AIM: To discuss the fouling mechanism in 0.2 ?m Al_2O_3 commie membrane microfiltation of Tangkeqmg Compound water extract. METHODS: The total filtration resistance and its distribution were used as indexes to study the effect of pore size and materials of ceramic membrane on membrane fouling in clarification. SEM (scanning electronic microgragh) technology was used to study the microstructure of surface and section of new membrane and contammted membrane and physica and chemical examination were done on the fouling substances on the membrane surface. RESULTS: The pore size and materials of membrane affected the total filtration resistance and its distribution in clarification. The results of filtration resistance dislribution and SEM suggested that the fouling of 0.2 ?m Al_2O_3 membrane mainly lied on the surface. The contaminations on membrane surface were mostly the substances holding function groups, such as C=O, CO-NH and C-O-C. According to volume percentage, the semidiameter of contaminations on the membrane was mostly around 23.738 ?m. However, according to quantity percentage, the semidiameter of contaminations on the membrane was mostly around 0.521 ?m. CONCLUSION: Study on the fouling mechanism of the membrane is of great significance for looking for the effective measures for relieving the downward trend of the membrane flux and for the appropriate membrane cleaning in the clarification of Tangkeqing Compound extract using 0.2 ?m Al_2O_3 ceramic membrane.

AIM: The aim of this investigation was to confirm the best operation conditions in the membrane separation of protein from the homogenate of red earthworm, Eisenia faefida. METHODS: Ultrafiltration membrane of fresh red earthworm with the cut-off of 10 000 was used as the target process, with the homogenate flux as index, the best value of operation parameters such as pressure、 temperature, surface rotation speed and feed concentration were fixed on. RESULTS: (1) The best suitable operation conditions were 0.25 MPa, 30?C , 200 r/min, pH=6.7, 33.3% (w:w) concentration and not a bit of NaCl. (2) The molecular weight distribution of protein in the homogenate of red earthworm mainly lay between 50 000～100 000. CONCLUSION: The obtained experimental results will provide pilot scale test with data support.

Objective To study the distribution of filtration resistance in AL2O3(0.2 ?m) ceramic membrane microfiltration of Tangkeqing water extract,obtain the effective membrane cleaning methods,and enrich the theory of ceramic membrane cleaning technology.Methods The filtration resistance and its distribution were got with the filtration model of the Darcy-Poiseuille principle which was modified by M.MDa-Cin,etc.Meanwhile,The microstructure of fouled membrane surface and cross-section was analyzed by SEM.Results The main parts of filtration resistance lay in deposit layer and concentration polarization layer with the ratio of 52.5% and 34.4%,respectively.However,the membrane itself and the pore blocking were in the fewer ratios of 8.8% and 4.3%,respectively.The result was in accordance with that of SEM.The fouled AL2O3 membrane was cleaned with low-pressure tap water and ultrasonic wave successirely.Conclusion The appropriate cleaning means are chosen based on the filtration resistance,which can provide good instructions for the industrialized production.

Objective To discusse the fouling mechanism of 0.2 ?m Al_2O_3 ceramic membrane in the microfiltration of Qiju Dihuang Pill aqueous extract. Methods Qiju Dihuang Pill aqueous extract was microfiltered in this experiment. The distributions of filtration resistance were studied according to the Darcy-Poiseuille principle. The substance of deposit on the membrane surface was analysed by Fourior transform infra-red spectrum and particle diameter analysis. The characteristic of the surface and cross section of the polluted membrane was observed by SEM. Results The filtration resistance was mainly concentrated on the surface of deposit resistance, the membrane itself and the concentration polarization resistance were less important, and the pore blocking resistance was the least important. Moreover, this result was proved by SEM analysis. The molecule of the fouling substance mainly contained peptid, carbonyl, and hydroxy bonds by IR. The particle size distribution of the deposit substance on the polluted membrane surface: The particle radius taking a larger percentage in volume concentrated in 18.267 ?m around, while the particle radius taking a larger percentage in quantity concentrated in 0.424 ?m around. Conclusion Study on the fouling mechanism of the membrane in the microfiltration provides a great significant guidance for exploring the effective measure of relieving the reduced membrane flux and the appropriate cleaning procotrol.

Objective To discuss the fouling mechanism of ceramic membrane in the microfiltation of extract of Qijudihuang Wan and obtain the effective cleaning method. Method The extract of Qijudihuang Wan was microfilted in this experiment, and the distributions of filtration resistance were studied according to the Darcy-Poiseuille principle. The characteristic of the surface and section of the polluted membrane was analysed by SEM also. Result ①For the main body, the filtration resistance is mainly decided by the deposit resistance, the membrane itself and the concentration polarization resistance are less important, and the pore blocking resistance is least important. Moreover, this result is proved by the analysis of SEM. ②The effective four-step cleaning procotrol, which can almost recover original membrane flux, is achieved by three cleaner, including ultrasound, NaOH solution and HCl solution. Conclusion Based on the different fouling mechanism, the appropriate cleaning method can be obtained. This provides great significance for the application of the industrialized manufacture.

AIM: To discuss the fouling mechanism of 0.2 ?m Al_2O_3 ceramic membrane in the microfiltation of extraction of Qijudihuang Pills, and obtain the effective cleaning procotrol. METHODS: The extract of Qijudihuang Pills microfiltered and the distributions of filtration resistance were studied according to the Darcy-Poiseuille principle. The characteristic of the surface and section of the polluted membrane were analysed by SEM also. RESULTS: ① For the main body, the filtration resistance was mainly decided by the deposit resistance, the membrane itself and the concentration polarization resistance were less important, and the pore blocking resistance was minimum. Moreover, this result was proved by the analysis of SEM. ② The effective four-step cleaning procotrol, which could almost recover original membrane flux, was achieved by three cleaner, including ultrasound, NaOH solution and HCl solution. CONCLUSION: Based on the different fouling mechanism,the appropriate cleaning procotrol can be obtained. This provides great significance for the application of the industrialized manufacture.

