Objective To investigate the clinical X-ray features and diagnostic criteria of multiple primary cancer of upper digestive tract (MPCUDT) as well as its pathogenesis ,and to analyze the causes of X-ray missed or mistaken diagnosis and to put forward the corresponding way of solutions.Methods X-ray findings of MPCUDT proved pathologically were retrospectively analyzed.Results (1)This disease mostly occurred in males .Male/Female=3.25/1. 88% of the patients were older than 50 years ;(2)78.8% of the cases with multiple primary cancer of esophagus were mostly distributed in upper and middle section ,72.2% of the cases with esophagogastric multiple primary cancer were distributed in middle and lower section of esophagus or cardiac part ;(3)The X-ray features of multiple primary cancer were the same as that of single ones .The patients with early carcinoma accounted for 14.5% of all cases , advanced carcinoma 85.5% ;(4)The rate of missed diagnosis was as high as 32.3%.Conclusion X-ray imaging has great value for the diagnosis of MPCUDT.

Objective To study the application effectiveness of healthcare failure modes and effects analysis before the secure transportation of post anesthesia care unit(PACU) patients. Methods A total of 689 general anesthesia post-operative patients who had been recovered in PACU and transported between January to December in 2015 by convenience sampling were divided into 2 groups to receive nursed by traditional method before transportation (contrast group, 346 cases) or nursed both with traditional way and healthcare failure modes and effects analysis method to analyze (observation group, 343 cases). The Medical Risk Priority Number (RPN), Status of Failure modes and satisfaction value of physicians and nurses were compared. Results The RPN value of observation group had been cut down from (229.00 ± 52.91) points to (57.14 ± 16.04) points, there was significant difference (t=7.58, P=0.01). The occurrence rate of failure mode of observation group was 2.62%(9/343), which was obviously lower than 19.36%(67/346) of contrast group, there was significant difference (χ2=49.19, P<0.01). The satisfaction rate of observation has improved significantly from 74.36%(58/78) to 93.59%(73/78), there was significant difference (χ2=10.72, P<0.01).Conclusions Healthcare failure modes and effects analysis management method could find out the failure mode of PACU patient before the secure transportation in time, could decrease the effect of failure mode and would continuously improve the quality of PACU nursing service .

AIM:To establish the chromatographic fingerprint of Carthamus Tinctorius L.by high performance liquid chromatography(HPLC).METHODS:The chromatographic fingerprint of Carthamus Tinctorius L.was established by HPLC with a RP-C_ 18 column,acetonitrile-water(0.5 phosphoric acid)gradient elution,a DAD diode array detector at 275 nm and the flow rate of 1.0 mL/min,column temperature of 25 ℃。 RESULTS:34 co-peaks of Carthamus Tiuctorius L.were gained from 10 producing provinces.Its basic features were rough consistent each other.Hydrosafflor yellow A,was selected as marker,among samples the content of Xinjiang was the highest in the all samples.CONCLUSION:This method provides useful information for identification of traditional Chinese medicines,the fingerprints of samples of Carthamus Tinctorius L.can be used to control the quality combined with content determination.

No abstract available.
Cervical Intraepithelial Neoplasia

Objective To prepare a new dental topical anesthetics,lidocaine hydrochloride loaded trans-activator of transcription peptide conjugated nano-niosome(LID-TAT-N),and to evaluate its transdermal properties and topical anesthesia effects.Methods LID-TAT-N was prepared using reversephase evaporation method,and lidocaine loaded conventional liposome(LID-CL) was prepared in the same manner as positive control.The diameter,ξ potential and encapsulation efficiency of LID-TAT-N and LID-CL were measured.The skin permeation of LID-TAT-N was examined,and compared with LID-CL and lidocaine injection(LID-IJ,as negative control),using a Franz diffusion cell mounted with depilated mouse skin in vitro for 12 hours.Each experiment was repeated six times.The anesthetic effect of the new topical anesthetic was investigated on the cornea of rabbits.Results The mean diameter of LID-TAT-N was smaller than that of LID-CL[(152.7 ± 10.6) nm vs.(259.5 ± 15.5) nm,P＜0.01].The 12 h cumulative permeation amount was significantly higher in LID-TAT-N group[(1 340.0±97.5) μg· cm-2] than those of LID-CL and LID-IJ groups[(1 060.6±80.2),(282.6±65.1) μg· cm-2,respectively,P＜0.05].Rabbit corneal reflex results showed that LID-TAT-N had anesthetic effect and the duration of analgesia[(24.8±2.8) min] was also longer than that of LID-IJ[(14.5 ± 2.3) min,P＜0.05].Conclusions LID-TAT-N had good transdermal ability,and the advanced skin penetration feature can improve its tropical anesthetic effect.

