致癌食物与抑癌蔬菜

<正>致癌食物1.葵花子,2.口香糖,3.味精(麸!胺酸钠),4.猪肝,5.河粉、板条、米粉、粉丝,6.腌菜、萝卜乾,7.市售瓶装鲜果汁,8.皮蛋,9.臭豆腐,10.油条。     

Thoracoscopic sympathectomy for primary palmar and axillary hyperhidrosis

Hyperhidrosisisadisablingdisorderthatcausesphysi calandpsychologicalinconvenience .Itisnotatemporarycondition .Manypeoplewhosufferfromithavesufferedformanyyears,usuallysincechildhood .Also,whetherinhotorcoldclimate ,thesweatingisconstant.Thisdisorderaf fectsasmallbutsignificantproportionoftheyoungpopula tionallovertheworld .Therearemanytypesoftreatmentsavailableforthisdisease .Conservativetreatmentisnotef fectiveinseverecases.Thoracoscopicsympathectomyisthetreatmentofchoice.Thispaperdescribe…     

中药贝母类的研究 Ⅵ 湖北5种贝母属药用植物花粉形态的观察

作者应用光学显微镜和扫描电镜,对湖北产贝母属(Fritillaria)药用植物湖北贝母Fritillaria hupehensis Hsiao et K.C.Hsia,利川贝母F.lic-huanensis P.Ii et C.P.Yang,蒲圻贝母F.puqiensis G.D.Yu et G.Y.Chen,鄂北贝母F.ebeiensis G.D.Yu et G.Q.Ji和紫花鄂北贝母F.ebeiensis var.purpurea G.D.Yu et P.Ii的花粉形态特征和外壁纹饰等作了比较观察,阐明了花粉形态特征对分类鉴定的意义。     

主编寄语

日居月诸,似水流年. 2012年,济宁医学院风雨兼程60载,迎来了建校60华诞.翻开岁月的画卷,抚今追昔,感慨万千. 1952年,山东省人民政府决定创办济宁医士学校.催生了鲁西南医学教育的萌芽.建校伊始,百事待兴.济医的先辈们,筚路蓝缕,坚忍不拔,白手起家.学校从无到有,从小到大,几经易名.1959年,学校更名为济宁医学专科学校.1987年初,经国家教育委员会批准学校定名为济宁医学院.从此,微山湖畔、运河岸边的高等医学教育迈上了新的台阶.     

主编寄语

日居月诸,似水流年. 2012年,济宁医学院风雨兼程60载,迎来了建校60华诞.翻开岁月的画卷,抚今追昔,感慨万千. 1952年,山东省人民政府决定创办济宁医士学校.催生了鲁西南医学教育的萌芽.建校伊始,百事待兴.济医的先辈们,筚路蓝缕,坚忍不拔,白手起家.学校从无到有,从小到大,几经易名.1959年,学校更名为济宁医学专科学校.1987年初,经国家教育委员会批准学校定名为济宁医学院.从此,微山湖畔、运河岸边的高等医学教育迈上了新的台阶.     

The Course and Achievements of VI World Congress on Mountain Medicine And High Altitude Physiology

IntroductionThe6th WorldCongressofMountainMedicineandPhysiologywasheldinXining, inQinghai, andfollowedbyasecondpartinLhasa, Tibet, P.R.Chi na, fromAugust11thto19th 2004.Qinghaiisinnorth-westChinaandboarderswithTibet. Muchofitisatattitudesofover3ande ven4 000m. Xining(2600m) isthecapitaloftheprovinceandisfastdevelopingintoamoderncitywithconstructioneverywhere. ThepopulationofQinghaiisonly5. 3millionoutofChina′s1. 3billion, andin cludesaconsiderablenumberofnon-Hanethnicgroups.Therewere1…     

以健康信念模式分析美国"针灸热"之兴起与可持续性发展

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百部生药学研究Ⅲ.中国百部属一新种与一新变种

报道百部属一新种和一新变种Stemona jinsha jiangensis X.D.Cong et G.J Xu,sp.nov.与Stemona jinsha jiangensis X.D.et G.J.Xu.var.dianbeiensis X.D.Cong et G.J.Xu,var.nov.,用拉丁文和中文对其特征作了描述。     

Commentary on the consensus statement being prepared for the 6th World Congress on Mountain Medicine, Xining 2004

