Sedative and Hypnotic Effects of Tartary Buckwheat Ethanol Extract

[Objective]The aim was to study the sedative and hypnotic effects of Tartary Buckwheat ethanol extract and lay a foundation for further expanding the application of Tartary Buckwheat. [Method]The effects of Tartary Buckwheat ethanol extract on pentobarbital sodium and mice spontaneous action times were recorded. [Result]Ethanol extract of Tartary Buckwheat could prolong mice sleep duration caused by pentobarbital sodium （suprathreshold dosage）,increase mice sleep number caused by pentobarbital sodium （subthreshold dosage）,and obviously inhibit mice spontaneous action times. [Conclusion]Ethanol extract of Tartary Buckwheat has a function of sedation.

城堡

有时候,我总觉得班里有一座城堡,三三两两的同学扎堆在一起,筑起一道道高高的围墙,挡住了想进去的人。以前,我也是住在城堡里的人。一年级时,我、童童、小静总是一起玩,就连上厕所,也要手拉手一起去。

让千万年的石头“唱歌”——广西柳州市柳江区石琴制作名师韦明章夫妇侧记

“有一个美丽的传说,精美的石头会唱歌。它能给勇敢者以智慧,也能给勤奋者以收获。只要你懂得它的珍贵,山高那个路远也能获得……”30年前,这首动听的歌唱遍中国的大江南北,歌里说的是神话故事,而在广西柳州市柳江区,一对壮族夫妇却真的让精美的石头“唱出”美妙的歌——赶圩偶遇“会唱歌的石头”上世纪八十年代,在原柳江县、如今的柳江区三都镇长塘村壮族农民雕刻、售卖石版画的行列中,韦明章、兰小静夫妇跟其他村民一样。

不可或缺的遗憾

什么是遗憾？就是你再也无法挽回的事情。字典上解释的是“不称心”，“大可惋惜”。既然如此，难道遗憾也值得感谢吗？

你可以成为特别棒的人

亲爱的小伙伴，你还在为成绩而苦恼吗？还在为自己的胆小而叹气吗？还在为自己不够优秀而困惑吗？那么怎样成为一个自信的棒棒的孩子呢？

Stationary Wave Activity Associated with the East Asian Winter Monsoon Pathway

The pathway of the East Asian winter monsoon(EAWM) that usually leads to the out-of-phase pattern of surface air temperature between northern and southern East Asia is an important feature in the variability of the EAWM besides its strength.Using the European Centre for Medium-Range Weather Forecasts 40-year(ERA40) reanalysis dataset,this study investigates the pathway-related stationary wave activity to explore the mechanism of the interannual variations in the EAWM pathway.It reveals that when the southern pathway of the EAWM is strong,the phase of the climatological stationary wave tends to be shifted westward significantly in both the horizontal and vertical directions by an anomalous wavenumber 2 pattern at mid-latitudes,whereas the changes are relatively small in the subtropics.The horizontal changes in the stationary wave phase facilitate a north-south-oriented East Asian trough in the middle troposphere that eventually produces the strong southern pathway of the EAWM.The vertical changes in the stationary wave,in contrast,feature a westward-tilted phase line with height over the North Pacific,indicating enhanced upward propagation of waves into the stratosphere.This result suggests that the phase of stationary waves at mid-latitudes dominate the interannual variations in the EAWM pathway.Moreover,it supports our previous interpretation of the possible role of the North Pacific sea surface temperature(SST) in the EAWM pathway variability.It also implies that the excitation of anomalous mid-latitude stationary waves may be the key in the response of the EAWM pathway to the North Pacific SST.