Objective: To observe the effect of metoprolol combined with trimetazidine on coronary heart disease with chronic congestive heart failure, and its effects on myocardial structure, plasma brain natriuretic peptide (BNP) and matrix metalloproteinase-9 (MMP-9). Methods: From January 2016 to November 2017, 160 coronary heart disease patients with chronic congestive heart failure in the First People's Hospital of Wenling were randomly divided into treatment group (78 cases)and control group (77 cases)through random number table method.The control group was given conventional anti-heart failure treatment.The treatment group was treated with metoprolol and trimetazidine.After 3 months of treatment, left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume(LVESV), LVEF, BNP and changes in MMP-9 were compared. Results: The total effective rate of the treatment group was 90.36%, which was significantly higher than 77.92% of the control group (χ²=5.024, P<0.05). There were no statistically significant differences in LVESV and LVEDV between the two groups before and after treatment (t=0.07, P=0.47; t=0.75, P=0.22; t=0.90, P=0.18; t=1.24, P=0.10). Compared with before treatment, the LVEF change in the control group had no statistically significant difference(P>0.05), the LVEF of the treatment group was increased[(41.38±9.26)% vs.(46.31±10.8)%] (t=-3.15, P=0.001). After treatment, the LVESV between the treatment group and control group had statistically significant difference[(124.54±16.57)mL vs.(106.36±16.44)mL](t=7.16, P<0.05). The BNP level was decreased in the treatment group after treatment[(4 036.39±696.24)ng/L vs.(3 621.78±732.57)ng/L] (t=3.73, P<0.05), while the BNP level had no statistically significant change in the control group (t=1.47, P=0.07). the MMP-9 level in the treatment group was lower than that before treatment[(396.21±97.56)ng/mL vs.(345.11±86.25)ng/mL](t=3.57, P<0.05), while the MMP-9 level in the control group had no statistically significant change (t=1.06, P=0.15). The MMP-9 and BNP levels decreased more significantly in the treatment group than those in the control group (t=3.73, 3.57, all P<0.05). Conclusion Metoprolol combined with trimetazidine in the treatment of patients with chronic heart failure can significantly alleviate clinical symptoms, reduce the expression level of MMP-9, and is safe for clinical use.Therefore, it is recommended use in clinical.

Objective To prevent and treat of ceramic membrane purification of membrane fouling process of TCM extracts; To explore new methods of forecasting membrane fouling degree.Methods BP neural network model was improved. Methods to fast determine the optimal number of neurons in the hidden layer and fast algorithm for optimizing the weight and threshold of BP neural network were studied. Data of 207 groups of TCM extracts were under network training and prediction.ResultsCompared with the models of multiple regression analysis, basic BP neural network and RBF neural network, the error of the improved BP neural network model was less than that of the BP neural network model, and the mean square error was only 0.0057. In addition, the improved BP neural network model performance was more stable. In the 20 random running experiments, the goal of the success rate achieved up to 95%.Conclusion The improved model has a good network performance, the fitting effect and prediction ability, and can forecast the fouling degree of membrane stably and accurately.

Objective To explore the application range and preponderance of different therapeutic methods of traditional medicines in overseas countries with retrospective studies on bibliographies of overseas traditional medicines. Methods All bibliographies were articles written in August 1964 to September 2009 and came from MEDLINE data base through searching 17 inferior words of"replacement therapy" in MeSH subject headings. Results We got altogether 10103 articles in 1633 kinds of periodicals concerned with replacement therapy, and summed up to 9841 effective articles in the end. Conclusion More and more attentions have been paid to traditional medicine in overseas countries; Such kinds of articles were mostly published in American and British medical periodicals; articles with advanced technologies and high reliability have more chances to be adopted by medical periodicals; traditional Chinese medicine plays a leading role in the fields of traditional medicines in the whole world; replacement therapy were increasingly adopted to deal with disease protection and health care.

Objective To observe morphological characteristics and activity distribution of T. asahii biofilm. Methods The morphological characteristics of T. asahii biofilm were observed under an inverted microscope and scanning electron microscope, and activity was measured and quantitatively analyzed by 2,3-bis (2-methoxy-4-nitro-5-sulfophenyl)-5-[(phenylamino) carbonyl]-2H-tetrazo-lium hydroxide (XTT) assay and viable count, respectively. Spatial distribution of dead/vital cells, activity and thickness of biofilm at different layers were assessed under a confocal laser scanning microscope (CLSM) following double staining with FDA/PI. Results T. asahii formed a biofilm in vitro on the surface of polystyrene materials. Under a scanning microscope, the biofilm displayed a complex three-dimensional structure which composed of spores, pseudohy-pha and true hypha. As time prolonged, the activity and quantity of biofilm increased. The results of XTT assay were correlated with those of viable count (r = 0.94, P < 0.01). The activity was of no obvious difference between different layers of the biofilm. The thickness of biofilm varied from 14.3 μm to 31 μm. Conclusions The structure of T. asahii biofilm in vitro is more complex than that of planktonic T. asahii. The activity is of no significant difference between different layers of T. asahii biofilm.