酯侧链结构对丙烯酸酯聚合物与天然乳胶共混相容性的影响

制备了5种具有不同烷基数目与链段长度的丙烯酸酯聚合物,将它们按照不同添加量（w=5%,10%,15%）分别添加到天然乳胶中,研究酯侧链结构对丙烯酸酯聚合物与天然乳胶共混相容性的影响。结果表明,当丙烯酸聚合物质量分数为10%时,酯侧链烷基数目最多、链段最长的聚合物所改性的乳胶薄膜的拉伸强度、撕裂强度、硬度和断裂伸长率最大,并具有最小的拉伸永久变形。表征测试进一步证实聚合物酯侧链上烷基数目越多、链段越长,改性薄膜表面越趋于平整和光滑,其薄膜断面变得致密而无析出物,共混薄膜的玻璃化转变温度也逐渐升高,说明共混物两相间相互扩散程度不断增强。实验获得一种具有优良性能的改性薄膜材料。     

聚丙二醇二缩水甘油醚-柠檬酸共聚酯增塑聚乳酸的研究

通过聚丙二醇二缩水甘油醚和聚丙二醇与柠檬酸反应分别制备了聚丙二醇二缩水甘油醚-柠檬酸共聚酯（PPGDECA）和聚丙二醇-柠檬酸共聚酯（PPGCA）,并对其结构进行了表征。进一步通过熔融共混制备了两者与聚乳酸（PLA）的共混物。结果表明,当PPGDECA质量分数低于10%时,其在基体内分散均匀;反之,则其在基体内的分散程度较差,力学性能下降。两种共聚酯对比研究结果表明：PPGDECA具有更高的增塑效率,共混物的强度和模量更高,同时在不同环境中的渗出率更小,其综合性能优于PPGCA。     

PANI-PBOPy复合材料的制备及介电性能

采用甲基磺酸（MSA）掺杂聚苯胺（PANI）,并以MSA为溶剂,将其与聚（2,6-亚吡啶基）苯并二噁唑（PBOPy）采用溶液共混法制备 了不同PANI质量分数的PANI-PBOPy复合材料。采用红外光谱、WXRD、UV-Vis、TGA以及SEM对复合材料的结构和性能进行了表征。研究了PANI 的质量分数、温度、频率等因素对PANI-PBOPy复合材料导电性能和介电性能的影响。研究表明：当PANI的质量分数达到20%时,复合材料的电 导率增大了10个数量级;复合材料的介电常数和介电损耗则随着PANI质量分数的增加呈现先增大后减小的趋势,随着频率的升高先迅速降低而 后趋于稳定,并且随温度升高而增大,40 °C时PANI质量分数为15%的复合材料的介电常数约为230。     

三嵌段两亲性聚乳酸共聚物的合成及其PVDF共混膜的制备

利用原子转移自由基聚合法（ATRP）合成三嵌段两亲性聚乳酸共聚物聚乙烯吡咯烷酮-聚乳酸-聚乙烯吡咯烷酮（PVP-b-PLA-b-PVP）,然后将其与聚偏氟乙烯（PVDF）进行共混,制备PVP-b-PLA-b-PVP/PVDF共混膜。结果表明：PVDF膜表面致密,膜断面中指状大孔和海绵状孔同时存在,而共混膜表面多孔,指状大孔贯穿整个断面;与PVDF膜相比,共混膜的孔隙率和孔径增大,水通量提高了158.87%,接触角下降了16.70%,抗污染指标下降了64.7%。     

柠檬酸三丁酯封端低分子量聚D,L-丙交酯增塑改性聚L-丙交酯生物膜

以柠檬酸三丁酯(TBC)引发D,L丙交酯(DLLA)开环,聚合合成了柠檬酸三丁酯封端的低分子量聚D,L丙交酯(PBLA)。并以此聚合物为增塑剂,采用溶液共混法制备了与高分子量聚L丙交酯(PLLA)的共混膜,研究了增塑剂用量对共混物性能的影响。动态热机械性能(DTMA)和DSC分析结果表明：随着PBLA质量分数的增加,共混物Tg下降,结晶度降低,柔性提高。机械性能分析结果表明：与PLLA相比,随着PBLA质量分数的增加,共混物拉伸强度、弹性模量有一定程度降低,但断裂伸长率有较大程度提高,力学性能得到较好平衡。体外人体肾胚胎细胞培养结果显示材料的生物相容性未见统计学意义上的改变,体现出较高的潜在应用价值。     

树脂包覆率对微胶囊包覆聚磷酸铵阻燃聚乳酸性能的影响

通过原位聚合法,以密胺树脂（MF）为壁材,制备了微胶囊包覆聚磷酸铵（MCAPP）,然后密炼将MCAPP与聚乳酸（PLA）熔融共混,得到微胶囊包覆聚磷酸铵阻燃聚乳酸,并研究了不同树脂包覆率的MCAPP对共混物形貌结构、加工性能、热性能、力学性能以及阻燃性能的影响。结果表明,在原位聚合过程中,当MF质量分数为17.2%时,MCAPP树脂包覆率可达13.2%,共混物中PLA结晶度提高,降解程度最低,同时阻燃效果最佳,极限氧指数可达39.4%,并且垂直燃烧等级达到UL94 V0级。     

