Objective: To evaluate the quality of gentiana macrophylla from different origins in Gansu by determination the content of gentiopicroside.Methods: HPLC method was used.Results: The calibration curve of gentiopicroside was linear within 0.52-5.2?g(r=0.9991),the average recovery rate was 99.2%(RSD=1.23%,n=5).Conclusion: The content of gentiopicroside among gentiana macrophylla from different origins in Gansu are different,and all of them are higher than the standard of China Pharmacopoeia.Gentiopicroside content in planting gentiana macrophylla is higher than that of wild gentiana macrophylla.It provides a scientific basis of cultivating gentiana macrophylla and protecting wild gentiana macrophylla.

Acute pancreatitis (AP) characterized by a-trocious progression, refractory treatment along with multi-ple complications is an acute abdomen and the overall mortal-ity rate for AP is still high. As a new gaseous signal mole-cule, hydrogen sulfide (H_2S) has played a critical role in modulating the courses of many inflammatory disorders such as ischemic-reperfusion injury, sepsis shock and neurogenic inflammation with an advantage of small molecular weight, quick transmission, rapid biological function as well as exten-sive effect. This is a review on the progress of H_2S in AP.

Objective To investigate bone nutritional status of neonates and their mothers as well as the correlation between them by estimating the concentrations of 25-(OH)D3, calcium and phosphorus in maternal blood and cord blood at birth, and by measuring the bone speed of sound (SOS) of neonates and their mothers with quantitative ultrasound within 3 days after birth. Methods The concentrations of 25-(OH)D3, calcium and phosphorus in the serum were estimated both from 32 pregnant women who had a term delivery and from the umbilical cord at birth. Within 3 days after delivery, the bone SOS values of the mothers measured from their radius and neonates from their tibia were estimated and the correlation between the mothers and their neonates was analyzed. Thirty-nine non-pregnant healthy women who at the same age as the pregnant women were selected as control group and had their bone SOS measured. The difference of bone SOS between pregnant and healthy non-pregnant women was compared. Results There was positive correlation between cord blood and maternal blood 25-(OH)D3 concentration [(14. 7±7. 8) nmol/L and (30. 3±10. 2) nmol/L, r= 0 . 680, P=0. 000]. The calcium and phosphorus concentration in cord blood [2.36±0. 28)mmol/L and (1.57±0.76) mmol/L] were significant higher than that in maternal blood E(2.09± 0. 17) mmol/L and (1.04±0. 28) mmol/L], but no correlation was found (r=0. 146, P=0. 467; r=0. 148, P=0. 445). No significant correlation was shown in the bone SOS between the infants and their mothers[(3054±76)m/s and (4170+241)m/s, r=0. 223, P=0. 220]. The concentration of 25-(OH)D3 in cord blood was closely correlated with the bone SOS of infants(r=0. 412, P=0. 026). The SOS of healthy women was obviously higher than that of pregnant women [(4258±100)m/s vs (41704±241)m/s, P=0. 043]. Conclusions There are close correlations between fetus and their mothers in vitamin D status and also between vitamin D status and fetus bone development. Some pregnant women may be short of vitamin D in autumn and winter in Shanghai and we should monitor the bone nutritional states for pregnant women.

Persister cells are dormant or slowly grown variations in microbial populations .They are highly tolerant to antibiot-ics but the tolerance are not inherited as the genetic resistance , when persisters are inoculated to fresh medium , most bacteria are still susceptive to antibiotic , while only a small fractiont become persisters again .Persisters are believed to be closely related to clinic bio-film forming and the recurrence and recalcitrance of chronic infections .Different persisters have been found in Escherichia coli , Pseud-omonas aeruginosa , Staphyococcus aureus , Mycobacterium tuberculosis , Candida albicans and so on , and a few mechanisms about per-sisters formation have been studied .This article reviews the current progresses of research methods and achievements on persisters from different levels .

Serum CA19-9 is one of the markers most frequently detected in the diagnosis and biliopancreatic diseases.The levels of CA19-9 is important for the diagnosis,treatment and prognosis of biliopancreatic diseases.With the development of medical technology,the comprehension of the value of serum CA19-9 is more and more thoroughly.The benign and malignant diseases of biliopancreatic systems can be differentiated by the variation of the values of serum CA19-9,which has high sensitivity in malignant tumors.Serum CA19-9 is one of the independent indicators for evaluation of resectability of tumors and the survival time and life quality of the patients.In this article,the significance of serum CA19-9 in the diagnosis,treatment and prognosis evaluation for biliopancreatic diseases were reviewed.

