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Objective: This study aimed to investigated the effect of ice-temperature vacuum drying on the powder quality of selenium-rich Rugao black pakchoi. Methods: After pretreatment, the fresh black pakchoi was dried to the moisture content of (5.0±0.5) %, and the physical and chemical indexes were investigated, comparing to the control groups of hot-air drying, vacuum drying and freeze-vacuum drying. Results: The vitamin C content of vacuum drying at ice temperature was 554.60 mg/100 g, and the retention rate reached 83.96%, which was 43.11%, 33.57% and 1.61% higher than that of hot-air drying, vacuum drying and freeze-vacuum drying, respectively. Glutathione peroxidase had little activity loss and the best purity maintenance. The retention rates of total phenols and total flavonoids were 59.69% and 60.58%, respectively, which were better than the other three groups. In terms of microstructure, the powder of ice-temperature vacuum drying group was well-distributed, with a smooth and flat surface and less debris. Compared with the other three groups, the ice-temperature vacuum drying group could maintain the original dark green color, and the rehydration and solubility were improved. Conclusion: The ice-temperature vacuum drying process can minimally affect the Rugao black pakchoi powder, and the nutritional quality of this powder is the highest.

Through combing the collaborative mode among the three-level brands of 'city-county-enterprise' in Zhejiang Province, this review explores how to get out of the conflict among the main levels of regional public brands under the background of common prosperity, effectively promote the industrial revitalization and common prosperity in the regional plate, and provide reference and guidance for the management collaborative innovation of regional public brands of all-class agricultural products.

Objective: The petition letters of the National Exhibition and Convention Center (NECC) Fangcang Hospital, Jiahe Xinyuan Hotel (Jiahe) Fangcang Hospital and designated Ruijin Hospital of North Branch (designated Hospital) were analyzed, and the discussion was focused on how to optimize the operation process, improve the quality of medical service, optimize the doctor-patient relationship and other measures through the feedback of petition data after the hospitals were built in a very short time. Methods: The petition letters from two Fangcang hospitals and one designated hospital were retrospectively analyzed, and the source channels, types and trends of petition letters were analyzed at multiple levels, as well as the specific problems involved. The results and suggestions were summarized by combining qualitative and quantitative methods. Results: Ouring March 14 adn May 4, the two makeshift hospitals and one designated hospital had received a total of 1 155 letters, mainly from the "12345" hotline (88.86%). 759 (65.72%), 25 (2.16%) and 371 (32.12%) were respectively received from the NECC Fangcang Hospital, Jiahe Fangcang Hospital and designated Hospital. The number of requests for help accounted for 67.85%, 68.00% and 70.08% respectively in the three hospitals, and the other types of petition letters were consultation, complaint and suggestion. Requests for help and advice were frequently asked such as isolation policies, virus RNA PCR testing, critical care and emergency transport, and logistics. Conclusions: During the epidemic, the problems of letters and visits in the shelter focuse on the various actual needs and difficulties faced by patients in the shelter hospital, suggesting that the managers and operators of the shelter hospital should prepare for such needs and problems. Analyzing the contents of letters and visits can feed back and optimize the operation process and medical services of the shelter hospitals.

Objective: The effect of frozen temperature on the storage characteristics of ready-to-eat snakehead sausages were investigated. Methods: In this study, The freezing temperature dehydration technique was used to control the moisture content of snakehead sausage at about 50%, and then the temperature was lowered to-5.6 ℃. Subsequently, the sausage was stored at -4 ℃, and those stored at 4 ℃ were set as the control. The changes in the quality and microstructure of the snakehead sausages were analyzed, by measuring the physicochemical indexes such as total bacterial colony, color, water holding capacity, textural properties, biogenic amines and scanning electron microscopy during storage. Results: The logarithmic values of TVC were （5.37±0.06）; TVB-N were （17±0.03） mg/100 g; the total amine mass fraction were （324.93±1.89） mg/kg at 42 d. The results of colony count and TVB-N analysis showed that, compared to those stored at 4 ℃, frozen storage could extend the shelf life of snakehead sausage by 1-fold. The low-field NMR results showed that the moisture distribution of snakehead sausage during frozen storage was better than that of the control. Scanning electron microscopy showed that the gel network of the frozen-storage group had a higher degree of binding to fat particles. The frozen storage of snakehead sausage was superior to the refrigerated storage. Conclusion: The preservation effect of snakehead sausage stored at freezing temperature is better than that of refrigerated storage.

Spinal muscular atrophy (SMA) is the most common fatal neurogenetic disease in infant period. Clinical manifestations of SMA include symmetrical and progressive weakness and atrophy of proximal limbs. Based on age of incidence, it is divided into child-onset SMA and adult-onset SMA. Child-onset SMA has the highest incidence rate. This article summarizes the research progress of SMA therapy in recent years to provide new thoughts for the treatment of SMA. DOI: 10.3969/j.issn.1672-6731.2018.04.010

Facioscapulohumeral muscular dystrophy (FSHD), characterized by symmetric or asymmetric muscular weakness of the initial onset of facial, shoulder-girdle and upper arm muscles, and descending to limb muscles, is a classical autosomal dominant myopathy with high clinical diversity and relatively good prognosis. FSHD is catigorized into two types, FSHD1 and FSDH2. Previous studies have demonstrated that 95% patients with FSHD1 were associated with a contraction of D4Z4 microsatellite repeats on chromosome 4q35, which was pathogenic in the genetic backgrounds, including a special sequence of simple sequence length polymorphism (SSLP) proximal to the D4Z4 repeats and the 4qA/4qB polymorphism distal to the repeats. In recent years, several reports have confirmed that 4q35 locus leads to DNA hypomethylation and inner DUX4 gene transcription by epigenetic effect. The abnormal expression of DUX4 further activates several genes, which inhibit myogenesis, sensitize cells to oxidative stress and induce muscle atrophy. And not only that, FSHD2 is formed by another methylation regulation gene—— SMCHD1 mutations. More and more evidences supported that toxic gain of function mechanism plays an important role in the occurrence of FSHD. The DUX4 gene becomes an important target for treatment study in the future. DOI: 10.3969/j.issn.1672-6731.2017.08.004

