治理非法行医的立法缺陷探析

根治非法行医重在制度完善,然而目前有关立法存在诸多缺陷。文章详细分析了我国惩处非法行医行为的立法现状,指出存在的法律缺陷,为完善有关法律制度奠定基础。     

Computed tomographic findings of colorectal liver metastases can be predictive for recurrence after hepatic resection

BACKGROUND: We recently reported that the pathologic mode of infiltrative growth (infiltrative [INF]-alpha, INF-beta, and INF-gamma) of colorectal liver metastases had characteristic morphologic findings, and furthermore showed that the INF type was a prognostic factor for disease-free survival after hepatic resection. HYPOTHESIS: Preoperative computed tomographic (CT) findings of the liver nodules may be predictive for pathologic tumor growth pattern. DESIGN: Retrospective study. SETTING: Departments of Surgery and Radiology at a university hospital in Japan. PATIENTS: A total of 25 CT examinations (1985-1998) were reviewed, and a comparison was conducted on CT findings of 2 groups with INF-alpha or INF-beta (hereafter noted as INF-alpha-beta) (n = 9 [ie, a patient with INF-alpha plus 8 with INF-beta]) and INF-gamma (n = 16) type liver metastases. MAIN OUTCOME MEASURES: chi(2) Analysis of CT morphologic features was performed between the study groups. The result of multivariate analysis was obtained using the Cox proportional hazards model. RESULTS: The morphologic features observed by CT showed a significant difference between the 2 groups (INF-alpha-beta, and INF-gamma types) in the ratio of length to breadth of nodules (<1.5 vs > or =1.5, P =.008) and in the outline of nodules (regular vs irregular, P =.01). Of these CT imaging features, the outline of the nodule was an independent prognostic factor (P =.02). CONCLUSION: Computed tomographic findings of colorectal liver lesions correlated with the pathologic tumor growth pattern and a prognosis.     

Sleep habits of students attending elementary schools,and junior and senior high schools in Akita prefecture

It is widely accepted that students in Japan sleep fewer hours than what they actually need. However, epidemiological data on sleep habits among students are scarce. The sleep habits and related problems among 1650 students in Akita prefecture were studied. The results revealed that schoolchildren attending elementary schools seemed to sleep for a sufficient number of hours, whereas students attending junior or senior high schools were not sleeping enough. In particular, approximately half of the students attending senior high schools answered that they slept 6 h or less on weekdays and nodded off during classes more than twice a week.     

An Accurate and Rapid Gender Determination Assay in Single Cells by the Capillary Polymerase Chain Reaction Method

Purpose: In preimplantation genetic diagnosis (PGD), a rapid and accurate assay has been required. We have therefore developed a capillary polymerase chain reaction (PCR) method using rapid thermal cycling programs to determine the gender of single amniocytes. Methods: Single amniocytes from each amniotic fluid sample were isolated by micromanipulation and their gender was determined by a multiplex PCR assay in a capillary tube, using primers that amplify a 308-bp DXZ1 and a 154-bp DYZ1 repeat sequence on the X and Y chromosomes, respectively. Results: All four thermal cycling programs, which took 180, 150, 120, and 90 min, were 100% accurate in diagnosing the gender of single amniocytes. No DNA contamination was observed in any samples. Conclusions: The multiplex PCR assay was rapid and accurate in diagnosing gender in single cells and may be clinically applicable in PGD.     

Evaluation by FDG-PET of arterial infusion chemotherapy for unresectable metastatic liver tumor

We evaluated arterial infusion chemotherapy for unresectable metastatic liver tumor using FDG-PET and CT. A 72-year-old female patient with multiple metastatic liver tumors of rectal cancer was treated by arterial infusion chemotherapy. The tumor size decreased by chemotherapy, but there was a high uptake lesion of FDG. Three months later, tumor ingrowth was detected. FDG produces images of regional glycolytic activity, and it is a useful method of assessment of tumor viability after chemotherapy in patients with cancer.     

Evaluation of Double Filtration Plasmapheresis, Thermofiltration, and Low–Density Lipoprotein Adsorptive Methods by Crossover Test in the Treatment of Familial Hypercholesterolemia Patients

Abstract: A comparative assessment has been made regarding efficacy and safety of the double filtration plasmapheresis (DFPP), thermofiltration (TFPP), and low–density lipoprotein (LDL) adsorptive (PA) methods by making a crossover test on heterozygous familial hypercholesterolemia patients. Treatments by DFPP, TFPP (secondary membrane Evalux 5A), and PA (Liposorber LA–40) were carried out 5 times each, with a 2–week interval, in 5 patients with heterozygous familial hypercholesterolemia. The same plasma separator (Plasmacure PS–60, polysulfone) was used in all cases, and the volume of plasma processed was set at 4 L. High removal rates were obtained of total cholesterol, LDL cholesterol, triglycerides TG, and apolipoprotein B (apoB) by all three methods, and no differences were observed. Lipoprotein (a), apoA–2, apoC–3, fibrinogen, and immunoglobulin M (IgM) showed significantly high removal rates by the DFPP and TFPP methods compared with the PA method.
The sieving coefficient of albumin and high–density lipoprotein (HDL) cholesterol at 2 and 4 L of plasma processed exhibited high permeabilities using all three methods. Supplementing albumin was not necessary. An increase of the transmembrane pressure was observed in 1 case treated by DFPP but was not observed when using the TFPP or PA method. No changes were observed in serum interleukin 1β (IL–lβ) or tumor necrosis factor–a (TNF–α) before and after treatment by any of the three methods. No remarkable side effects were observed using either the DFPP or TFPP method. The DFPP and TFPP methods showed efficacy and safety that was not inferior to the PA method in conventional LDL apheresis, and the dead–end method of the filter operation without the discarding of plasma was shown to be possible.     

Effects of estrogen on female mouse thymus, with special reference to ER-mRNA and T cell subpopulations

The effect of estrogen (E), a female sex steroid, on the thymus tissues from castrated female mice treated with E was examined by molecular biologic, microscopic and flowcytometric techniques.

First, using an oligoprobe for E receptor (ER)-messenger RNA (ER-mRNA), one hybridized band was found at 6.2 kilobase (kb) in mouse thymus tissue, as was also the case in the human breast cancer MCF-7 cell line. ER-mRNA level in the E-treated animals was almost 3 times that in oil-treated controls.

Secondly, an electron microscopic observation indicated E treatment to bring about apoptosis of thymocytes (T cell) which were embraced by thymic stromal cells (possibly phagocytic in nature) and/or ballooning of the endoplasmic reticulum in the epithelial cells with abundant lipid droplets.

Thirdly, flow cytometric analysis demonstrated E to induce the change of T cell subpopulations: an increase in helper/inducer (L₃T⁺₄Lyt⁻₂) cells with decrease in the double positive (L₃T⁺₄Lyt⁺₂) cells.

It follows from the above findings that E may cause morphologic changes in the thymus closely related to T cell differentiation. In addition, these changes appear to derive mainly from E-induced tissue-specific gene expression including that of ER-mRNA.