冠状动脉支架内再狭窄发生机制的研究进展

经皮冠状动脉介入术是目前治疗冠状动脉粥样硬化性心脏病的主要有效的治疗手段,血管支架尤其是药物洗脱支架极大程度上改善了冠心病患者的疗效和预后。与支架相关的病理主要表现为支架内再狭窄引起的进行性心绞痛和支架内血栓导致的急性心肌梗死。支架内再狭窄是由生物、机械、技术及与患者自身相关的复杂相互作用介导形成的病理性新生内膜增生,有关其发病机制的研究正不断深入。本文通过血管内皮损伤、血管平滑肌细胞增殖迁移、血管外基质重构、炎症反应以及新生动脉内膜粥样硬化等方面对其进行综述,深入探讨其形成的影响因素及临床意义。     

提高蠕铁客车制动盘使用寿命的研究

蠕铁制动盘运用于160 km/h客车时,制动盘服役过程中会出现盘面裂纹超限情况。通过对失效制动盘的解剖分析,发现盘面裂纹超限与材料强度、组织均匀性、蠕化率等因素有关。通过进一步低合金化成分,提高了盘体结构强度与材料强度;优化盘体铸造工艺,使金属液充型更平稳,盘体基体组织更均匀;优化蠕化工艺,提高了制动盘蠕化率。通过台架试验对比与应用仿真计算,制动盘使用寿命提高约25%。     

儿茶酚-O-甲基转移酶基因多态性rs4680对抗精神病药物疗效的影响

目的应用Meta分析的方法探讨儿茶酚-O-甲基转移酶(COMT)基因的主要单核苷酸多态性(SNP)rs4680对抗精神病药物疗效的影响。方法检索Pubmed、Embase、Cochrane Library、中国知网和万方数据库,收集所有研究rs4680与抗精神病药物疗效的关系的文献,提取相关数据并用Stata14.0软件在显性模型下进行统计分析。以合并比值比(OR)和95%可信区间(95%CI)确定相关性;进行敏感性分析考察结果的稳定性;绘制漏斗图考察发表偏倚的大小。结果共纳入13篇研究,包含1 439例精神分裂症患者。合并结果显示,在显性模型下,rs4680显著影响抗精神病药物的疗效,与GG基因型携带者相比,AA或AG基因型携带者使用抗精神病药物治疗后获得的应答率更高(OR=1.31,95%CI:1.04~1.66),Egger检验未发现显著的发表偏倚(P=0.082),敏感性分析发现去掉漏斗图中离群的两个小样本研究后,合并结果无显著性差异(OR=1.25,95%CI:0.98~1.58),表明meta分析结果存在一定的不稳定性。结论 rs4680可能会影响抗精神病药物的疗效,由于受到研究数目的限制以及不稳定性因素的存在,本结果仍需进一步验证。     

Impurity profiling and in-process testing of drugs for injection by fast liquid chromatography

Liquid chromatography (LC) is considered by many as a mature technique. Nonetheless, LC technology continues to evolve driven by the need for high-throughput and high-resolution analyses. Over the past...     

隐形的幽灵

中国疾病预防控制中心研究发现,汽车内50％以上的霉菌和70％以上的螨虫均来自于空调过滤系统;汽车内饰塑料件、粘合剂等所含的挥发性成分中有大量的甲苯。甲醛、碳氢化合物及卤代烃等有害元素。车内污染已经成为威胁车主健康的隐形幽灵。     

二灰冷再生沥青路面基层路用性能研究

通过对原路材料进行材料组成分析,并且通过对几种不同配合比的冷再生材料的无侧限抗压强度、劈裂强度、冲刷性能的初步研究,对二灰冷再生材料的性能做出了初步评价.二灰冷再生材料基本可以满足规范对沥青路面的半刚性基层的要求.     

