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Picea schrenkiana is the dominant tree species in Ili River Basin located in the western Tianshan Mountains of Xinjiang. We investigated the growth decline characteristics of P. schrenkiana at different altitudes (1800, 2300 and 2800 m) based on tree-ring index (TRI) and percentage growth change (GC), aiming to understand the growth response of P. schrenkiana to drought events at different altitudes and the impacts of altitude on tree growth decline in this region. The results showed that P. schrenkiana experienced multiple decline events at low-altitude (1800 m). TRI and GC identified inconsistent occurrence time of the decline events. The variations of TRI indicated that P. schrenkiana at low-altitude experienced two large-scale declines during 1927-1933 and 2017-2014, respectively. The variations of GC identified four decline events, including 1891-1893, 1924-1926, 1973-1975, and 2004-2009. The radial growth of P. schrenkiana across altitudes from low to high was significantly affected by the Palmer drought severity index (PDSI) of the previous growing season. The impact of current PDSI on P. schrenkiana during the growing season initially enhanced but later decreased with increasing altitude. In the extreme drought year 1917, the magnitude of growth decline increased with altitude. At low-altitude (1800 m), the TRI was 0.65, which was 35% lower than the normal level. At mid-altitude (2300 m) and high-altitude (2800 m), it was 0.56 and 0.54, respectively, being 40% lower than the average level. The drought event in 1917 had a 2-year legacy effect on the growth of P. schrenkiana at all the altitudes, with the TRI in 1920 recovered to exceeding 0.9, being close to the normal level. The impact of altitude on drought-induced forest decline was significant. Tree growth in low-altitude areas was more vulnerable to drought events due to the relatively poorer water and temperature conditions at low-altitude, which could lead to multiple large-scale decline events. In mid- and high-altitude areas, where hydrothermal conditions were more favorable, trees could experience even more severe decline during extreme droughts.

Broader spectra, lower reflectivity and higher reliability are the performance requirements for broadband antireflective (BBAR) films. In this work, a BBAR film structure was proposed, which maintains extremely low reflectivity, ultra-wide spectra, low polarization sensitivity and practical reliability. The BBAR film consists of a dense multilayer interference stack on the bottom and a nano-grass-like alumina (NGLA) layer with a gradient low refractive index distribution on the top. The film was deposited by atomic layer deposition, while the NGLA layer was formed by means of a hot water bath on Al 2 O 3 layer. The top NGLA layer has extremely high porosity and ultra-low refractive index, along with extremely fragile structure. To surmount the fragility of NGLA layer, a sub-nano layer of SiO 2 was grown by atomic layer deposition to solidify its structure and also to adjust the refractive index with different thicknesses of SiO 2 . Finally, in the wide wavelength range of 400-1100 nm, the average transmittance of the double-sided coated fused quartz reaches 99.2%. The absorption, light scattering, reliability and polarization characteristics of BBAR films were investigated. An optimized BBAR film with low polarization-sensitivity and improved reliability was realized, which should be potentially promising for application in optical systems.

Optimizing the atomic layer deposition (ALD) process of films is particularly important in preparing multilayer interference films. In this work, a series of Al 2 O 3 /TiO 2 nano-laminates with a fixed growth cycle ratio of 1:10 were deposited on Si and fused quartz substrates at 300 °C by ALD. The optical properties, crystallization behavior, surface appearance and microstructures of those laminated layers were systematically investigated by spectroscopic ellipsometry, spectrophotometry, X-ray diffraction, atomic force microscope and transmission electron microscopy. By inserting Al 2 O 3 interlayers into TiO 2 layers, the crystallization of the TiO 2 is reduced and the surface roughness becomes smaller. The TEM images show that excessively dense distribution of Al 2 O 3 intercalation leads to the appearance of TiO 2 nodules, which in turn leads to increased roughness. The Al 2 O 3 /TiO 2 nano-laminate with a cycle ratio 40:400 has relatively small surface roughness. Additionally, oxygen-deficient defects exist at the interface of Al 2 O 3 and TiO 2 , leading to evident absorption. Using O 3 as an oxidant instead of H 2 O for depositing Al 2 O 3 interlayers was verified to be effective in reducing absorption during broadband antireflective coating experiments.

