Objective To observe the clinical effect of transradial approach for coronary intervention. Methods The clinical data of 189 patients accepted transradial coronary intervention were analyzed retrospectively. Results Transradial catheterizations were performed in 189 patients, while 176 cases had satisfying result, the success rate was 93. 12%. Thirteen patients had severe spasticity in radial artery, which could not be released from injection of nitroglycerin, lidocaine, verapamil, alternatively they accepted transfemoral artery coronary intervention. After the operation 3 cases had radial artery stricture, 10 cases had local ann swelling,6 cases had blisters from the device oppression. No acute coronary occlusion, arteriovenous fistula, upper limb ischemia, hand nerve damage, bleeding or other complications were observed in the cases enrolled. Conclusion The transradial approach for coronary angiography and intervention showed high success rate, few complication, indicating good clinical application promise.

Health promotion constitutes an important part of community healthcare service. The authors gave a detailed account of the basic concepts and rationale of health promotion and analyzed its difference from disease prevention, pointing out that factors affecting individuals acceptance of suggested healthy conducts included individual cognition, modifying factor and viability of the conducts. At the same time, the authors, using the health promotion theory, made a detailed analysis of responses to a mammary gland screening among senior and middle aged community women. They argued that the health level of the whole population could be promoted and the mortality rate of malignant tumors lowered through helping individuals in understanding their disease, making use of the influence of external factors like the mass media, and proving convenient and good medical services.

Objective To pave the way for developing recombinant antiidiotypic antibody(antiId)vaccine of gastric carcinoma by generating phagedisplayed antiId to monoclonal antibody MGd1 directed against the cancer. Methods Balb/c mice were immunized i.p. with MGd1 conjugated with KLH, and mRNA was isolated from the spleens of the immunized mice. VH and VL DNAs of the antibody were amplified separately by RTPCR and assembled into ScFv DNAs with a linker DNA by PCR. The ScFv DNAs were ligated into the phagemid vector pCANTAB5E and the ligated sample was transformed into competent E.coli TG1. The transformed cells were infected with M13KO7 helper phage to yield phage antibody ScFv library. After four rounds of panning to the library with MGd1, the MGd1positive clones were selected by ELISA from the enriched phages. The types of the antiId ScFv displayed on the selected phage clones were preliminary identified by competition ELISA. Results The VH,VL and ScFv DNAs were about 340 bp, 320 bp and 750 bp respectively. After four rounds of panning to the antibody library, 17 MGd1positive phage clones displayed antiId ScFv were selected from 40 enriched phage clones, among which 3 displayed ? or ? type antiId ScFv. Conclusion The successful generation of antiId ScFv to monoclonal antibody MGd1 by recombinant phage antibody library technology might lay a foundation for screening of novel candidate molecules for developing recombinant antiId vaccine of gastric carcinoma.

Objective To develop a GC-MS method for the determination of ephedrine in human plasma and study the pharmacokinetic parameters of the ephedrine in different compatibility of the minister, adjuvant, and guide herbs to the monarch herb in Mahuang Decoction. Methods Orthogonal design was used to determine eight compatible groups from Mahuang Decoction (MHD). The healthy male volunteers were divided into groups in random, each group concluding eight men. After taking the medicine orally, venous blood would be taken out at different times. Determining ephedrine in plasma and plotting the concentration-time curve, the pharmacokinetic parameters of each compatible group were calculated by WinNonlin 4.0.1. The statistical analysis of the pharmacokinetic parameters were proceeded by SPSS 10.0. Results All concentration-time curves were adequately modeled by one compartment, first order absorption model, and no lag time. Some parameters of ephedrine showed significant variance (P

Objective To study the chemical constituents from the seeds of Ziziphus jujuba var.spinosa,which is used as a sedative herbal medicine in China.Methods The constituents were separated and purified by silica gel column.Their structures were elucidated based on their physicochemical properties and spectral analysis.Results Six compounds were obtained from 95% EtOH extracts in the seeds of Z.jujuba var.spinosa.They were identified as 2?,3?-dihydroxy-lup-20(29)-en-28-oic acid methyl ester(Ⅰ),?-sitosterol(Ⅱ),betulin(Ⅲ),betulinic acid(Ⅳ),hexadexanoic acid 2,3-dihydroxypropyl ester(Ⅴ),and daucosterol(Ⅵ).Conclusion Compound Ⅰ is a novel lupane triterpene named as alphitolic acid methyl ester,compound Ⅴ is obtained from the seeds of Z.jujuba var.spinosa for the first time.

During June 2012 to October 2014, a total of 48 patients with stones in common bile duct diagnosed by ultrasound and magnetic resonance cholangiopancreatography (MRCP) were randomly divided into two groups (n =24 each).The general group underwent conventional common bile duct exploration by laparoscopy (LCHTD) at left side.For improvement group, the operator timely transfered from left side to right side during laparoscopy.And two auxiliary holes of right side were used for suturing common bile duct.All patients successfully completed common bile duct exploration by laparoscopy.The suturing times of common bile duct were (13.6 ± 2.5) & (7.6 ± 2.7) min (t =11.365, P =0.000), intraoperative bleeding volume (77.52 ± 12.49) & (74.91 ± 13.66) ml (t =2.627,P =0.008), average peak temperature at day 3 post-operation (38.6 ± 0.5) & (37.4 ± 0.5) ℃ (t =9.954, P =0.000) and average postoperative hospitalization length (9.2 ± 3.4) & (7.1 ± 2.1) days (t =8.730, P =0.000).Compared with general group, the suturing time of common bile duct was significantly shorter in improvement group, the average highest temperature at day 3 post-operation were lower and complications (bile leakage, bile duct stricture & biliary tract bleeding) decreased significantly.The main hole conversion during common bile duct exploration by laparoscopy offers the advantages of flexibility, convenience and applicability.

Strengthening basic animal operation training is not only beneficial to improving students’ practice ability so as to help students lay a solid foundation for clinic treatment and research work.,but also plays an important role in physiological scientific experiment teaching,which is essential for improving teaching quality. We have an active investigation in this aspect.

Objective:To explore the effect of Brain HQ visual training on memory function in lymphoma patients with chemotherapy-related cognitive impairment.Methods:From January to December 2019, 39 hospitalized patients in lymphoma department were selected as the research object, and divided into intervention group (19 cases) and control group (20 cases) by the order of admission. The control group was given routine nursing, and the intervention group was given Brain HQ visual training. The two groups of patients used the auditory learning test to evaluate the memory function effect at the time of enrollment, after 2 cycles and 4 cycles.Results:After 2 cycles intervention, there were no statistically significant indicators for immediate recall, short-term delayed recall, long-term delayed recall, re-recognition, and correct recall ( t values were 0.575-1.248, P> 0.05); After 4 cycles of chemotherapy, the three indicators of long-term delayed recall, recognition and correct recall of the intervention group were (6.00±1.59), (9.05±1.81), (36.00±4.27) points, while (4.75±1.55), (8.05±1.73), (32.85±3.59) points of the control group, there was a statistically significant difference in ( t values were 3.384, 2.373, 3.010, P < 0.05); repeated measures analysis of variance showed The total indicators of immediate recall, short-term delayed recall, long-term delayed recall, recognition and correct recall were not statistically significant in both groups ( F values were 0.329-1.462, P>0.05). Conclusion:The effect of Brain HQ visual training on memory function are not clear, but with the change of intervention time, memory indicators are constantly improving, Brain HQ visual training has certain practicability.