致癌食物与抑癌蔬菜

<正>致癌食物1.葵花子,2.口香糖,3.味精(麸!胺酸钠),4.猪肝,5.河粉、板条、米粉、粉丝,6.腌菜、萝卜乾,7.市售瓶装鲜果汁,8.皮蛋,9.臭豆腐,10.油条。     

主编寄语

日居月诸,似水流年. 2012年,济宁医学院风雨兼程60载,迎来了建校60华诞.翻开岁月的画卷,抚今追昔,感慨万千. 1952年,山东省人民政府决定创办济宁医士学校.催生了鲁西南医学教育的萌芽.建校伊始,百事待兴.济医的先辈们,筚路蓝缕,坚忍不拔,白手起家.学校从无到有,从小到大,几经易名.1959年,学校更名为济宁医学专科学校.1987年初,经国家教育委员会批准学校定名为济宁医学院.从此,微山湖畔、运河岸边的高等医学教育迈上了新的台阶.     

寒天新战士增食脂肪和抗氧化剂对血脂及MDA无影响

目的　为进一步验证在寒冷环境下 ,高脂膳食是否引起人体血脂代谢的变化 .方法　选择驻寒区部队冬季入伍新战士 2个连队 1 5 8人 ,进行了现场研究 .设普食对照组 (脂肪生热比 :2 5 %左右 ) ,普食加 Zn 30 mg· d- 1 组 ,高脂组 (脂肪生热比 30 %左右 ) ,高脂加 Vit E30 0 mg· d- 1组 ,高脂加 Vit C6 0 0 mg· d- 1 组 .实验期 2 5 d.结果　实验前三酰甘油含量普食对照组、普食加 Zn组、高脂组、高脂加 Vit E组、高脂加 Vit C组分别为 (mmol· L- 1 ) 1 .5± 0 .5 ;1 .0± 0 .3;1 .9± 0 .6 ;1 .3±0 .6 ;1 .8± 0 .8.实验后分别为 (mmol· L- 1 ) 2 .0± 0 .8;1 .7±0 .8;1 .4± 0 .6 ;1 .3± 0 .5 ;1 .4± 0 .6 .总胆固醇含量 ,实验前各组分别为 (mmol· L- 1 ) 7.0± 2 .3;6 .3± 2 .1 ;6 .1± 1 .7;6 .2±1 .6 ;6 .1± 1 .7.实验后分别为 (mmol· L- 1 ) 4 .4± 1 .5 ;4.0±1 .3;4.5± 1 .8;4.7± 1 .7;5 .5± 1 .4.MDA含量实验前各组分别为 (nmol· L- 1 ) 6 .1± 1 .6 ;5 .1± 0 .9;6 .4± 1 .5 ;5 .4± 1 .2 ,5 .4± 1 .6 .实验后分别为 (nm ol· L- 1 ) 5 .3± 2 .1 ;5 .2± 2 .0 ;5 .7± 2 .3;5 .3± 2 .1 ;5 .4± 2 .2 .结论　实验期内适量补充脂肪和抗氧化剂不影响血脂水平和 MDA含量     

住院青少年神经症患者个性特征与父母教养方式的相关研究

目的 探讨神经症患者的个性特征、防御机制与父母教养方式的关系。方法 对神经症组和正常对照组(各 70例 )进行父母教养方式评价量表 (EMBU)、艾森克个性问卷 (EPQ)和防御方式问卷(DSQ)测查。结果 两组的父母教养方式、个性特征、防御机制均有显著差异。神经症组个性特征中的高神经质(64. 96±9. 07,对照组 45. 23±10. 66)、高内向性 (44. 07±10. 18,对照组 53. 97±9. 89)及不成熟型(4. 73±0. 93,对照组 3. 82±0. 97)和中间型防御机制 (4. 88±0. 63,对照组 4. 35±0. 55)的使用与其父母教养方式中情感温暖少(父 41. 80±7. 95,母 44. 93±9. 46,对照组父 50. 32±9. 75,母 54. 67±9. 25)、惩罚(父 19. 70±6. 58,母 13. 45±4. 38,对照组父 15. 92±5. 31,母 10. 96±2. 39 )、拒绝 (父 10. 05±2. 89,母14. 08±3. 93,对照组父 8. 31±2. 19,母 10. 99±2. 95)、过度保护(父 12. 05±2. 49,对照组父 10. 13±1. 78)多显著相关。不成熟型和中间型防御机制的使用与神经症患者的神经质、内向的个性显著相关。结论 神经症患者的个性缺陷与父母不良的教养方式显著相关;中间型和不成熟型防御机制的使用又与其个性特征显著相关。     

