具有急慢性阶段的MSIS流行病模型阈值和稳定性结果

系统研究了具有急性和慢性两个阶段的MSIS流行病模型.由两节构成,第1节建立和研究了具有急慢性阶段的MSIS流行病模型;第2节在第1节的基础上建立和研究了具有慢性病病程的MSIS流行病模型.第1节的模型是四个常微分方程构成的方程组.第2节的模型既含有常微分方程,又含有偏微分方程.运用微分方程和积分方程中的理论和方法,得到了这两个模型再生数R0的表达式.证明了当R0<1时,无病平衡态是全局渐近稳定性,给出了各模型地方病平衡态的存在性和稳定性条件.     

病毒感染群体动力学模型分析

本文构建并讨论了一类病毒感染的群体动力学模型,得到了模型存在轨道稳定周 期解的充分条件,较好地解释了在病毒持续感染者体内观察到的病毒载量波动现象.     

反复上呼吸道感染患儿发样微量元素锌,铜,铁检测结果分析

采用示波极谱法对１８３名反复上呼吸道感染患儿及１１８名健康体检儿同时进行发样锌，铁，铜测定，结果表明，反复上呼吸道感染儿发锌，铁均低于健康体检儿，有高度显著性差异，铜只在婴儿组反复感儿高于健康体检儿，其它各年龄组反复上感儿低于健康栓检儿或无显著性差异，说明以２儿童进行常规发样微量元素普查，发现低锌，低铁者及时给予补充，可减少感染性疾病的发生率。铜与免疫功能的关系尚待研究。     

厌食与反复呼吸道感染小儿的发锌.铜分析

测定了７５例厌食小儿、１０１例呼吸道感染小儿和１２０例健康儿童发锌、铜，结果表明：厌食儿及易感儿平均发锌值分别为８０．９０×１０－６和７５．７６×１０－６，均极显著低于健康儿（Ｐ＜０．０１）；发铜则无显著差异。发锌值在７０×１０－６以下者有６０％以上身高、体重低于正常标准。说明微量元素锌与小儿食欲、免疫功能和生长发育有密切关系。     

小儿反复呼吸道感染与微量元素

小儿反复呼吸道感染与微量元素的关系已引起临床的广泛重视.观点较一致的是缺锌、缺铁、铜异常、铅过高对机体有显著影响.小儿呼吸道的生理解剖的特点以及免疫机制未完善,微量元素的异常影响了小儿免疫机制和机体各系统的正常功能,导致小儿反复呼吸道感染.     

The Biological Effects of Forsythia Leaves Containing the Cyclic AMP Phosphodiesterase 4 Inhibitor Phillyrin

Forsythia fruit (Forsythia suspensa Vahl (Oleaceae)) is a common component of Kampo medicines for treating the common cold, influenza, and allergies. The main polyphenolic compounds in the leaves of F. suspensa are pinoresinol β-d-glucoside, phillyrin and forsythiaside, and their levels are higher in the leaves of the plant than in the fruit. It is known that polyphenolic compounds stimulate lipid catabolism in the liver and suppress dyslipidemia, thereby attenuating diet-induced obesity and polyphenolic anti-oxidants might attenuate obesity in animals consuming high-fat diets. Recently, phillyrin was reported as a novel cyclic AMP phosphodiesterase 4 (PDE4) inhibitor derived from forsythia fruit. It was expected that the leaves of F. suspensa might display anti-obesity effects and serve as a health food material. In this review, we summarized our studies on the biological effects of forsythia leaves containing phillyrin and other polyphenolic compounds, particularly against obesity, atopic dermatitis, and influenza A virus infection, and its potential as a phytoestrogen.     

Capillary electrophoresis in the diagnosis of surgical site infections

A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. An SSI may range from a spontaneously limited wound discharge within 7–10 days of an operation to a life‐threatening postoperative complication, such as a sternal infection after open heart surgery. Most SSIs are caused by contamination of an incision with microorganisms from the patient's own body during surgery. From the analytical point of view, the complex nature of these samples as well as the low concentrations of analytes require a system with high sensitivity and efficiency. Such situation requires a technique such as CE, which is a powerful and versatile separation technique that promises to rival HPLC when applied to the separation of both charged and neutral species. During the study, it has been demonstrated that CZE identifies characteristics of such groups of pathogens such as bacteria Gram (+) and different species of bacteria Gram (?), and also develops weekly individual profiles for patients after application of antibiotics. This was done in order to show the impact of antibiotic therapy in change “numbers” of bacteria present in the wound after surgery. The method proved to be the ideal straight specificity in the case of Escherichia coli (100%). Finally, analysis of the spectra and the second derivatives of the UV‐Vis spectra confirmed the similarity in the profiles and showed that the CZE is a great method for fast screening test in bacterial infection.     

