我国医学图书馆发展回顾与展望

 

从办馆条件、法规建设、业务基础建设工作、文献资源共建共享、自动化网络化建设五个方面对改革开放以来我国医学图书馆建设所取得的成就进行了总结和阐述，指出了我国医学图书馆在事业经费、文献资源共建共享、法制建设、管理水平、人才队伍建设方面存在的问题，并提出了发展对策和措施。

     

“一站式”医学文献资源整合系统的建立

 

对医学文献资源整合的必要性及其文献资源整合的类型进行了阐述，并提出了“一站式”医学文献资源整合系统建立的方法。

     

山西省医学高等教育文献保障体系的建设与研究

从国家对高等教育文献保障体系的建设背景入手，阐述了山西医科大学图书馆充分利用该馆丰富的文献资源，建设山西省医学高等教育文献信息保障体系的可行性与必要性以及该保障体系的具体建设内容，指出建设该保障体系对全省医学教学、科研及医疗工作的开展所起到的积极作用。     

解放军医学图书馆信息化建设的几点体会

 

从馆藏资源数字化、文献传递网络化、信息服务知识化、人才队伍专业化、组织管理规范化五个方面介绍了解放军医学图书馆信息化建设与发展过程，得出了几点经验和体会。

     

军队远程医学专业信息服务的研究与实践

 

重点介绍军队远程医学信息服务系统建设的任务目标、体系结构、技术路线、研究内容及其与国内外同类研究应用技术水平的比较，探讨远程医学信息系统建设的发展趋势。

     

图书馆文献传递工作中版权问题的思考

 

在分析文献传递版权风险的基础上，介绍了国际图联和国际上一些主要国家在该问题上的立法及解决模式，并对我国解决文献传递版权问题提出了建议。

     

医学图书馆读者服务文化建设探讨

 

根据医学图书馆的工作特点，提出了读者服务文化建设的基

本要求是形成团队精神、主人翁精神、服务品牌，其基本内容是确立服务观念、目标、

氛围、流程、技艺，建成评价与激励体系。

     

解放军医学图书馆典阅环境改善的回顾与展望

 

对解放军医学图书馆建馆10余年典阅环境改善状况进行了回顾，并对建设多功能、高品位、人文化的图书馆内部环境的实践进行了总结和展望。

     

基于XML的PubMed生物医学工程文献的聚类分析方法的探讨

 

采用依据主题词表的聚类数据挖掘技术对基于可扩展标识语言（Extensible Markup

Language，XML）的PubMed生物医学工程方面的文献进行分析，实现PubMed生物医学工程文

献的概念导航，建立生物医学工程专题文献数据库，并利用加权的词频统计方法分析其文献

主题分布。

     

中山大学附属肿瘤防治中心的特色信息资源建设

 

从文献信息资源、数字和网络信息资源两方面对中山大学附属肿瘤防治中心图书馆2000-2004年信息资源建设进行回顾，分析了特色化信息资源建设状况，并对其信息资源建设中存在的问题提出了对策。

     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…