Objective:To study the role of APACHEⅡscore pre-operation to infusion of blood preparation during the periods of hepatectomy.Methods:The correlation between APACHEⅡscore pre-operation and infusion of erythrocyte suspension and plasma were analyzed retrospectively in 104 cases who suffered from hepatectomy.Results:Those whose APACHEⅡscore were less than 5 had significantly lower volume of bleeding and lower infusion of erythrocyte suspension and plasma during the operation than those whose APACHEⅡscore were not less than 5(P

Based on the data of the ISI "Journal Citation Report" in 2006 edition,a statistics for the 88 mi-crobiology science journals has been made. The results showed that these 88 learned journals were published in 16 countries with 3 languages,especially English. And the main countries were United States,England,Netherlands and Japan. The average data of articles and total cites of the 88 journals were 165 and 5226.64,respectively. Moreover,the average data of impact factor and immediacy factor were 3.154,0.45 and 5.84,respectively. Finally,fifty-five learned journals with impact factor over 2.0 were introduced from these jour-nals to be referenced.

Objective:To investigate the effect of brain tissue extract of hypoxia-preconditioned mice (BHP) on tolerance of NGF-induced differentiated PC12 cells to hypoxia and the optimal concentration for protective effect.Methods:The mice model of acute repetitive hypoxia was reproduced and BHP was prepared.BHP was added into the cultures of 4～5 day differentiated PC12 cells and the final protein concentrations of BHP were 1.0、10.0、100.0?g/ml(BHP groups) respectively.Brain tissue ex- tract of normal mice(BN) at the same three protein concentrations were used as controls(BN groups) and PBS solvent control groups were also prepared in which only PBS was added(PBS groups).Then differentiated PC12 cells were cultured in hypoxia (2%O_2).After 24,48,72 hours'hypoxia,colorimetric method(OD_(570nm)) of tetrazolium salt MTT staining was adopted to determine cell viability and lactate dehydrogenase(LDH) leakage assays were also conducted at the same time.Besides,apoptotic per- centages at late stage(72 hours' hypoxia) were detected.Results:After 24 hours' hypoxia,OD_(570nm) values of BHP groups with protein concentrations being 10.0、100.0?g/ml were significantly higher,but their LDH leakage percentages were significantly lower than those of BN groups with the same protein concentrations and of hypoxic PBS group.With hypoxia prolonging,BHP gradually lost the protective effect.At the time point of 72 hours' hypoxia,OD_(570nm) values of only BHP group at 100.0?g/ml protein concentration was significantly higher than that of the corresponding BN groups,its LDH leakage percentage and apop- totic percentage was significantly lower than those of the hypoxic PBS group.Conclusion:The effects of BHP on tolerance of differentiated PC12 cells to hypoxia depend on its concentrations and on its treating time.Besides,BHP at final concentration of 100.01?g/ml protein showed steady,prolonged protective effect.

Objective To explore the clinical value of Holter heart rate turbulence in diagnosis of patients at high risk for coronary heart disease.Methods 110 patients with suspected coronary artery disease,according to the results of coronary angiography (CAG),were divided into CAG positive group (67 cases) and CAG negative group (43 cases).Heart rate turbulence and heart rate variability were analyzed in two groups.The atrial fibrillation,atrial flutter,and pseudo-differential interference were removed,the qualified ventricular contraction was selected.Two parameters of HRT,the initial shock value (TO) and turbulence slope value (TS) were calculated.Results The average value of TO and TS was (0.36 ± 0.15) ％,(1.98 ± 0.52) ms/RR in positive group,those in the negative group were (-0.87 ± 0.36) ％ and (4.83 ± 0.65) ms/RR,there were statistically significant differences between two groups (t =1.953,1.976,all P ＜ 0.05).After 1 year follow-up,9 cases (13.44％) died in positive group,2 cases (4.65％) died in negative group,the difference was statistically significant (x2 =5.476,P ＜ 0.05).Conclusion The heart rate turbulence with dynamic cardiogram can help to early diagnose the patients at high risk of coronary heart disease.It was important to improve the survival rate of patients.The method is simple,inexpensive,effective,which is worth promoting in the clinic.

