Multifunctional fibrous wound dressings for refractory wound healing

Refractory wounds have always been an important issue to healthcare systems, whose healing process is always delayed by multiple factors, including bacterial infections, chronic inflammation, and excessive exudates, etc. Employing multifunctional wound dressings is recognized as an effective strategy to deal with refractory wounds, which has yielded promising outcomes in recent years. Among these advanced wound dressings, fibrous dressings have gained growing attention due to their unique merits. Such wound dressings have demonstrated great potential in delivering theranostic agents, such as antibacterial agents, anti-inflammatory drugs, growth factors, and diagnostic probes, etc., for the purposes of accelerating wound healing. This paper reviews the development of multifunctional fibrous dressings and their applications in treating refractory wounds. The construction approaches of novel fibrous dressing with capabilities of antibacterial, anti-inflammation, exudate management and diagnosis were also introduced. Furthermore, the existing problems and challenges are also discussed briefly.     

One-Step Nucleic Acid Purification and Noise-Resistant Polymerase Chain Reaction by Electrokinetic Concentration for Ultralow-Abundance Nucleic Acid Detection

Nucleic acid amplification tests (NAATs)integrated on a chip hold great promise for point-of-care diagnostics. Currently, nucleic acid (NA) purification remains time-consuming and labor-intensive, and it takes extensive efforts to optimize the amplification chemistry. Using selective electrokinetic concentration, we report one-step, liquid-phase NA purification that is simpler and faster than conventional solid-phase extraction. By further re-concentrating NAs and performing polymerase chain reaction (PCR) in a microfluidic chamber, our platform suppresses non-specific amplification caused by non-optimal PCR designs. We achieved the detection of 5 copies of M. tuberculosis genomic DNA (equaling 0.3 cell) in real biofluids using both optimized and non-optimal PCR designs, which is 10- and 1000-fold fewer than those of the standard bench-top method, respectively. By simplifying the workflow and shortening the development cycle of NAATs, our platform may find use in point-of-care diagnosis.     

Highly Specific,Single-step Cancer Cell Isolation with Multi-Aptamer-Mediated Proximity Ligation on Live Cell Membranes

A single-step method for isolation of specific cells based on multiple surface markers will have unique advantages because of its scalability, efficacy, and mildness. Herein, we developed multi-aptamer-mediated proximity ligation method on live cell membranes that leverages a multi-receptor co-recognition design for enhanced specificity, as well as a robust in situ signal amplification design for improved sensitivity of cell isolation. We demonstrated the promising efficacy of our method on differentiating tumor cell subtypes in both cell mixtures and clinical samples. Owing to its simple and fast operation with excellent cell isolation sensitivity and accuracy, this approach will have broad applications in biological science, biomedical engineering, and personalized medicine.     

国内外化学相异构想研究的进展与启示*

国内外有关化学学科的相异构想研究主要包括对学生相异构想进行诊断及其原因分析,以及开发有效的教学模式或策略对学生相异构想进行概念转变。通过对国内外相关研究现状的分析,为相异构想的后续研究提供思路。     

初中化学青年教师常态课教学课例研究* ——基于弗兰德斯互动分析系统

弗兰德斯互动分析系统可以量化课堂教学中的语言行为。以初中化学一节常态课为研究课例,基于弗兰德斯互动分析系统,结合教师他评和自评,从教学目标、教学内容、教学过程和教学效果等4方面进行了全面的分析与评价,并根据评价结果,针对教学目标制订、有效提问、科学的课堂语言结构的营造以及实验探究的实施等提出了可行性的有效策略,从而为青年教师通过教学实践来促进个人专业发展提供依据。     

表面增强拉曼光谱在食源性致病微生物检测中的应用研究

食源性致病微生物导致的食源性疾病已成为全球化的公共卫生问题。快速、有效地检测食源性致病微生物是实现食源性疾病预防与控制的关键环节，也是保障食品安全的技术关键。表面增强拉曼光谱(SERS)具有简单、快速、灵敏度高等优点，在食品安全、生物医学、环境监控等领域展现出良好的应用前景。介绍了近年来SERS在食源性致病微生物检测中的应用研究进展。对SERS技术概况、SERS增强理论及SERS增强基底进行了简要介绍，重点回顾了SERS在食源性致病微生物检测中的应用和发展现状。在食品安全分析方面，利用SERS与模式识别方法相结合对食品中常见食源性致病微生物能实现快速、有效鉴别，部分研究已应用于不同食品样品的分析，体现了SERS作为“指纹图谱”的分析优势；在医学诊断方面，SERS可对病理样品(如血液、尿液等)中食源性致病微生物进行快速检测，缩短了样本分析时间，使食源性疾病的快速诊断成为可能；随着微流控技术的发展，微流控平台结合SERS技术被称为“芯片实验室”应用于食源性致病微生物的检测，可提高分析的可控性，稳定性，特异性和灵敏度。通过对比分析，发现不同研究可采用不同分离方法、不同基底、不同目标捕获方式等实现了食源性致病微生物的检测，展示了不同方法间的差异性。已有研究表明了SERS在食源性致病微生物检测中应用可克服传统方法耗时等缺点，实现灵敏快速分析，为食品安全实时监控，食源性疾病即时诊断提供了有效的分析工具。同时，指出了SERS技术应用于食源性致病微生物分析依然面临很大挑战，(1)大多数研究并没有聚焦于实际样品，而标准培养液和实际样品的SERS检测存在较大差异，实际样品组分会对SERS响应产生干扰；(2)不同方法结果有较大差异，主要是由于纳米增强基底差异，吸附方式原理的差异，稳定性的差异等，因此需要更多深入研究进一步优化条件；(3)期望建立标准化的SERS方法替代传统技术，充分展示SERS作为新兴分析工具快速、灵敏、简捷的优势应用于食品安全，医学诊断等领域。将来，随着研究的深入及相关学科的发展，SERS作为极具潜力的快速分析工具，将在食品安全，生物医学等领域具有更广阔的应用前景。     

