Objective:To introduce the use of fluoxetine in neurologic disease,especially in epilepsy.Method:We used fluoxetine as a supplement antiepileptic drug in 25 patients who couldnt be controlled yet by routine antiepileptics. A long term follow-up with these cases was carried out.Results:Most patients got better outcome.Conclusion:Fluoxetine would be an important supplement antiepileptic drug and have value for further clinical and experimental research.

Objective To establish HPLC method for fast, effective, simultaneous determination of Vancomycin and Norvancomycin in serum. Methods The separation was achieved on the Hypersil ODS2(250 mm ×4.6 mm,5μm)with methanol-acetonitrile-a mixture of potassium phosphate (9.5:2.5:88) as the mobile phase.The flow rate was 1.0 mL/min.The UV detecting wavelength was 280 nm.The temperature of the column was 35 ℃. Vancomycin and Norvancomycin were used as the internal standard for each other .Results Vancomycin and Norvancomycin blood concentration were in well linearity in the range of 1.25-100μg/mL,R2 =0.9996.The average method recovery rate of three concentrations were 96.88%,99.50%,105.01%respectively, the average method recovery rate of three concentrations were 94.40%,103.90,103.81%respectively, the intra-day and inter-day RSD were less than 5%.Conclusion The HPLC method is proved to be simple,sensitive, accurate and precise in which little blood sample is taken, thus it is suitable for the therapeutic drug monitoring(TDM) and pharmacokinetic study of Vancomycin and Norvancomycin.

Xi Jinping,Secretary General has recently called on scientists mastering knowledge and proving in practice,to write papers in the motherland and in the realization of modernization.Up to the beginning of this century,ancestors and predecessors in Keshan disease prevention and control have made great achievements,including therapeutic methods,prevention of Keshan disease by supplementing selenium and compiling health standards,and these achievements have played an important technical supporting role in effectively controlling the epidemic of Keshan disease and guiding the practice of national wide control of Keshan disease.In the past 10 years,we have continued improving the technical norms to guide the work of national prevention and control of Keshan disease,and conducting translational research in response to the challenges of national Keshan disease prevention and control emerged in the new era.To realize the China dream of Keshan disease prevention and control,we must strive to achieve fully and sustainable elimination of Keshan disease,and to summarize the experiences in Keshan disease elimination for generalizing in other disease control and elimination,to continue to write the big article of the China dream of Keshan disease prevention and control.

Objective To observe the clinical effect of Zhongfeng-Tengtong decoction combined with tramadol in the treatment of central post-stroke pain (CPSP). Methods A total of 121 patients with stroke were recruited in our hospital. The patients were randomly divided into 2 groups by the ramdom number table method, 61 patients in the treatment group and 60 in the control group. All patients received conventional treatment of stroke secondary prevention, and the control group received oral tramadol hydrochloride sustained release tablets, while the treatment group received Zhongfeng-Tengtong decoction based on the intervention of control group. Both groups were treated for 14 days. The outcomes included Numerical Rating Scale (NRS), Fugl-Meyer Assessment (FMA), Stroke Specific Quality of Life Scale (SS-QOL), and the changes of hemorheology indexes of the 2 groups before and after treatment. Results After treatment, the NRS scores of treatment group were significantly lower than the control group (2.5 ± 0.4 vs. 4.6 ± 0.7;t=20.303, P<0.01). and FMA and SS-QOL scores of treatment group were significantly higher than the control group (FMA 57.1 ± 18.1 vs. 44.2 ± 12.5;t=4.702, P<0.01), (SS-QOL 193.4 ± 25.6 vs. 165.4 ± 22.8;t=6.536, P<0.01). The whole blood viscosity, plasma viscosity, fibrinogen and thrombosis coefficient of treatment group were significantely lower than the control group (whole blood viscosity 4.22 ± 0.13 mPa?s vs. 4.56 ± 0.41 mPa?s, t=14.452, P<0.01;plasma viscosity 1.72 ± 0.31 mPa?s vs. 2.33 ± 0.23 mPa?s, t=14.258, P<0.01; fibrinogen 3.72 ± 0.49 g/L vs. 4.98 ± 0.41 g/L, t=17.783, P<0.01; thrombosis coefficient 0.76 ± 0.30 vs. 1.11 ± 0.20, t=8.178, P<0.01). Conclusions Zhongfeng-Tengtong decoction combined with tramadol could alleviate the pain symptom in patients with CPSP, improve the movement function of limbs and improve the quality of life.

