循经感传激发经穴对心脏功能影响的研究进展

穴位针灸对心率、心功能和心脏本身的营养过程的调整作用，在人体试验与动物实验中，已经做了广泛的研究和观察，尤其是循经感传激发以促使“气至病所”提高针刺疗效，已广泛地被应用于临床治疗。我国传统的穴位针灸方法是否可以移植到运动生理学及运动医学利用中，并对运动员训练和比赛时生理应激过程起到积极的调整、改善和加速其恢复过程的作用，是非常值得研究与探讨的。     

岩坑尖2#隧道病害调查及等级评价

岩坑尖2#隧道是甬金高速公路中最长的隧道,在运营期间出现不少裂缝、掉块等病害。为了保证隧道安全运营,对隧道进行了裂缝、掉块、错台、渗漏水等病害调查,通过素描和量测手段记录了隧道病害,结合地质条件、施工、施工监控量测、现场调查情况,系统的总结分析了病害产生的原因。发现地质因素、设计因素、偏压荷载以及施工因素是导致该隧道衬砌病害的主要原因;最后阐述了隧道病害等级的划分方法,并评价了隧道的病害等级,该隧道处于AA级,提出来进一步观察以确定是否影响衬砌结构的承载力和下一步的病害处治措施。     

Evaluation of Oxidative Stress and hsCRP in Polycystic Ovarian Syndrome in a Tertiary Care Hospital

PCOS is a heterogeneous endocrine disorder with diverse clinical presentation. Oxidative stress plays a key role in the pathophysiology of this disease. Serumhigh sensitive C-reactive protein (hsCRP), a marker of chronic low grade inflammation, is indicative of future development of cardiovascular disease. Our aim is to evaluate the oxidant status and hsCRP levels in PCOS. The study involved 61 cases and 61 controls in the age group of 18–40 years diagnosed with PCOS. Erythrocyte malondialdehyde (MDA), superoxide dismutase (SOD), serum hsCRP, gonadotrophins, thyroid stimulating hormone, prolactin, glycemic status and lipid profile were estimated. Erythrocyte MDA (p < 0.001), SOD (p = 0.007) and serum hsCRP (p < 0.001) were significantly elevated in PCOS patients than controls. Oxidative stress is present in women with PCOS along with elevated hsCRP.     

小寒、大寒节气对肺心病失代偿期病人的影响

慢性肺源性心脏病是老年人的常见病、多发病,随着我国逐渐进入老龄化社会,肺心病失代偿期对老年人、对家庭、对社会的各方面影响将不断扩大。文章主要运用我国传统医学的理论阐述小寒、大寒季节对本病产生的影响,对疾病的发展及预后起着重要的临床指导作用。     

内质网应激介导细胞凋亡在运动预防非酒精性脂肪肝形成中的作用

摘要：目的：探讨运动对非酒精性脂肪肝（NAFLD）的预防作用及作用机理。方法： SD雄性大鼠随机分为对照组、模型组和运动组3 组。对照组给予普通饲料喂养,模型组予高脂饲料喂养,运动组在高脂饲料喂养的同时予运动干预,连续8周,直至实验结束。HE染色观察肝脏病理形态变化,TUNEL法测肝细胞凋亡,western blot检测CHOP、Caspase12和JNK蛋白表达,免疫组化检测CHOP、Caspase12和JNK蛋白阳性表达。结果：1）与对照组比较,模型组肝细胞脂肪性变明显,肝细胞凋亡指数升高,CHOP、Caspase12、JNK蛋白表达及阳性表达增加;2）与模型组比较,运动组肝细胞脂肪变性减轻,肝细胞凋亡指数减少,CHOP、Caspase12、JNK蛋白表达及阳性表达降低。结论：8周高脂饮食可成功复制NAFLD动物模型,内质网应激介导细胞凋亡参与NAFLD形成。运动对NAFLD形成具有较好的预防作用,其机制可能与运动可降低内质网应激介导细胞凋亡蛋白CHOP、JNK和Caspase12在肝细胞的表达,抑制肝细胞凋亡有关。     

《西游记》中的观音“疥癞”形象源流考

《西游记》第八回中观音为寻取经人,幻化模样后的人间形象是一个满身病疮的,衣衫褴褛的落魄和尚。在人们心目中法相庄严的观音怎么会幻化成这样一副模样？这绝不是信手拈来的自由发挥,而是有着文献依据的。通过一连串相互继连的记载可以考证出其源流。     

阿尔茨海默病发病机理的研究进展

阿尔茨海默病(Alzheimer’s disease,AD)病因及发病机制尚未完全阐明,有关其发病机制有β-淀粉样蛋白假说、Tau 蛋白假说、炎症学说和氧化应激学说等多种.本文就现有较公认的发病机制研究进展作一综述.     

