砭石热敷治疗输卵管阻塞性不孕症疗效观察

目的 观察砭石热敷联合毛冬青灌肠及频谱治疗对输卵管阻塞性不孕症的临床疗效。方法 将180例输卵管阻塞性不孕症患者随机分为观察组89例和对照组91例,观察组采用烫熨治疗砭石热敷+毛冬青灌肠+频谱治疗,每天1次,20 min/次,2周为1疗程。对照组采用毛冬青灌肠+频谱治疗,方法疗程同观察组。2组疗程均为3个月经周期,随访6个月。观察比较两组治疗后中医证候积分、临床疗效、生育力和不良反应。结果 两组患者治疗后中医证候积分较治疗前下降（P<0.05）（观察组带下异常除外）,观察组在改善小腹疼痛及腰骶胀痛方面优于对照组（P<0.05）;观察组治愈率优于对照组;两组患者治疗后生育力比较,观察组临床妊娠率高于对照组（P<0.05）;观察组患者腹泻等副反应比对照组减轻。结论 烫熨治疗砭石热敷在输卵管阻塞性不孕患者中的作用较为明显,且副作用小,值得临床推广应用。     

Aspiration of barium-impregnated polyethylene spheres by a dog

This case report describes an 11-year-old Belgian Malinois dog with acute onset of cough caused by aspiration of barium-impregnated polyethylene spheres (BIPS) and pneumonia following an episode of suspected gastric dilation. Although bronchoscopic retrieval of the BIPS was largely unsuccessful, the dog recovered uneventfully, with most of the BIPS being coughed out and swallowed over a 1-month period. Aspiration of BIPS should be considered a potential complication of their administration. Furthermore, endoscopic removal of aspirated BIPS is challenging and may not be indicated because of their inert nature and possible self-clearance.     

Detection of Helicobacter spp. in gastric, fecal and saliva samples from swine affected by gastric ulceration

The aim of this study was to evaluate the presence of Helicobacter (H.) spp. in swine affected by gastric ulceration. Stomachs from 400 regularly slaughtered swine were subjected to gross pathological examination to evaluate the presence of gastric ulcers. Sixty-five samples collected from ulcerated pars esophagea and 15 samples from non-ulcerated pyloric portions were submitted to histopathological and molecular analyses, to detect Helicobacter spp., H. suis and H. pylori by PCR. Feces and saliva swabs were also collected from 25 animals in order to detect in vivo the presence of Helicobacter spp.. Gastric ulcers were detected in 373 cases (93%). The presence of ulcers in association with inflammatory processes was further confirmed by histological examination. Forty-nine percent (32/65) of the ulcerated esophageal portions as well as 53% (8/15) of the non-ulcerated pyloric portions were positive for Helicobacter spp. by PCR. The Helicobacter spp. positive samples were also positive for H. suis, while H. pylori was not detected. These results were confirmed by restriction enzyme analysis. With regard to feces and saliva samples, 15/25 (60%) and 16/25 (64%) were positive for Helicobacter spp. PCR, respectively but all were negative in H. suis and H. pylori specific PCR.     

视黄酸及干扰素对胃癌细胞系MKN45中p16,p21,c-myc基因表达的影响

目的探讨全反式视黄酸及干扰素两种因子对胃癌MKN45细胞的影响.方法将视黄酸及干扰素同时加入胃癌细胞系MKN45中进行细胞培养,用MTT法测定细胞的生长状况,并通过Northern blot和免疫组化测定p16,p21及c-myc的表达情况.结果干扰素（IFN）协同全反式视黄酸（ATRA）可有效地抑制MKN45细胞生长,癌细胞经联合用药诱导后p16和p21基因的表达水平提高,c-myc基因表达水平下降.视黄酸受体RARα基因在MKN45细胞中呈低水平表达,经ATRA和IFN诱导后表达水平提高.结论 ATRA联合IFN诱导可调节p16和p21基因的表达水平,抑制胃癌MKN45细胞生长,这可能与细胞中RARα基因高水平表达有一定关系.     

Presumptive pseudohypoaldosteronism secondary to chronic urinary tract obstruction from sloughed urinary bladder mucosa and urinary tract infection in a cat

