Objective:To develop a method for the determination of natural benzoic acid in Mesona chinensis Benth. with different production places and storage time. Methods:HPLC was adopted, the column was an Agilent ZORBAX SB-C18 (250 mm × 4. 6 mm, 5 μm) column, the mobile phase was methanol-0. 02 mol·L-1 ammonium acetate (5∶95) at the flow rate of 1. 0 ml·min-1 , the col-umn temperature was 35℃, the detection wavelength was 230 nm, and the injection vocume was 10μl. Results:Benzoic acid showed good linearity over the concentration range of 0. 1-10. 0 μg·ml-1(r=0. 999 9). The average recovery was 99. 59%(RSD=1. 57%, n=9). Natural benzoic acid in powered Mesona chinensis Benth. was different because of various production places. The maximum content of natural benzoic acid in Mesona chinensis Benth. was 141. 8 mg·kg-1, while the minimum content was 73. 8 mg·kg-1. The content of natural benzoic acid in Mesona chinensis Benth. stored for two years was declined obviously. Conclusion: The method with simple operation is accurate and reproducible. It can provide a basis for the further study of Mesona chinensis Benth. resources, and provide a reference for the content determination of natural benzoic acid in other plants.

Objective To investigate the influence of postoperative cognitive dysfunction (POCD) to clinical outcome in adult patients and the risk factor. Methods 122 patients after operation on chest were surveyed with Wechsler Adult Intelligence Scale-Revised China (WAIS-RC) within 3 d before operation and on the 7th day after operation. Their pulmonary functions were measured before discharged. Their time on bed, total time in hospital, time after operation in hospital, time in intensive care unit and spending for therapy were investigated. Results 45 patients were finally diagnosed as POCD (POCD group) 7 d after operation. Before operation, the age, the body weight index, the smoking index and the number of risk factor of angiosclerosis in the POCD group were all higher than those whose cognitive function were normal (normal group) (P<0.05). The sores of insight, count, digit scope, vocabulary, figure collocation, figure patch of WAIS-RC in POCD group were obviously lower than those in normal group (P<0.05). Every index of pulmonary function in POCD group was lower than those in normal group(P<0.05). The time keeping on bed, total time in hospital, time after operation in hospital, time in intensive care unit and spending for therapy in POCD group all exceeded those in normal group (P<0.05).Conclusion The adult patients with POCD may spend more time and money for therapy in hospital, and their pulmonary functions may be recovered poorly.

Objective We detected the expression of the low risk HPV6/11 and the high risk HPV16/18 in cervical lesions in order to investigate the correlativity,mechanism and clinical values between them.Methods We chosed 150 cases of cervical disease tissues that included chronic cervicitis (30 cases).cervieal condyloma without atypia(30 cases),CIN Ⅰ(30 cases),CIN Ⅲ(30 cases)and cervical squamous cell carcinoma (30 cases).And all of them were constructed into tissue microarrays(TMA)that include 300 spots.Then,the expression of HPV6/11 and HPV16/18 were determined by in situ hybridization.Results The positive expression rates of HPV6/11 were 13.33%,90%,33.33%,0 and 0 respectively in chronic cervicitis,cervical condyloma without atypia,CIN Ⅰ,CIN Ⅲ and cervical squamous cell carcinoma.Condyloma showed significantly higher HPV6/11 infection rates than the other groups(P＜0.001).And there were obvious dliference between CIN Ⅰ and CIN Ⅲ & carcinoma (P=0.001.＜0.05).The spearman correlation analysis suggested that the expression of HPV6/11 in the five cervical deseases was negative correlation (rs=-0.037,P＜0.001).The positive rates of HPV16/18 were 0,6.67%,10%.56.67%.76.67% respectively in chronic cervicitis,cervical condyloma without atypia,CIN Ⅰ,CIN Ⅲ and cervical squamous cell carcinoma.Comparing CIN Ⅲ and carcinoma with the other groups,the positive rates were obvious defrerence between them (P＜0.001).But there was not significant defference between CIN Ⅲ and carcinoma (P=0.10).The spearman correlation analysis suggested that the expression of HPV16/18 in the five cervical deseases was positive correlation (rs=0.628,P＜0.001).Conclusion Low risk HPV6/11 is a main reason for the cervical condyloma and CIN Ⅰ.High risk HPV16/18 is closely related with CIN Ⅲ and carsinoma.and also a main reason for CIN Ⅲ and carcinoma.Detecting and differentiating HPV type will help for the diagnosis and monitor of cervical lesions,especially,it will be very important to prophylaxis,early diagnosis and early therapy of cervical carcinoma.

