Epidemic hemorrhagic fever in Hubei Province, The People's Republic of China: a clinical and serological study

Between July 1975 and April 1980, 71 patients were admitted to the Second Attached Hospital of Hubei Provincial Medical College in Wuchang with the diagnosis of epidemic hemorrhagic fever (EHF). The clinical course among these patients was similar to that described for patients with Korean hemorrhagic fever, and hemorrhagic fever with renal syndrome of the U.S.S.R. The overall mortality was 11.2 percent. Sera obtained from some of these patients as well as from patients admitted to the First Attached Hospital of Hubei Provincial Medical College were tested against an antigen associated with Korean hemorrhagic fever and showed exceedingly high antibody titers. We conclude that EHF in Central China represents the same or a closely related disease process as Korean hemorrhagic fever.     

Effects of extremely high-frequency electromagnetic radiation on the immune system and systemic regulation of homeostasis

Low-intensity of electromagnetic radiation of extremely high frequencies (EHF EMR) is effectively used in medical practice for diagnostics, prevention and treatment of a broad spectrum of diseases of different etiology. However, in spite of existence of many hypotheses about mechanisms of EHF EMR effects on the molecular and cellular levels of organization of living systems, there is not conception that could explain all diversity of the EHF-therapy effects from unified approach. In our opinion, the problem of determination of mechanisms of EHF EMR effects on living organism is divided into two basic tasks: first, determining subcellular structures which can receive radiation, and, second, studying physiological reactions of the organism which are caused by radiation. It is obviously, that investigation of functions of single cells and subcellular elements can not entirely explain therapeutic effects and mechanisms of EHF EMR influence on multicellular organism on the whole. Plenty of functional relationships between organs and systems of organs should be taken into account. In the present review, a realization of the EHF-therapy effects due to the influence on immune system functions and start of system mechanisms of maintenance of the homeostasis on the organism level is hypothesized. Potential targets for EHF EMR acception on the level of different systems of the organism are analysed. The material is formed so that functional relations between immune system and other regulatory systems (nervous and endocrine systems) are traced.     

湖北兰科植物多样性及其区系地理特征

湖北植被尤其是鄂西地区,在近代以来备受植物学家的关注。该研究基于植物标本、文献资料与野外调查成果,整理出湖北兰科植物名录,结合湖北的地形与气候特征分析了湖北兰科植物的分布格局、区系及多样性特征。结果表明:湖北兰科植物主要分布在西南、西北、东北及东南部山区,以鄂西山地最为丰富,中南部江汉平原最少,900~1 200 m中海拔地段丰富度最高;物种多样性由南至北、由西至东呈递减趋势,鄂西南与鄂西北之间具有最大相似性;除拟兰亚科(subfam.Apostasioideae)外的5个亚科湖北均有分布,计有15族54属141种,单种属和寡种属分别占总属数的50.00%和33.33%;湖北兰科植物东亚分布成分占40.43%,中国特有种占总种数的41.84%,东亚区系主体突出,中国特有成分所占比例较大,其中中国—日本成分占优势;温带属性较强,亚热带向温带过渡特征明显,有25个热带分布属及27个温带分布属,热温比为0.93,种级水平的热带分布类型占8.51%,温带分布类型占91.49%;一些稀缺种在台湾与湖北的间断分布,表明两者植物区系有较强的关联性;湖北兰科植物区系与西南及横断山区联系密切,是与东部地区植物区系交流的中转站。     

China's struggle for practical regulations in medical ethics

The introduction of ethical regulations in medicine in China might seem at odds with the country's social and moral reality. Chinese bioethicists find themselves torn between the necessity to re-create a fully-fledged modern health-care system and aspirations to become global players in the biomedical sciences. The result is a top-down approach in medical ethics, created on behalf of the people. Despite its introduction, there are concerns about whether China is prepared to embrace the standards it claims to have adopted.     

Anti-inflammatory effects of low-intensity extremely high-frequency electromagnetic radiation: frequency and power dependence

Using a model of acute zymosan-induced footpad edema in NMRI mice, the frequency and power dependence of anti-inflammatory effect of low-intensity extremely high-frequency electromagnetic radiation (EHF EMR) was found. Single whole-body exposure of animals to EHF EMR at the intensity of 0.1 mW/cm(2) for 20 min at 1 h after zymosan injection reduced both the footpad edema and local hyperthermia on average by 20% at the frequencies of 42.2, 51.8, and 65 GHz. Some other frequencies from the frequency range of 37.5-70 GHz were less effective or not effective at all. At fixed frequency of 42.2 GHz and intensity of 0.1 mW/cm(2), the effect had bell-shaped dependence on exposure duration with a maximum at 20-40 min. Reduction of intensity to 0.01 mW/cm(2) resulted in a change of the effect dependence on exposure duration to a linear one. Combined action of cyclooxygenase inhibitor sodium diclofenac and EHF EMR exposure caused a partial additive effect of decrease in footpad edema. Combined action of antihistamine clemastine and EHF EMR exposure caused a dose-dependent abolishment of the anti-inflammatory effect of EHF EMR. The results obtained suggest that arachidonic acid metabolites and histamine are involved in realization of anti-inflammatory effects of low-intensity EHF EMR.     