Background Owing to the clinical variability and molecular heterogeneity, the traditional Sanger sequencing takes time and effort and is inefficient. In this paper, target region capture sequencing in the diagnosing of autosomal recessive Charcot-Marie-Tooth disease (AR-CMT) is explored. Methods Clinical data and peripheral blood sample of 5 clinically suspected AR - CMT patients were collected. Charcot-Marie-Tooth disease (CMT) related gene mutation were detected by target region capture sequencing. The candidate variants were confirmed in the peripheral blood sample of the patients and their parents by Sanger sequencing. Results Target region capture sequencing revealed that compound heterozygous mutations of GDAP1 gene was found in 2 patients, and was not seen in the other 3 patients. Sanger sequencing revealed that among the 2 patients with mutation of GDAP1 gene, compound heterozygous mutation c.767A > G (p. His256Arg) and c.866T > A (p. Phe289Tyr) were seen in Case 1, whose father carried c.866T > A (p. Phe289Tyr) heterozygous mutation and mother carried c.767A > G (p. His256Arg) heterozygous mutation, while compound heterozygous mutation c.571C > T (p. Arg191X) and c.589delC (p. Asp198IlefsX8) were seen in Case 2, whose father carried c.589delC (p. Asp198IlefsX8) heterozygous mutation and mother carried c.571C > T (p. Arg191X) heterozygous mutation. Therefore, Case 1 and Case 2 were all diagnosed as AR-CMT. Conclusions Target region capture sequencing is a rapid and reliable genetic testing method with high efficiency. It is applicable for the diagnosis of AR-CMT. DOI: 10.3969/j.issn.1672-6731.2017.08.009

Spinal muscular atrophy (SMA) is a common autosomal recessive neuromuscular disease caused by degeneration of anterior horn cell in spinal cord. The clinical feature is characterized by progressive symmetrical myasthenia and amyotrophia. The disease is caused by mutation of survival motor neuron (SMN1) gene. Four clinical types are defined for SMA: type Ⅰ, Ⅱ, Ⅲ and Ⅳ. The diagnosis depends on clinical manifestation, inherited history, laboratory test and genetic analysis. To date, there is no effective treatment for SMA, so prenatal diagnosis and carrier screening are important for the prevention of this disease. DOI：10.3969/j.issn.1672⁃6731.2012.03.005

Objective To investigate the value of multiplex ligation⁃dependent probe amplification (MLPA) method in the prenatal diagnosis of spinal muscular atrophy (SMA). Methods Six SMA pedigrees, which included 7 patients, 12 parents and 6 fetuses, were admitted in our hospital. MLPA was used to detect the survival motor neuron (SMN) and other modifier genes, according to steps of hybridization, ligation, PCR reaction, fragment separation by capillary electrophoresis and peak pattern evaluation. Synchronously, the deletion of SMN1 gene was detected by polymerase chain reaction⁃restriction fragment length polymorphism (PCR⁃RFLP). The DNA samples of fetuses were collected by centrifuging the amniotic fluid as well as derived from amniotic cell culture. Results According to MLPA, 7 patients and 1 fetus were detected to carry homozygous deletion of survival motor neuron 1 (SMN1) gene, which was also detected by PCR⁃PFLP. In addition, 11 parents and 5 fetuses carried one copy of SMN1 gene, while 1 parent who was also a carrier of SMA carried two copies of SMN1 gene. Furthermore, after being analyzed by MLPA, 10 cases carried one copy of SMN2 gene, while 15 cases had two copies of SMN2 gene. After detecting the neuronal apoptosis inhibitory protein (NAIP) gene, 3 cases had the deletion of NAIP gene while others showed normal. Conclusion MLPA can detect the deletion and quantify the copy numbers of SMN and other modifier genes, improving the efficiency and stability of genetic diagnosis. It is adequate for detecting patients and carriers of SMA, as well as providing reliable evidence for genetic counseling. DOI：10.3969/j.issn.1672⁃6731.2012.03.012

DOI：10.3969/j.issn.1672-6731.2010.01.008

The experiment explored the effect of curing conditions on the component content of dried and air-dried corn. A two-factor experimental design was adopted, with drying methods and curing conditions as independent variables, drying methods at two levels, and curing conditions at ten levels. The results showed that the drying method had a significant effect on corn resistant starch content under maturation conditions (P<0.05), and the drying basis was significantly higher than the air-dried basis (P<0.05), maturation had a significant effect on corn starch content (P<0.05). The interaction of curing and drying methods had a significant effect on content of starch components (P<0.05). Compared with corn at 0 level (0 °C, 0 min), on other levels, amylopectin content, total starch content were decreased, the amylose content and the resistant starch content was increased. When the ripening time was 30~60 min and the ripening temperature was 120 °C, the corn was ripened, the air-dried base corn amylose content increased from 13.96% to 19.21%, and the total starch content increased from 68.49% to 71.17%. The content of resistant starch was relatively stable. The experiment indicates that under the condition of 30~60 min and a curing temperature of 120 °C, the content of air-dried corn amylose and total starch increase with the increase of the curing time, and the curing time has little effect on amylopectin and resistant starch. [ABSTRACT FROM AUTHOR]

Objective: To realize pre-review of Chinese drug pieces prescriptions and improve the accuracy and efficiency of prescription review,so as to ensure the rationality of Chinese drug pieces prescriptions.Methods : The Chinese drug clinical prescription review system was developed,the pre-review rules and database of Chinese drug pieces prescriptions were established, and finally the smart pre-review of Chinese drug pieces prescriptions was realized. Results: The Chinese drug clinical prescription review system made the prescriptions review standards unified,fast and accurate. 100% pre-review of Chinese drug pieces prescriptions was realized,and the rationality and standardization of Chinese drug pieces prescriptions obviously improved. Finally,the Chinese drug pieces clinical prescription pre-review system obtained the copyright of national computer software (No.2019SR0757904 ).Conclusion: The Chinese drug clinical prescription pre-review system has realized the intelligent pre- review of Chinese drug pieces prescriptions,with good practicability. For this reason, it is worth further popularization. [ABSTRACT FROM AUTHOR]

Spinal muscular atrophy (SMA) is the most common fatal neurogenetic disease in infant period. Clinical manifestations of SMA include symmetrical and progressive weakness and atrophy of proximal limbs. Based on age of incidence, it is divided into child-onset SMA and adult-onset SMA. Child- onset SMA has the highest incidence rate. This article summarizes the research progress of SMA therapy in recent years to provide new thoughts for the treatment of SMA. [ABSTRACT FROM AUTHOR]

