温肝法的学术渊源及方药整理研究

通过整理历代医家主要著作中关于温肝法的记载,阐述温肝法的学术渊源。运用计量学方法,选取文献中温肝法常用方药,建立数据库,进行药物频次统计,总结出温肝法高频药物和温肝法所治病证的治疗原则,以期更好的指导临床。     

国内外期刊评价检索体系的选刊原则与评价标准

本文对国内外较为知名的期刊评价与检索体系选刊原则及其评价标准做系统综述,为科研工作者了解相关体系提供信息,同时也为期刊进入相关的评价与检索体系提供准则.     

某院地方住院患者来源及构成分析

目的分析某院地方住院患者来源及构成情况,确定医院发展方向。方法对某院2011年地方住院患者来源及构成进行回顾性分析。结果该院患者来源主要为本市患者,占44．52％。神经外科、耳鼻喉科、放射肿瘤科的住院患者居前三位。结论通过加强医院学科建设,改善就医环境,加强院内合作等措施,进一步扩大地方患者来源,促进医院健康协调发展。     

空气颗粒物人体暴露来源解析研究进展

颗粒物的短期或长期暴露均会对人体产生不良的健康效应.颗粒物暴露源解析,即定性识别和定量解析颗粒物不同污染源对人体暴露量的贡献,可以提高环境流行病学研究的准确性,并为确定优先控制污染源提供科学依据.该文就颗粒物人体暴露的来源、暴露测量、源解析受体模型的研究现状进行了综述,并提出了颗粒物暴露源解析存在的主要问题和发展趋势.

Abstract：

Both short-term and long-term exposures to airborne particulate matter have been proved to have a major impact on human health. Source apportionment on personal exposure to particulate matter can provide data to help characterize exposure-response relationships for epidemiological studies, and improve risk assessment/risk management. This paper focuses on the research advance of source apportionment on personal exposure to particulate matter, mainly including sources characterization, exposure measurement and receptor models for PM source apportionment. Also, the aspects of further researches on source apportionment of personal exposure are proposed in this paper.     

三江源长江地表水水环境现状评价

目的 了解三江源长江地表水水质状况,为保护该区脆弱的生态系统提供理论依据.方法 在三江源长江地表水区域设10个监测断面,分别于2008年5月(丰水期)、8月(平水期)、10月(枯水期)采集水样.根据国家环保总局HJ/T91-2002<地表水和污水监测技术规范>确定水质监测指标.测定方法参照<中国环境保护标准汇编:水质分析方法>(2001)进行.根据GB 3838-2002<地表水环境质量标准>Ⅰ类水质标准进行评价.结果 三江源长江地表水的平均水温为8.5℃,pH值为8.27,高锰酸盐指数为0.73 mg/L,化学需氧量(COD)为9.1 mg/L,生化需氧量(BOD5)为2 mg/L,氨氮为0.334mg/L,氟化物为0.166mg/L,硫化物为0.02mg/L,磷为0.03mg/L,六价铬0.004mg/L,挥发酚为0.002mg/L,总汞为0.00001mg/L,石油类为0.02 mg/L,粪大肠菌群＜20个/L,均符合GB 3838-2002<地表水环境质量标准>Ⅰ类水质标准.结论 三江源长江地表水水体未受到污染,水质良好.

Abstract：

Objective To know the situation of the water environment of Yangtse river of source area of Lantsang, Yellow and Yangtse River, and provide the theoretical basis for protecting the biosystem of this area. Methods Ten monitoring sections were selected in the investigated areas and the water samples were collected in May 2008, August 2008, October 2008 respectively. The sampling, determination and evaluation in the investigation were performed according to the related standard regulations. Results The water temperature was 8.5 ℃, pH value was 8.27, the index of KMnO_4 was 0.73 mg/L, the concentrations of COD, BOD_5, NH_4-N, fluoride, sulfide, total phosphoric, Cr~(6+), phenol, Hg, petroleum were 9.1, 2, 0.334, 0.166, 0.02, 0.03, 0.004, 0.002, 0.000 01, 0.02 mg/L, respectirely; the count of fecal coliform <20 cfu/L. Conclusion No water contamination has been found in the source area of Lantsang, Yellow and Yangtse River.     

