[Objective]To provide the mechanical evidence of self manufactured metallic-rectangular frame on the reconstruction of the stability of occipitocervical junction.[Method]Seven of the adult cervical spinal specimens which were entire wet-cadavers(from occipitale to C_6) were made to simulate the C_(0～2) fracture dislocation.These of specimens dislocated were fixed by metallic-rectangular frame and Occipito-cervical plate respectively.The three dimensional movements of C_(0～2) were recorded through photogrametry with a pure moment of 1.53 Nm.The range of motion(ROM) of each specimens in two fixation was caculated.[Result]Loaded by 1.53Nm,In metallic-rectangular frame fixation,the ROM in flexion,extension,lateral bending and axial rotation were 5.9?、7.7?、5.6?、11.2? respectively,decreased by 157.6%、68.8%、58.9%、131.3%,compared with occipitocervical plate fixation group.[Conclusion]Metallic-retangular frame fixation can reconstruct the stability of Occipitocervical junction immediatey,and is a relativity effective internal fixation for occipitocervical fusion.

OBJECTIVE:To put forward policy suggestions on the selection and revision of National Essential Drug List (NEDL) in China. METHODS: The selection principles, criteria and procedures of WHO Model List of Essential Medicines and Australia’s Pharmaceutical Benefits Scheme Directory which was commonly regarded as Essential Drug List of Australia were analyzed to provide reference for the selection and revision of NEDL in China. RESULTS & CONCLUSION: The selection and revision of NEDL which were strongly supported by related policies demand active participation of all social sectors, open and transparent working procedures, scientific and operational methods for selection and revision, authoritative monitoring and aftereffect evaluation system.

OBJECTIVETo determine densities of mineral drugs and their calcined products by using sealing wax densimetry, and to establish the testing method of crispness for calcined traditional Chinese medicine.

METHODTaking density as detection indicator, the accuracies of mineral drugs and their calcined products were investigated by sealing wax densimetry compared with direct densimetry, and the method of density determination was optimized.

RESULTThe density values measured by two methods investigated above were significantly different (P < 0.01), the density values of Pyritum, Haematitum, calcined Pyritum and calcined Haematitum measured by direct densimetry were increased 1.66%, 9.43%, 96.72% and 9.02%, respectively compared with that measured by sealing wax densimetry.

CONCLUSIONSealing wax densimetry is suitable for the density determination of mineral drugs and their calcined products with its high accuracy, whereas direct densimetry'is not suitable for the density determination of mineral drugs and their calcined products.

To enhance the scientific and fair evaluation about proprietary Chinese medicines containing toxic herbs during the switch process of non-prescription drugs, and to ensure those medicines to be used safely by the public in their self-medication. Combined with current research status of toxic herbs, the experience and knowledge accumulated in the practical work of selection and switch of OTC Chinese medicines for years, thinking about the feasible standards about evaluation and management of proprietary Chinese medicines containing toxic herbs at this stage. Initially established ideas and methods about evaluation of proprietary Chinese medicines containing toxic herbs during the switch process of non-prescription drugs. Basically solved the main problem currently faced by toxic herbs during the OTC switch process of proprietary Chinese medicines, effectively promoted the work on OTC switch, and had the important significance in making consumers use non-prescription drugs conveniently and safely.
Humans ; Medicine, Chinese Traditional ; adverse effects ; methods ; Nonprescription Drugs ; adverse effects ; classification ; Plants, Toxic ; adverse effects ; classification ; Quality Control ; Research ; statistics & numerical data

At present, the production and quality control of calcined drugs were lack of corresponding quantitative indicators, and only relied on traditional empirical control, thus it was susceptible to subjective factors, and the qualities of calcined drugs were affected. This paper analyzes the current status of the quality control of calcined drugs, the traditional quality requirements, modern quality controls and evaluation methods of calcined drugs were systematically summarized. Take the example for pyritum, a quality control method which reflects crispness of calcined drugs with density variety was investigated, and the feasibility of its application was discussed, therefore a new quantitative indicator for quality control of calcined drugs was supplied.
Medicine, Chinese Traditional ; standards ; Quality Control

OBJECTIVETo establish the quality assessment method of crude pyritum.

METHODThe correlations of methods of modern and traditional quality appraisement with density for crude pyritum were investigated.