中国云南洱海周边大足鼠的体表寄生螨

用U检验和相关分析的统计方法对2003～2004年云南洱海(中国滇西北著名的淡水湖泊)周边251只大足鼠体表寄生螨进行了调查.调查点是我国11大鼠疫自然疫源地之一,也是我国恙虫病和出血热的流行地区.大足鼠已经被鉴定为鼠疫、汉坦病毒、恙虫病和流行性出血热的储存宿主.我们的研究发现大足鼠携带好几种与人兽共患病有关的螨类.为了丰富大足鼠体表寄生螨的研究,在此,对大足鼠的体表寄生螨群落和体表寄生螨医学和兽医学的重要性进行了描述.有191只大足鼠寄生有体表寄生螨,侵染率为76%.采集到的体表寄生螨有35种,包括15种恙螨和20种革螨.其中6种以前已经被证明是人类疾病的主要媒介.因此大足鼠很显然成为流行性出血热和恙虫病等病原体的贮存宿主.     

Effect of millimeter band electromagnetic radiation on a culture of sensory neurons from the chick embryo

The effect of extra-high frequency electromagnetic radiation (EHF EMR) on the development of organotypical culture of the spinal ganglia of a 9–10 day-old chick embryo was investigated. EMR with a wavelength of 5.6 mm and a rate of flow density <1.0, 4.0, and >100 mW/cm² was used. The stimulating action of EMR at rate of flow density of 4.0 mW/cm², manifested in intensification of the growth of neurites of sensory neurons and the proliferation of the peripheral glia, was observed. EHF EMR with a density >100 mW/cm² exerted inhibitory influence. The possibility of using the stimulating effect of EHF EMR in medical practice for intensifying regeneration in pathology and after trauma of the peripheral nervous system is discussed.Neirofiziologiya/Neurophysiology, Vol. 25, No. 3, pp. 175–179, May–June, 1993.     

Ebola and Marburg Hemorrhagic Fevers: Neglected Tropical Diseases?

Ebola hemorrhagic fever (EHF) and Marburg hemorrhagic fever (MHF) are rare viral diseases, endemic to central Africa. The overall burden of EHF and MHF is small in comparison to the more common protozoan, helminth, and bacterial diseases typically referred to as neglected tropical diseases (NTDs). However, EHF and MHF outbreaks typically occur in resource-limited settings, and many aspects of these outbreaks are a direct consequence of impoverished conditions. We will discuss aspects of EHF and MHF disease, in comparison to the "classic" NTDs, and examine potential ways forward in the prevention and control of EHF and MHF in sub-Saharan Africa, as well as examine the potential for application of novel vaccines or antiviral drugs for prevention or control of EHF and MHF among populations at highest risk for disease.     

流行性出血热循环免疫复合物组分分析

应用ＳＤＳ－聚丙烯酰胺凝胶电泳及免疫转印技术对流行性出血热患才血清中免疫合物组分进行了分析。流行性出血热循环免疫复合物经ＳＤＳ－ＰＡＧＥ分离,考马斯亮兰染色,显色主要有７条带,分子量分别为２３ｋＤ,５０ｋＤ,５２ｋＤ,６５ｋＤ,７２ｋＤ,８０ｋＤ及１００ｋＤ。采用该病毒特异性抗血清、单克隆抗体以及人免疫球蛋白、补体成分抗血清识别,在其特环免疫复合物中可检出特异性病毒抗在及相应的免疫球状蛋白和补体成     

流行性出血热病毒(EHFV)山东地方株特性的研究

本文介绍应用Vero-E_(?)细胞直接从EHF抗原阳性的褐家鼠肺中分离出EHFV-R_(36)株。形态学鉴定符合EHFV,并见到典型的颗粒性EHFV包涵体和大小形态类似的EHFV样颗粒。分离毒株经EHFV单克隆抗体分析,R_(36)株EHFV的抗原谱不同于我国的R_(22)株,它既带有家鼠型R_(22)株相似的抗原决定簇,同时又具有野鼠型抗原决定簇。     

