BACKGROUND: Three-dimensional (3D) printing technology is a new rapid prototyping and rapid manufacturing technology. OBJECTIVE: Through the analysis of the related papers, the paper summarizes and discusses the research progress of 3D printing technology, the prospect of application in joint replacement and the status quo and development trend of 3D printing technology in joint replacement.METHODS: The relevant literature was retrieved by the first author with the China Journal Full-text Database (CNKI) and PubMed database from 1985 to 2015. The key words were 3D printing technology, rapid prototyping, arthroplasty, joint replacement. The included 81 articles were analyzed.RESULTS AND CONCLUSION: Basic research and clinical application of 3D printing technology and joint replacementtechnology are becoming more and more popular. 3D printing further optimizes in the communication and teaching in joint replacement, and avoids intraoperative and postoperative complications. According to the needs of different teaching materials, 3D printing can print out different parts of the real body with different characteristics of print by 3D printer. The surgical simulation exercises with 3D limb printing different materials are the best way to improve theoperation skills. 3D printing technology in the osteotomy guide precision has basically completed multicenter clinical trial,and toward to the clinical application of small scale stage. The construction of individualized treatment plan and theapplication of active biological organs by 3D printing technology will become the new research direction of jointreplacement.

Objective To develop a method for the determination of cobalt in urine by graphite furnace atomic absorption spectrometry(GFAAS).Methods Usingthe matrixmodifier tofind the best condition byimprovingthe cineration temperature and reducing the interference of gas phase in atomization stage.Results The best cineration temperature and atomization temperature was 1 200 ℃and 2 450 ℃respectively,taking15% PdCl2,NH3H2PO4 and HNO3 as the matrix modifier.The background absorb value was less than 0.05.The linear range was 0～75 ?g/L,the correlation coefficient was over 0.999,the average recovery rate was 97.2%,the relative standard deviations were 3.5%～6.5%,the detection limit was 1.5 ?g/L.The result of 16 urine samples determined with the present method showed no significant difference compared with that by using polarography.Conclusion This method is sensitive,accurate,simple and is applicable tothe determination ofcobalt in urine.

Objective To establish a SPE-HPLC method for the determination of carbaryl and atrazine in water.Methods Carbaryl and atrazine in water were extracted with Oasis HLB and were eluted with CH3OH,CH3OH-H2O(55:45) was applied as mobile phase,the flow rate was 0.8 ml/min,detection wavelength was 220 nm,column was Symmetry Shield RP18(150 mm ? 3.9 mm,5 ?m),carbaryl and atrazine in water were determined by PDA detector.Results The linear range of the method was 0.05-10.0 mg/L(y=316 263x-350 9,r=0.999 9,for carbary;y=140 151x-258 6,r=0.999 9,for atrazine),The lowest detected concentration was 0.0002 mg/L for carbary and 0.000 5 mg/L for atrazine,respectively(S/N≥3).The recovery rates were 89.6%-97.0%,and the relative standard deviation was 4.0%-6.7%.Conclusion The method was sensitive,accurate and repeatable,which was applicable to the determination of carbaryl and atrazine in water.

BACKGROUND:Nano-hydroxyapatite/polyamide 66 is a new nanobionic composite material and has good biocompatibility and bone conduction, but after implantation, whether the composite material can bind to vertebral bone interface and whether it is safe in clinical use stil need further studies. OBJECTIVE: To observe the ability of nano-hydroxyapatite/polyamide composite binding to the interface of artificial humeral head. METHODS: The rabbits were randomly divided into two groups: composite group was implanted with nano-hydroxyapatite/polyamide composites; control group implanted with autologous bone. After the replacement, rabbit bone marrow mesenchymal stem cels were subjected to primary culture, and then the cels were co-cultured with the composite material. RESULTS AND CONCLUSION:At 24 hours after culture, bone marrow mesenchymal stem cels grew wel on the composite materials. The cel adhesion rate was significantly higher in the composite group than the control group at 1 and 4 hours after culture (P < 0.05). After co-culture 4.5, 5.5, 6.5 hours, the absorbance value of cels in the composite group was higher than that in the control group (P < 0.05). At 24 weeks after replacement, changing ranges in the proportions of bone tissue and fibrous layers on the implant surface as wel as coverage rate in the composite group were the highest (P < 0.05). These findings indicate that the nano-hydroxyapatite/ polyamide composite implant has a certain binding capacity, which can make a good interface osseointegration.