Background Owing to the clinical variability and molecular heterogeneity, the traditional Sanger sequencing takes time and effort and is inefficient. in this paper, target region capture sequencing in the diagnosing of autosomal recessive Charcot - Marie - Tooth disease (AR - CMT) is explored. Methods Clinical data and peripheral blood sample of 5 clinically suspected AR - CMT patients were collected. Charcot-Marie-Tooth disease (CMT) related gene mutation were detected by target region capture sequencing. The candidate variants were confirmed in the peripheral blood sample of the patients and their parents by Sanger sequencing. Results Target region capture sequencing revealed that compound heterozygous mutations of GDAP1 gene was found in 2 patients, and was not seen in the other 3 patients. Sanger sequencing revealed that among the 2 patients with mutation of GDAP1 gene, compound heterozygous mutation c.767A > G (p. His256Arg) and c.866T > A (p. Phe289Tyr) were seen in Case 1, whose father carried c.866T > A (p. Phe289Tyr) heterozygous mutation and mother carried c.767A > G (p. His256Arg) heterozygous mutation, while compound heterozygous mutation c.571C > T (p. Arg191X) and c.589delC (p. Asp198ilefsX8) were seen in Case 2, whose father carried c.589delC (p. Asp198ilefsX8) heterozygous mutation and mother carried c.571C>T (p. Arg191X) heterozygous mutation. Therefore, Case 1 and Case 2 were all diagnosed as AR - CMT. Conclusions Target region capture sequencing is a rapid and reliable genetic testing method with high efficiency. it is applicable for the diagnosis of AR-CMT. [ABSTRACT FROM AUTHOR]

Facioscapulohumeral muscular dystrophy (FSHD), characterized by symmetric or asymmetric muscular weakness of the initial onset of facial, shoulder - girdle and upper arm muscles, and descending to limb muscles, is a classical autosomal dominant myopathy with high clinical diversity and relatively good prognosis. FSHD is catigorized into two types, FSHD1 and FSDH2. Previous studies have demonstrated that 95% patients with FSHD1 were associated with a contraction of D4Z4 microsatellite repeats on chromosome 4q35, which was pathogenic in the genetic backgrounds, including a special sequence of simple sequence length polymorphism (SSLP) proximal to the D4Z4 repeats and the 4qA/4qB polymorphism distal to the repeats. In recent years, several reports have confirmed that 4q35 locus leads to DNA hypomethylation and inner DUX4 gene transcription by epigenetic effect. The abnormal expression of DUX4 further activates several genes, which inhibit myogenesis, sensitize cells to oxidative stress and induce muscle atrophy. And not only that, FSHD2 is formed by another methylation regulation gene SMCHD1 mutations. More and more evidences supported that toxic gain of function mechanism plays an important role in the occurrence of FSHD. The DUX4 gene becomes an important target for treatment study in the future. [ABSTRACT FROM AUTHOR]

The field of three stages in axial compressor for a gas turbine was simulated by the unsteady calculation method based on harmonics. The impact of CLOCKING effect of rotor blade in second stage on aerodynamic load of static blade in mid stage was investigated. By analyzing the wake transportation of flow field and the unsteady aerodynamic loads of the blades, the result shows that the different CLOCKING of R2 rotor blade corresponds to different entropy transportation characteristic, so the aerodynamic load discrepancy of each blade row is significantly obvious under different flow induced force. When at the CLK2 position, the aerodynamic force of static blade is always positive. In addition, its amplitude of fluctuation is smaller than that of the other location, the range of direction angle is also small, and the amplitude of fluctuation for aerodynamic torque and the changing number of direction are smaller than those of other locations, therefore the most stable aerodynamic load is obtained. [ABSTRACT FROM AUTHOR]

To understand the laws of trajectory stability for natural supercavitating vehicle in the condition of changing cavitation number, the simplified equations were derived and the corresponding simulation software for trajectory were developed, by which the trajectory characteristics of natural supercavitating vehicles were obtained at the speed of 110 m/s. The theoretical prediction results show that the balance of forces was broken by the influences of the changing cavitation number, and the periodically oscillation around the cavity wall was happened by the interaction between the forces and attitude. [ABSTRACT FROM AUTHOR]

To improve the prediction of transition, the γ-Retheta; turbulence model involved with empirical correlations for transition prediction is used to analyze two typical hypersonic flow fields of the blunt cone and the fiat plat shock wave/boundary layer interaction, and the computational results agree well with the experimental results, which show that the turbulence transition model adopted in this paper has a higher credibility than traditional turbulence models. Furthermore, two supersonic inlets with triple-compression angle and isentropic compression profile are designed and simulated, respectively. The results show that the isentropic compression profile has better throat flow capability and higher total pressure recovery performance and the aerodynamic performances at the rear part of the throat section are almost the same for the two cases. [ABSTRACT FROM AUTHOR]

Three-dimensional numerical simulation on the double-velocity stage of a steam turbine adopting the design idea of the Curtis stage was carried out. The whole circle flow fields of the two stages were computed and the flow features of the Curtis stage under designed operation were analyzed. Results show that the scattering effect of each nozzle group is not intense after the flow flows out of the Curtis stage nozzle, which only affects one blade passage near the boundary. The main direction of the flow is in the axial direction. When the pressure ratio is relatively larger and the flow velocity becomes supersonic, the circumferencial non-uniform at the outlet of each nozzle group is very serious, the wake aera with low speed and the mainstream area with low pressure appears by turns, so the aerodynamic loads on the rotor blades located at different positions in the nozzle region change greatly. An over-expanded low pressure area occurs in the supersonic nozzle, and the pressure is the lowest in the whole stage, which will strengthen the unsteady effects in the rotor blade passages. [ABSTRACT FROM AUTHOR]

In order to enhance the safe operation of a steam turbine, moisture removal slot configurations with different opening widths and-injection angles were in turn set at the central part of a stator inner-arc for the special dehumidifier stage. The flow field was analyzed comparatively by two-phase flow numerical simulation of solving the steady three-dimensional Reynolds averaged Navier-Stokes equations on the basis of real water vapor thermo-physical properties, and the effect of hot steam injection on the flow field was comparatively analyzed. Exergy parameter was introduced as a measure to evaluate the economic cost of energy conversion process. It is indicated that the bigger slot along the mainstream direction requires the lower exergy of hot steam and has the less mixing intensity in the case of the equivalent injected quantity, while it has higher effective exergy efficiency, i.e. the relatively lower flow loss. Moreover, exergy effective efficiency with the mass flow ratio less than 6% is higher than that of the original one without hot steam injection. [ABSTRACT FROM AUTHOR]

