盐酸含量对光固化聚氨酯丙烯酸酯/SiO2杂化材料结构和性能的影响

由正硅酸乙酯水解制得的SiO2溶胶，在以γ—甲基丙烯酰氧丙基三甲氧基硅烷(TMSPM)为偶联剂的体系中，经溶胶-凝胶法制备了透明的光固化聚氨酯丙烯酸酯杂化材料[(PUA—TMSPM)／SiO2]。研究了盐酸浓度对(PUA-TMSPM)／SiO2结构与性能的影响。结果表明：随着pH值减小，硅溶胶体系和(PUA-TM-SPM)／SiO2杂化体系的热稳定性增大；盐酸摩尔分数XHCl的增加使(PUA-TMSPM)／SiO2光固化膜表面的两相界面结合更紧密，涂层变得更致密，并导致膜的硬度和耐磨性提高。     

光固化环氧丙烯酸酯/SiO2杂化材料的研究

由正硅酸乙酯水解制得的SiO2溶胶，在以γ—甲基丙烯酰氧丙基三甲氧基硅烷(TMSPM)为偶联剂的体系中，经溶胶-凝胶法制备了透明的光固化聚氨酯丙烯酸酯杂化材料[(PUA—TMSPM)／SiO2]。研究了盐酸浓度对(PUA-TMSPM)／SiO2结构与性能的影响。结果表明：随着pH值减小，硅溶胶体系和(PUA-TM-SPM)／SiO2杂化体系的热稳定性增大；盐酸摩尔分数XHCl的增加使(PUA-TMSPM)／SiO2光固化膜表面的两相界面结合更紧密，涂层变得更致密，并导致膜的硬度和耐磨性提高。     

新型无机高分子絮凝剂在制革废水处理中的应用研究

本文介绍了一种新型无机高分子絮凝剂—硅钙复合型聚合氯化铝铁在制革废水处理中的应用。结果表明该产品对废水的浊度去除率为99％，SS去除率为95％，COD去除率为90％，对C的去除率为85％左右，最佳使用pH值为6．0－9．0，最佳投药量为0．35-0．40g／l，最佳混凝时间为15～20分钟，在同样条件下各项性能均优于PAC2倍以上。同时该絮凝剂还可用于生活饮水，生产用水及其它废污水的处理净化，效果优良。     

缓冲液pH值对肽核酸压电基因传感器阵列杂交效应的影响

目的 探索PBS缓冲液的pH值对肽核酸压电基因传感器阵列杂交效应的影响。方法 压电基因传感器阵列表面先固定上1．5μmol／L的bis-PNA探针，然后分别在pH5.8～8．0的PBS缓冲液中和相应的靶序列杂交，记录频率的下降值及反应所需的时间。结果 随着pH值从5.8升到8．0，杂交导致的频率下降值先高后低，以pH6．8为一个分水岭。杂交平衡时间在pH6.8之前总体上说相差尚不明显，但当pH值从6．8升到8．0时，却骤然增加。结论 bis-PNA和靶序列dsDNA的杂交时适用的pH范围很窄(pH6．6～7．0)。弱酸环境下(pH618时)最为容易，pH超过7．5就不适宜杂交。结果 从另一个侧面证实了在bis-PNA和dsDNA的杂交过程中“Hoogsteen链第一”的反应机制。     

均匀纺锤形α-Fe2O3的制备及其等电性研究

以硝酸铁为原料，尿素为均匀沉淀剂，磷酸二氢钠为结晶助剂，用动态开放回流系统的均匀沉淀法制备了纺锤形α-Fe2O3粒子。并用XRD、TEM等进行了表征。当Fe(NO3)3、NaH2PO4、CO(NH2)2的浓度分别为0．20、0．0015、0．10mol／L，反应温度为117℃，陈化时间为13h时，制备的粒子轴比可达3．3，且分散性较好，粒径分布窄，陈化时间短，产率较高。对反应机理、结晶助剂NaH2PO4的作用等作了初步研究。并测量了不同pH值时粒子的Zeta电位值，找出了粒子的等电点，与理论估算值接近。     