PVA/HDPE/HDPE-g-MAH共混物的相形貌与动态流变性能

采用熔融共混法制备了聚乙烯醇（PVA）/高密度聚乙烯（HDPE）共混物,引入马来酸酐接枝高密度聚乙烯（HDPE-g-MAH）对体系进行增容。利用SEM、小振幅震荡剪切、溶剂提取、拉伸测试考察组成和增容剂含量对共混物相形貌、动态流变性质、相连续性和力学性能的影响。结果表明,当HDPE质量分数达到20%～30%时,PVA/HDPE/HDPE-g-MAH共混物呈现接近共连续的结构;储能模量-频率图中观察到较为明显的第二平台;PVA相的连续度达到98%;共混物的断裂伸长率由5%显著提高到25%左右。另外,当HDPE-g-MAH的含量增大时,共混物的相界面变得模糊,力学性能也随之提高。     

TIPS法制备聚偏氟乙烯平板微孔膜及其表征

以邻苯二甲酸二甲酯（DMP）为稀释剂,采用热致相分离法（TIPS）制备了聚偏氟乙烯（PVDF）平板微孔膜。利用差示扫描量热仪分析了不同PVDF/DMP体系的结晶性能;通过测试纯水通量、孔隙率、泡点、平均孔径、拉伸强度等对膜进行了表征。结果表明：DMP含量增大,结晶温度向低温方向移动,膜拉伸强度降低,当DMP的质量分数为0.70时膜拉伸强度有明显拐点;PVDF/DMP体系冷却发生固液相分离;PVDF含量增大,膜水通量、孔隙率、最大孔径和平均孔径均减小。     

纤维素-热塑性聚氨酯共混膜的制备及性能

利用乙二胺活化纤维素,将活化后的纤维素（Ce）和热塑性聚氨酯（TPU）分别溶于氯化锂（LiCl）-N,N-二甲基乙酰胺（DMAC）体系,制得纤维素-热塑性聚氨酯（Ce-TPU）共混膜。利用傅里叶红外光谱仪（FT-IR）、扫描电子显微镜（SEM）、X射线衍射仪（XRD）、单纤强力仪、折痕恢复性测定仪对共混膜的结构和性能进行表征。结果表明：Ce和TPU相容性良好,w(TPU)=30%时为共混膜的最优配比,此时断裂强力较纯纤维素膜略有提高,断裂伸长率提高了68%,折皱回复角提高了17%,共混膜的抗皱性和弹性有所改善。     

热塑性淀粉/聚丁二酸丁二醇酯合金的制备和结构性能表征

制备了高填充的甘油塑化淀粉（GTPS）/聚丁二酸丁二醇酯（PBS）合金,并对其结构性能进行了表征。结果表明：GTPS/PBS在合金加工过程中其扭矩以及力学性能随PBS质量分数的增加及甘油质量分数的减小而增大;扫描电镜（SEM）显示甘油可提高合金的相容性;动态力学分析（DMA）表明合金在玻璃态时的储存模量高于纯PBS,黏流态时则相反;合金的热稳定性随PBS和甘油质量分数的增加而有所提高;PBS的加入将合金的吸水率由100%以上降低到10%以下;淀粉和甘油的存在则均可提高PBS的降解率。     

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.     

The clinicopathological and immuohistochemical analysis of solid-pseudopapillary tumor of the pancreas： report of 9 cases

Objective：To investigate the clinical features, pathological characteristics and immunophenotype of solid-pseudopapillary tumor of the pancreas（SPTP）. Methods：Nine surgically treated cases of SPTP were retrospectively reviewed. Hematoxylin and Eosin（HE） staining and immunohistochemical staining were used to analyze all cases, and the general clinical data was collected. Results：Six patients were asymptomatic except for a palpable mass. Two patients complained of vague-epigastric pain. One patient appeared jaundice. The tumor was encapsulated and solid tissues alternately with cystic tissues. Histologically, the histological structure of solid portion was pseudopapillary with a fibrovascular core. Tumor cells were uniform and medium-sized which were arranged in sheets ets or nests or pseudopapillary patterns. Immunohistochemical studies demonstrated that SPTP proved positive in vimentin（9/9 cases）, AAT（9/9 cases）, NSE（9/9 cases）, ACT（7/9 cases）, CK20（2/9 cases）, CgA（1/9 cases）, S-100（3/gcases）, PR（4/gcases）, Syn（3/9 cases） and CD56（5/9cases）, negative in CEA and ER. Conclusion：SPTP is a tumor predominantly occurring in young women frequently without special symptoms. This tumor has various characteristical histological patterns with different immunophenotype.     

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.