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棉花秸秆栽培灵芝的品种与配方筛选试验

中国食用菌 2016年第4期35卷 47-49,53页

作者：陈宜谢晟李胜杰张诚胡中娥伍琦江西省棉花科学研究所江西九江332000 江西省农业科学院农业工程研究所江西南昌330200 江西省农业科学院农业应用微生物研究所江西南昌330200

为筛选出适合棉秆栽培灵芝(Ganoderma lucidum)的优良品种和适宜配方,采用常用的5种灵芝品种、4个棉秆替代木屑栽培配方,进行以棉秆为主料栽培灵芝的品种与配方筛选试验。试验结果表明,赤芝、中华灵芝、美国灵芝3个灵芝品种适合以棉秆... 详细信息

为筛选出适合棉秆栽培灵芝(Ganoderma lucidum)的优良品种和适宜配方,采用常用的5种灵芝品种、4个棉秆替代木屑栽培配方,进行以棉秆为主料栽培灵芝的品种与配方筛选试验。试验结果表明,赤芝、中华灵芝、美国灵芝3个灵芝品种适合以棉秆为主料进行栽培;配方3(棉秆60%、棉籽壳20%、麦麸15%、玉米粉2%、石膏粉1%、磷肥1%、石灰1%)是棉秆栽培灵芝的适宜配方。

关键词：灵芝棉花秸秆栽培筛选试验

优化无创机械通气：哪个科室应护理这些患者？一项队列研究

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中国护理管理 2017年第8期17卷 1152-1152页

作者： Marta Raurell-Torredà e.Argilaga-Molero M.Colomer-Plana A.Ródenas-Fransico M.T.Ruiz-Garcia J.Uya Muntana 西班牙赫罗纳大学护理部巴塞罗那大学医院西班牙Dr.JosepTrueta大学医院西班牙ConsorciHospitalari社区医院西班牙Clinic大学医院巴塞罗那大学护理学院

背景:无创通气(NIV)已经不局限于在重症监护室(ICUs)使用,在急诊科(eds)和普通病房,NIV也逐渐成为常规手段。目的:分析不同临床科室中,护理和NIV结局的关系。方法:根据患者特点、所提供的护理和所使用的医疗程序、评估治疗的成功和失败... 详细信息

背景:无创通气(NIV)已经不局限于在重症监护室(ICUs)使用,在急诊科(eds)和普通病房,NIV也逐渐成为常规手段。目的:分析不同临床科室中,护理和NIV结局的关系。方法:根据患者特点、所提供的护理和所使用的医疗程序、评估治疗的成功和失败、接口不耐受以及并发症。并发症分析包括支气管吸引术、气胸、皮肤损伤、气道分泌物过多、眼刺激、意识水平恶化、胃扩张和面罩周围过量的空气消耗。结果:387例患者中,194例(50.1%)来自ICU,121例(31.3%)来自ed,38例(9.8%)来自术后病房,34例(8.8%)来自普通病房。校正APACHe评分和NIV适应证后,进行回归分析。结果显示,与社区医院ICU比较,在一所每年NIV病例数低于50例的大学医院的ICU,NIV失败的风险升高3.3倍[95%CI(1.2~9.2)];在ICUs和普通病房,12%的患者由于接口不耐受而中止使用NIV;急慢性肺病(ACLD)患者的NIV失败风险更低[OR 0.2,95%CI(0.06~0.69)];缺乏湿化与治疗失败没有相关性[OR 0.2,95%CI(0.1~0.4)];气道分泌物过多的相关因素是肺炎[OR 2.5,95%CI(1.1~5.9)]和早期中止和(或)拔管[OR 3.3,95%CI(1.2~8.9)];接口不耐受的相关因素是使用传统ICU呼吸机[OR 4.4,95%CI(2.1~9.2)]和过度空气消耗造成的鼻部皮肤损伤[OR 2.4,95%CI(1.1~5.3)],尤其是口鼻面罩的使用[OR 3.5,95%CI(1.1~11.3)]。结论:普通病房收治的急性呼吸衰竭的肺炎患者,其接口不耐受和NIV失败的风险增加。在任何给予NIV治疗的科室,旋转型面罩均能促进NIV的成功。

关键词：气道管理无创通气护理呼吸功能不全呼吸治疗急诊重症监护室皮肤损伤压力性溃疡面罩

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迟发的特发性震颤与痴呆相关

世界核心医学期刊文摘(神经病学分册) 2006年第11期 57-57页

作者： Benito-Leóon J Louis e.D Bermejo-Pareja F 郭俊 Avda. C. 73 portal 3 7 Izquierda E-28820 Coslada Madrid Spain Dr.

