OBJECTIVE:To optimize the processing technology for Atractylodes lancea stir-baking with bran. METHODS:Us-ing the content of atractylodin,yield of water-soluble extract and ethanol-soluble extract,appearance score as comprehensive in-dex,the effects of excipient amount,stir-baking time and temperature on the quality of A. lancea stir-baking with bran were investi-gated by Box-behnken design-response surface method,so as to optimize the processing technology parameters of A. lancea stir-bak-ing with bran,and verification test were conducted. RESULTS:The optimized parameters were that the excipients amount was 10% medicinal material,stir-baking at 140 ℃ for 3 min;average comprehensive score of verification test was 0.39 (RSD=2.88%,n=3),which was close to predicted value 0.38. CONCLUSIONS:Box-behnken response surface method is reasonable and feasible for the optimization of the processing technology for A. lancea stir-baking with bran.

Objective To analyze the relationship and significance between plasma level of thyroid hormone and ovulation disorder of (polycystic ovary syndrome)PCOS.Methods Eighty-nine cases with PCOS were induced ovulation by CC+HCG.During menstrual cycle of induced ovulation,PCOS patients were divided into two groups according to Ovulation (No ovulation 40,ovulation 49).The level of thyroid hormone at different follicular development period and ovulatory time were detected.Result Levels of thyroid hormone at two groups were no difference at 5 mm,10 mm,15 mm size follicular phase(P＞0.05).But there was significant at follicular 20mm size(F inner groups=4.38,50.34,48.65;P＜0.05).The level of T3 an T4 at No ovulation group was lower than those in ovulation group(T3:(2.69±0.15) nmol/L vs.(1.97±0.17) nmol/L;T4:(124.38±0.29) nmol/L vs.(97.43±0.16) nmol/L).The level of TSH at No ovulation group was (3.43±0.10) mU/L,higher than that in ovulation group ((1.38 ± 0.18) mU/L;P ＜ 0.05).Conclusion The level of thyroid hormone in patients of ovulation group is at a normal level when the follicle is mature,and the level of thyroid hormone can affect the normal ovulation of patients with PCOS.

Investigations and interviews on six county (city)-level public hospitals practicing the drug zero price margin policy discovered increases on average outpatient expense per visit,average outpatient drug expense per visit,ratio of outpatient drug expense,average drug expense per hospital discharge,and ratio of drug expense upon discharge as well as the total ratio of drug expenses.An analysis of the poor performance of the policy results in the following recommendations.A better performance of this policy calls for support of such reforms as drug supply manner,drug price control,doctors' incentives for over-prescription and payment manner at public hospitals.Only with these support can this policy reach its expected outcomes of alleviating the drug expense burden of the people.

Aim To investigate the effects of Metacycloprodigiosin(MP) on tumor metastasis-associated cell behavior in vitro.Methods The effects of MP on the proliferation of HUVEC and 4TO7 cells were observed by MTT assay.Migration abilities of HUVEC and 4TO7 cells were measured by wound healing assay.Tube formation of HUVEC in the presence of MP for 10 hours was evaluated on matrigel basement membrane matrix.The abilities of adhesion and invasion of 4TO7 with MP for 24 hours were measured quantitatively by cell adhesion and transwell assay.Results MP did not affect proliferation of HUVEC and 4TO7 cells in concentration less than 10 μmol·L-1.MP inhibited HUVEC cells migration and formation of the tube in the concentrations of 0.01 to 1 μmol·L-1.In these concentrations MP could also inhibit 4TO7 cells migration,adhesion and invasion.Conclusion sThese results demonstrate that MP effectively inhibits tumor metastasis in vitro.All these findings suggest its potential as an anti-tumor metastasis compound in vivo.

Objective To explore the variance of helicobacter pylori(Hp) infection rate in children with recurrent abdominal pain(RAP).Methods By using the()~(13)C-urea breath test(~(13)C-UBT) to detect the status of Hp infection in 1676 children with RAP from 1998 to 2004.Results 1.Total 1676 cases of children with RAP were detected.There were 438 cases showed Hp positive,the positive rate was 26.13%.The infection rates in patients from 2-5,5-10,and 10-14 years of age were 23.66%(84/355),(26.31%)(286/1087),29.06%(68/234),respectively.2.Hp infection rates in children with RAP from 1998 to 2004 were 29.33%(83/283),(28.90%)(76/263),25.76%(51/198),26.01%(56/215),25.81%(48/186),24.45%(67/274),22.18%(57/257),respectively.Conclusion 1.The Hp infection rate in children with RAP increased with age;2.The Hp infection rate in children with RAP decreased year after year.

