胰十二指肠切除术患者的心理干预等个性化护理效果分析

目的:对胰十二指肠切除术抑郁症患者住院期间实施包括心理干预在内的个性化护理并评价其效果.方法:将我院2009年3月至2012年3月收治胰十二指肠切除术患者56例后随机分成对照组和干预组各28例,对照组接受常规护理,干预组住院期间接受心理干预在内的个性化护理.在入院当天、术前天和出院前1天对两组患者进行抑郁自评量表(SDS)并比较两组患者的SDS和分值,统计两组患者住院时间和并发症.结果:干预组患者SDS分值的降低幅度较对照组明显;差异有统计学意义(P<0.05)前者住院时间、并发症要少于后者,且满意率高.结论:心理干预等个性化护理能有效改善患者围手术期的抑郁情绪,减少并发症,有助于早期康复.表2,参10.     

Young convict cichlids use visual information to update olfactory homing cues

In this study, we tested the tendency of young cichlids to orient towards their parents using chemical cues. Convict cichlids have biparental defence of their free-swimming young. If young become separated from their family they must rejoin their family within minutes to have any chance of survival. Here, we used a dichotomous Y-maze to test if displaced convict cichlid young can use chemical cues to orient to their family. First, we showed that young preferentially orient toward water taken from their home tank versus blank water taken from a tank that contained no fish. Second, we showed that young prefer home tank water to water from a tank containing another family of convict cichlids. In a third experiment, we placed young convict cichlids in a small aquarium inserted within a larger aquarium. The large aquarium contained either their parents or no fish. The small insert aquarium contained blank water from a tank that had never contained fish. After 20 min in the insert tank, young convict cichlids were placed in the Y-maze and given a choice between either their home tank water or water from the insert tank. Convict cichlids that did not see their parents during the 20-min conditioning period oriented strongly toward chemical cues of their home tank water. Young that saw their parents during the 20-min conditioning period oriented strongly toward the chemical cues of the insert tank. These data indicate that young convict cichlids use visual cues to learn and reset the smell of “home” in less than 20 min.     

重症脑挫伤患者气管切开护理

总结了70例重症脑挫伤行气管切开术后,可出现的相关问题,采取相应的护理措施．重点加强人工道气管导管护理,气道湿化、吸痰护理、气管切口护理等,减少气管切开的并发症,降抵重症脑患者死亡率．参6．     

A review of approaches for the long-term management of municipal solid waste landfills

After closure, municipal solid waste (MSW) landfills must be managed and controlled to avoid adverse effects on human health and the environment (HHE). Aftercare (or post-closure care) can be brought to an end when the authorities consider the landfill to no longer pose a threat to HHE. Different approaches have been suggested for long-term landfill management and evaluation of aftercare completion. In this paper, research on aftercare and its completion is analyzed and regulatory approaches for the completion of landfill aftercare are reviewed. Approaches to aftercare could be categorized as (i) target values, (ii) impact/risk assessment, and (iii) performance based. Comparison of these approaches illustrates that each has limitations and strengths. While target values are typically used as screening indicators to be complemented with site-specific assessments, impact/risk assessment approaches address the core issue about aftercare completion, but face large uncertainties and require a high level of expertise. A performance-based approach allows for the combination of target values and impact/risk assessments in a consistent evaluation framework with the aim of sequentially reducing aftercare intensity and, ultimately, leading to the completion of aftercare. At a regulatory level, simple qualitative criteria are typically used as the primary basis for defining completion of aftercare, most likely due to the complexity of developing rigorous evaluation methodologies. This paper argues that development of transparent and consistent regulatory procedures represents the basis for defining the desired state of a landfill at the end of aftercare and for reducing uncertainty about the intensity and duration of aftercare. In this context, recently presented technical guidelines and the ongoing debate with respect to their regulatory acceptance are a valuable step towards developing strategies for the cost-effective protection of HHE at closed MSW landfills. To assess the practicality of evaluation methodologies for aftercare, well-documented case studies including regulatory review and acceptance are needed.     