RESULTAppraisement of crude pyritum using density as an evaluation index was in accordance with its traditional quality appraisement method. The density had extremely significant positive correlation with FeS2 content contained in crude pyritum (r = 0.990, P<0.001) and became smaller with the decreasing of FeS2 content. Meantime the density also had extremely significant negative correlation with total ferrum content contained in crude pyritum (r = -0.971, P<0.001) and became smaller with the increasing of total ferrum content.

CONCLUSIONIt's feasible to take density as evaluation index for quality control of crude pyritum, and the testing method established is simple and convenient.

Objective To evaluate the occurrence and management of complications following mini- mally invasive percutaneous nephrostolithotomy (MPCNL).Methods The data of 436 cases of MPCNL from December 2001 to March 2005 were reviewed,including 249 male cases and 187 female cases.Their age ranged from 14 to 71 years with a mean of 41.6 years.Of the 436 cases,314 cases had simple nephrolith- iasis,79 had nephrolithiasis combined with upper ureterolithiasis,27 had unilateral upper ureterolithiasis,and 16 had bilateral upper ureterolithiasis.Results Among the 436 cases of MPCNL,complications occurred in 27 cases (6.2%).Of the 27 cases,5 had massive hemorrhage,which was cured by closing meatus of nephric fistula,cleaning out the blood clot within the bladder with instrument and transfusing blood;2 cases had pleural effusion,11 cases had hydroperitoneum,8 eases had renal perforating injury,and they were cured by puncture and drainage;1 case had pyocalix,which was cured by using effective antibiotics,re-punc- turing kidney and postponing pulling out the fistula catheter.Conclusions MPCNL is a minimally inva- sire operation.However,it has obvious risk if the surgeon's skill is not proficient.The improvement in the pre- vention and management of complications can promote the application of this procedure.

Talaromyces marneffei is the only dimorphic species in its genus and causes a fatal systemic mycosis named talaromycosis. Our previous study indicated that knockdown of AcuD gene (encodes isocitrate lyase of glyoxylate bypass) of T. marneffei by RNA interference approach attenuated the virulence of T. marneffei, while the virulence of the AcuD knockout strains was not studied. In this study, T. marneffei-zebrafish infection model was successfully established through hindbrain microinjection with different amounts of T. marneffei yeast cells. After co-incubated at 28°C, the increasing T. marneffei inoculum doses result in greater larval mortality; and hyphae generation might be one virulence factor involved in T. marneffei-zebrafish infection. Moreover, the results demonstrated that the virulence of the ΔAcuD was significantly attenuated in this Zebrafish infection model.
Gene Knockout Techniques ; Hyphae ; Isocitrate Lyase ; Microinjections ; Mortality ; Rhombencephalon ; RNA Interference ; Talaromyces ; Virulence ; Yeasts ; Zebrafish

Objective:To understand the incentive effect and influencing factors of the current economic incentive policy for medical alliances in Longhua District of Shenzhen(the alliance for short) on doctors′ willingness to work at primary medical institutions(the primary for short) from the perspective of mental account, and to explore the economic incentive effect of different economic incentive distribution methods on doctors′ willingness to work at the primary.Methods:The questionnaire was designed based on mental account theory. Random sampling was made in November 2019 for a questionnaire survey among doctors in two district-level medical institutions of the alliance in Longhua District of Shenzhen. The purpose was to analyze their inclination to work at the primary and their selection preferences for economic incentive distribution methods under the current economic incentive policy. The data were analyzed by descriptive analysis, and the influencing factors of doctors′ willingness to work at the primary were analyzed by χ2 test and binary logistic regression. Results:A total of 254 valid questionnaires were collected with an effective recovery rate of 90.7%. Among the respondents, 189(74.4%) were willing to work at the primary, 168(66.1%) chose to receive the economic incentives specifically for working at the primary, and 148 people(58.3%) hoped to receive such economic incentives immediately. Education background, self-rated economic income level of doctors and different payment methods of economic incentive for working at the primary had significant effects on their willingness to work at the primary( P<0.05). Conclusions:The current economic incentive policy of the alliance can meet the demands for economic incentives in terms of doctors′ material accounts, and doctors′ overall inclination to work at the primary was strong. If the amount of economic incentives is constant, doctors preferred to receive the economic incentives specifically, mainly affected by income accounts and additional income accounts. In addition, education and self-assessment of economic income level were important factors affecting the willingness of doctors to work at the primary, which may be affected by mental accounts other than material accounts.