Nine compounds were isolated from the n-butanol fraction of 95% ethanol extract of the fruit of Alpinia oxyphylla Miq. with a combination of various chromatographic approaches, including MDS resin, silica gel, reverse phase C18 and preparative HPLC. On the basis of spectroscopic data analysis, they were elucidated as (1R, 4R, 10R)-1β, 4α-dihydroxy-11, 12, 13-trinor-5, 6-eudesmen-7-one (1), 1β, 4β-dihydroxy-11, 12, 13-trinor-8, 9-eudesmen-7-one (2), oxyphyllenone A (3), oxyphyllenone B (4), rhamnocitrin (5), staphylionoside D (6), benzyl-1-O-β-D-glucopyranoside (7), 2-O-β-D-glucopyranosyl-(1S)-phenylethylene glycol (8), and (S)-1-phenylethyl-β-D-glucopyranoside (9). Among them, compound 1 is a new sesquiterpene, named as oxyphyllenone C; compounds 8 and 9 are new natural products; compounds 2 and 6 were isolated from the genus Alpinia for the first time, and compound 7 was isolated from A. oxyphylla for the first time.

Objective To study the change and the correlation of serum soluble vascular cell adhesion molecuh-1(sVCAM-1)level with diabetic retinopathy in type 2 diabetic patients.Methods 60 type 2 diabetic patients were selected for the study through the examination of ophthalmoscope and/or fundus fluorescence angiography by ophthalmologist.Diabetic patients were divided into three main groups:No signs of diabetic retinopathy(NDR)(n=20);Background DR(BDR)(n=20)Proliferative DR(PDR)(n=20).Healthy individuals matching sex and age of the patients were used as controls(n=20);Serum sVCAM-1 level was measured by ELISA,compared in diabetes without DR,with BDR,with PDR.These levels were compared with those of 20 controls.Results The serum level of sVCAM-1 in the DM patients with PDR or BDR and those without DR were significantly higher than those in healthy controls(all P＜0.001);Serum level of sVCAM-1 in PDR groups were higherthan those in DM patients with BDR or patients without DR(all P＜0.001);There was no difference between the patients with BDR and those without DR (P＞0.05).(4)In the DM patients,there was a positive correlation between serum sVCAM-1 and the course of diseases(r=0.338,P＜0.05),but no relationship with HbA1C,FBG,CHO,TG,LDL and INS.Conclusion Increased serum level of sVCAM-1 in different stage of DR patients suggested that they hagbe play an important role in the development of DR,and may assess the severity of diabetic retinopathy.The measuremem of serum sVCAM-1 levels in type 2 diabetic patients could be clinically useful for early diagnosis or treatment of diabetic retinopathy.

The course of estahlishing coronary collateral circulation has been studied after ligating the anterior descending branch of the left coronary artery (L. A. D.) of the heart in 20 rabbits. Another 5 rabbits were studied as control group. The experimental results were as follows: (1) The rabbit electrocardiograms EGG were made before and after the ligation of the L. A. D. The EGG of control group was made only before killing. In these experiments, the pathological changes of No. 28 were observed immediately after ligating the L. A.D. It was found that the T wave was inverted in standard lead I, and that the volts of the QRS complex in lead Vc fell apparently. This phenomenon may be interpreted as myocardial ischemia in the anterior wall of the heart. After ligating the L. A. D. the S-T segment of No. 27 in AVL lead elevated and exceeded I mm, and the depressive Q wave in Vc lead was greater than the one-fourth of the R wave before killing. All of the phenomenen observed in the rabbit entirely confirmed the myocardial infarction and myocardial ischemia. In No. 25, the T wave was inverted in standard lead I, and the QRS complex in lead Vc was not only shallow in depth but also very little. The conditions accounted probably for myocardial ishcmia. During 4 to 21 days after ligating the L. A. D.,the pathological changes in the EGG occurred frequently.The rabbit ECG gradually became normal from 21 st day on. (2) The coronary arteries of the rabbit hearts were injected with X-ray contrast medium and were examined. The X-ray film thus obtained were compared with the specimen after they were cleared. At the same time, sections of the heart walls (the infarcted area and its surrounding areas) of fifteen rabbits were studied carefully under microscope. Our primary impression was that only a few newly formed vessels in the central part of the infarct till the fourth day after ligating the L. A. D. The vessels surrounding of the infarct show a slight winding and distension. During 10 to 28 days, the number of the newly formed vessels in the infarct increased gradually day by day. The vessels surroundings the infarct were also highly crooked and distended, especially in the anterior wall of the right ventricle. This is possibly the most active period in the establishment of coronary collateral circulation. During 28 to 49 days, the morphology of the vessels in the infarct area became similar to that of the corresponding area of the control group. (3) The significance of the coronary collateral circulation on the heart wall was discussed.