某贫困山区已婚妇女妇科病普查与思考

目的 为掌握农村已婚妇女发病原因及影响因素,采取相应措施,保障妇女健康.方法 以乡为单位设点进行普查.结果 农村已婚妇女患病率高达86.44%,由于患病得不到及时治疗,小病拖大,因病返贫.讨论1.环境条件限制;2.经济贫穷影响;3.文化层次落后;4.早婚早育因素;5.卫生观念淡薄;6.防治措施不力.建议 1.加强政府行为,部门协调配合;2.改善自然条件,快速发展经济;3.加强健康教育,普及保健知识;4.健全妇幼网底,培训村级人员;5.采取有力措施,保障妇女健康;6.加强六期保健,提高妇女素质.     

A study of effects of using low dialysate calcium concentration (1.50 mmol/L) on blood pressure,serum concentrations of calcium,parathyroid hormone and aldosterone in chronic hemodialysis patients

Background: Dialysis centres around the world use different concentrations of calcium in dialysate solution,ranging from 1. 25 to 1. 75 mmol / L. However,a dialysate concentration of 1. 25 mmol / L is recommended. [1] Higher or lower dialysate calcium concentrations are indicated in patients,depending on their co-morbid factors. We explored the effects of using a calcium dialysate solution of 1. 50 mmol / L compared to a 1. 75 mmol / L calcium dialysate solution on the Blood Pressure (BP) ,serum concentrations of Calcium,Parathyroid Hormone (PTH) and Aldosterone in chronic hemodialysis (HD) patients. Method: 42 patients were enrolled in the study. First a 1. 50 mmol / L low calcium dialysate solution (LCDS) was used for 4 hour dialysis,and for the next session of HD,a 1. 75 mmol / L (NCDS) normal calcium dialysate solution was used. Blood pressure was measured at 5 intervals of time: pre HD,at 60,120,180 and 240 minutes into the HD session. Pre and post HD blood samples were taken for serum calcium,PTH and Aldosterone levels. Results: All 42 patients completed the study. With LCDS,the post HD serum calcium levels were (2. 51 ± 0. 14) mmol / L,compared to (2. 85 ± 0. 17) mmol / L for NCDS (P < 0. 01) . A post HD serum PTH level of (80. 6 ± 144. 93) pg / ml was observed when using LCDS,whereas a (52. 25 ± 115. 89) pg / ml serum PTH level was noted with NCDS (P < 0. 01) . As for aldosterone,a post HD value of (161. 77 ± 80. 42) ng / L was obtained with LCDS and (165. 50 ± 78. 84) ng / L with NCDS (P < 0. 01) . The mean post HD systolic blood pressure was (129. 17 ± 25. 42) mmHg with LCDS dialysis compared to (132. 50 ± 20. 32) mmHg for NCDS dialysis (P < 0. 01) and the diastolic BP values observed were (75. 10 ±10. 34) mmHg and (78. 26 ±11. 63) mm Hg(P <0. 01) ,respectively. Conclusion: LCDS can more effectively improve hypercalcemic status in dialysis patients than NCDS. Using LCDS stimulates the secretion of PTH more than when using NCDS. LCDS decreases aldosterone levels more than NCDS.     

Thoracoscopic sympathectomy for primary palmar and axillary hyperhidrosis

Hyperhidrosisisadisablingdisorderthatcausesphysi calandpsychologicalinconvenience .Itisnotatemporarycondition .Manypeoplewhosufferfromithavesufferedformanyyears,usuallysincechildhood .Also,whetherinhotorcoldclimate ,thesweatingisconstant.Thisdisorderaf fectsasmallbutsignificantproportionoftheyoungpopula tionallovertheworld .Therearemanytypesoftreatmentsavailableforthisdisease .Conservativetreatmentisnotef fectiveinseverecases.Thoracoscopicsympathectomyisthetreatmentofchoice.Thispaperdescribe…     

中药贝母类的研究 Ⅵ 湖北5种贝母属药用植物花粉形态的观察

作者应用光学显微镜和扫描电镜,对湖北产贝母属(Fritillaria)药用植物湖北贝母Fritillaria hupehensis Hsiao et K.C.Hsia,利川贝母F.lic-huanensis P.Ii et C.P.Yang,蒲圻贝母F.puqiensis G.D.Yu et G.Y.Chen,鄂北贝母F.ebeiensis G.D.Yu et G.Q.Ji和紫花鄂北贝母F.ebeiensis var.purpurea G.D.Yu et P.Ii的花粉形态特征和外壁纹饰等作了比较观察,阐明了花粉形态特征对分类鉴定的意义。     

