用ROC曲线评价肿瘤标志物LDH在急性白血病早期诊断中的临床价值

目的 探讨肿瘤标志物乳酸脱氢酶（LDH）在急性白血病早期诊断中的临床价值。方法 应用受试者工作特性曲线（ROC曲线）及其曲线下面积（AUC）抛物线估算法（以金标准计算准确度和敏感度），对51例急性白血病的早期患者及部分经治疗后缓解的患者、61例非急性白血病患者、61例健康体检者进行了LDH的检测及分析。结果 AUC为0．954，其可信区间为0．935－0．973，其下限0．935远离0．5，经治疗缓解的白血病患者LDH检验结果与治疗前数据经t检验证实＜0．0001。结论 LDH对急性白血病的早期诊断以及治疗效果与预后的评估均有着重要及较好的临床价值。     

巴乐梦病床控制电路的故障排除与改进

本文就巴乐梦电动病床的控制电路的常见故障进行了分析，利用中小功率晶体管直接取代功率输出型IC反向器电路，通过对控制电路的改进，降低了维修成本，提高了病床的使用寿命。     

猿猴疱疹病毒B糖蛋白D的表达及抗原性的探讨

目的表达猴B病毒糖蛋白D(BVgD)并对其抗原性进行初步研究。方法应用体外原核表达BVgD,继而进行Ni离子亲和层析纯化。采用Western blotting对蛋白抗原性进行分析,评估其抗原潜力。结果完成了对BVgD的小量表达和纯化。Western blotting结果表明表达出的重组蛋白BVgD具有特异性结合猴B病毒抗体的能力。结论BVgD重组蛋白具有良好的抗原性,与HSV-1抗体无交叉反应。具有进一步开发的潜力,也为BVgD免疫原性等方面的进一步研究提供了条件。     

应用3H-TdR掺入法对SMMC-7721细胞株药敏试验条件的探讨与应用

目的探讨3H-TdR掺入法在进行SMMC-7721系细胞肿瘤药敏试验实验时的最佳实验条件.方法确定出3H-TdR掺入法药敏实验时的最适细胞浓度、最适实验药物浓度、3H-TdR掺入最适时间;在最适条件下采用3H-TdR掺入法测定肝癌SMMC-7721细胞株对临床常用的9种抗癌药物的敏感性.结果应用3H-TdR掺入法检测肝癌SMMC-7721细胞株药敏试验的最适实验细胞浓度为1×104个/孔,最适试验药物浓度为1×PPC,3H-TdR最适掺入时间为收集细胞前8 h;肝癌SMMC-7721细胞株对DDP、ADM、5-FU、CPT高度敏感,对MTX、VP-16、MMC、NVB低度敏感,对PYM不敏感.结论 3H-TdR掺入法可用于肿瘤药物敏感性测定并确定出它的最适实验条件.     

大鼠脂肪干细胞复合胶原-壳聚糖-硫酸软骨素三维支架构建组织工程软骨

Objective To evaluate the character of the collagen-chitosan-chondroitin sulfate scaffold seeded with rat adipose tissue-derived stromal cells. Methods A dipose tissue were harvested from 6 weeks old Wistar rats and the stromal cells were harvested by type Ⅰ collagenase and then cultured in vitro. Type Ⅰ collagen was fully mixed with chitosan, freeze-dried and cross-linked with chondroitin sulfate, then freeze-dried again and sterilized by ethylene oxide. The pore diameter, water content, porosity of the scaffold were tested. The adipose tissue-derived stromal cells were digested, seeded into the plates, scaffold, and cen-trifuged into pellet, and then induced into cartilage. MTT detection for cell proliferation was done. After 3 weeks, the cell morphology, and cell proliferation and adhesion were observed, and chondrngenic differenti-ation was also analyzed. Results The pore diameter, water content, porosity tested for the scaffold showed an appropriate form. Cell proliferation showed faster in the scaffold and pellet culture system after 5 day, there was still cell proliferation in the scaffold system after 14 days but no obvious changes in the pellet cul-ture system; ceils on the scaffold proliferated densely showed by histological staining, but there was a scaf-fold structure residues in the inner layer. The finding of type Ⅱ immunohistochemistry stain showed that cells express strong positive for type Ⅱ collagen in the scaffold and pellet culture system whereas it was weakly positive in the plate culture system; the specific mRNA for cartilage, type Ⅱ collagen, aggrecan and SOX-9 were expressed in all three systems showed by RT-PCR, but type X collagen was expressed continu-ously in the plate culture system and expressed after 21 days in the pellet culture system, whereas it was not detected in the collagen-chitosan-chondroitin sulfate scaffold system. Conclusion The parameters of the collagen-chitosan-chondroitin sulfate scaffold were suitable in our study. The results suggested that it can promote the adipose tissue-derived stromal cells proliferation and chondrogenic differentiation better than the plate and pellet culture systems and maintain the phenotype of chondrocytes well; it is the optimal choice for cartilage tissue engineering in the future.     

