OBJECTIVE:To observe therapeutic efficacy and safety of flupentixol and melitracen combined with pregabalin in the treatment of painful diabetic peripheral neuropathy(PDPN). METHODS:150 cases diagnosed as PDPN were selected and ran-domly divided into control group A,control group B and combination group,with 50 cases in each group. All patients received ba-sic therapy such as the control of blood glucose,blood pressure and blood lipid. Control group A was additionally given mecobala-mine 1 mg added into 0.9% Sodium chloride solution,qd,ivgtt,2 weeks later,given Mecobalamine tablet 0.5 mg,po,tid;con-trol group B was additionally given pregabalin 75 mg,po,bid;combination group was additionally given Flupentixol and melitra-cen tablet,10 mg,bid,on the basis of control group B. 3 groups were given 4 weeks treatment. After treatment,VAS score, HAMD score,and SNCV and MNVC of median nerve and peroneal nerve were compared among 3 groups. Clinical efficacy and ADR were observed. RESULTS:After treatment,VAS score and HAMD score of combination group were significantly lower than control group A and B,with statistical significance(P<0.05). SNCV and MNCV of median nerve and peroneal nerve in combina-tion group were significantly higher than in control group A and B,with statistical significance(P<0.05).The effective rate of com-bination group(90.0%)was significantly higher than that of control group A(56.0%)and B(74.0%),with statistical signifi-cance(P<0.05). No serious ADR was found in 3 groups during treatment. CONCLUSIONS:Flupentixol and melitracen combined with pregabalin have definite therapeutic efficacy in the treatment of PDPN with good safety.

Zebrafish as a new animal model is gradually being recognized. Easy fed, growing rapidly,transparent embryo, strong reproduction, especially similar with human in gene structure, body regulation patterns, and the development of organs and disease, all those characteristics make zebrafish significant in development of vertebrate animal and human disease. This review focuses on discussing the applications of the major organs of zebrafish in the studies of developmental pediatrics.

BACKGROUND:Timely and scientific food supplement or fortified food could promote intellectual development.Xinjiang is located in the westem part of China where inhabited by minority nationalities.Ethnic minorities have their own unique lifestyle and dietary habits.Whether their unique ways will affect infant and child nutrition requires further study.OBJECTIVE:Through investigating the nutrition and intellectual development of 454 infants and children from Uygur,Han,Kazak nationality,to recognize the factors affecting intellectual development of children.DESIGN:Sample investigation.SETTING:Department of Nutrition and Food Hygiene,College of Public Health,Xinjiang Medical University.PARTICIPANTS:Totally 454 infants and children from Tulufan,Urumqi and Hutubi where inhabited by Uygur,Han,Kazak nationality were enrolled in the investigation from May 2004 to April 2005 after obtaining their family members'agreement.METHODS:The method was that one card for one people in the 454 infants and children,and the questionnaires included linking index,the social factors related to intellectual development,prandium history,the kinds and timing of supplementary food added,the timing to add supplementary food and so on.Denver Developmental Screening Test was used to measure the intellectual ability.MAIN OUTCOME MEASURES:The kinds and timing of supplementary food added,feeding patterns,mean score of intelligence in infants and children.RESULTS:Among the 454 included infants and children,12 were dropped out,because of unqualified data,so 442 were involved in the result analysis.①Adding supplementary food:Kazaks took milk product as dominant food,and meat.vegetables and fruits were added after one year old. Ugyurs took a little meat as main food,while the Hans took eggs and grains as dominant food.②Comparison of timing to add supplementary food:Mean timing to add supplementary food were 6.87, 5.40 and 8.17 months in Uygur,Han, Kazak nationality, respectively,and there were significant differences (F=14.62,P<0.01).③Intellectual development:The score of the three national infantile intellectual ability test was that:Hans>Uygurs>Kazaks,only when over 24 months year old Kazaks>Uygurs.There were significant differences (P<0.01).④Effect of different feeding ways and timing to add supplementary food on the development of intellectual ability:The earlier the timing to add supplementary food,the higher the score was (P<0.05).There was no significant difference in intelligent score of infants and children of different feeding ways (P>0.05).CONCLUSION:It is good for the development of intellectual ability that parents improve the lactating mother,infantile nutritional condition and add supplementary food(weaning food)in early age.