OncewehavereviewedthevariousopinionsofourcolleaguesintheConsensusGrouponCMS, Iamsurethatwewillimproveourknowledgeofthisdis ease, whichisincreasinginimportanceworldwide.InourcountryCMSisamajorconcernofpublichealthauthoritiesduetoitsprevalenceintherelativelyyoungandactivemalepopulation. Inadditiontothankingallofyou, IowespecialthankstoDr. GeRi-Li, toDr.PeterHackettandtoDr.FabiolaLeon-VelardeforprovidingallofuswiththeopportunitytoparticipateinthismeetingoftheConsensusGroupwithDr. Da…     

住院青少年神经症患者个性特征与父母教养方式的相关研究

目的 探讨神经症患者的个性特征、防御机制与父母教养方式的关系。方法 对神经症组和正常对照组(各 70例 )进行父母教养方式评价量表 (EMBU)、艾森克个性问卷 (EPQ)和防御方式问卷(DSQ)测查。结果 两组的父母教养方式、个性特征、防御机制均有显著差异。神经症组个性特征中的高神经质(64. 96±9. 07,对照组 45. 23±10. 66)、高内向性 (44. 07±10. 18,对照组 53. 97±9. 89)及不成熟型(4. 73±0. 93,对照组 3. 82±0. 97)和中间型防御机制 (4. 88±0. 63,对照组 4. 35±0. 55)的使用与其父母教养方式中情感温暖少(父 41. 80±7. 95,母 44. 93±9. 46,对照组父 50. 32±9. 75,母 54. 67±9. 25)、惩罚(父 19. 70±6. 58,母 13. 45±4. 38,对照组父 15. 92±5. 31,母 10. 96±2. 39 )、拒绝 (父 10. 05±2. 89,母14. 08±3. 93,对照组父 8. 31±2. 19,母 10. 99±2. 95)、过度保护(父 12. 05±2. 49,对照组父 10. 13±1. 78)多显著相关。不成熟型和中间型防御机制的使用与神经症患者的神经质、内向的个性显著相关。结论 神经症患者的个性缺陷与父母不良的教养方式显著相关;中间型和不成熟型防御机制的使用又与其个性特征显著相关。     

某贫困山区已婚妇女妇科病普查与思考

目的 为掌握农村已婚妇女发病原因及影响因素,采取相应措施,保障妇女健康.方法 以乡为单位设点进行普查.结果 农村已婚妇女患病率高达86.44%,由于患病得不到及时治疗,小病拖大,因病返贫.讨论1.环境条件限制;2.经济贫穷影响;3.文化层次落后;4.早婚早育因素;5.卫生观念淡薄;6.防治措施不力.建议 1.加强政府行为,部门协调配合;2.改善自然条件,快速发展经济;3.加强健康教育,普及保健知识;4.健全妇幼网底,培训村级人员;5.采取有力措施,保障妇女健康;6.加强六期保健,提高妇女素质.     

中国沙参属新植物

本文报道了我国沙参属植物1新种多齿沙参Adenophora polydentata P. F. Tu et G. J. Xu,2新亚种西峰沙参A. stenanthina subsp, xifengensis P. F. Tu et Y. S. Zhou和河南沙参A. stricta subsp.henanica P. F. Tu et G. J. Xu,2新变种青龙山沙参A. stricta var. qinglongshanica P. F. Tu et G. J. Xu和南京沙参A. stricta var. nanjingensis P. F. Tu et G. J. Xu.     

寒天新战士增食脂肪和抗氧化剂对血脂及MDA无影响

目的　为进一步验证在寒冷环境下 ,高脂膳食是否引起人体血脂代谢的变化 .方法　选择驻寒区部队冬季入伍新战士 2个连队 1 5 8人 ,进行了现场研究 .设普食对照组 (脂肪生热比 :2 5 %左右 ) ,普食加 Zn 30 mg· d- 1 组 ,高脂组 (脂肪生热比 30 %左右 ) ,高脂加 Vit E30 0 mg· d- 1组 ,高脂加 Vit C6 0 0 mg· d- 1 组 .实验期 2 5 d.结果　实验前三酰甘油含量普食对照组、普食加 Zn组、高脂组、高脂加 Vit E组、高脂加 Vit C组分别为 (mmol· L- 1 ) 1 .5± 0 .5 ;1 .0± 0 .3;1 .9± 0 .6 ;1 .3±0 .6 ;1 .8± 0 .8.实验后分别为 (mmol· L- 1 ) 2 .0± 0 .8;1 .7±0 .8;1 .4± 0 .6 ;1 .3± 0 .5 ;1 .4± 0 .6 .总胆固醇含量 ,实验前各组分别为 (mmol· L- 1 ) 7.0± 2 .3;6 .3± 2 .1 ;6 .1± 1 .7;6 .2±1 .6 ;6 .1± 1 .7.实验后分别为 (mmol· L- 1 ) 4 .4± 1 .5 ;4.0±1 .3;4.5± 1 .8;4.7± 1 .7;5 .5± 1 .4.MDA含量实验前各组分别为 (nmol· L- 1 ) 6 .1± 1 .6 ;5 .1± 0 .9;6 .4± 1 .5 ;5 .4± 1 .2 ,5 .4± 1 .6 .实验后分别为 (nm ol· L- 1 ) 5 .3± 2 .1 ;5 .2± 2 .0 ;5 .7± 2 .3;5 .3± 2 .1 ;5 .4± 2 .2 .结论　实验期内适量补充脂肪和抗氧化剂不影响血脂水平和 MDA含量     

