微型内固定系统联合超关节外固定装置治疗手部"漂浮掌指关节"损伤

目的：探讨“漂浮掌指关节”的治疗方法及效果。方法：2003．5～2005．4月，对16例42处手部同一掌指关节掌骨、近节指骨同时骨折作切开复位、理贝尔微型接骨板内固定系统及微型外固定系统治疗。结果：术后随访5～12个月，平均6月，42处骨折全部顺利愈合．掌指关节功能恢复良好。根据TAM评分，42处为优良，优良率为100％。结论：联合应用微型内外固定系统做超关节固定治疗手部“漂浮掌指关节”骨折，早期能达到坚强可靠固定，辅助以早期功能锻炼，手部功能恢复好，达到满意治疗效果。是治疗手部掌指关节部位骨折的一种理想方法。     

运动训练对关节软骨糖氨多糖的影响及检测

关节在受到大强度的冲击、扭转等非周期性负荷的长期反复作用时，易于造成软骨的损害，其糖氨多糖(GAG)的含量会发生变化。了解不同的运动训练对关节软骨GAG的影响及检测方式，有利于防止关节软骨的损害。     

洛铂联合重组人血管内皮抑素胸腔内注射治疗肺癌恶性胸腔积液临床研究

目的：研究洛铂联合重组人血管内皮抑素（恩度）治疗肺癌恶性胸腔积液的有效性和安全性。方法：对确诊为肺癌恶性胸腔积液的63例患者进行分析,采用胸腔内注射治疗方法,其中32例注入洛铂和恩度（A组）,31例注入顺铂和恩度（B组）,比较两组间疗效、生活质量和毒副作用。结果：洛铂和恩度组与顺铂和恩度组在疗效和生活质量改善上比较差异无统计学意义（P〉0．05）,在毒副作用方面,洛铂和恩度组白细胞（WBC）减少、贫血、恶心呕吐发生率较顺铂和恩度组低,差异有统计学意义（P〈0．05）。结论：洛铂联合恩度胸腔内注射治疗肺癌恶性胸腔积液疗效与顺铂联合恩度相当,毒副作用较轻。     

关节软骨损伤机理的研究进展

采用文献资料综述的方法,从生物力学、生物化学、分子生物学等方面阐述了关节软骨损伤的机理,但是各种因素间的相互作用还不清楚,本文试图为进一步课题提供线索。     

运动员前交叉韧带损伤的流行病学研究

１９９１年８月￣１９９３年９月对国家,省,市级等４７个人共６８１０名运动员进行了运动创伤流行病学调查,其中ＡＣＬ损伤３２例,癖发病率为０．４７％,损伤病因中技术失误伤首位,为５９．４％,上外与损伤（１５．６％）,场地（３．１％）等因素有关,全部病例均有不同程度的膝关节症状。尽管有３１％的人可参加正常训练,但５３．６％的同受到不同程度的影响,有些不得以停训或手术治疗。本文对ＡＣＬ损伤的致伤因素,诊断     

胎儿关节软骨电镜观察研究

运用透射电镜(TEM)，从发生学角度对4～8个月引产胎儿股骨踝关节软骨内的细胞及血管的发展趋势及变化规律等进行了对比观察研究。     

置管引流并腔内化疗治疗恶性心包积液的护理

目的总结恶性心包积液置管引流注药化疗的临床护理的经验。方法22例患者采SeLdinger技术心包置管,深静脉导管引流后,注入化疗药物,加强导管护理,注意临床观察。结果本组置管28例次,导管阻塞4例次（14．28％）,导管滑脱2例次（7．14％）,穿刺点炎症3例次（10．71％）,未见导管断裂。结论加强对心包置管的护理是此疗法的关键,适当的护理保证并发症少,患者痛苦少,治疗效果佳。     

Patellofemoral pain,body morphology and alignment in female pubertal dancers: One-year follow-up

The aim of this study was to assess changes in body morphology, anatomical alignment and prevalence of patellofemoral pain (PFP) in young female dancers along one year of pubertal growth, and to identify the risk factors related to PFP in these young dancers. Both legs of 60 dancers were evaluated during grade 7 and again after 1-year. At each of these points in time, the dancers were interviewed concerning their background, and anthropometric measurements, lower-limb physical examinations and knee ultrasound scans were performed. Morphological parameters changed significantly from baseline to follow-up. PFP was found in 53.3% of the dancers’ knees at baseline. At follow-up, 55.4% of the asymptomatic knees at baseline developed PFP, and only 9.4% of the symptomatic knees at baseline recovered. Lower BMI was identified among dancers who developed PFP during follow-up compared with dancers with no PFP, either at baseline or at follow-up. A positive grinding and positive Patellar Inhibition Test (PIT) were found to be risk factors for PFP at follow-up. A high prevalence of young dancers suffered PFP, from injuries they sustained mostly during the 1-year of dance practice. Parameters predisposing the dancers to PFP should be identified at early stages of dance class.     

高技术渗透演化过程的随机分析

高技术渗透是推动产业高技术化的有效方式,是实现我国产业结构调整、经济成功转型的优化选择。本文运用随机分析中的生灭过程理论,细致地描述了高技术渗透的微观机理,探讨了高技术渗透的三种演进模式;并且结合数理方法,给出了报酬递增机制是主导技术选择的决定因素的论断的一个证明     

An unembalmed cadaveric preparation for simulating pleural effusion: A pilot study of chest percussion involving medical students

Cadaveric simulations are an effective way to add clinical context to an anatomy course. In this study, unembalmed (fresh) cadavers were uniquely prepared to simulate pleural effusion to teach chest percussion and review thoracic anatomy. Thirty first‐year medical students were assigned to either an intervention (Group A) or control group (Group B). Group A received hands‐on training with the cadaveric simulations. They were instructed on how to palpate bony landmarks for identifying the diaphragm and lobes of the lungs, as well as on how to properly perform chest percussion to detect abnormal fluid in the pleural space. Students in Group B practiced on each other. Students in Group A benefited from the training in several ways. They had more confidence in their percussive technique (A = mean 4.3/5.0, B = 2.9/5.0), ability to count the ribs on an intact body (A = mean 4.0/5.0, B = 3.0/5.0), and ability to identify the lobes of the lungs on an intact body (A = mean 3.8/5.0, B = 2.3/5.0). They also demonstrated a greater ability to locate the diaphragm on an intact body (A = 100%, B = 60%) and detect abnormal pleural fluid (A = 93%, B = 53%) with greater confidence (A = mean 3.7/5.0, B = 2.5/5.0). Finally, the hands‐on training with the unembalmed cadavers created more excitement around learning in Group A compared with Group B. This study shows that simulating pleural effusion in an unembalmed cadaver is a useful way to enhance anatomy education. Anat Sci Educ 10: 160–169. © 2016 American Association of Anatomists.