A review on analytical methods for pharmaceutical and personal care products and their transformation products

Pharmaceutical and personal care products (PPCPs) and corresponding transformation products have caused widespread concern due to their persistent emissions and potential toxicity. They have wide octanol-water partition coefficients (K_ow) and different ionization constants (pK_a) resulting in a poor analysis accuracy and efficiency. A suitable analytical method is the first prerequisite for further research on their environmental behavior to prioritize the substances. This study reviewed a full-scale analytical protocol for environmental samples in the recent ten years: from sampling to instrumental methods. Passive sampling techniques were compared and recommended for long-term continuous and scientific observation. A quick and effective sample extraction and clean-up method are highly required. Chromatographic methods coupled to mass spectrometry for determining PPCPs with a wide range of logK_ow (?7.53 to 10.80) were summed up. High-resolution mass spectrometry was confirmed to be a promising strategy for screening unknown transformation products, which would provide a nanogram level of detection limits and more accurate mass resolution. Screening strategies and mass change principles were summarized in detail. The recovery rate was important in multiple contaminants analysis identification and factors affecting the recovery rate of PPCPs were also discussed in this review, including sample matrix, target compounds characteristics, extraction method and solid-phase adsorbent. This review provides useful information for the selection of appropriate analytical methods and future development directions.     

AnSBBR applied to the treatment of wastewater from a personal care industry: Effect of organic load and fill time

The objective of this work was to study the technological feasibility of treating wastewater from a personal care industry (PCI-WW) in a mechanically stirred anaerobic sequencing batch biofilm reactor (AnSBBR) containing immobilized biomass on polyurethane foam. An assessment was made on how system efficiency and stability would be affected by: increasing organic load; supplementation of nutrients and alkalinity; and different feed strategies. The AnSBBR operated with 8-h cycles, stirring speed of 400 rpm, temperature of 30 °C, and treated with 2.0 L wastewater per cycle. First the efficiency and stability of the AnSBBR were studied when submitted to an organic loading rate (OLR) of 3.1–9.4 gCOD/(L d), and when the PCI-WW was supplemented with nutrients (sucrose, urea, trace metals) and alkalinity. The AnSBBR was shown to be robust and presented stability and removal efficiency exceeding 90%. At an OLR of 12.0 gCOD/(L d) efficiency became difficult to maintain due to the presence of commercial cleansers and disinfectants in the wastewater lots. In a subsequent stage the AnSBBR treated the wastewater supplemented with alkalinity, but with no nutrients at varying feed strategies and maintaining an OLR of approximately 9.0 gCOD/(L d). The first strategy consists of feeding 2.0 L of the influent batchwise [OLR of 9.4 gCOD/(L d)]. In the second 1.0 L of influent was fed-batchwise and an additional 1.0 L was fed fed-batchwise [OLR of 9.2 gCOD/(L d)], i.e., in relation to the first strategy the feed volume was maintained but supplied in different periods. In the third strategy 1.0 L of treated effluent was maintained in the reactor and 1.0 L of influent was fed fed-batchwise [OLR of 9.0 gCOD/(L d)], i.e., in relation to the first strategy the feed volume was different but the feed period was the same and the OLR was maintained by increasing the influent concentration. Comparison of the first and second strategies revealed that organic matter removal efficiency was unaffected (exceeding 90%). The third strategy resulted in a reduction in average removal efficiency from 91 to 83% when compared to the first one. A kinetic study resulted in first order kinetic parameters ranges from 0.42 to 1.46 h⁻¹ at OLRs from 3.1 to 12.0 gCOD/(L d), respectively, and the second feed strategy [OLR of 9.2 gCOD/(L d)] was shown to be the most favorable.     

Who cares? Individual contributions to pup care by breeders vs non-breeders in the cooperatively breeding banded mongoose (<Emphasis Type="Italic">Mungos mungo</Emphasis>)

Knowledge of the investment rules adopted by breeders and non-breeders, and the factors that affect them, is essential to understanding cooperative breeding as part of a life-history tactic. Although the factors that affect relative contributions to care of young have been studied in some cooperative bird species, there is little data on mammals, making coherent generalisations within mammals and across taxa difficult. In this study, we investigate individual contributions to pup escorting, a strong predictor of offspring provisioning, in the banded mongoose (Mungos mungo), a cooperatively breeding mammal in which reproductive skew is low. Contributions by those under a year old (which virtually never breed) increased with age and body weight but were generally low. Among older age classes (yearlings and adults), individuals that had not bred in the current litter generally contributed less to escorting than those that had bred (with the exception of yearling males). In addition, females that did not breed reduced their investment if they were heavy presumably because such females are more likely to breed in the following event and benefit from saving resources for this. The generally greater contributions by breeders in banded mongooses contrast with the recent findings in meerkats (Suricata suricatta), another obligatorily cooperative mongoose with similar group size but wherein reproductive skew is high. Our results suggest that relative contributions by breeders vs non-breeders are not dependent on group size but on the ratio of breeders to carers and the probability that non-breeders will breed in the near future.     

