补肾中药对Colles’骨折患者前臂骨量的影响

目的：研究Colles'骨折的绝经后骨质疏松妇女的骨量丢失情况及补肾中药对其的影响。方法：45名腰椎骨量降低且伴有新鲜Colles'骨折的绝经后妇女随机分为治疗组和对照组。治疗组给服补肾中药和钙剂,对照组单纯服用钙剂,为期一年。在治疗开始时及其后3、6和12月时测量患肢前臂骨密度。结果：对照组前臂桡骨远端、中远1/3段和中段骨密度在治疗开始3、6月时明显降低（P＜0.05),桡骨中远1/3段骨密度在12月时仍低于治疗开始时（P＜0.05)。而治疗组前臂桡骨中远1/3段和中段骨密度维持不变,其桡骨远端骨密度在3、6和12月时较治疗开始时均明显上升（P＜0.05)。结论：Colles'骨折后桡骨骨量明显减少,补肾中药可阻止这种骨量丢失。     

冠心病患者血液流变学动态变化

冠心病患者与正常健康人及冠心病患者采用桃红四物汤为基本方治疗前后的血液流变学指标进行比较,结果,冠心病患者的全血粘度、血浆比粘度、血沉、体外血栓、血小板粘附率及纤维蛋白原等多项指标均高于正常健康人(P<0.01)。冠心病患者经活血化瘀的桃红四物汤为基本方法疗后,其全血粘度、血浆比粘度、血沉、体外血栓、血小板粘附率及纤维蛋白等各项指标均较治疗前有明显降低(P<0.01)。故认为,这些血液流变学检查既可视为冠心病诊断的指标之一,又可作为判断疗效及观察病情变化的客观指标、     

Are exercise professionals fit to provide nutrition advice? An evaluation of general nutrition knowledge

Objectives

Registered exercise professionals (REP) are trained to provide structured exercise recommendations and general nutrition advice to healthy clients. However REP provide specific nutrition advice beyond their scope of practice, including diet-disease advice. The present study aims to investigate the level of general nutrition knowledge of REP, and compare this to a sample of community members (CTM), and university trained dietitians (DN).

PBL融合CTM教学法在《护理伦理与法规》课程中的应用与分析

PBL与CTM相融合的教学法,是一种以学生为中心的启发式教学模式。为了探索这种教学方法在《护理与伦理法规》课中的应用效果,我们以护理专业的学生为对象,进行了实践尝试,并采用问卷调查和理论考试两种考核形式对教学效果进行了统计学意义上的分析和评估,肯定了PBL与CTM相融合的教学法是提升护生《护理与伦理法规》课教学质量的一个行之有效的方法。     

中西医结合治疗慢性乙肝26例

目的探讨中西医结合治疗慢性乙肝的临床疗效。方法将52例患者随机分为西医治疗组和中西医结合治疗组,各组26例。西医治疗以护肝、降酶为主,中西医结合组在西药组的基础上加用中医药辨证诊治。结果中西医结合组临床痊愈22例,有效4例;西医组临床痊愈14例,有效11例,无效1例。经统计学分析,P<0.01。结论中西医结合组治疗疗效明显优于西医组。     

Über eine Variation des Chlamydosporen - Test -Medium

Basierend auf dem seit 1974/1975 veröffentlichten Chlamydosporen-Test-Medium (CTM; L aschka 1974, M einhof et al. 1975) wurde ein Reis-Chlamydosporen-Test-Me-dium (RCTM) entwickelt. Die Zusammensetzung des Medium entspricht folgender Rezep-tur: Reis (paraboiled) 16,0 g, Tveen® 80, 1,3 g, a-D-Methylglucosid 1,6 g, Agar-Agar 16,0 g, Aqua dest.ad 1000,0 ml. In den meisten der untersuchten Candida-Stämme waren Chlamydosporen und Pseudomyzelien schnell entwickelt.

