Infantile cholestasis is a syndrome caused by multiple factors with conjugated hyperbilirubinemia for clinical characteristics. The etiologic factors include infection, poisoning, inherited metabolic defects and bile duct abnormalities. Infection, biliary atresia accounts for more than half of cholestasis children. Recently, the new causes have been recognized, for example citrin deficiency, Alagille syndrome,progressive familial cholestasis symptoms caused by different causes are similar to biliary atresia, but the prognosis and treatment are quite different. If misdiagnosed, the condition will exacerbate. Understanding the various causes plays an important role for the early diagnosis and differential diagnosis of infantile cholestasis.

To introduce germfree isolating technologies used in gnotobiology , and to compare the differences with in Cleaning Rooms, Restrictive Access Barrier Systems (RABS) and Isolators.To expect the development of isolators , and to describe the uses of isolators in gnotobioly .

OBJECTIVE:To develop an HPLC-fluorescence method for simultaneous determination of losartan and its major metabolite(E-3174) in human plasma.METHODS:Plasma sample was pretreated by liquid-liquid extraction with aether then determined with valsartan served as internal standard.The determination was performed on Diamonsil C18 with column temperature set at room temperature.The mobile phase consisted of 0.02 mol?L-1 sodium dihydrogen phosphate buffer (adjusted to pH=2.35 with phosphoric acid)-acetonitrile (57∶43) at a flowrate of 0.5 mL?min-1.The excitation wavelength was set at 250 nm and the emission wavelength was set at 370 nm.RESULTS:The linear range of losartan was 10～1 000 ng?mL-1(r=0.999 0) with a lowest limiest of quantification(LLOQ) of 10 ng?mL-1;the linear range of E-3174 was 5～1 000 ng?mL-1(r=0.999 0) with a LLOQ of 5 ng?mL-1.The methodological recoveries of losartan and E-3174 were 94.05%～110.09% and 107.7%～110.94%,respectively,with both intra-day RSD and inter-day RSD at less than 10.0%;the extraction recoveries of losartan and E-3174 were 69.16%～70.85% and 67.50%～70.77%,respectively.CONCLUSION:The developed method is simple,accurate and reproducible,and it is applicable for the concentration determination and pharmacokinetic studies of losartan and its major metabolite (E-3174) in human plasma.

Magnesium participates in many fundamental metabolic processes and plays important roles in maintaining normal body function. Magnesium homeostasis is regulated by a fine balance between gastrointestinal absorption and renal excretion. Several hereditary disorders characterized by hypomagnesemia have been described since 1960s, including familial hypomagnesemia with hypercalciuria and nephrocalcinosis, autosomal dominant hypomagnesemia with hypocalciuria, hypomagnesemia with secondary hypocalcemia, autosomal dominant hypocalcemia and etc. Recent advances in molecular genetics and protein functions contribute to more understanding of magnesium transport. We will review clinical aspects of hereditary disorders of hypomagnesemia and summarize genetic findings related to these disorders.