We synthesized the superparamagnetic paclitaxel nanoparticles from modified chitosan tangling around Fe3O4 ferrofluid and taxol, and observed the nanoparticles with transmission electronic microscopy (TEM). Then we evaluated the paramagnetism of the particles by vibration specimen magnetometer (VSM) and tested their cytotoxicity with flow cytometry (FCM). The prepared nanoparticle solution was black without any floccule or sediment and appeared transparent after diluted. The nanoparticles were spherical and dispersed in water with mean diameter of 15 nm under TEM and showed superparamagnetic character. FCM test showed the nanoparticles had significant toxic effects against malignant astrocytoma U251 cell lines, equal to taxol alone. These results showed that the superparamagnetic nanoparticle not only enhanced the solubility of paclitaxel in water, but also was superparamagnetic and cytotoxic, which make suitable tools for magnetic targeting chemotherapy of brain gliomas.
Antineoplastic Agents, Phytogenic ; pharmacology ; Apoptosis ; drug effects ; Brain Neoplasms ; pathology ; Cell Line, Tumor ; Chitosan ; pharmacology ; Drug Carriers ; chemistry ; Drug Compounding ; methods ; Ferric Compounds ; Glioma ; pathology ; Humans ; Magnetics ; Metal Nanoparticles ; chemistry ; Nanoparticles ; Paclitaxel ; pharmacology

Objective To explore effect and nursing of Dezocine and Sufentanil on self-controlled vein analgesia after laparotomy.Methods 60 patients undergoing abdominal surgery were randomly divided into Dezocine group (group D),Sufentanil group (group S),and Dezocine and Sufentani group (group DS).Analgesic,sedative effect of three drugs after 3 postoperative hours,6 h,12 h,24 h and 48 h were compared.Adverse reactions such as nausea,vomiting, dizziness,respiratory depression were recorded.Satisfaction of three groups of patients on the post-operative analgesia effect was evaluated.Results After 6 postoperative hours,12 h,24 h and 48 h,the difference of VAS score of group DS was not statistically significant compared with the group S (P >0.05).And the score of group DS and group S were lower than that in the group D (P <0.05).Analgesia satisfaction of group DS was higher than that of group D and group S,and the difference was statistically significant (P <0.05).The incidence of adverse reactions of group DS was lower than that of group D and S ,and the difference was statistically significant (P <0.05).Conclusion The analgesia and sedative effect of the Dezocine and Sufentanil after abdomi-nal surgery is better than drug usage alone,and adverse reactions decreases.Preoperative and post-operative education about analgesic effect,timely dealing with adverse reactions can increase pa-tients’satisfaction and improve the quality of life of the patients.

Objective To explore effect and nursing of Dezocine and Sufentanil on self-controlled vein analgesia after laparotomy.Methods 60 patients undergoing abdominal surgery were randomly divided into Dezocine group (group D),Sufentanil group (group S),and Dezocine and Sufentani group (group DS).Analgesic,sedative effect of three drugs after 3 postoperative hours,6 h,12 h,24 h and 48 h were compared.Adverse reactions such as nausea,vomiting, dizziness,respiratory depression were recorded.Satisfaction of three groups of patients on the post-operative analgesia effect was evaluated.Results After 6 postoperative hours,12 h,24 h and 48 h,the difference of VAS score of group DS was not statistically significant compared with the group S (P >0.05).And the score of group DS and group S were lower than that in the group D (P <0.05).Analgesia satisfaction of group DS was higher than that of group D and group S,and the difference was statistically significant (P <0.05).The incidence of adverse reactions of group DS was lower than that of group D and S ,and the difference was statistically significant (P <0.05).Conclusion The analgesia and sedative effect of the Dezocine and Sufentanil after abdomi-nal surgery is better than drug usage alone,and adverse reactions decreases.Preoperative and post-operative education about analgesic effect,timely dealing with adverse reactions can increase pa-tients’satisfaction and improve the quality of life of the patients.

Objective To investigate the radioactivity distribution of 131 I-bovine serum albumin ( BSA )-mesoporous silica nanoparticles ( MSNs )-anti-vascular endothelial growth factor receptor 2 (VEGFR2) in anaplastic thyroid carcinoma (ATC) and to explore its antitumor efficacy in ATC-bearing nude mouse models. Methods 131 I-BSA-MSNs-anti-VEGFR2 and 131 I-BSA-MSNs were constructed. FRO tumor xenografts were established and the SPECT/CT images of tumor-bearing mice were acquired at differ-ent time points after intratumoral injection with 131 I-BSA-MSNs-anti-VEGFR2 ( targeting group) , 131 I-BSA-MSNs ( non-targeting group) , Na131 I ( Na131 I group) and saline ( control group) , respectively. The changes of body mass and tumor volume in each group were recorded. Two-sample t test and log-rank test were used to analyze the data. Results After incubation for 3 h, the fluorescence intensity in targeting group was higher than that in non-targeting group (345.26±16.35 vs 280.61±9.65;t=5.90, P<0.05). After injection for 1-3 weeks, the radioactivity detected by SPECT/CT in targeting group was obviously stronger than that in non-targeting group ( t values:7.060-12.780, all P<0.05) . At the end of the observation, the tumor vol-ume of Na131I group, control group, non-targeting group and targeting group increased to (278.3±19.3)％, (296.6±24.2)％, (198.7±13.2)％ and (103.7±6.2)％ of the original volume, respectively. The body mass of the first 2 groups decreased to (88.6±3.0)％ and (86.2±3.1)％ of the original body mass respec-tively, while that of the latter 2 groups increased to (102.1±3.1)％ and (116.2±3.4)％ of the original body mass respectively. Survival analysis showed that the median survival time in targeting group ( 38 d) was sig-nificantly longer than that in non-targeting group (34 d;χ2=8.05, P<0.05). Conclusion 131I-BSA-MSNs-anti-VEGFR2 can effectively inhibit the tumor growth of ATC and prolong the survival of tumor-bearing nude mice, which gives a good suggestion for the treatment and prognosis evaluation of ATC.