Entrance Effect on Load Capacity of Orifice Compensated Aerostatic Bearing with Feeding Pocket

The current research of the aerostatic thrust bearing mainly focuses on the porous material bearing and inherent compensated air bearing, which aims at obtaining small physical dimension and large load capacity. Although porous material bearing appears larger load capacity, materials anisotropy itself and void content distortion caused in heat-treating, and machining processes add greater complexity to internal flow transfer process. Inherent compensated air bearing has the advantages of simple structure and good stability, but its load capacity and static stiffness is not worth somewhat. In this paper, based on hydrostatic lubrication theory, finite volume method is presented for taking entrance effects into account in computing pressure distribution, load capacity and mass flow rates of circular aerostatic thrust bearings. Technical analysis, numerical simulations and laboratory demonstration tests of influence of pocket diameter and pocket depth on loading capacity of aerostatic thrust bearing are carried out on simple orifice compensated air bearings with feeding pockets. The static parameters, such as air consumption and pressure distributions, are measured as a function of supply pressure and air gap height for several different orifices and pockets size. Entrance effects are described in term of typical throttling types, and the effect of pocket diameter and pocket depth on load capacity is systematically described respectively. The proposed research results uncover the causation of throttling action of the orifice compensated air bearing with feed pocket and further develop and improve the design theory of air bearing.

Long-term results of small-diameter proximal splenorenal venous shunt:A retrospective study

AIM:To investigate recurrent variceal hemorrhage and long-term survival rates of patients treated with partial proximal splenorenal venous shunt.METHODS:Patients with variceal hemorrhage who were treated with small-diameter proximal splenorenal venous shunt in Ruijin Hospital between 1996 and 2009 were included in this study.Shunt diameter was determined before operation using Duplex Doppler ultrasonography.Peri-operative and long-term results in term of rehemorrhage,encephalopathy and mortality were followed up.RESULTS:Ninety-eight patients with Child A and B variceal hemorrhage received small-diameter proximal splenorenal venous shunt with a diameter of 7-10 mm.After operation,the patients’mean free portal pressure (P<0.01)and the flow rate of main portal vein(P< 0.01)decreased significantly compared with that before operation.The rates of rebleeding and mortality were 6.12%(6 cases)and 2.04%(2 cases),respectively.Ninety-one patients were followed up for 7 mo-14 years (median,48.57 mo).Long-term rates of rehemorrhage and encephalopathy were 4.40%(4 cases)and 3.30% (3 cases),respectively.Thirteen patients(14.29%)died mainly due to progressive hepatic dysfunction.Fiveand ten-year survival rates were 82.12%and 71.24%,respectively.CONCLUSION:Small-diameter proximal splenorenal venous shunt affords protection against variceal rehemorrhage with a low occurrence of encephalopathy in patients with normal liver function.

Transient small bowel angioedema due to intravenous iodinated contrast media

Three cases of transient proximal small bowel angioedema induced by intravenous administration of nonionic iodinated contrast media (CM) are presented.Computed tomography (CT) images in the venous phase displayed the proximal small bowel with circumferential thickening of the wall including the duodenum and proximal segment of the jejunum.The bowel wall was normal in non-enhanced images,and normal or inconspicuous in arterial phase enhanced images.In one of the three cases,the bowel wall was thickened in venous phase but disappeared in the 40 s delayed phase images.No filling defect was seen in the lumen of the superior mesenteric artery and vein.No peritoneal effusion or mesentery abnormality was found.Each of these patients reported only mild abdominal discomfort and recovered without specific treatment within a short time.Only one patient suffered mild diarrhea after scanning which had resolved by the following day.The transient anaphylactic small bowel angioedema due to intravenous iodinated contrast media was easily diagnosed based on its characteristic CT findings and clinical symptoms.Differential diagnosis may include inflammatory and ischemic bowel disease,as well as neoplasms.A three-phase CT protocol and good under-standing of this disorder are fundamentally important in the diagnosis of this condition.The supposed etiology behind the transient anaphylactic reaction to intravenous administration of iodinated CM in small bowel is similar to other CM-induced hypersensitive immediate reactions.The predilection location of transient anaphylactic bowel angioedema is the small intestine,particularly the proximal segment.A speculated cause may be the richer supply of vessels in the small intestine,ample mucous folds and loose connective tissue in the duodenum and the jejunum.

Does deep sedation impact the results of 48 hours catheterless pH testing?