Objective: To observe the clinical efficacy of heat-sensitive moxibustion plus medications on senile osteoporosis (SOP), and to explore the related mechanisms. Methods: A total of 70 elderly participants with osteoporosis were randomly divided into an observation group and control group, with 35 cases in each group. The control group was treated with conventional drugs, and the observation group was treated with heat-sensitive moxibustion on the basis of the conventional drugs. Both groups were treated for 3 months. Before and after treatment, assessed the visual analog scale (VAS) and Oswestry disability index (ODI) scores, determined the bone mineral density of the participants' lumbar spine (L2-L4) and left femoral neck, and detected the participants' serum bone morphogenetic protein-2 (BMP-2) and osteoprotegerin (OPG) levels. Results: After treatment, the VAS scores of both groups were lower than before treatment (both P<0.05), and the VAS score of the observation group was significantly lower than that of the control group (P<0.05). After treatment, the bone mineral density values of the lumbar spine and left femoral neck in both groups were significantly higher than before treatment (both P<0.05), and the bone mineral density values of the observation group were higher than those of the control group (P<0.05). After treatment, the ODI scores of the two groups were lower than those before treatment (both P<0.05), and the ODI score of the observation group was lower than that of the control group (P<0.05). After treatment, the serum BMP-2 and OPG levels in the observation group were significantly higher than those in the control group (both P<0.05). Conclusion: Heat-sensitive moxibustion plus medications for SOP can significantly relieve patients' pain, improve dysfunction, and increase bone density, which may be related to the improvement of the serum BMP-2 and OPG levels.

Objective To investigate the effect and psychological intervention of compound polyethylene glycol electrolyte powder in preoperative bowel preparation for gynecologic tumor patients. Methods According to the different drugs,nursing interventions will be January 2015 to March 2017 in third affiliated hospital of Tianjin medical university for surgical treatment of gynecological cancer patients 80 cases groups:control group with routine nursing intervention observation group with mannitol, psychological nursing and compound polyethylene glycol electrolyte with intervention;observation of two groups of patients improve psychological status and intestinal cleaning and the incidence of adverse reactions,the strict record related data and make comparative analysis. Results The psychological nursing and compound polyethylene glycol electrolyte powder(observation group)intervention in patients with gynecologic tumor significantly,the psychological state of patients with improvement than the control group,the bowel cleaning is better than the control group,the difference was statistically significant(P<0.05);two patients with adverse reaction rate comparison,the difference was not statistically significant. Conclusion The preparation of intestinal tract tumor patients before gynecologic selection of psychological nursing and intervention effect of polyethylene glycol electrolyte powder can significantly improve the psychological state,full bowel cleansing patients with high effective rate,and will not increase the adverse reactions,and is worthy of clinical application.

Estrogen receptor binding assay is to assess the estrogenic activity of chemicals by determining the ability of competing with 17?-estradiol to bind with estrogen receptor.It has the strengths of simplicity,speediness with good reproducibility.This literature reviewed mainly the mechanism,the research progress,test method,influencing factors of this assay as well as its application.

In this study,we have observed the effects of extract from mussel ( Mytilus edulis Linnaeus ) on experimental hyperlipidemia in rats.The results showed that the extract from mussel could reduce the levels of total cholesterol and triglyceride in blood serum of the experimental hyperlipidemic rats.

Objective To investigate the status of cancer pain and the usage of complementary and alternative medicine among gynecological cancer pain patients.Methods Thirty-one patients with cancer pain were investigated with self-designed questionnaire in the Gynecology Department of the First Hospital of Lanzhou University.Results The average score of age was (51.23 ± 11.34) years old,the youngest patient was 23 years old.During the period of cancer,54.84％ (17/31) of the average degree of cancer pain was mild,77.42％ (24/31) of the most severe degree of cancer pain was severe,51.61％ (16/31) of the patients experienced two or more parts of the pain,75.47％ (40/53) of the cancer pain was pelvic pain,72.72％ (24/33) was dull pain.The higher the degree of cancer pain was,the worse the subjective sleep quality was.Merely 25.81％ (8/31) of the patients used complementary and alternative medicine methods to treatment cancer pain,6 cases of them considered that the methods were effective.Conclusions Patients with gynecological cancer became younger and younger,their cancer pain was severe and mostly was pelvic pain and dull pain.Patients' subjective sleep quality was affected by cancer pain.Complementary and alternative methods might mitigate cancer pain but their usage frequency was low,which was anticipated to be more used in clinic.