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91.
本文采用高效液相色谱法测定了四种中成药中淫羊藿甙的含量。以十八烷基硅烷键合硅胶为填料,柱温30℃;甲醇-0.2mol/L磷酸二氢钠水溶液(磷酸调pH=2.7)(57:43)为流动相,1ml/min;检测波长为268nm,淫羊藿甙色谱峰形对称、分离度好。所测补肾强身片、龟龄集、壮骨关节丸和前列宁冲剂中淫羊藿甙的含量分别为0.105%,0.0995%,0.0566%,0.313%。 相似文献
92.
周北凡 《中国慢性病预防与控制》1992,(1)
本文从心血管病流行病学研究工作的实际体会中提出:当前要提高科研工作水平的关键是提高研究防治队伍的科学素质.其中包括:应具备流行病学和生物统计学的基本知识,必要的心血管病临床知识和实践经验,关心常见心血管病的基础研究进展,和学习有关专业的知识,如营养学、行为医学、遗传学等.解决的办法除集中培训,个人努力学习外,更需组织有不同专业基础而有志于心血管病流行病学研究工作的人员密切合作,相互学习,取长补短,以达到共同提高. 相似文献
93.
G. M. Brieger M. Mongelli L. Y. Hin T. K. H. Chung 《International urogynecology journal》1997,8(4):191-195
The epidemiology of urinary dysfunction in a Chinese population living in Hong Kong was investigated. Fifteen hundred ethnic
Chinese women answered a telephone questionnaire including symptoms of urinary dysfunction, anthropometric measurements, obstetric
history and place of birth. The relative predictive value of these factors was analyzed using logistic regression. The prevalence
of urinary dysfunction was 13%. Ten percent reported stress incontinence, and 4% had urgency or urge incontinence. The strongest
predictor was place of birth, with women born in mainland China having the highest prevalence of pure stress incontinence
(OR 1.33, CI 1.1–1.6). For the symptoms of detrusor instability age was the strongest predictor, with women over 50 years
being at greater risk (OR 2.8, CI 1.6–5.0). Contrary to earlier beliefs, urinary dysfunction in Chinese women is as common
as in Caucasian women. Place of birth is the strongest predictor for pure stress incontinence, with women born in mainland
China being at greater risk. This suggests that environmental factors in early life have a differential effect on the development
of urinary incontinence.
EDITORIAL COMMENT: Taiwan Chinese women have a comparable prevalence of urinary dysfunction with Hong Kong Chinese women.
A survey representing a multistage sample of 82 678 women aged 18 years or older was conducted in the Taipei area from January
to June 1993. A total of 818 cases were interviewed by trained students. One hundred and eighty-nine (23.1%) of the respondents
reported having had some degree of incontinence in the preceding 12 months, 28 (3.4%) reporting regular incontinence. Most
presented with stress urinary incontinence, whereas urge incontinence and mixed incontinence were more commonly seen in the
elderly group (aged 60 years or older). The risk factors for urinary incontinence included age, number of vaginal deliveries
(>3), number of abortions (>2) and maternal history of incontinence. Voiding symptoms (irritative or obstructive) and constipation
were significantly more prevalent among respondents with incontinence than those without (P<0.001). This evidence also indicates that the long-held belief that Chinese women have a much lower prevalence of urinary
dysfunction than western women has all but ended. 相似文献
94.
95.
96.
Madhuri Dadwal Chander Mohan D. R. Sharma 《Indian journal of otolaryngology and head and neck surgery》2007,59(3):261-263
Secondary tuberculosis of pharynx is a rare condition as pharynx is not a common site for clinically manifest tuberculosis.
A rare and unusual case of secondary oropharyngeal tuberculosis in a 40 years male patient, who presented with an ulceroproliferative
lesion of oropharynx extending to nasopharynx and laryngopharynx is being reported. 相似文献
97.
98.
