REGULATION OF GI MOTOR FUNCTION：ROLEOFBRAINPEPTIDES．

ＲＥＧＵＬＡＴＩＯＮＯＦＧＩＭＯＴＯＲＦＵＮＣＴＩＯＮ：ＲＯＬＥＯＦＢＲＡＩＮＰＥＰＴＩＤＥＳ．Ｖ．ＭａｒｔｉｎｅｚａｎｄＹ．Ｔａｃｈｅ，ＣＵＲＥ：ＤｉｓｅａｅｓＲｅｓｅｒｃｈＣｅｎｔｅｒ，ＷｅｓｔＬｏｓＡｎｇｅｌｅｓＶＡＭｅｄｉｃａｌＣｅｎｔｅｒ．...     

血尿内皮素和尿白蛋白、肌酐联合检测对早期糖尿病肾病诊断的临床意义

晚近尿白蛋白排泄（ＵＡＥ）作为糖尿病肾病（ＤＮ）重要诊断依据已被公认,但有作者认为其不能更早地提示糖尿病肾损伤［１］。为此我们联合检测血尿内皮素（ＢＥＴ、ＵＥＴ）、ＵＡＥ和尿肌酥（ＵＣｒ）及其比值,以探讨对早期ＤＮ的诊断价值。 一、对象与方法 １．对象：２型糖尿病患者１６０例（按１９８５年ＷＨＯ制定的诊断标准）分为３组,平均ＵＡＥ在２５ｍｇ／Ｌ以下为ＤＭ Ⅰ组;平均ＵＡＥ２５～１９９ｍｇ／Ｌ为ＤＭ Ⅱ组;平均ＵＡＥ在２００ｍｇ／Ｌ以上为ＤＭ Ⅲ组。各组病程、年龄和性别都有可比性。５５例正常人为实习医…     

载脂蛋白E基因多态型揭示LDL在NIDDM肾病发生中的作用

[英 ]/ＢｏｉｚｅＲ…∥ＮｅｐｈｒｏｌＤｉａｌＴｒａｎｓｐｌａｎｔ 1 998,1 3 72～ 75 脂质异常是否与非胰岛素依赖型糖尿病(ＮＩＤＤＭ)肾病有关仍存在争论。作者比较载脂蛋白Ｅ(ａｐｏＥ)基因型在ＮＩＤＤＭ肾病患者和无蛋白尿的ＮＩＤＤＭ病人中的分布情况。对象与方法　本研究调查 1 3 4例ＮＩＤＤＭ肾病病人的ａｐｏＥ基因型。其中尿白蛋白排出率 (ＵＡＥ)≥ 2 0ｍｇ/ｄ为Ｎ +组 ;ＵＡＥ <2 0ｍｇ/ｄ为Ｎ -组。Ｎ +组和Ｎ -组病人的年龄、糖尿病持续时间和性别均无差异。 1 3 2名健康志愿者为对照组。提取血中白细胞的ＤＮＡ ,…     

NORMAL AND DISTURBED MOTILITY OF GALLBLADDERANDSPHINCTEROFODDI．

ＮＯＲＭＡＬＡＮＤＤＩＳＴＵＲＢＥＤＭＯＴＩＬＩＴＹＯＦＧＡＬＬＢＬＡＤＤＥＲＡＮＤＳＰＨＩＮＣＴＥＲＯＦＯＤＤＩ．Ａ．Ｊ．Ｐ．Ｍ．Ｓｍｏｕｔ，Ｇ．Ｐ．ｖａｎＢｅｒｇｅ＿Ｈｅｎｅｇｏｕｗｅｎ，ａｎｄＭ．Ｓａｍｓｏｍ．ＤｅｐａｒｔｍｅｎｔｏｆＧａｓｔｒ...     

DETECTION OF CIRCULATING ANTIGEN OF CYSTICERCUS CELLULOSAE FORM CYSTICERCOSIS PATIENTS’ SERA WITH INHIBITIVE ELIS

ＤＥＴＥＣＴＩＯＮＯＦＣＩＲＣＵＬＡＴＩＮＧＡＮＴＩＧＥＮＯＦＣＹＳＴＩＣＥＲＣＵＳＣＥＬＬＵＬＯＳＡＥＦＲＯＭＣＹＳＴＩＣＥＲＣＯＳＩＳＰＡＴＩＥＮＴＳ’ＳＥＲＡＷＩＴＨＩＮＨＩＢＩＴＩＶＥＥＬＩＳＡＡＮＤＢＬＯＣＫＩＮＧＩＨＡＺｈａｏＸｕ一Ｄｏｎ...     

HORMONAL REGULATION OF GASTRIC EMPTYINGANDITSAPPLICATIONINTHETHERAPYOFGASTROPARESIS．

ＨＯＲＭＯＮＡＬＲＥＧＵＬＡＴＩＯＮＯＦＧＡＳＴＲＩＣＥＭＰＴＹＩＮＧＡＮＤＩＴＳＡＰＰＬＩＣＡＴＩＯＮＩＮＴＨＥＴＨＥＲＡＰＹＯＦＧＡＳＴＲＯＰＡＲＥＳＩＳ．ＴＬ．Ｐｅｅｔｅｒｓ，Ｍ．Ｄ．ＧｕｔＨｏｒｍｏｎｅＬａｂ，Ｌｅｕｖｅｎ，Ｂｅｌｇｉｕｍ．Ｔ...     

