藏医外治法治疗类风湿49例临床观察

藏医药浴、放血、敷药、艾灸等疗法称之为外治法。笔者10多年的临床实践和运用外治法治疗类风湿积累了一定的经验 ,现将 4 9例类风湿患者的治疗情况报道如下 :1　临床资料本组病例 4 9例 ,其中男 18例 ,女 31例。最大年龄 5 7岁 ,最小年龄 12岁 ,病程最长者 6年 ,最短者 5个月。2　诊断标准2 1　藏医诊断 :从四肢小关节逐步向大关节发展 ,患部疼痛剧烈 ,可显红肿、变形、僵硬等症状 ,脉象紧 ,舌苔黄。2 2　检查 :ＡＳＯ (增高 )阳性 ,ＷＳＲ快 ,类风湿因子阳性等标准确诊为类风湿病。3　治疗方法根据藏医所分“白”、“里”及肌肉、筋脉、…     

118例近红外线扫描诊断乳腺癌分析

应用近红外线乳腺诊断仪诊断118例乳腺肿瘤患者,其中具有典型乳腺癌图像者96例,术后病理诊断为乳腺癌102例,良性病变16例,诊断符合率86．4％,提示近红外线乳腺扫描对乳腺癌诊断有较好的临床价值。     

高碘对体外培养的人甲状腺细胞超微结构的影响

目的：探讨高碘对体外培养的人甲状腺细胞超微结构的影响与相关甲状腺疾病的关系。方法：采用体外甲腺细胞原代培养技术,术中取甲状腺腺瘤旁组织,常规培养7天后,分别加入不同浓度的KI溶液继续培养7天,收集细胞做透射电镜观察,结果：当碘浓度为0．006ug/ml,0.03ug/ml,0.15u/ml时,其细胞的超微结构无明显变化,当碘浓度为0．75ug/ml时,细胞出现微绒毛增加,核变形,核膜册陷,核二增大,双核仁,线粒体和粗面内质网增加,当碘浓度达到3．75ug/ml时,出现线粒体肿胀,粗面内持网扩张,当碘浓度为18．75ug/ml时,大部分细胞溶解,残余的细胞出现层状小体,结论：高碘可使甲腺细胞增殖活跃,功能增强,当碘浓度进一步增高时,。则出现细胞损伤,继而出现功能抑制,说明高碘在甲腺机能亢进症,甲腺炎以及甲腺癌的发病过程中起重要作用。     

原发性女性生殖器恶性黑色素瘤16例分析

目的：探讨原发性女性生殖器恶性黑色素瘤的临床病理特点及合理的治疗方法。方法：对16例原发性女性生殖器恶性黑色素瘤的临床资料进行回顾性分析。结果：发生于外阴9例,阴道5例,子宫颈2例。全部病例均行手术加化疗综合治疗,行区域淋巴结清扫11例,4例有转移,转移率36.3％。存活＜2年8例,≥2年8例,其中≥5年仅2例。结论：原发性女性生殖器恶性黑色素瘤预后差,行根治手术辅化疗和免疫治疗,可望提高生存期。     

Reevaluation of the Correlation between Angiotensinogen Gene M235T Polymorphism and Familial Essential Hypertension Using MS-PCR Technique

Renin- angiotensin system( RAS) candidat-ing gene,such as angiotensinogen( Ag T) as wellas angiotensin- converting enzyme( ACE) genepolymorphism were thought to have positive association with various cardiovasculardiseases.In1 992 ,Jeunemaitre[1] detected a microsatellitepolymorphism in the region of the an-giotensinogen gene which has linked to occur-rence of essential hypertension.Further analysisled to detection of several mutations in the cod-ing region of angiotensinogen gene[2 ] . Ma…     

咽旁间隙肿瘤28例报告

目的为探讨咽旁间隙肿瘤的诊断与治疗.方法报告28例咽旁间隙肿瘤的临床资料.结果良性肿瘤24例,其中神经源性肿瘤10例,涎腺混合瘤9例,其它5例;恶性肿瘤4例.全部病例均行手术治疗.结论颈侧切开为一较好的手术径路.     

Development and implementation of a science training course for breast cancer activists: Project LEAD (leadership, education and advocacy development)

Objective  To develop and implement Project LEAD (leadership, education, and advocacy development), a science course for breast cancer activists.
Population  Students were breast cancer activists and other consumers, mainly affiliated with advocacy organizations in the United States of America.
Setting  Project LEAD is offered by the National Breast Cancer Coalition; the course takes place over 5 days and is offered 4 times a year, in various cities in the United States of America.
Results  The Project LEAD curriculum has developed over 5 years to include lectures, problem-based study groups, case studies, interactive critical appraisal sessions, a seminar by an 'expert' scientist, role play, and homework components. A core faculty has been valuable for evaluating and revising the course and has proved necessary to provide consistent high quality teaching. Course evaluations indicated that students gained critical appraisal skills, enhanced their knowledge and developed confidence in selected areas of basic science and epidemiology.
Conclusions  Project LEAD comprises a unique curriculum for training breast cancer activists in science and critical appraisal. Course evaluations indicate that students gain confidence and skills from the course.     

饮食习惯和体力活动对妊娠期糖尿病的影响

目的 探讨饮食习惯和体力活动对妊娠期糖尿病发病的影响。方法 选择产科门诊确诊妊娠期糖尿病孕妇942列（GDM组）及其配对对照组作为调查对象,以问卷方式,对膳食史、饮食习惯和体力活动等情况进行回顾性调查。结果 GDM组每日膳食总热能、脂肪供热比、动物比脂肪百分比均显高于对照组（P＜0．05）;GDM组长期饱餐和喜甜食的比例显高于对照组（P＜0．05）;而GDM组平均体力活动量低于对照组（P＜0．05）。结论 孕期高热能、高脂肪的膳食,喜饱餐和喜甜食和较少的体力活动是诱使发生妊娠期糖尿病的重要影响因素。     

硫脲、硅酸盐对碳钢钝化作用的影响

本文利用化学方法,通过碳钢在含有ZnSO4,Na2HPO4与（NH2）2CS或Na2SiO3三者复配得4mol/L的（NH4）2CO3溶液中的阳极极化曲线的测定,分析得出：在特定的环境中,ZnSO4,Na2HPO4与9NH2）2CS或Na2SiO3三者复配物对碳钢都有较理想的钝化使用。     

下肢手术消毒架的制作

本消毒架在下肢手术术前消毒过程中,可解决抬高患肢、省力及扩大消毒面积等问题。