湖北鳞毛蕨属植物的地理分布及区系特征

对湖北鳞毛蕨后植物的地理分布和区系特点进行了研究。鳞毛蕨后植物广布于世界各地,该后的分布和多样性中心位于中国西南部和东喜马拉雅山区;另一中心则位于日本,中国东南部和南部。鳞毛蕨后是一个自然的北温带分布属。中国有鳞毛蕨后植物134种(包括7变种),西南地区(云南、四川、贵州等)是国产鳞毛蕨属植物分布最集中的地区。区系分析表明：湖北鳞毛蕨后植物种类比较丰富,有36种,主要分布于鄂西北和鄂西南山区,是构成湖北森林植物区系林下草本植物的主要成分之一;地理成分比较复杂,种的分析显示出以中国一日本分布和中国持有分布为主的特点;与相邻省鳞毛蕨属植物区系的关系比较密切;区系过渡性明显。     

流行性出血热(EHF)双价纯化灭活疫苗——I 期临床观察

根据卫生部药审(91)特申体第02号文件,本品纯化灭活双价疫苗92年完成了Ⅰ期人体反应及血清学效果观察。91001批双价疫苗以0,1,2月和0,14,35天程序免疫,91002批以0,1,2月程序免疫,各接种15人。接种后未出现任何不良反应,与Ⅰ型,Ⅱ型单价疫苗相同,是安全可靠的。两种免疫程序,二针次免疫后皆能产生较高免疫抗体,接种后半年仍保持一定抗体水平。中和抗体(PRNT)均在1∶10～1∶20,ELISA1∶478～1∶549(GMT),阳转率100％,再次证明本型纯化疫苗安全有效,并具有较高免疫活性,本型疫苗也可采用二针次(0,1月),总量2ml免疫。     

Hydrogen peroxide induced by modulated electromagnetic radiation protects the cells from DNA damage

It is believed that non-ionizing electromagnetic radiation (EMR) and low-level hydrogen peroxide (H₂O₂) may change nonspecific resistance and modify DNA damage caused by ionizing radiation. To check this assumption, the combined effects of extremely high-frequency EMR (EHF EMR) and X-rays on induction of DNA damage in mouse whole blood leukocytes were studied. The cells were exposed to X-rays with or without preliminary treatment with EHF EMR or low-level H₂O₂. With the use of enhanced chemiluminescence, it was shown for the first time that pulse-modulated EHF EMR (42.2 GHz, incident power density of 0.1 mW/cm², exposure duration of 20 min, modulation frequency of 1 Hz) induced H₂O₂ at a concentration of 4.6 ± 0.3 nM L^?1 in physiological saline. With the use of an alkaline comet assay, it was found that the exposure of cells to the pulse-modulated EHF EMR, 25 min prior to treatment with X-rays at a dose of 4 Gy reduced the level of ionizing radiation-induced DNA damage. Continuous EHF EMR was inefficient. In turn, it was shown that low-level H₂O₂ (30–500 nM L^?1) protected the cells against X-irradiation. Thus, the mechanisms of radiation protective effect of EHF EMR are connected with the induction of the adaptive response by nanomolar concentrations of reactive oxygen species formed by pulse-modulated EHF EMR.     

流行性出血热病毒沙鼠肾细胞培养灭活疫苗免疫家兔的抗体反应及保护试验

利用自流行性出血热(EHF)病人血液中分离的EHF病毒浙10株,感染长爪沙鼠肾单层细胞,经培养后,按流行性乙型脑炎的生物制品法规要求研制成灭活疫苗。取1ml经肌肉免疫家兔,6天后即可在血液中检出荧光抗体,至第14～21天为最高峰,荧光抗体效价可达320～2560。经活EHF病毒攻击,有明显的保护作用,保护率达90％以上。疫苗经1:10或1:30稀释后免疫家兔,荧光抗体阳转率仍达100％,但抗体滴度明显降低。肌肉接种优于皮下接种。本研究证明,甲醛灭活EHF病毒可破坏血凝素活性,从而影响疫苗血凝抑制抗体的产生,可能也会影响中和病毒的能力。     

Pharmacological analysis of anti-inflammatory effects of low-intensity extremely high-frequency electromagnetic radiation

