Off-pump coronary artery bypass grafting versus on-pumpcoronary artery bypass grafting: which is better in patients with chronic obstructive pulmonary disease?

INTRODUCTION Conventional coronary artery bypass graftin(CCABG) with cardiopulmonary bypass (CPB) habeen accepted as an effective and safe treatment fomulti-vessel coronary heat disease. CPB may stilcontribute to the operation field because of threlatively easier technical requirement; but it alscauses a serious systematic inflammatory reactiowhich will lead to dysfunction of important organand higher cost for the patients. Off-pump coronarartery bypass grafting (OPCABG) has r…     

关于遗传图谱的分析

阐述常见遗传病的种类和特点,及根据遗传图谱分析X染色体遗传和常染色体、遗传的关系.     

Clinicopathological spectrum of non-alcoholic fatty liver disease among patients in Kerala

Non-alcoholic fatty liver disease and its more aggressive form, non-alcoholic steatohepatitis are entities that are becoming more and more interesting to the medical community in general. A total of 93 Non-alcoholic fatty liver disease patients (64 male and 29 female) within the age range between 28 to 63 years were studied. All of them showed elevated alanine aminotransferase level (104.07 ± 56.04). Aspartate aminotransferase level (58.13 ± 31.96) was elevated more than its normal level in 82% cases and AST to ALT ratio was found 0.59 ± 0.26. Predisposing factors were diabetes mellitus (37%), obesity (13%) and hyperlipidemia (41%). In addition, 32% of the subjects were overweight.18% of the patients had elevated serum bilirubin. Our findings recommend a lower cutoff value than suggested by the World Health Organization for overweight and obesity among this racial-ethnic group.     

药物不良反应与药源性疾病

药物在防治疾病的同时也会产生对机体有害的作用和不期望产生的作用，即药物不良反应。药源性疾病是由药物引起的机体功能或结构的损害并有临床过程的疾病，是药物不良反应的结果。常见的药物不良反应有副作用，毒性作用，变态反应，特异质反应等。     

新冠疫情与情报智慧:突发公共卫生事件疾控应急工作情报能力评价

【目的/意义】评价我国突发公共卫生事件疾控应急工作情报能力现状,识别肺炎鏖战中情报能力的问题,对指导现实工作具有重要意义。【方法/过程】本文以新型冠状病毒肺炎疫情为具体问题,推演疾控应急工作情报智慧树模型,设计因应的情报能力评价体系,改进熵权法来测定指标权重及评价结果。通过比较权重的位序与增量来发现疫情任务情报能力的重点,以及情报能力在该问题中和既往工作的差异,利用短板参量分析肺炎鏖战中情报能力的不足。【结果/结论】研究发现:本次任务对情报保障和利用能力具有较高要求,较与以往疾控应急工作,对情报加工和传递能力的需求加剧;情报决策、情报处理与分析、情报劳动者和情报政策成为疾控应急工作情报能力的重要因素;短板问题存在于应急队伍、开展应用性应急课题研究和应急情报管理机制之中,另有待优化问题存在于应急预案、公众引导、应急制度等项目之中。本研究根据上述分析结果对肺炎鏖战中的情报能力治理提出对策建议。     

穴位埋线对冠心病无症状心肌缺血、心肌缺血总负荷的影响

目的 :研究穴位埋线对无症状心肌缺血动态心电图的影响。方法 :以随机对照方法 ,观察治疗组 (穴位埋线 )和对照组 (普奈洛尔组 )对无症状心肌缺血的影响。结果 :两组治疗前后 ,在心肌缺血次数 ,心肌缺血持续时间 ,以及缺血总负荷方面有明显差异 ,P <0 .0 1,与对照组治疗后相比 ,无明显差异 ,P >0 .0 5。结论 :穴位埋线在改善无症状心肌缺血方面具肯定疗效。     

数据挖掘技术在临床医学中的应用

通过分析数据挖掘算法及在临床辅助疾病诊断中的应用情况,说明这项技术在医院临床应用中的可行性及实用性,充分利用和挖掘各种医学管理信息,为提高临床诊断的正确率提供技术支持。     

遗传因素对人类精神活动的影响

本文从以下三个方面论述人类的精神活动有遗传基础:1用双生子分析等方法研究表明遗传因素对智力的形成有重要作用。2用家系调查和双生子分析法证明精神障碍性疾病有多基因基础,而且有较高的遗传率。3现代遗传学研究为智力的形成和某些精神病找到了相关的遗传基因。     

疯牛病、禽流感与肉食产品的安全性

目前疯牛病、禽流感等动物传染病传染给人类的事例 ,引起了人们对肉食产品安全性的高度关注。文章通过对疯牛病、禽流感的发病机理、传染途径进行分析 ,并辨别什么是安全的肉食品 ,从而达到保护食物链、防止肉食产品中的危险物对人类身体健康的损害。     

The experience and communicative management of identity threats among people with Parkinson's disease: Implications for health communication theory and practice

Parkinson's disease (PD) is a progressive, neurodegenerative illness that can yield a host of well-documented physical and psychosocial challenges; however, the impact of the disease on the identity of persons with PD (PWPs) is not well understood. Based on a constructivist grounded theory approach, data gathered from in-depth interviews with 47 PWPs were analyzed using constant comparison. The resulting theoretical structure related to identity and communication states that (a) PD threatens identity in several significant ways; (b) PWPs communicatively manage threats to identity; and (c) communicatively managing threats to identity is a complex, varied process. Results offer a theoretical understanding of the ways in which identity, communication, and PD are linked, and can inform interventions and care for this population.