冠心病血瘀证与血液检验相关指标分析

目的 探讨冠心病血瘀证与血液相关检验指标的关系。方法 选择175例冠心病患者，其中血瘀证组112例，非血瘀证组63例。研究对象均在住院次日清晨平躺测量血压，空腹状态下抽取静脉血液留置标本，检测血常规和血脂、血糖、肾功能等生化指标，记录患者吸烟史。比较两组患者指标的差异性。结果 血瘀证组患者的血常规中红细胞分布宽度-CV值（Rdw-cv）、红细胞分布宽度-SD值（Rdw-sd）、血小板分布宽度（Pdw）、血小板平均体积（Mpv）、血小板比积（Pct）、大型血小板比率（P-lct）均明显高于非血瘀证组（P<0.01，P<0.05）；血瘀证组患者载脂蛋白B（ApoB）、血脂总胆固醇（TC）均明显高于非血瘀证组（P<0.01，P<0.05）；血瘀证组中患者吸烟率明显高于非血瘀证组（P<0.05）。结论 冠心病血瘀证组患者Rdw-cv、Rdw-sd、Pdw、Mpv、Pct、P-lct、TC、ApoB及烟率均明显高于非血瘀证组，差异具有统计学意义，故以上指标可以作为冠心病血瘀证中医辨证分型的客观临床指标。     

Effect of relative humidity at either acute or chronic moderate temperature on growth performance and droppings' corticosterone metabolites of broilers

The present study aimed to investigate the effect of relative humidity(RH) at either acute or chronic moderate ambient temperature(Ta) on growth performance and droppings' corticosterone metabolites of broilers.Two experiments were conducted: effect of RH(35,60 or 85%) on average daily feed intake(ADFI) and droppings' corticosterone metabolites at acute(1 d: 20–26 or 31–20°C,26 or 31°C for 6 h d–1 at 10:00–16:00) moderate Ta(experiment 1) and effect of RH(35,60 or 85%) on growth performance and droppings' corticosterone metabolites at chronic(step-wisely increasing temperature by 3°C every 3 d from 20 to 32°C within 15 d: 20–23–26–29–32°C) moderate Ta(experiment 2).Droppings were collected at the 2,4,6,8,and 22 h after Ta-RH controlled in experiment 1 and at the 2,4,6,and 22 h after Ta controlled to 32°C in experiment 2.The results showed that: 1) In experiment 1,85% RH increased(P0.05) the droppings' corticosterone metabolites at the 2,6,8,and 22 h and 35% RH increased(P0.05) it at the 2 and 22 h compared to the 60% RH.Moreover,85% RH further increased(P0.05) it compared to the 35% RH,however,no difference(P0.05) was found in ADFI among the three RH groups at acute moderate 26°C; 35 and 85% RH increased(P0.05) droppings' corticosterone metabolites at the 2,6,8 and 22 h and decreased(P0.05) ADFI compared to the 60% RH,moreover,85% RH further increased(P0.05) droppings' corticosterone metabolites and further decreased(P0.05) ADFI compared to the 35% RH at acute moderate 31°C; and the average of droppings' corticosterone metabolites in the whole period had a negative correlation(P0.02) with the ADFI.2) In experiment 2,85% RH increased(P0.01) droppings' corticosterone metabolites only at the 2 h and decreased(P0.02) ADFI and average daily gain(ADG) compared to the 60% RH,no difference(P0.05) in droppings' corticosterone metabolites was found between the 35 and 60% RH,however,35% RH decreased(P0.01) ADG compared to the 60% RH,and the average of droppings' corticosterone metabolites in the whole period also had a negative correlation(P0.02) with ADFI and ADG.In conclusion,droppings' corticosterone metabolites could be used as a RH stress index and low and high RH,especially high RH,reduced growth performance possibly through inducing RH stress at moderate temperature.     

A Lymphoid Organ Specific Anti-Lipopolysaccharide Factor from Litopenaeus vannamei Exhibits Strong Antimicrobial Activities

Different shrimp species are known to possess apparent distinct resistance to different pathogens in aquaculture. However, the molecular mechanism underlying this finding still remains unknown. One kind of important antimicrobial peptides, anti-lipopolysaccharide factors (ALF), exhibit broad-spectrum antimicrobial activities. Here, we reported a newly identified ALF from the shrimp Litopenaeus vannamei and compared the immune function with its counterpart in the shrimp Fenneropenaeus chinensis. The ALF, designated as LvALF8, was specifically expressed in the lymphoid organ of L. vannamei. The expression level of LvALF8 was apparently changed after white spot syndrome virus (WSSV) or Vibrio parahaemolyticus challenges. The synthetic LBD peptide of LvALF8 (LvALF8-LBD) showed strong antibacterial activities against most tested Gram-negative and Gram-positive bacteria. LvALF8-LBD could also inhibit the in vivo propagation of WSSV similar as FcALF8-LBD, the LBD of LvALF8 counterpart in F. chinensis. However, LvALF8-LBD and FcALF8-LBD exhibited apparently different antibacterial activity against V. parahaemolyticus, the main pathogen causing acute hepatopancreatic necrosis disease (AHPND) of affected shrimp. A structural analysis showed that the positive net charge and amphipathicity characteristics of LvALF8-LBD peptide were speculated as two important components for its enhanced antimicrobial activity compared to those of FcALF8-LBD. These new findings may not only provide some evidence to explain the distinct disease resistance among different shrimp species, but also lay out new research ground for the testing and development of LBD-originated antimicrobial peptides to control of shrimp diseases.     

