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。     

新形势下中职院校传染病护理学教学改革策略

在新形势下中职院校传染病护理学教学中有很多好的方法,如“自学一辅导”模式教学法,PBL教学法,启发式教学法等。作为护理专业教师,要在教学的过程中不断吸收新的知识,不断创新．不断学习和探索用之可行的教学方法和模式。因此,本文对新形势下中职院校传染病护理学教学改革策略进行了探讨。     

从海员易患病探讨航海专业体育教学改革

运用有关研究成果,阐述了海员的易患病及危害,分析了海员易患病的病因,提出了预防海员易患病的措施之一是对航海专业的体育教学作必要的改革,并探讨改革的具体内容。     

大鼠帕金森氏病动物模型的建立

采用SD大鼠30只，25只为试验组，5只为对照组。在三维立体定向仪上用微量注射器将6－OHDA32μg分两点注射入右侧纹状体，每周检测动物的旋转行为，第1周动物没有出现旋转行为，第2周动物出现明显的旋转行为，随后缓慢上升；至术后5周才升至较高的水平并保持平稳。其中有15只动物达到或超过了7r/min这一通常采用的标准，模型成功率达60％。酪氨酸羟化酶免疫组化显示：术后第1周至第5周右侧黑质TH免疫反应细胞逐渐砬少，各个时期的右侧黑质TH免疫反应细胞较对侧明显减少。采用此方法建立的大鼠帕金森氏病模型更加符合临床PD病人的病程进展并明显提高成功率。     

Lipid peroxide levels and antioxidant status in alcoholic liver disease

The present study was conducted to evaluate some of the components of antioxidant defense system and oxidative damage in 20 male patients of alcoholic liver disease (ALD). The results were compared with 20 healthy male smokers and 20 healthy male non-smokers volunteers. Patients were subjected to detailed clinical examination and laboratory investigations. Blood samples were collected for estimating reduced glutathione (GSH), total thiols (T-SH) malondialdehyde (MDA), transaminases (AST, ALT), glutathione-S-transferease (GST) and gammaglutamyl transferase (GGT). Serum aspartate amino transferase (AST)/alanine amino transferase (ALT) ratio was significantly (p<0.01) reduced in ALD patients as compared to the controls. However, the core of utility of MDA and GST was found to be significantly (p<0.01) increased in ALD patients compared to controls. There was a significant negative correlation of MDA with both GSH and TSH. Plasma GGT levels were significantly (p<0.01) increased in alcoholics and the enzyme showed a significant positive correlation with MDA. These results give enough evidence of increased oxidative stress and compromised antioxidant defense system in patients with ALD.     

脑科学与类脑研究概述

脑科学和类脑智能技术是两个重要的前沿科技领域;二者相互借鉴、相互融合的发展是近年来国际科学界涌现的新趋势。脑科学研究对大脑认知神经原理的认识,提升了人类对自身的理解和脑重大疾病的诊治水平,也为发展类脑计算系统和器件、突破传统计算机架构的束缚提供了重要的依据。文章概括性地总结了国际脑科学和智能技术领域的总体进展,未来15年的发展趋势和有望解决的重大科学问题,以及我国在这两领域发展的特色和优势。     

象山地区中国对虾白斑综合征病毒超微结构观察

从患病的中国对虾(Penaeus chinensis)头胸部分离提纯出一种杆状病毒,负染观察发现,病毒粒子的核衣壳呈杆状,大小约为(250～290) nm × (65～80) nm,每圈螺旋宽约20 nm,核衣壳的两个末端之间一般有13～15圈衣壳螺旋.个别病毒有较长的核衣壳,螺旋数达30圈,长度达到600 nm.有部分病毒核衣壳的一端有30～65 nm的凹陷.还有部分病毒核衣壳一端有30～60 nm的突出部分.     

血浆纤维蛋白原水平升高同高血压,冠心病及卒中的联系

选择46岁以上的高血压(HBP)、冠心病(CHD)、卒中及其它内科住院病人共140名进行了血浆纤维蛋白原(FG)、血压、甘油三酯(TG)和吸烟等因素的观察.结果表明高血压、冠心病和车中患者FG值升高,逐步回归分析看出吸烟,HBP和TG水平升高明显影响FG的含量,提示FG水平升高同HBP,CHD和年中存在着紧密的联系。