Ureaplasma Urealyticum or Mycoplasma Hominis Infections and Semen Quality of Infertile Men in Abidjan

Objective To determine the prevalence of U. urealyticum and M. hominis in semen samples collected from men admitted in clinic for infertility, and to compare the quality of these semen samples.
Methods A total of 1 058 semen samples collected were investigated. Sperm semiological assays were performed according to the guidelines of the World Health Organisation （WHO）. Semen were examined by Mycoplasma IST for the detection of mycoplasma. Semen culture on agar media was used to detect other microorganisms. Chlamydia was detected using direct fluorescent assay （DFA） of Clamydia Trachomatis.
Results Among 1 058 semen samples, microorganisms were detected in 638 （60.3%）. The infected sperms consisted of mycoplasma alone in 507 cases （47.9%）, mycoplasma and other microorganisms in 98 （9.3%）, giving in all 605 （57.2%） samples infected with mycoplasma. The last 33 （3.1%） consisted of other microorganisms alone. The frequency of U. urealyticum, M. hominis and mixed genital infections detected in semen samples of infertile men were 39%, 23.8% and 5.6%, respectively. The rates of abnormal semen parameters recorded among patients infected with mycoplasma were for volume （22.2%-25%）, viscosity （29.6%-43.5%）, pH （64.7%-72.9%）, motility （80.8%-93.8%）, morphology （36.3%-47.9%）, sperm concentration （53.3%-58.3%） and leukocyte count （51.4%-58.3%）.
Conclusion Frequency of U. urealyticum infection was higher than that of M. hominis. Mycoplasma infections were associated with disorders of pH, motility and sperm concentration. In addition M. hominis infection affected spermatozoa morphology. Therefore, screening of U. urealyticum clinically relevant in Abidjan. and M. hominis for routine semen analysis is     

感冒热毒清口服液的研制及临床应用

目的：研制治疗病毒或细菌感染引起的呼吸道感染而无不良反应的纯中药口服液,以满足临床感冒患者的需要,方法：制定感冒热毒清口服液制备工艺,质量标准,临床使用方法。结果：本制剂制备工艺,可行,性质稳定,质量控制方法可靠,结论：感冒热毒清口服液治疗感冒效果好,疗效快,无不良反应,服用方便 ,值得推广。     

RhoC promotes human melanoma invasion in a PI3K/Akt-dependent pathway

Overexpression of the small GTPase, RhoC, in various human cancers has been correlated with high metastatic ability and poor prognosis. Rho-kinase (ROCK) is an important effector of Rho GTPases. The oncogenic serine/threonine kinase Akt (also known as PKB) is a downstream effector of phosphatidylinositol-3 kinase (PI3K). Akt activation contributes to the neoplastic phenotype by promoting cell cycle progression, increasing antiapoptotic functions, and enhancing tumor cell invasion. Rho signaling via ROCK has been previously shown either to activate or to downregulate PI3K/Akt. Using a human radial growth phase melanoma cell line, WM35, we have established stable transfectants that overexpress RhoC (called WM35RhoC). We found that overexpression of RhoC increased phosphorylated-Akt (Ser473/474/472, pAkt) expression and promoted cell invasion. Inhibition of RhoC with C3 transferase downregulated pAkt expression and decreased cell invasion in these cells. In addition, inhibition of PI3K, Akt, or ROCK partially decreased invasion. Further, inhibition of PI3K but not ROCK decreased the pAkt level. These results suggest that RhoC promotes invasion in part via activation of a PI3K/Akt pathway, in a manner independent of ROCK signaling. We propose that RhoC promotes melanoma progression via separate mechanisms that regulate the PI3K/Akt pathway and the ROCK signaling pathway.     

以DNA为作用靶追踪分离天然植物药活性成分

目的：从天然植物药中分离活性成分。方法：综述DNA与其靶向分子的作用方式以及DNA为作用靶的生物活性筛选系统跟踪分离天然植物药活性成分的情况。结果：应用DNA为作用靶的生物活性筛选系统跟踪分离天然植物药成分可快速有效地得到活性化合物。结论：DNA与其靶向分子相互作用的研究对阐述抗肿瘤，抗病毒药物及致癌物的作用机理和筛选新的药物活性成分具有重要的意义。     

盐酸西布曲明的合成

目的：改进肥胖症治疗药盐酸西布曲明（ｓｉｂｕｔｒａｍｉｎｅ ｈｙｄｒｏｃｈｌｏｒｉｄｅ）的合成方法。方法：以４－氨苄腈为起始原料,经环烃化、Ｇｒｉｇｎａｒｄ反应、还原、Ｅｓｃｈｗｅｉｌｅｒ－ｃｌａｒｋｅ甲基化和成盐等反应合成了盐酸西布曲明。结果：合成产物经熔点、元素分析、红外光谱和核磁共振谱等确证,总收率３６．３％。结论：此合成工艺简便,易于工业化生产。     

