高效液相色谱法测定痛风灵贴剂中盐酸小檗碱的含量

目的：采用反相高效液相色谱法，测定痛风灵贴剂中盐酸小檗碱的含量。方法：色谱条件为，流动相：甲醇－ ０．４ｍｏｌ·Ｌ－１ 硝酸铵（５２∶４８） ，检测波长３４８ｎｍ 。结果：样品萃取回收率９９．１４ ％ ，加样回收率９８．８３％ ，日内日间ＲＳＤ％ 分别为４．２ ％（ ｎ ＝１２） 和３ ．６ ％（ ｎ ＝９） 。测定３ 批痛风灵贴剂的含量，在０．８５１５～１ ．１０３５ｍｇ·ｇ－１ 范围。结论：本文方法可用于痛风灵贴剂的质量控制     

RP—HPLC法测定复方氧氟沙星栓剂中氧氟沙星和甲硝唑的含量

目的：建立反相高效液相色谱法,测定复方氧氟沙星栓剂中氧氟沙星和甲硝唑的含量。方法：采用ＯＤＳ－Ｃ１８（４．６×２５０ｍｍ）５μｍ不锈钢柱,以盐酸雷尼替丁为内标物,甲醇：水：磷酸：乙乙胺（３０：７０：０．３９：０．７０;ｐＨ＝３．１５）为流动相,检测波长２７５ｎｍ。结果：氧氟沙星在３．０￣２６．０μｇ·ｍｌ＾－１范围内线性关系良好,ｒ＝０．９９９９（ｎ＝５）,平均回收率为９８．８２％,ＲＳＤ＝０．７     

99Tcm-MIBI心肌断层显像用于直接PTCA及静脉溶栓治疗AMI的对比研究

目的　比较直接经皮冠状动脉腔内成形术（ 直接ＰＴＣＡ） 和静脉溶栓疗法在急性心肌梗死（ＡＭＩ） 治疗中的效果。方法　１２４ 例ＡＭＩ患者（ 直接ＰＴＣＡ组６０ 例,溶栓组６４ 例） 均于发病２ 周时和１２ 周后行９９Ｔｃｍ甲氧基异丁基异腈（ＭＩＢＩ）心肌断层显像,将左室心肌分为２０ 个节段,并对心肌摄取９９ＴｃｍＭＩＢＩ的程度进行打分,分别计算发病２ 周时心肌显像的总积分（Ｓ２ＷＳ） 、发病后１２ 周心肌显像的总积分（Ｓ１２ＷＳ）和两者相减的积分（ＳＤＳ）。直接ＰＴＣＡ组和溶栓组分别有３８ 人和３５ 人于心肌显像后行平衡法门控心室显像。结果　直接ＰＴＣＡ 组与溶栓组比较：Ｓ２ＷＳ为１８－３±６－９ 和２８－６ ±７－３（ｔ＝７－３,Ｐ＜ ０－００１）,Ｓ１２ＷＳ为１１－２ ±４－２ 和２４－４ ±６－２（ｔ＝ １１－７,Ｐ＜ ０－００１）,ＳＤＳ为７－６ ±３－２ 和４－３ ±１－１（ｔ＝ ５－４,Ｐ＜ ０－００１）。直接ＰＴＣＡ组和溶栓组入院２ 周时的左室射血分数（ＬＶＥＦ） 分别为（４１－４ ±６－５） ％ 和（３９－５ ±７－２）％ （ｔ＝ １－５ ,Ｐ＞ ０－０５）,出院１２ 周后的ＬＶＥＦ 分别为（６２－６ ±７－８）％ 和（５１－４ ±     

高效液相色谱法测定顽痹通胶囊中士的宁的含量

目的：建立测定顽痹通胶囊中士的宁含量的高效液相色谱法。方法：采用高效液相色谱法。以ＺＯＲＢＡＸＲＸ－ ＳＩＬ（１５０ｍｍ ×４．６ｍｍ ５μｍ） 为色谱柱;流动相：正已烷－ 二氯甲烷－ 甲醇－ 浓氨水（２７０∶２７０∶２０∶１．７）;检测波长：２５４ｎｍ ;流速：１．０ｍｌ·ｍｉｎ－１ 。结果：士的宁的加样回收率为９７．８２％ ,ＲＳＤ为１．８５％（ ｎ ＝ ５）。结论：该方法准确、灵敏度高,重现性好。     

