Objective To set up a method for extracting and purifying of flavonoids in Dried Tangerine peel.Methods Total flavonids being used as an index, UV spectrophotometer was used to optimize the extracting technology with the help of orthogonal experiment. Meanwhile macroporous resin was adopted for optimizing indexes of total flavonoids.Results The optimum conditions for purification were as followings: AB-8 macroporous resin, 50% of ethanol serving as eluting solvent, 0.4g/mL of sample concentration, 1:5 ration of diameter to height, 2BV/h of current velocity, and 5BV of flow column. Conclusion The content of total flavonoids was remarkably increased after purification.

Objective To investigate the correlation between glycosylated hemoglobin(HbAlc),plasma NTproBNP and the cardiac function in patients with acute coronary syndrome(ACS).Methods 53 patients with both ACS and type 2 diabetes mellitus(T2DM)(T2DM group),67 patients with ACS(ACS group)were selected as the objects.The HbAlc level was detected by immunohistochemical than turbidimetry,and the content of NT-proBNP was detected by electrochemiluminescence method.Results The levels of HbAlc,plasma NT-proBNP of the T2DM group were(9.21±1.23)％,(3.56±1.12)ng/ml,respectively,which were higher than those of ACS group[(5.09±0.67)％,(0.14±0.04)ng/ml](t=6.495,9.277,all P＜0.01);The cardiac function of ACS patients was positively correlated with the levels of HbA1c and plasma NT-proBNP(r=0.517,0.589,all P＜0.01),and there was positive correlation between the levels of HbAlc and plasma NT-proBNP in ACS patients(r=0.431,P＜0.05).Conclusion The HbAlc and NT-proBNP can promote the injury of the cardiac function of ACS patients,and can be used as diagnostic indicators of the injury of the cardiac function of ACS patients.

Objective To study the effect of Shenjinhuoxue decoction in treating cervical spine.Methods 134cases of patients with cervical spine were randomly divided into two groups:control group(n=62)and therapy group (n=72).The control group were treated with normal method of Jingfukang particles.The therapy group were treated with normal method and Shenjinhuoxue decoction for cervical spine.The total effective rate and the side action was compared.Results After a period of treatment,the treatment group healed 38 cases,excellence 24 cases,effective 10cases,invalid 0 case,total effective rate Was 100.0%,control group healed 10 cases,excellence 16 cases,effective 28cases,invalid 8 cases,effective rate was 87.1%.Compared with the control group,effective rate and healing rate in therapy group were increased obviously(x2=7.715,P＜0.01).Conclusion Shenjinhuoxue decoction was safe and effective in the treatment of cervical spondylosis.

Negative pressure pulmonary edema is a common pediatric disease,but also often to be ignored,which occurs from the upper airway obstruction caused by the change in the absolute value of negative intrathoracic pressure increase,resulting in a corresponding respiratory physiology,hemodynamic changes,common causes include laryngitis,whooping cough,foreign body,such as obstructive sleep apnea.Therefore,it is important to know the common causes of negative pressure pulmonary edema and to treat the patients in time.

LevelⅠ&Ⅱ proofs of Evidence-based medicine support the safety of sentinel lymph node biopsy (SLNB) in breast cancer. The accurate staging of axilla, the axillary recurrence rate and complication, radiologic safety and the new indications of SLNB were discussed respectively.

Sentinel lymph node biopsy represents the state of the art of breast surgery, but its widely application might surpass the support of available evidences. The hot spots of sentinel lymph node biopsy in breast cancer include the prognosis of micrometastases in sentinel nodes, the prediction of non-sentinel nodes metastases in positive sentinel nodes patients, and the intraoperative molecular diagnosis of sentinel nodes.These are discussed accompanying with the updated results from the 31st SABCS held in December, 2008.

Anticoagulants are recommended for the prevention and treatment of a wide variety of thromboembolic events.Although existing anticoagulants are effective,their usage is limited by parenteral administration or the requirement for frequent monitoring and subsequent dose adjustment.Therefore,there is an urgent need for novel,oral agents with a predictable anticoagulant action.Because of its key position in the coagulation cascade and its limited roles outside of coagulation,Factor Xa has presented as an attractive target for novel anticoagulants.As a result,the past decade has witnessed an explosion of research into small-molecule,oral,direct Factor Xa inhibitors,and some are now in clinical development.Rivaroxaban is currently furthest ahead in its developmental program,having entered phase III in 3 indications.It is hoped that,before long,these anticoagulants will allow us to enter an era of convenient,oral anticoagulation,without the need for regular monitoring or dose adjustment.

Objective To analyze the risk factors associated with respiratory dysfunction (ARD) in patients with DeBakey type Ⅰ aortic dissection after operation and provide the measures for prevention and treatment.Methods Retrospectively analyzed the clinical data of DeBakey Ⅰ type aortic dissection 18 patients under deep hypothermic cardiopulmonary bypass from September 2008 to March 2012 in the application of the three-branch type aortic arch endovascular stent.Recorded age,sex,preoperative complication,with or without perfusion badness syndrome,cardiopulmonary bypass time and aortic cross-clamping time.Monitoring preoperative and postoperative blood gas analysis,chest X-ray,ventilator parameters,intraoperative and postoperative blood transfusion.The single factor analysis of the risk factors associated with postoperative ARD was analyzed.Results No patient died in peroperative period.Five patients (27.8％) was in perfusion badness syndrome preoperative,8 patients (44.4％) was in ARD postoperative.Three patients (16.7％) occurred within 72 h and 5 patients (27.8％) occurred within 48 h.Three patients (16.7％) performed incision of tracheal for the duration of mechanical ventilation for more than 7 d.Correlation factor analysis showed that BMI (P =0.047),cireulatory arrest time (P =0.035) had correlation with postoperative ARD.Conclusions ARD is a common complication during perioperative.It can be correctable by pay full attention to the risk factors,and the prognosis is good.

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.

This article discusses the relationship between ecological environment、ethical awareness and ecological moral.It tells us that only when we esteem the natural rights,establish the natural power,maintain ecological balance and erect the ethical awareness of ecological civilization that the human benefits can be adequately obtained and social enlightenment can be unceasingly developed.