Objective To develop a physical in vitro model of the human carotid artery(CA) and analyze the factors that influence the embolus-capturing efficiency of the retrievable artery filters. Methods The flow model closely simulated the physiological parameters of the human carotid artery. The influence of the following experimental parameters on the capturing rate was analyzed with a multiple logistic regression model: embolus diameter and length, CA diameter, flow quantity, type of filter, and type of testing. Results At the 5% level,except for flow quantity,a significant influence on the capturing rate could be demonstrated for the 6 factors mentioned above, the embolus diameter was the strongest influencing factor. In CA with diameters of 4,5,6,7 mm, the 8-wire filter captured (90?7)%, (91?8)%, (81?8)%,and (68?9)% of 0.5 mm emboli and (93?4)%, (95?6)%, (95?6)%,and (82?11)% of 1 mm emboli. In all, the smaller, the interlacing opening of the filter, the higher the capturing rate, and the presence of an embolus in a filter would decrease the capturing rate for the second embolus. Conclusion Retrievable artery filter is a promising cerebral protection device. The physical in vitro model is an effective alternative in studying the influence factors of the capturing rate of the filters.

Objective: To propose essential thought for the disease pricing and to provide theoretical and methodological references for promoting disease pricing in China. Methods: Utilizing literature research method and theoretical deduction method are used to comb and analyze the theory of disease pricing theory. Results: On the basis of the research for disease cost calculation, key process of pricing like disease groups is proposed, benchmark disease and relative weight of diseases price and draws into degree of risk factors and technical difficulties. At the same time, it proposes the manipulation of cases outside the lines and pricing adjustment system. Conclusion: The research is scientific, prospective and innovative.

Objective:To investigate the dynamic change of tetramethylpyrazine (TMP) in processing of Chuangxiongchatiao Granules. Methods: To explore the influences of the different extraction, concentration and drying method on the transferring rate of TMP by HPLC. Results: Transferring rate of TMP is higher by alcohol than by water. The loss of TMP in concentrating process is lower by rotating distillation than by direct heating concentration and by reduced pressure concentration. The transferring rate of TMP is higher by reduced pressure desiccation than by ordinary pressure. Conclusion: The better extrating way of Chuangxiong is by alcohol in the processing of Chuangxiongchatiao Granules; the concentrating and drying process should be done at the low temperature and by rapid dry process.

·AIM: To report two patients with Helveston syndrome who received surgical treatment.·METHODS: During last year in department of oph-thalmology in West China Hospital, the surgery was designed to correct A-exotropia by lateral rectus' weaken and vertical offsets, and dissociated vertical deviation (DVD) by superior rectus muscles recession simultaneously.·RESULTS: A-exotropia and DVD of the patients vanished six months after the surgery. Both patients were clinically cured.·CONCLUSION: As the degree of horizontal and vertical strabismus was in the allowed range, complete examination and full assessment of the function of the four muscles were performed before operation, single operation can be considered in the treatment of Helveston syndrome.

Objective To study the arterial portography features and the impact on surgical treatment of children′s cavernous transformation of the portal vein (CTPV). Methods Angiographic findings of the arterial portography of 6 children with CTPV and its impact on surgical treatment were retrospectively analyzed. Results Abrupt occlusion of the portal vein at the porta hepatis was revealed in 5 out of 6 cases, and a masslike network of intertwined veins around the porta hepatis and many small irregular veins radiating from the network to the liver were demonstrated. Both hepatopetal and reverse flow of collateral venous pathways were defined. Valuable information of correlative vessels for surgical treatment was obtained from all 6 angiographic findings. ConclusionChildren′s CTPV have very characteristic angiographic findings, which can be very helpful for surgical management.

Objective To promote the application of angioplasty and stenting technique for the treatment of carotid artery stenosis in China. Methods The angioplasty and stenting were performed in 12 cases with carotid artery stenosis, of which 7 were symptomatic. Of 12 cases, 10 were atherosclerotic and the other 2 were of Takayasu′s disease. Results 11 stents were successfully implanted. Minor stroke occurred in 2 cases during the procedure and both were completely recovered with thrombolytic treatment in less than 1 hour. Follow up of the 11 cases 6 months through 4 and half years, no restenosis and ischemic symptoms were revealed. Conclusion Endovascular stent placement for carotid artery occlusive disease is evolving to an accepted alternative to surgery. The use of cerebral protection during the proceture is needed in the future.

