Ultrasonography in differential diagnosis of benign and malignant endometrial lesions in postmenopausal women / 中华全科医师杂志

The transvaginal ultrasonography,sonohyterography and intravenous contrast-enhanced ultrasonography are main ultrasonographic methods in evaluation of endometrial lesions.This article introduces the procedures,limitations,advantages and disadvantages of these three ultrasonographic methods in differential diagnosis of benign and malignant endometrial lesions in postmenopausal women.

Exploration of leading students to self-study with talent evaluation theory-based curriculum evaluation mode / 中华医学教育探索杂志

It remains a common problem that the evaluation model of course learning for stu-dents is so simple in the higher education of China. Moreover, the teachers are usually used to evalu-ating student's course learning by summative appraisal and ignore process appraisal, so that the stu-dents are usually lack of learning enthusiasm for self study. Besides, the course learning evaluation of students generally lacks the uniform and detail standard in the country. To resolve these problems, a comprehensive evaluation model of course learning based on the principle of talent evaluation has been practiced and improved since 2007 in some basic medical courses at our university. This model is composed of four parts:the evaluation of mastering basic knowledge, the evaluation of the ability to resolve problems through applied knowledge, the evaluation of practical study and the evaluation of learning initiatives. The model has showed in the practice the characteristics of powerful operability, pluralistic evaluating indicators, combining summative appraisal and process one, reflecting objectively the mastering degree of expertise of students and promoting the self-study of students.

A New Phenylpropanol Glycoside from Twigs and Leaves of Rhododendron primulaeflorum / 中草药·英文版

ObjectiveTo study the constituents in the twigs and leaves of Rhododendron primulaeflorum.MethodsThe constituents were separated and purified with chromatographic methods.Their structures were elucidated by spectroscopic methods (1D,2D NMR,IR,and HR-ESI-MS) and chemical analyses.Results One new phenylpropanol glycoside,4-hydroxyl-5-methoxyl-phenylpropanol-3-O-β-D-glucopyranoside (1),and its aglycone (2) were successfully isolated from the twigs and leaves of R.primulaeflorum.ConclusionCompound 1 is a new phenylpropanol glycoside.Compounds 1 and 2 are isolated from this plant for the first time.

New tannin-related compounds from Tagetes erecta / 中国中药杂志

A mixture of two new anomers: 3,4-di-O-[syringate]-alpha-D-glucopyranose (1) and 3,4-di-O-[syringate]-beta-D-glucopyranose (2), together with syringic acid (3), were isolated from the alcohol extract of Tagetes erecta. The structures of these compounds were elucidated by various spectroscopic methods, including intensive 1D, 2D NMR and HR-ESI-MS studies. The structural assignment was further supported by HPLC-ESI-MS with compound 1 at t(R) = 3.22 min (m/z 538.9 [M-H](-)) and compound 2 at 3.25 min (m/z 538.9 [M-H](-)) in the mixture.

Chemical constituents of Rhododendron lepidotum / 中国中药杂志

An unusual natural product named 2,4,6-trihydroxacetophenone-3, 5-di-C-beta-D-glucoside (18) were isolated from aerial parts of Rhododendron lepidotum grows in Tibet, along with other 17 known compounds: hopenol-B (1), lupeol (2), ursolic acid (3), avicularin (4), quercetin (5), myricetin (6), hyperoside (7), myricetin-3'-O-beta-D-xyloside (8), (+)-taxifolin-3-O-alpha-L-arabinopyranoside (9), (+)-taxifolin-3-O-beta-D-glucopyranoside (10), lyoniside (11), confluentin (12), 2-(4-hydroxyphenyl)-ethyltriacontanoate (13), 2, 6-dimethoxy-4-hydroxyphenyl-1-O-beta-D-glucopyranoside (14), (-)-2-hydroxy-5-(2-hydroxyethyl) phenyl-O-beta-D-glucopyranoside (15), (-)-isola-riciresinol (16) and isofraxoside (17). All the compounds were firstly isolated from this plant as well as compounds 1, 13-18 were reported occurrence in R. spp. for the first time. The structures were identified based on analyses of spectroscopic data and physico-chemical evidences.

