媒体智囊团与医院宣传--基于南通市某医院的个案经验

阐述了医院媒体智囊团的定义与形成,结合医院媒体智囊团发挥的巨大作用,探讨如何在新形势下巧借媒体智囊团优化医院宣传工作,以推动医院更好更快地发展.     

血清游离氨基酸及VEGF与冠心病的相关性研究

目的：分析血清游离氨基酸及血管内皮生长因子（VEGF）与冠心病的相关性。方法：选取2012年5月～2013年9月本院收治的58例冠心病患者为观察组,并以同期冠脉造影阴性的58例为对照组,比较两组血清游离氨基酸及VEGF水平,同时比较观察组不同Gensini积分水平者的检测结果,以Logistic分析血清检测指标及VEGF与疾病的关系。结果：观察组血清赖氨酸、苯丙氨酸、蛋氨酸、酪氨酸、丙氨酸及VEGF均高于对照组,而牛磺酸则低于对照组,且Gensini积分重度患者的上述检测指标水平波动大于轻、中度患者,中度患者大于轻度患者,差异均有统计学意义（P均〈0．05）,经Logistic分析上述血清检测指标及VEGF与疾病有密切的关系。结论：血清游离氨基酸及VEGF与冠心痛关系密切,在疾病治疗过程中应注意对其进行有效的干预。     

Radiotelemetrical equipment for continous subcutaneous measurements of the circadian temperature rhythm in rats

Summary A wireless measuring device for long term measurements of the diurnal temperature rhythm on unrestrained rats is presented. Up to 5 rats could be tested simultaneously. The electronic units, the coating problems for the implanted transmitter, and the tissue reaction are described.It is observed that the circadian temperature rhythm in subcutis and in mammary cancer is almost in phase. The consequence of this is discussed.Supported by The Danish Anti-Cancer League.First introduced at the annual meeting of Nordisk Forening for Klinisk Fysik in Aarhus 20. 8. 1970.     

新型冠状病毒肺炎疫情初期一线医护人员负性情绪与风险感知关系研究

目的：研究新型冠状病毒肺炎疫情下医护人员负性情绪对其风险感知的影响 方法：对全国各级医院中抗疫一线医护人员进行在线问卷调查,采用7种负性情绪组成的缩减版情绪自评量表（PANAS量表）测量医护人员的负性情绪,采用护理人员风险感知问卷改编的抗疫一线医护人员疫情风险感知问卷测量其风险感知水平 结果： 最终回收有效量表220份. 调查发现示抗击疫情时期,一线医护人员总体的负性情绪主要以紧张为主,非护理工作人员的负性情绪高于护理工作人员;负性情绪较高的人员风险敏感程度以及风险意识程度都处于较高水平。因此,有效的情绪干预措施将有助于抗疫一线医护人员的合理风险意识。     

CR影像质量与适宜曝光量相关性分析

IP板的研制成功,使CR技术得到普遍应用。其大的宽容度和优良的后处理功能,不仅改善了影像质量,也降低了条件选择的难度。相比模拟摄影,CR摄影条件要求降低了,但曝光量仍是我们不容忽视的问题。笔者以腰椎摄影为例分析二者的关系。1材料与方法Kodak CR处理机、Kodak IP成像板、Siemens Multix X线机。采用75kV、85kV、100kV、120kV条件下分别调节线量至40mAs、63mAs、90mAs、125mAs摄取52例腰椎侧位片。纪录影像处理系统显示的曝光指数(Exposure Index EI)并对所得52例腰椎侧位片影像质量进行评比。同时进行手动后处理并对影像质量进行评价。列表分析曝光指数与片质之间的关系。2结果见表1。表1曝光指数与影像质量关系表曝光指数EI甲级片乙级片丙级片甲级片率(%)IE≥12002790751000     

浅析结核病投照工作中医患关系的处理

<正>结核病是由健康人群经呼吸道感染结核菌而引起的以咳嗽、咳痰为主要症状的慢性传染病。肺结核患者的胸部投照在结核病的诊断中非常重要。随着影像技术的飞速发展及高晰度影像设备的不断应用,无疑对影像工作者提出了更高的要求。     