AIM： To study a cohort of patients undergoing 48 h Bravo pH testing receiving deep sedation with propofol. METHODS： We retrospectively reviewed the charts of 197 patients （81 male, 116 female） who underwent Bravo esophageal pH monitoring from July 2003 to January 2008. All patients underwent Bravo pH probe placement via esophagogastroduodenoscopy （EGD） and received propofol for sedation. Patients on a proton pump inhibitor （89 patients） were excluded. Acid reflux variables measured included the total, upright, and supine fractions of time at pH 〈 4 and DeMeester score, and were compared between day I and day 2. RESULTS： Of the 108 patients that were included in the study, the most common indication for Bravo pH monitoring was heartburn, with chest pain being the second most common. A signed rank test revealed no statistically significant difference between day I and day 2 reflux episodes. CONCLUSION： Patients who received propofol for sedation for EGD with Bravo pH capsule placement did not experience any significant difference in reflux episodes from day 1 to day 2.

Efficacy of thalidomide therapy in pediatric Crohn's disease with evidence of tuberculosis

AIM To evaluate the efficacy of thalidomide for treating troublesome cases of pediatric Crohn's disease(CD) with tuberculosis infection.METHODS A retrospective study of clinical outcome among children treated with thalidomide was conducted. All patients had evidence of tuberculosis infection with a failure of anti-tuberculosis treatment for more than one year,and were subsequently diagnosed with CD. All the patients received thalidomide treatment with a starting dose of 1.2-2.5 mg/kg per day. Remission was defined as pediatric CD activity index less than or equal to 10.RESULTS Ten patients with CD were treated with thalidomide at an average age of 7.2 years and followed up for a median of 22.2 mo. Clinical remission rate was 60% after 9-12 mo of thalidomide treatment. One patient with no response had an interleukin-10 receptor alpha gene mutation. Erythrocyte sedimentation rate,C-reactive protein and platelet count showed a dramatic decrease; hemoglobin level and weight improved significantly after thalidomide treatment when compared with the baseline values.CONCLUSION Thalidomide is an effective and safe drug for remission of CD in pediatric patients who have been treated for tuberculosis.

One patient of hepatic veno-occlusive disease with an increased cancer antigen-125 expression caused by misuse of Sedum aizoon

Nowadays hepatic veno-occlusive disease is mainly caused by Sedum aizoon in China,and its prognosis dependents on the dosage and courses of the Sedum aizoon treatment but lacks other objective indicators.There are a lot relationships between CA125 level and liver cirrhosis,this case had a obvious increased CA125 level in the serum,hydrothorax and ascites,following by the liver cirrhosis in a short time,and then died of upper gastrointestinal bleeding.By now we guess that CA125 level could forecast the liver cirrhosis following by hepatic veno-occlusive,which will become the prognosis of the hepatic veno-occlusive.

The Analysis of Gas Absorption into a Stationary Droplet in Atmospheric Environment

Absorption of gaseous species into stationary droplets is a fundamental interest of mass transfer between liquid droplets and ambient gas, which plays a key role in atmospheric environment control and many industrial applications. In this paper, two different considerations including equilibrium and non-equilibrium relations at the interface are used to analyze and predict the absorption time for a physical absorption at a relatively low solubility of gas. For the equilibrium pattern, in the beginning period of absorption, the mass transfer rate is considerably rapid and afterward becomes slower and slower and finally comes to almost zero as the droplet concentration closes to the saturated value. Differently, when the non-equilibrium model is adopted, the interfacial concentration increases gradually with the bulk concentration of liquid droplet, and the absorption rate mildly decelerates with the increase of bulk one throughout the process, which leads to a longer absorption time. Based on the diffusion equation of species, the concentration distribution within the droplet at different times is computed. A solution for CO2 absorption into a small water droplet is given.

Ketamine and midazolam sedation for pediatric gastrointestinal endoscopy in the Arab world

