BACKGROUND:Operation is the main therapy for protrusion of lumbar intervertebral disc.The researches have indicated that non-operation therapy can improve effectively its clinical symptoms.OBJECTIVE:To observe the effect of "three points and five methods"therapy on analgesia of radiculalgia in protrusion of lumbar intervertebral disc and on recovery of motor function in lumbar region and lower limbs.DESIGN:Non-randomized concurrent control study based on the patients.SETTING:Orthopedic department and college of acupuncture and massage of one university-affiliated Hospital.PARTICIPANTS:Totally 210 inpatients of lumbar vertebral disorders were selected from Orthopedic Department of First Affiliated Hospital of Henan College of Traditional Chinese Medicine and Department of Acupuncture and Massage of Third Affiliated Hospital from March 1999 to June 2003,which were randomized into experimental group (n=108) and control group(n=102).METHODS:"Three points and five methods" therapy was adopted in experimental group and the traditional manipulation was for the control.The evaluation on pain and motor function was carried on at minutes 5,10,30,and hours 1,2,...,24 successively for statistical analysis.RESULTS:Total effective rate was 94.44% and the average time of analgesia was(18.40±2.11) hours in the experimental group.Total effective rate was 82.35% and the average time of analgesia was (10.60±2.63) hours in the control group. The analgesia effect and evaluation results on comprehensive function in the experimental group were superior to that in the control group(t=4.86,4.42,P ＜ 0.01).CONCLUSION: "Three points and five methods" therapy releases lumbar pain, improves lumbar symptoms and recovers motor function of lower limbs for the patients with radiculalgia in protrusion of lumbar intervertebral disc.

The Neutral detergent method (AACC method) for determining insoluble dietary fiber in cereals and cereal foods has been used in this experiment. The results showed that the suitable size of the sample was 40-mesh and the better period for digestion in hot neutral detergent solution was one hour for determination. Decahydronaphthalene as a defoaming agent was better than n-octane. The average recoveries of two different ways were from 94.1% to 100.4%. The coefficient of variation for eight wheat samples was 1.8%. Because of its simple equipment, easy operation and good accuracy, this method would be suitable for determination of cereals and cereal foods.

In order to explore expression of the PNA receptor in early myocardial infarction, immunohistochemical technique was performed (S-P method). The expression of the PNA receptor occured in the early acute cardiac ischemic area induced experimentally by ligation of left coronary arteries of 32 SD rats. The following changes on myocardial cell membranes at the ischemical areas were found. Positive staining of PNA could be observed in ischemic area at 15min after ischemia, and it increased along with the prolongation of ischemic period. It became the strongest after is chemic 2h and then decreased. This may be of some value in forensic medicine practice.

【Objective】 To study the removal effect of fibronectin(Fn) from von willebrand factor(vWF) by ion-exchange chromatography through processing human coagulation factor Ⅷ chromatographic washing products, in order to select a method that can effectively reduce Fn without compromising the activity yield. 【Methods】 In a multi-batch process development experiment, Fractogel^® EMD TMAE(M) strong anion filler produced by Merck(Germany) was used to conduct chromatography to investigate vWF ristomycins titer (vWF: RCof), vWF recovery, protein content and Fn content. 【Results】 During the development of vWF pilot purification process, the content of Fn in the samples can be effectively reduced by ion-exchange chromatography, with removal rate more than 87%, titer recovery of vWF more than 80%, and no significant change in other quality indexes. 【Conclusion】 The use of ion-exchange chromatography to purify vWF can effectively reduce the content of Fn, which has positive significance for developing new product process and improving the product quality of blood products manufacturers.

