湿热蕴肺证治探析

湿热蕴肺是咳嗽的一个重要证型,临床上较为常见。该证因其病因病机和症状复杂给诊断和治疗带来困难。舌象是诊断湿热蕴肺的关键指标,治疗上宜湿热两清,宣肺降气止咳。临证中以千金苇茎汤加减化裁治疗湿热蕴肺,疗效满意。故分析湿热蕴肺的病因和病机特点,列出鉴别诊断,对其证治要点进行探讨,并举以验案,以供学习与临证参考。厦门市重大科技计划项目(3502Z20100006

Correlation between use of social software and high risk behaviors of HIV infection among MSM in Beijing

目的了解北京市男男性行为者（MSM）社交软件的使用与人类免疫缺陷病毒（HIV）感染及其影响因素的相关性,为今后干预工作提供依据。方法 2016年3—5月,由社区小组招募MSM进行问卷调查,同时进行HIV抗体检测。结果共招募215名MSM,回收有效问卷214份。214人的平均年龄为30.8岁;学历在大专及以上者占73.4%;同性恋者占72.4%;84.6%的人主要通过社交软件寻找性伴。214人中确证HIV感染5人,阳性率为2.3%。分析显示,是否使用社交软件、是否使用同性社交软件和是否使用普通人群社交软件均与HIV感染不相关。多因素分析结果显示,受教育程度高、性取向为同性恋的人更多地使用同性社交软件。63.1%被调查者自述曾经在社交软件上了解到艾滋病防治相关知识,但自述了解程度与是否通过社交软件获得相关信息不相关。结论 MSM社交软件的使用与HIV感染情况无关,也没有增加其对艾滋病知识的了解。但可以考虑改进同性社交软件功能,增加艾滋病防治知识内容,对MSM尤其是高学历、自我定位为同性恋的MSM进行艾滋病防治宣传。[Objective] To understand the correlation between the use of social software and human immunodeficiency virus（HIV）infection and its influencing factors among men who have sex with men（MSM）in Beijing,provide the basis for future intervention work.[Methods]From May to March in 2016,MSM was recruited by community groups to carry out a questionnaire survey and HIV antibody of them was detected.[Results]A total of 215 MSM were recruited and 214 valid questionnaires were recovered. The average age of the 214 MSM was 30.8 years old,73.4% had the education level in college and above,the homosexuals accounted for 72.4%,and84.6% of the respondents mainly found sexual partners through the social software. There were 5 cases of confirmed HIV infection among 214 MSM with the positive rate of 2.3%. The analysis revealed that whether the respondents use the social software,the homosexual social software and the general social software were not related to HIV infection. The results of multivariate analysis showed that people with higher educational level and homosexual orientation were more likely to use the homosexual social software. 63.1% of respondents reported that they had been obtained the knowledge of AIDS prevention and control from social software,but the understanding level was not related to whether the relevant information was obtained through social software or not.[Conclusion]The use of social software has no correlation with HIV infection among MSM,and does not increase their knowledge level of AIDS prevention and control. However,it is necessary to improve the function of the homosexual social software and increase the content of AIDS prevention and control knowledge to carry out the AIDS education among MSM,especially those with higher educational level and homosexual orientation

“象”“症”结合论治肿瘤探析

王彦晖教授经过长期临床实践与观察提出了癌症的\"种子土壤说\"新论。强调舌象和脉象是判断肿瘤病机的重要指标,\"象\"与\"症\"的结合更是临床上辨证论治的重要手段。理气疏肝、祛痰化湿、活血化瘀是治疗肿瘤的核心。通过剖析临证治疗肿瘤的实例经验,以期对临床治疗和预防肿瘤具有参考意义。厦门市重大科技计划项目(No.3502Z20100006);;厦门市科技计划高校创新项目(No.3502Z20153027)~

Recognition of traditional Chinese medicine on cancer pain and a corresponding analysis for its medication regularity

