Incidence over 10% of premature deliveries in Hungary (based on the experience in Borsod-Abaúj-Zemplń County)

The incidence over 10% of premature delivery in Hungary was studied. The cause which motivated this work was the fact that despite of several preventive and therapeutic measures the incidence e.g. in BAZ county surpassed even the average of the country. Professors of clinics in different countries of Europe as well as medical societies dealing with this question have been consulted about the matter of whether it was sufficient to consider a neonate a premature infant and the delivery a premature one solely on the basis of birth weight (under 2.500 g). Data of BAZ county proved that this determination was misleading and proposals are made concerning the modification on the basis of the examinations of the authors.     

Choice of operative intervention in the treatment of echinococcosis of the left hepatic lobe]

The results of treatment of echinococcosis of the left hepatic lobe in 15 patients have been analysed. Resection of the left hepatic lobe is considered an operation of choice in presence of a large cyst.     

核苷类衍生物的合成

以尿嘧啶核苷和HIV-逆转录酶抑制剂扎西他宾为先导化合物,对其5-羟基进行磷酸化修饰,然后以磷原子为桥,引入各种氨基酸酯及取代苯环,从而试图克服这类药物对核苷激酶的依赖性,提高药物的生物活性,降低药物对细胞的毒性,以此为设计思路合成了7个新的核苷类衍生物,其结构经IR,1HNMR,13CNMR,MS分析确定.     

拉萨地区高原肺水肿经颅多普勒21例分析

目的:通过经颅多普勒(TCD)检测,了解高原肺水肿(HAPE)患者颅内脑底动脉环上的主要动脉血流动力学及各血流的生理参数,为高原肺水肿的诊断及治疗提供一些参考.方法:将已确诊的HAPE患者,与颞窗通过低频脉冲多普勒(2MHZ),获得颅内脑底动脉环上的主要动脉的多普勒超声频移信号,进行TCD检测.结果:TCD检测后了解到颅内脑底动脉环上的主要动脉:颈内动脉末梢、大脑中动脉、大脑前动脉血流速度(收缩期血流速度,平均血流速度,舒张末期血流速度)与正常人的TCD测值相比明显增快,但舒张末期血流速度(VE )增快较收缩期血流速度(VP )不明显,故频谱仍为低阻波形,搏动指数(PI)、收缩期血流速度与舒张末期血流速度的比值(S/D)正常,阻力指数有所降低.结论:经TCD检测可知高原肺水肿患者在高原(在低氧环境下),颅内主要脑血管扩张,脑血流量增加即颈内动脉系统的MCA,ACA,PICA血流速度(Vs,Vm,Vd)增快,通过TCD检查可为高原医生早期诊断及治疗提供参考.     

Internal osteosynthesis in pseudarthrosis without inter-fracture tissue dissection

In the paper is presented the experience of operative treatment of 149 patients with false joints of bones, which were subjected to internal osteosynthesis with preservation of inter-fracture tissues. The operation was carried out in the absence of real danger of suppuration. The most frequently operated were the patients with tibia pseudarthrosis (72.5%), fixed by means of a plate. Adhesion has been achieved with 96.7% of patients. Complications: osteomyelitis (1), skin necrosis (2), fractured fragment dislocation under the action of contractor compression application (2). In the process of treatment of 439 patients by means of internal osteosynthesis with dissection of inter-fracture tissues, separation of bone fractured fragments and medullar cavity opening, adhesion has been achieved with 87.2% of patients.     

ATP-sensitive K+ and Ca2+-activated K+ channels in lamprey ( Petromyzon marinus) red blood cell membrane

The patch-clamp technique was used to demonstrate the presence of ATP-sensitive K(+) channels and Ca(2+)-activated K(+) channels in lamprey ( Petromyzon marinus) red blood cell membrane. Whole-cell experiments indicated that the membrane current under isosmotic (285 mosmol l(-1)) conditions is carried by K(+). In the inside-out configuration an ATP-sensitive K(+) channel (70-80 pS inward, 35-40 pS outward) was present in 35% of patches. Application of ATP to the intracellular side reduced unitary current with half-maximal inhibition in the range 10-100 microM. A block was obtained with 100 microM lidocaine and inhibition was obtained with 0.5 mM barium acetate. A Ca(2+)-activated K(+) channel (25-30 pS inward, 10-15 pS outward) was present in 57% of patches. Inhibition was produced by 10 mM TEA and 500 nM apamin and sensitivity to Ba(2+) was lower than for ATP-sensitive channels. No spontaneous channel activity was recorded in the cell-attached configuration under isotonic conditions. With hypotonic saline 68% of patches showed spontaneous single-channel activity, and, of 75 active patches, 66 cell-attached patches showed channel activity corresponding to Ca(2+)-activated K(+) channels.