To address the problems that the product quality and safety accidents occur frequently in our country, the safety and health of consumers suffer from threats to different degrees, and the export products are recalled from time to time in recent years, this paper presents a methodology for life cycle hazard identification and 3D risk matrix evaluation for non-food consumer products, which is helpful to improve the understanding and perception of consumer product hazards and risks, and to provide a foundation for consumer product risk evaluation. Furthermore, considering that the capability and behavior of individual consumers usually have important influences on the risk levels of consumer product hazards, the paper proposes a 3D approach for evaluating consumer product risks by adding the dimension of consumer vulnerability onto the conventional 2D risk matrix. This new dimension of vulnerability will encompass the impacts of consumer elements such as groups of age, levels of education, and types of consumer attitude or preference. Taking home electric appliances as example and using an expert judgment method and the data and information about the products made in China as reported in the European Union Rapid Alert System for Non-food Products (RAPEX), the paper illustrates the use of the methodology and demonstrates the methodology as a new way for consumer product safety assessment. [ABSTRACT FROM AUTHOR]

During wastewater treatment using a traditional biological denitrification process, the excessive concentration of nitrate nitrogen (NO 3 - -N) in the effluent is the primary cause of excessive total nitrogen (TN) generation. By using an external carbon source to increase the carbon to nitrogen ratio (C/N), the denitrification process can be strengthened, which effectively addresses this problem. Using an integrated denitrification reactor developed based on the two-stage denitrification process principle with the addition of polybutylene succinate (PBS) in the second stage, the denitrification process was analyzed using a scanning electron microscope before and after characterization of PBS materials. Moreover, amplicon sequencing was used for in-depth exploration of changes in the microbial community structure in the second denitrification pool before and after the addition of PBS. The data of a continuous 120-day experiment showed that the COD removal rate dropped from 95.7% to 90.8%, the TN removal rate increased from 51.8% to 80%, the relative abundance of Proteobacteria phylum rose from 36.1% to 46.1%, and the relative abundance of Thermomonas rose from 6.47% to 13.48%. The results show that after the addition of PBS, PBS can not only provide carbon source for denitrification, but its surface can also serve as a carrier for microbial growth and attachment, play a good role in filming, and increase the abundance of denitrifying bacteria and strengthen denitrification. During the nitrification process, denitrification performance was significantly enhanced, effectively improving the TN removal rate of the system.

A total of 92 corn grain samples, around the Pb-Zn mining area in Southwest China, were collected to evaluate the contamination and health risk of heavy metals. Heavy metals including Pb, Zn, Cd, Cr, and Ni in samples were analyzed. A single factor pollution index and comprehensive pollution index were calculated to assess the quality of corn grains. The potential health risks to adults and children due to the intake of these heavy metals through consumption of crops were evaluated using the health risk index. The results showed that the average contents of Pb, Zn, Cd, Cr, and Ni in corn grains were 0.30, 23.75, 0.21, 1.33, and 1.15 mg ·kg -1 , respectively, Among the metals, the content of Zn, Pb, Cd, Cr, and Ni exceeded the national food hygiene standards. The Nemero index of Pb, Cd, Cr, and Ni ranged from 4.32 to 9.07, indicating an extremely high level, whereas the contamination of Zn reached an alarming level. The assessment results of the comprehensive health risk index for the corn grains indicated that the contamination of heavy metals poses health risks to adults and children by food ingestion; moreover, the children were more sensitive to various heavy metals than the adults. Principle component analysis revealed that the first main component dominated the sources of Pb, Cd, Cr, and Ni, while the second main component, Zn, might have originated from sources different from the other heavy metals. Positive correlations were not observed between the heavy metals in corns and soils.

Arsenic-resistant microorganisms are abundant in surface and near-surface arsenic-contaminated environment, substantially affecting the fate and transport of arsenic in the environment. Siderophores produced by microorganisms under iron-limiting conditions have high affinity for ferric iron and enhance the uptake of iron to the microorganisms. Siderophores help sequester Fe, which is needed to activate AsIII oxidase as Fe is unavailable at physiological pH. Although the principal role of siderophores is to chelate ferric iron, they can also chelate wide array of toxic metals. Inoculation of plants with siderophore-producing bacteria has been found to either promote or reduce heavy metal uptake. Therefore, the siderophore-producing and arsenic-resistant bacteria might have the potential in the remediation of arsenic contamination environment.

Gene structure and expression regulation mechanism are the research hotspots and focus of modern life sciences. The lac operon is a cluster of genes through which Escherichia coli catabolizes lactose. It was first proposed by F. Jacob and J. Monod, who were also awarded the Nobel Prize in Physiology or Medicine in 1965 for their contributions. Thereafter, the lac operon has become the classic teaching case of the gene regulation mechanism in microbiology, genetics and molecular biology, and been highly valued by teachers and students alike. Although the conclusion is easy to follow and memorize, its rich connotation and esoteric reasoning has rendered it difficult to understand, neither is it easy for teachers to fully exploit the advantages of this teaching case. Therefore it is necessary to have an in-depth understanding of the genetic structure and working principle of the lac operon, especially the scientific background and thinking process through which scientists revealed these mysteries. In this paper, the historical discovery and analysis process of the E. coli lac operon was reviewed by following their footprints, listening to their analysis of experimental results. Based on the DNA sequences, the reasons for several unusual phenomena of lac operon expression were also discussed to exemplify the teaching value of the classic cases in genetics and molecular biology.

Acute perforated gastric cancer (GC) is defined as an acute perforation of primary GC. It is a rare surgical acute abdominal disease that is mainly caused by advanced GC. The onset of acute perforation of GC is related to the depth of invasion. Preoperative diagnosis is very difficult for GC with acute perforation. The main method to confirm malignant perforation is intraoperative frozen section, which also is the primary clinical standard at present. The primary treatment for GC with acute perforation is surgical intervention, which is associated with high morbidity and mortality. Therefore, we should first consider short-term safety and choose the surgical approach based on the patient's condition, tumor stage and surgeon's experience. The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) can provide a comprehensive assessment for patient's condition and surgical risk. Secondly, long-term survival should be considered and R0 resection is the most important. When R0 resection can not be achieved in the initial treatment phase, palliative gastrectomy should be avoided. A simple perforation repair can provide an opportunity for two-stage laparoscopic surgery, but the timing of the second stage operation is controversial. We advocate that advanced GC with acute perforation undergoing initial perforation repair can receive subsequent neoadjuvant therapy. A second stage surgery should depend on the response to therapy. Cases of acute perforation of gastric cancer are few. At present, high-level evidence is absent for surgical treatment at home and abroad, and there is no guideline or consensus for diagnosis and treatment. Therefore, it is necessary to explore and establish a comprehensive process of diagnosis and surgical treatment for acute perforated GC, which may be very helpful for first-line surgeons and can also improve the short-term outcomes and long-term survival for GC with acute perforation.

