小学生吸烟行为健康教育干预实验

本文报告了自１９９１年以来在四川省什邡县所进行的小学生吸烟行为健康教育干预实验。结果显示，实验达到了预期目的。根据基线调查资料对对象儿童吸烟行为影响因素所作的分析以及在此基础上所采取的干预策略是正确的，干预方法是有效的。从而证明了在一个成人吸烟占主流的社会环境中通过健康教育劝阻儿童吸烟尽管是很困难的，但却是完全有成功把握的。     

Adrenal carcinoma tumor progression and penultimate cell surface oligosaccharides.

Many previous studies have implicated cell surface saccharides, and sialylglycoconjugates in particular, as important mediators of tumor cell metastasis. In this report, we have used three different specific sialidases and a highly sensitive high-performance liquid chromatographic sialic acid assay to probe the cell surfaces of several murine adrenal carcinoma variants. In contrast to several earlier studies on other metastatic variants, we find no significant differences in the overall levels of cell surface or total cellular sialic acid among three Y1 murine adrenal carcinoma variants with widely different metastatic phenotypes. However, using highly purified, linkage-specific sialyltransferases, in conjunction with V. cholerae sialidase, to probe the cell surface saccharide topography of specific penultimate oligosaccharides, we do find striking differences in oligosaccharide structures underlying the sialic acid moieties. Two tumorigenic and metastatic variants (F2 and F4) contain about 6-fold more penultimate Gal beta 1----4GlcNAc sialylation sites than a related tumorigenic but nonmetastatic variant (HSR) when CMP-[3H]-N-acetylneuraminic acid and the Gal beta 1----4GlcNAc alpha 2,6 sialyltransferase are used to probe the adrenal carcinoma cell surfaces. The metastatic variants also are found to contain 4- to 4.5-fold more Gal beta 1----3GalNAc sialylation sites than the nonmetastatic variant when the Gal beta 1----3GalNAc alpha 2,3 sialyltransferase is used as a cell surface probe. Earlier work, which used the same sialyltransferase probes on sialidase-treated murine melanoma variants (A. Passaniti and G. W. Hart, J. Biol. Chem., 263: 7591-7603, 1988), also showed similar quantitative differences in penultimate structures between metastatic variants. However, in contrast to the adrenal carcinoma cells, the highly metastatic melanoma cells have severalfold lower levels of sialylatable penultimate Gal beta 1----4GlcNAc and Gal beta 1----3GalNAc saccharides compared to their nonmetastatic counterparts. Thus, while the precise structural alterations or surface accessibilities of penultimate saccharides appear to be cell type dependent, these results suggest that pronounced changes in penultimate cell surface sialo-oligosaccharide moieties occur during progression to a malignant phenotype in two widely different tumor systems. These types of alterations in the underlying penultimate oligosaccharide structures of cell surface sialoglycoconjugates may be a common feature of highly metastatic cells arising from very different tumor cell types.     

区域性卫生规划及卫生资源配置标准的比较分析

目的：比较分析各地区域性卫生规划和卫生资源配置标准，为制定下阶段的区域卫生规划和资源配置标准提供科学依据。方法：采用文献定性和定量的分析方法，比较不同地区区域性卫生规划文献发表的数量、文献的主题和卫生资源配置标准等。结果：东部地区所发表的论文数量多于西部地区，但各地区发表文献的主题无显著差异；每千人口床位数、每千人口执业医师数、每千人口的执业护士数、每百万人口的CT和MRI数东部地区均高于西部地区；四川省各项指标低于西部地区。结论：区域性卫生规划和卫生资源的配置是改善和提高区域内的卫生综合服务能力以及卫生资源利用效率的重要措施，各地区的资源配置应与社会经济的发展相一致，要充分体现公平和效率、合理和实用的原则。     

多发性肌炎与皮肌炎(附25例报告)

多发性肌炎与皮肌炎25例,其中多发性肌炎21例,皮肌炎2例,多发性肌炎或皮肌炎伴发恶性肿瘤2例。从临床表现、生化检查、肌电图及肌肉活检等方面进行分析,提出多发性肌炎与皮肌炎的诊断条件。本组均采用皮质类固醇治疗,5例合并免疫抑制剂治疗,其中临床治愈4例,显著好转10例,好转5例,无效2例,死亡4例。     

