军队卫生学任职教育思考与对策分析

为适应新形势下军队院校备战打赢的教育总要求,本文通过分析当前军队卫生学任职教育存在的主要问题和原因,结合外军任职培训教育的经验和做法,提出了加强军队卫生学任职教育的总体思想;并结合军医大学任职教育现状和实际,从师资队伍、课程建设、信息化建设、教学方法和考核模式等方面进行了针对性的对策分析,以期为更好地开展军队卫生学任职教育提供指导和帮助。     

全科医学与睡眠医学如何协同发展

全科医学和睡眠医学作为国内目前新兴的两个临床学科,两者在学科建设过程中存在着诸多交集,互补性强,在学科发展和人才培养上存在一定的交叉融合。中国专科医师培训认证制度在人才培养方面为全科医师从事睡眠医学工作开辟了道路,使其有良好的协同发展的基础及必要性。本文分析了目前中国全科医学与睡眠医学两者学科协同发展的基础及学科协同共建的必要性,介绍了南京医科大学附属无锡人民医院在全科医学与睡眠医学学科共建方面取得的经验,并邀请相关专家就目前存在的问题进行讨论。     

建设符合自身特点的品牌医院特色文化

本文简述了医院文化自身的特点，着重探讨打造符合自身特点的品牌医院特色文化的措施和途径。     

人TCA-12-2/TCB-7.1真核双表达载体的构建与表达

目的：将T细胞抗原受体基因TCA-12-2和TCB-7.1共同构建在真核表达载体pDC315，用于哺乳动物细胞293转染研究。方法： 将分离得到的淋巴细胞总RNA反转录合成cDNA,以此为模板进行PCR扩增得到TCA-12-2基因；以实验室保存含TCB-7.1基因的质粒为模板，扩增得到TCB-7.1基因。随后酶切，连入载体pIRES2-AcGFP1，通过亚克隆连入载体pDC315，得到重组质粒pDC315-TCA-12-2-TCB-7.1。重组体质粒经酶切鉴定后，并对插入的TCA-12-2和TCB-7.1基因片段进行测序，将鉴定好的阳性重组质粒用脂质体介导转染293细胞，并通过RT-PCR和流式细胞仪检测TCA-12-2和TCB-7.1基因的表达情况。结果： TCA-12-2和TCB-7.1可以同时构建在载体pDC315上，RT-PCR和流式细胞仪检测发现TCA-12-2和TCB-7.1基因可以成功在293细胞上表达。结论：成功构建了含TCA-12-2和TCB-7.1基因的双表达载体。     

A twin-family study of self-report symptoms of panic-phobia and somatization

Self-report symptoms of anxiety are widely used in mental health and social science research as an index of current psychiatric state. Previous twin studies have suggested that genetic factors account for a significant proportion of the variance in these symptoms. To replicate and extend these findings, we examined self-report symtoms of panic-phobia and somatization in the “Virginia 30,000” twin-family sample. Model fitting applied to 80 unique relationships in the twin-family pedigree produced the following major results: (i) genetic effects were significant for both symptom factors, accounting for between 25 and 49% of the total variance, with the exception of symptoms of panic-phobia in females, where they accounted for 15–16% of the variance; (ii) familial environmental effects were absent for symptoms of somatization, while for symptoms of panic-phobia they accounted for a very small proportion of variance in males (≤1.2%) and a modest proportion in females (6–17%) (iii) spousal correlations were present for both factors, ranging from +0.05 to +0.20; (iv) genetic factors which influenced symptoms were generally the same in males and females, although their effect was greater in males; (v) heritability estimates were lower in the population-based than in the volunteer sample; and (vi) when test-retest reliability was included in the model, results suggest that genetic factors account for at least half of the stable variance for all symptom factors, except panic-phobia in females. Our results support the validity of previous twin studies of self-report symptoms of anxiety and suggest that genetic factors significantly influence these symptoms but familial-environmental factors play little or no etiologic role.     