OBJeCTIVe: To determine whether essential tremor (eT) is associated with prevalent dementia. MeTHODS: The authors identified all persons with dementia and eT in a population-based study in central Spain (the Neurological Disorders in Central Spain [NedICeS] Study). Dementia was diagnosed using the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria. ReSULTS: Thirty-one (11.4%) of 273 eT cases had dementia vs 204 (6.0%) of 3,382 non-eT subjects (controls) (odds ratio [OR] = 2.00, 95%CI = 1.34 to 2.98, p = 0.001). In a model that adjusted for age, stroke, and educational le.el, OR = 1.35, 95%CI = 0.87 to 2.18, and p = 0.17. In an adjusted model, eT cases with tremor onset after age 65 were 70%more likely to be demented than were controls (OR = 1.70, 95%CI = 1.04 to 2.76, p = 0.03), whereas eT cases with tremor onset at age ≤65 and controls were equally likely to be demented (OR = 0.38, 95%CI = 0.09 to 1.73, p = 0.21). CONCLUSIONS: Older-onset essential tremor (eT) was associated with dementia. Prospective studies are required to elucidate the association between eT and dementia.

关键词：特发性震颤迟发 eT

出生于英国的亚裔婴儿对白喉、破伤风和B型流感嗜血杆菌常规免疫接种的免疫原性

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世界核心医学期刊文摘（儿科学分册） 2005年第10期1卷 17-17页

作者： Booy R. Haworth e.A. Ali K.A. 郭战宏 Research Centre for Child Health Luckes House Royal London Hospital Stepney Way London E1 1BB United Kingdom Prof.

Aim: To determine the immunogenicity of routine vaccination against diphtheria , tetanus, and Haemophilus influenzae type b (Hib) in Asian infants born in the UK, and whether maternal antibody suppression occurs. Methods: A cohort study wi th 80%power, within 95%confidence limits, to show that 80%or fewer Asian infa nts would respond with an anti-PRP antibody concentration>0.15 μg/ml. Infants of South Asian origin born in Berkshire were enrolled at two general practices i n Reading: 41 Asian families sequentially asked to participate within 2 weeks of birth; 36 infants were enrolled and 34 completed the study. Main outcome measur es were: antibody concentration against diphtheria, tetanus, and Hib expressed a s geometric mean titres (GMT) and proportion of infants about a threshold protec tive antibody concentration. Results: Median age for completing primary vaccinat ion course was 5 months. All 34 achieved anti-PRP antibody concentration of >0. 15 μg/ml, 33 were >1.0 μg/ml, and the GMT was 15.0 μg/ml. All infants de.elop ed protective antibody concentration >0.1 IU/ml for tetanus and diphtheria; the respective GMTs were 1.94 and 5.57 IU/ml. Infants with high (>0.25 IU/ml) antibo dy concentrations against diphtheria and tetanus at 2 months achieved lower anti body concentrations after their three dose course than those with low concentrat ions (espectively). Conclusions: Despite evide nce for maternal antibody suppression of the response to tetanus and diphtheria vaccination, excellent antibody responses were achieved by routine vaccination a ccording to the accelerated schedule. High vaccine coverage should be encouraged to provide protection against the possibility of imported infection.

关键词：常规免疫接种免疫原性流感嗜血杆菌保护性抗体伯克抗体反应几何平均滴度年龄中位数可信区间队列研究

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睫状体脱离的手术疗法

世界核心医学期刊文摘（眼科学分册） 2005年第11期1卷 61-61页

作者： Augsten R. Knigsdrffer e. 陈立军 Universittsaugenklinik Friedrich -Schiner-Universitt Jena Bachstraβe 18 07740 Jena Germany

