Theoretical foundation of family health promotion——the orientation of family planning development in urban area

The world is experiencing a rapid development in the 21th century. All countries estab- lished their schemes considering their situation of social and economic development. It is widely recognized that the key element of development is “people”. As to t…     

磷酸化信号传导与转录激活因子3在前列腺癌早期诊断中的应用

目的 探讨前列腺穿刺标本中磷酸化信号传导与转录激活因子3(P-STAT3)表达在前列腺癌(PCa)早期诊断中的应用价值.方法采用免疫组织化学方法检测接受重复穿刺的PCa患者初次穿刺未检出癌的标本(29例)、重复穿刺确诊PCa时的癌灶标本(29例)、重复穿刺确诊PCa时的非癌灶标本(29例)以及良性前列腺增生(BPH)患者初次穿刺标本(29例)中P-STAT3的表达.统计学分析其与临床诊断的相关性及对PCa发生的预测作用.结果 P-STAT3在PCa患者癌灶标本、非癌灶标本及初次穿刺标本中阳性表达率分别为93.1%(27/29)、82.8%(24/29)和86.2%(25/29),在BPH标本中阳性表达率为10.3%(3/29),前三者的阳性率明显高于后者(X2=60.123,P=0.000);如以初次穿刺标本中P-STAT3表达阳性作为PCa的诊断标准,该方法的敏感性为86.2%,特异性为89.7%.结论 检测穿刺标本P-STAT3表达可以作为前列腺穿刺活检的辅助诊断方法,用于PCa的早期诊断,预测PCa的发生.     

The Application of Topical Anesthesia Combined with Subconjunctival Anesthesia for Glaucoma Surgery

Purpose: To evaluate the feasibility, reliability and analgesia effect of topical anesthesia combined with subconjunctival anesthesia in anti-glaucomatous surgery.Methods: Two hundred and four cases (357 eyes) underwent anti-glaucomatous surgeries under topical anesthesia with 0.5％ Alcaine eye drops combined with subconjunctival anesthesia with 2％ Lidocaine. The analgesic effect was analysed with visual analogue pain scale.Results: Among all of 357 eyes, 62 eyes underwent peripheral iridectomy, 67 eyes underwent simple trabeculectomy, 167 eyes underwent compound brabeculectomy and 12 eyes nonpenetrating trabecular surgery. The effects of anesthesia were as follows: 304 eyes (85.2％) were painless (Grade Ⅰ), 50 eyes (14.0％) were slight painful (Grade Ⅱ), and 3 eyes (0.8％) were more painful (Grade Ⅲ) during surgery. And no severe complications were observed in all the cases during surgery and postoperatively. Amaurosis fugax was not observed in the glaucoma patients at the late stage with narrow vi     

子宫输卵管造影心理护理及并发症处理

子宫输卵管造影术（H．S．G）是妇产科检查子宫及输卵管疾病的常用方法之一。目前主要用于诊断原发及继发不孕。本文主要探讨配合子宫输卵管造影术的心理护理及并发症的处理。1资料与方法我们复习了从1994～1997年6月所做的H．S．G300例。年龄22～40岁，平均28岁。主诉不孕。患者常规准备，在妇科插管后，X线直视下由妇科医师注药，放射科医师透视下观察并适时摄片。造影剂配制：泛影葡胺20ml，庆大霉素4万U，地塞米松2ml，糜蛋白酶4000U。2结果正常131例，子宫畸形5例，输卵管不通104例，伴积液65例。并发症：一般轻者有下腹不适，恶心…     

Influence of Qingdai Compound Capsule on the expression of c-myc in psoriatic keratinocytes) on the expression of c-myc in psoriatic keratinocytes

In this immunohistochemical study, the authors detected the expression of c-myc in keratinocytes (ECK) from 30 psoriatics before and after Qingdai Compound Capsule (QDCC) treatment and 12 normal subjects for control. The results showed that the ECK of patients before treatment was significantly higher than that in the normal control group, and its level was correlated with histopathological changes of affected skin. After treatment the ECK was normalized. It is believed that QDCC could decrease the ECK in psoriatics and this effect was probably mediated by inhibiting c-myc expression. This study provided an experimental evidence for the application of QDCC in treating psoriasis.     

西门子MD7745加速器注入器电路原理及故障维修

本文主要侧重介绍西门子MD7745加速器注入器电路原理及故障对策，并结合实际工作叙述二例维修过程。     

义齿铸件铸造失败的原因分析

采用高溶合金通过精密铸造完成的修复体轻巧、舒适、耐用美观 ,但因其制作工艺较复杂 ,常常遇到铸造失败的现象 ,作者总结了 5年来 2 0 30例铸件 ,对其中 136例熔铸失败原因进行了总结。现报告如下 :1　临床资料及结果1998年至 2 0 0 2年技工室完成的 2 0 30例高溶合金铸件中 ,有 136例失败率占整个铸件 6.69% ,其中男性71例 ,女性 65例 ,年龄最小 18岁 ,最大 71岁 ,平均4 3.68岁。因铸造不完全或收缩变形或缩孔、气孔、砂眼现象导致失败 ,铸件失败的类型及原因见表 1。表 1　 136例铸件失败情况铸件类型例数熔模结构缺陷铸道问题　　储金库…     

Study on Bone Mineral Density and its Influencing Factors among 1 214 Older Adults in Xuhui District, Shanghai

Osteoporosis is a common disease in older adults. The basic evidence for the diagnosisof osteoporosis is the decrease of bone mineral density (BMD) [1]. Studies showed that the risk of fractures would rise as the bone mineral density decreased, and the me…     

COMPUTERIZED TOMOGRAPHY IN TUBERCULOUSMENINGITIS

This paper reports computerized tomography(CT) findings in 21 cases of tuberculous meningitis,normal in 5 and abnormal in 16. ' The cases withabnormal CT findings were hydrocephalus, tuber-culoma, exudation in basal cisterns, brain edema andcerebral infarction. The incidence of hydrocephalusincreased with the duration and severity of illness.The Iocations of tuberculomas corresponded withpatients' clinical pictures. The study also indicatedthat patients wih normal or slighly changed scanshad good prognosis, but patients with severe hydrocephalus and exudation m basal cisterns had poorprognosis in spite of active medical treatment. CThas been proved valuable in diagnosis and treatmentof tuberculous meningitis.     

无明确外伤史慢性硬膜下血肿误诊分析

慢性硬膜下血肿(CSDH)在临床较为多见,大多有明确的外伤史.据Tyson G报道,CSDH患者65%～70%有明确的头部外伤史.而临床医师对无明确外伤史的患者,不易考虑到CSDH,致使此类病人在临床上容易误诊.我院自1986年至今共收治CSDH病人约213例.其中无明确外伤史者20例,此20例中无一例首诊于神经外科.均误诊收入其他科室治疗.本文就上述20例病人误诊误治原因分析