AIM: To establish the method of determining five anthraquinone components in Shaotangshang Gel(Rhizoma Coptidis,Cortex Phellodendri Chinensis,Radix et Rhizoma Rhei,etc.). METHODS:HPLC was used to determine emodin,chrysophanol,rhein,physcion,alone-emodin in Shaotangshang Gel.The separation was performed on Yilited-C_(18) Column with MeOH-phosphate acid(0.1%)(80∶20) as the modile phase,the flow rate was 1.0 mL/min and detection wavelength was set at 430 nm. RESULTS: The resolution and the linearity of the method were good with the average recoveries and RSD values of emoldin,chrysophanol,rhein,physcion,aloe-(emodin) of(98.0%),1.3%;97.1%,1.8%;97.8%,1.5%;97.4%,1.7%;96.7%,1.2% respectively.CONCLUSION: This method is sensitive,accurate and can be used for the quality control of Shaotangshang Gel.

AIM: To review the findings of animalistic experiments and clinical trials about the folic acid, zinc, iodine, selenium and pregnant health, and make clear about the important effect of folic acid, zinc, iodine and selenium on pregnant health.METHODS:Using computer following websites were searched: www.xjmu.edu.cn/lib/lib.htm springerlink.lib.tsinghua.edu.cn with the key words of"folic acid, zinc, iodine, selenium and pregnant health" published from 1996 to 2006.Simultaneously, the correlated magazines and the books were manually retrieved to collect the correlated articles about the micronutrients and health of pregnant women, including findings of animal experiments and clinical trials.RESULTS: Full-texts of the collected articles of folic acid, zinc, iodine and selenium with pregnant health were searched.On the basis of choice and analysis, the repetition or the similar researches were excluded. Finally 16 literatures were refined to carry on the classified reorganization for review. Due to the needs of the growth and development of fetus, the requirement of micronutrient of pregnant women was increasing. If nutritional supplement was inadequate this time, it would result in the deficiency of nutrients, which would increase the occurrence of harmful pregnant outcome. Folic acid belonged to Vitamin B was the termini generales of the compounds those had pterolyglutamic acid. In vivo, the activity pattern was tetrahydrofolic acid. It played an important role as one carbon unit in biosynthesis in vivo. The typical clinical manifestation of famine of folic acid was megaloblastic anaemia. For the mother lacked of folate, the abnormity rate of neural tube of their children manifestly raised up. Accordingly anencephaly, dropsy of brain and cleft spine occurred. It was one of the main reasons of abortion, perinatal infant, infant death and permanent disability. Sufficient quantum of zinc could promote the growth and development of fetus, and it was very important in the formation of organ in early duration of pregnancy. Animal experiments discovered that sufficient zinc of pregnant women could promote the growth and development of fetus and prevent congenital deformity. Short.or high of zinc could influence the synthesis of protein and nucleinic acid. Because of the phytate in dietary, the absorption rate of zinc declined. If the pregnant women lacked of iodine, it also might injury the fetal development, causing the neonatus' growth injury, espeoially nerve and muscle. It might cause low cognitive ability and increased the mortality in embryonic stage and perinatal stage. Therefore, pregnant women should be guided to raise iodine nutrition. Meanwhile, pregnant women lacked of iodine should be also guided to sume Operand.CONCLUSION: Pregnant women should adjust dietary pattern during gestational period, increase the intakes of micronutrients, such as folic acid, zinc, iodine, selenium and so on. In that way, it can prevent the occurrence of harmful pregnant outcome and benefit to aristogenesis.