福田4500型B超软故障检修与分析

通过福田4500型B超软故障检修与分析，介绍了该机故障检修分析过程及造成该故障的原因。     

急性胰腺炎与内皮素、一氧化氮和氧自由基关系研究

目的　研究急性胰腺炎 (AP)与内皮素 (ET)、一氧化氮 (NO)和氧自由基关系。方法　急性胰腺炎 71例 ,应用放射免疫分析法测定血浆ET、NO和超氧化物歧化酶 (SOD) ,并与健康体检者 15例作对照。结果　急性胰腺炎血浆ET、NO明显升高 ,而SOD明显降低 ,与健康对照组比较差异显著 (P <0 0 1) ;且重症胰腺炎的ET和NO增高、SOD降低尤为明显 ,与轻症胰腺炎相比较有统计学意义 (P <0 0 1)。结论　血浆的ET、NO和SOD异常消长在急性胰腺炎发生、发展过程中具有重要作用。     

电阻抗扫描成像和高频超声诊断小乳腺癌的对照研究

目的：评价电阻抗扫描成像(electrical impedance scanning，EIS)和高频超声对小乳腺癌的诊断价值．方法：乳腺肿块(直径≤2cm)54例病理证实，行EIS和高频超声检查，时间间隔不超过3d．结果：乳腺癌23例，EIS诊断小乳腺癌17例，敏感性73．9％，特异性80．6％，准确性77．8％，阳性预测值73．9％，阴性预测值80．6％；高频超声诊断小乳腺癌20例，敏感性87．0％，特异性87．1％，准确性87．0％，阳性预测值83．3％，阴性预测值90．0％．二联合诊断，敏感性95．6％，特异性90．3％，准确性92．6％，阳性预测值88．0％，阴性预测值96．6％．结论：EIS对小乳腺癌的诊断有较大实用价值，且与高频超声结合应用，可以提高小乳腺癌的诊断准确奎．     

塑造医院整体形象重在宣传策划

塑造医院整体形象首先要引进CI概念;其次要积极营造良好的医院文化氛围,医院整体形象的宣传策划,要在构建全方位的医院宣传工作格局。     

罗格列酮对多囊肾囊肿衬里上皮细胞p38促分裂原活化蛋白激酶信号通路的影响

Objective To investigate the effect of rosiglitazone on p38 mitogen-activated protein kinase (p38MAPK) pathway in polycystic kidney cyst-lining epithelial cells. Methods The cyst-lining epithelial cells (PKD cells) from human polycystic kidney were treated with rosiglitazone (10 μmol/L), peroxisome proliferator-activated receptor-γ (PPARγ) inhibitor GW9662 (10 μmol/L), rosiglitazone (10 μmol/L) +GW9662 (10 μmol/L), p38MAPK specific inhibitor SB203580 (10 μmol/L), SB203580 (10 μmol/L)+ rosiglitazone(10 μmol/L) for 2 hours followed by epidermal growth factor (EGF) stimulation. Protein expressions of p38, phuspho-p38 (p-p38) and proliferating cell nuclear antigen (PCNA) were detected by Western blot. p38 mRNA was examined by RT-PCR. Expression of c-fos and c-jun was observed by immunocytochemistry. Results (1) EGF markedly up-regulated the expressions of p38, p-p38, PCNA, c-fos anti c-jun compared with control group (P<0.01). (2) Compared with EGF treated group, rosiglitazone significantly reduced p38 activation and mRNA expression (P<0.01, respectively). Rosiglitazone, rosiglitazone+SB203580 could significantly down-regulated p-p38, PCNA, c-fos and c-jun expression (P<0.01, respectively) with no significant difference between these two groups. (3) GW9662 partially reversed the reduction effect of rosiglitazone. Conclusions Rosiglitazone can inhibit proliferation of autosomal dominant polycystic kidney disease cyst-lining epithelial cells partially through down-regulating p38 activation and reducing c-fos, c-jun and PCNA expression. The above effect of rosiglitazone is in part PPARγ-independcnt.