First record of epizootic ulcerative syndrome from the Upper Congo catchment: An outbreak in the Bangweulu swamps,Zambia

We report on the first outbreak of epizootic ulcerative syndrome (EUS) amongst wild fish populations in the Bangweulu swamps, an inland delta, in the north of Zambia during 2014. The area supports a large and diverse fish fauna related to, but distinct from, that of the Zambezi River system where EUS outbreaks have occurred since 2006. A sizeable artisanal fishery, based on extensive fish weirs, is sustained by the annual flooding of the swamps, and observations of the disease outbreak by fishermen were recorded. Signs typical of infection with Aphanomyces invadans were observed in a number of species. Clinical observations, histology and molecular diagnostic methods were used to confirm infection with A. invadans in two of the most commonly and severely affected species. Several features of the wetland may have contributed to the outbreak and the annual recurrence of the disease. Modes by which the disease may have been introduced into the swamps are discussed. The outbreak is of great significance as the Bangweulu swamps drain into the Congo River in neighbouring Democratic Republic of Congo, Africa's largest drainage system with an extensive and diverse fish fauna previously unaffected by EUS.     

国医大师孙光荣论“中医优势病种”

系统介绍孙光荣教授有关“中医优势病种”的论述。“中医优势病种”是指中医治疗疗效确切、药物毒副作用相对较小的病种；或西医治疗尚未有好方法、好疗效，但中医却能明显改善某个症状的病种；以及艾滋病、非典等传染性疾病。“中医优势病种”主要包含病毒感染性疾病、功能失调性疾病、疾病缓解期或慢性期、原因不明的各类疾病、病情复杂的疑难杂症以及疾病的综合调理等方面。     

蛋鸡脂肪肝综合征模型的建立

试验旨在建立蛋鸡脂肪肝综合征病理模型。选取5日龄的海兰褐蛋鸡公雏280只，随机分为对照组（基础日粮组）和3个模型组（A、B、C组），试验第1~10天给模型组饲喂不同配比的高脂饲料，第11~20天饲喂常规基础日粮，每天观察并记录试验鸡精神状态、外观体征、饮水量和食欲情况，试验第0、10、20天从各组随机抽取15只鸡进行翅静脉采血并剖取肝脏和腹脂，测定肝脏系数、肝脂率、腹脂率，血清总胆固醇（TC）、甘油三酯（TG）、谷丙转氨酶（ALT）和谷草转氨酶（AST）水平。结果显示，试验第10天，3个模型组剖检时可见腹腔和肠系膜有大量的脂肪沉积，肝脏系数、肝脂率和腹脂率，以及血清中总胆固醇、甘油三酯、谷丙转氨酶和谷草转氨酶指标均符合鸡脂肪肝综合征模型的诊断标准；试验第20天，模型A、B组谷丙转氨酶和谷草转氨酶水平有所恢复，其他指标仍高于对照组，而模型C组的临床症状和各项检测指标仍符合鸡脂肪肝综合征模型的诊断标准。因此采用连续饲喂高脂饲料C（74.5%基础日粮、6%胆固醇、14%猪油、5%蔗糖、0.5%丙基硫氧嘧啶）可成功建立蛋鸡脂肪肝综合征模型。     

