检测脑脊液细胞因子水平对化脓性脑膜炎与病毒性脑炎鉴别诊断的价值

目的 :了解中枢神经系统 (CNS)感染性疾病患儿脑脊液中细胞因子水平对化脓性脑膜炎与病毒性脑炎的鉴别诊断价值。方法 :采用双抗体夹心ELISA法检测化脓性脑膜炎、病毒性脑炎和非CNS感染性疾病患儿脑脊液中的G CSF、TNF α、IL 8和sIL 2R水平 ,观察它们与粒细胞、蛋白含量和糖定量间的相关性并对它们在不同疾病组脑脊液中的水平进行比较。结果 :中枢神经系统 (CNS)感染性疾病患儿脑脊液中的G CSF、IL 8、sIL 2R与粒细胞计数呈正相关 (P均 <0 .0 5 ) ;化脓性脑膜炎组脑脊液中G CSF、IL 8明显高于病毒性脑炎组 (P均 <0 .0 1) ,而TNF α、sIL 2R与病毒性脑炎组的差异无显著性 (P均 >0 .0 5 )。病毒性脑炎组脑脊液中的TNF α、sIL 2R均高于对照组 (P均 <0 .0 1) ,而G CSF、IL 8与对照组的差异无显著性 (P均 >0 .0 5 )。结论 :脑脊液中G CSF、IL 8水平对化脓性脑膜炎与病毒性脑炎的鉴别诊断有一定的价值     

Recreational sandboxes for children and dogs can be a source of epidemic ribotypes of Clostridium difficile

Different studies have suggested that the sand of public playgrounds could have a role in the transmission of infections, particularly in children. Furthermore, free access of pets and other animals to the playgrounds might increase such a risk. We studied the presence of Clostridium difficile in 20 pairs of sandboxes for children and dogs located in different playgrounds within the Madrid region (Spain). Clostridium difficile isolation was performed by enrichment and selective culture procedures. The genetic (ribotype and amplified fragment length polymorphism [AFLP]) diversity and antibiotic susceptibility of isolates was also studied. Overall, 52.5% (21/40) of samples were positive for the presence of C. difficile. Eight of the 20 available isolates belonged to the toxigenic ribotypes 014 (n = 5) and 106 (n = 2), both regarded as epidemic, and CD047 (n = 1). The other 12 isolates were non‐toxigenic, and belonged to ribotypes 009 (n = 5), 039 (n = 4), and 067, 151 and CD048 (one isolate each). Nevertheless, all isolates (even those of a same ribotype) were classified into different AFLP genotypes indicating non‐relatedness. In conclusion, our results revealed the presence of epidemic ribotypes of C. difficile in children's and dog's sandboxes located nearby, which constitutes a major health risk.     

汾西县坝地防洪能力分析和防洪保收经验调查

坝地土肥水足,适宜于发展高产优质高效农业。晋西水土流失严重的汾西县打坝淤地历史悠久,经过多年配套建设,目前共有坝地3344hm~2,农业人均0.03hm~2。统计资料表明:坝地仅占全县耕地面积的9.26％～10.04％,而粮食产量却占总产量的27.2％～51.7％;坝地平均每公顷淤积泥沙26595m~3,全县坝地共拦泥8527万m~3,折合11511万t,相当于治理前年均向黄河输沙量593.6万t的19倍。坝地防洪保收在很大程度上取决于降雨的时间分布及雨量大小,其允许淹水深度依坝地作物株高而定。经典型小流域分析,汾西坝地具有较高防洪保收能力。其主要经验是,合理布设坝系工程,修建坝地排洪渠和加强管护。     

Correlation between myocardial interstitial collagen remodeling and changes in hemodynamics in rats with myocardial infarction

