对高等教育大众化背景下中医药高等院校专业建设问题的思考

中医药高等院校专业建设应随着社会的进步发展和社会的需求而不断拓宽、延伸其专业领域，本文从中医药高校的专业延伸的必要性、建设原则以及专业延伸的思路等三个方面对中医药高等院校的专业建设工作提出了几点思考。     

Complications Related to Dapsone Use for Pneumocystis Jirovecii Pneumonia Prophylaxis in Solid Organ Transplant Recipients

Dapsone, used for prevention of Pneumocystis jirovecii infections, has been reported to cause hemolytic anemia and methemoglobinemia; its tolerability in solid organ transplant recipients is not well described. We investigated dapsone-related adverse events in patients undergoing solid organ transplantation from 1999 to 2004. Transplant providers identified patients for the investigators who then reviewed the patients' hospital and outpatient records. Sixteen solid organ transplant recipients fit case definitions for dapsone-related hemolytic anemia (n = 11) or methemoglobinemia (n = 5). Median time from event to dapsone discontinuation was 15 days; all patients improved after drug discontinuation. G6PD enzyme activity was normal in all patients whose test results were available. Dapsone may be associated with hemolytic anemia or methemoglobinemia, even with normal G6PD levels. These events are often not promptly recognized, and drug discontinuation is delayed. Dapsone-related hemolytic anemia or methemoglobinemia should be considered in solid organ transplant recipients with unexplained anemia or hypoxia.     

The epithelial-mesenchymal transition induces aggressivity of mucinous cystic neoplasm of the pancreas with neuroendocrine component: An immunohistochemistry study

Background

Pancreatic mucinous cystic neoplasms (MCN) are rare tumors that are usually diagnosed in females.

探讨文明创建对医院发展的作用

“全国文明单位”称号是国家综合评比一个单位精神文明建设成果的最高褒奖。良好的医院形象是提升医院综合实力、增强其竞争力的重要手段。医院每年制定文明创造重点,明确文明创造的目标、任务和重点,将文明创造工作与业务工作结合起来进行规划、实施、考核和奖惩。医院设有精神文明建设领导小组和办公室,隶属党办,负责精神文明建设的日常协调和指导工作。文明永无止境。文明创造是一项系统工作,它整合全院资源,整合党、工团、妇委会等各种力量,“青年文明号”“巾帼文明岗”不断树立品牌支持创建工作。医院积极营造“文明单位、共建共享、全员参与、人人受益”的良好氛围。文明建设扎实推进,医院建设更加健康有序。结合福建省肿瘤医院连续三届获评“全国文明单位”的创建经验,从医院人员素质、中心工作、社会责任、文化、决策和环境等方面入手,阐述医院文明创建对医院发展的作用。     

益气养阴通络方联合康复训练治疗气阴两虚型帕金森病临床研究

目的：观察自拟益气养阴通络方联合康复训练治疗气阴两虚型帕金森病（PD）的临床疗效。方法：将120例PD患者纳入研究,按随机奇偶数法分为对照组和治疗组各60例。对照组给予多巴丝肼片治疗,治疗组采用益气养阴通络方联合康复训练治疗。治疗3个月后评定2组临床疗效、颤证功能障碍积分、自主神经症状自评量表（SCOPA-AUT）评分、PD运动功能量表（MDRSPD）评分及血清神经营养因子[脑源性神经营养因子（BDNF）、胰岛素样生长因子1 (IGF-1)、人神经营养因子3 (NT-3)]水平。结果：治疗组总有效率为93.33%,高于对照组80.00%,2组比较,差异有统计学意义（P<0.05）。治疗前,2组颤证功能障碍积分比较,差异无统计学意义（P>0.05）;治疗后,2组颤证功能障碍积分均较治疗前降低（P<0.05）,且治疗组颤证功能障碍积分低于对照组（P<0.05）。治疗前,2组SCOPA-AUT、MDRSPD评分比较,差异无统计学意义（P>0.05）;治疗后,2组上述2项评分较治疗前明显降低（P<0.05）,且治疗组2项评分均低于对照组（P<0.05）...     

Mendelian randomization suggests a potential causal effect of eosinophil count on influenza vaccination responsiveness

Currently, the clinical factors affecting immune responses to influenza vaccines have not been systematically explored. The mechanism of low responsiveness to influenza vaccination (LRIV) is complicated and not thoroughly elucidated. Thus, we integrate our in-house genome-wide association studies (GWAS) analysis result of LRIV (N = 111, Ncase [Low Responders] = 34, Ncontrol [Responders] = 77) with the GWAS summary of 10 blood-based biomarkers (sample size ranging from 62 076−108 794) deposited in BioBank Japan (BBJ) to comprehensively explore the shared genetics between LRIV and blood-based biomarkers to investigate the causal relationships between blood-based biomarkers and LRIV by Mendelian randomization (MR). The applications of four MR approaches (inverse-variance-weighted [IVW], weighted median, weighted mode, and generalized summary-data-based MR [GSMR]) suggested that the genetically instrumented LRIV was associated with decreased eosinophil count (β = −5.517 to −4.422, p = 0.004−0.039). Finally, we conclude that the low level of eosinophil count is a suggestive risk factor for LRIV.     

基于“调枢通胃”的脑卒中后便秘针灸治疗

便秘是脑卒中常见并发症之一,并与脑卒中相互影响,形成恶性循环。"调枢通胃"是通过调节脏腑之枢脾胃、开阖之枢少阳和神明之枢脑治疗脾胃功能失调及其他脏腑失调所引发的消化系统疾病。本文介绍基于"调枢通胃",以理气通腑、醒神益智、益气健脾为基本治法,取胃经、大肠经及腹部腧穴,采用针灸治疗脑卒中后便秘的新思路。     

介孔二氧化硅纳米粒增溶型非诺贝特片剂的制备及体内外研究

目的 制备介孔二氧化硅纳米粒(mesoporous silica nanoparticles,HK)增溶型非诺贝特(fenofibrate,FNB)片剂并进行体内外研究。方法 用吸附法以HK为FNB的载体制成固体分散体(FNB-HK)。采用差示扫描量热法、X射线衍射法和傅里叶红外光谱法分析非诺贝特在FNB-HK中的存在状态。通过考察体外溶出度,优化处方并制片。将自制片和市售片分别对家兔单剂量口服给药,采用高效液相色谱法测定家兔血浆药物浓度。结果 FNB-HK表征表明HK能够抑制非诺贝特的结晶。经过处方优化,乳糖做填充剂,8%羧甲基淀粉钠为崩解剂时,片剂能够达到最理想的溶出速率。自制片与市售片相比,体内达峰时间提前,达峰浓度增大,相对生物利用度为149.95%。结论 本研究研制的片剂能显著改善FNB的溶出速率,提高其口服生物利用度。