纤维素与己内酰胺的接枝共聚反应

以过硫酸铵和过硫酸钾为引发剂,在碱性环境下进行纤维素与己内酰胺的接枝共聚反应。采用红外光谱仪(FT-IR)、扫描电子显微镜(SEM)及X射线衍射仪(XRD)对接枝共聚物的分子结构、表观形貌和结晶性进行了表征。通过单因素实验重点考察了单体用量、引发剂浓度、反应温度和反应时间等对接枝共聚物接枝率的影响。结果表明：以3 g纤维素为原料,当单体与原料质量比为1∶1、引发剂浓度为0.2 mol/L、反应温度30 °C、反应时间75 min时,接枝率最高可达57%。由XRD衍射图谱可知,接枝反应发生在纤维素的无定形区,没有破坏原纤维素的结晶结构。     

尼龙-66与衣康酸的接枝共聚反应

以过硫酸钾／硫酸为引发剂，使尼龙-66纤维与衣康酸进行接枝共聚。研究了尼龙-66纤维接枝率与硫酸浓度、过硫酸钾浓度、衣康酸浓度、反应温度、时间和预处理时间之间的关系。实验结果表明，硫酸浓度为0．5mol／L，反应温度50℃，反应时间40h时，接枝率较高，预处理时间对接枝率也有较大影响。     

高锰酸钾引发魔芋粉/丙烯酰胺接枝共聚合及其增稠性研究

用KMnO4作引发刺对魔芋粉(KGM)与丙烯酰胺(AM)进行了接枝共聚反应．研究了引发剂浓度、接枝单体浓度、体系酸度、反应温度、反应时间以及KGM预氧化时间等条件对接枝效率的影响．结果表明：在适宜的条件下，接枝效率可达90％以上，并且接枝物的水溶性与增稠性得到较大的改善。     

SBS与MMA在超临界CO2介质中的接枝反应

利用超临界CO2作为甲基丙烯酸甲酯(MMA)的溶剂和苯乙烯-丁二烯-苯乙烯嵌段共聚物(SBS)的溶胀剂,通过自由基聚合制备了MMA与SBS的接枝聚合物(SBS-g-MMA)。MMA的接枝率达26.3%。考察了单体浓度、引发剂用量、反应时间以及反应压力等因素对反应的影响。用FT-IR、GPC、DSC以及SEM等分析方法对样品进行了表征,结果表明接枝后产物的相对分子质量明显增大,接枝后产物的玻璃化温度有所上升。     

大豆分离蛋白甲基丙烯酸接枝共聚物的合成与表征

以过硫酸铵为引发剂、2-巯基乙醇为蛋白质变性剂，在浓度为8mol／L尿素溶液中进行了大豆分离蛋白与甲基丙烯酸的接枝共聚反应；傅里叶红外光谱和核磁共振谱证明，甲基丙烯酸成功地接枝到了大豆分离蛋白上；相关影响因素的单因数实验研究表明，各因数的最佳值分别为：引发剂浓度16mmol／L，单体浓度2．4mol／L，反应温度80℃，反应时间4h，巯基乙醇浓度0．05mol／L。     

木棉纤维接枝聚苯乙烯吸油材料的制备及性能

以过氧化苯甲酰为引发剂,制备了木棉纤维接枝聚苯乙烯吸油材料。考察了引发剂浓度、单体浓度、反应温度和反应时间等因素对吸油材料吸油性能的影响。红外光谱表明苯乙烯接枝到了木棉纤维分子骨架上。在引发剂浓度为177 mmol/L、单体浓度为016 mol/L、反应温度80 °C和反应2 h的条件下,吸油材料有最大的吸油倍率,对氯仿和甲苯的吸油倍率分别达到了654 g/g和432 g/g。该吸油材料有快速吸油能力,在15 min可达吸附平衡,同时具有较好的重复利用性能。     

合成低分子量聚丙烯酸钠的新方法

采用水溶液静态聚合法,用平板式反应器合成低分子量聚丙烯酸钠,通过选择合适的分子量调节剂、引发剂用量和聚合温度,可以有效防止爆聚现象发生,且反应周期短,生产成本低。研究了分子量调节剂用量、引发剂用量、单体浓度和反应时间等因素对聚合物粘均分子量的影响,结果表明:当mn-C12SH/mM=0.04,mI/mM=0.04,wM=0.30,温度60°C,反应3 h时,可合成分子量5 000左右的低分子量聚丙烯酸钠,分子量分布较窄,且单体转化率在99%以上。     

