The multifunction surgical needle threading device is a new kind of surgical device which can thread a surgical needle rapidly and efficiently.This device has the functions Of threading,thread catting and thread storing.It is small in volu- me.easy to operate and be disinfected and convenient to carry.Particularly, it can be used in darkness,which is very important and practical in field hospi tals.The results of clinical test ferformed in 8 hospitals including Bethune Inte- rnational peace Hospital showed that this device operated satisfactorily and was worth expanding.

Objective To investigate the distribution characteristics and drug resistance of pathogenic bacteria in ICU . Methods The bacteria identification and drug sensitive test were carried out on all pathogenic bacteria in ICU of our hospital from January 2013 to December 2013 .Results A total of 187 strains of pathogenic bacteria were separated ,among them 37 strains (19 .79% ) were Gram‐positive bacteria ,which was dominated by staphylococcus aureus ,with drug resistance rate to vancomycin , teicoplanin and linezolid of 0 .00% ;135 strains were Gram‐negative bacteria (72 .19% ) ,which was dominated by pseudomonas aeruginosa ,acinetobacter baumannii ,klebsiella pneumoniae and escherichia coli ,the drug resistant rate of acinetobacter baumannii to cefoperazone/sulbactam and minocycline was lower (43 .59% ,46 .15% ,which of pseudomonas aeruginosa to amikacin ,cefotaxime , cefoperazone/sulbactam were 27 .91% ,32 .56% and 30 .23% ,respectively ;15 strains(8 .02% ) of fungi were isolated ,which were mainly candida albicans and candida tropicalis .Conclusion Regular detection of distribution types and drug resistance change can provide the basis for climical rational use of antibacterial drugs .

Based on a concept of the hyperfocal distance from photographic lens,this study proposes that emmetropia presents far-hyperfocal distance,near-hyperfocal distance and accommodative hyperfocal distance.When emmetropic presbyopias completely lose the ability of accommodation,its farthest blur point is not beyond 1.5 m,even not being at infinity,and the phenomenon of dark focus both completely match with the definition of hyperfocal distance.On the other hand,after cycloplegic mydriatics in emmetropia,it could be found in the region of depth-of-field that there is no change in the back depth of field (clearness in far vision),but change was found in the front depth of field (blur in near vision).It conforms well to the definition of the hyperfocal distance,demonstrating that human eyes belong to the hyperfocal distance optical system.Furthermore,it is reported that the emmetropic presbyopias rarely matched the spectacles higher than +2.50 D in their whole life;therefore,it can be inferred that their accommodative amplitude in youth is equal to this corrected value.This value accounts for about 4％ of the total refractive power in human eyes,so it is suggested that human eye is a micro zoom optical system.Based on the objective existence of hyperfocal distance,the author proposes that human eye is an integrated accommodative mechanism.It includes three components:the accommodative mechanism of near vision,the measuring and controlling mechanism of near vision,and the general control of near vision.This paper discusses the accommodative mechanism of near vision and the resting mechanism of distance vision based on the hyperfocal distance,and considers that when human eye transfer into the accommodation of near vision from the normal distance vision of hyperfocal distance.There are three different pushing forces contributing to lens deformation and its anterior shift,and these forces cause four different accommodative efforts,which constitute the real accommodative efforts in the relative tissue.This paper also points out that it is only the mode of pushing accommodation that can make the lens vary refraction quickly and greatly,and control the amount of deformation effectively.That can not be achieved by the stretching mode proposed by Tscherning & Schachar,because some authors have verified that excessive pulling would result in decline in the refraction,which would be difficult to regulate and control the eye.Similarly,the self-bulging mode of Helmholtz & Gullstrand will not work neither,because it is unable to control the amount of lens deformation that is its fatal defect.