@@

To establish a method for the deter mination of dissolution of amiodarone hydrochloride tablets. Methods: Samples from five different factories were tested by the paddle meth od with the dissolving medium of 1% SLS. Results: The resu lts showed that there were very significant differences(P＜0.01) in dissolut ion parameters among the tested samples. Conclusion: It is necessary for testing the dissolution of the amiodarone product to control its quality and ensure clinical efficacy and safety.

OBJECTIVE:To establish a HPLC method for the determination of theophylline in pulsatile controlled-release pellets capsule of theophylline. METHODS: The determination was performed on a Diamonsil C18 column with the mobile phase consisted of methanol -water (35∶65) at a flow rate of 1.0 mL?min-1. The detection wavelength was set at 272 nm and the injection volume was 20 ?L. RESULTS: The linear range of theophylline was 5～40 ?g?mL -1 (r=0.999 9) with an average recovery rate of 100.55%. Both the intra-day RSD and the inter-day RSD were less than 1.2%. CONCLUSION: The method is accurate,reliable,simple and feasible,and it is applicable for the content determination of this preparation.

OBJECTIVE: To observe the clinical efficacy of nimodipine on cerebral infarction. METHODS: 120 patients with cerebral infarction were randomly selected into treatment group and control group(n=60). Both groups were given routine therapy, i.e. dehydration, neurotrophy, activating blood and dissolving stasis, lowering blood pressure, regulating blood lipid, lowering blood sugar and symptomatic treatment. Treatment group were additionally given oral dose of nimodipine 30 mg t.i.d. for 15 days. Clinical efficacies of 2 groups were observed and neurological impairment score before treatment and 15 days after treatment were evaluated. The change of hemorheology was detected by transcranial Doppler ultrasonography. RESULTS: The total effective rate of treatment group was 86.7%, which was significantly higher than that of control group(60.0%), there was significant difference between 2 groups(P

The plasma corticotrophin-releasing hormone-like bioactivity was measured in normal individuals, patients with Cushing's disease and other diseases of hypothalamic-pituitary-adrenal axis with the techniques of rat pituitary cell peri-tusion and AGTH radioimmunoassay. Combined with the response of the patients to neurotransmitter agonist and antagonist, it was hypothesized that most patients with Cushing's disease have a primary pituitary lesion and that hyper-tisolemia damaging hippocampus and weakening its inhibition on hypothalamic-pituitary-adrenal axis may have an important role in the pathogenesis.

The personality abnormality is a remarkable characteristic in schizophrenia. Some evidence to date indicated that there existed measurable scores of personality traits in schizophrenic patients, though the psychotic symptoms were concomitant. The psychotic symptoms were deemed to influence the assessment of personality traits in schizophrenia for the symptoms and personality abnormality were entangled tightly. Yet, it cannot exclude the personality pathology in the psychopathology of schizophrenia. Moreover, the personality abnormality was related to cognitive deficit, prognosis, and insight in schizophrenics. It was difficult to disentangle the relationship between personality psychopathology and schizophrenia. Spectrum, pathoplasty, and etiology model each could explain the relationship partially. An integrated viewpoint incorporating all three models was discussed. However, it needs further researches to investigate some important issues such as the physiological basis and psychological mechanism of the relationship, the influence of culture on personality assessment.