辨磁共振(HR-MRI)成像技术在急性缺血性脑卒中(AIS)的应用及预后影响因素。方法:选取2019年1月至2022年6月海南省人民医院收治的92例AIS患者,均予以溶栓治疗,并在治疗后90 d依据改良Rankin量表(mRS)将其纳入预后良好组(66例,mRS评分≤2分)与预后不良组(26例,m RS评分>2分)。所有患者于入院1周内行MagnetomTrio型3.0T HR-MRI检查,对比管腔狭窄率、最狭窄处管腔面积、斑块负荷、T_(2)加权成像(T_(2)WI)信号强度指数、T_(1)WI信号强度指数及斑块强化率参数变化;采用受试者工作特征(ROC)曲线,分析3.0THR-MRI参数对AIS预后的预测价值;采用二元Logistic回归模型分析影响AIS患者预后的危险因素。结果:两组患者梗死灶直径比较,差异具有统计学意义(x^(2)=6.574,P<0.05)。预后不良组患者最狭窄处管腔面积低于预后良好组,T_(2)WI信号强度指数、T_(1)WI信号强度指数及斑块强化率均高于预后良好组,两组比较差异有统计学意义(t=-3.378、4.443、4.413、3.890,P<0.05)。ROC曲线分析显示,T_(2)WI信号强度指数、T_(1)WI信号强度指数、最狭窄处管腔面积及斑块强化率预测AIS预后的ROC曲线下面积(AUC)值分别为0.743、0.739、0.706和0.748。Logistic回归分析显示,梗死灶直径>3.0 cm、T_(1)WI信号强度指数、T_(2)WI信号强度指数、最狭窄处管腔面积及斑块强化率是影响AIS预后的独立危险因素(OR=3.889、257.151、105.073、4.091、1.121,P<0.05)。结论:3.0THRMRI在AIS患者预后评估中具有较高效能,能通过观察T_(2)WI信号强度指数、T_(1)WI信号强度指数、最狭窄处管腔面积、斑块强化率等参数变化,为预后判断及治疗方案制定提供指导,且上述参数是影响患者预后的危险因素,往往代表患者病情进展。

解决农产品配送“断链”的光伏冷链小车设计

在现有普通农用电动货运三轮车的基础上,通过增加1.3m^(3)保温车厢、600Wp太阳能电池板、4块12V100Ah蓄电池、110W直流压缩机等设备,先计算车厢从35℃降至-10℃所需要的冷量,再综合验证组件与蓄电池满足小车一天的制冷与行驶需求。通过精确的系统匹配及智能温度控制,改造成太阳能智能冷链物流小车,很好的解决了现在冷链物流配送中“最后一公里”空缺的问题,经过测试达到设计要求。本车可直接开到田间地头,有方便快捷、耐用、不付电费、造价低等优势,是现代农业物流冷链运输必不可少的中转设备,实现了农村鲜活农产品采摘−物流中心−用户的无缝对接。