AIM:To evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation during pediatric endoscopy in the Arab world.METHODS:A retrospective cohort study of all pediatric endoscopic procedures performed between 2002-2008 at the shared endoscopy suite of King Abdullah University Hospital,Jordan University of Science & Technology,Jordan was conducted.All children were > 1 year old and weighed > 10 kg with American Society of Anesthesiologists class 1 or 2.Analysis was performed in terms of sedation-related complications(desaturation,respiratory distress,apnea,bradycar-dia,cardiac arrest,emergence reactions),adequacy of sedation,need for sedation reversal,or failure to complete the procedure.RESULTS:A total of 301 patients(including 160 males) with a mean age of 9.26 years(range,1-18 years) were included.All were premedicated with atropine;and 79.4%(239/301) had effective and uneventful sedation.And 248(82.4%) of the 301 patients received a mean dose of 0.16 mg/kg(range,0.07-0.39) midazolam and 1.06 mg/kg(range,0.31-2.67) ketamine,respectively within the recommended dosage guidelines.Recommended maximum midazolam dose was exceeded in 17.6% patients [34 female(F):19 male(M),P = 0.003] and ketamine in 2.7%(3 M:5 F).Maximum midazolam dose was more likely to be exceeded than ketamine(P < 0.001).Desaturation occurred in 37(12.3%) patients,and was reversible by supplemental oxygen in all except 4 who continue to have desaturation despite supplemental oxygen.Four(1.3%) patients had respiratory distress and 6(2%) were difficult to sedate and required a 3rd sedative;12(4%) required reversal and 7(2.3%) failed to complete the procedure.None developed apnea,bradycardia,arrest,or emergence reactions.CONCLUSION:Ketamine-midazolam sedation appears safe and effective for diagnostic pediatric gastrointestinal endoscopy in the Arab world for children aged > 1 year and weighing > 10 kg without co-morbidities.

Clinical observation of raltitrexed/bevacizumab combined with irinotecan or oxaliplation for advanced colorectal cancer

Objective： The aim of the study was to investigate the efficacy and safety of raltitrexed/bevacizumab in combination with irinotecan or oxaliplation for advanced colorectal cancer as the second-line and second-line above treatments. Metho ods： Fifteen cases of advanced colorectal cancer were enrolled to receive regimens including raltitrexed/bevacizumab combined with irinotecan or oxaliplation. Two cases were treated with raltitrexed ＋ bavacizumab regimen, 9 cases with raltitrexed ＋ bavacizumab ＋ irinotecan regimen, and 4 cases with raltitrexed ＋ bevacizumab ＋ oxaliplation regimen. The doses of the drugs were as follows： bevacizumab 5 mg/kg ivgtt, d 1; raltitrexed 2.0 mg/m2 ivgtt 15 min, d2; irinotecan 180 mg/m2 ivgtt 1 h, d2; and oxaliplatin 85 mg/m2 ivgtt 2 h, d2. Two weeks was a cycle for each regimen. Results： The efficacy of the 15 patients could be evaluated. Two cases were in PR ,10 cases in SD, 3 cases in PD, the response rate was 13.3%, and the disease control rate was 80.0%. The median progress-free survival was 5.1 months （95% CI： 3.404-6.813 months）, and the median overall survival was 11.5 months （95% CI： 8.985-13.930 months）. The adverse effects included anorexia, nausea/vomiting, fatigue, leucopenia, thrombocytopenia, etc, and the main 3-4 grades adverse effects were anorexia, nausea/vomiting, fatigue, and thrombocytopenia. Conclusion： Raltitrexed/bevacizumab combined with irinotecan or oxaliplatin as the secondline and second-line above treatments for advanced colorectal cancer has high disease control rates, and the adverse effect is well tolerated. The combined regimen can be recommended as a phase III clinical research and second-line and secondlines above treatments for advanced colorectal cancer.

Oxidative stress in portal hypertension-induced rats with particular emphasis on nitric oxide and trace metals