The research to improve outcomes in critically ill patients through nutrition support has steadily progressed over the past 4 decades. One current approach to this problem is the addition of specific nutrients as primary therapy to improve host defenses and improve the outcomes of critically ill patients. The field is referred to as“pharmaconutrition”,focusing investigations on each nutrient to understand its pharma-cological effects on immune and clinical outcomes. The purpose of this review was to introduce some of the known pharmaconutrients such as glutamine,arginine,ω-3 fatty acids,vitamin C,zinc,and selenium,regard-ing critical ill adults and children.

Objective To explore the efficacy and safety of hormone replacement therapy with combination of Fosamax and simple use of Fosamax in osteoporosis and steopenia of perimenopausal women.Methods One hundred and thirteen perimenopausal women with osteoporosis accepted treatment in Outpatient Clinic of Panyu Convalescent Hospital of Guangzhou from December 2010 to June 2014 were chosen and divided into the control group (n=55) and the observation group (n=58) according to therapeutic method.The control group was treated with Fosamax alone while the observation group was treated with HRT basing on the simple use of Fosamax.The therapeutic effect,lumbar and hip bone mineral density(BMD) level,tibial ultrasound velocity (SOS) and T values of tibia,gonadal hormone concentrations,endometrial thickness and adverse reaction of the two groups before and after the therapy were compared.Results (1) The total effective rate of the observation group after the treatment was 93.10％,significantly higher than tbat of the control group (78.18％,x2=3.829,P=0.034).(2) Before and after treatment in two groups,there were statistically significant differences in terms of lumbar spine BMD,hip BMD,SOS of tibia,blood follicle stimulating prime (FSH) and estradiol(E2) (P＜0.05),and there were statistically significant differences between the two groups after the treatment in terms of lumbar spine BMD,hip B MD,SOS of tibia,FSH and E2 (t =3.389,5.012,3.997,5.829,3.902;P=0.035,0.028,0.033,0.024,0.038).(3) There was statistically significant differences in term of the incidence of adverse reactions between the observation group and the control group (6.90％ vs.16.36％;x2=8.273,P=0.012).Conclusion Compared with alone use of Fosamax,the therapeutic effect of hormone replacement therapy with combination of Fosamax and in osteoporosis and steopenia of perimenopausal women is more significant with low occurrence rate of adverse reaction.It is worth popularization.

Objective To determine the content of rutin in Circanetten New tablets by HPLC. Methods The determination is performed at C18(150 mm? 4.6 mm, 5 ? m) column with temperature being 30 ℃ ; the mobile phase is consisted of methanol- water- glacial acetic acid(40 ∶ 60 ∶ 1.8) and UV detection wavelength is at 354 nm. Results The linear range was 6.008 to 48.064 ? g/mL( r=0.999 9) for Circanetten New tablets and the average recovery of rutin was 100.3% (RSD=0.5 % , n=5) .Conclusion The method is simple and effective, and can be used to control the quality of Circanetten New tablets.

Objective To evaluate the value of hysteroscope in the diagnosis of the cause of perimenopausal uterine bleeding. Methods 158 patients were checked with HS.Orientation biopsy and diagnostic uterine curettage were performed. Results The rate of the sensitivity of HS for endometrial illness was 87.8%(79/90),endometrial ployp 96.20%(25/26),submucous fibromyoma 3/4,endometrial proliferation 62.5%(20/32),Endometrial cancer 3/5. Conclusions Endometrium can be directly seen with HS.The conbination of HS with uterine curettage and pathological examination is an optimal method in early diagnosis of the cause of PUMB.

Objective:Through research of corneal transparency and related influential factors,the authors try to look for some clinical variety regulations after penetrating keratoplasty(PKP) in order to enhance the rate of surgery success.Methods:104 blind patients due to corneal disease (107 eyes) undergone PKP were followed up on months 1,3,6,12,18,24 and 36.Clarity of cornea,corneal endothelial cells and all kinds of complications were recorded besides regular examinations.Results:Grafts were transparent in 82 of 107 eyes on month 1(76.6%),in 69 of 90 eyes on months 6 (76.7%),in 51 of 81 eyes on months 12(63%),in 26 of 40 eyes on months 12 (65%) after PKP.Corrected vision were improved especially in patients of grafts transparency.Vision of patients with transparent grafts were more than 0.1 in 67 of 82 patients(82%) on month 1,in 59 of 63 patients(94%) on months 3,in 66 of 69 patients(96%) on months 6.Conclusion:PKP is an important method to corneal disease blind patients.Rejection was the major cause affecting graft transparency.