传统中药现代化--中药健康食品的开发

传统中药是现代生活健康的宝库,其功效在保健及慢性疾病的治疗方面尤其显著,并已备受世界重视.要成功将中药引进世界市场,最基本要求是要从科学方法去证明其效用及安全性;更重要是依从传统中医学对复方应用的要求去作研究.本文陈述了我们对传统中药古方"生脉散"研究及开发抗氧化健康食品的经验.透过现代生化及药理技术,我们发现"生脉散"中的五味子含丰富的抗氧化活性成分,为传统中医学利用"生脉散"治疗心脏病提供了理论依据.     

Pathogenesis of an infectious mononucleosis-like disease induced by a murine gamma-herpesvirus: role for a viral superantigen?

The murine gamma-herpesvirus 68 has many similarities to EBV, and induces a syndrome comparable to infectious mononucleosis (IM). The frequency of activated CD8+ T cells (CD62L(lo)) in the peripheral blood increased greater than fourfold by 21 d after infection of C57BL/6J (H-2(b)) mice, and remained high for at least a further month. The spectrum of T cell receptor usage was greatly skewed, with as many as 75% of the CD8+ T cells in the blood expressing a Vbeta4+ phenotype. Interestingly, the Vbeta4 dominance was also seen, to varying extents, in H-2(k), H-2(d), H-2(u), and H-2(q) strains of mice. In addition, although CD4 depletion from day 11 had no effect on the Vbeta4 bias of the T cells, the Vbeta4+CD8+ expansion was absent in H-2IA(b)-deficient congenic mice. However, the numbers of cycling cells in the CD4 antibody-depleted mice and mice that are CD4 deficient as a consequence of the deletion of MHC class II, were generally lower. The findings suggest that the IM-like disease is driven both by cytokines provided by CD4+ T cells and by a viral superantigen presented by MHC class II glycoproteins to Vbeta4+CD8+ T cells.     

The use of a cohesive zone model to study the fracture of fibre composites and adhesively-bonded joints

Analytical solutions for beam specimens used in fracture-mechanics testing of composites and adhesively-bonded joints typically use a beam on an elastic foundation model which assumes that a non-infinite, linear-elastic stiffness exists for the beam on the elastic foundation in the region ahead of the crack tip. Such an approach therefore assumes an elastic-stiffness model but without the need to assume a critical, limiting value of the stress, _max, for the crack tip region. Hence, they yield a single fracture parameter, namely the fracture energy, G _c. However, the corresponding value of _max that results can, of course, be calculated from knowledge of the value of G _c. On the other hand, fracture models and criteria have been developed which are based on the approach that two parameters exist to describe the fracture process: namely G _c and _max. Here _max is assumed to be a critical, limiting maximum value of the stress in the damage zone ahead of the crack and is often assumed to have some physical significance. A general representation of the two-parameter failure criteria approach is that of the cohesive zone model (CZM). In the present paper, the two-parameter CZM approach has been coupled mainly with finite-element analysis (FEA) methods. The main aims of the present work are to explore whether the value of _max has a unique value for a given problem and whether any physical significance can be ascribed to this parameter. In some instances, both FEA and analytical methods are used to provide a useful crosscheck of the two different approaches and the two different analysis methods.     

Mutation analysis for prenatal diagnosis of hereditary tyrosinaemia type 1

Presentation of 11 cases of retroperitoneal sarcoma. Mean time from the beginning of symptoms to diagnosis is 6 months. The primary complementary study is CT. Surgery was performed in all cases, using complete resection in 6 cases, and partial resection in 5. Ten patients relapsed. 9 of which were treated with surgical rescue, in one or more occasions; chemotherapy was added in 6 cases and radiotherapy in 7. Survival at five years is 68%, with a mean follow-up of 66 months.     

Diagnostic accuracy of a rural live video telepathology system

Accuracy of diagnoses rendered using a live video telepathology network was assessed for permanent sections of surgical pathology specimens. To determine accuracy, telepathology diagnoses were compared with those obtained by directly viewing the glass slide using a standard microscope. A total of 294 cases were read via both telepathology and glass slide by attending pathologists at a tertiary care medical center. Overall accuracy was defined as exact concordance between diagnoses. Clinically insignificant differences in diagnoses were excluded to determine clinically significant accuracy. For the 285 cases with complete data, the overall accuracy for telepathology was 0.912 (95% confidence interval [CI], 0.872-0.941), whereas the overall accuracy for glass slide readings was 0.968 (95% CI, 0.939-0.985). This difference is statistically significant (p = 0.009). When focusing on clinically significant discrepancies, where the difference in diagnosis might affect therapeutic decisions, the video accuracy was only slightly less than the glass slide accuracy (0.965 [95% CI, 0.934-0.982] vs. 0.982 [95% CI, 0.957-0.994], respectively), but this difference is not statistically significant (p = 0.302). Most of the cases with clinically significant differences involved lesions with inherently high interobserver variation. Certainty of diagnosis did not differ between video and glass slide readings (p = 0.911), but there was an association between certainty of diagnosis and diagnostic accuracy for video (p = 0.003 for clinically significant accuracies). Based on these findings, we recommend when using this telepathology system that only preliminary diagnoses should be given in the following situations: for diagnostic areas with known high interobserver variability; when the consultant has any degree of uncertainty about the presence or absence of the lesion in question; and when there is insufficient experience using telepathology as a diagnostic medium.     

"Comment on summary report of journal operations": Comment on Roediger.

Comments on an article by H. L. Roediger III (see record 1990-58906-001) concerning the number of subscribers to APA journals. Roediger concluded that most APA members feel no need to keep up with the work in the primary journals. Blackman points out that many people keep up with journals by reading in university and hospital libraries, by sending for reprints of studies abstracted in Psychological Abstracts, and by other literature review methods. (PsycINFO Database Record (c) 2010 APA, all rights reserved)