Objective: To explore the feasibility and application value of the preservation of vegetative nervous functions in radical resection for right-sided colon cancer., Methods: Clinical data of 55 cases with right-sided colon cancer undergoing laparoscopic D3+ complete mesocolic excision (CME) radical resection from January 2016 to July 2017 at Department of Gastrointestinal Surgery of Guangdong Province Hospital of Traditional Chinese Medicine were retrospectively analyzed. Exclusion criteria included emergency surgery for various reasons, intestinal obstruction or perforation, distant metastasis or locally advanced cancer, previous history of abdominal surgery and preoperative neoadjuvant chemoradiotherapy. Twenty-nine cases underwent lymphadenectomy with intrathecal dissection of superior mesenteric artery (SMA) and part of superior mesenteric plexus was resected (nerve partial resection group, NPR group). Twenty-six cases received lymphadenectomy with the clearance of lymphatic adipose tissue on the right side of SMA by sharp or obtuse method outside the sheath; the sheath of superior mesenteric vein (SMV) was entered at the junction of SMA and SMV; the SMV was naked in the sheath; the third station lymph node dissection was completed with preservation of superior mesenteric plexus (nerve preserved group, NP group). Intra-operative and postoperative complications were compared between two groups., Results: The baseline data were not significantly different between two groups (all P>0.05). The operation time in NP group was significantly shorter than that in NPR group [(164.0±19.8) minutes vs. (176.0±19.7) minutes, t=2.249, P=0.029]. No significant differences in operative blood loss, operative vessel damage, postoperative time to flatus, postoperative hospital stay and abdominal pain were observed between two groups(all P>0.05). The number of harvested lymph node in two groups was 28.5±7.8 and 27.6±6.5 respectively without significant difference(P>0.05). As compared to NPR group, NP group had lower incidence of chylous leakage[3.8%(1/26) vs. 37.9%(11/29), χ²=9.337, P=0.002] and postoperative diarrhea [15.4%(4/26) vs. 41.4%(12/29), χ²=4.491, P=0.034]., Conclusion: Autonomic nerve-preserving D3+ CME radical resection for right-sided colon cancer is safe and feasible, and can prevent the postoperative gastrointestinal dysfunction caused by nerve injury and decrease the risk of chylous leakage.

The farmland soil around a Pb-Zn mine in southwestern China was studied. One hundred forty-nine surface soil samples were taken from 0-20 cm depth, and the contents of As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn were tested. The correlations among these heavy metals were studied with multivariate analysis, and the potential sources of the metals were identified. The environmental risk of the metals was evaluated with the Potential Ecological Risk Index method. The results showed that the amounts of Cd, Pb, and Zn were at relatively high level, with average concentrations of 15.56, 419.4, and 933.4mg·kg -1 respectively, indicating the soil was heavily polluted. The average concentrations of Hg and As were 0.13 and 37.3mg·kg -1 , suggesting moderate soil pollution. The average concentrations of Cu, Ni, and Cr were lower than Yunnan soil background values. The multivariate analysis suggested that the sources of Cd, Pb, Zn, Hg, and As were similar and came mainly from smelting activities in the mining area. The sources of Cu, Ni, and Cr were similar and can be attributed to natural sources. The comprehensive potential ecological risk index was 2294.8, which suggested a high potential ecological risk. In general, the farmland soils in the research area were polluted seriously by the mining and industrial activities.

Using Cu-MOF (HKUST-1) as a template, copper oxide was prepared by heat treatment under different temperatures in this study. The effect of treatment temperature on the composition and morphology of the products were studied. The catalytic abilities of the copper oxide products were tested through a series of experiments of activating peroxymonosulfate (PMS) to degrade RhB under different conditions. The results of XRD, SEM, and XPS show that the product is gradually transformed from a Cu 2 O/CuO mixture into pure CuO with the increase of heat treatment temperature. The original octahedron structure of HKUST-1 was collapsed. Under neutral pH conditions, when the dosage of PMS and CuO-650 was 1.00 mmol·L -1 and 0.20 g·L -1 , respectively, the total degradation of RhB (concentration of 0.10 mmol·L -1 ) could be completed within 90 min. In addition, CuO-650 also has many advantages, such as it can be applied within a wide range of pH values. In addition, the copper ion dissolution rate was low (1.309 mg·L -1 at pH=3 and 0.987 mg·L -1 at pH=7), and it has great recyclability and stability. These characteristics further proved that CuO-650 can be used as a promising catalyst for PMS activation.

MIL-88A@MIP was fabricated for the first time in this experiment with a metal-organic framework of MIL-88A as the precursor based on the molecular imprinting method. It was characterized by X-ray diffraction (XRD), scanning electronic microscopy (SEM), energy dispersive spectrometer (EDS), and N 2 adsorption. The catalytic performance of MIL-88A@MIP was tested to activate persulfate (PS) to generate SO 4 -· for the degradation of dibutyl phthalate (DBP), which was used as a target pollutant. Compared with the precursor MIL-88A, the catalytic activity of MIL-88A@MIP was improved effectively through targeted modification, and the DBP removal rate increased 80.4% after reacting for 480 min. An experiment determining the influencing factors showed that the optimum activation condition of the catalyst was PS:DBP=600:1, MIL-88A@MIP dosage of 0.5 g·L -1 ,and pH=3.26. Furthermore, MIL-88A@MIP shows a high capability of removing different phthalic acid ester (PAE) contaminants that reflect its targeting selectivity.

Objective: To explore the value of criminal fold priority separating (CFPS) in reduction of iatrogenic splenic injury in laparoscopic radical gastrectomy., Methods: Complete videos of 270 patients undergoing laparoscopic radical gastrectomy in Guangdong Provincial Hospital of Chinese Medicine were reviewed. Anatomic features of criminal fold (CF) were summarized. The relationship between CFPS and iatrogenic splenic injury was examined. CF was defined as the ligament between omentum and spleen. CFPS was defined as that CF was separated before the left half gastrocolic omentum was dissected. Splenic injury was further compared between CFPS group and non-CFPS group., Results: CF occurred in 81.5% cases (220/270), presenting one bunch or multiple bunches. CF appeared most commonly in the lower pole of spleen (76.7%, 207/270), then in middle spleen (14.1%, 38/270) and upper pole (9.6%, 26/270). CFPS was performed in 20% cases (54/270) and 80% cases (216/270) were non-CFPS. The incidence of iatrogenic splenic injury was 11.1% (30/270), and this incidence of CFPS group was lower as compared to non-CFPS group (3.7%, 2/54 vs. 13.0%, 28/216), but the difference was not significant (P=0.07). Of 30 patients with splenic injury, 24(80%) were due to traction of CF and all were in non-CFPS group. Instrument injury occurred in 20% cases(6/30) and 2 were in CFPS group and 4 were in non-CFPS group. Most iatrogenic splenic injuries were successfully handled with electrocoagulation, adhesive and compression, except 2 patients underwent open splenectomy for serious splenic injury in non-CFPS group., Conclusion: In laparoscopic surgery for gastric cancer, iatrogenic splenic injury mostly results from improper traction of CF and CFPS can reduce the incidence of iatrogenic splenic injury.