Objective To review the basic clinical characteristics and the pathogens and their antimicrobial susceptibilities to neonatal sepsis in very low birth weight infants (VLBWI) and extremely low birth weight infants ( ELBWI) for selection of appropriate antibiotics. Methods A retrospective chart review of 56 cases with neonatal sepsis(early onset neonatal sepsis 3 cases, late onset 53 cases) in VLBWI and ELBWI admitted to the neonatal intensive care unit of Yuying Children's Hospital of Wenzhou Medical College from January 1, 1999 to December 31, 2008 was conducted. The basic clinical characteristics and the results of blood culture and antimicrobial susceptibilities were analyzed. Results Among the 56 cases, the clinical presentations were non-specific. A total of 43 strains of bacteria were isolated, and the most important pathogens responsible for neonatal sepsis in VLBWI and ELBWI were opportunistic pathogenic bacteria. In early onset neonatal sepsis, there was only one culture-proven sepsis that was Chryseobacterium meningosepticum. In the late onset neonatal sepsis cases, the main pathogens of Gram-negative organisms were Klebsiella pneumoniae (33. 3%, 14/42), and the most common Gram-positive organisms were coagulase-negative Staphylococci (26. 2%, 11/42), followed by Enterococcus species (11. 9%,5/42). Furthermore, there were 2 fungal sepsis(4. 8%, 2/42), which were infected by Candida albicans. All of the coagulase-negative Staphylococci were methicillin-resistant coagulase-negative Staphylococci, and they were resistant to common antibiotics and sensitive to vancotnycin and rifampicin. And all of the Klebsiella pneumoniae produced extended-spectrum (Hactamases, which were sensitive only to a few antibiotics such as carbopenems, aminoglycosides and quinolones. Among those 56 cases, 43 patients were cured, 13 died, including six patients who refused any treatments, the mortality rate of neonatal sepsis in VLBWI and ELBWI was 23. 2%. Conclusions The clinical presentations of neonatal sepsis in VLBWI and ELBWI were non-specific, and the most important pathogens were opportunistic pathogenic bacteria, which were multi-drug resistant. Routine blood culture should be taken from infants who are suspected of neonatal sepsis and empirical use of appropriate antibiotics should be initiated as soon as the blood specimen for culture has been drawn. To reduce the occurrence of multi-drug resistant bacteria, we should restrict the use of antibiotics especially the third generation of cephalosporins in neonates as much as possible.

Objective To estimate time of gauze swabs left in abdomen with comparison of the number of foreign body giant cells,theirs nuclei and the proportion of type Ⅰ collagenous fibers to type Ⅲ and argentaffin fibers in different times.Methods F344 rat models dependent 2,8,30,120 days were established by gauze swab fixed in the abdomen,and were studied on gauze swab wrapped by greater omentum,the number of foreign body giant cells and theirs nuclei by HE staining,and the proportion of type Ⅰ collagenous fibers to type Ⅲ and argentaffin fibers by sirius red and silver staining respectively.The results were analyzed by image analysis system.Results The results showed that number of foreign body giant cells,theirs nuclei and the proportion of type Ⅰ collagenous fibers to type Ⅲ and argentaffin fibers increased gradually(P<0.01)followed the time delayed.The Proportion of type Ⅰ collagenous fibers to argentaffin fibersis Power Function of Days of guaze swab left in rat abdomen(r=0.972).Conclusion The number of foreign body giant cells,theirs nuclei and the proportion of type Ⅰ collagenous fibers to type Ⅲ and argentaffin fibers contribute to the estimation of foreign body(eg.gauze swab)left in abdomen.

Objective:To establish a method for the determination of asperosaponinⅥin Dieda Cuyu tablets by HPLC. Methods:A Hypersil C18(250 mm ×4.6 mm,5 μm)column was used. The mobile phase was acetonitrile-water(30∶70) with a flow rate of 1.0 ml·min-1 . The detection wavelength was 212 nm, the column temperature was room temperature,and the injection volume was 10μl. Results:AsperosaponinⅥ showed a good linear relationship within the range of 0. 04-0. 32 μg(r=0. 999 6). The average recovery was 97. 84%(RSD=1. 70%, n=6). Conclusion:The method is simple,accurate and reproducible, which can be used in the deter-mination of asperosaponinⅥ in Dieda Cuyu tablets.

