46例上消化道出血患者的临床护理分析

目的:总结46例上消化道出血患者的临床护理,探讨消化道出血患者的有效临床护理方法.方法:对上消化道出血患者在出血期间进行临床观察,实施急救护理、一般护理,输血期间护理、饮食护理、心理护理。结果:抢救成功44例,成功率为96%,44例患者匀取得良好的护理和治疗效果.结论:做好出血期观察与护理,注意出院的健康指导,密切配合医生积极进行抢救,能够明显提高护理质量及抢救成功率.参6.     

上消化道出血的常见诱因分析及护理对策

本文对上消化道出血的常见诱因进行了分析,并对临床护理方法进行了实践探讨,以求对上消化道出血的护理工作提供参考.     

颅内动脉瘤夹闭术围手术期的护理

目的:探讨颅内动脉瘤夹闭术围手术期的护理要点.方法:对我科2011年1月～2012年5月收治的100例动脉瘤夹闭术患者进行细致的围手术期护理,严密观察病情,术前预防动脉瘤再破裂出血,积极做好术前准备,术后做好引流管、并发症及康复等护理.结果:100例动脉瘤夹闭术患者,80例无任何并发症治愈出院,15例出现一侧肢体偏瘫,经术后康复治疗,随访3～6个月均恢复,5例死亡.结论:精心细致的围手术期护理,可有效提高手术成功率及治愈率,改善患者术后生活质量.     

糖尿病肾病患者维持性血液透析的护理探讨

目的探讨糖尿病肾病(diabetic nephropathy,DN))血液透析患者的护理措施,以减少并发症的发生.方法回顾性分析2007年4月-2009年10月我科63例DN维持性血液透析患者的并发症.结果透析中发生低血糖12例,低血压24例,16例发生高血压,9例发生不同程度的出血现象,2例穿刺处轻度感染,经过积极的对症治疗护理后,患者病情好转.结论良好的饮食护理、心理护理、皮肤护理、用药护理及病情观察有助于减少DN血液透析患者的并发症发生,延长患者的生命,提高患者的生活质量.参9.     

综合护理干预对慢性乙型肝炎抗病毒治疗临床观察及效果评价

目的分析探讨护理干预对慢性乙型肝炎抗病毒治疗的临床效果.方法选取84例慢性乙型肝炎抗病毒治疗的患者,随机分为观察组和对照组,每组42例,对照组采用常规护理,观察组通过饮食卫生、用药护理、情绪护理、健康教育护理等,比较两组患者用药依从性、患者的满意度、健康教育达标率.结果观察组在患者的用药依从性、住院的满意度、健康教育达标率等方面优于对照组.结论对抗病毒治疗的慢性乙型肝炎患者实施饮食、心理护理、健康教育可以有效消除或缓解患者焦虑情绪,提高患者满意度和用药依从性,使患者有效配合抗病毒治疗.     

COPD合并Ⅱ型呼吸衰竭患者无创通气的护理体会

探讨COPD合并Ⅱ型呼吸衰竭神志清楚患者无创通气的护理体会.方法:南华大学附属第一医院呼吸内科2009年1月-2012年2月收治的98例COPD合并Ⅱ型呼吸衰竭应用无创正压通气治疗的清醒患者,随机分为护理干预组(观察组)与对照组各49例,其中观察组给予系统的护理干预;对照组仅采取一般护理措施.比较两组患者治疗后呼吸参数.结果:护理干预组的pH、PaO2、SaO2等参数明显高于对照组,而PaCO2明显低于对照组.表1,参5.     