Interleukin-1 beta gene polymorphism related with allergic pathogenesis in Iris constitution

Iridological constitution has a strong familial aggregation and is implicated in heredity. The aetiology of inflammatory bowel disease is still unknown. However, from genetic epidemiological studies there is considerable evidence that genetic factors are associated with both Crohn's disease and ulcerative colitis. We investigated the relationships between Iridological constitution and interleukin 1 beta (IL-1β) gene polymorphism. IL-1β is a major proinflammatiry cytokine, and the polymorphisms of this gene have been shown to be of importance in a number of diseases. Especially, IL-1 has been suspected of involvement in allergic pathogenesis. Also, IL-1β genotype is one of the genetic markers of gastric cancer. Therefore, we classified 166 individuals according to Iris constitution, and determined IL-1β genotype. The frequencies of Iris constitutions as follows: neurogenic type, 41 (24.7%); abdominal connective tissue weakness type, 53 (31.9%); cardio-renal connective tissue weakness type, 50 (30.1%); the others type, 22 (13.3%). Especially, the frequency of abdominal connective tissue weakness type was higher in C/T genotype than in the remaining constitutions although the statistical power was very weak. Furthermore, we first attempted to explore possible involvement of the IL-1β polymorphism and the Iris constitution.     

上睑下垂美容手术的解剖学设计和效果分析

目的探讨不对称性上睑下垂美容手术的设计要点以及术后美容效果。方法通过对33例不对称性上睑下垂患者术前双眼各自不同特点的分析,提出设计要点,同时对术后的美容效果进行评价。结果本组病例中美容效果优者占87.9%,良以上者占94.0%。结论双眼对称是眼部美容手术成功的关键,只有按照患者各自的解剖学特点设计手术,才能取得良好的美容效果。     

医院图书馆数字化学习环境建设初探

因为数字化学习环境是未来图书馆事业的发展趋势,文章从图书馆数字化学习环境的内涵开始,分析了医院图书馆数字化学习环境建设的必要性及其现实的可行性,提出了图书馆软件环境和硬件环境的建设及两者的有机结合是医院图书馆数字化学习环境建设的重要保障。     

携带增强绿色荧光蛋白基因的Id2真核表达载体构建

目的：构建大鼠Id2基因真核荧光表达载体，为骨骼肌的组织工程研究提供有效的分子工具。方法：利用RT-PCR的方法扩增出Id2全长cDNA，利用T4 DNA连接酶将载体pGEM-T和Id2 cDNA进行连接，构建克隆载体，经限制性内切酶EcoR1酶切pGEM-Id2克隆载体和pEGF-C2真核表达载体，构建出重组真核表达载体pEGFP-C2-Id2，经酶切分析、PCR鉴定及DNA测序证实cDNA片段大小和序列的正确性；并通过细胞转染技术将Id2基因导入L6成肌细胞中。结果：经酶切分析和序列测定证实pEGFP-C2-Id2含大小正确的正向Id2 cDNA片段，获取了转染外源性Id2基因的L6细胞。结论：我们成功构建了同时携带有G418筛选位点和增强绿色荧光蛋白的Id2真核表达载体？     

汉区少数民族学生文化疏离感研究

目的:提出文化疏离感的操作性定义和初步的理论构想,为我国少数民族的文化认同和文化适应,以及少数民族青少年的教育培养提供比较重要的参考资料,为疏离感理论的丰富起到一定积极作用.方法:自编<汉区少数民族学生文化疏离感量表>,进行信效度考察以后对678名汉区少数民族学生进行调查.结果:1.文化疏离感及其四个子维度在地区主效应上均表现出显著差异,在年龄主效应上差异不显著;文化分离感和不和谐感在性别主效应上差异显著.2.文化疏离感及其两个子维度(文化孤立感和文化分离感)在年龄和地区,以及在年龄、地区和性别的交互作用上均表现出显著差异.3.影响文化疏离感及其文化孤立感、文化分离感、被控感三个维度的主要变量是学生小学前后居住地区的改变,而影响不和谐感的主要变量是性别.结论:小学前后居住地的改变会影响少数民族学生文化疏离感.