Purpose: Cyclodialysis is a rare complication following blunt traumatic bulb i njuries or surgical interventions. When treatment with cycloplegics or steroids is ineffective in attaching the ciliary body, cyclodialysis should be surgically treated. However, for reliable diagnosis and surgical therapy, an exact identif ication (size and extent) of the cyclodialysis cleft is imperative. Ultrasound b iomicroscopy (UBM) provides the appropriate information. Case Report: Four patie nts (19 to 65 years old, mean 45 years) with a detached ciliary body are describ ed. Three patients had suffered an injury, and one patient presented with a prio r trabeculotomy. The diagnosis was established with UBM. The location of the cyc lodialysis cleft ranged between 2 and 3 o’clock (mean 2.4 o’clock). In spite o f an intense treatment with cycloplegics and steroids no reattachment of the cyc lodialysis took place. Therefore, a surgical intervention was performed. The spa n between the injury and trabeculotomy, respectively, and the cyclodialysis oper ation ranged from 3 to 30 months (mean 12 months). On average, visual acuity was increased from 0.3 preoperatively to 0.6 postoperatively, and the intraocular p ressure was 6 mmHg before and 15 mmHg after operation. Symptoms preoperatively f ound without exception (choroidal detachment, papilledema “e vacuo”, macular e dema) had a complete recovery after operation. Conclusion: In cases where drug t herapies are unsuccessful in attaching the ciliary body, an operative fixation i s recommended. UBM is a very useful tool for making an exact diagnosis and defin ing the location of cyclodialysis as well as for follow-up of surgical treatmen t.

关键词：睫状体脱离手术疗法小梁切除术眼球钝挫伤超声生物显微镜眼部手术术后随访观察睫状肌麻痹剂眼内压黄斑水肿

1992—2001年美国急性失代偿性心力衰竭急诊科就诊情况回顾

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世界核心医学期刊文摘(心脏病学分册) 2006年第4期 48-48页

作者： Hugli O. Braun J.e. Kim S. 刘宇 Department of emergency Medicine Massachusetts General Hospital Harvard Medical School Boston United States Dr. MA

Heart failure is a significant public health problem. The epidemiology and practice pattern of emergency department(ed)visits for acute decompensated heart failure(ADHF)have not been well characterized. A better description is essential t o highlight areas in which improvements or additional research are needed. We an alyzed all ed visits for ADHF of patients ≥40 years old using the data of the N ational Hospital Ambulatory Medical Care Survey from 1992 to 2001. During this 1 0-year period, an estimated 10.5 million ed visits occurred for ADHF, represent ing 2.9%of all ed visits. The number of ADHF visits increased on average by 18, 500 per year, for a 19.4%absolute increase during the decade. The rate per 1,00 0 United States population was unchanged. The average patient was 74 years old, and patients ≥65 years accounted for 79%of visits. Loop diuretics were adminis tered in 63%and vasodilators in 29%of visits. The ed visit rate per 1,000 Unit ed States population was 53%higher in blacks than in whites(14.2 vs 9.3). In a multivariate model, white race was a significant predictor of hospitalization. I n conclusion, during the past decade, the absolute number of ed visits for ADHF has increased owing to the aging population. Diuretics remain the most common tr eatment. Race-related differences in hospitalization merit additional study.

关键词：急性失代偿性心力衰竭急诊科美国美利坚合众国北美洲

应用重组卵泡刺激素和促性腺激素释放激素拮抗剂诱发排卵的体外受精患者,卵泡期延长可导致较低的继续妊娠率

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世界核心医学期刊文摘（妇产科学分册） 2005年第1期1卷 29-29页

作者： Kolibianakis e.M. Albano C. Camus M. 闫坤 Centre for Reproductive Medicine Dutch-Speaking Brussels Free Univ. Brussels Belgium Dr.

Objective To assess the effect of altering the timing of hCG administ ration on ongoing pregnancy rates in patients stimu-lated with recombinant FSH (rec-FSH ) and GnRH antagonists for IVF. Design Prospective, randomized, controlled trial . Setting Tertiary referral center. Patient(s) Four hundred thirteen patients un dergoing IVF. Intervention(s) Rec-FSH stimulation starting on day 2 of the cycl e combinedwith daily GnRH antagonist starting on day 6 of stimulation. Patients were randomized to receive 10,000 IU of hCG either as soon as at least three fol licles were ≥17 mm on ultrasound (early-hCG group, 208 patients) or 2 days lat er after this criterion was met (late-hCG group, 205 patients). Main outcome me asure(s) Ongoing pregnancy rate. Result(s) Fertilization rates and number and qu ality of embryos transferred did not differ between the two groups. However, a s ignificantly lower ongoing pregnancy rate was present in the late-hCG as compar ed with the early-hCG group (25.0%vs. 35.6%, respectively). Conclusion(s) Pro longation of the follicular phase in patients stimulated with rec-FSH and GnRH antagonists for IVF does not affect oocyte or embryo quality but is associated w ith a significantly lower ongoing pregnancy rate.