Hydrotalcite-like composite synthesized by co-precipitation method was used as an adsorbent to remove the sulfate ions in aqueous solution. XRD, FT-IR , SEM and EDS elemental analysis were used to clarify the structure and composition of the hydrotalcite- like composite. The influences of time, initial pH value and coexisting ions on adsorption performance were investigated. The result showed the material was the composite of zinc aluminum nitrate hydrotalcite-like compounds and zinc aluminum phenylalanine hydrotalcite-like compounds. Hydrotalcite-like composite had a good performance in adsorption of sulfate ions, and the maximum adsorption capacity was 52.75 mg · g⁻¹. The data fitted pseudo-second order kinetic model best, which indicated that chemical adsorption was the rate-limiting step. Freundlich isotherm was more suitable to describe the adsorption process, and this meant the adsorption of sulfate ions by hydrotalcite-like composite was multilayered adsorption. Thermodynamic parameters showed that the adsorption process was endothermic and spontaneous at room temperature. Hydrotalcite-like composite adsorbed sulfate ions mainly through ion exchange, electrostatic force and physical adsorption. The experimental results showed that the hydrotalcite-like composite had potential for sulfate ion removal in the aqueous solution.

Objective: The research aimed to evaluate the level and clinical significance of serum 25-hydroxyvitamin D in female patients with rheumatoid arthritis (RA)., Methods: Totally 82 untreated RA female patients (RA group) and 32 healthy females (control group) were enrolled.According to the disease activity score in 28 joints (DAS28), patients in RA group were divided into remission stage group (<2.6 scores, 32 cases) and active stage group (≥2.6 scores, 50 cases). The correlations of 25-hydroxyvitamin D (25-(OH)-D) level with related indicators were analyzed., Results: (1)The levels of serum 25-(OH)-D in female RA active stage group were significantly lower than those in control group [(12.5±6.3) μg/L vs (26.6±5.3) μg/L ] (P<0.01). The levels of serum 25-(OH)-D in female RA remission stage group were significantly lower than those in control group [(14.2±7.2) μg/L vs (26.6±5.3) μg/L] (P<0.01). (2)Serum 25-(OH)-D levels were inversely associated with C reactive protein (CRP), erythrocyte sedimentation rate (ESR), DAS28 score (r=-0.575, r=-0.528, r=-0.354, P<0.05) in female RA active stage group, but not in female RA remission stage group (P>0.05). (3)In active stage group, the 25-(OH)-D levels of premenopausal RA patients were negatively correlated with CRP, ESR, DAS28 (r=-0.707, r=-0.625, r=-0.487, P<0.05), but not in postmenopausal RA patients (P>0.05)., Conclusions: The 25-(OH)-D levels in serum are reduced in female patients with RA.Serum 25-(OH)-D level can be a marker to monitor the disease activity in RA premenopausal female patients.

Objective: To investigate the safety and feasibility of laparoscopic radical right hemicolectomy using caudal-to-cranial approach (yellow-white borderline between right mesostenium and retroperitoneal is firstly cut as the entry to dissect the fusion fascial space between the visceral and parietal peritoneum, which is called caudal-to-cranial approach for right hemicolectomy)., Methods: From January 2014 to May 2015, 76 consecutive patients with right side colon cancer underwent laparoscopic radical right hemicolectomy using caudal-to-cranial approach. The baseline characteristics, intraoperative and postoperative outcomes were prospective collected and reviewed retrospectively., Results: All the 76 patients completed operations successfully, and one patient (1.3%) was converted to open surgery because of intraoperative bleeding due to unexpected injury of ileocolic artery. The mean operative time was (152.8±42.1) min with a mean estimated blood loss of (70.4±43.5) ml. The mean time of first flatus was (49.3±22.9) h and mean liquid oral intake was (58.5±17.6) h. The postoperative complications appeared in 7 patients (9.2%), including one (1.3%) of pulmonary infection, one(1.3%) of urinary system infection, two (2.6%) of wound infection, two (2.6%) of inflammatory bowel obstruction and one (1.3%) of lymphatic fistula, and they were all cured with conservative treatments. The postoperative hospital stay was (7.8±5.4) d. The mean number of harvested lymph node was 34.2±10.9, among which 4.1±2.8 was positive., Conclusions: Laparoscopic radical right hemicolectomy using caudal-to-cranial approach is safe and feasible.

This research described the heterogeneous reactions of persulfate with different particle sizes of zero-valent iron (including 1 mm-ZVI,150 μm-ZVI,50 nm-ZVI) for degradation of acid orange 7(AO7) , and studied the kinetics and intermediate products of AO7 under these systems. The results demonstrated that these three types of ZVI were efficient in promoting the degradation of AO7, the degradation efficiencies of AO7 were 43% , 97% , and 100% within 90 min respectively, in the 1 mm-ZVI,150 μm-ZVI and 50 nm- ZVI systems, respectively. With the results of kinetic fitting models, the pseudo first-order kinetics exhibited better fitting results in the 1 mm-ZVI,150 μm-ZVI systems, while the second-order kinetics exhibited better fitting results in the 50 nm-ZVI system. And the different ZVI types exhibited difference on the AO7 degradation rate constant, which ranged as 50 nm-ZVI > 150 μm-ZVI > 1 mm-ZVI. The iron corrosion products coating on the ZVI after reaction were composed of α-Fe2 O3 and some Fe3O4 in the 1 mm-ZVI system while that consisted of Fe3O4 and α-Fe2O3, FeOOH respectively, in thel50 μm-ZVI and 50 nm-ZVI systems,. Which were identified by scanning electron microscope (SEM) with energy dispersive spectrometer (EDS) and Raman spectroscopy. Some intermediate products, including 2-naphthalenol, 2-methylphenol, 4-ethyl- 3-methyl-phenol, isoindole- 1,3-dione and phthalic acid et al. were identified by GC/MS measurement. Both UV-vis absorbance spectra and GC/MS determination indicated that there was difference in degradation paths of AO7 between the three systems.

