卫生院改革中的"软法"运行现状及功能实现

乡镇卫生院改革是一项关乎农村稳定、农民安康的工程。从既有的工作轨迹及发展趋势来看,这项改革是在以“两办(中共中央办公厅、国务院办公     

云南白药与维生素K4治疗肺结核少量咯血80例

咯血是肺结核最常见的并发症之一，多见于初、复治的Ⅲ型肺结核病人，尤其是有空洞形成者。笔者近10年来采用云南白药(或云南白药胶囊)与维生素K4联合治疗初、复治肺结核引起少量咯血的病人，收到了较理想的效果，报告如下。     

家庭暴力及其应对策略

近几十年来，公众和社会逐渐认识到家庭暴力是一种主要的公共健康问题，它影响着不同种族、不同社会、不同经济背景中的个体。目前家庭暴力依然是当今社会中的一大问题。结束家庭暴力要求全体社会的共同关注，包括卫生保障部门、执法部门、社会服务系统联合起来应对家庭暴力。     

我校资产管理网络化的初步实现

1背景随着国家对教育投入逐年增加,特别是近年来重大科研项目如211工程、985项目等大批经费用于设备添置,学校固定资产急剧膨胀。同时高校规模不断拓展,综合性高校拥有2个以上校区的情况非常普遍。在这种情况下沿用旧的单机管理模式,     

Sympathoadrenal excitation and inhibition by lower brainstem stimulation in cats

Effects of stimulation of brainstem sites on hemodynamics and plasma catecholamine levels were assessed in cats under chloralose-urethane anesthesia. Pressor areas of the dorsal medulla (DM) and ventrolateral medulla (VLM) and the depressor area of the paramedian reticular nucleus (PRN) were stimulated electrically using a monopolar electrode, or chemically using sodium glutamate microinjection. Plasma levels of norepinephrine (NE) and epinephrine (EPI) were measured in caval blood above the adrenal veins. Electrical stimulation of the DM and VLM produced increases in blood pressure and in plasma NE and EPI levels that were enhanced after acute vagotomies. The NE and EPI responses were attenuated after acute, bilateral adrenalectomies, confirming augmented adrenomedullary secretion, whereas the pressor responses were intact. Injection of sodium glutamate into the same pressor regions of the DM or VLM also produced pressor responses and elevated plasma catecholamine levels, indicating that the responses resulted from activation of neuronal perikarya. Stimulation of the PRN attenuated pressor and catecholamine responses during stimulation of the DM and VLM. The results indicate that pressor responses during stimulation of the DM and VLM are due at least partly to activation of perikarya in these regions, are associated with but not dependent on adrenomedullary activation, and are enhanced after vagotomy; and that neurons of the PRN exert inhibitory modulation of the pressor and adrenomedullary responses during stimulation of VLM and DM.     

奶茶对大鼠体重和血清胆固醇含量的影响

目的 :探讨奶茶对大鼠体重和血清胆固醇含量的影响。方法 :将大鼠随机分为对照、脂对照、奶、茶和奶茶五组 ;高脂饲养的同时分别用水、奶、茶和奶茶进行灌胃 ,定期测定大鼠的血清胆固醇 (TC)。结果 :实验期间奶茶组大鼠体重的增长量高于其他三个高脂饲料组 ,且明显高于对照组 (P <0 .0 5 ) ;高脂饲料组大鼠的血清胆固醇含量明显增加 ,但增长量在高脂饲料组间差异无显著性 (P >0 .0 5 )。结论 :本实验浓度的奶茶对高脂饲料诱导的大鼠血清胆固醇升高未见有降低作用     

Acute pericarditis as initial clinical manifestation of hypereosinophilia syndrome]

The case of a patient in whom acute pericarditis was the initial manifestation of an idiopathic hypereosinophilia is reported. Endomyocardial abnormalities were not found by echocardiography. Response to prednisone therapy was good; symptoms, pericardial effusion and eosinophilia early disappeared after therapy. Some clinical aspects of this uncommon disease are discussed.     

糖尿病酮症酸中毒诱因调查及防治对策

目的 :探讨糖尿病酮症酸中毒 (DKA)诱发因素的防治对策 ;方法 :采用计数方法间接确定住院的 57例DKA各种诱因的发生率 ,两组间进行对比分析 ,找寻诱因产生的根源 ;结果 :感染为诱因者 3 5例 ( 61 .4% ) ,用药不当 8例 ( 1 4 .0 % ) ,医源性因素 6例 ( 1 0 .5% ) ;感染诱因中呼吸道感染 2 3例 ( 65.7% ) ;病程一年以上者感染诱发率高于病程一年以下者 (P <0 .0 5) ,医源性诱因 1 0 0 %发生在病程一年以下且无糖尿病病史的 2型糖尿病 ;结论 :感染是DKA的首要诱发因素 ,严格控制血糖是减少感染发生率的必要手段 ,要避免用药不当这个主要诱因有赖于加强卫生宣教 ,取得患者在治疗上的配合 ;糖尿病的早期诊断可防止医源性诱因的发生     

A mixing model for polychlorinated dibenzo-p-dioxins and dibenzofurans in surface sediments from Newark Bay,New Jersey using polytopic vector analysis

The identity and relative contributions of various sources of polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) to recently deposited sediments collected in Newark Bay and its major tributaries were determined using polytopic vector analysis (PVA), a multivariate statistical technique relatively new in the chemometric literature. The concentrations of 2,3,7,8-substituted PCDD/Fs were assayed in eighty-one surface and near-surface sediment samples collected from the Passaic River, Hackensack River, Arthur Kill, Elizabeth River, Kill Van Kull, Port Elizabeth, and Port Newark navigation channels and Robins Reef, which is located in New York Harbor. PVA modeling revealed five predominant 2,3,7,8-substituted PCDD/F fingerprint patterns in geographically plausible distributions throughout the estuary. This was consistent with the current understanding of hydrodynamic and sedimentation conditions reported in the literature for Newark Bay. Three patterns contained 2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TCDD), which is alleged to originate from a single industrial source on the lower Passaic River. One of the fingerprints containing 2,3,7,8-TCDD was present in moderate proportions (10–20%) in surface sediments near the site, but was generally observed in low abundance (<5%) elsewhere in the estuary. A fingerprint pattern characteristic of PCDD/F profiles in effluents from municipal sewage and waste water treatment plants was widely distributed in the estuary, but reached its highest relative proportions in the Elizabeth River. A third fingerprint pattern was highest in the Arthur Kill and lower Passaic River and closely matched the residue patterns found in several types of combustion sources. A fourth finger-print pattern in Hackensack River and lower Passaic River sediment matched the PCDD/F profile reported in PCB Aroclor^® formulations. A fifth fingerprint pattern matched the profile in recycled pulp and paper mill effluents and was highest in Kill van Kull and upper Passaic River sediment. The majority of PCDD/Fs in sediment from Reaches B, C, and D of Port Newark and Port Elizabeth were attributable to sediments transported via the Arthur Kill and the Kill Van Kull. These results are consistent with those previously reported using principal components analysis, which indicated that 2,3,7,8-substituted PCDD/F patterns in the sediments of Newark Bay are consistent with discharges from multiple sources.