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一周研究进展荟萃:女性怀孕期间接受影像学检查安全吗?

2015-08-19 MedSci MedSci原创

1.JAAOS:女性怀孕期间接受影像学检查安全吗? 发表于《美国骨科外科医师学会》的一项新的研究表明,对外伤孕妇行必要的影像学检查时,使用恰当则是安全的。 研究还发现: a.单一诊断程序的X线暴露并不会对胎儿的健康产生有害的影响。 b.辐射剂量和暴露时胚胎/胎儿的胎龄可能成正比。 “如果患者需要多次扫描或重复剂量的辐射时,则应与合格的放



1.JAAOS:女性怀孕期间接受影像学检查安全吗?

发表于《美国骨科外科医师学会》的一项新的研究表明,对外伤孕妇行必要的影像学检查时,使用恰当则是安全的。

研究还发现:

a.单一诊断程序的X线暴露并不会对胎儿的健康产生有害的影响。

b.辐射剂量和暴露时胚胎/胎儿的胎龄可能成正比。

“如果患者需要多次扫描或重复剂量的辐射时,则应与合格的放射科医师进行会诊以确定胎儿可能受到的辐射剂量,” Dr. Matzon说道。




2.JAMA:正念减压治疗--创伤后应激障碍患者的希望

正念减压(MBSR)以一种特定的方式来觉察,即有意识地觉察、活在当下及不做判断。其目的乃在教导病患运用自己内在的身心力量,为自己的身心健康积极地做一些他人无法替代的事——培育正念。

一项随机临床试验(2012.03-2013.12从退伍军人事务部医疗中心招募116名存在创伤后应激障碍的患者),表明:与对照组相比,正念减压治疗能够更显著的减弱PTSD症状严重程度。

至今,正念减压疗程已成为美国医疗体系内,历史最悠久、规模最庞大的减压疗程




3.JAMA:看银屑病与葡萄膜炎如何基情四射!

银屑病及银屑病相关疾病的患者更容易患葡萄膜炎,反之亦然。

牛皮癣,即银屑病,是一种炎症性皮肤病,更严重的情况下也可侵犯关节。葡萄膜炎是眼中间层的一种炎症性疾病,它与银屑病的免疫反应相似。

研究人员发现银屑病、银屑病性关节炎与葡萄膜炎之间具有双向的促进作用。

研究结果显示轻度,重度银屑病患者及银屑病性关节炎患者的葡萄膜炎的校正后发病率分别为IRs:1.38(1.11-1.70 ,P = 0.02),1.40(0.70-2.81,P = 0.34),2.50(1.53-4.08,P<0.001)。

研究指出我们应当提高对银屑病及银屑病性关节炎患者的眼部症状的重视,并提高对先前或现有的葡萄膜炎的患者的皮肤及关节症状的重视。




4.Cell:肝脏再生能力为何如此强大?终于找到原因了!

在人体的所有器官中,肝脏的再生能力最为强大。至于肝脏如何进行自我修复及再生,专家学者们尚未得到统一的结果。

研究人员将小鼠暴露于四氯化碳这种有毒环境下,密切关注肝脏的修复过程。在肝脏的自我修复过程中,在肝门处发现了“混合肝细胞”。这些肝细胞在肝脏受损后,广泛进行增殖修复。由于这些细胞与正常的肝细胞相似,但表达出的基因为低水平的胆管细胞特异性基因,研究人员将它们称为是“混合肝细胞。

研究人员发现,“混合肝细胞”是肝脏具有强大再生功能的根本原因。药理学和病理学教授Michael Karin说道:“利用混合肝细胞是治疗肝脏病变最有效的方案,而且通过干细胞移植是避免出现肝衰竭最安全的方式。”

尽管大多数的研究以小鼠为实验对象进行,研究人员希望在人体中也可以找到人类的肝脏混合肝细胞,相信总会有那么一天,对于肝衰竭的患者,只需细胞移植便可拯救患者生命。




5.Hypertension:中等强度锻炼可延缓高血压发展

“当前美国高血压治疗指南推荐所有高血压患者每天运动30分钟。新的研究揭示了高血压患者在锻炼时的细胞水平改变。

Agarwal博士和她的同事通过最先进的,高度复杂的无线电遥测法和分子生物学工具,得出结论:中等强度运动对与高血压相关的炎性过程具有非常有益的影响。同时发现中等强度的运动产生的有益影响是通过减少促炎细胞因子和氧化应激从而增加心脏内一氧化氮水平而实现的。


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    2017-05-07 laoli

    学习了,谢谢分享!

    0

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    2015-12-27 忠诚向上

    好学习

    0

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    2015-11-07 xjbtdbs150wgf

    什么正念疗法!心理暗示罢了。意念力的一种运用方式!

    0

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    2015-10-07 三三五五

    正念好棒!

    0

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    2015-08-22 nina1125

    学习了一下

    0

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