A Study of one hundred hearts (adults 56, children 44) has been made. The S-A mode arteries and A-V node arteries are measured and analysed. The chief results are as fo11ows: (1) 67% of S-A node arteries originated from the right coronary artery; 33% arose from the left coronary artery. A number of the S-A node arteries arising from the right coronary artery were the continuation from the anterior right atrial branch. Occasionally, they may be come from the intermediate right atrial branch or intermediate left atrial branch. (2) The distance between the right S-A node artery origin and the aortic root was about 1.28?0.12 cm in adults, and 0.85?0.09 cm in children, while between the left S-A node artery origin and the bifurcation of the left coronary artery, it was about 0.84?0.19 cm in adults and 0.41?0.03 cm in children. The external diameters of the S-A node arteries were measured. The mean value was as follows: 0.17?0.01 cm (adults); 0.12?0.01 cm (children). (3) The relation between the origins of S-A node artery and A-V node artery may be divided into six types. ①The S-A node artery and A-V node artery which originated from the right coronary artery were about 58.06%. ②The S-A node artery arising from the left coronary artery and the A-V node artery originating from the right coronary artery occurred in 30.11% ③The S-A node artery originated from the right coronary attery, while the A-V node artery arose from the left. This condition was about 6.45%.④The type that the S-A node artery arose from both coronary arteries, and the A-V node artery originated from the right was about 3.22%.⑤Both the S-A node artery and A-V node artery arising from left coronary artery occurred in 1.08%.⑥The A-V node artery originating from the left and right coronary arteries, and the S-A node artery arising from the right coronary artery were about 1.08%.

Observations on the coronary arteries of 100 embalmed hearts from 56 adults and 44 children, have been made. The results are as follows: (1) The point of origin of coronary arteries was found vertically on the margin of the aortic sinus in 69.4% of the left and 52.8% of the right respectively and horizontally at the middle third of the aortic sinus in 79.7% of the left and 67.5% of the right respectively. (2) The external diameter at the opening of the left coronary artery is greater than the right in both adults and children. The mean value of the external diameter at the opening of the left coronary arteries was 0.41?0.14 cm and of the right 0.31?0.02 cm, in children, while in adult, the figures were 0.53?0.02 cm and 0.45?0.02 cm respectively. (3) The accessory coronary artery occurred in 10%.The percentage is lower than other reports in China. (4) The branch and distribution of the left coronary artery were studied thoroughly; its diagonal branch occurred in 38.4%.The mean value of the angle between the left anterior descending branch and the left circumflex artery was about 80?. In one the left circumflex artery was absent. (5) The branch and distribution of the right coronary artery were also investigated carefully. Fifty six percent of the right coronary arteries terminate in the heart, diaphragmatic surface between the crux of the heart and the obtuse margin. The posterior descending branch of right coronary artery ended in the middle-lower third of the posterior longitudinal sulcus of the heart. The occurrence of desending septum artery is 6.1%. (6) An investigation on the posterior superior septum artery and Kugel’s artery has been made: the former, 45.5% of which originated from the right coronary artery, possessed only one branch while the latter, which has been seen in three cases, occurred in 30%. (7) The common type of distribution, in which the posterior wall of the left ventricle was supplied by the right circumflex branch, occurred in 80.2%.

The coronary arteries of 80 rabbit hearts were studied.Suspension of red lead oxide (Pb_3O_4)in turpentine was injected into the coronary artery.With clearing method and angiographic technique,we studied the branches of the left and right coronary artery, the angle between the anterior descending branch and the left circumflex branch of the left coronary artery,the relationship between the anterior descending artery and the great cardiac vein,the origin of the sinoatrial nodal artery and the atrioventricular nodal artery as well as the type of branch in coronary artery.The results were outlined as follows: 1.The angle between the anterior descending branch and the left circumflex branch is 35～45?in more than one half of the cases(54.5%). 2.The anterior descending branch is often small and short and accompanies the great cardiac vein.It may exist in four forms:1)Both branches run closely to each other. 2)Both run along with each other but leaving a distance in between.3)Both are over- lapping each other.4)Both are crossing each other between the inferior margin of the left auricle and pulmonary artery cone.Ligation of the anterior descending branch in animal experiments should be appropriately made between the right inferior margin of the auricle and the pulmonary artery cone. 3.The left ventricular branch is a direct continuation of the circumflex branch and gives off branches to anterior and posterior wall of the left ventricle. 4.There is an independent ventricular septal artery in the rabbit heart. 5.The sinoatrial nodal artery of the rabbit heart arises frequently from the right coronary artery(86.6%)and the atrioventricular nodal artery from the left coronary artery(72.5%). 6.Commonly the distribution of the coronary blood supply from the left and right coronary arteries to rabbit heart is nearly a balanced circultion(67.5%).Next frequent is the preponderance of the left coronary artery(28.8%),and the preponderance of the right coronary artery occurs only in 3.7%.