A reaction chamber of atomic layer deposition (ALD) was developed for simultaneous coating on the inner and outer surfaces of a large-size and strongly curved glass bowl. The inner surface ALD process was in a showerhead reaction mode and the outer surface ALD process was in a cross-flow reaction mode. Blue reflection (BR) film of 400 nm wavelength and broadband antireflection (BBAR) film of 400-700 nm wavelength were coated on different glass bowls by ALD. The spectral uniformity of both coated bowls was studied. The measured spectra at multiple positions of the glass bowl with the BBAR coating show better spectral uniformity along the circumference than the depth. The spectral deviation is mainly caused by the non-uniformity of the film on the outer surface (<±3%), and the film on the inner surface has good uniformity along both the circumference and the depth (<±0.7%). The growth rate of the outer film was reduced by 10% on average compared to that of the inner film due to the different gas flow mode.

A Sr 2+ -doping strategy is developed to engineer rich oxygen vacancies in porous titania for boosting visible-light-driven photocatalytic activity. The incorporation of strontium, with a larger atom radius than titanium, leads to the release of a lattice oxygen atom in the titania, causing the generation of an oxygen vacancy. The optimal Sr 2+ -doped titania sample with rich oxygen vacancies achieves a photocatalytic hydrogen production rate as high as 1092 μmol h -1 g -1 , which is 4 and 16 times higher than the unmodified titania with less oxygen vacancies and the bench-marked P25, respectively.

Changbai Mountain is a typical distribution area of temperate coniferous and broad-leaved mixed forests, with significant influence of global climate change. In order to understand the responses of forest ecosystem to climate change, we examined the responses of dominant arbor species in the community ecotone of broad-leaved Korean pine forest and spruce-fir forest (also known as dark coniferous forest), Pinus sylvestriformis and Picea jezoensis . The standard chronologies were established by obtaining tree ring width data in order to identity the key climatic factors that confine the radial growth of both species. The responses of P. sylvestriformis and P. jezoensis to climate factors were different. P . sylvestriformis was more sensitive than P. jezoensis , indicating that P . sylvestriformis was more suitable for dendroclimatological analysis. The radial growth of P . sylvestriformis was consistent with the increases of mean temperature, while the radial growth of P . jezoensis showed a "divergence problem" which decreased with the increases of mean temperature. The radial growth of P . sylvestriformis was mainly limited by temperature, especially the mean temperature in last July and August and current September. However, there was a negative correlation between standard chronologies of P . jezoensis and mean temperature in most months, which was limited by both temperature and precipitation. The correlation between radial growth of both species and climate factors after sudden temperature rise, was weaker than that before sudden temperature rise. The correlation between radial growth and climate factors changed from positive to negative in some months. Current temperature rise might not exceed the critical threshold of the radial growth of P . sylvestriformis , which could promote the radial growth. In addition, the wavelet analysis showed that the radial growth of trees in this area might be affected by large-scale coupling effects of atmospheric-ocean-land changes. In conclusion, climate warming was beneficial to the radial growth of P . sylvestriformis , while drought stress caused by warming was the main factor limiting the radial growth of P . jezoensis . If the global temperature continues to increase in the future, it will have an adverse impact on P . jezoensis . The results would help improve our understanding of the responses of radial growth of P . sylvestriformis and P . jezoensis to future climate change, and provide some basic data for climate reconstruction using both species.

