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MaQBerryTM:新型运动营养补充剂
复合营养素在体育运动中扮演的角色备受人们关注,高质量的碳水化合物、全面的蛋白质以及特殊的氨基酸、微量元素,甚至中药提取物都被广泛应用于食品中以提高消费者的耐力,确保能量置换,并促进运动后体力的快速恢复.
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宝山区新型农村合作医疗筹资、运行机制研究
长期以来,宝山区实施了以镇办村管和村办村管为主的合作医疗制度,部分解决了农民的基本医疗保障问题,但遇有大病因其费用昂贵,原有制度抵御风险的能力差,易造成因病致贫.
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燃煤污染型地方性氟中毒防治研究进展及防治策略
一、燃煤污染型地方性氟中毒的流行概况及成因1.流行概况:燃煤污染型地方性氟中毒(burning coal pollution type of endemic fluorosis),是由于人们长期敞炉灶燃烧高氟煤,造成室内空气及食物氟污染引起的慢性氟中毒.燃煤污染型地方性氟中毒,是上世纪70年代后期被确认的,是我国独有的一种病区类型.它主要分布在长江两岸及其以南的边远山区,北方也有散在发生.目前发现的有,云南、贵州、四川、重庆、湖北、湖南、陕西、河南、江西、山西、广西、浙江、辽宁、北京14个省、市、自治区.
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长骨骨折支架骨外固定与第三种骨折愈合方式
1989年徐莘香[1]报道应用梯形钢板治疗长骨骨折的动物实验及临床应用研究中发现并提出第三种骨折愈合方式的新概念,认为这是一种优化的骨愈合方式,按此方式骨折修复为理想.我们自1993年10月~1996年10月应用于仲嘉式单侧多功能外固定支架治疗长骨骨折62例,从X线片及临床均发现这一现象,报告如下.
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Both therapies of traditional crude herb moxibustion and drug acupoint application were used in 209 cases of allergic asthma to compare their long-term and short-term therapeutic effects and to analyze the relationship between clinic therapeutic effects of both therapies and differential types of the disease. The results showed that the short-term total effective rate in the group of drug acupoint application was higher than that in the group of traditional crude herb moxibustion, the therapeutic effects of drug acupoint application being closely related to differential types. Analysis also shows the best short-term therapeutic effect was in the type of heat in the lung while the poorest effect in the type of deficiency of the kidney-yang.
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In the light of the theory of treating the internal disease externally, an externally used plaster for treating cough and dyspnea due to acute bronchitis (Ke Chuan Yi Tie Kang 咳喘一贴康) was successfully applied to 735 cases of acute bronchitis (the treatment group), with the other 423 cases treated with routine western drugs as controls. The results showed that the cure rate in the treatment group was significantly higher than that in the control group (P<0.01); and that in the treatment group, the cure rate for the wind-cold type of acute bronchitis was significantly higher than that for the wind-heat type of acute bronchitis (P<0.01).
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不同亚型α干扰素抗病毒作用研究进展
I 型干扰素( IFN)是病毒感染后宿主体内产生的一类多功能细胞因子,它们属于多基因家族,到目前为止,已发现7种I型IFN 即IFN-α、β、ε、κ、ω、δ、τ,具体的分型原因不清楚,推测可能是各型IFN性能不同或者各型IFN产生的时间顺序和细胞种类不同。 IFN-α因具有多种生物学效应而被广泛应用,医学上常用外源性IFN-α进行抗病毒、抗肿瘤、抗增殖等治疗,其中尤以抗病毒治疗为重要。 IFN-α包括多种亚型,文献报道各种亚型的抗病毒作用具有亚型和病毒特异性,但是其详细机制尚未完全明了。本文仅就不同亚型IFN-α抗病毒作用的研究现状进行综述。
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创伤后头痛:神经康复观点(Ⅱ)
POST-TRAUAMTIC HEADACHE VARIANTS Musculoskeletal Headache Musculoskeletal headache is classically characterized as a cap-like discomfort, but varies with the offending musculature.The sternocleidomastoid is notorious for referring pain retro or periorbitally.The pain may be constant or intermittent,relieved by application of heat,cold,massage and many over the counter medications including NSAIDs.There may be autonomic components to specific muscles.TMJ or craniomandibular syndrome may be considered a variant of musculoskeletal or tension headache and is almost always seen in conjunction with direct trauma to the craniomandibular complex when traumatic in origin.This type of headache is also frequently overlooked as a primary or contributory cause for PTHA.In TMJ,clicking,popping or malocclusion of the jaw may be noticed.Other etiologies of TMJD must be assessed for that may have little or nothing to do with the traumatic injury in question,whether in relation to stress or tension,dental malocclusion,and/or prior psychosexual abuse.