甲基丙烯酸在生物相容性微球CPVA表面的引发接枝聚合

交联聚乙烯醇(CPVA)微球表面含有大量的羟基,具有良好的生物相容性。在水溶液体系中利用这些羟基,与铈盐构成氧化还原引发体系,实施了甲基丙烯酸(MAA)的表面引发接枝聚合,制备了接枝微球CPVA-g-PMAA,考察了主要因素对接枝聚合的影响。采用红外光谱(FT-IR)及扫描电子显微镜(SEM)对接枝微球进行了表征。结果表明,羟基铈盐氧化还原引发体系可有效地引发MAA在CPVA微球的表面接枝聚合,当铈盐浓度为4.9×10-3 mol/L、硫酸浓度为0.17 mol/L、反应温度为45 °C、单体浓度为0.54 mol/L时,每100 g接枝微球CPVA-g-PMAA可接枝PMAA 30 g。     

铈盐引发丙烯腈在含醇羟基硅胶表面的接枝聚合

将偶联剂γ-(2,3-环氧丙氧基)丙基三甲氧基硅烷(EPPS)键合于硅胶微粒表面, 在酸性催化剂作用下, 键合EPPS的环氧键开环, 产生了醇羟基(HXYG), 形成表面带有醇羟基的改性微粒HXYG-SiO2。使用铈盐与硅胶表面的醇羟基构成氧化还原引发体系, 在硅胶表面实施了丙烯腈的接枝聚合,制备了接枝微粒PAN-SiO2,考察了接枝聚合的影响因素。实验结果表明：在所形成的氧化还原引发体系中,由于初级自由基即引发物种处于硅胶微粒表面, 所制备的接枝微粒PAN-SiO2具有高的接枝度(0.19 g/g), 且单体的整体接枝效率高;引发剂铈盐的浓度对接枝度有较大的影响, 铈盐浓度过大, 将会促进氧化终止过程, 降低接枝度, 适宜的铈盐浓度为5.93×10-3 mol/L;接枝度随硫酸浓度的增大呈现先增大后减小的变化规律, 当H+离子浓度为0.38 mol/L时,PAN的接枝度最高。     

丙烯酸-淀粉-高岭土复合耐盐性高吸水树脂的紫外光引发制备与性能

以丙烯酸(AA)、淀粉(CTS)和高岭土(KL)为原料,偶氮二异丁基脒盐酸盐（AIBA）为引发剂,采用紫外光引发合成了复合耐盐性高吸水树脂。研究了AA中和度,AIBA、CTS、KL的用量和反应时间等对树脂吸液性能的影响,以及溶液pH、盐溶液离子强度对树脂吸液率的影响,并用红外光谱对其进行了表征。在最佳试验条件下合成的树脂,其吸去离子水率和吸生理盐水率（w(NaCl)=0.9%）分别为1 800 g/g和98 g/g。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.     

Expression of OPGmRNA and ODFmRNA in the patients of hip fracture due to osteoporosis

Objective：To investigate the gene expression of osteoprotegerin（OPG） and osteoclast differentiation factor（ODF） in the bone tissue of patients with hip fracture due to osteoporosis. Methods：OPGmRNA and ODFmRNA in the bone tissue in 50 cases of osteoporosis sufferers（over 50 years old） with hip fracture（Observer Group） and 30 cases of hip facture sufferers with no osteoporosis（Control group） were analyzed with the Semi-Quantitative RT-PCR method. Results：The mRNA expressed of ODF, OPG were both high in the patients with hip fracture. In the control group, the expression of OPG mRNA was observed, while the expression of ODF mRNA was very slight. Conclusion：Aged patients contained all signals including OPG, ODF that are essential for inducing osteoclastogenesis and promoting bone resorption.     

Dynamic Changes in Serum Estradiol and Progesterone levels in Patients of Premenstrual Syndrome with Adverse Flow of Liver-qi

Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.     

Real-time Three-dimensional Echocardiography in Assessment of Left Ventricular and Right Ventricular Volumes

Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.     

SCREENING FOR A 21-CHROMOSOME ABNORMALITY IN PREIMPLANTED EMBRYOS OF ELDERLY WOMEN

Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.     

Scientific principles and rigorous processes should be followed in developing clinical guidelines for therapeutic interventions of integrative medicine

A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care（~＇4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.