Influence of different blood Glu cose control programs on prognosis and blood Glu cose in patients with intracerebral hemorrhage after operation together with stress hyperglycemia

目的 探讨不同血糖控制方案对脑出血术后应激性高血糖患者预后及血糖的影响。方法 采用回顾性研究方法将2015年6月~2016年5月入住我院重症医学科的52例脑出血术后应激性高血糖患者根据血糖控制方案的不同分为A组（n=25）和B组（n=27）,A组采用静脉单次推注,B组采用持续静脉泵注。比较两组的28 d生存率、格拉斯哥预后评分、血糖达标率、达标时间、血糖监测次数、低血糖发生率、血糖水平和血糖变异度指标的差异。结果 两组的28 d生存率、血糖达标率、达标时间、低血糖发生率比较,差异无统计学意义（P〉0.05）。A组的格拉斯哥预后评分显著高于B组,差异有统计学意义（P〈0.05）。A组的血糖监测次数显著少于B组,差异有统计学意义（P〈0.05）。A组的血糖最大值（Glu_（max））和血糖差值（Glu_（dif））均显著小于B组,差异有统计学意义（P〈0.05）。结论静脉单次推注胰岛素能够改善脑出血术后应激性高血糖患者的神经功能预后,可以降低入ICU后血糖最大值和血糖差异。Objective To investigate influence of different blood glucose control programs on prognosis and blood glucose in patients with intracerebral hemorrhage after operation together with stress hyperglycemia.Methods A retrospective study was conducted,and 52 patients with stress hyperglycemia after cerebral hemorrhage in our hospital from June 2015 to May 2016 were divided into group A （n=25） and group B （n=27） according to different blood glucose control programs.Group A was treated with intravenous bolus injection,and group B was treated with continuous intravenous pump.The 28 d survival rate,the Glasgow outcome score,the blood glucose compliance rate,the standard time,the fre- quency of blood glucose monitoring,the incidence rate of hypoglycemia,blood glucose levels and blood glucose variabili- ty indexes were compared between the two groups.Results There was no significant difference in 28 d survival rate,the blood glucose compliance rate,the standard time,the incidence rate of hypoglycemia between the two groups （P〉0.05）. The Glasgow outcome score in group A was significantly higher than that in group B,with significant difference （P〈 0.05）.The number of blood glucose monitoring in group A was significantly less than that in group B,with significant dif- ference （P〈0.05）.The Glu., and Glu~f in group A was significantly less than that in group B,with significant difference （P〈O.O5）.Conclusion Intravenous single bolus insulin injection can improve the prognosis of nervous function in pa- tients with intracerebral hemorrhage after operation together with stress hyperglycemia,and can reduce the maximum blood glucose and blood glucose difference after ICU.广东省东莞市医疗卫生类科技计划一般项目（2015105101220

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A New Method and Device for Fast HBV Genotyping in Point-of-Care Diagnostics

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经模拟低温(-12、-8、-4、0、4℃)胁迫处理后,长苞铁杉幼苗叶片和根系相关生理指标均发生明显变化.随着温度降低,叶片光合色素含量增加,但反映光合活性强弱的Chla/Chlb降低;叶片中渗透调节物质脯氨酸和可溶性糖含量增加,呈极显著正相关(r=0.804,p<0.01),根系中可溶性糖含量的减少说明根对低温胁迫的渗透调节更依赖于脯氨酸的累积.幼苗在-4℃及更低温度胁迫下受到严重的冻害使SOD活性持续下降,叶片中POD活性与SOD活性变化呈极显著负相关(r=-0.908,p<0.01),但根系中POD活性与SOD活性没有相关性,说明长苞铁杉幼苗对抗外界胁迫机理的复杂性.叶片MDA含量比根系低可能与叶片中Car能缓解1O2对细胞的伤害有关

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Sedimentation rate plays an important role in wetland deposition because it indicates the storage capacity of wetland sediment and biogenic element. In this study, two sediment columns with a depth of 50 cm were collected in the restored wetland in the Yellow River Delta, and 10 soil physical and chemical properties were measured. The change point of the soil properties and the age since wetland restoration were used to determine the sedimentation rate. The results showed that the variables such as TOC, TN, delta~(13)C, and delta~(15)N, which were related to the accumulation of soil organic matter, were more suitable for calculating the deposition depth of the new layer of sediment in the restored wetland. As a result, the average sedimentation rate of the new layer in R2002 was calculated as 0.75 cm·a~(-1), and the deposition rates of C, N, and P were 208.65 g·m~(-2)·a~(-1), 20.74 g·m~(-2)·a~(-1), and 4.11 g·m~(-2)·a~(-1), respectively. In conclusion, the change point technique can be accurately used to determine the sedimentation rate of the new layer in restored wetland. In the future, the restored wetland will play more and more important role in sequester excess nutrient (such as N or P) due to human activities and global climate change

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As the exploration and exploitation of deep-sea oil and gas, along with promising polymetallic nodule&sulfides mining, have been developing toward ultra-deep waters, some innovative concepts of marine cable configuration suitable for ultra-deepwater are proposed, such as stepped cable, hybrid cable and double-stepped cable. For deep-water cables with complex configurations, the structural responses become more complicated due to their non-uniform structural properties. Because the distributed buoyancy modules along cable length might introduce more significant local bending segments. Moreover, the impacts of moving boundary, caused by the motions of top vessel and bottom mining vehicle, should be considered. Through combing the finite element simulations with the hydrodynamic models, the dynamic response analysis approach of ultra-deepwater cables is established in this study. Then the double-stepped cable responses, including axial tension, displacement along with the change of overall configurations caused by moving top vessel and bottom mining vehicle, are calculated. Moreover, wave propagation behaviors during cable response are comprehensively examined, and the influences of non-uniform structural properties on cable response and wave propagation are analyzed using the wave propagation theory of structure with axially varying properties based on the Bessel function. The results show that the presented double-stepped cable can provide suitable configurations during the dynamic response, which has good compliance performance and can effectively buffer its response caused by moving boundary excitation. Finally, we found that the response spatial-temporal evolutions present some interesting phenomena, such as the axially non-uniform characteristics lead to non-monotonic changes in response amplitude and wavelength, with local peaks occurring in the low-tension region, owing to the distributed buoyancy modules, along with axiallyvarying and discontinuous structural properties. And, there exists significant mixed effect coming from both standing waves and traveling waves