Objective To study the clinical significance of reticulocyte parameters change before and after chemotheraphy in acute leukemia.Methods Thirty-two chemotherapeutic patients suffered from acute leukemia were improved after chemotherapy.The percentage of reticulocyte(RET%),reticulocyte absolute value(RET#),low fluorescent reticulocyte percentage(LFR),middle fluorescent reticulocyte percentage(MRF),high fluorescent reticulocyte percentage(HFR),white blood cells(WBC) and absolute neutrophils count (ANC) and immature reticulocyte fraction(IRF) were detected by using the Sysmex 2000 automatic blood cell analyzer.Results IRF,MFR and HFR after chemotherapy in the patients with leukemia were always declined,reached the lowest on 7 d of chemotherapy,began to recover on 14 d after chemotherapy,and recovered to the level before chemotherapy on 21 d of chemotherapy.LFR began to increase on 7 d of chemotherapy,and began to decrease on 14 d of chemotherapy.WBC and RET# were always decreased on 7,14 d of chemotherapy,and began to recover on 21 d of chemotherapy.Conclusion IRF,MFR,HFR and LFR are the sensitive indicators reflecting the bone marrow recovery and are earlier than WBC and RET# by 7 d.

ObjectiveTo explore the effects of brucine on multiple myeloma (MM) and to compare the effects between brucine and bontezomib on MM.MethodsMTT method was used to determine the median inhibitory concentratiom (IC50) of brucine and bortezomib on the MM cell line U266.The supernatant of cultured U266 cell line was added to the culture system for inducing the differentiation of osteoblast cell line MC3T3-E1.After aseptic assay,RT-PCR was used to determine the RNA levels of alkaline phosphatase (ALP),osteocalcine (OC),osteoprotegerin (OPG) and recepter activator of NF-κB ligand (RANKL).Results IC50 of bortezomib on U266 cell line for 48 h was 22.4 nmol/L,and that of strychnine was 0.16 nmol/L.The mRNA levels of ALP,OC and OPG in osteoblast co-intervened by brucine combined with the supernatant of MM cells were higher than those in supernatant of U266 cells,while the level of RANKL mRNA was lower (P ＜0.05).The degree of increasing or reducing was greater than the level of control group intervened only by bortezomib (P ＜0.05).ConclusionThe therapeutic effects of brucine on MM might be carried out through the regulation of osteoclast by osteoblast,and the experiment confirmed that the therapeutic effect of brucine on MM was superior to that of bortezomib.

Objective To identify the differentially expressed genes and functional enrichment pathways using bioin?formatics technology in mice who were acutely administered with Morphine. Methods First, we downloaded microarray da?tasets of mice which were acutely administered with Morphine from Gene Expression Omnibus, and assess the quality control parameters of the microarray datasets using AffyQCReport 1.42.0 package by R programming language 3.1.0 software. Subse?quently, the differentially expressed genes of the microarray datasets were identified using the linear models for microarray data of R language. Finally, functional pathways of the differentially expressed genes were enriched based on expression anal?ysis and systematic explorer. Results The microarray datasets showed preferable uniformity and intension similarity. A to?tal of 481 differentially expressed genes including Gm11627, Zfand4, Zbtb16, Pkp2 and Plin4 were identified. While 8 func?tional enrichment pathways, including pathways in cancer, melanogenesis and mitogen-activated protein kinase signaling were revealed. Conclusion The differentially expressed genes and functional pathways were the underlying biomarkers of mice who were acutely administered with Morphine.

To cultivate advanced nursing talents is the fundamental demand of nursing education in twenty-first century.This paper elaborated on the present application of university cooperative learning in clinical nursing practice aiming at combining the teaching theory with clinical practice,arousing nursing students' interest in learning and improving their team spirits and communication skills.Meanwhile,it is also conducive to the development of innovative experiment and further improvement of practical teaching quality.

Objective To analyze the effect of health education and caring experience on the patients of non neonatal acquired deficiency of vitamin K dependent coagulation factor deficiency (VKDCF) due to rodenticide poisoning.Methods A total of 55 patients diagnosed with acquired deficiency of VKDCF through determining anticoagulant rodenticide concentration in blood were provided with health education and rational medication for 6 months.The patients with unclear poisoning reasons and definite diagnosis were analyzed and given corresponding nursing measures.Results All patients received treatment and corresponding nursing measures.Hemorrhage improved quickly in 2 days and was under control in 1 week.No recurrence happened in half year follow-up visit.Conclusions Systematic treatment and standardized health education are clinically effective on the patients of non neonatal acquired deficiency of VKDCF,and can gain active cooperation and favorable comment of the patients.