Hepatitis B and Delta virus infection among heterosexuals,homosexuals and bisexual men

The hepatitis B virus (HBV) and hepatitis Delta virus (HDV) infection rates were estimated in patients attending a venereal disease outpatient clinic: 759 heterosexuals and 154 homosexual-bisexual men. The anti-HBC prevalence was higher in homo-bisexual men (68.8 per 100) than in heterosexuals (41.8 per 100), whereas HBsAg was roughly the same in the two groups (about 6 per 100). The anti-HBc prevalence rate among heterosexuals was higher than that estimated in hospital personnel from the same geographical area. A positive association between anti-HBc prevalence and present or past sexually transmitted diseases (STD) was found among homo-bisexual men. Anti-HBc was also positively associated with herpes simplex type 2 antibodies in both heterosexuals and homo-bisexual men. These data are consistent with the hypothesis that sexual behavior also plays a role in the spread of infection among heterosexuals. Ten of the 46 HBsAg-positive subjects were anti-HDV positive: 6 of the 36 heterosexuals and 4 of the 10 homosexuals. All HDV-positive subjects had present or past STDs. These findings suggest sexual transmission of HDV infection.     

高海拔地区脑瘫病因及类型分析

本文通过对１２０例脑瘫患儿病因及临床分型的分析，可以看出脑瘫发病的主要因素以新生儿窒息、缺氧、核黄疸、早产儿为主；从临床分开来看，脑瘫以痉挛型多见，其次为手足徐动型和肌无力型；关于脑瘫的诊治，强调早诊断、早治疗，同时撮加强围产期保健及提高产科接生技术，可以预防脑瘫的发生。     

核素、多普勒和心尖搏动图反映冠心病左室舒张功能的比较——Fish判别分析

用电子计算机对核素、多普勒和心尖搏动图中的8项左室舒张功能指标进行判别分析,比较各指标与冠心病的密切程度。结果显示患者年龄和各项舒张功能指标明显不同于正常组。判别方程为:Z=0.21X_1+23.86X_2-22.88X_3-0.18X_4+2.83X_5+2.06X_6+66.86X_7+1.66X_8。临界值为42.99。判别正确率为100％。各指标的贡献率大小依次为EV/AV,1/3FF,A/E-O,PFR,DATI,EDC,IRT和1/3FFd。提示:多普勒EV/AV与冠心病的关系最为密切,核素的1/3FF次之,心尖搏动图的A/E～O亦是一个较好的指标。     

Locked intramedullary nailing for complex non-union of the tibia

Ten patients with complex non-union of the tibia were treated by locked intramedullary nailing. These patients had scarred skin as a result of initial severe open fractures, multiple debridement or fasciotomies with external fixators and skin grafts applied. Seven of the patients also had previous osteomyelitis or pin track infections. Fully pain-free walking was achieved in all patients and radiological union in nine patients without the need for a bone graft. Four patients developed infection after nailing, of which three resolved with treatment.     

恶性疟P190抗原保守区Ⅰ、Ⅴ基因的亚克隆及在大肠杆菌中高效表达

作者采用PCR方法克隆了我国海南省FCC1/HN株P190抗原两个保守区基因,分别定名为P190CRI和P190CRV。基因片段经纯化后连接到pUC18载体中进行DNA序列分析,结果显示:除了P190CRV中有5个碱基变换外,其余序列均与MAD20型序列一致。经序列分析的两个基因片段分别与pGEX-2T载体连接,经双酶切鉴定后转化感受态JM109(DE_3)大肠杆菌进行高效融合表达,并且用Sepharose 4B-谷胱甘肽层析柱进行亲和纯化,结果为:两个插入基因片段均得到高效融合表达,经一步亲和纯化后就取得高纯度的重组蛋白。     

方剂学科发展思路与方法

方剂学科传统模式已发生重大变化，现代方剂学以计算机和实验为重要研究手段，熔理论方剂学、实验方剂学及临床方剂学于一炉。现代方剂学科模式的建立必将培育出新的知识增长点，丰富学科内涵，促进研究方向和专业课程的调整，提高学术水平和人才培养质量，实现新世纪方剂学科发展质的飞跃。     

ENDOURETHRAL URETHROPLASTY WITH PREPUCE GRAFT FOR LONG POSTERIOR URETHRAL STRICTURE

Twenty patients underwent endourethral urethroplasty with free prepuce graft in combination with transurethral resection of scar for posterior urethral stricture. Two-year follow-up showed that they had good continent and free voiding results. Problems about surgical technique were detailed. We conclude that a free full-thickness prepuce evenly patched by means of the tube balloon to the freshly prepared wound derived from the stricture is the key to surgical success.     

三袖套管法大鼠肺移植

我们将血管套接技术用于大鼠肺移植中。在肉眼下，完成肺动静脉及支气管的吻合。在连续６例手术中，手术平均时间６１±４分钟，移植物总缺血时间１７±３分钟，手术时间缩短至国外同类手术的１／４，缺血时间缩短至同类手术的１／３。同时手术成功率达到７５％（６／８），手术后生存率１００％。行对侧肺切除术后，血气分析正常，显示了移植肺良好的气体交换功能     

酸性染料比色法测定甲氧异腈冻干品含量

本文采用酸性洒料比色法测定甲氧异腈冻干品的含量。结果表明，使用溴甲酚紫１．５ｍｌ，ＰＨ值为６．０的磷酸盐缓冲液５ｍｌ，氯仿５ｍｌ提取，经振摇２ｍｉｎ，静置１５ｍｉｎ为较理想比色条件，显色液稳定，甲氧异腈浓度在４－２０μｇ／ｍｌ范围内与吸收度呈良好线性关系。