Derivative Synthesis of Wanpeinine A, a Major Steroidal Alkaloid from Fritillaria shuchengensis / 中草药·英文版

Objective To design and synthesize derivatives of wanpeinine A, the main steroidal alkaloid isolated from the plant Fritillaria shuchengensis, and further study on the structure-activity relationship of the steroidal alkaloid. Methods Acylation and alkylation were used to synthesize the derivatives and their structures were identified via NMR and MS.Results The acylation of wanpeinine A (1) produced 3β,6α-diacetylwanpeinine A (2), 3β,6α-dipropionylwanpeinine A (3), 3β,6α-dichloracetylwanpeinine A (4), 3β,6α-dibenzoylwanpeinine A (5), and 3β-methoxyacylwanpeinine A (6). The alkylation of wanpeinine A formed 3β,6α-dimethoxymethylwanpeinine A (7). Conclusion All compounds are new except for 3β,6α-diacetylwanpeinine A.

Five monoterpenes from leaves of Rhododendron anthopogon / 中国中药杂志

A phytochemical investigation of the leaves of Rhododendron anthopogon revealed the presence of five known monoterpenes: ranhuadujuanine A (1), cannabiorcicyclolic acid (2), ranhuadujuanine B (3), ranhuadujuanine C (4) and ranhuadujuanine D (5). All compounds are firstly reported as natural products. The assignments of some 13C-signals of ranhuadujuanine A reported in the literature were revised on the basis of 2D-NMR spectra.

Effect of comprehensive treatment before and after fabrication of lower limb prostheses for persons wounded in Wenchuan earthquake / 中华物理医学与康复杂志

Objective To observe the effect of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses for the earthquake wounded.Methods The patients were treated with comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses,including stump treatment(massage,pat and stump mold),physiotherapy(range of motion,strength,balance,standing and walking training,and use of physical agents),psychological therapy.Results The percentage of stump ulcer,stump swelling,limitation of joint motion and stump pain of all 42 cases was 74%,72%,41%and 5%,respectively.Stump ulcer healed and stump swelling decreased after comprehensive rehabilitative treatment.The stump shape,motion of joint and muscle strength improved significantly.All stumps can be fit with prosthetic limb.Excellent,good and fair walk functions of prosthetic limb were 51%,44%,and 2%,respectively.Conclusion The rate of poor stump limb was high after earthquake.Application of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses is very important for the earthquake wounded.

The prosthetic rehabilitation and training of myoelectric signal for upper limb stumps / 中华物理医学与康复杂志

Objective To evaluate the effect of prosthetic rehabilitation and analyze the exercise training program with myoelectric signal for upper limb stumps.Methods Twenty canes with 22 upper limb stumps were treated with exercise for strength training,muscle contraction and control training and the complication of stump were managed.The myoelectrlc signal of upper limb stumps were detected and the stumps were trained with electronic biofeedback software system,including basic signal of biofeedback training and visual biofeedback training.Then the myoelectric prostheses were assembled.Results After prosthetic rehabilitation and myoelectfic signal training,there Wan no significant atrophy of muscle of stumps,muscle strength and range of motion of these twenty limb stumps increased.The amputees could control muscle contraction and grasp,pinch,wrist rotation,elbow extension or flexion consciously.Twenty myoelectrie prostheses were assembled.Conclusion The prosthetic rehabilitation and myoelectric signal training of limb stump is important for assembling myoelectric prosthesis.

Clinical evaluation and treatment of stumps in amputees injured in Wenchuan earthquake / 中华物理医学与康复杂志

Objective To analyze the feature and cause of stumps of amputees after Wenchuan earthquake,and study the effects of rehabilitation treatment for stumps.Methods Fifty-two cases with stump limbs post-amputation were evaluated,including stump skin status,stump shape,stump length,stump swelling,range of motion (ROM)of joint and strength of stump,and were treated with physical therapy,stump moulding and kinesiotherapy.Results The incidences of stump ulcer,stump swelling,conical stump,short stump and limitation of ROM of joint in all 52 cases were 76%,73%,34%,40%and 42%respectively.After rehabilitation treatment stump ulcers healed,stump swelling eliminated;stump shape,ROM of joint and muscle strength improved obviously.All poor stumps could be fit with the prosthetic limb and get good function.Conclusion The incidences of poor stump limb post·amputation after earthquake were high.Rehabilitation treatment can improve the stump condition.Early comprehensive rehabilitative intervention after amputation is important for fitting the prosthetic limb tO the stump.