Summary

Based of the 1974/1975 published synthetic chlamydospores-test-medium (CTM; L aschka 1974, M einhof et al. 1975) has been developed a rice-chlamydospores-test-medium (RCTM). The constituents of the medium are: rice "paraboiled" 16,0 g, tween® 80, 1,3 g, α-D-methylglucoside 1,6 g, agar-agar 16,0 g in 1000,0 ml distilled water. Chlamydospores and pseudomycelia were rapid formed in most strains of 116 Candida.     

Comparison between the automated Roche Cobas AmpliPrep/Cobas TaqMan HIV-1 test version 2.0 assay and its version 1 and Nuclisens HIV-1 EasyQ version 2.0 assays when measuring diverse HIV-1 genotypes in China

Background

Several commercially available HIV-1 viral load assays based on real-time detection technology and automated platforms are available. It is not clear how the diversity of HIV-1 genotypes impacts the ability to consistently detect HIV-1 viral loads.

Objectives

To examine whether the diversity of HIV-1 genotypes impacts the ability of the Cobas AmpliPrep/Cobas TaqMan HIV-1 test version 2.0 (CAP/CTM v2.0), its version 1.0 (CAP/CTM v1.0) and the NucliSens EasyQ HIV-1 version 2.0 (EasyQ v2.0) assays to consistently determine the viral loads.

Study design

The three assays were used to measure the viral load in 178 plasma samples with diverse genotypes from treatment-naive patients.

Results

CAP/CTM v2.0 showed significant correlation and high agreement with CAP/CTM v1.0 and EasyQ v2.0. CAP/CTM v2.0 showed excellent detection of clade B samples compared with CAP/CTM v1.0 and EasyQ v2.0. However, significant differences were observed when using CAP/CTM v2.0 to test clade BC and AE samples. The HIV-1 load measured by CAP/CTM v2.0 differed by >0.5 log IU/ml in 59.52% and 72.62% of clade BC samples, and in 57.14% and 85.71% of clade AE samples, compared with CAP/CTM v1.0 and EasyQ v2.0, respectively. CAP/CTM v2.0 was more precise (13.18%) than EasyQ v2.0 (29.21%), and both assays showed good linearity (R ≥ 0.9926).

Conclusions

The three assays may not deliver consistent results for samples belonging to clades BC and AE. It is strongly suggested that the version of the HIV-1 viral load assay used initially is also used at follow-up.     

补脾益肠丸配合中药肛门滴灌治疗溃疡性结肠炎的临床观察

目的 为了解补脾益肠丸配合中药肛门滴灌治疗溃疡性结肠炎的临床效果。方法选取我院门诊和部分住院患者随机分观察组(36例)及对照组(25例);观察组给予补脾益肠丸6g Tid口服,且每晚睡觉时肛门滴灌中药煎剂;对照组用庆大霉素针剂8万μ、地塞米松5mg加0.9％N.S500ml肛门滴灌;疗程结束后比较两组的症状及治疗效果。结果 两组治疗前后腹泻、粘液便、脓血便及肠镜检查均有不同程度的改善,但两组比较,观察组比对照组更显著(P<0.01)。疗效方面,观察组总有效率97％;对照组总有效率80％;观察组优于对照组(p<0.05)。结论补脾益肠丸配合中药肛门滴灌对溃疡性结肠炎有较好的疗效。     

中药热敷对腰椎间盘突出症患者腰痛的疗效及其护理

目的探讨中药热敷治疗对腰椎间盘突出症患者腰痛的疗效及其护理。方法将60例患者随机分为两组,对照组和治疗组各30例。对照组给予骨盆牵引治疗,治疗组在骨盆牵引的基础上加用中药热敷。结果治疗组治愈14例,显效13例,有效3例;对照组治愈1例,显效12例,有效13例,无效4例。两组间比较差异有统计学意义（P〈0．01）。结论中药热敷加牵引治疗可以有效缓解腰椎间盘突出症患者的腰痛症状,治疗过程中须加强相关护理措施。