Influence of staff number and internal constellation on surgical site infection in an operating room

Prediction of bacteria-carrying particle (BCP) dispersion and particle distribution released from staff members in an operating room (OR) is very important for creating and sustaining a safe indoor environment. Postoperative wound infections cause significant morbidity and mortality, and contribute to increased hospitalization time. Increasing the number of personnel within the OR disrupts the ventilation airflow pattern and causes enhanced contamination risk in the area of an open wound. Whether the amount of staff within the OR influences the BCP distribution in the surgical zone has rarely been investigated. This study was conducted to explore the influence of the number of personnel in the OR on the airflow field and the BCP distribution. This was performed by applying a numerical calculation to map the airflow field and Lagrangian particle tracking (LPT) for the BCP phase. The results are reported both for active sampling and passive monitoring approaches. Not surprisingly, a growing trend in the BCP concentration (cfu/m³) was observed as the amount of staff in the OR increased. Passive sampling shows unpredictable results due to the sedimentation rate, especially for small particles (5–10 μm). Risk factors for surgical site infections (SSIs) must be well understood to develop more effective prevention programs.     

Influence of staff number and internal constellation on surgical site infection in an operating room

Prediction of bacteria-carrying particle （BCP） dispersion and particle distribution released from staffmem- bers in an operating room （OR） is very important for creating and sustaining a safe indoor environment. Postoperative wound infections cause significant morbidity and mortality, and contribute to increased hospitalization time. Increasing the number of personnel within the OR disrupts the ventilation airflow pattern and causes enhanced contamination risk in the area of an open wound. Whether the amount of staffwithin the OR influences the BCP distribution in the surgical zone has rarely been investigated. This study was conducted to explore the influence of the number of personnel in the OR on the airflow field and the BCP distribution. This was performed by applying a numerical calculation to map the airflow field and Lagrangian particle tracking （LPT） for the BCP phase. The results are reported both for active sampling and passive monitoring approaches. Not surprisingly, a growing trend in the BCP concentration （cfu/ms） was observed as the amount of staff in the OR increased. Passive sampling shows unpredictable results due to the sedimentation rate, especially for small particles （5-10 i~m）. Risk factors for surgical site infections （SSls） must be well understood to develop more effective prevention programs.     

碘伏术前消毒阴道、术中冲洗宫腔预防急诊剖宫产术后切口感染疗效观察

目的 探讨碘伏术前消毒阴道、术中冲洗宫腔对产妇急诊剖宫产术后腹部切口及子宫感染有无预防作用。方法 选取2010 年3 月至2014 年6 月行急诊剖宫产术的产妇218例,随机分为3组,均采用抗生素围术期用药（头孢唑啉钠针2.0g,术中断脐后及术后各1次,静脉滴注）。Ⅰ组（81 例）0.5%碘伏术前消毒阴道、术中冲洗宫腔;Ⅱ组（73 例）0.9%氯化钠溶液术中冲洗宫腔;Ⅲ组（64 例）不做上述处理,比较3 组产妇术后腹部切口及子宫感染发生率。结果 术后腹部切口感染：Ⅰ组3例,Ⅱ组2例,Ⅲ组4例;3组比较,差异无统计学意义（P＞0.05）;术后子宫感染：Ⅰ组2 例,Ⅱ组4 例,Ⅲ组7 例;Ⅰ组与Ⅲ组比较,差异有统计学意义（P＜0.05）;Ⅰ组与Ⅱ组、Ⅱ组与Ⅲ组比较,差异均无统计学意义（均P＞0.05）。结论 在合理预防性使用抗生素前提下,碘伏术前消毒阴道、术中冲洗宫腔可降低急诊剖宫产术后子宫感染发生率。