Early diagnosis of rheumatoid arthritis

On the basis of own observations of courses the author adopts a definite attitude to the early symptomatology of the rheumatoid arthritis. During the first weeks of the rheumatoid arthritis the following symptoms are found: articular syndromes, more frequently in form of obstinate polyarthralgias, mono-oligoarthritis, accompanied by morning rigidity and accelerated BSR as well as impairment of the general condition. In the majority of the patients only the tentative diagnosis rheumatoid arthritis may be made. After a one to three months' course of the disease the diagnosis becomes more probable. It is above all based on constancy and symmetry, characteristic localisation of the articular process, morning rigidity, radiologically paraarticular loosening of the structure and morphological symptoms of an acute and subacute synovialitis. 6 to 12 months after the beginning of the disease a clinical picture forms which allows to make the diagnosis of a certain or classical rheumatoid arthritis in accordance with the criteria of the ARA. The occurrence of a high activity of multiple affection of the joints (permanent symmetrical polyarthritis including the small joints of the hands and feet), distinctive morning rigidity, high fever and much accelerated BSR, beginning with the first weeks of the disease, speaks for the possibility of the development of an arthrovisceral form of the course of rheumatoid arthritis.     

时域有限差分法研究骨传导超声特性

自发现通过骨传导人可以感知超声以来,骨传导超声技术已被应用于助听中。为进一步了解骨传导超声特性,采用时域有限差分(FDTD)法,在单耳激励和双耳激励的情况下,计算超声经骨传导在头内形成的声场。仿真实验结果表明:双耳超声激励没有普通双耳听觉的定位能力,而单耳超声激励可同时激励双耳耳蜗。因此,单耳骨传导超声助听的效果可能比双耳骨传导超声助听的效果好。     

评价松质骨状况的一种背散射频谱方法

采用超声背散射信号的质心偏移量来评价松质骨,并对牛胫骨和人体跟骨中背散射信号的质心偏移量与松质骨表观密度的关系,以及人体跟骨松质骨中背散射信号频谱质心位置与年龄的关系进行了分析讨论。分析结果表明,随松质骨表观密度的增大,背散射信号频谱的质心向低频方向移动;随年龄的增大,质心位置越接近于发射超声的中心频率。根据超声背散射信号质心偏移量的大小,可用于评价松质骨健康状况。     

水热法合成羟基磷灰石晶须的工艺研究

纳米羟基磷灰石（HAP）增强聚合物基复合材料是替换硬组织的最理想材料，是植入材料的研究重点之一。为了制备与天然骨结构非常相似的复合材料，必须首先制备出性能优良的的纳米HAP粉体。对水热法制备HAP纳米晶须的工艺进行了研究，研究了反应时间、温度、起始反应物的浓度、钙磷比以及反应体系的pH值对合成HAP纳米晶须形貌的影响。用X射线衍射（XRD）、扫描电镜（SEM）和红外光谱（FT-IR）法，对制备的羟基磷灰石进行了表征和分析。结果表明：生成的HAP晶须的长度及长径比随反应时间的延长而增大。温度〈150℃时，得到HAP晶须；温度〉180℃，则得到细小HAP晶体的聚集产物。当反应物的pH=9时，得到的是缺钙型的HAP；当反应物的pH〈4时，产物中出现新相磷酸氢钙；当pH=2时，得到纯的磷酸氢钙。     

松质骨组织的若干超声参量成像方法

介绍了两种松质骨组织超声参量成像方法,即宽带超声衰减成像和超声传导速度成像,概述了这两种基于透射法的成像方法的基本原理以及应用情况．并指出了采用超声透射法参量成像时存在的问题。然后对基于背散射法的超声背散射系数成像方法的可行性进行了分析和讨论,最后对进一步的研究工作进行了展望。     

Cellular mechanisms for developmental toxicity of chlorpyrifos: targeting the adenylyl cyclase signaling cascade

Developmental neurotoxicity caused by chlorpyrifos exposure is generally thought to target cholinesterase but chlorpyrifos may also act on cellular intermediates, such as adenylyl cyclase, that serve global functions in the coordination of cell development. In the current study, neonatal rats were exposed to apparently subtoxic doses of chlorpyrifos (no weight loss, no mortality) either on Postnatal Days 1-4 or on Postnatal Days 11-14, and the effects on components of the adenylyl cyclase cascade were evaluated in brain regions that are enriched (forebrain) or sparse (cerebellum) in cholinergic innervation, as well as in a nonneural tissue (heart). In all three, chlorpyrifos evoked deficits in multiple components of the adenylyl cyclase cascade: expression and activity of adenylyl cyclase itself, functioning of G-proteins that link neurotransmitter and hormone receptors to cyclase activity, and expression of neurotransmitter receptors that act through this cascade. Disruption of signaling function was not restricted to transduction of cholinergic signals but rather extended to adrenergic signals as well. In most cases, the adverse effects were not evident during the immediate period of chlorpyrifos administration, but appeared after a delay of several days. These results suggest that chlorpyrifos can affect cell development by altering the activity and reactivity of the adenylyl cyclase signaling cascade, a major control point for trophic regulation of cell differentiation. The effects are not restricted to cholinergic targets, nor even to the central nervous system. Hence, disruption of cell development by chlorpyrifos is likely to be more widespread than previously thought.     

Evolution of consanguinity in the Archbishopric of Santiago de Compostela (Spain) during 1900-1979

Continuous intracameral infusions of a balanced salt solution (0.175 microliter min-1) have been reported to raise intraocular pressure (IOP) in anesthetized rats. Palm et al. (1995) previously reported that this effect was attenuated significantly by inclusion of arginine-vasopressin (AVP, 10 ng 0.175 microliter-1) in the infusate. This study used experimental and computer simulation methods to investigate factors underlying these changes in IOP. First, constant intracameral infusions of artificial cerebrospinal fluid (aCSF) at different fixed rates (0.049-0.35 microliter min-1) were used to estimate the outflow resistance. Secondly, IOP responses were measured during an 2 hr intracameral infusion of either aCSF or AVP that was the sum of a small constant component (0.05 microliter min-1) and a larger periodic component (0.25 microliter min-1, cycling for 4 min on, then 4 min off); the mean infusion rate was 0.175 microliter min-1. As shown previously for 0.175 microliter min-1 constant infusions, the periodic aCSF infusion induced a significant rise in IOP that was attenuated by AVP administration. Complex demodulation analysis and the estimated gain parameter of a second order transfer function fit to the periodic responses indicated that outflow resistance increased significantly during the infusions in both aCSF and AVP groups, but that the indices of resistance did not differ significantly between aCSF and AVP infused eyes. This finding implies that changes in outflow resistance do not explain the difference in IOP responses to intracameral aCSF and AVP. The two responses differed significantly, though, in damping factors, such that the aCSF responses were considerably more underdamped than the AVP responses. It is hypothesized that aCSF-induced increase in IOP reflects both (1) a small component reflecting increased outflow resistance and (2) a larger non-resistive component. Since the non-resistive component is insensitive to pretreatment with acetazolamide, it is suggested that the aCSF-induced elevation in IOP reflects primarily vascular perfusion changes that are reduced by local vasoconstrictor actions of AVP. The latter mechanism likely maintains vascular perfusion of the globe when intraocular hypertension develops.     

含有零值和负值的随机准备金模型

在准备金评估中,由于多数随机准备金模型基本假设的限制是不能直接处理含有零值和负值增量赔款三角形,本文利用一个变换和广义线性模型的混合模型去解决这种情况．