家兔失血性休克实验技术的探索和改进

目的 研究和改进“家兔失血性休克”实验技术.提高实验成功率,达到更好的教学效果.方法 1.改进前后分别进行学生问卷调查及统计分析.2.根据调研结果设计实验方案.3.动物实验,对实验课进行技术改进.4.确定实验的技术路径并投入教学试点.结果 实验可操作性提高,实验的教学效果更好.结论 “家兔失血性休克”实验改进后,实验结果有效,操作难度降低,成功率显著提高,更能达到教学目的.     

脑室出血后急性脑积水预测方法

目的 :探讨脑室出血并发出血后脑积水 (PHH)预测方法。方法 :按Graeb与修改Graeb二种不同标准 ,对 131例各部位的脑室出血 (包括第三、第四脑室出血组 6 4例 ,与侧脑室出血组 6 7例 )作积血评分与并发PHH的临床观察 ,用四格表确切概率法分析界点值时各诊断参数的效度 ,用成组logistic回归分析法计算各积分点并发PHH的概率。结果 :在第三、第四脑室组其敏感性 (Se)、特异性 (Sp)、Kappa值 (K) ,按Graeb标准分别为 0 .75 ,0 .77和 0 .4 0 ;而按修改Graeb标准 ,分别为 0 .90 ,0 .85和 0 .6 9。在侧脑室出血组其Se,Sp与K ,按Graeb标准分别为0 .90 ,0 .84和 0 .73;而按修改Graeb标准分别为 0 .90 ,0 .87和 0 .74。在全脑室系统出血组其Se,Sp与K ,按Graeb标准分别为 0 .78,0 .84和 0 .6 0 ;而按修改Graeb标准分别为 0 .90 ,0 .84和 0 .74。按修改Graeb标准在积分点 3～12分值时并发PHH的概率分别为 0 .0 13,0 .0 36 ,0 .0 96 ,0 .2 30 ,0 .4 5 4 ,0 .6 98,0 .86 6 ,0 .94 7,0 .980和 0 .994。结论 :用修改Graeb标准结合logistic回归分析法 ,可作为脑室系统各部位出血并发PHH预测的重要方法。     

主编寄语

日居月诸,似水流年. 2012年,济宁医学院风雨兼程60载,迎来了建校60华诞.翻开岁月的画卷,抚今追昔,感慨万千. 1952年,山东省人民政府决定创办济宁医士学校.催生了鲁西南医学教育的萌芽.建校伊始,百事待兴.济医的先辈们,筚路蓝缕,坚忍不拔,白手起家.学校从无到有,从小到大,几经易名.1959年,学校更名为济宁医学专科学校.1987年初,经国家教育委员会批准学校定名为济宁医学院.从此,微山湖畔、运河岸边的高等医学教育迈上了新的台阶.     

2007年北京大学第一医院研究生论文发表情况调查报告

Objective To investigate the quality of postgraduate education from the publication state.Method To analysis the publication states from different postgraduate students in 2007 in Peking University First Hospital. The papers from 69 students who acquired the qualification were analyzed.Ph.D.,M.D.and Master were selected.Results The number of publication were 3.17、1.93 and 1.58 in Ph D,M.D.and Master,respectively.The number of publication with science citation index were 1.50、0.18 and 0.08,respectively.The average impact factor(IF)were 4.72、0.57 and 0.15,respectively.The number of publication and IF were more in Ph. D.than that in other postgraduate students.Conclusions Postgraduate students with different academic degree received appropriated training.Ph.D.candidate acquired the ability of engage scientific research and writing thesis in high quality.     

2007年北京大学第一医院研究生论文发表情况调查报告

Objective To investigate the quality of postgraduate education from the publication state.Method To analysis the publication states from different postgraduate students in 2007 in Peking University First Hospital. The papers from 69 students who acquired the qualification were analyzed.Ph.D.,M.D.and Master were selected.Results The number of publication were 3.17、1.93 and 1.58 in Ph D,M.D.and Master,respectively.The number of publication with science citation index were 1.50、0.18 and 0.08,respectively.The average impact factor(IF)were 4.72、0.57 and 0.15,respectively.The number of publication and IF were more in Ph. D.than that in other postgraduate students.Conclusions Postgraduate students with different academic degree received appropriated training.Ph.D.candidate acquired the ability of engage scientific research and writing thesis in high quality.     