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系膜增生型原发性肾病综合征患儿细胞毒性T淋巴细胞相关抗原4基因多态性、蛋白表达及外周血淋巴细胞凋亡的研究
系膜增生型(mesangial proliferative glomerulonephritis,MsPGN)原发性肾病综合征(idiopathic nephrotic children,INS)(INS-MsPGN)是我国儿童INS常见的病理类型之一,临床多表现为糖皮质激素(glucocorticoid,GC)不敏感或耐药,是难治性INS中常见的一种病理类型,其发病机制和GC耐药机制至今尚不清楚.
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神经源性肺水肿
Neurogenic pulmonary edema (NPE) is a type of pulmonary edema that occurs secondary to central nervous sytem (CNS) damage, namely centrogenic pulmonary edema or cerebrogenic pulmonary edema[1,2] NPE is clinically characterized by acute dyspnea and progressive hypoxemia, while tachycardia, hypertension and tachypnea are only nonspecific symptoms in early phase. Early diagnosis of NPE is difficult since chest X-ray shows no remarkable sign or only increased hazy lung markings in early stage[3]. Diagnosis can be made definitely in the late stage of NPE according to the following manifestation : paleness, clamminess, feeling of impending death, rales, frothy pink sputum, hypoxemia and bilateral widespread infiltration on chest roentgenography. However, successful rescue rate is very low and mortality rate could reach as high as 90% at this stage[4-6].
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Ⅰ型和Ⅱ型复合型神经纤维瘤病一例
神经纤维瘤病(neurofibromatosis,NF)是一种主要由常染色体显性遗传引起的疾病,包括多种基因病变.NF可分为Ⅰ型、Ⅱ型和神经鞘膜瘤病三种[1].其中Ⅰ型NF相对较多见,Ⅱ型较少见,神经鞘膜瘤病罕见.Ⅰ型和Ⅱ型复合型神经纤维瘤病也较为少见.本文介绍一例Ⅰ型合并Ⅱ型的神经纤维瘤病病例.
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Community-acquired Methicillin-resistant Staphylococcus Aureus (CA-MRSA):A Public Health Concern in Athletic Settings
BackgroundMethicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria, commonly manifesting itself in the form of skin infections, and resistant to beta-lactum antibiotics[2]. These infections were seen in hospital settings starting in the 1960s in patients that had recently been hospitalized or undergone a medical procedure[3]. In the 1980s reports were first published in the literature of MRSA acquired in otherwise healthy individuals from community settingsr[4,5]. An increased occurrence of community-associated Methicillin-resistant Staphylococcus aureus (CA-MRSA) has been on the rise since the late 1990s and manifests itself as a skin infection in populations without other previously known risk factors[6-8].
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T cell receptors (TCR) are a collection of several proteins located in the outer membrane of the T cell. Mature T cell has definitive TCR genes,which may be used as a clonal marker. To investigate whether TCR gene analysis may be useful for diagnosis of myasthenia gravis (MG) with thymoma, we used the cDNA of the β- subunit of the TCR served as probes to analyze the structure of the TCR β gene and to determine the extent of diversity between MG with thymoma and MG without thymoma. Eighteen patients were clinically diagnosed generalized MG, eight of them had thymoma. Peripheral blood lymphocytes (PBL) were obtained at or shortly before thymectomy (except one, 2 years after thymectomy). When DNA was digested with EcoRI and hybridized with the 32P labeled probes, two germline bands of 10.5kb and 4.0 kb appeared in DNAs from all 18 patients. The 10.5 kb band contains the C β 1 region and the 4.0kb fragment the C β 2 region, respectively. The 4.0 kb band is usually reduced as compared with the 10.5kb band. This can be explained by the preferential rearrangement of the C β 2 gene in T cell with MG. We were able to demonstrate a rearranged band of 9kb in EcoRI- digested DNAs of four patients. All the four patients had been found to have thymoma , of which 2 were lymphocyte and 2 mixed type. But rearranged bands could not be detected in the DNAs of another four patients with thymoma, of which 2 were epithelial and 2 mixed type. When DNA was digested with HindIII and BglII, germline bands appeared in DNAs from all patients. No rearranged bands could be observed . Single rearranged bands were detected in four patients with thymoma, this showed that specific TCR gene rearrangement may be related to certain types of thymoma . Detection of TCR gene rearrangement might be helpful to the early diagnosis of MG with thymoma . But we were unable to find gene rearrangement in another four thymoma (2 were epithelial and 2 mixed type). There are three possible explanations for the results. First, thymoma has heterogeneity. Second, TCR gene rearrangement only reflects the clonal origin of the T cell tumor. Third, in one patient, peripheral blood lymphocytes were obtained two years after thymectomy, neoplastic T cells maybe disappear. Thus, our results suggested that TCR gene rearrangement in patients with MG may be helpful for diagnosing certain type of thymoma.