抗菌药的研究进展

本文综述了近年来 抗菌药研究的进展。包括11个部分:1.头孢菌素类,2.碳青霉烯类,3.青霉烯类,4.β-内酰胺酶抑制剂复合剂,5.氨基糖甙类,6.大环内酯类,7.安莎类,8.喹诺酮类,9.其他合成抗菌药,10.抗耐甲氧西林金葡菌(MRSA),耐万古霉素肠球菌(VRE)和耐青霉素肺炎球菌(PRSP)药物的探索,11.抗真菌药。     

Nontuberculous mycobacteria: susceptibility pattern and prevalence rate in Shanghai from 2005 to 2008

Background An increasing incidence of disease caused by nontuberculous mycobacteria （NTM） is being reported. The purpose of this study was to determine the isolation rates of NTM from various clinical specimens, and their antimicrobial susceptibility patterns, over a 4-year period in Shanghai. Methods All NTM isolated between 2005 and 2008 at Shanghai Pulmonary Hospital, a key laboratory of mycobacteria tuberculosis in Shanghai, China, were identified with conventional biochemical tests and 16S rRNA gene sequencing. Antimicrobial susceptibility for all NTM was determined using the BACTEC MGIT 960 system. Results A total of 21 221 specimens were cultured, of which 4868 （22.94%） grew acid fast bacilli （AFB）, and 248 （5.09%） of the AFB were NTM. The prevalence rate of NTM was determined as 4.26%, 4.70%, 4.96% and 6.38% among mycobacteria culture positive samples in years 2005, 2006, 2007 and 2008 respectively. These data indicated that the prevalence rate has continuously increased. Sixteen different species of NTM were identified, the most commonly encountered NTM in Shanghai were M. chelonae （26.7%）, followed by M. fortuitum （15.4%）, M. kansasii （14.2%）, M. avium-intracellulare complex （13.1%） and M. terrae （6.9%）. The rare species identified were M. marinum, M. gastri, M. triviale, M. ulcerans, M. smegmatis, M. phlci, M. 9ordonae, M. szulgai, M. simiae, M. scrofulaceum and M. xenopi. The five most commonly identified NTM species showed high drug resistance to general anti-tuberculosis drugs, particularly, M. chelonae and M. fortuitum appear to be multi-drug resistance. Conclusions The prevalence of NTM in Shanghai showed a tendency to increase over the course of the study. The five most commonly isolated NTM species showed high drug resistance to first line anti-tuberculosis drugs.     

Shi Da-zhuo (史大卓) —An outstanding cardiologist of integrative medicine

Prof. SHI Da-zhuo, Ph.D., male, was born on March 20, 1960. Prof. SHI entered the Ph.D. program in 1990 at the China Academy of Chinese Medical Sciences under the supervision of Prof. CHEN Ke-ji, majoring in the treatment of cardiovascular diseases. After receiving his Ph.D. degree in 1993, Prof. SHI started working at the Cardiovascular Center in Xiyuan Hospital affiliated to China Academy of Chinese Medical sciences.     