Therapeutic monitoring of immunosuppressive drugs: interest of calcineurin activity assessment in liver transplantation

Therapeutic monitoring of calcineurin inhibitors (ciclosporin and tacrolimus) consists in pharmacokinetic monitoring. Pharmacodynamics based on calcineurin activity may be particularly interesting in liver transplantation due to the large intra- and interindividual variability of pharmacokinetics of ciclosporin and tacrolimus. A recent investigation on the pharmacokinetic-pharmacodynamic relationship of tacrolimus showed that monitoring of calcineurin activity in PBMC may be particularly relevant within the first three post-transplantation months. Thereafter, the monitoring of trough blood concentrations of tacrolimus remains adequate. Moreover, two clinical investigations carried out within the early and late post-transplantation periods reported a promising result which is a positive correlation between calcineurin activity and incidence of graft rejection, whatever graft type and calcineurin inhibitors. In each study, transplanted recipients with a graft rejection exhibited a greater trough calcineurin activity compared to patients without graft rejection. However, prospective investigations are required because of the small cohorts of patients enrolled in both studies. The aim of these investigations will be to confirm the interest of calcineurin activity monitoring as a marker of cellular immunity and its positive link with pharmacokinetic monitoring.     

原发性肾病综合征患者红细胞CR1密度相关基因组多态性与临床疗效的相关性分析

目的:探讨原发性肾病综合征(PNS)患者红细胞CR1密度相关基因组多态性及数量表达、黏附活性与临床疗效的关系。方法:测定45例PNS患者的红细胞CR1密度相关基因及数量表达与黏附活性,采用黄芪护肾汤配合标准激素疗程进行治疗。结果:45例PNS患者红细胞CR1密度相关基因高表达26例,中表达13例,低表达6例。高表达的数量表达和黏附活性高于中表达,中表达的数量表达和黏附活性高于低表达,比较有显著差异(P<0.05)。治疗后完全缓解20例,部分缓解15例,无效6例,复发4例。26例高表达患者主要分布在完全缓解和部分缓解组,13例中表达患者分布在完全缓解、部分缓解、无效和复发组,6例低表达患者分布在部分缓解、无效和复发组。结论:PNS患者红细胞CR1密度相关基因的表达与免疫分子数量表达及黏附活性成正相关,红细胞CR1密度相关基因组多态性与临床疗效存在密切关系。     

Trouble alimentaire précoce avec une cause organique associée : complémentarité des approches

Objective

First, this article aims at demonstrating the value of a multifocal approach, i.e. combining paediatric, psychological and speech therapy, in the treatment of infants with a disorder of restrictive eating behaviour of somatic origin. Second, this article seeks to emphasize the importance of the therapists’ sequence in the care's efficiency.

Method

A case study based on a joint psychologist–paediatrician hospital consultation meets these two objectives. The case study is presented in four parts: a case history, the diagnostic criteria as presented on the basis of the classification of Irene Chatoor from the University of Washington, the watching of a videotaped meal and the psychodynamic interpretation of the material.

Results

Two major therapeutic axes have to be discussed with parents. The first axis is devoted to the infant's anxieties linked to the food and its absorption conditions (meal's climate, atmosphere) as well as to the parents’/infant's interactions during feeding time. The second axis, known as functional, corresponds to the stressful experiences of the infant faced with the functional experiments of absorption and swallowing.

Discussion

These two therapeutic axes are complementary areas. However, they should not be handled concomitantly. Indeed, it is necessary, to enhance their articulation, that one step follows the other in a specific order. The psychotherapeutic care has to come first, followed by the speech therapy. Still, each situation must be dealt with on a case by case basis.

Conclusions

In the case of a functional swallowing disorder due to a somatic pathology, the corporo-psychic imprints left by traumatic experiences related to food, as well as by the interactive awkwardness arising therefrom, should be treated through positive in vivo experiences involving the parents, and through a harmonious reappropriation of the damaged function. For this, the first psychotherapeutic axis must be completed by a rehabilitative axis, centred on the feeding functions of absorption and swallowing.