The microbial counts, type, as well as relationship between microbial counts and the temperature of water in reticulating water system of heating pipeline in Taiyuan were studied, which the main biofouling harmful microbes included slimeforming heterotrophic bacteria, sulfate reducing bacteria, iron bacteria and fungi, respectively. The results showed that the harmful microbes in water system were lower than that of control guideline during heating period, whereas the microbes were higher than that of control guideline, which would result in biofouling of water tube during non-heating period.

Objective To explore new method to extract medicine from sealing bottles and solve the problems of excess remnant in the bottles by traditional extraction method.The objective and subjective factors for excess remnant in the bottles were also discussed.Methods We stochastically selected 9392 bottles from 6 hospitals who used traditional extraction method and named them the random investigation group.We also chose 1030 bottles which were abandoned by nurses after strengthened their responsibility as the strengthened responsibility group.The medicine remnant in the bottles was recorded and compared between the two groups.Results The medicine remnant in the random investigation group was less than that of the strengthened responsibility group(P<0.01).Conclusion Application of the new method to extract medicine as well as strengthened responsibility codd leave medicine remnant as little as possible in the sealing bottles.

Objective To explore the effect of ultrasound to gene transfer in skeletal muscle cells in mice. Methods All comparisons were performed between two intensities of ultrasound((0.5) W/cm~2, (1 W/cm~2)) with pulse wave (1 MHz, 20% duty cycle) using plasmid green fluorescent protein(GFP) on H2K myoblast cells. Exposure duration was 10 s, 20 s, 30 s, 40 s, 50 s, and 60 s. The trend of transfection efficiency by flow cytometer and cell viability by Trypan blue assays under different conditions was measured. Results GFP transfection rate in H2K cell treated by (0.5) W/cm~2 was significantly lower than that by 1 W/cm~2 as a whole. The optimum condition of GFP transfection for H2K cell was 1 W/cm~2 and (40-)50 s. Ultrasound did not increase the rate of cell-killing. Conclusions Ultrasound holds promise in gene delivery in skeletal muscle cells.

Objective To explore the effect of Levovist to gene transfer in skeletal muscle cells in mice.Methods H2K myoblast cells were treated by ultrasound (1 MHz,1 W/cm~2) with pulse wave (20% duty cycle) using plasmid green fluorescent protein (GFP) in vitro.Exposure duration was 10 s,20 s,30 s,40 s,50 s and 60 s.The trend of transfection efficiency by flow cytometer and cell viability by Trypan blue assays were measured.In vivo studies,transfection efficiencies were assessed by counting GFP positive fibres on mice skeletal muscle.Tissue damage was assessed on serial sections.Results Ultrasound alone showed better trend of transfection efficiency than Levovist in vitro and addition of microbubbles had the effect to reduce cell viability significantly.In vivo,Levovist with or without ultrasound had no effect on gene transfer,instead it increased tissue damage.Conclusions(Levovist showed) no effect in plasmid DNA transfection in skeletal muscle with increased tissue damage in this experimental condition.

Objective To explore the effect of SonoVue to gene transfer in skeletal muscle cells in mice.Methods H2K myoblast cells were treated by SonoVue and ultrasound (1 MHz,1 W/cm2) with pulse wave (20% duty cycle) using plasmid GFP (Green Fluorescent Protein) in vitro.Exposure duration was 10 s,20 s,30 s,40 s,50 s,and 60 s.The trend of transfection efficiency by flow cytometer and cell viability by Trypan blue assays were measured. In vivo studies,transfection efficiencies were assessed by counting GFP positive fibres on mice skeletal muscle.Tissue damage was assessed on serial sections.Results SonoVue did not enhance transfection efficiency compared with positive control in vitro,instead with increased cell killing rate. In vivo,SonoVue with or without ultrasound had significant effect on gene transfer without increased tissue damage.Conclusions Although SonoVue showed no effect in plasmid DNA transfection in skeletal muscle with reduced cell viability in vitro in this experimental condition,SonoVue had significantly enhanced gene transfection efficiency in mice in vivo without increased tissue damage.

Objective To investigate the incidence and risk factors of hallucination in patients with Parkinson’s disease (PD) by using a questionnaire. Methods Ninety-one patients with PD from outpatient and inpatient departments of Neurology and 38 healthy subjects were recruited. Mini-mental state examination (MMSE), unified Parkinson's disease rating scale-Ⅲ(UPDRS-Ⅲ), Hoehn-Yahr, interleukin 6 (IL-6) and C-reactive protein (CRP) were examined in all PD. According to the PPQ-B scores, the PD patients were divided into two groups:the hallucination group (PPQ-B≥1) and non-hallucination group (PPQ-B=0). Logistic regression model was used to explore the risk factors. Results Twen?ty-nine of 91 patients had hallucination and the incidence was 32%. Age and the levels of IL-6 and CRP were signifi?cantly higher in hallucination group than in non-hallucination group. Meanwhile, the duration of illness and MMSE were significantly higher in hallucination group than in non-hallucination group. Logistic regression revealed that the age and duration of illness were independent risk factors of hallucination and the Odds Ratios (OR) were 1.09 (95% CI:1.04~1.32, P<0.05) and 1.43 (95%CI:1.21~1.87, P<0.05), respectively. The risk of hallucination increased by 51%and 59%for each doubling of IL-6 and CRP levels in PD patients and the ORs were 1.51 (95%CI:1.13~2.11, P<0.05) and 1.59 (95%CI:1.07~2.66, P<0.05), respectively. Conclusions Controlling the levels of serum IL-6 and CRP plays an impor?tant role in delay or prevention of the hallucination of PD patients.