中医诊治肿瘤是当今中医防治重大疾病的一个特色。癌痛发生的机制极其复杂,全面了解癌痛中医的发病和证型,是进行有效缓解癌痛症状的重要基础。文章通过对癌性疼痛中医发病的再认识与探讨、证型分析、列举癌痛症状的常见证型,阐明中医辨证论治癌痛的规律;并针对不同癌痛证型的治疗,明确了用药的合理性。西医学对癌痛机制的研究推进了中医用药,但在癌痛药物应用上各有缺陷和不足,有待现代科学技术进一步研究。文章从癌痛病因病机特点出发,探讨癌痛不同证型中药使用规律,对恶性肿瘤基本病机的再认识和治疗具有重要指导作用。Currently, traditional Chinese medicine(TCM) in the treatment of cancer was considered as a characteristic in prevention and cure of major diseases.It was all known that the mechanism of cancer pain was extremely complex, for the reason that a comprehensive understanding of the pathogenesis and syndrome types played an important role in relieving the pain symptom of cancer.In this paper, recognized the pathogenesis in TCM, syndrome types and common symptoms, it illustrated the regularity of TCM in the differentiation syndrome and the treatment of cancer pain.The different Chinese drugs were directly and reasonably prescribed for different syndrome types of cancer pain.Thanks to the study of western medicine, the TCM medication had significant progress on the treatment of cancer pain.But, modern science and technology still should be needed to make a great effort for the further study, because of defects and deficiencies either in western medicine or Chinese medicine.Generally, according to the characteristics of cause and pathogenesis of cancer pain, this paper explored the regularity of TCM medication for different syndrome types of cancer pain, which would have important guidance effect on recognition and treatment of cancer.厦门市重大科技计划项目(No.3502Z20100006)~

抗SARS-CoV N蛋白单克隆抗体的特异性及其识别抗原表位的初步鉴定

为了明确抗SARS-CoVN蛋白单克隆抗体的特异性,并鉴定其识别表位,首先在E.coli中表达了人类冠状病毒229E(HCoV-229E)和OC43(HCoV-OC4)N蛋白,用Westernblotting和间接免疫荧光方法分别检测了4株抗SARS-CoVN蛋白单克隆抗体(1-1C2、1-1D6、2-8F11和2-2E5)与HCoV-OC43和HCoV-229E及其N蛋白的交叉反应情况,而后应用12种重组截短型SARS-CoVN蛋白对上述4种单克隆抗体的识别表位进行了初步定位。结果显示:(1)在4株抗N蛋白单克隆抗体中,1-1C2、1-1D6和2-2E5不与HCoV-OC43和HCoV-229E及其N蛋白发生交叉反应,为SARS-CoVN蛋白特异性抗体;(2)2-8F11、1-1D6和2-2E5针对的抗原表位位于SARS-CoVN蛋白的aa30-60,1-1C2针对的抗原表位则位于SARS-CoVN蛋白的aa170-184。这一研究为阐明SARS-CoVN蛋白的免疫学特征,建立特异性免疫诊断技术和研究其致病机制提供了必要的依据和材料

Video-assisted Thoracoscopic 3D Mode Operation for Solitary Pulmonary Nodules

目的探讨三维胸腔镜手术(3d VIdEO-ASSISTEd THOrACIC SurgEry,3d-VATS治疗孤立性肺结节(SOlITAry PulMOnAry nOdulE,SPn)的效果。方法回顾性分析2013年3月~2014年3月50例SPn的资料,采用3d-VATS手术模式楔形切除结节,根据快速病理结果决定是否行肺叶切除加淋巴结清扫术。统计手术时间(去除快速冰冻时间)、术后24 H引流量、总引流量、引流管拔除时间、淋巴结清扫数及术后并发症等。结果 3d-VATS模式下,50例均行肺结节楔形切除,其中23例病理为恶性,继续行肺癌根治术,手术顺利。肺癌根治术手术时间(62±12)MIn,术中出血量(35±5)Ml,清扫淋巴结(19±3)个,术后24 H引流量(120±20)Ml,术后胸管引流时间(4±1)d,术后住院时间(7±2)d。并发症3例,其中术后肺炎2例,阵发性心房纤颤1例,均治愈。无围手术期死亡。随访2~12个月,平均6.3月。1例术后3个月脑转移,1例术后5个月肺癌复发。结论胸腔镜3d模式下治疗SPn是一种新的选择方式,安全可行,值得推广应用。Objective To evaluate the effects of surgical treatment for solitary pulmonary nodules under thoracoscopic 3D mode(3D-VATS).Methods A total of 50 cases of solitary pulmonary nodules from March 2013 to March 2014 were retrospectively analyzed.Intraoperative wedge pulmonary resection with 3D-VATS was utilized.According to intraoperative pathological findings,lobectomy plus lymph node dissection was given or not.Intraoperative time( minus fast freezing time),drainage volume for 24 h,total drainage volume,drainage tube removal time,number of lymph node dissected,and postoperative complications were recorded.Results Under 3D-VATS mode,50 cases of solitary pulmonary nodules were treated with wedge resection,including 23 cases of malignant pathology receiving radical resection, which was smoothly.The radical resection time( lung lobectomy plus lymphadenectomy) was(62 ± 12) min,the bleeding volume was(35 ± 5) ml,the lymphadenectomy number was 19 ± 3,the drainage volume for 24 h was(120 ± 20) ml,the postoperative chest tube removal time was(4 ± 1) days,and the postoperative hospital stay was(7 ± 2) days.Postoperative complications occurred in 3 cases,including 2 cases of pneumonia and 1 case of paroxysmal atrial fibrillation.No perioperative deaths were observed.All the cases were followed up for 2- 12 months,with an average of 6.3 months.Brain metastases was found in 1 case at the third postoperative month and recurrence of lung cancer was noted in 1 case at the fifth postoperative month.Conclusion Thoracoscopic 3D mode treatment for solitary pulmonary nodules is a new,safe,and feasible alternative and should be widely applied