固相萃取气相色谱法测定茶叶中5种有机磷农药残留

目的 建立固相萃取气相色谱法同时测定茶叶中敌敌畏、甲胺磷、乙酰甲胺磷等5 种有机磷农药残留. 方法 样品用固相萃取法萃取,乙酸乙酯/丙酮混合液洗脱,旋转蒸发仪浓缩,丙酮溶解定容,气相色谱柱分离后检测. 检测器温度260 ℃,进样口温度250 ℃. 燃气为氢气,流速80 mL/min. 载气为氮气,流速10 mL/min. 助燃气为空气,流速为100 mL/min. 结果 该方法检出限为0 . 01~0 . 02 mg/kg. 当加入标准溶液的浓度为0. 25 mg/kg时,加标回收率为74. 9% ~88. 9%,RSD在2. 4% ~10. 3%范围之间;当加入标准溶液的浓度为1. 0 mg/kg时,加标回收率为87. 9% ~100%,RSD在1. 7% ~5. 0%范围内. 结论 固相萃取气相色谱法检测效率高,适合大量样品的筛选和检测.     

突发起病幼儿脊髓肿瘤1例报告

1 临床资料 患儿,男性,2岁.主因不能行走6 d于2005年3月入院.入院前9 d曾从斜坡滑下,当时能行走自如,常诉腰背痛疼,喜抱位,夜间常哭闹,不愿平卧.体查:生命体征平稳,神清.不愿独立,不能行走.背部散在红色皮疹,颈软,心肺腹无异常.脊柱无畸形.四肢肌力Ⅳ级,右下肢肌张力略低.神经反射均未发现异常.实验室检查:血常规,WBC 19.1×109L-1,N 0.73,L 0.22;ESR 100 mm/1 h;肝肾功能、电解质、尿便常规均正常.胸片示支气管肺炎.骨髓像示感染性骨髓像.胸腰椎正侧位片及腰部CT未见异常.双下肢肌电图正常.     

A study of effects of using low dialysate calcium concentration (1.50 mmol/L) on blood pressure,serum concentrations of calcium,parathyroid hormone and aldosterone in chronic hemodialysis patients

Background: Dialysis centres around the world use different concentrations of calcium in dialysate solution,ranging from 1. 25 to 1. 75 mmol / L. However,a dialysate concentration of 1. 25 mmol / L is recommended. [1] Higher or lower dialysate calcium concentrations are indicated in patients,depending on their co-morbid factors. We explored the effects of using a calcium dialysate solution of 1. 50 mmol / L compared to a 1. 75 mmol / L calcium dialysate solution on the Blood Pressure (BP) ,serum concentrations of Calcium,Parathyroid Hormone (PTH) and Aldosterone in chronic hemodialysis (HD) patients. Method: 42 patients were enrolled in the study. First a 1. 50 mmol / L low calcium dialysate solution (LCDS) was used for 4 hour dialysis,and for the next session of HD,a 1. 75 mmol / L (NCDS) normal calcium dialysate solution was used. Blood pressure was measured at 5 intervals of time: pre HD,at 60,120,180 and 240 minutes into the HD session. Pre and post HD blood samples were taken for serum calcium,PTH and Aldosterone levels. Results: All 42 patients completed the study. With LCDS,the post HD serum calcium levels were (2. 51 ± 0. 14) mmol / L,compared to (2. 85 ± 0. 17) mmol / L for NCDS (P < 0. 01) . A post HD serum PTH level of (80. 6 ± 144. 93) pg / ml was observed when using LCDS,whereas a (52. 25 ± 115. 89) pg / ml serum PTH level was noted with NCDS (P < 0. 01) . As for aldosterone,a post HD value of (161. 77 ± 80. 42) ng / L was obtained with LCDS and (165. 50 ± 78. 84) ng / L with NCDS (P < 0. 01) . The mean post HD systolic blood pressure was (129. 17 ± 25. 42) mmHg with LCDS dialysis compared to (132. 50 ± 20. 32) mmHg for NCDS dialysis (P < 0. 01) and the diastolic BP values observed were (75. 10 ±10. 34) mmHg and (78. 26 ±11. 63) mm Hg(P <0. 01) ,respectively. Conclusion: LCDS can more effectively improve hypercalcemic status in dialysis patients than NCDS. Using LCDS stimulates the secretion of PTH more than when using NCDS. LCDS decreases aldosterone levels more than NCDS.     

家兔失血性休克实验技术的探索和改进

目的 研究和改进“家兔失血性休克”实验技术.提高实验成功率,达到更好的教学效果.方法 1.改进前后分别进行学生问卷调查及统计分析.2.根据调研结果设计实验方案.3.动物实验,对实验课进行技术改进.4.确定实验的技术路径并投入教学试点.结果 实验可操作性提高,实验的教学效果更好.结论 “家兔失血性休克”实验改进后,实验结果有效,操作难度降低,成功率显著提高,更能达到教学目的.