Objective To study the features of clinic ,pathology and prognosis in children with steroid-resistant nephritic syn-drome(SRNS) .Methods Children with SRNS hospitalized in Division of Nephrology and Immunology in our hospital from January 2003 to December 2012 were analyzed retrospectively in clinic ,pathology and prognosis .Results 162 patients were investigated , which accounted for 10 .8% of children with Primary nephritic syndrome(PNS) ,and the mean age of onset was 6 .9 ± 3 .8 years old . Renal biopsy was performed in 132 patients ,60 of them showed mesangial proliferative glomerulonephritis(MsPGN) ,30 showed fo-cal segmental glomerulosclerosis(FSGS) ,19 showed minimal change disease(MCD) ,8 showed membranoproliferative glomerulone-phritis(MPGN) ,5 showed membranous nephropathy(MN) ,1 showed proliferative sclerosis glomerulonephritis(PSGN) .Patients with non-minimal change disease(non-MCD)had a significant prevalence of hematuria .The distribution of pathologic type among age groups and clinical classification was significantly different ,respectively(P<0 .05) .(2)132 patients were followed up ,58 of them were in complete remission ,26 were in partial remission ,15 were not in remission ,8 were dead ,and the mean time for com-plete remission was 15 months(3-84 .Prognosis correlated with pathologic type(P<0 .01) .Conclusion (1)There is a preponder-ance of non-MCD in children with SRNS ,and MsPGN and FSGS is the major pathologic type .Hematuria is a predictor of glucocor-ticoid resistance .(2)Children with SRNS have a long time proteinuria and poor prognosis .FSGS has a poor prognosis ,when com-pared with MsPGN .

Objective To understand the clinical significance of serum immunoglobulins and C3 at the initial episode on the treat-ment and prognosis of childhood primary nephrotic syndrome(PNS) .Methods 426 children patients with first episode of PNS ad-mitted to the nephrology department of our hospital from January 1 ,2003 to December 30 ,2012 were retrospectively analyzed .The clinical data were collected for conducting the analysis on the immuneglobulins and C 3 levels in different age groups ,clinical classifi-cation ,hormone response ,recurrence ,prognosis and correlation among various pathological types .Results (1)Compared with the healthy children ,the peripheral blood IgG level in childhood PNS was significantly decreased ,while the IgM and IgE level were sig-nificantly increased .(2)The IgE level in steroid-sensitive nephrotic syndrome(SSNS) was higher than that in steroid-resistant ne-phrotic syndrome(SRNS);which in frequent recurrence nephrotic syndrome was higher than that in non-recurrence nephrotic syn-drome .(3) The C3 level in the PNS children patients aged over 1 years and nephritis nephrotic syndrome(NNS) was lower than that in simple nephrotic syndrome(SNS) .Conclusion PNS is correlated with the immune dysfunction .Serum IgE level increase clinically manifests by the steroid sensitivity and frequent relapse ;the lower the C3 level ,the poorer the prognosis .

Using the approaches of ontology, informatics and knowledge management, this paper explored and established ICF based ontology, concepts and terminology, classification, coding system and related knowledge management. The applications of ICF based infor-mation standard had been discussed in the areas of disability and rehabilitation assessment, clinical and rehabilitation information, Function-al Diagnosis Related Groups (fDRGs) and disability survey statistics and policy development.

Objective To explore flora of patients with recurrent oral ulcer,to analyze the relationship between oral microecology and recurrent oral ulcer.Methods The saliva of 20 patients with recurrent oral ulcer,21 patients with recurrent oral ulcer healing,20 healthy volunteers were collected.Gb marked as gram-negative bacilli,Gb+marked as gram-positive bacteria,Gc marked as gram-negative cocci,Gc+ as standard standard of Gram-positive cocci.The oral flora was quantitatively analyzed.Neisseria,Streptococcus,Wei Rongshi bacteria content in the saliva were analyzed in the three groups.The oral microecology changes was studied.Results Wei Rong bacteria and streptococci content value in the ulcer group were significantly lower than the healthy control group (P ＜ 0.05).Neisseria and Wei Rong bacteria content between healing group and ulcer group had significant differences (P ＜ 0.05).A streptococci value of the healing group was significantly lower than the healthy control group(P ＜ 0.05).Conclusion Recurrent oral ulcer has correlation with oral microecology,Wei Rongshi bacteria content is closely related with the incidence of recurrent oral ulcer and may maintain the stable of oral environment.