Objective: To investigate the impact of atrial fibrillation (AF) on clinical outcomes in patients with acute ischemic stroke undergoing thrombolytic therapy., Methods: The clinical data of 330 patients with acute ischemic stroke who received intravenous recombinant tissue plasminogen activator (rt-PA) therapy in the Second Affiliated Hospital, Zhejiang University School of Medicine between June 2009 and August 2013 were reviewed. Clinical outcomes in AF and non-AF groups were evaluated by univariate and multivariate analysis. Favorable outcome was defined as a modified Rankin Scale (mRS) 0-2 on day 90. Hemorrhagic transformation (HT) was classified as hemorrhagic infarction (HI) and parenchymal hematoma (PH) within the first 24h according to ECASS II criteria. Hypoperfusion and severe hypoperfusion were defined as Tmax >6 s and >8 s, respectively. The rate of reperfusion was compared between AF and non-AF groups., Results: Among 330 patients, 137(41.5%) had AF. Compared with non-AF patients, patients with AF were older [(71.7±11.5)y vs (63.4±13.2)y, P<0.001], had higher baseline National Institutes of Health Stroke Scale [IQR, 13(8-16) vs 9(5-15), P<0.001], higher rate of HT(HI: 28.5% vs 17.1%, P=0.015; PH: 13.9% vs 4.1%, P=0.002), and lower rate of favorable outcome (41.5% vs 58.0%, P=0.005) at d 90. After adjustment, AF was not a risk factor for favorable outcome (OR=0.920, 95%CI:0.533-1.586; P=0.763) and mortality (OR=1.381, 95%CI:1.096-1.242; P=0.466) on day 90. AF was also not associated with HI (OR=1.676, 95%CI: 0.972-3.031; P=0.088), but it increased the rate of PH (OR=3.621, 95%CI: 1.403-9.344; P=0.008). Among 94 patients with pre- and post-thrombolytic perfusion-weighted image, AF was not associated with increased rate of reperfusion for hypoperfusion (Tmax >6 s, OR=1.12, 95%CI: 0.35-3.63, P=0.849), but was correlated with increased rate of reperfusion for severe hypoperfusion (Tmax>8 s, OR=10.57, 95%CI:1.16-96.50, P=0.037)., Conclusion: The presence of AF has no independent impact on neurological outcome in thrombolytic patients with acute ischemic stroke. It is associated with increased reperfusion rate of more severe hypoperfusion area and higher frequency of PH.

Objective: To investigate the risk factors of hemorrhagic transformation (HT) in different cerebral regions and to explore its relation to clinical outcomes of patients with acute ischemic stroke after intravenous thrombolysis therapy., Methods: The clinical, laboratory, and radiological data of 292 consecutive acute ischemic stroke patients undergoing intravenous thrombolysis therapy in Second Affiliated Hospital, Zhejiang University School of Medicine from June 2009 to May 2013 was retrospectively analyzed. Deep HT was defined as HT located in basal ganglia, internal capsule, external capsule and thalamus, otherwise the lesion was defined as non-deep HT. Patients were divided into 3 groups [Deep HT(n=47), non-deep HT(n=82), non HT(n=8)] and the differences in clinical and demographic characteristics were compared by using one-way analysis of variance and Ξ2-test. Multivariable logistic regression models were used to determine the independent risk factors of HT in different cerebral regions and clinical outcomes., Results: Age, baseline National Institutes of Health Stroke Scale (NIHSS) score, baseline systolic blood pressure and the frequency of atrial fibrillation were different among three groups. Logistic regression analysis revealed that baseline NIHSS score (OR=1.126, 95%CI:1.063-1.193, P<0.001) and baseline systolic blood pressure (OR=0.982, 95%CI:0.967-0.998, P=0.020) were independent risk factors of deep HT. Multivariate analysis also found that deep HT was an independent predictor of functional outcome after thrombolysis (OR=0.291, 95%CI:0.133-0.640, P=0.002)., Conclusion: Baseline NIHSS score and systolic blood pressure are predictors for deep hemorrhagic transformation, which indicates the poor functional outcome of patients with acute ischemic stroke following thrombolytic therapy.

Objective: To assess the impact of cerebral microbleeds (CMBs) on clinical outcomes in patients with acute ischemic stroke treated by intravenous thrombolysis., Methods: The clinical data of 225 patients with acute ischemic stroke who received intravenous recombinant tissue plasminogen activator therapy in the Second Affiliated Hospital, Zhejiang University School of Medicine from June 2009 to May 2013 were reviewed. The severity of CMBs and hemorrhagic transformation (HT) after thrombolytic therapy and clinical neurological outcome based on modified Rankin scale (mRS) at 3 months were evaluated. Favorable outcome was defined as mRS 0-1 and unfavorable outcome as mRS 2-6. Multivariate logistic-regression analysis and binary logistic-regression were used to determine independent risk factors of HT and favorable outcome., Results: The mean age of 225 patients was (66.29±13.01) y, 73 (32.4%) patients were women, mean pretreatment National Institutes of Health Stroke Scale (NIHSS) score was 11.40±5.89, and onset-to-needle time was (238.40±89.16) min. Totally, 522 CMBs were detected in 91 patients (36.1%). Postlytic radiological HT was found in 64 patients (28.4%), among which 43 (19.1%) were hemorrhagic infarction and 21 (9.3%) were parenchymal hematoma. Univariate analysis showed that patients with HT had higher NIHSS score and more incidence of atrial fibrillation and that patients with unfavorable outcome were older and had higher NIHSS score and more CMBs. Multivariate logistic regression analysis showed that multiple CMBs (>=3) was independently associated with parenchymal hematoma (OR=4.957, 95%CI 1.306-18.811, P=0.019), but not with hemorrhagic infarction (OR=1.204, 95%CI 0.386-3.754, P=0.749). Binary logistic regression analysis showed that multiple CMBs (>=3) was independently associated with unfavorable outcome (OR=3.496, 95%CI 1.381-8.849, P=0.008)., Conclusion: Multiple CMBs are correlated with parenchymal hematoma and unfavorable neurological outcome after thrombolytic therapy in patients with acute ischemic stroke.

According to the water characteristics of industrial rainfall runoff in the catchment of Tongsha Reservoir, Dongguan City, a subsurface-flow constructed wetland (SSFCW) was used to treat simulated rainfall and the spatial variation of removal efficiency of contaminants in the wetland bed was analyzed. The longitudinal and vertical variation of removal efficiency of COD, NH4(+) -N, TN, TP and phenanthrene were examined. Enzyme activity of polyphenol oxidase (PPO) and nitrate reductase (NR) along the wetland bed were analyzed as well, meanwhile, four biogeochemical indexes of the wetland system, including DO, pH, ORP and water temperature, were monitored and their influences on the removal efficiency of contaminants and enzyme activity were analyzed. Results showed that DO, pH, ORP, water temperature all presented a decreasing tendency along the wetland bed, and the removal of COD, TP and phenanthrene occurred mainly in the front quarter of the wetland system; in the vertical direction, DO and ORP in the upper wetland bed were significantly higher than those in the ground floor, suggesting that the horizontal subsurface system was in an anaerobic or anoxic condition. The removal rates of COD, TP, TN, NH4(+) -N and phenanthrene were 1.17-1.36, 2.04-2.11, 1.40-1.92, 1.37-2.30, and 1.07-1.36 times higher than those at the bottom, respectively. Therefore, the vertical variation of purification efficiency was more significant than the longitudinal variation. A significant positive correlation was determined between the enzyme activity of NR and the NO3(-) -N concentration, but the longitudinal variation in the enzyme activity of NR and PPO was not obvious.