生物玻璃和生物胶原膜联合应用于即刻义齿种植

目的：建立即刻种植动物模型,观察生物玻璃和生物胶原膜在即刻种植中引导骨组织再生、促进骨愈合效果. 方法：实验方法：取成年家犬12只,随机编号后分为4个组,在全麻下分别拔除双侧下颌第一双尖牙,制备近中拔牙窝并即刻植入种植体.前3个组分别应用生物玻璃填塞种植体与拔牙窝骨壁之间的间隙,或在种植床上方覆盖生物胶原膜,并尝试两种方法的联合应用,空白组不采用特殊处理.②观察指标：术后观察记录种植床愈合情况.术后4,8,12周分批处死动物并取其下颌骨标本,采用大体观察、X射线、普通光镜组织学方法和扫描电镜方法观察其在种植床中引起的骨组织再生变化过程和骨结合率,统计比较各种方法的成功率. 结果：①即刻种植成功率：总体成功率为95.8%,其中应用生物玻璃填塞种植体周围间隙可以诱导骨组织再生,其成功率均为100%,在种植床上方覆盖生物胶原膜者成功率为91.7%.②诱导骨组织再生作用：单用生物玻璃或两种方法联合应用诱导骨再生效果均较快,8周时表现骨质沉积量明显较多,其成骨呈多中心性,12周时可以诱导再生成熟的骨组织,并使种植体达到骨结合;应用生物胶原膜成骨呈向心性,成骨速度稍慢,12周时可以引导再生成熟的骨组织,并使种植体达到骨结合;空白组12周时在种植体的上部仍有较大部分软组织存在. 结论：在即刻种植中应用生物玻璃和生物胶原膜均可以诱导骨组织再生,促进骨愈合,获得较高的种植成功率;两者联合应用的成骨效果较单独应用生物胶原膜好.     

Promoting elder wellness through a community-based blood pressure clinic

As the American population ages, we can expect to find greater numbers of older adults with chronic diseases and health concerns. Therefore the implementation of communitybased blood pressure clinics that promote elder wellness becomes increasingly important. This article will describe the development, implementation, and evaluation of a community-focused elder wellness program in a rural community using Anderson and McFarlane's (1996) Community-as-Partner model as a theoretical framework for community health nursing practice. Evaluation results of the elder wellness program suggest that blood pressure screenings provide community health nurses (CHNs) with unique opportunities to promote wellness in older adults when provided in an atmosphere that encourages nurse-client interactions.     

老年糖尿病患者强化糖尿病教育的效果与评价

目的:观察强化糖尿病教育对老年2型糖尿病患者血糖控制的影响,并对教育的方法模式及患者的顺应性作出评价。方法:①随机选取老年2型糖尿病患者156例,均为2004-03/07青岛大学医学院附属医院门诊就诊患者,年龄(64.7±6.6)岁,病程(10.54±7.06)年。②入选患者在原有糖尿病治疗方案的基础上进行强化糖尿病教育:入选后半年之内每月进行一次糖尿病教育,半年后每3个月一次教育,教育以糖尿病有关知识专题集体讲座为主,辅以答疑。专人负责电话通知患者教育讲座的具体的时间、地点和内容。每次讲座时监测空腹血糖、餐后2h血糖,入选时、教育后第6,12个月测定糖化血红蛋白;同时记录患者接受教育频率,计算依从率。③采用随机区组设计的方差分析(广义线性模型)分析数据完整的患者的空腹血糖、餐后2h血糖及糖化血红蛋白随时间变化情况(入选时、第6,12个月时)。结果:①依从率:入选时156例,第2次教育时为125例,依从率74.8%,随着时间的延长,接受强化教育的患者逐渐减少,至第6个月时依从率28.1%,至1年时仅有33例接受教育,依从率为21.2%。②完成全程教育的33例患者的资料:教育第6,12个月时的空腹血糖、餐后2h血糖较入选时下降[空腹血糖:(7.9±2.1),(7.8±1.4),(9.7±2.1)mmol/L,F=31.05,P<0.01;餐后2h血糖:(12.0±4.0),(12.2±3.3),(17.8±3.8)mmol/L,F=56.61,P<0.01];糖化血红蛋白在教育第6,12个月也较入选时下降,但无统计学意义[(7.0±1.1)%,(6.9±1.1)%,(7.6±1.7)%,F=2.97,P=0.06]。结论:强化糖尿病教育可使老年2型糖尿病患者血糖有效持续稳定地控制,但患者接受强化教育的依从性差。