Adolescent ; Adult ; Amanita ; Chemical and Drug Induced Liver Injury ; etiology ; therapy ; Female ; Humans ; Male ; Middle Aged ; Mushroom Poisoning ; therapy ; Retrospective Studies ; Young Adult

At present, the pathophysiological mechanisms of progressive stroke remain unclear. It is difficult to accurately predict which patients will have deterioration of neurological function. 1he factors of blood pressure, C-reactive protein concentration, cerebral artery stenosis, hyperglycemia, and infarct location in early stroke are closely associated with progressive stroke. It has some predictive values for its occurrence.

BACKGROUND: The effect of cognitive therapy on psychological stress is not remarkable and optimal. Some psychocatharsis through physical activities cannot be accepted by many clients.OBJECTIVE: To explore an effective method to treat and relieve psychological stress.DESIGN: A controlled (the blank control and the self-control) observation study and single blind trial.SETTING: Department of Preventive Medicine, Medical College of Jinagsu University.PARTICIPANTS: Clients who suffered from emotional suppression or nervous stress would be tested with "psychological stress test". Forty clients, with scores over 5, were selected as the subjects. They were randomly divided into two groups matching of ages and scores: control group (n=20) and experimental group (n=20).METHODS: Clients in the control group were treated with common cognitive therapy by means of talking, and those in the experimental group accepted a sing a song loudly therapy. The song named as Qinghai-Tibet Plateau was selected for the treatment. The clients were requested to sing the song loudly in order to release their stress and vent their repression.The psychologist used the language introduction by background music to make a client under a special kind of psychological situation and emotional state when the music was played for one to two times. Then the psychologist would turn up gradually the volume of sound to the maximum when the music was played for the third time. The volume from the VCD would overwhelm that from the client's voice in order to cover up the singer's shyness. The client sung the song of Qinghai-Tibet Plateau loudly for four to five times. The therapeutic room was required to have a blanch curtain.The sound insulation also was required. The soundscape of the loudspeakers should be wide. The power magnifier should be strong. The loudspeaker should be high fidelity. The questionnaire of psychological stress test was adopted in both groups before and after therapy respectively. It had 30 items for the self-diagnosis of symptoms. The client was diagnosed as a low stress if his or her score reached 5, 11-20 as sever stress, and above 21 as adaptability disorder.MAIN OUTCOME MEASURES: Scores of stress level were observed before and after therapy in both groups.RESULTS: The scores in the control group before and after therapy were approximately the same (15.6±5.3 vs 14.7±4.8, t=1.739, P ＞ 0.05). The scores in the experimental group after therapy was significantly lower than those before therapy (11.6±5.8 vs 15.5±6.1, t=9.863, P ＜ 0.05). After therapy, the scores in the experimental group were significantly lower than those in the control group (11.6±5.8 vs 14.7±4.8, t=4.811, P ＜ 0.05).CONCLUSION: Sing a song loudly is an effective method that is easy to operate in treating psychological stress.

Objective To investigate the difference between invasive and non-invasive blood pres-sure monitoring for patients after mechanic valve replacement. Methods Invasive or non- invasive blood pressure of 40 patients after mechanic valve replacement were continuously monitored for 24 hours, and the results underwent t test. Results There was a significant difference between invasive and non-invasive blood pressure monitoring for patients within 12 hours after mechanic valve replacement, but no difference was seen between them after 12 hours. Conclusions It can provide more accurate bases by monitoring blood pressure invasively at early stage after mechanic valve replacement, and it can be replaced by non-invasive blood pressure monitoring 12 hours after mechanic valve replacement.

Objective To establish a high performance liquid chromatographic method for determination of 6-methyl coumarin in cosmetics. Methods Samples were extracted with ethanol, On C18 column CH3CN-0.02 mol/L NaH2PO4(pH=3.5, 35∶65) was applied as mobile phase, 6-Methyl Coumarin in cosmetics was determined by photo-diode-array(PDA) detector. Results The linear range of the method was 1.0-25.0 mg/L. The lowest detected limit of 6-Methyl Coumarin in 1.0 g samples was 0.000 1%. The recovery rates were 96.6%-99.2%, and the relative standard deviation were 2.0%-4.4%. Conclusion The method was simple, rapid and accurate, which was suitable for determination of 6-methyl coumarin.