Objective To explore the effects of nursing intervention based on Information-motivation-behavioral model (IMB) on self-efficacy and quality of life of patients with primary liver cancer. Methods A total of 84 patients with primary liver cancer who were hospitalized in the First Affiliated Hospital of Ji'nan University from January to December in 2016 were selected by convenience sampling method and divided into control group (40 cases) and observation group (44 cases) according to the time of admission. The patients in the control group received routine care, while the patients in the observation group received nursing intervention based on IMB. Chinese Strategies Used by People to Promote Health (C-SUPPH) and Quality of Life-Liver Cancer (QOL-LC) were applied to investigate patients' self-efficacy and quality of life before and after intervention, so as to evaluate the effects of intervention. Results The C-SUPPH and QOL-LC scores of the observation group and the control group were (87.18±14.83), (105.01±18.56) and (78.65±15.75),(94.75±18.15) respectively on the day of discharge, and the differencs were statistically significant (t=-2.557,-2.068; P< 0.05). The C-SUPPH and QOL-LC scores of the observation group and the control group were (92.34±16.04), (123.11±20.86) and (80.50±15.86), (101.90±19.95) respectively 1 month after discharge, and the differences were statistically significant (t=-3.397,-4.753; P< 0.05). Conclusions Nursing intervention based on IMB can improve the self-efficacy and quality of life of patients with primary liver cancer, which is worthy of clinical promotion.

According to 45 hemagglutinin (HA) gene sequences of H7 subtype of avian influenza virus (AIV), a pair of specific oligonucleotide primers was designed. We developed one step RT-PCR for detecting AIV subtype H7. Sensitivity to detection of allantoic fluid by one step RT-PCR reached 10(5.5) EID50/mL and detection of swab samples reached 10(3) EID50/mL. We simultaneity detected the tissue and swab samples infected with H7 subtypes AIV by one step RT-PCR and virus isolation method. The results showed that the sensitivity of the assay gave an excellent correlation with the conventional virus isolation method. H1-H15 subtypes of avian influenza and other avian diseases were detected by the one step RT-PCR. The results showed the assays were high specific, without cross-reaction with other subtypes or other avian diseases. Development of one step RT-PCR will provide effective technical support for the rapid diagnosis and surveillance of molecular epidemiology of AIV subtype H7.
Animals ; Birds ; Chick Embryo ; Hemagglutinin Glycoproteins, Influenza Virus ; genetics ; Influenza A Virus, H7N1 Subtype ; classification ; genetics ; isolation & purification ; Influenza in Birds ; virology ; Reverse Transcriptase Polymerase Chain Reaction ; methods ; Sensitivity and Specificity

OBJECTIVE To establish a method for determining the content of 11 antioxidants and their degradation products in recombinant Exendin-4-FC fusion protein injection by HPLC. METHODS The protein was precipitated with saturated ammonium sulfate. After centrifugation, the supernatant was transferred to a C18 solid phase extraction cartridge activated by methanol. Then the cartridge was eluted with 4 mL of methanol and 5 mL of ethyl acetate respectively, and the eluent was diluted with methanol-ethyl acetate(2∶3) mixed solvent and passed through a 0.22 µm PTFE hydrophobic filter. It was analyzed by HPLC and quantified by external standard method. Chromatographic conditions: Kinetex® XB-C18 100Å (100 mm×4.6 mm, 2.6 µm)column, the detection wavelength was 230 nm, the column oven was 30 ℃, the injection volume was 5 µL and the flow rate was 0.4 mL·min–1, mobile phase was 0.1% formic acid-methanol(A)-0.1% formic acid aqueous solution(B), the running time was 45 min. RESULTS The 11 target substances showed a good linear relationship in the range of 2.5−35 μg·mL–1 with R2 ≥0.99. At three different concentration(25, 10, 5 μg·mL–1) of spiked samples, the average recovery rates of 11 antioxidants ranged from 88.1% to 106.5%, with RSDs in the range of 0.10%–9.05%. The RSDs of 6 repeatable samples was 2.01%–4.77%, which of 12 intermediate precision samples was 2.58%–9.75%. The positive/inverted samples of three batches of recombinant Exendin-4-FC fusion protein injection were detected at 0 month, 3 months and 6 months(25 ℃), and the results showed that there was no antioxidant and its degradation leaching in all batches of samples at different detection points. CONCLUSION The method has good specificity, high accuracy and precision, good solution stability, high durability and can be used for the content detection of antioxidants in drugs.