氨曲南致不良反应1例报告

1 临床资料 患者,女性,37岁.因咽痛、发热2d就诊于本院.2d前着凉后出现咽痛、体温升高.体温最高达39.4℃,无咳嗽、咯痰.自服退热药物,热退后体温又升高.既往身体健康,无其他疾病史,无药物、食物过敏史.就诊前已服退热药物.查体:体温36.9℃,脉搏94 min-1,呼吸16 min-1,血压110/70 mmHg.全身无皮疹和出血点.双侧扁桃体Ⅱ度肿大,充血,表面见脓苔.听诊未闻及异常.血常规:白细胞12.2×109·L-1,中性粒细胞比值为0.90,淋巴细胞比值为0.10.     

The Course and Achievements of VI World Congress on Mountain Medicine And High Altitude Physiology

IntroductionThe6th WorldCongressofMountainMedicineandPhysiologywasheldinXining, inQinghai, andfollowedbyasecondpartinLhasa, Tibet, P.R.Chi na, fromAugust11thto19th 2004.Qinghaiisinnorth-westChinaandboarderswithTibet. Muchofitisatattitudesofover3ande ven4 000m. Xining(2600m) isthecapitaloftheprovinceandisfastdevelopingintoamoderncitywithconstructioneverywhere. ThepopulationofQinghaiisonly5. 3millionoutofChina′s1. 3billion, andin cludesaconsiderablenumberofnon-Hanethnicgroups.Therewere1…     

以健康信念模式分析美国"针灸热"之兴起与可持续性发展

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百部生药学研究Ⅲ.中国百部属一新种与一新变种

报道百部属一新种和一新变种Stemona jinsha jiangensis X.D.Cong et G.J Xu,sp.nov.与Stemona jinsha jiangensis X.D.et G.J.Xu.var.dianbeiensis X.D.Cong et G.J.Xu,var.nov.,用拉丁文和中文对其特征作了描述。     

瘀血病口干燥治验

王某,女,55岁,2007年1月21日初诊.口干燥喜饮1年.曾服中药治疗(方药不详),效果不佳.有高血压病家族史.7年前因头晕欲吐而发现血压高,经常服降压药(利血平每日2片,地巴唑每日2片,尼群地平、心痛定每日各1片.晚上服),血压尚能维持正常.饮食、二便均可.53岁绝经.舌质暗红苔黄厚干燥,脉沉弦细.辨证属阴虚燥热,宜滋阴清肝泻火.处方:滋水清肝饮.生地20 g,山药10 g,泽泻10 g,茯苓15 g,丹皮15 g,柴胡10 g,栀子5 g,黄芩10 g,当归10 g,赤芍10 g,白芍10 g,黄连5g,大黄10 g,滑石15 g,甘草5 g.7剂.     

Commentary on the consensus statement being prepared for the 6th World Congress on Mountain Medicine, Xining 2004

OncewehavereviewedthevariousopinionsofourcolleaguesintheConsensusGrouponCMS, Iamsurethatwewillimproveourknowledgeofthisdis ease, whichisincreasinginimportanceworldwide.InourcountryCMSisamajorconcernofpublichealthauthoritiesduetoitsprevalenceintherelativelyyoungandactivemalepopulation. Inadditiontothankingallofyou, IowespecialthankstoDr. GeRi-Li, toDr.PeterHackettandtoDr.FabiolaLeon-VelardeforprovidingallofuswiththeopportunitytoparticipateinthismeetingoftheConsensusGroupwithDr. Da…     

不合理用药致消化性溃疡并穿孔1例

患者,男.47岁,因腰背部酸痛口服消炎痛50mg.每日3次;地塞米松1.5mg.每日3次,4d后突感上腹剧痛伴呕吐咖啡样液10h于1995年4月15日入院.查体:T37℃,BP16/10kPa.心、肺无异常.腹肌紧.上腹压痛、反跳痛.腹透见隔下游离气体.急症手术.术中见十二指肠球部后壁有直径1cm大小穿孔.穿孔周围肠壁无溃疡疤痕.出血至腹膜后形成腹膜后血肿.考虑为药物致急性消化性溃疡并穿孔.行穿孔修补术.术后恢复顺利,随访1年无复发.