血浆中可溶性纤维蛋白复合物的免疫放射分析及临床应用

血浆中可溶性纤维蛋白复合物（ＳＦＣ）是反映机体凝血和纤溶的敏感指标，其含量与ＤＩＣ和血栓性疾病的发生发展密切相关．我们分别以抗纤维蛋白单抗ＳＺ－５８和抗纤维蛋白原单抗ＳＺ－６５作固相和标记抗体，建立了ＳＦＣＩＲＭＡ，其批内、批间ＣＶ分别为５．８％和９．４％，平均回收率为９６％，可测范围为０．１～１００ｍｇ／Ｌ．正常人血浆中ＳＦＣ的含量为５０．５±２６．１ｍｇ／Ｌ（±２ｓ，ｎ＝２０），糖尿病、急性脑梗塞和急性早幼粒细胞白血病患者分别为４１５±２０８ｍｇ／Ｌ（ｎ＝１３）、４２７±１７５ｍｇ／Ｌ（ｎ＝９），５６４±２０２ｍｇ／Ｌ（ｎ＝７），显著高于正常人（Ｐ＜０．０１）．表明此方法可较准确地反映凝血和纤溶状况，有助于高凝状态和血栓性疾病的诊断．     

高效液相色谱法测定法莫替丁含量

目的：高效液相色谱法测定法莫替丁的含量。方法：固定相ＣＬＯ－ＯＤＳ ５μｍ（色柱４．６×１５０ｍｍ）,流动相：甲醇－磷酸盐缓冲液（２０：８０）,以４－氨基安替比林为内标,检测波长为２６８ｎｍ。结果：在２０￣１００μｇ·ｍｌ＾－１范围内,线性关系良好,其相关系数ｒ＝０．９９９８。平均回收率为９９．８６％,ＲＳＤ为０．８６％（ｎ＝４）,结论：本法简单快速,可用于法莫替丁的定量分析。     

胸外伤并发成人呼吸窘迫综合征临床分析

目的探讨胸外伤并发成人呼吸窘迫综合征的临床预测及防治。方法对３２例病人的血气、Ｑｓ／Ｑｔ值及创伤性ＡＲＤＳ发生指数进行回顾分析，对呼吸机相关肺炎进行病原菌及药敏分析。结果本组病例早期ＰａＣＯ２（４．２８±０．６９）ｋＰａ（１ｋＰａ＝７．５ｍｍＨｇ），ＰａＯ２（７．６９±１．３５）ｋＰａ，Ｑｓ／Ｑｔ值２７．６±９．１，创伤性ＡＲＤＳ发生指数值为－３２．００±１１．５０，机械通气时间平均为６．４天，呼吸机相关肺炎感染菌Ｇ－菌占５１．６０％，Ｇ＋菌占３７．１０％，霉菌占１１．３０％，混合感染为３０．６０％。全组死亡率２８．５２％。结论创伤性ＡＲＤＳ发生指数可作为ＡＲＤＳ发生的早期观测及观察其治疗转归的指标。同时需正确处理多发伤及休克，尽量缩短机械通气时间。呼吸机相关肺炎重在预防及合理应用抗菌药物治疗。     

HPLC法测定丁香油—β—环糊精中丁香酚的含量

目的：测定丁香油－β－环糊精中丁香酚的含量。方法：固定相：Ｗａｔｅｒｓ Ｓｙｍｍｅｔｒｙ Ｃ１８柱（２５０ｍｍ×４．６ｍｍ,５μｍ）,流动相：甲醇－水（６５：３５）为,流速０．８ｍｌ／ｍｉｎ,检测波长２８０ｎｍ,选用丹皮酚作为人标物。结果：平均加样回收率为９７．５０％,ＲＳＤ＝０．４９％（ｎ＝６）;在０．０５￣１．６μｇ范围内线性关系良好（ｒ＝０．９９９２）。结论：本法快速、准确,样品处理简便易行     