OBJECTIVE:To establish a method for content determination of aflatoxins in eupolyphaga. METHODS:HPLC was performed on the column of Phenomenex-C18 with mobile phase of methanol-acetonitrile-water(28∶17∶55,V/V/V)at flow rate of 1.0 ml/min,column temperature was 30 ℃,fluorescence detector(FLD)λex was 365 nm,λem was 450 nm;derivative solution was 0.05% iodine solution,derivatized pump flow rate was 0.3 ml/min,derivatized temperature was 70 ℃ and volume injection was 20μl. RESULTS:Aflatoxin G2 and aflatoxin B2 showed good linear relationship at 1.2-12 pg,and aflatoxin G1 and aflatoxin B1 showed a good linear relationship at 4-40 pg(r≥0.999 3);RSDs of precision,stability and reproducibility tests were≤2.3%;aver-age recovery was 77.4%-94.8%(RSD=3.1%-4.3%,n=6). CONCLUSIONS:The method is simple,accurate and reproducible, and can be used for the determination of aflatoxins in eupolyphaga.

Objectives To investigate the effects of nerve nutrient factors and inhibitory factors on neuronal regen? eration and axonal reconstruction at ischemic neocortical penumbra after focal cerebral ischemia in rats. Methods The rat model of middle cerebral artery ischemia was established using suture-occluded method. The pathological morpholo? gy of brain tissue was examined by using HE staining. The expression levels of GAP-43 SYN, nutrient factor (BDNF VEGF Ang1) and inhibitory factor (NogoA NogoR RhoA) were determined by using Western blotting technique. Results The number of neurons in ischemic penumbra was significantly decreased in model group (P<0.01) than in sham-operat? ed group. The expression levels of GAP-43 were significantly decreased (P<0.05) while the expression levels of NogoA NgR and RhoA in the thalamus were significantly increased (P<0.05) in model group than in sham-operated group. The expression levels of SYN and nutrient factors (BDNF VEGF Ang1) were not different between the model group and sham-operated group. Conclusion The increase in nerve inhibitory factors may contribute to the down-regulation of neu?rogenesis at ischemic neocortical penumbra after focal cerebral ischemia in rats.

Objective To analyze the causes and outcome of conversion from tacrolimus (FK506) to cyclosporine-A (CsA) in recipients after liver transplantation.Methods 317 consecutive liver transplantation recipients in our department received anti-CD25 monoclonal antibody,FK506, mycophenolate mofetil and corticoid for prophylaxis of cellular rejection.The blood FK506 trough level was (10-15)?g/L within the first 30 days,(8-12)?g/L within next 60 days,and (5-8)?g/L was kept during 90 to 180 days after transplantation.All recipients reveived a follow-up of 6 months. Remits Sixteen out of 317 recipients (5.05%) required conversion from FK506 to CsA.The clinical indications for conversion included:neurological adverse effect of FK506 in 5 cases (31.25%),hema- tological adverse effect in 2 cases (12.5%),gastrointestinal effect in one case (6.25%),not capable of reaching therapeutic window concentration in 3 cases (18.75%),refractory hyperglycemia in 2 ca- ses (12.5%),and economic factor in 3 cases (18.75%).The majority of recipients demonstrated clinical improvement after the switch,except 2 of 16 patients (12.5%) had to be reconverted to FK506 due to renal disadvantage.No dead recipient and adverse effect correlated to immunosuppres- sive agent conversion were seen.Conclusion If necessary,conversion from FK506 to CsA in patients undergoing liver transplantation is safe and effective.

Bronchi ; Child, Preschool ; Foreign Bodies ; complications ; Humans ; Male ; Pneumopericardium ; etiology ; Spinal Diseases ; etiology