Objective – To describe a case of presumptive secondary pseudohypoaldosteronism (PHA) in a cat with urinary tract infection and chronic urethral obstruction. The obstruction was believed to have resulted from sloughed urinary bladder mucosa secondary to pressure necrosis. Case Summary – A 5‐year‐old, 4 kg, castrated male Siamese cat presented for vomiting and stranguria. Medical history included a perineal urethrostomy for urethral obstruction. Physical examination revealed a large, painful, nonexpressible urinary bladder. Point‐of‐care testing demonstrated electrolyte derangements consistent with a postrenal azotemia and metabolic acidosis. Results of urine culture was positive for bacterial growth. Diagnostic imaging revealed presence of retroperitoneal fluid, marked urinary bladder wall thickening, bilateral hydroureter, mild bilateral pyelectasia, and small nephroliths. The patient was treated for a urinary tract obstruction and infection. In the 3 weeks following initial discharge, the patient was evaluated on multiple occasions for lethargy, intermittent vomiting, inappropriate urination, and progressive polyuria and polydipsia. Although the urinary bladder was easily expressed during repeat examinations, it was persistently distended and subjectively thickened upon palpation. Repeat ultrasound of the urinary tract showed evidence of sloughed tissue in the bladder lumen, likely secondary to chronic urethral obstruction and pressure necrosis. A cystotomy was performed to remove the necrotic tissue, and a revised perineal urethrostomy was done due to a partial urethral stricture. Bladder biopsies were obtained at this time. Postoperatively, the cat was reported by the owners to be urinating normally but continued to be polyuric and polydipsic in the week following discharge. One week after surgery, the cat presented in hypovolemic shock with laboratory findings consistent with a presumptive diagnosis of secondary PHA. New or Unique Information Provided – PHA has not been reported previously in a cat. This case report suggests that aldosterone resistance should be considered in cats with consistent laboratory findings and a history of documented obstructive uropathy and urinary tract infection.     

黄柳菇多糖对大强度运动大鼠抗氧化能力及胃黏膜屏障保护机制的研究

摘要：研究黄柳菇多糖对大强度运动大鼠抗氧化能力的影响,以及对胃黏膜屏障的作用,并探讨其保护机制。通过建立大鼠运动模型,测试运动后血液与胃组织中部分抗氧化指标,观察黄柳菇多糖在胃黏膜屏障改善方面的作用。结果表明与安静组相比,大强度运动后大鼠各项抗氧化酶活性明显下降,MDA含量显著增加,胃黏膜有明显损伤;但黄柳菇多糖对运动大鼠各项抗氧化酶活性有明显改善,MDA含量变化不显著,胃黏膜损伤有良好改善。结果表明黄柳菇多糖在改善运动大鼠的氧化应激水平,使组织中抗氧化酶活性增强,有利于保护胃黏膜屏障结构和功能的完整性,可作为天然抗氧化剂和运动营养补剂的进一步研究与开发。     

急性心肌缺血大鼠左心室流出道自发性慢反应电位去极离子流变化分析

目的探讨急性心肌缺血大鼠左室流出道自发性慢反应电位去极离子流的变化。方法常规玻璃微电极细胞内方法观测急性心肌缺血大鼠的离体心脏最大舒张电位(MDP)、0相除极幅度(APA)、0相最大除极速度(Vmax)、4相自动除极速度(VDD)、复极50%(APD50)和90%(APD90)的时间以及自发放电频率(RPF)。结果与给药前相比①1.2mmol.L-1河豚毒(TTX)使APA和Vmax有所减小(P<0.05),VDD和RPF明显减慢(P<0.01);②1.0μmol.L-1维拉帕米(VER)可使该慢电位的APA、Vmax、VDD明显减小,RPF减慢(P<0.01);APD、APD90延长(P<0.05);③2mmol.L-1 4-氨基吡啶(4-AP)使该慢电位的MDP的绝对值、APA、Vmax减小,VDD和RPF加快(P<0.01);④1.5mmol.L-1 CsCl作用6min时,VDD和RPF明显降低(P<0.05),10min时恢复。结论①左心室流出道的自发慢电位0相主要去极离子流除Ca2+内流外,还有少量Na+内流。②4相去极离子流中,除Ca2+、Na+的内流和Ik衰减外,If电流可能也起部分作用。     

Simplified equations for the determination of the hydraulic properties of horticultural substrates by one‐step outflow experiments

Simplified algebraic equations are derived to calculate directly the Brooks and Corey model parameters using data obtained from one‐step outflow experiments and saturated hydraulic conductivity. The suggested method has been demonstrated only for horticultural substrates and is verified experimentally for four substrates with satisfactory agreement of the results.     

A combined technique of floodplain storage and reservoir irrigation for paddy rice cultivation

This paper introduces an irrigation system developed in the floodplain of a lake and studies the water management technique of the irrigation system by estimating the total water balance of the whole system. The system is characterized by a reservoir combined with a dike system in the floodplain of the Tonle Sap Great Lake and an irrigation system. Two main models are used for calculating the total water balance. The first model is the water balance of the reservoir. The inputs to the model are water level of the reservoir, precipitation, lake evaporation, infiltration, and area–volume curve of the reservoir. The outputs are inflow and outflow of the reservoir. The supply from the reservoir to paddy fields is computed from the outflow. The second model is the water balance of paddy fields, based on which the water requirement in paddy fields is derived. The reference evapotranspiration needed to calculate the water requirement is simulated for monthly time series using the FAO Penman–Monteith model. Since there is no drainage network in the irrigation system, surface drainage and runoff are not included in the calculation of the water balance, and seepage is considered negligible in the flat floodplain area. The evapotranspiration, rice variety, soil type and irrigated area are used to simulate water consumption in paddy fields. Finally, the two models are connected to produce the total water balance from the reservoir to paddy fields. The total outflow from the reservoir is estimated and the total water consumption for dry season cultivation is also determined. Finally, the efficiency of the whole system is examined.