Laccase is one of the most important oxidoreductase with industrialization potential. However, due to the high cost and catalytic toxicity of laccase synthetic mediator, the laccase-mediator-system still cannot achieve industrialization. Therefore, searching for high efficient, environment-friendly, and cheap natural mediator from small molecule precursors or intermediates and degradation products of lignin has been considered as a hot research topic. Therefore, we introduce the type and catalytic mechanism of laccase mediator, the composition and separation of natural laccase mediator from water washed solution of steam exploded straw, black liquor and lignocelluloses degradation products during the fermentation of white-rot fungi. We also provide the theoretical and technical direction for exploring of high reactive of laccase natural mediators and achieving the oriented high-value utilization of lignocellulose degradation products.
Basidiomycota ; Fermentation ; Laccase ; chemistry ; Lignin ; chemistry ; Steam

Biomass is the most abundant organic macromolecules in nature, which is expected to achieve the brilliant of biorefinery equivalent to petroleum refining. However, it is considered as the future industry to human due to the complicated composition and transformation processes. The traditional lignocellulose bio-refining thoughts ignored the functional requirements of products, but spent a lot of energies to destruct macromolecule into small molecules, and then converted the small molecules into different products, which was high energy consumption and low atom economy. How to realize the biorefinery of lignocellulose is the key point and difficulty to achieve the biomass industry. An ideal biorefinery of lignocellulose should as far as possibly to obtain the maximum yield of each component, to maintain the integrity of the molecule, to optimize the utilization of raw materials and finally to realize the maximum value. Therefore, it requires the raw materials refining of lignocellosic biomass should be based on the relationship of structure, process transformation and related product characteristics. This special issue reports the latest advances in the fields of raw material refinery, refining technologies, conversion technologies of component.
Biomass ; Biotransformation ; Lignin ; chemistry

The necessity and performing method of research-intensive teaching in microbiology experiments are explored in the aspects of teaching design, process and effect. It is concluded that research-intensive experiments plays a positive role in developing students’comprehensive quality.

Objective:To investigate the clinical effects and safety of triple therapy based on ipratropium bromide inhalation in the treatment of acute exacerbation of chronic obstructive pulmonary diseases ( AECOPD) . Methods:Totally 150 patients with acute exac-erbation of AECOPD were randomly divided into control group (75 patients) treated with budesonide combined with salbutamol by in-halation, and treatment group (75 patients) treated with ipratropium bromide inhalation additionally. The clinical effects, dyspnea score, pulmonary function index and blood gas analysis index before and after the treatment and the incidence of adverse reactions of the two groups were compared. Results:The clinical effects of the treatment group was significantly better than that of the control group (P<0. 05). The dyspnea score, pulmonary function index in and blood gas analysis index in the two groups after the treatment were significantly better than those before the treatment(P<0. 05), and the improvement of the treatment group was significantly better than that of control group (P<0. 05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0. 05). Conclusion:Triple therapy including ipratropium bromide inhalation in the treatment of acute exacerbation of AECOPD can ef-fectively alleviate clinical symptoms and signs and improve the lung ventilation function without increased risk of adverse reactions.

In terms of students,faculty and teaching methods,this article is involved in the problem of postgraduates'innovative ability and put up some solutions to that.The aim of the article is to help postgraduates to improve their innovative ability.

OBJECTIVE:To establish a method for the concentration determination of catecholamines in human urine. METH-ODS:After extracted by aluminum oxide,using 3,4-dihydroxybenzylamine as internal standard,HPLC-electrochemistry was per-formed on the column of Shim-Pack C18 with mixed solution [every 500 ml mixed solution containing ion-pairing reagents(octane sulfonate) 0.5 mmol,methanol 10 ml,0.06 mmol/L Di-n-butylamine 50 μl,sodium acetate anhydrous 2.0 g,citric acid 5.5 g, EDTA-Na2 60 mg and sodium chloride 584.4 mg,pH=3.5] at a flow rate of 0.8 ml/min,column temperature was 30 ℃,detection voltage was 750 mV,and injection volume was 40 μl. RESULTS:The linear ranges were 3.125-100 ng/ml for both norepinephrine (r=0.998 5)and epinephrine(r=0.999 2),lower limits of quantitation were 3.125 ng/ml;RSDs of within days and daytime were lower than 10%,method recoveries were 99.2%-101.6% and 98.9%-100.5%,extraction recoveries were 63.8%-66.8% and 60.5%-62.6%. CONCLUSIONS:The method shows strong specificity,high sensitivity and low detection cost,and can be used for the concentration determination of catecholamines in human urine.