国内医生工作压力管理初探

现代社会的飞速发展,医务人员承受的工作压力越来越大,工作压力管理问题已是医院和管理学界急需探讨的重要课题。有效的工作压力管理能预防或减轻过重的工作压力对员工造成的生理、心理伤害,维护和保持医院的人力资源。文章在对相关理论进行评述的基础上,从组织行为学的视角对工作压力管理模型的构建进行讨论。     

检测梅毒3种试验方法的比较与探讨

目的分析承德市疾控中心体检科梅毒血清学检测状况,探讨影响梅毒检测结果的诸多因素,为预防控制梅毒的流行提供科学依据。方法采用免疫学方法对2012年承德市市区从业人员进行梅毒检测,并对收集的数据进行统计分析。结果13460名从业人员中,ELISA检出梅毒阳性病例42例,阳性率约0．31％;梅毒螺旋体明胶颗粒凝集试验检出梅毒阳性病例39例,阳性率约0．29％;TRUST检出梅毒阳性病例45例,阳性率约0．33％。3种实验都是阳性的35例,阳性率0．26％。结论ELISA适合做筛查试验,TPPA适合做确证试验,TRUST根据其滴度则适用于判定病情的严重程度及是否有传染性,3种试验联合应用成本低、耗时少、准确率高,既可以筛查出具有传染性的梅毒携带者,从传染源上控制梅毒的传播,又使得已经治愈的梅毒携带者获得从业的机会。     

Dissociation of the neural correlates of visual and auditory contextual encoding

The present study contrasted the neural correlates of encoding item-context associations according to whether the contextual information was visual or auditory. Subjects (N = 20) underwent fMRI scanning while studying a series of visually presented pictures, each of which co-occurred with either a visually or an auditorily presented name. The task requirement was to judge whether the name corresponded to the presented object. In a subsequent memory test subjects judged whether test pictures were studied or unstudied and, for items judged as studied, indicated the presentation modality of the associated name. Dissociable cortical regions demonstrating increased activity for visual vs. auditory trials (and vice versa) were identified. A subset of these modality-selective regions also showed modality-selective subsequent source memory effects, that is, enhanced responses on trials associated with correct modality judgments relative to those for which modality or item memory later failed. These findings constitute direct evidence for the proposal that successful encoding of a contextual feature is associated with enhanced activity in the cortical regions engaged during the on-line processing of that feature. In addition, successful encoding of visual objects within auditory contexts was associated with more extensive engagement of the hippocampus and adjacent medial temporal cortex than was the encoding of such objects within visual contexts. This raises the possibility that the encoding of across-modality item-context associations places more demands on the hippocampus than does the encoding of within-modality associations.     

源清流洁意义探讨

＂源清流洁＂出自先秦.荀况《荀子.君道》：＂官人守数,君子养原,原清则流清,原浊则流浊。＂汉.班固《高祖泗水亭碑铭》中有＂源清流洁,本盛末荣＂的记载。语义是说源头的水清澈,下游的水自然洁净。原喻上级贤明,下级自会廉洁。本文借＂源清流洁＂寓意肺与肾（膀胱）、大肠的生理、病理关系。     

《中药学》与《中国药典》中药名称差异探究

目的:规范中药材(饮片)名称,使处方名称大众化、科学化、合理化,减少因因人、因地而异发生的中药材(饮片)名称差异。方法:参考《中国药品通用名称命名原则》,以《中药学》教材记录的中药材(饮片)品种为基数,与《中国药典》中药材(饮片)进行统计、对比、分析,整理《中药学》教材与《中国药典》收录中药材(饮片)描述不一致的现象。结果:通过对比,本文总结出9方面存在不一致现象。结论:统一中药材(饮片)名称,可使中药更好的服务于临床,减少处方应付差错率,提高中医药疗效,有利于推进我国中药处方的合理化、规范化、统一化,为走向世界奠定基础。