A case study of imported pulmonary coccidioidomycosis

Coccidioidomycosis is an endemic disease of the Western hemisphere. The cases in non-endemic areas are mostly imported. Determining a history of exposure is critical for performing the diagnosis of coccidioidomycosis, especially for cases occurring in a non-endemic area. In this study, a 71-year-old Chinese male presented to our hospital with chronic cough and malaise, and was found to have a mass in the middle lobe of right lung. He had been visiting Arizona, USA for four months before admission. Pulmonary coccidioidomycosis was confirmed by the results of histopathological examination after lobectomy. Typical microscopic features of Coccidioides are definitely diagnostic, but need be differentiated from other budding yeast infection or carcinoma histopathologically.     

Biochemical Evaluation of Patients of Alcoholic Liver Disease and Non-alcoholic Liver Disease

Alcoholic liver disease (ALD) is due to excessive alcohol intake for long duration. Distinguishing ALD from non-ALD (non-alcoholic steatohepatitis, hepatitis of viral origin) is difficult as patient may deny alcohol abuse. Clinical examination, histology and serology may not differentiate these conditions. Accurate diagnosis is important as management of ALD differs from non-ALD patients. The aim of our study was (1) To evaluate the patients of ALD and non-ALD by biochemical parameters compared to controls, (2) To assess whether these parameters can differentiate ALD from non-ALD. Study was carried out on 50 patients of ALD in group I and 35 patients of NASH (non-alcoholic steatohepatitis) and acute viral hepatitis each in group II. Age matched healthy controls n = 50. Selection criteria—history of alcohol intake (amount and duration), clinical examination, sonography of abdomen, serum alanine transaminase (ALT) and bilirubin levels. Blood samples were analyzed for bilirubin, aspartate transaminase (AST), ALT, alkaline phosphatase (ALP), gamma glutamyl transferase (GGT) by kinetic method. Statistical analysis was done by Student unpaired ‘t’ test. Patients of ALD have raised AST/ALT ratio (De Ritis ratio) (>2), ALP and GGT compared to controls (P < 0.01).There is significant difference in AST/ALT ratio, serum GGT and ALP in ALD group compared to that in NASH and acute viral hepatitis (P < 0.05). This study suggests that De Ritis ratio >2 in ALD patients may be due to alcohol induced hepatic mitochondrial injury and pyridoxine deficiency. High GGT and ALP values may indicate enzyme induction by alcohol and mild cholestasis. Thus ALD patients have severe hepatic damage. De Ritis ratio <1 and normal to mild elevation in GGT level in NASH and acute viral hepatitis suggest mild hepatic injury of non-alcoholic origin. Our study concludes that ALD patients can be differentiated from NASH and acute viral hepatitis with certainty by measuring serum AST/ALT ratio, GGT and ALP. These biochemical parameters may help clinicians to support the diagnosis of ALD and non-ALD.     

南宁市邕宁区慢性病流行病学调查分析报告

目的:了解南宁市邕宁区慢性病现状,为南宁市邕宁区慢性病防治提供科学的参考。方法:采用问卷调查与个别访谈相结合的方法,由经过统一培训合格的调查员采用面对面的调查方式。结果:当地社区居民慢性病发病率较高,患有一种或以上的患者人数占被试者总人数的54.4%。主要的慢性病为高血压、糖尿病、冠心病、慢性支气管炎、肿瘤,患病率分别为19.2%、11.3%、8%、11%、8%,高血压是当地发病率最高的慢性病。结论:当地有关部门应积极开展疾病预防宣传工作,加强社区康复机构建设,加强社区全科医生服务团队建设,发挥中医药的重要作用,从而提高当地居民健康水平和生活质量。