诺氟沙星的吸附伏安法研究

在ｐＨ＝７．４９氨－氯化铵缓冲液中，诺氟沙星在滴汞电极上产生一灵敏的还原峰，峰电位为－１．５２Ｖ（ｖｓ．ＳＣＥ）。在１．９８×１０（－７）～４．８８×１０（－６）ｍｏｌ／Ｌ之间有良好的线性关系。本文对其极谱性质和电极过程进行了研究，用于诺氟沙星的测定，方法简便，结果准确、可靠。     

慢性乙型肝炎表面抗原携带者前S1基因的高度异质性

应用半巢式聚合酶链式反应（ＰＣＲ）从一例慢性ＨＢｓＡｇ携带者血清中扩增出ＨＢＶ前Ｓ１基因，将其克隆于噬菌体Ｍ１３ｍｐ１９中进行序列分析。结果发现：与同源性最好的ＨＢＶａｄｒ野生林相比，所测的１０个克隆均有替代和插入突变，９个克隆有缺失突变，１０个克隆的核苷酸变异率为５．０％－１７．０％，氨基酸的变异率为１３．０－６０．０％；１０个克隆之间的核苷酸变异率为２．３％－２４．３％，氨基酸的变异率为１４．     

米利酮对豚鼠心乳头肌及主动脉条的作用

米利酮是非洋地黄，非儿茶酚胺类强心药，具有明显的正性肌力和扩血管作用。国外用于治疗难治性心衰及洋地黄中毒的心衰病人。本文用豚鼠乳头肌及主动脉条进行实验，结果表明合成与进口米利酮的正性肌力作用效价相同，对抗去甲肾上腺素缩血管的作用也等同。     

E1 Tor霍乱弧菌SM_6和江苏1d菌株

ＳＭ６是我国检测Ｅ１Ｔｏｒ霍乱弧菌是否带有溶源性噬菌体的指示菌株。江苏的６株Ｅ１Ｔｏｒ霍乱弧菌和ＳＭ６都属于噬菌体－生物分型的１ｄ型，而在噬菌体分型中ＳＭ６为１／２型，江苏的６株菌株则为１／２／３型；霍乱毒素（ＣＴ）基因测定也表明两者的不同，ＳＭ６不含ＣＴ基因，江苏的６株都含有ＣＴ基因，显示噬菌体分型可将噬菌体－生物分型的型别进一步划分，ＳＭ６的特性也为霍乱的进一步研究提供了资料。     

正常成人睾丸血流的彩色多普勒观察

为了探讨彩色多普勒血流显像技术显示正常人睾丸内血流的可行性，并探讨睾丸的血流动力学特征，我们对２０名正常人双侧睾丸进行了彩色多普勒检查。结果显示，彩色多普勒能显示所有睾丸的包膜动脉、向心动脉。正常睾丸的包膜动脉和向心动脉收缩期峰值血流速度的均值分别为９．００ｃｍ／ｓ和７．４２ｃｍ／ｓ；舒张末期血流速度均值分别为３．５０ｃｍ／ｓ和３．３８ｃｍ／３，本文对睾丸彩色血流显像和多普勒频谱特点也作了讨论。     

胃肠道肿瘤病人围手术期细胞因子及蛋白质代谢的变化

目的 :探讨胃肠道肿瘤病人手术后肿瘤坏死因子 α (TNF α)、白介素 6 (IL 6 )、白介素 10 (IL 10 )的变化以及与蛋白质代谢的关系。　方法 :用酶联免疫法 (ELISA)检测 19例胃肠道肿瘤根治术病人术前和术后 1、3、5天血清TNF α、IL 6和IL 10水平 ,同时检测蛋白质分解代谢相关指标、2 4h尿中尿素和肌酐排泄量。　结果 :胃肠道肿瘤根治术后病人TNF α呈下降趋势 ,术后第 1天较术前明显下降 (P <0 .0 5 )。IL 6和IL 10术后升高 (P <0 .0 1) ,尤以术后第 1天升高明显。术后 2 4h尿中尿素和肌酐排泄量明显升高。　结论 :胃肠道肿瘤根治术后病人IL 6和IL 10的升高支持手术应激导致的细胞因子释放变化 ,但TNF α呈下降趋势 ,可能与胃肠道肿瘤病人术前TNF α的高表达有关。术后蛋白质分解代谢增加 ,可能与细胞因子IL 6和IL 10的升高有关。