基于通用中间件接口服务器的远程医疗信息系统

在远程医疗信息系统共享平台的设计中,提出一种构建通用中间件接口服务器实现多家医院信息系统HIS与PACS的无缝连接方案。着重介绍了DICOM中间件、HL7消息中间件、生态识别和PKI技术在系统集成中的应用。     

雌性Fmr1基因敲除小鼠生殖功能的初步研究

目的初步研究敲除Fm r1基因对动物生殖功能的影响。方法6~8周龄雌性Fm r1基因敲除小鼠24只,分为对照组、春季超排组和冬季超排组,每组8只,进行超排,用放射免疫分析法测定超排前后血清雌二醇(E2)、孕酮(P)、促黄体生成素(LH)和促卵泡生成素(FSH)含量,以及不同季节的超排卵数,并进行统计学处理和分析。结果超排后小鼠血清中P和LH含量明显增加[(24.43±13.33)比(1.60±0.46);(173.86±112.09)比(0.36±0.23),P<0.01]。与冬季(11.44±5.93)比较,春季(37.25±13.91)的超排卵数明显增加(P<0.01)。结论雌性Fm r1基因敲除小鼠的生殖系统功能没有明显异常。与正常小鼠一样,Frm 1基因敲除小鼠机体内P和LH的分泌随动物的生理发育时期而变化。其超排效果随季节而有显著不同。     

广州地区围产儿脏器重量及大小测量的研究

目的　探讨广州地区围产儿脏器重量及大小的发育规律 .方法　选择 6 2 5例胎龄准确的单胎 ,除外明显浸软、IUGR、水肿儿、巨大胎、有胸腹水者 ,新生儿除外先天性心脏病及有明显疾病的脏器 .根据胎龄分为 6组 ,分别测量围产儿体重、身长和各脏器重量、长度 .进行统计分析 .结果　胰腺、肺发育最早 ,肾脏与肺发育最快 ,出生后脑增长最少而胰腺增长最快 ,肠变异最大等规律 .结论　围产儿脏器资料用于围产儿病理研究有一定意义     

Immunity to type IX collagen in rodents: a study of type IX collagen for autoimmune and arthritogenic activities

Type IX collagen (CIX), a cartilage-specific glycoprotein, constitutes ≤ 10% of cartilage collagen. To ascertain whether CIX can induce arthritis as shown for type II and XI collagen (CII and CXI), outbred rats were sensitized with bovine, chick and human CIX; inbred rats, mice, and guinea pigs were sensitized with bovine CIX. Mice and guinea pigs proved resistant to arthritis, as did rats sensitized with CIX/Freund's incomplete adjuvant (FIA). Arthritis was seen in rats when 100 μg of Mycobacterium tuberculosis (Mtb) were added to FIA, but seldom with smaller doses of Mtb, suggesting the arthritis was adjuvant-induced. High levels of antibodies to rat CIX, containing complement-fixing subclasses, were detected in rat sera in addition to DTH and lymphocyte proliferation responses to rat CIX. Given the potential for CIX-induced disease, CIX-sensitized rats were injected intraperitoneally with lipopolysaccharide (LPS) to stimulate proinflammatory cytokine release, and intra-articularly with rat CIX to stimulate arthritis. LPS stimulation was ineffective; however, intra-articularly injected CIX produced transient synovitis. When rats with stable adjuvant arthritis were sensitized with CIX/FIA, significant increases in paw volume were measured compared with controls given CI/FIA. Immunohistochemical studies of actively and passively sensitized rats revealed deposits of CIX antibody, but not C3, at the joint margins where proteoglycan staining was weak. Together, these findings suggest that autoimmunity to CIX, in contrast to CII and CXI, is not directly pathogenic but may contribute to joint injury provided arthritis is initiated by an independent disease process.     

血清内皮素-1作为早期放射性肺损伤标志物的探讨

目的:探讨内皮素-1(ET-1)作为一种早期放射性肺损伤诊断及病情变化的血清学标志物的可能性。方法:将190只雌性SD大鼠随机分为正常对照组(C组)和实验组,即:放射组(R组)、氟代他汀(Flu)干预组(Flu组)、维甲酸干预组(Ra组)及地塞米松(Dex)干预组(Dex组)。实验组大鼠麻醉固定后,用直线加速器全胸照射15Gy1次,剂量率为2Gy/min,距离为1m。从照射后次日开始,Flu组经胃灌服Flu(20mg·kg-1·d-1),Ra组灌服Ra(20mg·kg-1·d-1),Dex组灌服Dex(3.33mg·kg-1·d-1),C及R组均灌服等量的生理盐水。各组分别于照射后5、15、30、60d,将大鼠分批断头或经心内穿刺取血,分离血清;同时切取肺组织,用放射测定法(RIA)分别测定ET1,层黏连蛋白(LN)及透明质酸(HA)的水平;同时观察肺部的病理变化。结果:与C组相比较,R组大鼠血清ET-1的水平于照射后第5天开始升高(P<0.05),尔后随着放射性肺损伤的加重逐渐升高,于照射后60d检测达高峰。R组大鼠血清LN的水平于照射后30d开始升高,HA于照射后60d开始升高。R组大鼠血清ET-1水平的升高明显早于其他各组,且同放射性肺损伤的病理变化的程度相关。结论:血清ET-1可作为放射性肺损伤早期诊断及动态监测病情变化的一种标志物。     

