试论麻黄汤和桂枝汤乃为壮人和虚人外感而设

目的：探讨《伤寒论》中麻黄汤、桂枝汤在适应人群上的差异。方法：对麻黄汤和桂枝汤原文、相关类方、方药及药后调养等方面进行对比分析。结果：平素身体壮实的患者本身营卫充盛、卫外正常,只有感受较重之风寒才会发病,正邪关系以邪盛为主,外寒去而营卫自和,故不需调补营卫而适用麻黄汤;平素体质虚弱的患者则本身营卫不足、卫外低下,稍感风邪即会发病,邪实与正虚并存,故须在疏散表邪的同时调和营卫而适用桂枝汤。结论：麻黄汤和桂枝汤乃仲景分别为壮人和虚人外感而设,他对患者体质差异的重视值得进一步探索。     

甘肃省地域中医药文化与中医药文化强省的对策研究

对甘肃中医药文化现状进行分析,提出当前制约甘肃省中医药文化强省的突出问题,并就推进甘肃省中医药文化强省提出具体的对策及建议。     

Indication of Strongly Correlated Electron Transport and Mott Insulator in Disordered Multilayer Ferritin Structures (DMFS)

Electron tunneling in ferritin and between ferritin cores (a transition metal (iron) oxide storage protein) in disordered arrays has been extensively documented, but the electrical behavior of those structures in circuits with more than two electrodes has not been studied. Tests of devices using a layer-by-layer deposition process for forming multilayer arrays of ferritin that have been previously reported indicate that strongly correlated electron transport is occurring, consistent with models of electron transport in quantum dots. Strongly correlated electrons (electrons that engage in strong electron-electron interactions) have been observed in transition metal oxides and quantum dots and can create unusual material behavior that is difficult to model, such as switching between a low resistance metal state and a high resistance Mott insulator state. This paper reports the results of the effect of various degrees of structural homogeneity on the electrical characteristics of these ferritin arrays. These results demonstrate for the first time that these structures can provide a switching function associated with the circuit that they are contained within, consistent with the observed behavior of strongly correlated electrons and Mott insulators.     

Phosgene (chlorophenyl)hydrazones, strong sensitizers found in yellow sweaters bleached with sodium hypochlorite, defined as causative allergens for contact dermatitis by an experimental screening method in animals

12 young men developed allergic contact dermatitis from wearing yellow cotton sweaters. We attempted to identify the causative agents by an experimental screening method in animals. Guinea pigs were sensitized with an acetone extract of the sweater material, by means of the guinea pig maximization test (GPMT). Active ingredients were then separated from the extract, by step-by-step patch test screening of chromatographic fractions in the guinea pigs, and finally analyzed by gas chromatography-mass spectrometry (GC-MS). Although there were 2 allergens with important activity (1 in the fraction eluted from the silica gel column with hexane, and 1 in the methanol fraction), the present study is focussed on the fat-soluble allergens in the hexane fraction. GC-MS analysis revealed that 4 kinds of phosgene (chlorophenyl)hydrazones (PCPHs) were present in the hexane fraction. PCPHs prepared in our laboratory showed strong eliciting activities, not only in the guinea pigs sensitized with the extract, but also in a male volunteer sensitized by exposure to a yellow sweater during irritancy testing. Phosgene (2,5-dichlorophenyl)hydrazone, which was the main component among the PCPHs found in the sweater, sensitized guinea pigs even at the 1 ppm level. From these results, we conclude that PCPHs were one of the allergens responsible for the cases.     

