ABSTRACT
Objective To analyze the correlation between the resistance rates of Escherichia coli,Enter-obacter cloacae,Klebsiella pneumoniae and the antibiotic usage,so as to guide clinical reasonable use of anti-bacterials.Methods Resistance rates of Escherichia coli,Enterobacter cloacae,Klebsiella pneumoniae were summarized by Whonet5.6 software,and the antibacterial agent consumption which were calculated by using defined daily doses(DDD)were summarized by Pharmaceutical Department during 2014,then their correlation were analyzed.Results Klebsiella pneumoniae and Enterobacter cloacae showed their resistance positively correlated with the consumption of carbapenem(P<0.05).Conclusion As resistance rates of Klebsiella pneu-moniae and Enterobacter cloacae are relative to the use of antibacterials in some degree,antibacterials should be reasonably chosen so as to reduce occurrence of drug resistant strains.
ABSTRACT
The endogenous microorganism in paridis rhizoma mainly includes bacteria and fungi,and shows different physiological activities,such as microorganism inhibition and anti-tumor activity. The principal active substance steroid saponin in paridis rhizoma can be generated from the fermentation liquor of some endogenous bacteria,and the chemical structure of vancomycin and progesterone can be transformed by the endophyte. It is supposed that paridis rhizoma may benefit from the attributions of the endogenous bacteria against illness and environment changes. It would also benefit in productivity, transformation and modification of the other active sub-metabolites and compounds in paridis rhizoma. Thus,it is valuable in drug development and source insufficiency alleviation of Chinese medicines through separation,identification,screening and clone of the endogenous microorganism in paridis rhizoma.
ABSTRACT
Objective To establish the quantitative determination method of dexamethasone acetate in Kelaweiding lini‐ment by HPLC .Methods Column:Diamonsil‐C18 (150 mm × 4 .6 mm ,5 μm) ,mobile phase:methanol‐water‐glacialaceticacid (80:20:0 .5) ,flow rate:1 .0 ml/min ,UV detection wavelength:240 nm ,injection volume :20 μl ,column temperature:30 ℃ . Results The standard curve was linear within the range of 2 .00‐64 .00μg/ml ,linear equation was Y=0 .405 2X+0 .804 2(r=0 .999 9) .The average recovery was 99 .3% with RSD 0 .93% (n=9) .Conclusion This method was simple ,stable and could be used to assay dexamethasone acetate in Kelaweiding liniment .
ABSTRACT
Objective:To develop a Q-TRAP LC-MS/MS method for the content determination of militarine, protocatechuic acid and caffeic acid in Bletilla Striata. Methods:A Supelco Discovery C-18 (150 mm × 2. 1 mm, 3 μm) column was used and the mobile phase was acetonitrile-water containing 0. 1% formic acid (v/v) with gradient elution. The flow rate was 0. 25 ml·min-1. Bletilla Striata contrast medicinal materials and Bletilla Striata samples were detected by AB Sciex 4000 Q-MRM scan mode. Results: The content of militarine, protocatechuic acid and caffeic acid in the control herb of Bletilla Striata was 1. 167 5, 0. 062 6 mg·g-1 and 0. 001 0 mg·g-1 , respectively, and that in Bletilla Striata samples was 0. 708 8, 0. 001 1 mg·g-1 and 0. 000 4 mg·g-1 , respec-tively(n=3). Conclusion:The method is simple, accurate and reproducible. It can be used to quantitatively analyze militarine, pro-tocatechuic acid and caffeic acid in Bletilla Striata.
ABSTRACT
Objective To discuss the efficacy and safety of insulin aspart 30 injection combined with Akabo Tang (Acarbose tablets)about treatment of patients with type 2 diabetes.Methods 36 cases of type 2 diabetes were selected,by means of insulin aspart 30 combined acarbose tablets treatment,the levels of fasting plasma glucose (FPG)and glycosylated hemoglobin(HbA1c)before and after treatment were observed.Results The levels of fasting plasma glucose were (10.67 ±2.00)mmol/L and (6.76 ±0.47)mmol/L before and after treatment;The levels of HbA1c were (9.54 ±1.90)% and (7.70 ±0.82)% before and after treatment.After treatment,blood glucose and glycated hemoglobin levels in patients were significantly decreased (t =31.920,P <0.05;t =29.624,P <0.05). Conclusion The treatment that insulin aspart 30 injection combines acarbose tablets for type 2 diabetes patients is a safe,effective and convenient option.