基于膝关节三维模型的髌股关节动力学特性研究

目的构建有效的膝关节三维模型以计算髌股关节动力学参数。方法基于CT图像处理和CAD技术, 重建包括股骨下端、胫骨上端及髌骨的膝关节的骨骼三维模型,并定义髌股关节运动起重要作用的股四头肌直线模型、韧带及其它软组织的非线性弹性纤维束模型,以股四头肌肉力为输入控制变量。结果构造出一个有效的膝关节三维模型。结论该模型可以有效的计算髌股关节动力学参数。     

PPARY2基因Pro12Ala和C1431T多态性及其单倍型与2型糖尿病和肥胖的相关性研究

目的 研究过氧化物体增殖活化受体γ2(peroxisome proliferator activated receptorγ2,PPARγ2)基因Pro12Ala和C1431T多态性及其单倍型与汉族人2型糖尿病、肥胖的关系.方法 应用聚合酶链反应-限制性片段长度多态性的方法,对207例2型糖尿病患者和101名非糖尿病对照者进行PPARγ2基因Pro12Ala和C1431T多态性研究.结果 (1)在非糖尿病对照人群中Aal 12等位基因频率是0.064,T1431等位基因频率是0.252.单倍型分析显示Pro12Ala和C1431T两个位点连锁不平衡(D'=0.63,r2=0.074),组成了3种常见单倍型Pro-C、Pro-T和Ala-T.(2)Pro12Ala和C1431T多态性分布及其单倍型分布频率在2型糖尿病组与对照组组间差异均无统计学意义(P>0.05).(3)Pro12Ala变异与糖尿病患者的血压、血脂相关,地等位基因降低非肥胖糖尿病患者的舒张压(P<0.05),而对肥胖糖尿病患者的血脂水平无保护作用(P<0.05);C1431T多态性与糖尿病患者的超重和肥胖相关,超重和肥胖的糖尿病者T等位基因频率相对较高(P<0.05).结论 Pro12Ala和C1431T多态性可能在汉族人糖尿病发病中不是起主要作用;C1431T多态性与糖尿病患者的超重和肥胖相关.     

骨髓基质细胞和壳聚糖/明胶共混材料生物相容性研究

目的:研究壳聚糖/明胶共混材料对离体培养的骨髓基质细胞粘附及增殖的影响,寻找骨髓基质细胞新的载体材料。方法:取2周龄幼兔的长骨采集骨髓,培养骨髓基质细胞,体外扩增1周后,种植于纯壳聚糖和壳聚糖/明胶共混材料的表面。在倒置光学显微镜、扫描电镜的辅助下,观察细胞的粘附和生长情况,种植7d后用透射电镜观察细胞功能状况,用MTT方法检测种植后2d、4d、6d、8d细胞的增殖情况。结果:壳聚糖/明胶共混材料和纯壳聚糖能促进骨髓基质细胞在材料表面粘附并保持其在机体内的形态。壳聚糖/明胶共混材料表面的骨髓基质细胞功能活跃。在材料表面和培养板表面培养的骨髓基质细胞均能持续增殖,而壳聚糖/明胶共混材料能显著促进骨髓基质细胞的增殖(P<0.01)。结论:壳聚糖/明胶共混材料保持了壳聚糖的某些生物活性,同时由于加入明胶,能促进骨髓基质细胞的增殖,可作为骨髓基质细胞的载体应用于组织工程。     

妊娠糖尿病对母婴影响的分析

目的探讨妊娠糖尿病（GDM）对母婴影响。方法观察妊娠糖尿病患者36例及健康孕妇36例,分析其妊娠结局。结果GDM组妊娠期高血压疾病、早产、巨大儿及剖宫产发生率分别为41.7%、27.7%、25%及58.3%,明显高于对照组16.7%、8.3%、5.5%及27.7%,差异有显著性（P〈0.05）。结论GDM是危害孕产妇和围产儿的妊娠并发症,早期诊断GDM及控制血糖是减少母婴并发症的关键。     

Four-Dimensional Computerized Tomography （4D-CT） Reconstruction Based on the Similarity Measure of Spatial Adjacent Images

Objective：To investigate the feasibility of a 4D-CT reconstruction method based on the similarity principle of spatial adjacent images and mutual information measure. Methods：A motor driven sinusoidal motion platform made in house was used to create one-dimensional periodical motion that was along the longitudinal axis of the CT couch. The amplitude of sinusoidal motion was set to an amplitude of ±1 cm. The period of the motion was adjustable and set to 3.5 s. Phantom objects of two eggs were placed in a Styrofoam block, which in turn were placed on the motion platform. These objects were used to simulate volumes of interest Undergoing ideal periodic motion. CT data of static phantom were acquired using a multi-slice general electric （GE） LightSpeed 16-slice CT scanner in an axial mode. And the CT data of periodical motion phantom were acquired in an axial and cine-mode scan. A software program was developed by using VC ＋ ＋ and VTK software tools to resort the CT data and reconstruct the 4D-CT. Then all of the CT data with same phase were sorted by the program into the same series based on the similarity principle of spatial adjacent images and mutual information measure among them, and 3D reconstruction of different phase CT data were completed by using the software. Results：All of the CT data were sorted accurately into different series based on the similarity principle of spatial adjacent images and mutual information measures among them. Compared with the unsorted CT data, the motion artifacts in the 3 D reconstruction of sorted CT data were re- duced significantly, and all of the sorted CT series result in a 4D-CT that reflected the characteristic of the periodical motion phantom. Conclusion：Time-resolved 4D-CT reconstruction can be implemented with any general multi-slice CT scanners based on the similarity principle of spatial adjacent images and mutual information measure. The process of the 4D-CT data acquisition and reconstruction were not restricted to the hardware or software of the C