凡纳滨对虾氨氮急性胁迫应激敏感群体和耐受群体对WSSV敏感性的差异分析

凡纳滨对虾(Litopenaeus vannamei)是世界范围内举足轻重的水产养殖品种,在普遍的高密度养殖活动及环境恶化的情况下,逆境胁迫是影响其养成率的主要因素之一,其中,高浓度氨氮胁迫是最普遍的毒理因子。由于对虾抗病性状的遗传力较低,且在受限于测试场地的低选择强度情况下,抗病选育的进展比较缓慢。而对虾的抗逆性具有较高的遗传力,且不具备传染性的特点使得其不受测试场地的限制。因此,本研究以氨氮急性胁迫应激敏感群体(SP)和耐受群体(TP)为实验材料,对其进行白斑综合征病毒(WSSV)敏感性差异分析,首次探索了通过提高对虾对逆境急性胁迫应激的耐受性,从而间接提高其抗病力的可能性。本研究每个群体设3个处理:高浓度氨氮胁迫下(10 mg/L)WSSV感染组,两群体分别命名为SPAV和TPAV;正常海水条件下(氨氮水平小于0.01 mg/L)WSSV感染组,分别命名为SPV和TPV;正常海水条件无WSSV感染组(空白对照组),分别命名为SPC和TPC。结果显示,SP群体(5 h)在WSSV感染后开始死亡的时间显著早于TP群体(16 h);从感染60 h后,SPAV组的死亡率呈直线上升趋势,到137 h时该组全部死亡,其累积死亡率显著高于SPV(70.42%)和TP群体的2个组TPAV(42.67%)和TPV(18.99%)(P0.05)。在144 h实验结束时,SPV的累积死亡率为73.67%,显著高于TP群体的2个组TPAV(46.15%)和TPV(18.99%)以及SP群体的对照组SPC(34.79%);此时,TPAV组的累积死亡率显著高于TPV和TPC组(P0.05),而TPV与TPC组间无显著差异。研究表明,逆境毒理因子(氨氮胁迫)会增加对虾对病原的敏感性,而且对氨氮急性胁迫应激耐受力高的群体对病毒的抵抗力也高。本研究为探索提高对虾抗病力而降低养殖过程中的死亡率提供了新的思路和途径。     

不同用穴方案针刺治疗餐后不适综合征型功能性消化不良的临床观察

目的 比较不同用穴方案针刺治疗餐后不适综合征型功能性消化不良（PDS）患者的近期和远期疗效，为寻求合理的用穴方案提供部分理论依据。方法 选择84例在我院消化科确诊并进行针刺治疗的PDS患者，其中29例患者进行基础穴位针刺，55例患者根据症型进行辨证针刺，均治疗2个疗程。比较两组患者疗程结束后和随访2个月后的临床疗效、症状疗效指数（FDI）、尼平消化不良指数（NDI）、健康相关生活质量评分（SF-36）。并在治疗前后，抽血检测患者血清胃泌素（GAS）和胃动素（MTL）水平。结果 治疗2个疗程后，普通针刺组和辨证针刺组的总有效率差异有统计学意义（P<0.05）。治疗结束后和随访2个月后，辨证针刺组FDI分数与普通针刺组比较，差异有统计学意义（P<0.05）。治疗结束后和随访2个月后，辨证针刺组患者NDSI和NDLQI分别与普通针刺组比较，差异有统计学意义（P<0.05）。治疗2个疗程和随访2个月后，辨证针刺组患者SF-36与普通针刺组比较，差异有统计学意义（P<0.05）。治疗2个疗程后，辨证针刺组患者血清中GAS和MTL水平与治疗前和普通针刺组比较，差异均有统计学意义（P<0.05）。结论 通过辨证分析餐后不适综合征型功能性消化不良患者的临床症型，合理选择用穴方案，可显著改善患者的症状，提高生活质量，同时也可以改善患者血清胃泌素和胃动素含量，具有较好的近期和远期疗效。     

WSSV envelope protein VP51B links structural protein complexes and may mediate virus infection

White spot syndrome virus (WSSV), an enveloped double‐stranded DNA virus, is the causative agent of a disease that has led to severe mortalities of cultured shrimps in Taiwan and many other countries. In the previous study, Penaeus monodon chitin‐binding protein (CBP) and glucose transporter 1 (Glut1), two cell membrane proteins, were found to at least interact with other 10 WSSV envelope proteins including VP51B. These envelope proteins might form a protein complex. According to the known information, VP51B was used to identify its role in the protein complex. Western blotting of the intact viral particles and fractionation of the viral components confirmed that VP51B is one of WSSV envelope proteins. In this study, the protein–protein interaction between VP51B and other WSSV envelope proteins was identified by far‐western blot experiment and VP51B was found to interact with VP24, VP31, VP32, VP39B and VP41A. Furthermore, the in vivo neutralization experiment using recombinant VP51B plus with VP39B showed the best inhibition. These data indicate that VP51B participates in the WSSV protein complex and plays an important role in WSSV infection.     

从“久卧伤气”探讨慢性阻塞性肺疾病合并坠积性肺炎发病机制

长期卧床的慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）患者，痰液等分泌物易阻塞于呼吸道，甚则肺部形成瘀血，极易引发坠积性肺炎。中医认为“久卧伤气”，气伤则虚、气伤痰阻、气伤血瘀，终致痰瘀互结。COPD患者肺、脾、肾虚，痰瘀交阻，久卧于床则加重三脏之虚，痰瘀益甚而合并坠积性肺炎。故从COPD并发坠积性肺炎的中医病机出发，深入剖析“久卧伤气”与COPD并发坠积性肺炎的关系，以期为临床诊疗提供理论基础。