The changes of neuronal activity of the zone incerta in a rodent model of Parkinson＇s disease

Objective To study the changes in neuronal activity of the zone incerta (ZI) following the unilateral lesion of the nigrostriatal pathway. Methods Eiectrophysiological recordings of ZI neurons were made in normal rats and in two groups of rats at different time intervals after injection of 6-hydrodopamine (6-OHDA) into the pars compacta of snbstantia nigra by extracellular recording in vivo. Results The results showed a significant increase in the mean firing rate of ZI during the second and fourth weeks after 6-OHDA lesion [-n=32, (3.6±2. 2)Hz, P<0.001; n=35, (9.3±6.6)Hz, P<0. 001, respectively] compared to that of normal rats [n=39, (9.2±5.2)Hz]. However, no significant change was observed between two groups of 6-OHDA-lesioned rats. With regard to firing pattern, 7.7%(3/39) of ZI neurons discharged regularly, 82.1% (32/39) irregularly and 10. 3% (4/39) in bursts in normal rats. During the second week after 6-OHDA lesion, the regular, irregular and bursting firing neurons recorded in the ZI were 9.4% (3/32), 59. 4% (19/32) and 31.3% (10/32), and during fourth week, the regular, irregular and bursting firing neurons were 14.3% (5/35), 57.1% (20/35) and 28. 6% (10/35), respectively. The firing pattern of the neurons in the three different groups did not change significantly. Conclusion These results suggest that the firing rate of ZI neurons in 6-OHDA-lesioned rats is increased significantly, which may contribute to the pathophysiology of Parkinson's disease.     

Effect of ABCA1-V771M polymorphism on plasma lipid levels and its relationship with coronary atherosclerotic heart disease

Objective To explore the risk association of ABCA1-V771M polymorphism with coronary heart disease (CHD) in Hart nationality in Northwest of China. Methods With case-control study, ABCA1-V771M polymorphism was detected in 204 unrelated Hart nationality people in Northwest of China, and all the subjects by coronary angiography were grouped into 106 cases and 98 controls. The genotypes and alleles frequency distribution of ABCA1-V771M polymorphisms were analyzed by PCR-RFLP analysis, and the clinical statistics of serum lipids were compared and its effects of ABCA1-V771M polymorphism on the plasma lipid levels and coronary atherosclerotic heart disease were analyzed. Results The genotypic frequencies of ABCA1-V771M polymorphism matched well under Hardy-Weinberg equilibrium (P>0.05), V and M allelic frequencies were 33.3% and 66.7%. In comparison with VV VM genotype carriers, MM genotypes carriers had much lower plasma levels of HDL-C (P<0. 001) and much higher plasma levels of TG (P<0. 05). M allelic frequency in CHD group was significantly higher than V allelic frequency (P<0. 05). M allele was related with more severity of atherosclerosis in the coronary artery than V allele (P<0.05). However, there was no obvious difference in the incidence of AMI among carriers with three genotypes of ABCA1-V771M polymorphism (P>0.05). Conclusion ABCA1-V771M polymorphism was not only associated with the plasma levels of HDL-C and TG, but also related to the susceptibility and severity of coronary atheroselerotic heart disease. Moreover, M771 allele appeared to be atherogenie among Han population in Northwest of China.     

集成电源变换装置智能分配电技术研究

本文分析研究了船舶电力系统中多路输出的集成电源输出配电及选择性保护技术,该技术不仅能够自动对配电支路中出现的短路、冲击、过载等现象进行快速识别、判断,而且能够区分配电支路中大电容负载电流冲击造成的短路假象,根据判断结果对配电支路的输出电压是否自动进行调制或在us级时间内是否关断该配电支路,保证其他配电支路的正常工作,达到故障最小化原则的目的。本文通过对输出配电及选择性保护技术原理的分析并进行了试验验证,证明了分析研究结论与原理性样机试验结果一致。     

集装箱内木片自燃火灾调查

<正>近年来,随着环保意识的提高,再利用物品的流通量增加,发生了多起看起来与火灾没有关系的物品诱发的火灾。作为自燃火灾的典型案例一般是地面上的产业废弃物、牧草以及堆积的肥料等,但这些都是搁置至少1个月以上、时间较长的情况下着火。而本文介绍的燃料用木片(以下简称木片)火灾是从制造到着火仅短短几个小时就发生了的火灾案例。