仰卧位关节腔注射治疗膝骨性关节炎疗效观察及护理

目的:观察仰卧位关节腔注射治疗膝骨性关节炎(osteoarthritis,以下简称膝OA)的临床疗效并探讨护理方案.方法:选取116例符合诊断标准的膝OA患者,所有患者采用仰卧位髌骨外缘入路关节腔注射玻璃酸钠注射液,1次/周,连续5周为一个疗程,并于注射前后给予护理及康复指导.治疗前及治疗后应用视觉模拟评分(visual ana-log scale,VAS)、WOMAC骨关节炎指数、肿胀、压痛积分进行评分,以评价疗效.结果:治疗前后VAS疼痛评分、WOMAC骨性关节炎指数、肿胀、压痛指数均有显著性意义(P<0.05).经治疗后,临床控制2例(1.72%),显效26例(22.41%),有效76例(65.52%),无效12例(10.35%).结论:仰卧位关节腔注射治疗并配合护理康复能明显改善膝OA临床症状,且临床操作安全、方便.     

探讨老年患者的心里压力及对策

目的:探讨老年患者的压力及心理护理.方法:对我院2010年元月至2011年12月收治298例老年患者,采用问卷调查和观察法,了解老年患者的心理压力,采取心理护理收到良好的效果.结果:298例中,配合治疗的199例痊愈,42例好转,8例无效;欠配合治疗的2例痊愈,6例好转,41例无效.结论:针对老年患者的压力,做好心理护理是我们义不容辞的责任,我们不仅要有精通的医学知识和丰富的心理学知识,还要有一颗爱心,这样才能做好老年心理护理,才能适应现代医学发展的需要.表2,参5.     

经皮穿刺气管切开术与传统气管切开术的临床应用及护理

目的:研究经皮穿刺气管切开术和传统气管切开术的应用对比及护理差异,探索两者临床护理意义.方法:选择40例患者,治疗组20例行经皮穿刺气管切开术,对照组20例行传统气管切开术,比较两组的手术时间、切口大小、术中出血量及术后并发症.结果:治疗组手术时间(6.30±2.42)min,切口大小(0.86±0.12)cm,术中出血(1.91±1.73)ml,明显低于对照组(P0.05),术后并发症发生率也低于对照组.结论:经皮穿刺气管切开术与传统气管切开术比较,具有手术时间短、切口小、出血量少、并发症少等优点,适合在临床普及应用.表2,参4.     

急性心肌梗死的诊治分析

目的:通过总结48例急性心肌梗死患者诊治方法,为急性心肌梗死患者的诊治工作提供参考.方法:回顾2011年6月至2012年1月南华大学第一附属医院心内科48例急性心肌梗死病例,规范其诊治方法.结果:8例患者死亡,40例患者好转出院.结论:随着急性心肌梗死医疗护理水平的规范与提高,好的药物不断推出与疾病预防知识的不断普及,心肌梗死的治愈率将大大提高.参7.     

《生态毒理学报》主编简介

<正>王子健,男,1953年10月出生,博士,研究员,博士生导师．1976年中国科技大学毕业后到中科院生态环境研究中心工作．1983-1985年在瑞士留学,从事水质污染化学规律研究;1987年在日本从事生物样品生理活性物质分析方法研究． 1992-2000年担任中科院生态环境研究中心环境水化学国家重点实验室副主任、主任,兼环境模拟与污染控制国家重点联合实验室学术委员会委员,国家863计划污染控制技术主题专家组副组长,国家自然科学基金委员会地球科学部第二届咨询专家委员会委员,国际环境地球化学与健康学会亚太分会理事,全球环境基金专家库成员等．同时担任环境科学学报(副主编)、过程工程学报、环境化学、湿地研究、地球与环境、美国Environmental Science and Health(A)等杂志的编委．王子健领导的研究小组主要研究天然水体和水处理过程中的水质转化、相关毒性和毒理变化以及健康和生态风险．内容包括发展新的环境监测技术,离体和活体生物毒性测试方法,污染物水体多介质过程,水质安全性评价以及水污染的健康和生态风险的指标和方法．在开发新型生物模拟采样技术和生物毒性测试方法体系、生活饮用水和再生水的安全性评价、持久性有毒污染物污染及其生态与健康影响等方面取得了丰硕的成果,相当一部分成果得到推广应用．     