关键词：体外受精诱发排卵卵泡刺激素卵泡期卵母细胞拮抗剂卵泡直径月经周期给药时间受精率

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严重头部创伤后30年的持续性视力问题

世界核心医学期刊文摘（眼科学分册） 2005年第10期1卷 10-10页

作者： Muri R.M. Klimmeck e. Imesch P. 韩静 Abteilung fr Neuropsychologisc he Rehabilitation Inselspital 3010 Bern Switzerland

Introduction. Visual disturbances are common after severe head trauma. Some au thors report *** of theses patients having damage to the visual system, ocu lar motor nerve palsies, or central eye movement disturbances. Visual disturbanc es influence prognosis and outcome of neurological rehabilitation, and, in most cases, diagnosis and treatment require interdisciplinary care. Case report. We r eport here a 50-year-old patient who suffered from severe head trauma at age 2 0. After coming out of a 4-week coma, he suffered visual disturbances such as b lurred vision and diplopia. Visual acuity was 1.0 and the visual fields were int act. The symptoms remained unexplained for a long time. One year after the traum a, right trochlear palsy was diagnosed and surgical treatment was performed. How ever, the symptoms persisted, and one year later, a second operation was perform ed without changing the symptoms. During many years, prisms or refractive correc tions were used to improve the visual disturbances, and finally, a psychiatric t reatment was started. At age 40, the patient became presbyopic and his visual pr oblems increased, especially for reading. When he was examined for the first tim e in our consultation, corrected visual acuity was 1.0 with a small hyperphoria of the right eye. During careful examination of the eye downgaze, a conjugate pu re torsional nystagmus was observed, which disappeared in primary gaze position. Conclusion. Pure torsional nystagmus is difficult to diagnose, especially when it is provoked only by one gaze direction such as in our patient. As a sequel of the . severe head trauma with brainstem contusion, this type of nystagmus is a rare form of central vestibular nystagmus, and may by modified by head rotation or suppressed by convergence. The “treatment”of the patient’s burred vision w hen reading was easy by ordering goggles with a near part placed near the primar y gaze position and a base down prismatic correction. Reading was then

关键词：持续性眼球震颤中央眼视觉系统脑干挫伤运动障碍神经麻痹矫正器屈光矫正上隐斜

ST段抬高的心肌梗死患者溶栓治疗后的心衰程度、治疗及结局

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世界核心医学期刊文摘（心脏病学分册） 2005年第2期1卷 31-31页

作者： Kashani A. Giugliano R.P. Antman e.M. 丁倩 TIMI Study Group Brigham and Women’s Hospital Cardiovasc. M ed. 350 Longwood A. Boston MA United States

Aims To define the clinical characteristics, co morbidities, treatment, and c linical outcomes of patients with varying degrees of heart failure(HF) complicat ing ST elevation myocardial infarction (STeMI), and to identify patients at hig h risk for HF following fibrinolysis. Methods and results 15,078 STeMI patients enrolled in a worldwide fibrinolytic trial (InTIMe II) were categorised into on e of four hierarchical, mutually exclusive groups of HF: shock (n=719, 5%); sev ere HF (n=1082, 7%); mild HF (n=1619, 11%); no HF (n=11,658, 77%). In a multi variable model, anterior MI (OR 1.8, 95%CI [1.6; 1.9]), age ≥65 (OR 1.8 [1. 6; 2.0]), prior HF (OR 3.3 [2.6; 4.2]), and creatinine clearanceere the four most powerful correlates of HF. Although 30-daymor ta litywas sixfold higher for patients with HF(18.9%vs. 3.1%, pese p atients were less likely to undergo angiography(30%vs. 40%, pev ascularisation(19%vs. 25%, pents without HF. Likewise, ang iotensin inhibitors and β blockers were not optimally utilised in patients wi th HF following MI. ConclusionsDuring the index admission following fibrinolysis 23%of patients had HF. Despite a higher risk profile, patients with more sever e HF were treated less aggressively than patients without HF.

关键词：心衰程度 ST段抬高 β-阻滞剂血管成形术血管紧张素血管重建术肌酐清除率多变量模型