BACKGROUND:Unicompartment knee replacement is more popular for smal trauma, rapid recovery, low complication and almost normal knee mechanics, and has been more and more used in clinic to repair single compartment knee disease. At present, there is no report about the influence of the angle of the single condyle prosthesis on the survival rate. OBJECTIVE:To evaluate the effectiveness of unicompartmental knee replacement for medial compartmental osteoarthritis of the knee in 4-6 years of fol ow-up. METHODS:Thirty patients with medial compartmental osteoarthritis of the knee were treated by unicompartmental knee replacement with Oxford system. Complication occurrence was observed. Curative effects were evaluated with Hospital for Special Surgery score before and 3 months, 6 months and 1 year after surgery. On anteroposterior view, the varus/valgus alignments of the tibial components were measured relative to the long axis of the tibia. On lateral view, flexion/extension of the femoral component was measured relative to the posterior femoral cortex. RESULTS AND CONCLUSION:(1) Primary healing of incision was obtained in al patients, and no infection or lower limb deep venous thrombosis occurred. (2) Al of the patients were fol owed up for 48-72 months. There was no prosthetic loosening, dislocation or revision for contralateral compartment and patel ofemoral joint symptoms. (3) Hospital for Special Surgery score was significantly increased to (90.47±4.05) (P=0.00). (4) Tibial placement angle of single condyle prosthesis:The axis of the prosthesis was perpendicular to the axis of the tibia in 21 cases. Varus placement:2° in 1 case, 4° in 3 cases, 5° in 2 cases, 6° in 2 cases, and 10° in 1 case. No valgus occurred in the tibial side. (5) Femoral prosthesis placement angle:The axis of the femoral prosthesis was paral el to the posterior edge of the femoral cortex in 22 cases, on the flexed position:4° in 2 cases, 5° in 1 case, 6° in 1 case and 7° in 1 case;in the extension position:3° in 1 case, 4° in 1 case and 5° in 1 case. (6) Results suggested that the unilateral condylar replacement for the repair of medial compartment osteoarthritis of the knee has a good initial effect. The middle-term and long-term efficacy needs longer fol ow-up study.

AIM: To establish an extraction of alkaloid from Cortex Phellodendri METHODS : Taking berberine hydrochloride and palmatine hydrochloride in Cortex Phellodendri as evaluating index determined by the HPLC,the effects of different solvents,extraction time,and extraction models on extraction rate of the berberine hydrochloride and palmatine hydrochloride were systematically investigated. Berberine hydrochloride and palmatine hydrochloride in Cortex Phellodendri from different sources were also involved. RESULTS : The ultrasound extraction with hydrochloric acid-methanol (1∶100) up to 20min was more effective. CONCLUSION : The kinds of solvent and models of extraction have a great influence upon the extracting efficiency of berberine hydrochloride and plamatine hydrochloride.

Four hundred new recruits in 1984, whose HBVM was seronegative before immunization, were selected and equally divided into two groups: vaccination and control. Hepatitis B vaccine was given to every one of the vaccination group once every month for three months. Anti-HBs responses were determined on the 1st, 3rd, 6th and 12th months after the first injection. The seropositive rates were shown to be 60%, 96.2%, 92.9% and 84.6% respectively. None of the recipients showed any abnormality in the tests of SGPT, HBsAg and anti-HBc. On the other hand, 1/3 of the recruits in the control group showed HBVM seropositive after 6-month and 1/2 of them became HBVM seropositive in one year. The above results proved that hepatitis B vaccine was safe, reliable and effective in the preven tion of hepatitis B in troops of special duty.

Ovarian cancer correlates with a serials of genes． Since oncogene and tumor suppressor gene have been studied thoroughly, it is tho ught that gene therapy is the newest strategy of cancer treatment． There are many types of gene therapy: Gene complement, moleculchemotherapy, immune-based gene therapy etc． Gene therapy will provide a novel way of ovarian cancer treatment．

Objective:To investigate the clinically curative effects of Liyuan Pure Lysothrombusase(LYPL，力源精纯溶栓酶) on unstable angina pectoris (UAP) and to observe its safety.Methods:One hundred and twenty cases with UAP were selected and in accordance with the proportion of one to one randomly divided into treated and control group.Based on conventional therapy the LYPL infused intravenously was added in treated group.The conditions of symptomatic convalescence,the changes in electrocardiography (ECG),and the parameters of blood rheology were observed for two groups.Results:The curative effects on symptoms and ECG were 93.33％ and 88.33％ respectively in treated group but in control group they were 70.00％ and 68.33％ respectively.The difference in comparison between two groups was significant (all P<0.01).In treated group the parameters of blood rheology were obviously improved meanwhile in control group they were not.Conclusions:LYPL possesses the actions on improving blood rheology.Its curative effects on UAP are marked and it is safe and easy to use.