STUDIES AND APPLICATION OF PYRCTHROID TREATED BEDNETS FOR CONTROL OF MALARIA VECTORS INP．R．CHINA

ＳＴＵＤＩＥＳＡＮＤＡＰＰＬＩＣＡＴＩＯＮＯＦＰＹＲＣＴＨＲＯＩＤＴＲＥＡＴＥＤＢＥＤＮＥＴＳＦＯＲＣＯＮＴＲＯＬＯＦＭＡＬＡＲＩＡＶＥＣＴＯＲＳＩＮＰ．Ｒ．ＣＨＩＮＡＰａｎＢｏ，ＬｉＺｕ－ｚｉ，ＨｕａｎｇＱｉ－ＬｉｎＩｎｓｔｉｔｕｔｅｏｆＰａｒａｓ...     

ENTERIC NERVOUS SYSTEM IN PATHOGENESISOFGASTROINTESTINALMOTILITYDISORDERS．

ＥＮＴＥＲＩＣＮＥＲＶＯＵＳＳＹＳＴＥＭＩＮＰＡＴＨＯＧＥＮＥＳＩＳＯＦＧＡＳＴＲＯＩＮＴＥＳＴＩＮＡＬＭＯＴＩＬＩＴＹＤＩＳＯＲＤＥＲＳ．Ｊ．Ｄ．Ｗｏｏｄ．ＤｅｐａｒｔｍｅｎｔｏｆＰｈｓｉｏｌｏｇｙ．ＴｈｅＯｈｉｏＳｔａｔｅＵｎｉｖｅｒｓｉｔｙＣｏ...     

EGG AS A PHYSIOLOGICAL MARKER OF MOTIONSICKNESSINASIANANDNON＿ASIANSUBJECTS．

ＥＧＧＡＳＡＰＨＹＳＩＯＬＯＧＩＣＡＬＭＡＲＫＥＲＯＦＭＯＴＩＯＮＳＩＣＫＮＥＳＳＩＮＡＳＩＡＮＡＮＤＮＯＮ＿ＡＳＩＡＮＳＵＢＪＥＣＴＳ．ＲｏｂｅｒｔＭ．Ｓｔｅｒｎ，ＤｅｐａｒｔｍｅｎｔｏｆＰｓｙｃｈｏｌｏｇｙ，ＴｈｅＰｅｎｎｓｙｌｖａｎｉａＳｔａｔ...     

三度房室阻滞、逸搏激发4∶3文氏传导1例

患者女 ,70岁。因突然出现心前区剧痛 ,持续 4ｈ急诊入院。体检 :大汗 ,血压 :76 5 4ｍｍＨｇ,血清ＣＰＫ :3 667ＩＵ Ｌ ,ＧＯＴ :3 97ＩＵ Ｌ ,ＬＤＨ :799ＩＵ Ｌ。心电图示 :膈面、正后壁及右室急性心梗 (ＡＭＩ)。临床诊断 :ＡＭＩ。图 1为入院第 2ｄ 2 4ｈ动态心电记录 :上、中、下行分别为ＣＭＶ1 、ＣＭａＶＦ。ＰＰ间期 0 46ｓ( 13 0次 ｍｉｎ) ,规则。Ｐ2、4、6、8～ 1 0 呈双向改变 (图 1上行 )。Ｒ1、3、8、9在ＣＭＶ1 导联中振幅较高 ,ＱＲＳ宽 :0 10ｓ ,ＲＲ间期为0 92ｓ ,与前Ｐ无关。Ｒ4提前出现 ,且Ｒ4～ 7在ＣＭＶ1 …     

State of knowledge of helminth fauna of freshwater fishes of Poland

A total 89 fish and lamprey species has been recorded from Polish freshwater habitats. Twenty-seven of them (30.3%) have not been surveyed for parasitic helminthes. Some of the latter fishes are either rare or not easily accessible. Other live only in specific habitats in scattered localities. An important obstacle for studying parasite faunas of some fishes may be their status on an endangered species. Among the non-surveyed fishes, are those which have been relatively recently introduced to Poland or migrated there on their own. The present paper attempts to review all hitherto not studied helminthologically fish species, their habitats, localities and current protection status.     

高血压降压治疗目标的再认识

根据传统的高血压水平的定义,1993年WHO高血压治疗指南提出血压控制目标为<140/90mm Hg(1mm Hg=0.133kPa),但是并非所有患者都必须将血压降至同一水平,而应根据患者情况进行个体化治疗。Framingham进行的一项长达10～12年的心血管事件研究发现,第5年后,正常上限血压[收缩压(SBP     

Lack of correlation of degree of villous atrophy with severity of clinical presentation of coeliac disease

BACKGROUND AND AIM: Both the clinical presentation and the degree of mucosal damage in coeliac disease vary greatly. In view of conflicting information as to whether the mode of presentation correlates with the degree of villous atrophy, we reviewed a large cohort of patients with coeliac disease. PATIENTS AND METHODS: We correlated mode of presentation (classical, diarrhoea predominant or atypical/silent) with histology of duodenal biopsies and examined their trends over time. RESULTS: The cohort consisted of 499 adults, mean age 44.1 years, 68% females. The majority had silent coeliac disease (56%) and total villous atrophy (65%). There was no correlation of mode of presentation with the degree of villous atrophy (p=0.25). Sixty-eight percent of females and 58% of males had a severe villous atrophy (p=0.052). There was a significant trend over time for a greater proportion of patients presenting as atypical/silent coeliac disease and having partial villous atrophy, though the majority still had total villous atrophy. CONCLUSIONS: Among our patients the degree of villous atrophy in duodenal biopsies did not correlate with the mode of presentation, indicating that factors other than the degree of villous atrophy must account for diarrhoea in coeliac disease.