Ultrasound elastography predicts anticoagulation in lower extremity deep vein thrombosis.

OBJECTIVE: To investigate predictors of anticoagulation efficacy in deep venous thrombosis (DVT) by ultrasound elastography (UE). METHODS: The basic clinical, laboratory and ultrasound treatment data of fifty-eight patients with DVT were collected and analyzed. Then the results of ultrasound after 3-month anticoagulation treatment were compared among different groups. Multiple logistic regression analysis was used to identify independent risk factors that affected anticoagulation efficacy. The predictive efficacy of each independent risk factor was accessed by drawing operating characteristic (ROC) curves. RESULTS: According to the regression analysis, the elastic modulus (OR = 0.631, P = 0.001) and strain rate ratio (OR = 0.332, P = 0.006) were identified as independent risk factors for the effectiveness of anticoagulation therapy in patients with DVT. According to the ROC curves, elastic modulus and strain rate ratio could predict effective anticoagulation therapy for DVT, and the optimal threshold values were 22.10 kPa and 1.80 respectively. The corresponding AUC values were 0.879 and 0.854, with a sensitivity of 71.4% and 59.5%, a specificity of 93.7%, and a Youden index of 65.1% and 62.7%, respectively. CONCLUSIONS: The elastic modulus (≤22.10 kPa) or strain rate ratio (≤1.80) of the thrombus were independent predictors for the effectiveness of anticoagulation therapy.

[Eleven new sesquiterpenoids from peeled stems of Syringa pinnatifolia].

The peeled stems of Syringa pinnatifolia(SP) is a representative Mongolian folk medicine with the effects of anti-depression, heat clearance, pain relief, and respiration improvement. It has been clinically used for the treatment of coronary heart disease, insomnia, asthma, and other cardiopulmonary diseases. As part of the systematic study on pharmacological substances of SP, 11 new sesquiterpenoids were isolated from the terpene-containing fractions of the ethanol extract of SP by liquid chromatography-mass spectrometry(LC-MS) and proton nuclear magnetic resonance(~1H-NMR) guided isolation methods. The planar structures of the sesquiterpenoids were identified by MS, 1D NMR, and 2D NMR data analysis, and were named pinnatanoids C and D(1 and 2), and alashanoids T-ZI(3-11), respectively. The structure types of the sesquiterpenoids included pinnatane, humulane, seco-humulane, guaiane, carryophyllane, seco-erimolphane, isodaucane, and other types. However, limited to the low content of compounds, the existence of multiple chiral centers, the flexibility of the structure, or lack of ultraviolet absorption, the stereoscopic configuration remained unresolved. The discovery of various sesquiterpenoids enriches the understanding of the chemical composition of the genus and species and provides references for further analysis of pharmacological substances of SP.

Self-assembled supramolecular dispersive liquid-phase microextraction for concentration and determination of anthraquinone compounds in Rhubarb.

Self-assembled supramolecular dispersive liquid-phase microextraction combined with high-performance liquid chromatography was developed and introduced for simultaneous extraction and determination of the trace level rhein, chrysophanol, and physcion in Rhubarb. Compared with conventional dispersive liquid-phase microextraction, the proposed method used a self-assembled ternary supramolecular consisting of the mixed extraction solvent (heptanol and nonanol) and dispersant (acetone) to achieve high enrichment factors of target analytes. Several factors affecting performance were investigated and optimized, including the mixed extraction solvent, type and volume of the dispersant, the pH of sample phase, salt concentration, shaking time, volume of sample phase, centrifugation time, and rate. Meanwhile, the method mechanism of self-assembled supramolecular dispersive liquid-phase microextraction was analyzed and described. Under the optimized extraction conditions, the enrichment factors of rhein, chrysophanol, and physcion were 116.5, 325.9, and 356.1, respectively. Good linearities (r ≥ 0.9952) for all analytes, low limits of detection (less than 0.04 ng/mL), satisfactory precisions (0.1-8.9%), and accuracies (recoveries, 88.2-104.1%) were achieved. The experimental results showed that the approach was simple, fast, with short extraction time, high enrichment factors, good linearities, and low limits of detection.