AIM: To investigate the oxidative-stress-related changes in rats with portal hypertension with particular emphasis on nitric oxide (NO) and trace metals. METHODS: Cirrhosis was induced by partial portal vein ligation (PVL) in Wistar rats. The lipid peroxidation marker (malondialdehyde, MDA), antioxidant defense enzymes including superoxide dismutase (SOD), catalase (CAT), glutathione (GSH), and agents known to have antioxidant features including nitric oxide (NO), zinc (Zn), copper (Cu) were determined both in serum and in liver tissue at 4 wk after surgery in PVL and sham-operated rats. Portal pressure of all experimental animals was measured. MDA was detected by thiobarbituric acid reactivity assay.SOD activity was determined by inhibition of nitroblue tetrazolium reduction with xanthine/xanthine oxidase used asa superoxide generator. CAT activity was determined by the breakdown of hydrogen peroxide. GSH concentrations were measured by using metaphosphoric acid for protein precipitation and 5'-5'-dithio-bis-2-nitrobenzoic acid for color development. NO was detected by the Griess method after reduction of nitrate to nitrite with nitrate reductase, and the concentrations of Zn and Cu were measured by a Shimadzu 680 AA atomic absorption spectrometer. Histopathological confirmation was done under light microscope. Statistical analyses were done by Student's t-test, and significance of the difference was tested by the unpaired Mann-Whitney test. P＜0.05 was considered statistically significant.RESULTS: Histopathological studies confirmed PVL induced cirrhotic changes. There was a statistically significant difference in portal pressure between PVL and control groups (P＜0.001). The results showed significant increases in the levels of MDA and NO in both tissue and serum (P＜0.05 and P＜0.001, respectively in tissue; P＜0.001 for each in serum), and Zn only in tissue (P＜0.001)in rats with PVL compared with sham-operated rats. Besides, PVL rats exhibited reduced plasma and tissue GSH, CAT, SOD (P＜0.001 for each). Serum and tissue Cu concentration did not change.CONCLUSION: Our findings suggest that PVL in rats induces important biochemical and molecular changes related to oxidative stress in the liver.

study to determine guidelines for pediatric colonoscopy

To investigated characteristics, diagnosis, bowel-cleansing preparation, sedation, and colonoscope length and diameter in Japanese pediatric patients receiving total colonoscopy. METHODSThe present study evaluated consecutive patients aged ≤ 15 years who had undergone their first colonoscopy in Kurume University between January 2007 and February 2015. Data were retrospectively analyzed. We identified 110 pediatric patients who had undergone colonoscopy that had reached the cecum, allowing the observation of the total colon. RESULTSHematochezia, abdominal pain, and diarrhea were the most common symptoms. For bowel-cleansing preparation, pediatric patients aged ≤ 12 years were treated with magnesium citrate, and patients aged 13-15 years were treated with polyethylene glycol 4000. For sedation, thiamylal with pentazocine, which has an analgesic effect, was used in patients aged ≤ 6 years, and midazolam with pentazocine was used in patients aged ≥ 7 years. Regarding the choice of endoscope, short and thin endoscopes were selected for younger patients, particularly patients aged ≤ 3 years. Positive diagnoses were made in 78 patients (70.9%). Inflammatory bowel disease (n = 49, 44.5%), including ulcerative colitis (n = 37, 33.6%) and Crohn’s disease (n = 12, 10.9%), was the most common diagnosis. CONCLUSIONColonoscopy offers a high diagnostic capability for pediatric patients with gastrointestinal symptoms. The selection of appropriate management the performance of colonoscopy is important in pediatric patients.

Sonographic guidance for tunneled central venous catheters insertion in pediatric oncologic patients: guided punctures and guide wire localization

Objective Totally implantable devices (TIDs) and external tunneled catheters (ETCs) became a basic requirement in the treatment of pediatric oncologic patients. Techniques for implantation and confirmation of proper position vary among different centers. The article presented different techniques for sonographic guided puncture of the target central vein and confirmation of the proper position of tunneled catheters.

Study of marine geomagnetic diurnal variation correction based on Wavelet Transform

Based on the existing geomagnetic diurnal variation theory and correction method,this paper makes a comprehensive analysis of the international geomagnetic quiet diurnal variation by Fourier Transform and one-dimensional Continuous Wavelet Transform.The frequency band greater than 0.2 Hz is the embodiment of the geomagnetic disturbance field in the frequency domain.Discrete Wavelet Transform is used to separate the variation,thus improving accuracy of the existing geomagnetic diurnal variation correction method.According to the characteristics of variation and Discrete Wavelet Decomposition,Sym8 wavelet is selected as the basic wavelet to decompose the data at 7 layers.The long-term and short-term variation of geomagnetic diurnal variation are effectively separated from the geomagnetic disturbance part under the condition of ensuring the fidelity.Compared with the results of Fourier Series decomposition and low-pass filter,the processing effect of Discrete Wavelet Transform is better.The effective separation and correction of short-term,long-term variation and geomagnetic disturbances can improve the quality of diurnal variation correction in marine geomagnetic measurement,reduce the error accumulation in the process of marine geomagnetic data processing,and improve the scientificity and accuracy of the current diurnal variation correction methods.