Induction of metamorphosis of two species of sea urchin from Sea of Japan

The induction of metamorphosis in mature larvae by selected chemical compounds and natural substrata was investigated in two species of sea urchins from the Sea of Japan, Strongylocentrotus intermedius and Scaphechinus mirabilis. Glutamine in crystalline form was added directly to water containing mature larvae, and this compound, at a final concentration of 10 g ml^-1, was an inducer of metamorphosis in S. intermedius (100% activity) and S. mirabilis (50% activity). Gutamine, or its natural mimetic molecules, may be an active component of the exogenous cue that induces metamorphosis of S. intermedius larvae. This exogenous cue was produced by the epiphytic calcareous algae, Melobesia spp. that colonized the older sea grass Zostera marina. Glutamic acid was also used as an inducer of metamorphosis for S. intermedius and S. mirabilis larvae (50 to 60% activity), but it was toxic to the larvae.     

1株微小杆菌对4种蓝藻的生长影响

利用过滤的天然珍珠养殖水参照BG11配制加富培养液,将1株能促进鱼害微囊藻生长的微小杆菌属菌株(Exiguobacterium sp.013,简写为E.sp.013)进行纯化扩大培养后与铜绿微囊藻(Microcystis aeruginosa)、水华微囊藻(Microcystis flosaquae)、平裂藻(Merismopedia sp.)和惠氏微囊藻(Microcystis wesenbergii)按一定菌、藻密度比例同时接种后进行为期24 d的培养试验,利用特定生长率和细胞密度等指标观察并检验E.sp.013菌株对4种蓝藻生长的影响,同时检测培养液中优势菌群的数量变化趋势.结果表明:E.sp.013菌对铜绿微囊藻、水华微囊藻和惠氏微囊藻具有显著促生长和延长稳定生长期作用,对平裂藻不具有显著促生长作用,但对延长其稳定生长期具有显著效果;试验培养过程中E.sp.013菌落数量占所有菌落总数的比例始终高于46％,处于绝对优势地位,表明E.sp.013菌具有调控其他菌群的能力.     

南京城市西部遗产廊道规划

南京城市西部历史时期是城市的重要边界,现在逐渐演变成老城与新区之间的核心地带,成为公共活动的重要地区,保护其自然、文化遗产和生态环境具有非常重要的意义。在对其现状调查分析的基础上,梳理遗产点的历史概况、现状及其分布情况,提出规划遗产廊道的意义,探讨规划的具体思路,为南京遗产保护提供了新的视角。     

利用回归分析确定降水入渗补给量

目前常用降水量乘以降水入渗补给系数的方法计算降水入渗补给量,此法不能表现降水特征、蒸发等因素对降水入渗补给的影响．为解决不同时间尺度、不同降水特征和蒸发情况下的降水入渗补给量,在分析郑州地下水均衡试验场地中渗透仪实测入渗量、降水和蒸发资料的基础上,利用均匀设计法选取最优的与降水入渗补给量关系密切的前期降水量和蒸发量的期次,然后利用回归分析建立各岩性和埋深的年、月和日尺度上的降水入渗函数,可以比较准确的计算降水入渗补给量．表3,参9．     

Effects of contrasting modes of larval development on the genetic structures of populations of three species of prosobranch gastropods

