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职后继续教育的课程设置对教师素质有一定的影响,采用问卷调查、文献分析和访谈等方法,对中学生物教师继续教育所应开设的课程、教学形式等继续教育方面的问题进行研究,并提出相应建议。 相似文献
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Vagus nerve stimulation attenuates the systemic inflammatory response to endotoxin 总被引:147,自引:0,他引:147
Borovikova LV Ivanova S Zhang M Yang H Botchkina GI Watkins LR Wang H Abumrad N Eaton JW Tracey KJ 《Nature》2000,405(6785):458-462
Vertebrates achieve internal homeostasis during infection or injury by balancing the activities of proinflammatory and anti-inflammatory pathways. Endotoxin (lipopolysaccharide), produced by all gram-negative bacteria, activates macrophages to release cytokines that are potentially lethal. The central nervous system regulates systemic inflammatory responses to endotoxin through humoral mechanisms. Activation of afferent vagus nerve fibres by endotoxin or cytokines stimulates hypothalamic-pituitary-adrenal anti-inflammatory responses. However, comparatively little is known about the role of efferent vagus nerve signalling in modulating inflammation. Here, we describe a previously unrecognized, parasympathetic anti-inflammatory pathway by which the brain modulates systemic inflammatory responses to endotoxin. Acetylcholine, the principle vagal neurotransmitter, significantly attenuated the release of cytokines (tumour necrosis factor (TNF), interleukin (IL)-1beta, IL-6 and IL-18), but not the anti-inflammatory cytokine IL-10, in lipopolysaccharide-stimulated human macrophage cultures. Direct electrical stimulation of the peripheral vagus nerve in vivo during lethal endotoxaemia in rats inhibited TNF synthesis in liver, attenuated peak serum TNF amounts, and prevented the development of shock. 相似文献
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