不要背着孩子偷偷溜走

前两天，女友跟我抱怨，她一半岁的女儿，粘得她心烦。每天她下班一回到家，女儿就立马冷淡了爷爷奶奶，像一块橡皮糖似的，干什么都要她抱着。抱着冲奶、抱着炒菜，甚至抱着上厕所。     

乳腺浸润性导管癌HER2免疫组化检测结果判定的重复性研究

目的 探讨病理医师对乳腺浸润性导管癌HER2免疫组化(immunohistochemistry,IHC)检测结果判定的重复性及其影响因素,寻求提高判读重复性和准确性的措施.方法 参照<乳腺癌HER2检测指南>,2位乳腺专科病理医师共同读片选取56例浸润性导管癌的HER2 IHC切片作为研究对象.4位非专科病理医师独立盲法完成对该组病例IHC切片的前后两轮结果判定.对第一轮4位观察者间的判读重复性和观察者自身的判读重复性进行Kappa分析.同时将2位专科医师共同确定的判读结果作为HER2判读参考分级,4位非专科医师第一轮的判读结果分别与之进行配对Kappa分析.结果 观察者间的判读重复性为中等(K=0.593 9),重复性最高的级别是HER2为0(K=0.811 4),最低的是HER2为2 (K=0.473 6).判读级别简化为阳性和阴性后,观察者间的重复性明显提高(K=0.723 0).4位观察者自身的判读重复性极好(Kw=0.821 9～0.916 5),判读的准确性则与经验有关.结论 采用标准化的检测手段、深入学习和实践现有的判读标准以及联合判读等措施应有助于提高HER2 IHC判读的重复性和准确性.     

安定－脑电地形图敏感试验的影响因素（摘要）

安定－脑电地形图敏感试验的影响因素（摘要）王学峰，沈鼎烈，刘希安定一脑电地形图敏感试验是近年用于临床的一种新技术，研究其影响因素有助于这种方法的完善。本文报告对４０例正常人进行安定一脑电地形图敏感试验影响因素研究的结果，发现静脉注射安定后，脑电地形图...     

脑电功率谱及脑电地形图的初步研究——Ⅱ.52例脑血管疾病患者的脑电功率谱及脑电地形图分析

本组对52例脑血管病人作脑电功率谱及BEAM分析,发现CVD患者脑电功率谱及BEAM百分比功率左右明显不对称,功率均值阶差>3级.对CVD用百分比功率δ和θ,功率均值阶差>3级可较准确判定病变部位.与常规EEG比较,BEAM阳性率为90.4%,而常规EEG仅73%     

适当糊涂才幸福

结婚时,母亲跟我说,自己有,才是有,两个人还隔了一只手,女人得掌握经济大权才能做主人,不被男人欺负。表姐也在旁边插话,那是了,结婚后你得跟他说明白,钱要归你管,男人就怕给点阳光就灿烂,有点钱就感情泛滥。我频频点头,说好。婚后,跟老公旁敲侧击了一番,问家里经济账谁掌管。他倒不含     

做个时尚快乐的“走班族”

由于长期伏案工作,我的腰椎、颈椎时常疼痛。远在上海的表姐告诉我：你何不做个“走班族”,时尚又健康,说不定走走你这病就会好。我问啥是“走班族”？表姐回答我,“走班族”是指为锻炼身体而放弃乘车,宁愿步行上下班的人．“走班族”不仅环保,而且健身。     

脑血管疾病患者血清神经元特异性烯醇化酶水平变化及临床意义

To explore the application of NSE in the serum in the diagnosis of the cerebrovascular disease.Methods Serum levels of NSE from 195 patients with cerebrovascular disease and normal controls were detected with ELISA. The blood samples from the patients were acquired within 3 days after the outbreak of cerebrovascular disease and taken again after 2 weeks from 148 of all cases. The result of detecting of NSE was analysed in comparison with and the level of NSE in the CSF. Result There was significance difference between the level of NSE in the serum of patient with cerebrovascular diseases and that of normal controls when the Analysis of Variance was used to analyze the value of measurement. The same outcome was also got using ANOVA to analyze the different test group with the blood samples were acquired within 3 days. ( F = 24.94, P = 0. 000). But in the other hand, there was no evidently different in the different group made up patients if LSD was put in use instead of the ANOVA.Corelation analysis of NSE concentration was done between the in the blood samples in 3 days and those 2 weeks later (r = 0.884, t = 37.904, p = 0.000), NSE concentration in the blood samples and those in the CSF(r = 0.969, t = 8. 695, p = 0. 000), and the outcome show that there was difference between them.The same comparison between NSE concentration was done between the in the blood samples in 3 days and Head CT(r=O.857,p =O.000),Nerve Function Defect(r=0.848,p=0.000).Concluslon Thelevels of NSE in sera of patients with eerebrovascular disease were positive related with the degree of Cerebral infarction or volume of Hematoma shown by Head CT. Therefore, it would contribute to diagnosis of cerebrovascular disease if the detecting of NSE was applied in clinical laboratory.     

老来伴手心宝

老伴六十大寿时，我送给她的生日礼物是一本书——《献给妻子的情诗》，并在扉页上写下：老来伴，手中宝。