Some investigations into the nature and cause of massive fibrosis (MF) in the lungs of South African gold, coal, and asbestos mine workers 总被引:2,自引:0,他引:2
Samples from fibrotic lung lesions greater than 1 cm in diameter macroscopically (by definition, massive fibrosis; MF) were taken from the lungs of 9 randomly selected post-mortem cases of mine workers all showing a background of a pneumoconiosis. These samples were studied histologically, biochemically, and by X-ray diffraction and electron microscopy. As controls for the biochemical and X-ray diffraction investigations, nonfibrosed lung tissue was taken from the same specimens. The findings suggest that the higher quartz content may be the primary cause responsible for the MF formation in this series of cases, while other factors such as tuberculosis may play a part according to some relevant literature on MF. Although an area of MF appears macroscopically to be a solid lesion, on microscopy this is not the case and the lesion is composed of dense and sparse collagen bundles and cellular elements. 相似文献
99.
Martin V. Pusic MD George S. Pachev PhD Wendy A. MacDonald MD 《Academic emergency medicine》2007,14(2):138-148
Objectives
To explore medical students' use of computer tutorials embedded in a busy clinical setting; to demonstrate that such tutorials can increase knowledge gain over and above that attributable to the clinical rotation itself.
Methods
Six tutorials were installed on a computer placed in a central area in an emergency department. Each tutorial was made up of between 33 and 85 screens of information that include text, graphics, animations, and questions. They were designed to be brief (10 minutes), focused, interactive, and immediately relevant. The authors evaluated the intervention using quantitative research methods, including usage tracking, surveys of faculty and students, and a randomized pretest-posttest study.
Results
Over 46 weeks, 95 medical students used the tutorials 544 times, for an overall average of 1.7 times a day. The median time spent on completed tutorials was 11 minutes (average [SD], 14 [±12] minutes). Seventy-four students completed the randomized study. They completed 65% of the assigned tutorials, resulting in improved examination scores compared with the control (effect size, 0.39; 95% confidence interval = 0.15 to 0.62). Students were positively disposed to the tutorials, ranking them as "valuable." Fifty-four percent preferred the tutorials to small group teaching sessions with a preceptor. The faculty was also positive about the tutorials, although they did not appear to integrate the tutorials directly into their teaching.
Conclusions
Medical students on rotation in a busy clinical setting can and will use appropriately presented computer tutorials. The tutorials are effective in raising examination scores. 相似文献
To explore medical students' use of computer tutorials embedded in a busy clinical setting; to demonstrate that such tutorials can increase knowledge gain over and above that attributable to the clinical rotation itself.
Methods
Six tutorials were installed on a computer placed in a central area in an emergency department. Each tutorial was made up of between 33 and 85 screens of information that include text, graphics, animations, and questions. They were designed to be brief (10 minutes), focused, interactive, and immediately relevant. The authors evaluated the intervention using quantitative research methods, including usage tracking, surveys of faculty and students, and a randomized pretest-posttest study.
Results
Over 46 weeks, 95 medical students used the tutorials 544 times, for an overall average of 1.7 times a day. The median time spent on completed tutorials was 11 minutes (average [SD], 14 [±12] minutes). Seventy-four students completed the randomized study. They completed 65% of the assigned tutorials, resulting in improved examination scores compared with the control (effect size, 0.39; 95% confidence interval = 0.15 to 0.62). Students were positively disposed to the tutorials, ranking them as "valuable." Fifty-four percent preferred the tutorials to small group teaching sessions with a preceptor. The faculty was also positive about the tutorials, although they did not appear to integrate the tutorials directly into their teaching.
Conclusions
Medical students on rotation in a busy clinical setting can and will use appropriately presented computer tutorials. The tutorials are effective in raising examination scores. 相似文献
100.
疾病的正确诊断和合理治疗是患者和医务工作者共同的心愿。在广东省人民医院肿瘤中心,吴一龙教授指导临床医生应用循证医学理论进行肿瘤的多学科综合治疗,开展临床病例讨论。讨论会上各学科共同围绕一个病例或一个病种进行会诊,临床、病理、B超、放射影像等资料齐全。除相关科室提前准备的中心性发言外,到会人员各抒己见,气氛热烈。参会人员受益匪浅,提高了对疑难病例的诊治水平。为了将他们的诊治经验传播出去,让更多的临床医生获益,我刊开辟“循证病例讨论”栏目,希望广大医务工作者关注此栏目。[编者按] 相似文献