A test was conducted to examine the degradation effect and reductive dechlorination pathway of 2, 4, 6-trichlorophenol (2,4,6-TCP) in the presence of different electron donors, such as glucose, sodium lactate, sodium pyruvate and sodium acetate. The results showed that, compared with the effect of glucose, sodium lactate, sodium pyruvate and sodium acetate enhanced the dechlorination of 2, 4, 6-TCP effectively, among which sodium lactate could serve as a kind of hydrogen release compound, and the electrons required for reductive dechlorination were released in a sustained way. Substrate metabolism dehydrogenase activity was improved by the external electron donor; after reaction for 240 h, the activity of dehydrogenase was increased in the four electron donor systems, by 21.49%, 25.78%, 136.85% and 139.3%, respectively. The main reductive dechlorination products of 2,4,6-TCP included 2,4-dichlorophenol (2,4-DCP), 4-chlorophenol (4-CP) and phenol; when sodium acetate was used as the electron donor, 4-CP was the main degradation product, and the transformation ratio from 2,4,6-TCP to 4-CP was more than 22%.

To investigate the chemical constituents of A. barbadensis, aqueous extract of the plant was subjected to preparative medium pressure liquid chromatography (MPLC). The chemical structures were mainly determined by spectroscopic evidences (UV, IR, HR-MS, 1H NMR, 13C NMR, HSQC, 1H-1H COSY and HMBC) and chemical methods. A new O, O, O-triglucosylated naphthalene derivative, together with two known 6-phenyl-2-pyrone derivatives and four 5-methylchromones, were isolated and identified as 1-((3-((4- O-beta-D-glucopyranosyl)-beta-D-xylopyranosyloxymethyl)-1-hydroxy-8-alpha-L-rhamnopyranosyloxy)naphthalene-2-y])-ethanone (1), 10-O-beta-D-glucopyranosyl aloenin (2), aloenin B (3), aloesin (4), 8-C-glucosyl-(R)-aloesol (5), 8-C-glucosyl-7-O-methyl-(S)-aloesol (6), and isoaloeresin D (7). Compound 1 is a novel naphthalene derivative and named as aloveroside B, compounds 2-3 are isolated from this Aloe species for the first time.

Objective: To investigate chloride channel 1 (CLCN1) gene mutation and clinical features of 2 Chinese patients with myotonia congenita., Methods: Clinical data of a patient from a family affected with myotonia congenita in addition with a sporadic patient from Fujian province were analyzed. Exons of CLCN1 gene were amplified and sequenced., Results: The proband from the affected family was found to carry a c.1024G>A heterozygous missense mutation in exon 8, whilst the sporadic patient has carried a c.1292C>T heterozygous missense mutation in exon 11., Conclusion: Detection of CLCN1 gene mutation is an effective method for the diagnosis of myotonia congenita. Exon 8 of CLCN1 gene may be a mutational hotspot in Chinese patients with myotonia congenita.

Objective: To observe treadmill exercise test (TET) characteristics in patients with myocardial bridging (MB)., Methods: TET results from January 2003 to December 2010 were retrospectively analyzed in 156 patients with confirmed MB diagnosis. MB patients were divided into smoking group (68 cases) and non-smoking group (88 cases). Coronary angiography results were used to analyze the relations between MB length, myocardial ischemia and exercising duration., Results: (1) MB was documented on two coronary arteries in 2 patients (1%), MB was detected in single artery in 154 patients (99%), of whom 146 cases were located at left anterior descending artery, 8 cases were located at right coronary artery. The degree of narrowing of MB was graded 1 (less than 50%) in 16 patients (10%), grade 2 (50% to 75%) in 108 patients (69%) and grade 3 (greater than 75%) in 32 patients (21%). The length of MB ranged between 4 to 40 mm, MB length was less than 10 mm in 40 patients (26%), between 11 to 20 mm in 48 patients (31%), between 21 to 30 mm in 44 patients (28%), greater than 31 mm in 24 patients (15%). (2) TET positive rate was 41% (64/156) and the TET positive rate was significantly higher in smoking group than in non-smoking group [57% (39/68) vs. 28% (25/88, P < 0.01)]. (3) The length of MB was positively related to the ST-segment depression (r = 0.723, P < 0.01) and negatively related to exercising duration (r = -0.828, P < 0.01). Heart rate was positively related to the ST-segment depression (r = 0.368, P < 0.01)., Conclusions: TET may serve as a good test to assess myocardial ischemia in patients with MB. The length of MB is positively related with myocardial ischemia and negatively related with exercising duration. Smoking might increase myocardial ischemic incidence in MB patients, MB patients should be advised to stop smoking.

The influences of pH and complexing agents on degradation of reactive brilliant blue KN-R by ferrous activated persulfate were investigated, and finally the complexed and the uncomplexed system were compared. Because the lower the pH the more quickly will be the dissociation of S2O8(2-) to the SO4(-*) and the ORP of the dominant radical SO4(-*) in the acidic condition is higher than the dominant radical *OH in the alkaline condition, KN-R degradation rates in acidic condition are far outweigh in the neutral and alkaline conditions. When pH value was 3, the residual rate of KN-R was 17.0% within 3 hours by EDTA system with the lowest PS consumption rate 32.3%, so EDTA was the best complexing agent choice in acidic condition. When pH value was 7, the residual rates of KN-R were 11.3%, 12.4% within 3 days by EDTA, citric acid system with the PS residual rates 28.9%, 28.0% respectively, so EDTA, citric acid were the better choices in the neutral condition. When pH value was 10, glucose acid, citric acid, EDTA and tartaric acid systems all had the similar KN-R degradation rates and PS residual rates, so all could acted as the complexing agents, when the system contained trace amounts of ferrous, the addition of complexing agent would greatly improve the degradation rate of pollutant, from original 52.5% to 79.3% of 3 d, so PS is suitable for in situ chemical oxidation (ISCO).