 In south-eastern Australia, the prosobranch gastropods Morula marginalba (Blainville), Cominella lineolata (Lamarck) and Bedeva hanleyi (Angas) have similar fine-scale distributions, but appear to possess very different dispersal capabilities due to contrasting modes of larval development. M.marginalba produce planktonic larvae, whereas C. lineolata and B. hanleyi undergo direct development in benthic egg capsules and emerge as crawling juveniles. To test for possible effects of contrasting life histories on levels of genetic variation within and among populations, a survey was conducted of allozyme variation at six polymorphic loci in 8 to 9 local populations of each species. Collections of snails were made between June 1992 and November 1993. Sampling ranges spanned between 162 and 180 km of coast. Regardless of larval type, proportions of single-locus genotypes in each collection were consistent with the recruitment of offspring which had been generated through random mating. However, genotypic diversity was lower in those species that undergo direct development. Loci surveyed in C. lineolata and B. hanleyi were polymorphic (i.e. frequency of most common allele <95%) in fewer populations than those examined for M.␣marginalba (P <0.001) and, where polymorphisms occurred, also possessed significantly fewer alleles (P <0.001). Consequently, average levels of expected heterozygosity were greater in populations of M. marginalba than in those of either of the other species (P <0.001). Genetic variation among populations, expressed as the standardised variance in allele frequencies (F _ST ), was inversely related to expected larval dispersal capability. The nine collections of M. marginalba showed little overall differentiation (F _ST  = 0.017; P <0.001), reflecting the ability of planktonic larvae to interconnect local populations, and so limit divergence due to drift and natural selection. In contrast, there were high levels of allelic heterogeneity among the nine collections of C. lineolata (F _ST  = 0.523; P <0.001) and eight collections of B. hanleyi (F _ST  = 0.140; P <0.001). These data imply that for species which undergo direct development, local populations are effectively closed and evolve largely independent of one another. Received: 3 May 1996 / Accepted: 12 July 1996     

Evaluation of adsorption potential of adsorbents: a case of uptake of cationic dyes

Adsorption potential of a commercial activated carbon (FS300) has been evaluated for the uptake of cationic dyes namely methylene blue (MB) and rhodamine B (RB). Though, there are numerous studies in literature which report the sorption of MB (more than 40 studies) and RB (more than 10), however none of these use a common parameter to report the capacity of the sorbent. A protocol, based on the equilibrium dye concentration has been proposed to measure the sorption potential of a sorbent. The Langmuir model can very well describe the experimental equilibrium data for both dyes (coefficient of correlation > 0.999). MB (Qm = 312.5 mg g(-1)) is more adsorbable than the RB (Qm = 144.9 mg g(-1)). Molecular weight and chemical structure of dye molecules seem to affect the dye uptake. The effect of pH on dye uptake has also been evaluated by varyingpH from 3 to 11. Uptake of MB increases with pH, wherein RB removal decreases with pH. Dyes could not be desorbed either by distilled water (0.06 and 0.11% for MB and RB respectively), or by 0.1 NHCl (0.136 and 3.0% for MB and RB respectively) indicating, chemical adsorption type of adsorbent-adsorbate interactions.     

洞庭湖生态环境承载力分析

洞庭湖湖内冬枯水季节，有芦苇面积530km^2，草地面积800余km^2，泥滩地面积367km^2，天然水域面积约993km^2。湖洲之间隔水相望，河沟水系纵横交错，具“水浸皆湖，水落为洲”的地貌特征，呈现出支离破碎的形态面貌和典型的自然湿地景观。文章在大量调查的基础上，从自然和人文两个方面对洞庭湖的生态环境承载力或环境压力进行分析。     

接种污泥源对厌氧氨氧化启动效能的影响

厌氧氨氧化(anaerobic ammonium oxidation,ANAMMOX)菌生长缓慢是影响其实际应用的主要问题之一,选取合适的接种污泥十分重要.本研究采用好氧污泥、厌氧颗粒污泥和厌氧消化污泥3种接种污泥,分别经过61、70和85 d的运行均实现了厌氧氨氧化过程,氨氮去除率分别为82%、92%和91%,总氮去除率达76%、82%和80%.分别接种3种污泥源的厌氧序批式反应器(ASBR)R1、R2、1t3出水pH值最终稳定在8.4、8.5、8.5.好氧污泥呈絮状,但沉降性比接种前好,厌氧颗粒污泥解体后最终形成粒径集中在0.5～1.0 mm的污泥,厌氧消化污泥则呈沙化状态,有细小颗粒出现.根据厌氧氨氧化细胞产率系数及NH4+-N、NO2--N去除量和NO3--N生成量之间的计量学关系,估算出厌氧氨氧化菌产率系数(以1 mol NH4+产生的CH2O0.5N0.15量计)分别为0.080、0.105和0.114 mol·mol-1,说明反应器内厌氧氨氧化菌有不同程度的衰减.总体而言,厌氧颗粒污泥是富集厌氧氨氧化菌的最适污泥源.