基于色彩心理学的巴塞罗那圣保罗医院空间环境研究

对色彩心理学进行简要概述,提取出适用于医院空间设计的相关理论,并以巴塞罗那圣保罗医院为例,从色彩心理学角度对其空间环境进行分析研究.     

南方某省营利性与非营利性医院的比较分析

目的了解某省营利性医院的现状并与同等规模的非营利性医院进行比较。方法利用2002年常规卫生统计资料，使用71所有编制床位的营利性医院和同等规模的132所非营利性医院资料进行分析。结果营利性医院的人员规模小，基本上没有离退休人员的负担；提供的门急诊服务量小，但住院服务量与非营利性医院相同；收入和支出水平尚不到非营利性医院的一半，但是，能够保持收支平衡;营利性医院和非营利性医院一样存在病人欠费问题。结论在支持发展非公有制经济的政策环境下，营利性医院会有很大发展。因此，政策制定应慎重考虑可能的不利影响，并采取相应对策。     

Abnormal anti-single stranded (ss) DNA activity in sera from Plasmodium falciparum infected individuals

Sera from 32 subjects with Plasmodium falciparum parasitaemia were screened for the presence of antibodies to native-double stranded (ds) DNA and to heat-denaturated-single stranded (ss) DNA by a Farr DNA binding radioimmunoassay. In addition anti-dsDNA antibodies were also studied by indirect immunofluorescence using Crithidia luciliae and rat liver sections as substrates. Immunoglobulin (G, A, M) levels and plasmodial antibodies titres (PA) were concomitantly evaluated. The anti-ssDNA activity was higher in malarious individuals with high IgM levels than in normal or malarious individuals with normal IgM levels. This activity was higher during the acute stage of infection than after recovery. A positive and significant relationship was found between the anti-ssDNA activity and the IgM levels but not with IgG, IgA or PA titres. Speckled antinuclear antibodies (ANA) were also observed in sera from 43.8% of the individuals and the mean ssDNA activity was higher in these ANA positive patients. Conversely anti-dsDNA antibodies could not be detected by any of the tests performed. This preferential production of anti-ssDNA Ab and not anti-dsDNA Ab is additional evidence that the autoantibodies observed in malaria infection are not a consequence of a generalized and non-specific polyclonal activation.     

医院托管实证研究

通过对山东省立医院托管山东煤矿总医院过程的深入分析，阐述了托管的客观条件和托管的过程，对托管方案进行了深入研究，并论证了托管医院与集团化建设的关系，全面总结该托管案例的理论意义与实践价值，提出了基于集团化建设的医院托管所要面对的深层次问题。     

医院室外空间康复景观设计要点

从康复景观的概念出发,阐述了医院室外空间中进行康复景观设计的重要性.通过对国外两个康复医疗空间的实际案例进行分析,初步总结出利用自然因子疗愈、结合人的感知设计、提高场地参与性这三个康复景观设计要点.     

Effects of continuous long-term intravenous infusion of long-chain fatty acids on feeding behaviour and blood components of adult sheep

Albumin complexes of palmitic, stearic and oleic acids were continuously infused intravenously into adult sheep to investigate their effects on feeding behaviour and blood components. They were compared with saline infusions as during a preliminary test albumin alone showed no influence on voluntary food intake. Oleic and palmitic acid infusions induced a significant decrease of the voluntary food intake, relative to saline infusion. Food intake also decreased in experimental sheep when stearic acid was used, though not significantly. For all the tested fatty acids, blood beta-hydroxybutyrate and acetoacetate concentrations, plasma lipid content and the distribution of fatty acids in triacylglycerol remained unchanged. Oleic acid infusion induced the following significant changes of blood composition between control and experimental sheep: increased free fatty acid (FFA) concentration, increased oleic acid and decreased palmitic acid proportions in FFA and an increased amount of oleic acid balanced by a decreased linoleic acid content in phospholipids and cholesteryl esters. The only significant changes observed with the palmitic acid infusion were: decreased linoleic acid content in phospholipids and cholesteryl esters and increased oleic acid content in cholesteryl esters. The stearic acid infusion induced a decrease of stearic acid quantity in phospholipids and a corresponding increase in oleic acid in phospholipids and cholesteryl ester. It is suggested that these long-chain fatty acids might affect the long-term control of voluntary food intake in ruminants.     

Titres of antibodies to gut-derived antigens in patients with chronic schistosomiasis mansoni

Serum titres of antibodies against six intestinal, one ubiquitous and one non-intestinal bacteria were determined in patients with severe hepatosplenic schistosomiasis mansoni, with light intestinal schistosomiasis and in normal subjects. No significant difference was observed among the three groups of subjects for levels of antibodies against two nonintestinal bacteria and four of the intestinal bacteria. Patients with hepatosplenic schistosomiasis had titres of antibodies against one strain of Pseudomonas aeruginosa and one strain of Escherichia coli lower than those observed in other groups of subjects. Despite the partial obliteration of the hepatic blood outflow and the elevated portal pressure, hepatic clearance of the portal blood is efficient in chronic human schistosomiasis, and unlike alcoholic liver cirrhosis, avoids excessive stimulation of the immune system by a gut-derived antigens.     

Schistosoma haematobium and the nephrotic syndrome

Two boys with nephrotic syndrome, membrano-proliferative glomerulo-nephritis and Schistosoma haematobium infection are described. Both showed remission of the nephrotic syndrome soon after the schistosomiasis was treated with niridazole. The significance of heavy proteinuria in schistosomiasis is discussed.     

脑瘫康复病区院内感染分析

目的探讨脑瘫康复病区院内感染的特点，为临床合理用药提供依据。方法收集2008年住院治疗且明确为院内感染的157例脑瘫患儿的临床资料、病原体检查结果及药敏试验结果进行分析。结果院内感染率为15．87％（157／989）；157例院内感染脑瘫患儿中呼吸道感染占93．63％（147／157），其中细菌感染占71．43％（105／147），支原体感染占5．44％（8／147）。消化道感染占6．37％（10／157），其中轮状病毒感染占90％（9／10）；共分离出革兰氏阴性杆菌57例，占54．28％，按构成比依次为肺炎克雷伯氏菌、鲍氏不动杆菌、大肠埃希菌、铜绿假单胞菌；革兰氏阳性球菌（金黄色葡萄球菌）7例，占6．66％，革兰氏阴性球菌（卡他布兰汉菌）41例，占39．05％。药敏试验显示：复方新诺明对球菌的耐药率达100％；苯唑西林、万古霉素、亚胺培南对金黄色葡萄球菌敏感率为100％，头孢噻吩、阿莫西林－克拉维酸、头孢呋辛对卡他布兰汉菌及金黄色葡萄球菌的的敏感率达100％；阿莫西林－克拉维酸、哌拉西林对革兰氏阴性杆菌的敏感率达70％以上。氨苄西林对革兰氏阴性杆菌的耐药率达60％；头孢他定对铜绿假单胞菌的敏感率为100％。结论脑瘫康复病房院内感染的发生率远高于普通儿科病房，且以呼吸道感染占绝大多数，病原体以革兰氏阴性杆菌占优势，卡他布兰汉茵为脑瘫康复病房院内感染最常见的病原体。