纺缍形α-Fe2O3/聚苯乙烯复合高分子微球的制备、表征及等电性研究

以硝酸铁为原料，尿素为均匀沉淀剂，磷酸二氢钠为结晶助剂，用动态开放回流系统的均匀沉淀法制备了纺锤形α-Fe2O3粒子。并用XRD、TEM等进行了表征。当Fe(NO3)3、NaH2PO4、CO(NH2)2的浓度分别为0．20、0．0015、0．10mol／L，反应温度为117℃，陈化时间为13h时，制备的粒子轴比可达3．3，且分散性较好，粒径分布窄，陈化时间短，产率较高。对反应机理、结晶助剂NaH2PO4的作用等作了初步研究。并测量了不同pH值时粒子的Zeta电位值，找出了粒子的等电点，与理论估算值接近。     

纳米SiO2增强NR/HDPE共混型热塑性弹性体的研究

以动态硫化法制备纳米二氧化硅(SiO2)改性天然橡胶／高密度聚乙烯(NR／HDPE)共混型热塑性弹性体。研究了纳米SiO2对NR／HDPE弹性体力学、耐热变形、耐溶剂和热塑性能的影响，并用SEM分析了弹性体的断面形貌。结果表明：纳米SiO2通过细化交联NR分散相，改善了NR与HDPE的相容性，两相界面粘结强度明显提高。当纳米SiO2质量分数为0．03时，NR／HDPE弹性体的综合性能最好。     

RP—HPLC氯氮平血药浓度监测与临床应用

目的:本文应用人血浆中氯氮平的反相高效液相色谱测定方法(RP—HPLC)测定氯氮平血药浓度，采用YWG—C18,反相色谱柱，流动相：甲醇：水：80：20(WV)，内含0．5％三乙胺，用冰醋酸调节pH值为7．7—7．8，检测波长UV254nm，流速1ml／min。方法：用内标法。以乙醚提取血浆中的氯氮平，在紫外波长254nm，反相高效液相色谱法测定氯氮平。本测定方法的提取回收率为99．0％-102．0％，RSD为2．375％。人血浆中氯氮平的最低检测浓度为0．1ng／μl，实验浓度的线性范围约10-50ng/μl。结果：采用本法对7例精神病人进行血药浓度监测，发现氯氮平血药浓度，白细胞计数与时间分别呈正相关(r=0．9543)，负相关(r=-0．6935)，血药浓度与白细胞计数呈负相关(r=-0．6672)，个别病人呈正相关，从而表明个体差异较大，临床血药浓度监测势在必行。     

聚硅酸铁絮凝剂的应用研究(Ⅱ)

目的 探讨自制聚硅酸铁絮凝剂的净水效果。为该絮凝剂的最佳应用提供初步的依据。方法 改变水样的酸度、温度，设置不同的沉降时间分别测定其浊度。结果 其絮凝效果以pH=2～10，温度为5～25℃，沉降时间t=15min时为优，此时其产生的絮体大而实，沉降快，使用条件范围宽。结论 聚硅酸铁絮凝剂处理河水浊度去除率达95％，净水效果优良。是一种性能较优的新型絮凝剂。     

CTA季铵化壳聚糖合成条件的优化及其结构表征

以3-氯-2-羟丙基三甲基氯化铵(CTA)为改性剂，在碱性条件下制备了水溶性壳聚糖季铵盐，并以该产物对Cr2O7^2-的絮凝去除率为基准优化了合成条件，用IR和^1H-NMR表征了产物结构。结果表明，优化的合成条件为：反应时间为10．0h，温度为65．0℃，mNaOH／mCTS=1．0，mCTA／mCTS=4．0。在此条件下合成的产物对Cr2O7^2-的最大去除率达94．39％，壳聚糖的季铵化反应主要发生于C2位的氨基上。     

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.