Cathepsin B-responsive nanodrug delivery systems for precise diagnosis and targeted therapy of malignant tumors

The tumor microenvironment (TME) significantly influences cancer evolution and therapeutic efficacy. Targeting biofunctional molecules to the TME has long been appreciated as a means of raising local drug concentrations and reducing systemic toxicities. The booming nanotechnology field has realized the importance of cathepsin B to derive a variety of intelligent enzyme-responsive nanosized drug delivery systems (nanoDDS) to improve treatment responses and clinical outcomes. In this tutorial review, after introducing the molecular structure and physiological/pathological functions of cathepsin B, the outstanding achievements of cathepsin B-responsive nanoplatforms in the precise diagnosis, targeted therapy, and synergistic theranostics of malignant tumors are systematically described. Finally, the challenges of enzyme-substrate incompatibility, low diagnostic sensitivity, mass production and biocompatibility of multifunctional nanoDDS are considered in order to successfully promote them to clinical applications     

多层螺旋CT诊断甲状腺癌中的辐射和对比剂剂量选择

本文对多层螺旋CT（MSCT）诊断甲状腺癌中的辐射和对比剂剂量选择进行了分析。选取2016年12月～2018年12月本院行MSCT检查的甲状腺癌、甲状腺良性结节患者各200例，依据随机数字表分为A组、B组、C组、D组，每组50例，A组参数为对比剂1.2 mL/kg、120 kV、180 mA，B组为对比剂1.0 mL/kg、120 kV、180 mA，C组为对比剂1.2 mL/kg、100 kV、100 mA，D组为对比剂1.0 mL/kg、100 kV、100 mA。结果显示，A组和B组CT容积剂量指数（CTDIvol）、剂量长度乘积（DLP）、有效辐射剂量（ED）明显低于C组和D组，A组和B组甲状腺CT值、背景信号、背景噪声明显高于C组和D组，差异有统计学意义（P<0.05），A组、B组、C组、D组信噪比（SNR）、对比信噪比（CNR）、图像质量评分比较，差异无统计学意义（P>0.05）；A组、B组、C组、D组诊断甲状腺癌的敏感度、特异度、准确度比较，差异无统计学意义（P>0.05）。本文证实，对于MSCT诊断甲状腺癌中的辐射和对比剂剂量，选择1.0 mL/kg、100 kV、100 mA可在不严重影响图像质量及检查结果下有效减少患者的CT辐射，值得临床推广。     

Chitosan/Ce(IV) redox polymerization‐based amplification for detection of DNA point mutation

Polymerization‐based signal amplification, a technique developed for use in rapid diagnostic tests, hinges on the ability to localize initiators as a function of interfacial binding events. We report here a new DNA detection method in which polymer growth in redox‐polymerization is used as a means to amplify detection signals. The introduction of biotin‐labeled chitosan (biotin‐CS) with highly dense amino groups into the polymerization amplification as macromolecular reducing agent, beneficially simplifies amplification operation, as well as, provides a large amount of initiation points to improve the sensitivity of detection. DNA hybridization, SA and biotin binding reactions led to the attachment of CS on a solid surface where specific DNA sequences were located. With the addition of the mixture containing monomer AM, crosslinker PEGDA and oxidant CAN onto the CS location, the growth of polymer films was triggered to render the corresponding spots readily distinguishable to the naked eye. Direct visualization of 0.21 fmol target DNA molecules of interest was demonstrated. Non‐small cell lung cancer p53 sequence was further selected as a proof‐of‐principle to detect DNA point mutation. The proposed method exhibited an efficient amplification performance for molecule detection, and paved a new way for visual diagnosis of biomolecules. © 2016 Wiley Periodicals, Inc. J. Polym. Sci., Part A: Polym. Chem. 2016 , 54, 1929–1937     

Logistic回归模型的统计诊断

统计诊断的主要任务就是通过诊断统计量检测已知观测数据在用既定模型拟合时的合理性,主要是找出数据当中的异常点或强影响点。本文主要研究Logostic回归模型的诊断统计量和诊断统计图。用牛顿迭代法给出Logistic回归模型的极大似然估计值,根据扰动模型得到传统的诊断统计量,结合残差、杠杆值和系数变化三者构造新的诊断统计量,绘制新的诊断统计图,通过模拟研究说明新的诊断统计量的有效性,最后用一个实际案例说明新的诊断方法的应用并进一步验证其优越性。