The anti-inflammatory effect of low-intensity extremely high-frequency electromagnetic radiation (EHF EMR, 42.0 GHz, 0.1 mW/cm2) was compared with the action of the known anti-inflammatory drug sodium diclofenac and the antihistamine clemastine on acute inflammatory reaction in NMRI mice. The local inflammatory reaction was induced by intraplantar injection of zymosan into the left hind paw. Sodium diclofenac in doses of 2, 3, 5, 10, and 20 mg/kg or clemastine in doses of 0.02, 0.1, 0.2, 0.4, and 0.6 mg/kg were injected intraperitoneally 30 min after the initiation of inflammation. The animals were whole-body exposed to EHF EMR for 20 min at 1 h after the initiation of inflammation. The inflammatory reaction was assessed over 3 - 8 h after the initiation by measuring the footpad edema and hyperthermia of the inflamed paw. Sodium diclofenac in doses of 5 - 20 mg/kg reduced the exudative edema on the average by 26% as compared to the control. Hyperthermia of the inflamed paw decreased to 60% as the dose of was increased diclofenac up to 20 mg/kg. EHF EMR reduced both the footpad edema and hyperthermia by about 20%, which was comparable with the effect of a single therapeutic dose of diclofenac (3 - 5 mg/kg). The combined action of diclofenac and the exposure to the EHF EMR caused a partial additive effect. Clemastine in doses of 0.02-0.4 mg/kg it did not cause any significant effects on the exudative edema, but in a dose of 0.6 mg/kg it reduced edema by 14 - 22% by 5 - 8 h after zymosan injection. Clemastine caused a dose-dependent increase in hyperthermia of inflamed paw at doses of 0.02-0.2 mg/kg and did not affect the hyperthermia at doses of 0.4 and 0.6 mg/kg. The combined action of clemastine and EHF EMR exposure caused a dose-dependent abolishment of the anti-inflammatory effect of EHF EMR. The results obtained suggest that both arachidonic acid metabolites and histamine are involved in the realization of anti-inflammatory effects of low-intensity     

Pharmacological analysis of the antiinflammatory effects of low-intensity extremely-high-frequency electromagnetic radiation

The antiinflammatory effect of low-intensity extremely-high-frequency electromagnetic radiation (EHF EMR, 42.0 GHz, 0.1 mW/cm²) was studied in comparison to the effects of the antiinflammatory drug sodium diclofenac and the antihistamine clemastine in acute inflammatory reaction in mice of NMRI outbred stock. The local inflammatory reaction was induced by intraplantar injection of zymosan to the left hind paw. Intraperitoneal injections of 2, 3, 5, 10, and 20 mg/kg of sodium diclofenac or 0.02, 0.1, 0.2, 0.4, and 0.6 mg/kg of clemastine were made 30 min after the initiation of inflammation. An hour after the initiation of inflammation, animals were whole-body exposed to EHF EMR for 20 min. The inflammatory reaction was assessed 3–8 h after initiation by measuring the footpad edema and hyperthermia of the inflamed paw. Sodium diclofenac (5–20 mg/kg) reduced the exudative edema by ～26% compared to the control. Hyperthermia of the inflamed paw decreased by 60% with an increase in the diclofenac dose to 20 mg/kg. EHF EMR reduced both the footpad edema and hyperthermia by ～20%. This was comparable to the effect of a single therapeutic dose of diclofenac (3–5 mg/kg). The combination of diclofenac and exposure to EHF EMR produced a partial additive effect. Clemastine (0.02–0.4 mg/kg) did not affect the exudative edema, but at a dose of 0.6 mg/kg, edema was reduced by 14–22% five to eight hours after zymosan injection. Clemastine caused a dose-dependent increase in hyperthermia of inflamed paw at doses 0.02–0.2 mg/kg and did not affect the hyperthermia at doses 0.4 and 0.6 mg/kg. A combination of clemastine and EHF EMR exposure resulted in a dose-dependent abolishment of the antiinflammatory effect of EHF EMR. Our results suggest that both arachidonic acid metabolites and histamine are involved in the achievement of the antiinflammatory effects of low-intensity EHF EMR.     

The effect of viscosity on the perception of flavour

A trained sensory panel assessed flavour and sweetness intensity in solutions containing varying concentrations of hydroxy propyl methylcellulose (HPMC), sugar and flavour volatile. The flavour and sweetness of the viscous solutions were rated using magnitude estimation with a controlled modulus. In addition, the concentration of volatile released on the breath was measured using MS Nose. For low concentrations of HPMC (<0.5 g/100 g), perceived flavour intensity remained the same; however, a steady decrease was noted at higher concentrations (>0.6 g/100 g). The change in perceived intensity occurred at the point of random coil overlap (c(*)) for this hydrocolloid. The perceived sweetness of the solution showed a similar pattern with increasing HPMC concentration, although the inflection at c(*) was not so obvious. Despite the change in perceived flavour intensity, the actual concentration of volatile measured on the breath was not affected by the change in HPMC concentration. Low-order polynomial models were produced to describe perceived flavour intensity and sweetness in viscous solutions containing HPMC and potential explanations for the changes in perception are discussed.     

中外模拟医学学科发展对比与思考

模拟医学是一门将成为未来医学实践教学主流的教育学科。我国模拟医学学科建设还处于起步阶段,与国外发达国家相比明显滞后。从模拟医学专业课程、专科医师培训、理论研究、相关学术组织和学术交流等方面对国外模拟医学学科发展现状进行了分析,并对比我国模拟医学学科发展现状,提出要积极借鉴国外先进经验,勇于创新,进一步完善我国模拟医学学科体系建设,搭建更多学术交流平台,扩大模拟医学理论体系的内涵和外延,以构建具有中国特色的模拟医学学科体系。