心肌肌钙蛋白－IRIA建立及初步临床应用

从人心肌组织中提纯并鉴定了心肌肌钙蛋白－１（ＣＴｎＩ），免疫新西兰纯系兔而获特异性抗血清，其亲和常数Ｋａ值为４．１×１０１０Ｌ／ｍｏｌ．Ｉｏｄｏｇｅｎ法制１２５Ｉ－ＣＴｎＩ，比活度为３６５９ＧＢｑ／ｇ．建立了ＣＴｎＩ双抗体ＲＩＡ，标准曲线ＥＤ５０为６．４±０．３４μｇ／Ｌ（ｘ±ｓ，ｎ＝８），灵敏度达１．５μｇ／Ｌ，工作范围为２－６４μｇ／Ｌ，批内、批间ＣＶ分别为２．１％－５．７％（ｎ＝８）和５．４％－９．０％（ｎ＝４），方法回收率为９０．１％－９５．３％．与骨胳肌肌钙蛋白－Ｉ（ＳＴｎＩ）未见交叉反应，测定８７例正常人血清ＣＴｎＩ浓度为２．１７±０．６６μｇ／Ｌ（ｘ±ｓ），８０例有关疾病患者ＣＴｎＩ血清浓度测定表明该方法对诊断心肌细胞损伤具有心肌特异性．并且ＣＴｎＩ于心肌细胞损伤后在血清中出现时间早，维持时间长，是一个理想的心肌细胞损伤标志物．     

高效液相色谱法测定人血清中伊曲康唑浓度

目的：本文建立了ＨＰＬＣ法测定血清样品中伊曲康唑的定量分析方法。方法：色谱条件：以ＺＯＲＢＡＸＴＭ－ Ｃ１８（５μｍ ,４－６×１５０ｍｍ） 为色谱柱;乙晴－ 水（６７－５∶３２－５Ｖ／Ｖ） 为流动相,检测波长２６３ｎｍ ;用正庚烷：异戊醇（９８－５∶１－５Ｖ／Ｖ） 作为提取液。结果：３ 种浓度４０、８０、３００ｎｇ·ｍｌ－１ 回收率分别为１０５－０５％ 、１００－５７ ％ 、９７－９１％ （ ｎ ＝ ６） ;日内、日间ＲＳＤ 分别为３－８３％ 、４－０５％ 、３－０９ ％ 及６－００％ 、４－９０ ％ 、４－７２％ （ ｎ ＝ ６）,血清中药物的最低检测浓度为５ｎｇ·ｍｌ－ １,在５ ～６００ｎｇ·ｍｌ－１ 血药浓度范围内线性关系良好,ｒ ＝０－９９９５。结论：本方法灵敏、准确、结果令人满意,适用于临床血药浓度监测     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.     

Endovascular management of carotid-cavernous fistulas

Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas （CCF） and their complications such as pseudoaneurysms. Methods： Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% （4/22）. A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% （8/22）. Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

High Intensity Interval Training:New Insights

KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief，intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.，≥90%of VO2 peak).     

Developmental validation of the PowerPlex(®) ESI 16 and PowerPlex(®) ESI 17 Systems: STR multiplexes for the new European standard

In response to the ENFSI and EDNAP groups’ call for new STR multiplexes for Europe, Promega^® developed a suite of four new DNA profiling kits. This paper describes the developmental validation study performed on the PowerPlex^® ESI 16 (European Standard Investigator 16) and the PowerPlex^® ESI 17 Systems. The PowerPlex^® ESI 16 System combines the 11 loci compatible with the UK National DNA Database^®, contained within the AmpFlSTR^® SGM Plus^® PCR Amplification Kit, with five additional loci: D2S441, D10S1248, D22S1045, D1S1656 and D12S391. The multiplex was designed to reduce the amplicon size of the loci found in the AmpFlSTR^® SGM Plus^® kit. This design facilitates increased robustness and amplification success for the loci used in the national DNA databases created in many countries, when analyzing degraded DNA samples. The PowerPlex^® ESI 17 System amplifies the same loci as the PowerPlex^® ESI 16 System, but with the addition of a primer pair for the SE33 locus. Tests were designed to address the developmental validation guidelines issued by the Scientific Working Group on DNA Analysis Methods (SWGDAM), and those of the DNA Advisory Board (DAB). Samples processed include DNA mixtures, PCR reactions spiked with inhibitors, a sensitivity series, and 306 United Kingdom donor samples to determine concordance with data generated with the AmpFlSTR^® SGM Plus^® kit. Allele frequencies from 242 white Caucasian samples collected in the United Kingdom are also presented. The PowerPlex^® ESI 16 and ESI 17 Systems are robust and sensitive tools, suitable for the analysis of forensic DNA samples. Full profiles were routinely observed with 62.5 pg of a fully heterozygous single source DNA template. This high level of sensitivity was found to impact on mixture analyses, where 54–86% of unique minor contributor alleles were routinely observed in a 1:19 mixture ratio. Improved sensitivity combined with the robustness afforded by smaller amplicons has substantially improved the quantity of data obtained from degraded samples, and the improved chemistry confers exceptional tolerance to high levels of laboratory prepared inhibitors.