Primary observation of therapeutic effect of collagenase on hypertrophic scar / 中国组织工程研究

BACKGROUND: Hypertrophic scar results from imbalance between local collagen synthesis and degradation and abnormal aggregation of collagen after burn and trauma.OBJECTIVE: To observe the effects of collagenase on collagen degradation in nude mice with graft of hypertrophic scar and its therapeutic effects on hyertrophic scar.DESIGN: Controlled experiment was designed.SETTING: Department of Rehabilitation and Physical Therapy,Southwest Hospital, Third Military Medical University of Chinese PLA MATERIALS: The experiment was performed in Experimental Center of the Third Military Medical University of Chinese PLA from July 1995 to April 1997, in which, 10 specimens of hypertrophic scar were employed, collected from the removed hypertrophic scars in Department of Plastic Surgery.All of patients were in the known before the operation. Experimental animals were 15 BACB/C nude mice, of which, 8 mice were male and 7 mice female.Totally 15 mice were grafted with hypertrophic scar tissue, 10 mice of which were survived after once graft; with second graft in the rest mice, 2 mice were survived and 3 mice were dead. The survival nude mice were randomized into experimental group and the control, 6 mice in each one.METHODS: The removed hypertrophic scars in plastic operation were grafted in the wound on the dorsum of nude mice to establish graft model of hypertrophic scar. In experimental group, 1% collagenase was injected locally in scar tissue; in the control group, collagease solvent was injected locally, once a week, for 4 weeks totally. After treatment, the materials were collected for macrogcopic observation and observation and analysis with optic and electronic microscopes.scar tissue before and after treatment.RESULTS: Twelve nude mice were survived after scar graft and all of them entered result analysis, 6 mice of which were in experimental group was smaller in size, thinner in thickness and softer in quality compared staining, Van Gieson's collagenous fiber staining and compound staining on slices, it was displayed that in experimental group, dermal layer became thin, collagenous fiber was unclear in structure and disperse in arrangement, but in the control, the dermal layer of scar tissue was hypertrophic microscopic observation, in experimental group, collagenous fibers were destroyed and unclear in structure, but in the control, collagenous fibers were disturbed in arrangement with distinct strips and clear structure.CONCLUSION: Collagenase degrades collagen of hypertrophic scar,lessens and softens scar, suggesting that local injection of collagease is probably a good therapy for hypertrophic scar.

Purification of a small peptide to inhibit platelet aggregation from Agkistrodon acutus venom / 中国药理学通报

Aim To purify a small platide inhibiting platelet aggregation from Agkistrodon Acutus snake venom,and to identify its physical and chemical properties and its effects on the platelet aggregation stimulated by ADP, collagen, and thrombin. Methods Extract snake venom through Superdex 75 gel filtration, ultrafiltration and DEAE-Sepharose CL-6B ionexchange. The purified product was identified by HPLC C_ 18 . The molecular weight was determined by SDS-polyacrylamid gel electrphoresis. Platelet aggragation was measured by nephelometry. Results The molecular weight of the peptide was 7 862 u and its purified from Agkistrodon Acutus snake venom is oelectric point was pH 4.29. This peptide dose-dependently inhibited the platelet aggregation induced by ADP,collagen,and thrombin. Conclusion The method has been proved to be successful for the purification of low molecular weight peptide fraction that inhibits platelet aggregation.

THE EXPRESSION OF PECAM-1 IN RAT COLON ADENCARCINOMA AND LYMPHATICS / 解剖学报

Objective To observe the expression of PECAM-1 in colorectal cancer in rat and to explore the mechanism of lymphatic metastasis of tumor. Methods Wistar rats were used to make the animal model of primary colorectal cancer,by using HE staining,the cancer type and progression of cancer were devided.By immunohistochemistry staining,the expression of PECAM-1 in tumor tissue,blood vessels and lymphatic vessels were observed. Results PECAM-1 expression in blood vessels and lymphatic vessels were observed in normal tissue,while its expression on tumor tissue and lymphatic vessels decreased according to the cancer progression.Conclusion PECAM-1 may be involved in the early process of tumor cells adhering to the endothelium;decreased expresson of PECAM-1 on lymphatics may be related with lymphangiogenesis and the opening of endothelial junction of lymphatic vessels.

Chemical constituents from the leaves of Streblus asper / 中成药

AIM:To study the chemical constituents of leaves of Streblus asper Lour. METHODS:The constituents were isolated by column chromatography and their structures were elucidated through spectroscopic analysis. RESULTS:Seven compounds were isolated and identified as salicylic acid(1),?-sitosterol ( 2 ),?-daucosterol(3),oleanolic acid(4),magnolol(5),quercetin(6),taxifolin(7). CONCLUSION:The compounds are all obtained from the leaves of Streblus asper for the first time.