The gross vessels and microvasculature of the rat testis were observed by clear method and corrosion cast method under SEM. The present study noted that there were two kinds of the microvascular arrangement around the circumference of the seminiferous tubule. The first one could be called the intertubular vessels. This vessel was either individual precapillary arteriole or two parallel capillaries connected by a few small branches to form network. The intertubular vessels were located in triangular columns of interstitial tissue between the seminiferous tubules and parallel with the tubules. The second one could be called the peritubular capillaries. These capillaries connected the intertubular vessels in the manner of a rope ladder, and encircled the seminiferous tubule, formed the peritubular capillary network in the subepithelium of the seminiferous tubule. Authors presume that this vascular feature of the architecture surrounding the seminiferous tubules may be related to high blood flow required in the metabolic activity of the tubules and it may contribute to immediate effect of androgen secreting in the interstitial tissue of the testis on the seminiferous tubules. In the article, the gross vascular feature of the arrangement in the rat testis and the microvascular arrangement in the visceral layer of tunica vaginalis of it is described in detail. Their functional significance is also discussed.

Ten fresh eye balls removed from five newborn cadavers were studied.About2-4 hrs after death,cadavers were injected through both common carotid arteries withABS at a constant pressure between 120～150 mmHg.ABS-injected eyes were enucleatedand were cut into halves through equator or meridian.The specimens were digestedin 40% KOH.The corrosion-cast models of blood vessels in uvea were observed underthe SEM.The chief results of observation were as follows:Within the choroid,the blood vessels lie in stratified layers.The large vesselsare located in the outermost layer,next to this layer are smaller vessels.The innermostlayer consists of a continuous single layer of capillaries.The choriocapillaries end around the optic disc.This finding indicates that thechoriocapillaries are not directly involved in the disc circulation.Each short posterior ciliary artery supplied a segment of the choriocapillaries,with some capillary anastomosis between segments,so that the choriocapillaries werearranged in one plane as a single continuous layer of capillaries forming a network.The network of the choriocapillaries consisted of lobules of choriocapillaries.The precapillary arteriole lie in its center.In each lobule meshed capillaries appearedto radiate from a central focus.The postcapillary venule lay on the periphery of thelobule.The lobules varied in their geometric configuration,forming irregularlytriangular to hexagonal shapes.The average size of a lobules of newborn's chorioca-pillaries was 230/420? to 460/520?.The diameter of the choriocapillary varies between8? and 20?.The blood vessels of the ciliary body and iris divide from large circular arteryof iris and long posterior ciliary arteries.Each ciliary process contained a small arterywhich randomly branched to form a capillary network.It is drained by venule.

The architecture of the alveolus and its capillaries of human lung injected withsolution of ABS in methyl ethyl ketone was studied under the SEM.The results wereoutlined as follows:1.The alveolar casts were observed from the subpleural and intralobular septu-lar surfaces.The human alveolus is irregular polygon in appearance.The size ofthe alveolus is variable,its surface is smooth,there are many depressions of the topof type Ⅱ cells.The bridge-like structure between two adjacent alveoli are thecasts of the alveolar pores.They are variable both in size and number,and ofround or oval shapes with smooth surface.2.Capillaries of the subpleural space and interlobular septulum are transitional,and identical in appearance.Meshes of the capillary network are larger than thoseof other parts,but more closer in density compared with those in dog.Each capil-lary is branched from the metaarteriole.3.Capillaries in the alveolar septum is a single layer of dense network,theirdiameter are larger than those of the mesh hole.They originate mainly from thecapillaries of subpleural space and interlobular septulum.

Objective To assess the influence of case management based on 5E mode on water-salt control in the patients with peritoneal dialysis.Methods One hundred eligible cases of peritoneal dialysis were randomly divided into two groups,50 cases in each group.The control group received regular nursing care,while on this basis the experimental group applied the case management based on 5E mode for conducting the nursing intervention.The various indicators were evaluated at 3 time points (the first stage of the baseline data ceollection),second stage (4-month intervention) and third stage (3-month follow up).Results There was no statistically significant difference in the first stage between the two groups;in the second and third stage the body weight,systolic blood pressure,diastolic blood pressure,water and salt intake amount in the experimental group were lower than those in the control group,compliance was superior to thas of the control group(P＜0.05);the descent speed of urine volume and PD ultrafiltration amount in the experimental group was slowed down compared with the control group(P＜0.05);the patient's daily sleeping time was improved(P＜0.05).Conclusion The case management based on 5E mode used in the water-sak control of the patients with peritoneal dialysis is effective and feasible.