面部浅刺配合强刺激四关穴治疗原发性面肌痉挛

[目的]探讨强刺激四关穴对治疗原发性面肌痉挛疗效的影响。[方法]选取64例原发性面肌痉挛患者随机分为治疗组和对照组各32例,两组均采用面部浅刺配合针刺四关穴,对照组四关穴予常规治疗,治疗组四关穴施以强刺激手法。[结果]治疗组总有效率96.9%,高于对照组的87.5%,两组比较无统计学意义（P>0.05）,治疗组愈显率87.5%,高于对照组的59.4%,两组比较有统计学意义（P<0.05）,治疗组所需治疗次数少,时间短,差异有统计学意义（P<0.01）,且无不良医疗安全事故发生。[结论]面部浅刺配合强刺激四关穴治疗原发性面肌痉挛与常规治疗疗效相当,可缩短治疗时间,安全可行。     

Keep out! Join in! Cross-generation communication on the mobile internet in Norway

In this article we examine how teens in Norway navigate the many options for mediated communication when interacting with parents and grandparents. Drawing on workshop discussions with mid-adolescents, we suggest that there is a digital gap in this cross-generation communication despite high Information and Communication Technology (ICT) penetration in the market. The gap appears to be a manifestation of the social dynamic at play when reshaping the relationship between adolescents and their caregivers. This dynamic includes both centrifugal and centripetal forces. Applying the perspective of relational dialectics, we elaborate on how these forces unfold in the domestication of an increasingly complex set of communication tools referred to as polymedia. The empirical analysis suggests that teens assess the tools differently depending on if it is for interaction with parents or grandparents. This is also related to whether the mediated communication sessions are instrumentally or expressively skewed.     

从甲型H1N1流感的防控谈口岸强传染性疾病检疫策略

目的将此次甲型H1N1流感口岸防控的措施进行总结,探讨优化防控强传染性疾病的国境卫生检疫策略。方法回顾流感大流行及甲型H1N1流感流行特征,总结此次口岸防控经验,对口岸检疫查验中发现的一些问题进行研究,提出思路,探讨优化国境口岸防控强传染性疾病的卫生检疫。结果流感大流行可能无法避免,防控强传染性疾病口岸卫生防疫措施需进一步加强,如树立正确的检疫观念,转变监测模式为症状监测,实现电子化检疫,加强申报虚假信息人员的处理,建立实验室认可机制,重视出入境货物的处理,加强宣传,提高执法威严性、加强医学巡查及完善联动机制等措施。结论口岸防控流感大流行及强传染性疾病能力需进一步提高,科学防控流感大暴发或强传染性疾病的手段及策略需优化。     

眶内异物强力磁铁在眼眶深部磁性异物取出术中的应用

目的:探讨眼眶深部磁性异物摘出术中眶内异物磁铁应用的手术方法和治疗效果.方法:回顾性分析河北省眼科医院2014-06/2017-05眼眶深部磁性异物住院患者23例23眼的临床资料,其中肌锥外眶内异物14眼,眼球后肌锥内异物9眼.应用眶内异物强力磁铁摘出眶内深部磁性异物,观察异物摘出成功率和术后并发症情况.结果:肌锥内异物9眼均顺利摘出,成功率100%;14眼肌锥外眶内异物者中摘出异物12眼,成功率86%.术后轻度眶内出血2眼,未发生视力下降、眶内大量出血、眼球运动受限等并发症.结论:眼眶深部磁性异物应用眶内异物强力磁铁进行手术,手术创伤小、成功率高、时间短、并发症少.     

芪苈强心胶囊联合西药治疗缺血性心力衰竭对照观察

[目的]观察芪苈强心胶囊联合西药治疗缺血性心力衰竭的疗效。[方法]选择缺血性心力衰竭患者66例,分为两组,对照组32例给予抗心衰常规治疗加曲美他嗪治疗,治疗组34例在对照组治疗基础上加芪苈强心胶囊治疗,治疗3个月判定疗效。观察两组治疗前后血浆NT-proBNP、6min步行试验、左室射血分数(LVEF)。[结果]两组治疗前后比较血浆NT-proBNP均减少,6min步行距离明显延长,超声心动图检测LVEF明显提高。临床疗效治疗组优于对照组。[结论]芪苈强心胶囊联合西药治疗缺血性心力衰竭疗效满意。