Objective To investigate the clinical characteristics and prevalent features of an influenza erupting prevalence.Methods All of 653 patients with an erupting influenza were enrolled in the study from May 29,2003 to July 3,2003. The data included clinic manifestations and etiology. The retrospective study was used to evaluate the clinical and prevalent features. Results All patients consisted of 392 boys and 261 girls aged 5~17 years(mean 11.5 years),who were all students in middle school or primary school. Most of the patients had no typical symptoms including chill(2.45%),headache(30.00%),tiredness(10.87%)and the aching in whole body(4.44%),whereas fever,faucial inflammation and lymphatic follicular hyperplasia of the faucial posterior wall were the most common among these patients,accounting for 100%,60.03%,64.78% respectively. There were 98 patients whose peripheral leukocyte amounts were increased,most happening on the 6 ~7 th day from the onset(75.51%)following the fever on the 5~6 th day(80.6%). Detection of serum double virus-antigen indicated that influenza virus antibody increased more than 4-fold,as well as parainfluenza virus and adenovirus. Even in minority patients,there were several kinds of virus antibody raised 4-fold at the same time. We applied antivirus allopathy associated with the Chinese traditional medicine such as injection of shuanghuanglian or yuxingcao,plus the effectual antibiotics when necessary . All of the patients were cured and no sequelae. Conclusion Sometimes the influenza is prevalent only in some special crowds and has no typical symptoms such as chill,headache,tiredness and the aching in whole body.The antibiotics should be used in time after the synthetic treatment has no effect,when the patient has the onset for more than 5 days and has the fever for more than 4 days.

BACKGROUND:Different methods of internal fixation can be selected during the repair of femoral shaft fractures in the clinic, including bridging combined internal fixation and metal locking plate screw fixation.
OBJECTIVE: To compare the biomechanical properties of bridging combined internal fixation and metal locking plate screw fixation for femoral shaft fracture.
METHODS:Eighteen femoral samples were colected and randomly divided to three groups, with six in each group. In the normal control group, no treatment was given. In the other groups, models of femoral shaft fracture were established. In the bridging combination group, samples underwent bridging combined internal fixation. In the locking plate screw group, samples underwent metal locking plate screw fixation. Biomechanical test was conducted in samples of the three groups. In the femoral compression experiments, we recorded the maximum displacement under the maximal load 500 N. In the femoral flexion experiment, we recorded the maximum displacement under the maximal load of 100 N. In the femoral retroversion experiment, we recorded the maximum displacement under the maximal load of 100 N.
RESULTS AND CONCLUSION: (1) Compression experiment at different loads: the maximum displacement was larger in the bridging combination group and locking plate screw group than in the normal control group. Under the maximum load of 500 N, the maximum displacement was significantly larger in the bridging combination group and locking plate screw group than in the normal control group (P < 0.05). Moreover, the maximum displacement was significantly less in the bridging combination group than in the locking plate screw group (P< 0.05). (2) Flexion experiment under different loads: the maximum displacement was larger in the bridging combination group and locking plate screw group than in the normal control group. Under the maximal load of 100 N, the maximum displacement was significantly larger in the bridging combination group and locking plate screw group than in the normal control group (P< 0.05). Moreover, the maximum displacement was significantly smaler in the bridging combination group than in the locking plate screw group (P < 0.05). (3) Retroflexion experiment under different loads: the maximum displacement was larger in the bridging combination group and locking plate screw group than in the normal control group. Under the maximal load of 100 N, the maximum displacement was significantly larger in the bridging combination group and locking plate screw group than in the normal control group (P < 0.05). Moreover, the maximum displacement was significantly smaler in the bridging combination group than in the locking plate screw group (P < 0.05). (4) These results suggested thatin vitro simulated femoral shaft fracture bridging combination fixation and metal locking plate screw system can obtain good fixation effect; the design meets the principle of biomechanics. Among them, bridging combined internal fixation can maintain a smaler displacement, suggesting good deformation resistance under compressive stress, anteflexion and retroflexion stress.

[Objective]To discuss the value and methods of severe hindfoot reconstruction in the treatment of hindfoot injures.[Method]Six cases with severe hindfoot injures were treated with hindfoot reconstruction.Among them, 4 patients were males and 2 females. Five cases were fallen from high places and 1 case by traffic accident. All cases associated with talus and calcancus comminuted fractures of type Ⅳ according to Sanders classification and calcaneocuboid, talocalcaneal and talonaviculare joint disorders.Four cases were associated with anterior and medial or plantar skin laceration,2 of anterior and medial skin laceration and 2 of plantar skin laceration. Among them, 1 were of anterior and medial skin avulsion wound and skin necrosis defect.1 were of plantar skin laceration and skin necrosis and bone exposure.[Result]Two cases' incisions without skin laceration were healed up. Among 4 cases incisions with skin laceration, 3 were primarily healed. One was Ⅱ-period healed. Two cases' skin laceration were healed by 1st incisions and 2 skin defects were healed by skin transplantation in 6 and 10 weeks after operation. The postoperative functional evaluation by AOFAS revealed excellent result in 1 foot, good in 3, fair in 2.[Conclusion]Hindfoot reconstruction is an effective method for severe hindfoot injures with the advantages of resoring function and outer aspect hindfoot satisfactorily.

Objective To explore the robe of interleukin-6 in the apoptosis of multiple myeloma (MM) cell lines KM_3 induced by melphalan and its molecular mechanism. Methods Apoptosis was confirmed by flow cytometry, DNA fragmentation rate and TUNEL. The expression of caspase-3, caspase-8 proteins in KM_3 cell, which was assessed by Western blot analysis, after melphalan treatment and cultured with or without interleukin-6. Results KM3 cells in the presence of interleukin-6 showed lower rate of apoptosis compared with that in the absence of interleukin-6 (P