Humans ; Monitoring, Intraoperative ; methods ; trends ; Perioperative Care ; methods ; trends

Objective To study the effect of cold prolonged storage of rat livers with self-designed HYS solution on hepatic biochemical functions.Methods The preservation effect of HYD solution with that of UW solution and Lactate Ringer's solution(LR)was compared by using isolated perfused rat liver model.Results All the indices of hepatic biochemical functions in HYD group were better than in LR group for 12 h storage.The contents of ATP,TAN and AEC in HYD group were significantly higher than in Uw group for 36 h storage(P＜0.05).pH in HYD group was markedly higher than in UW group for 30 or 36 h storage(P＜0.05).The hydrolytic activities of H+-ATP ase in hepatic mitochondria and bile production were mildly higher in HYD group than in UW group(P＞0.05).No significant difference in AST,ALT and LDH in the effluent were found between HYD group and UW group(P＞0.05).Conclusions The effect of 12 h storage of rat livers with HYD solution might be better than with LR solution.The effect of HYD solution is similar to that of UW solution within 36 h storage.However.HYD solution is slightly superior to UW solution in some aspects.such aS improvement of energy metabolism during cold storage and reperfusion,prevention of intracellular acidosis.bile production and perfusion of liver in situ.

Medical students' education of medical ethics is now influenced by many unfavorable factors,such as absence of humanities quality,weakening belief in ideality and shock from the market economy.General education may play an important role in strengthening humanities quality and belief in ideality among medical students,and correcting their cognition of the market economy.Therefore,it is necessary to deepen general education on strengthening medical students' education of medical ethics.

Objective To investigate the clinical values of surgical drainage for hepatectomy.Methods Drainage tube was implanted under diaphragm and/or liver intraoperatively for 172 cases patients undergone hepatectomy since recent 10 years.The complications,including bleeding,bile seeping and subdiaphragmatic infection,were observed postoperatively through the drainage tube.Results 4 cases of bleeding and 5 bile seeping and 5 subdiaphragmatic infection were found.Conclusions The surgical drainage technology had important clinical significance for monitoring,preventing and treating of bleeding and bile seeping and subdiaphragmatic infection after hepatetomy.

Objective To investigate season distribution,biological typing and drug resistant of Haemophitus in Qingdao Central Hospital.Methods The sputum and throat swab were collected from patients with respiratory tract infection,221 Haemophilus strains were identified and typed by the manual method and MicSCAN4 automatic analyzer,HNID identification plate.Antimicrobial susceptibility was tested by Kirby-Bauer method,and cephalosporins nitrate thiophene paper method was used to detect β-lacta-mase.Results A total of 96 strains of Haemophilus influenzae(1.6%)were isolated,10(10.4%)strains of Haemophilus influenzae were identified as type Ⅰ,31(32.3%)as type Ⅱ,40(41.7%)as typeⅢand 1 5(1 5.6%)as other types.A total of 125 strains Hae-mophitus parl influenzae(2.1%)were isolated,1 5 (12.0%)strains of Haemophilus parl influenzae were identified as type Ⅰ,23 (18.4%)as typeⅡ,69(55.2%)as type Ⅲ and 18(14.4%)as type Ⅳ,other types were not identified.The highest infected rate was in winter.Resistance rate of Haemophilus influenzae and Haemophitus parl influenzae to ampicillin were 40.6% and 44.8%,to tri-methoprim-sulfamethoxazole were 5 1.0% and 66.4%.The prevalence ofβ-lactamase of all strains were 40.6%and 44.8%.But sus-ceptible rates of Haemophilus to cefotaxime,cefuroxime,meropenem,chloramphenicol were over 90.0%.Conclusion The respira-tory tract infections to Haemophilus influenzae and Haemophitus parl influenzae is more frequently found in winter.Type Ⅱ and type Ⅲ are the most prevalent types.The resistance rates of Haemophilus to ampicillin and trimethoprim-sulfamethoxazole are in-creasing,should not be used as empirical treatment of Haemophilus infection.Antibiotics such as cefotaxime,cefuroxime,meropen-em could be chosen for the treatment of respiratory tract infection caused by Haemophilus.