Combined Use of Thoracoscopy and Laparoscopy in Total Laryngectomy for Cervical Esophageal Carcinoma

目的探讨胸、腹腔镜联合全喉切除治疗颈段食管的可行性和疗效。方法 2009年1月~2014年7月胸、腹腔镜联合全喉切除治疗33例颈段食管癌。胸腔镜下分离食管、腹腔镜下管胃成形、全喉切除、气管永久造口、胃咽吻合术。结果胸部手术时间40~66 MIn,平均53 MIn;腹部手术时间35~51 MIn,平均44 MIn;颈部手术时间128~150 MIn,平均139 MIn。术中出血量130~270 Ml,平均150 Ml。术后住院时间8~14 d,平均12 d。病理均为鳞状细胞癌,其中高分化2例,中分化19例,中-低分化7例,低分化5例。切缘病理学检查无癌组织残留。31例淋巴结转移。并发症:吻合口漏2例,喉返神经损伤3例,肺部感染6例,胃排空障碍2例,吻合口狭窄1例,无死亡病例。33例随访1个月~5年,术后1、3、5年生存率分别为87.9%、54.5%、45.5%。结论颈段食管癌应采取积极的手术治疗,胃咽吻合术是颈段食管癌切除后较为理想的修复手段。Objective To investigate clinical feasibility and efficacy of combined use of thoracoscopy and laparoscopy in total laryngectomy for cervical esophageal carcinoma.Methods Clinical data of 33 patients with cervical esophageal carcinoma undergoing surgical treatment in our department from January 2009 to July 2014 were analyzed retrospectively.The esophagus was separated under thoracoscopy.And laparoscopic gastroplasty,total laryngectomy,tracheal permanent colostomy,and gastric pharyngeal anastomosis were performed.Results The thoracoscopic operation time was 40- 66 min( mean,53 min),the laparoscopic operation time was 35- 51 min( mean,44 min),and the cervical operation time was 128- 150 min( mean,139 min).The blood loss was 130- 270 ml( mean,150 ml).The postoperative hospital stay was 8- 14 d( mean,12 d).Pathological examinations showed squamous cell carcinoma in all the cases,including 2 cases of highly differentiated carcinoma,19 cases of moderately differentiated carcinoma,7 cases of moderately or lowly differentiated carcinoma,and 5 cases of lowly differentiated carcinoma.No residual cancer was found at cutting edges pathologically.Among the 33 cases,lymph node metastasis was found in 31 cases.Complications included 2 cases of anastomotic fistula,3 cases of recurrent laryngeal nerve injury,6 cases of pulmonary infection,2cases of delayed gastric emptying,and 1 case of anastomotic stenosis.There was no death.All the patients were followed up for 1months to 5 years.The survival rates at 1,3,and 5 postoperative year were 87.9%,54.5%,and 45.5%,respectively.Conclusions Cervical esophageal carcinoma should be surgically treated actively.Gastric pharyngeal anastomosis is an ideal option for the repair of cervical esophageal cancer resection

闽南文化研究国际笔谈会论点选载

2013年12月21日,由闽南师范大学闽南文化研究院主办的“2013闽南文化研究国际笔谈会“在国际学术交流中心召开。来自海峡两岸及日本、新加坡等国家的闽南文化研究方面的专家、学者二十余人出席了会议。会议围绕着闽南文化的内涵、外延及特征,闽南文化的当代价值与社会功能,闽南文化研究的理论与方法,闽南文化的跨文化阐释,闽南文化的世界性及其意义,闽南文化与两岸交流,闽南文化的生态保护,闽南文化学科建设与人才培养等议题展开了深入的研讨,言简意赅,探幽发微,对当下闽南文化理论研究势必产生积极的影响。本期节录专家们的精彩发言,以飨读者,也希望由此来带动和促进闽南文化研究的进一步升华