Objective To investigate the specific expression of nucleolin in the development of cap-stage tooth germ of mouse embryo,and detect the possible biological function of nucleolin. Methods In situ hybridization and immunohistochemistry were performed to detect the expression of nucleolin mRNA and protein in the development of tooth germ at embryo day 15(E15).Double staining for apoptotic cells and nucleolin was employed to explore the relationship between nucleoin and apoptosis in tooth germ. Results The expression of nucleolin mRNA and protein was mainly detected in the cervical loop,inner epithelium and the underlying dental papilla.Moreover,nucleolin protein was also located in the primary enamel knot and basement membrane.It was revealed by double staining that the fluorescence images of nucleolin and the location of apoptotic cells were not overlapped. Conclusion The expression pattern of nucleolin mRNA do not completely coincide with that of nucleolin protein at the cap stage of tooth germ.The location for nucleolin protein in the basement membrane suggests that nucleolin may be involved in the reciprocal interactions between the inner epithelium and dental papilla mesenchyme,subsequently affect the morphogenesis of tooth germ.

Objective: To synchronously inhale Chinese materia medica compound using particle as inhalation drug delivery system, notoginseng total saponins-tanshinone composite particle was prepared. Methods: The composite particle of notoginseng total saponins-tanshinone was prepared by solvent deposition method and was characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), differential thermal analysis (DTA), particle size analysis, and high-performance liquid chromatography (HPLC). Results: The notoginseng total saponins-tanshinone composite particle was successfully prepared by solvent deposition method, the results of characterization proved that tanshinone was coated on the notoginseng total saponins core particle. Conclusion: The preparation of composite particle provides an effective way for synchronous inhalation of Chinese materia medica compound prescription and technical support for the preparation of compound dry powder inhalations.

30 mmHg on day 1 after SLT.Blurring and anterior uveitis were controlled. Conclusion SLT may be a safe and effective therapy for POAG.

Objective To assess the value of serum N terminal pro-brain natriuretic peptide(NT-Pro-BNP) in the diagnosis of congestive heart failure(CHF) and evaluation of cardiac function in children with ventricular septal defect (VSD).Methods Fifty one children were enrolled from March 2004 to March 2005.NT-Pro-BNP was measured by enzyme immunoassay technique.At the same time,left ventricular ejection fraction(LVEF) and left ventricular shortening fraction(LVFS) were detected with echocardiography.Results The data of NT-Pro-BNP were showed but the logarithms of which were normal distribution.The values of NT-Pro-BNP were developed successively along with the severity of cardiac function.But there was no difference between the group of no heart failure and mild heart failure.But the values of LVEF and LVFS had no differences in the control,the mild and the moderate heart failure and the same time all of which beyond the standard of diagnosing heart failure.NT-Pro-BNP could reflect the degree of heart failure or cardiac function (r=0.826).But LVEF and LVFS can not reflect the degree of the cardiac function.Conclusions NT-Pro-BNP can reflect the degree of the cardiac function in VSD,and the degree of the heart failure can be classed by the levels of serum NT-Pro-BNP.But the value of LVEF and LVFS can not reflect the degree of the heart failure in the same disease.

目的观察肌电图导引下应用A型肉毒毒素治疗脑卒中偏瘫患者肢体痉挛的临床疗效。方法65例脑卒中痉挛性偏瘫患者按FMA量表评定分为3组,应用肌电图纪录痉挛肢体在功能位时的运动单元电位数,确定治疗肌肉,每一部位注射5U,0.2ml国产A型肉毒毒素,治疗3天后由康复训练师亲自或指导家属进行肢体功能训练。采用改良AshWorth分度评分评定痉挛状态,FMA量表评定日常生活能力(上下肢分别统计)。结果治疗后,中、轻度运动障碍者恢复至基本正常;严重运动障碍者恢复至明显运动障碍;严重运动障碍合并挛缩者可改善其生存质量;所有患者增高的肌张力均有明显改善。结论在肌电图导引下,A型肉毒毒素作为缓解痉挛药物使用安全、有效,对肢体功能的恢复有显著的辅助作用。

The study of glomerular mesangial cells of normal rats showed that angiotensin Ⅱ (ATⅡ) down-regulated the expression of MMP-2 mRNA, did not have significant effect on TIMP-2 mRNA. And in consequence, ATⅡ down-regulated the ratio of MMP-2 mRNA to TIMP-2 mRNA.