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用人文情怀塑造开阔心胸以准确定位打造新型专科医院——访山东省胸科医院院长刘志敏
一个甲子的轮回,历经社会的变迁,山东省胸科医院踏着那凝重而坚实的步伐,为整个山东的医疗卫生事业做出了积极的贡献.六十年来,伴随着艰辛的创业、成长的喜悦,医院的全体干部职工无私地奉献着,逐渐将山东省胸科医院发展为今天这样一所集医疗、教学、科研、预防、保健为一体的新型专科医院.
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均匀设计法优选新促孕液半仿生提取工艺条件
新促孕液(新型中药促孕灌注液,new type of fertility-promoting intrauterine infusion liquid,NFPL)是用于防治母畜子宫内膜炎、卵巢静止和持种久黄体性不孕症的中兽药.该药由淫羊藿、红花、益母草、黄柏等按水提醇沉法制备而成,已在畜牧生产中推广应用[1~3].半仿生提取法(semi-bionic extraction method,SBE)为近年来出现的中药提取新技术,可以提取和保留中药中更多的有效成分[4].本实验以淫羊藿苷、小檗碱、总生物碱、干浸膏质量为指标,采用均匀设计法优选了NFPL的SBE提取条件,旨在为进一步提高NFPL中有效成分和疗效提供理论依据.
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合理用药案例分析(50)隐蔽性高血压
1.Patients conditionsPatient,male,age of 65,had headache and dizziness for some times.Bp measured at home was always 137 ~ 142/85 ~92 mmHg.But,Bp measured at hospitals was always < 140/90 mmHg.Ambulatory blood pressures ( ABP ):≥ 140/90mmHg Patient was suspected to have MH.2.Drug administrationAmlodipine besylate Tab. 5 mg qd3.AnalysisMasked hypertension (MH) is a special type of hypertension.Target organ damage and high risk of cardiovascular are closely associated with MH as well as sustained hypertension(SH).1.患者简介患者,男性,65岁,时有头痛、头晕,家中自测血压一般为137~142/85 ~92mmHg,而到医院诊病,所测血压则低于140/90 mmHg.行动态血压测量值为≥140/90 mmHg.患者被疑为隐蔽性高血压.2.用药苯磺酸氨氯地平片 5 mg 1次/d3.分析隐蔽性高血压( masked hypertension,MH)是一种特殊类型的高血压,与持续性高血压( sustained hypertension.SH)一样,MH同样与靶器官损害和心血管事件发生风险的增加密切相关.
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颈椎前路开槽式减压植骨自锁钛钢板内固定术患者的护理
随着颈椎前路钢板的应用,颈椎稳定性的维持有了保证,颈前路减压、植骨融合加内固定术已广泛用于治疗颈椎间盘突出症、脊髓型颈椎病、颈椎感染、结核、肿瘤及外伤造成的颈椎骨折、脱位等颈椎疾病.
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545例汉族成人ABO血型调查
血型与输血有着密切的关系.血型除了可提供输血和受血的依据之外,大量临床实践证明,不同血型的人,各种疾病的发生率也不一样.因此调查人群中血型分布对指导血库储存不同血型的血量、预防疾病有重要意义.本文通过调查545例汉族成人ABO血型情况,旨在分析汉族成人ABO血型分布情况.
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路易体痴呆1例报道
1984年日人小阪宪司(Kosaka.k)率先提出在痴呆性疾病中存在一种新的疾病,称做弥漫性路易小体病(Diffuse type of Lewy body disease)[1].此后日本及欧美各国都有类似报道,但根据尸检发现大脑皮质lewy小体的多少不一,有三种意见:(1)本病属独立的疾病;(2)属ATD系列疾病;(3)帕金森病的"延长线",即ATD与PD的过渡型.1995年在英国新城召开第一届国际路易体痴呆(Dementiawith Lewy body DLB)研讨会,统一定名为lewy体痴呆,并为该病拟定了临床和病理诊断标准,于1996年在<神经病学>杂志公布.1998年在荷兰阿姆斯特丹第二届DLB研讨会认为,其发病率在老年期痴呆疾病中,仅次于A1zheimer型痴呆(ATD)而居第二位.国内尚少报道.我科近来收治一例临床较为典型的DLB,现报告如下:
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开展健康教育工作的一些体会
我院占地面积44904m2,医疗业务用房33 218 m2,开放病床510多张.设置临床科室27个,医技科室10个,各科专业齐全,设备先进,医疗技术水平在市内处于领先地位.在实施全面康复实践过程中,真正体现"以病人为中心".以人为本,从制度上、行动上落实、强化实践性教育,培养实用型人才.