Effect of parentage and relatedness on the individual contribution to cooperative chick care in carrion crows Corvus corone corone

Carrion crows Corvus corone corone in northern Spain form complex cooperative groups that contain non-dispersing offspring and immigrants. Reproduction is often shared among group members, with polyandry prevalent over joint egg laying. However, due to incest avoidance or sexual immaturity, reproduction is potentially available only to a fraction of group members (potential breeders), while others do not breed (non-breeders). We combined molecular data with video-recorded observations at nests in order to investigate whether potential breeders and non-breeders adjust their individual effort in nestling feeding respectively to their level of parentage and the relatedness with the chicks. Overall, parents of at least one chick in the brood showed the highest feeding rates. Among potential breeders, genetic mothers and fathers fed chicks at significantly higher rates than individuals with no parentage, but they did not adjust their effort according to the proportion of offspring generated. Current direct fitness benefits are therefore important in determining a high provisioning effort, but crows may lack a mechanism to finely assess their share of parentage. Among non-breeders, males contributed more than females to chick feeding, but we found no significant correlation between feeding rate and relatedness to the nestling. We discuss how the latter result can be reconciled with the fact that kin selection has been shown to be important in shaping the crow cooperative society.Communicated by C. Brown     

Optimal maternal investment in the dung beetle<Emphasis Type="Italic"> Onthophagus taurus</Emphasis>?

Optimal investment theory is based on the assumption that the proximate constraint acting on parental investment is resource based. A trade-off between per offspring investment and total investment seems intuitive. Consequently, a parents investment strategy is expected to represent a trade-off between the benefits of investment for current offspring and the costs to future reproduction for parents. In this study, we provide clear evidence that the costs and benefits of maternal provisioning in the dung beetle Onthophagus taurus influence the amount of provisions provided by the mother. Horse dung is typically of a higher nutritional value than cow dung and females were shown to provide 20% less dung to offspring when provisioning with horse dung. By reducing their investment per offspring and exhibiting a clear preference to provision offspring with horse dung, females were able to produce significantly more offspring. Females provisioning with horse dung received greater fitness returns per unit of investment and experienced lower provisioning costs, in terms of the minimum amount of dung required to produce a surviving offspring, than females provisioning with cow dung. Females provisioning in soil of low moisture content were found to have higher tunneling costs than those provisioning in soil of high moisture content, while the fitness returns per unit of investment did not differ. We adopted a marginal value theorem (MVT) approach to calculate the theoretical optimal level of investment for each dung type and for each soil moisture. Predicted levels of provisioning were lower for horse dung than for cow dung and for moist soil than for dry soil. Therefore, the results of this study are in qualitative agreement with MVT predictions and provide empirical support for the proposal that females can adaptively adjust their level of investment in response to resource and/or habitat quality. However, the theoretically predicted optimal investment yielded a poor quantitative fit with our observed levels of investment, with females providing over twice the investment predicted by the MVT approach. We suggest that this difference may reflect either our inability in directly quantifying all the necessary costs and benefits of investment in O. taurus and/or the applicability of the underlying assumptions of MVT.Communicated by D. Gwynne     

人工合成麝香的环境污染、生态行为与毒理效应研究进展

人工合成麝香作为一种替代型香料被广泛应用于日用化工行业,由于其持续不断地输入环境,其中的一些典型化合物如加乐麝香和吐纳麝香等在水、土壤和大气环境中的浓度日益升高,并且在动物体和人体组织中产生了蓄积作用,其效应相当于持久性有机污染物.因此,人工合成麝香作为一种新型污染物,已成为药物和个人护理品污染物(PPCPs)的重要组成部分.首先对人工合成麝香的种类与应用情况、环境来源和污染水平进行了简要介绍.在此基础上,从人工合成麝香的生物蓄积行为、环境降解行为和生物转化行为等3个方面,对人工合成麝香所具有的持久性有机污染物的行为特征进行了分析;概述了人工合成麝香的环境激素毒性、遗传毒性效应、生理生态毒性、对酶活性的影响以及对微生物毒性效应的研究进展,展示了人工合成麝香所可能产生的不良生态效应.最后,根据目前对人工合成麝香的研究进展,提出了今后有关重点研究内容的建议,为合理评价和降低人工合成麝香的生态风险提供理论基础.