疏肝健脾中药治疗功能性消化不良临床研究

目的 观察疏肝健脾中药治疗功能性消化不良(functional dyspepsia,FD)的疗效并探讨其作用机制.方法 将100例FD患者随机分为对照组和治疗组,分别采用多潘立酮和疏肝健脾中药治疗,观察并比较两组临床疗效.检测FD肝郁脾虚证患者治疗前后血浆血管活性肠肽(vasoactive intestinal pep...     

胃萎汤对气虚血瘀证大鼠血液流变学指标的影响

目的 :观察胃萎汤对气虚血瘀证大鼠血液流变学指标的影响。方法 :用游泳劳损法制造气虚血瘀证大鼠模型 ,测定血液流变学指标。结果 :模型组大鼠的血液黏度明显增高 (P <0 .0 1或P <0 .0 5 ) ;胃萎汤大、中、小治疗组的大鼠血液流变学指标均有明显的改善 (P <0 .0 1或P <0 .0 5 )。结论 :胃萎汤通过改善气虚血瘀大鼠的血液流变学指标以发挥益气活血作用。     

安徽脊髓小脑性共济失调患者基因型与中医证型相关性

［摘要］目的 通过探讨脊髓小脑性共济失调(spinocerebellar ataxia,SCA)患者基因型与中医证型的关系,为SCA的辨证客观化提供依据。方法 检测59例来自安徽地区的家族性或散发性SCA患者的基因型,以30例无血缘关系的健康人为对照。对这些SCA患者进行辨证分型,分析其基因型与中医证型的相关性。结果 本组59例SCA患者有17例检出SCA-3基因亚型,有7例检出SCA-1基因亚型。上述患者中医证型表现为肾精亏虚型、脾肾两虚型、肝肾阴虚型、肾虚血瘀型4种,且以肾精亏虚型和脾肾两虚型为主。其中SCA-3基因亚型患者与脾肾两虚型相关,而SCA-1基因亚型患者与上述证型均无相关性。结论 研究初步证实,不同基因亚型的SCA患者与中医证型可能存在相关性,SCA患者不同的中医证型应有其相应的分子基础。     

降黄散熏蒸治疗湿热内蕴型新生儿黄疸55例

目的 观察降黄散熏蒸治疗湿热内蕴型新生儿黄疸的临床疗效及安全性。方法 将110例黄疸新生儿按区组随机法分为治疗组和对照组,每组55例。两组患儿均接受蓝光照射,治疗组加用降黄散熏蒸治疗,对照组加用茵栀黄颗粒口服,均治疗5 d,观察两组临床疗效及安全性。结果 两组临床疗效比较,差异无统计学意义（P＞0.05）。治疗后两组患儿血清总胆红素水平均较治疗前明显降低（P＜0.05）,两组治疗前后血清总胆红素差值比较,差异无统计学意义（P＞0.05）。治疗组患儿黄疸消退时间较对照组明显缩短（P＜0.05）,不良反应发生率明显低于对照组（P＜0.05）。结论 降黄散熏蒸治疗湿热内蕴型新生儿黄疸具有黄疸消退时间短、不良反应少、疗效显著的优势。     

肝胆与脏腑气化关系探讨

肝胆在脏腑气化功能中起着重要作用。主要表现在五个方面;肝升肺降、治节有权,木敷心和、血运畅达,木疏土达、纳运如常,木和肾充、开合自如,木气疏调、三焦司职。     

PRRSV-IPMA抗体检测试剂盒的研制及其应用

建立了一种检测猪生殖与呼吸综合征病毒(PRRSV)血清抗体的免疫过氧化物酶单层细胞试验法(IPMA),并组装成PRRSV-IPMA抗体检测试剂盒。对该试剂盒的敏感性、特异性、重复性及保存期等进行了试验,并与国外IDEXX ELISA试剂盒进行了比较。结果显示,用该试剂盒检测PRRSV人工接种猪血清样品,第1周抗体阳性检出率为50%,从第2周起抗体阳性检出率均为100%,而对照组猪血清抗体检测均为阴性。该试剂盒重复性好,-20℃保存18个月稳定,与其他病毒参考血清无交叉反应,与国外IDEXX ELISA试剂盒的符合率为83.3%。用该试剂盒对采自黑龙江、吉林、辽宁、河北、上海等地13个猪场的520份正常猪血清样品进行了抗体检测,结果,4个猪场阳性率高达90%以上,仅有2个猪场为阴性,其余猪场阳性率为10%~57%。     

COMMENTARY ON KELLY AND JOHNSTON'S "THE ALIENATED CHILD: A REFORMULATION OF PARENTAL ALIENATION SYNDROME"

In a previous issue of this journal, Joan B. Kelly and Janet R. Johnston describe their reformulation of the parental alienation syndrome (PAS). Here, I present areas in which I agree with the authors and areas in which I disagree. Particular focus is placed on these PAS-related issues: the syndrome question, PAS versus parental alienation, the medical model, custodial transfer, gender bias, DSM-IV . empirical studies, and the misapplication of PAS.     

The Prevalence of Sexual Harassment, Stalking, and False Victimization Syndrome (FVS) Cases and Related Human Resource Management Policies in a Cross-Section of Canadian Companies from January 1995 Through January 2000

This study used a questionnaire design to investigate the relative prevalence of reported sexual harassment, stalking, and False Victimization Syndrome (FVS) cases in a cross-section of 46 Canadian companies from January 1995 through January 2000. This study also investigated the number of companies having policies related to these three constructs, inside and outside interventions relied upon by the targets for coping with such aggressive incidents, and the injuries reported by the targets as a result of such incidents. Implications for Human Resource managers are discussed.     

THE (DE)CONSTRUCTION OF CONFLICT IN DIVORCE LITIGATION: A DISCURSIVE CRITIQUE OF “PARENTAL ALIENATION SYNDROME” AND “THE ALIENATED CHILD”

In high‐conflict divorce litigation involving custody and access, mental‐health professionals are often used to assess the case and make recommendations. Using Foucauldian theories of discourse, this article suggests that these assessments, which are intended to resolve the conflict or offer profitable information, often participate in the conflict by constructing assessments and diagnoses that fit with legal discourse, and thus with the outcomes of adversarial‐styled rulings and ideologically driven interests. This article suggests that so long as such professionals are driven by the privileged discourse of law and psychology/psychiatry, the best interests of those at the center of the conflict can have their experience co‐opted by the iatrogenic features of these discourses.     

云南省曲靖市家畜猝死症的病原分离与鉴定

对云南省曲靖市近年流行的家畜猝死症进行了流行病学调查、临床症状观察、病理剖检 ,并对先后采自 7个县 (市 )区的 2 4份病料进行了病原分离、动物接种试验、生化鉴定、肠毒素定型及药敏试验。共分离到细菌 2 4株 ,其中产单核细胞李氏杆菌 2 0株 ,A型产气荚膜梭菌 2株 ,C型产气荚膜梭菌 2株。采取相应的综合防治措施后 ,2 0 0 3年冬到 2 0 0 4年春夏再未发生新的疫情。