ABSTRACT
Objective To investigate the antimicrobial resistance of main clinical isolates from ICU during 2012 .Methods Auto-matic microbiology analysis system and the disk diffusion method were performed to determine the antimicrobial susceptibility .All the data were analyzed by WHONET5 .6 software according to the breakpoints of The American Association of Clinical Laboratory Standardization Institute (CLSI) 2012 .Results A total of non-repeated 1 374 clinical isolates were collected in ICU during 2012 , including 1 089 strains (79 .3% ) of Gram-negative bacilli and 285 strains (20 .7% )of Gram-positive cocci ;The top five pathogens were Acinetobacter baumannii ,Pseudomonas aeruginosa ,Escherichia coli ,Klebsiella pneumoniae and Staphylococcus aureus ;Some Enterobacteriaceae strains were resistant to imipenem or ertapenem .2 strains of Enterococcus faecium were found resistant to van-comycin .Conclusion Non-fermenting bacteria ,Enterobacteriaceae and Staphylococci remain the predominant pathogens isolated from the patients in ICU ,their drug resistance is serious ,it is important to use antibacterial agents rationally and strengthen the sur-veillance of bacterial drug resistance .
ABSTRACT
<p><b>OBJECTIVE</b>To study the alkaloids of the Chinese medicinal herbs Daphniphyllum macropodum for in search for new bioactive substances.</p><p><b>METHOD</b>The CHCl3 extract of D. macropodum was subjected to repeated column chromatography on silica gel to afford four pure compounds (1-4). Their structures were determined on the basis of detailed spectroscopic analysis and comparison with the data reported in the literature.</p><p><b>RESULT</b>The four known compounds were isolated and elucidated as Daphniphyllum alkaloids with different carbon skeletons, namely longistylumphylline A (1), deoxycalyciphylline B (2), daphnicyclidin B (3) and H (4), respectively.</p><p><b>CONCLUSION</b>All compounds were isolated from the titled plant for the first time. The discovery of daphnicyclidin B (3) and H (4) further confirmed the biogenetic relationship between the two compounds and the previously reported macropodumines A-C, found in the same plant.</p>
Subject(s)
Alkaloids , Chemistry , Drugs, Chinese Herbal , Magnoliopsida , ChemistryABSTRACT
OBJECTIVE:To explore the material features and biocompartibility of stent implantation in treating intrahepatic biliary stricture under ultrasonic guidance.METHODS:The Chinese Journal Full-text Database and Medline were retrieved by the first author using search terms of "intrahepatic biliary stricture,stent,ultrasonic guidance,and biocompartibility" both in Chinese and English.Meta analysis,unrelated papers-er repetitive studies were excluded.After that,21 documents concerning the material features and biocompartibility of stent implantation in treating intrahepatic biliary stricture under ultrasonic guidance were analyzed.RESULTS:Compared with the Previousl surgery,stent implantation exhibited advantages such as small trauma,better curative effect,able to improve life quality and prolong life.Ultrasonic guidance has shown its clinical values during stent implantation because of accurate location,few traumas,low complication and cheap cost.The metal stents were preferred in treating lower ureteral obstruction,which is superior to plastic stents in preventing bacteria,maintaining stent patency and reducing complications.However,due to easy change and cheap cost,the plastic stents are widely used in treating intrahepatic biliary stricture,especially for patients within 3-month survival times.CONCLUSION:Materials of the stents play a key role in influencing the short-and long-term effectiveness in treating intrahepatic biiiary stricture.Accordingly,the suitable stents should be selected prior to implantation according to the sites,degree,type of obstruction,physical state,expected survival time,economical ability,as well as the prognosis to reach the goals of relieving pain and prolonging life.
ABSTRACT
OBJECTIVE:To establish the quality standards of processed Sophora japonica.METHODS:Different batches of processed S. japonica products were detected in respect of property,microstructure,TLC,moisture,total ash,acid insoluble ash,extract inspection,content of total flavonoids and rutin. RESULTS:The limit value of test term for S. japonica,stir-baked S. japonica,S. japonica carbon were confirmed. CONCLUSION:Established standard is applicable for the quality control of processed S. japonica.
ABSTRACT
OBJECTIVE: To explore the effective way for the development of hospital pharmaceutical care. METHODS: We analyzed and summarized the problems appeared in the practical work and the factors influencing pharmaceutical care. RESUL-TS & CONCLUSION: The factors that influence pharmaceutical care mainly consist of policy, idea, specialty and method. Att-aching great importance and having a clear understanding to the above factors is the key to facilitate the successful development of hospital pharmaceutical care.