Objective To explore the value of maximun P wave duration (P max ) and P wave dispersion (P d),that is,the difference between the maximum and minimun P wave duration in patients with idiopathic paroxysmal atrial fibrillation.Methods P max and P d were measured from 12 lead surface electrocardiogram among 20 patients with a history of idiopathic paroxysmal atrial fibrillation and 20 age matched healthy control subjects.Results P max and P d were found to be significantly higher in patients with a history of idiopathic paroxysmal atrial fibrillation than in the control subjects(P

Mesenchymal stem cells(MSCs), which can be introduced in brain tissue by the strategies of brain parenchyma, blood and neurolymph transplantation, to repair tissue injury and promote functional recovery of neural system, have been considered as the ideal seed cells for the treatment of central nervous system diseases. However, as the special structure exists in the blood-brain barrier, study on correlation between MSCs and blood-brain barrier permeability will make it possible for more MSCs to pass the barrier to perform the treatment. This paper gives a review on the latest research development in the field.

Objective To raise the vigilance for pregnancy complicated with acute abdominal diseases and to reduce the maternal mortality rate. Methods A retrospective study was done. Results (1) The maternal mortality of pregnancy complicated with acute abdominal diseases was 1 31/10 5 in the period of 1989～1993, which was significantly higher than that in the period of 1994～1998 (0 71/10 5). (2) The main cause of maternal deaths was misdiagnosis and the rate of misdiagnosis was 72 7%.(3) Among the acute abdominal diseases, pregnancy complicated with pancreatitis ranked the first that accounted for 54 6%. Conclusions For the purpose of reducing the mortality rate of pregnancy complicated with acute abdominal diseases, the correct diagnosis and proper treatment especially for those with acute pancreatitis are important.

Melasma is a common cutaneous disorder of pigment metabolism with complex etiology and pathogenesis.Combination therapy has been preferred by dermatologists for better therapeutic effects and less adverse reactions compared with monotherapy.At present,the treatment of melasma is diversiform,mainly including oral or topical drugs,lasers or photon therapy and combination therapy,etc.Individualized treatment is recommended based on etiology,clinical course and types of melasma,as well as previous treatment history.Combination therapy,sequential therapy or supplement therapy should be included in the treatment of melasma.

Objective To analyze the pregnancy outcomes of 204 cases of multiple pregnancies following early transvaginal fetal reduction and sum up the experiences of peri-operation nursing care. Methods A total number of 204 twin and triplet pregnancies under treatment in the reproductive medical center from Jan. 2009 to Dec. 2012 were involved in the study. All patients underwent transvaginal multifetal pregnancy reduction during pregnancy of 7 to 8 weeks . The pregnancy outcomes were analyzed , and the nursing measures including preoperative preparation , intraoperative cooperation and postoperative nursing were analyzed . Result The successful rate of multifetal reduction was 100%, and the rate for taking the infants home reached 77.0% ~ 92.3%. Conclusion The outcomes of multifetal reduction for the twin or triplet pregnancy are good . Such nursing measures as perioperative mental care , intraoperative cooperation and postoperative follow-up are key to the alleviation of mental pressure during operation , raise of the success rate of fetal reduction and prevention of postoperative complications.

Objective To systematically review the domestic studies on holistic nursing,so as to provide suggestions for evidence-based strategic decision about how to set upa long-term mechanism of holistic nursing.Methods The databases of China Biology Medicine (CMB),VIP,China National Knowledge Infrastructure (CNKI) and Wan Fang Data were searched to identify the relevant studies.Literatures were screened with data extraction in accordance with the predefined inclusive and exclusive criteria.The quality of literatures was assessed with the standard of Cochrane Handbook 5.0 and Crombie criteria,and the data were comprehensively analyzed with qualitative research methods.Results The total 33 cross-sectional studies were included.The results showed that the cognition of holistic nursing was good;10 literatures from the scope of business,organizational forms,strengthening the management and establish a system expounded how to implement the holistic nursing;Since our country carry out holistic nursing,effectwas significant,but there were still some problems.Discussing and solvingproblemsby using the method of evidence-basedwasthe future development direction.Conclusions The current researches about holistic nursing are lack of randomized controlled trials,most of which are the cross-sectional survey research.But the research content is wide.analyzing the present status and effect of holistic nursing,summarizing the experience and problems,promoting our country to set up a long-term mechanism of holistic nursing have the certain enlightenment function.

BACKGROUND:Currently, fibroblast-like synoviocytes from the synovial tissue of patients with rheumatoid arthritis or adjuvant arthritis rats are isolated and cultured mainly using enzyme digestion method, but tissue explant adherent method is rarely reported in primary culture. OBJECTIVE:To establish a culture method of fibroblast-like synoviocytes from adjuvant arthritis rabbits and to investigate cell biological characteristics. METHODS:Rabbit models of adjuvant arthritis were prepared by injected with adjuvant at multiple sites and times, the knee synovial tissues were obtained, and fibroblast-like synoviocytes were separated and cultured by the tissue explant adherent method. Furthermore, the cell morphology was observed. The cell proliferation was measured using cell counting kit-8 assay, and the expression of Vimentin was detected by immunofluorescence.RESULTS AND CONCLUSION:The primary cultured rabbit synoviocytes were long spindle fiber-like and coincided with the fibroblast-like synoviocytes. Moreover, cells were positive for Vimentin. In conclusion, fibroblast-like synoviocytes from rabbits with adjuvant arthritis are successfully isolated and cultured by the tissue explant method.