AIM: To study the relationship between cardiac extracellular matrix remodeling and cardiac function after myocardial infarction. METHODS: We observed sequential changes in collagen contents and collagen Ⅰ/Ⅲ ratios in infarct zone (IZ) and non-infarct zone (NIZ) and their relationship to the parameters of left ventricular systolic and diastolic function in the rat model of myocardial infarction induced by ligation of left main coronary artery. RESULTS: Collagen conteants in IZ and NIZ after 3d of myocardial infarction were significantly higher than those in sham group at corresponding time (P<0.05, P<0.01). Collagen Ⅰ/Ⅲ ratio in IZ decreased on day 3, significantly increased after 7 d (P<0.01). Collagen Ⅰ/Ⅲ ratio in NIZ increased significantly afte14 d. Correlated analysis between collagen contents in IZ or NIZ and collagen type Ⅰ/Ⅲ ratio and maximal ascending velocity (+p'_max) or maximal descending velocity of the left ventricular pressure (-p'_max) was performed and the negative correlation between collagen contents in NIZ and +P'_max (r=-0.589, P>0.05) and -P'_max (r=-0.788, P<0.01) was found. Collagen content in IZ positively correlated to the +P'_max (r=0.70, P<0.50), but not to -P'_max (r=-0.29, P>0.05). Collagen type Ⅰ/Ⅲ ratios in NIZ correlated negatively to the +P'_max (r=-0.504, P>0.05) and -P'_max (r=-0.545, P>0.05), but there were no relationship between collagen type Ⅰ/Ⅲ ratios in IZ and +P'_max or -P'_max in IZ. CONCLUSION: Collagen deposition in IZ after myocardial infarction was of benefit to improvement of systolic function. Collagen deposition in NIZ was harmful to systolic and diastolic function.     

常见儿科病红细胞免疫粘附功能检测的临床意义

检测儿科常见疾病患者中的红细胞免疫粘附功能发现：（１）新生儿的红细胞免疫粘附功能尚未发育完善，低于正常儿童水平；（２）急性肾炎患儿的红细胞免疫粘附功能呈现继发性增强；（３）肾病综合征、风湿性疾病、大叶性肺炎、秋季腹泻及急性白血病等患儿的红细胞免疫粘附功能呈继发性降低；（４）红细胞免疫粘附功能的变化与疾病的发展及转归有关。提示在儿科疾病的诊断和治疗中观察患儿的红细胞免疫粘附功能有重要意义。     

幼儿民间艺术教育研究

本文阐述了开展幼儿民间文学、民间音乐、民问美术等民间艺术教育研究的目的、教学实验方法步骤和实验结果，并运用统计学原理对实验班与对照班幼儿进行了效果测评比较、差异显著性检验及其结果分析与探讨，得出在3-6岁幼儿中开展系统科学的民间艺术教育对于促进幼儿身心发展、增强幼儿艺术素质具有显著效果。     

无缝设计新方法在实际工程中的应用

本文通过一些工程实例,论述了UEA在无缝设计中的应用,以及UEA在设计、施工、管理方面 应注意的问题,从而使UEA在无缝设计中得以推广应用。     

Diagnostic imaging and pacemaker implantation in a domestic goat with persistent left cranial vena cava

Difficulty was encountered with the insertion of a right atrial pacing lead via the left jugular vein during lead and pacemaker implantation in a clinically normal goat as part of an ongoing rapid atrial pacing – induced atrial fibrillation research project. Fluoroscopic visualization of an abnormal lead advancement path prompted angiographic assessment which revealed a persistent left cranial vena cava (PLCVC) and prominent coronary sinus communicating with the right atrium. Angiography facilitated successful advancement and securing of the pacing lead into the right side of the interatrial septum. Cardiac magnetic resonance imaging/magnetic resonance angiography (MRI/MRA) allowed further characterization of this rare venous anomaly. Even though PLCVC has been reported once in a goat, to the authors' knowledge this is the first report to include MRI/MRA characterization of PLCVC and prominent coronary sinus with successful cardiac pacemaker implantation using the PLCVC.     

复方丹参滴丸对冠心病左室舒张功能的影响

目的：用多普勒超声心动图血流频谱观察复方丹参滴丸对冠心病患者左室舒张功能的影响。方法：选择４５例有左室舒张功能减低的冠心病患者：二尖瓣口舒张期充盈血流Ｅ峰峰值速度（ＶＥ）降低、Ａ峰峰值速度（ＶＡ）增高、ＶＥ／ＶＡ比值（Ｓ／Ｄ）〉１,予复方丹参滴丸治疗４周后,再检测上述指标并作比较分析。结果：治疗后上述指标均有明显改善,其中ＶＥ、Ｅ／Ａ较治疗前有明显提高,而ＶＳ、ＶＡ较治疗前的明显降低（Ｐ〈０．０１