Objective: We aimed to study changes and possible roles of epigenetic modification of candidate genes in the pathogenesis of bipolar disorder, and provide the basis for clinical diagnosis and analysis., Patients and Methods: A total of 150 patients with bipolar disorder were enrolled in this study from January 2014 to June 2015; also, 50 healthy subjects were enrolled as control group. The patients were followed up for 18 months and followed up once every 3 months to review the methylation status. The methylation status was examined before and after treatment, and the patients were followed up every 3 months after treatment, and the follow-up period was 18 months., Results: Compared with the healthy control group, there were 2075 CpG island aberrant methylation points in patients with bipolar disorder, which can be divided into 24 categories. Log-Ratio > 0.5 was used as the positive criteria, and COMT and PPIEL were identified as the genes associated with bipolar disorder. Compared with the control group, the levels of COMT and PPIEL gene methylation in the observation group were significantly higher (p < 0.05). There was no significant difference in the methylation level of COMT and PPIEL gene between the two groups (p > 0.05) after 12 months of treatment., Conclusions: The methylation level of COMT and PPIEL gene is closely related to bipolar disorder.

Based on Cd(NO 3 ) 2 ·4H 2 O and 4,4'-((5-carboxy-1,3-phenylene)bis(oxy))dibenzoic acid (H 3 cpbda), two isomeric coordination polymers, {[Cd 1.5 (cpbda)(bpa)(H 2 O) 2 ]·1.5H 2 O} n (1), [Cd(H 2 cpbda) 2 (bpa) 0.5 (H 2 O)] n (2), were synthesized by using different solvent-systems. The complexes were characterized by single-crystal X-ray diffraction, IR spectroscopy, powder X-ray diffraction, and thermogravimetric analysis. Owing to the obvious structural difference between the two isomeric complexes, the further fluorescence sensing and dye selection and adsorption were investigated. The 3D tight stacking structure of 1 strengthened the fluorescence emission and the loose 2D layer structure of 2 generated the active selection and adsorption of the Malachite Green Oxalate (MGO) dye.

Objective: To evaluate the efficacy and safety of evacuation of spontaneous supratentorial hemorrhage with double targets-single channel and multiaxial stereotaxis., Methods: Thirty-four patients with supratentorial intracerebral hemorrhage, who underwent hematoma evacuation with the method of double targets-single channel between January 2014 and November 2014 in the Second Affiliated Hospital, Zhejiang University School of Medicine, were included in the study. We classified the hematoma into four types based on the principle of double targets-single channel calculation method (DTSC). And the appropriate stereotactic surgery path and operation opportunity were designed individually according to the hematoma volume and mass effect. Twenty-seven patients with supratentorial hemorrhage who underwent hematoma evacuation with the method of single targets-single channel between January 2013 and November 2014 were selected as single target group., Results: Volumes of initial hematoma in DTSC and single target groups were(38.6 ± 19.2)mL and(40.1 ± 18.1)mL, respectively. Initial Glasgow Coma Scale were 9.6 ± 3.2 (3~15) and 9.1 ± 2.9(3~13) (all P >0.05). Residual volume of hematoma and clearance ratio were (11.1 ± 4.2) mL and(73.1 ± 5.4)% in DTSC group and (18.5 ± 5.3) mL and(55.1 ± 5.1)% in single target group by CT scan 24 h after operation(all P <0.05). There was no significant difference in Glasgow Outcome Scale between two groups in one-month follow-up. Average length of postoperative stay of two groups were(12.6 ± 9.8)d and (14.2 ± 7.1)d, respectively., Conclusion: Evacuation of spontaneous supratentorial intracerebral hematoma with DTSC and multi-axial stereotaxis can increase clearance ratio remarkably and decrease average length of stay.

The tree-ring width series and standardized chronologies of Populus davidiana trees in broad-leaved and Korean pine forest in Changbai Mountains were developed separately for male and female trees. Their differential radial growth and their relationship with climatic conditions were analyzed to reveal the effect of gender on radial growth and their climatic responses. It was found that there was a significant differential growth pattern before and after climate change for dioecious trees. The differential responses of the females and males to climate were also observed. The radial increment of female trees before 1980 was significantly higher than that of male trees, and the growth of female was negatively related with the monthly minimum temperature at the end of current growing season and precipitation in the previous and current growing season. The male was significantly positively related with the current growing season temperature. After 1980, the monthly temperature significantly increased, especially the monthly minimum temperature. The increment of dioecious trees decreased. The annual radial growth rate of the female was significantly lower than that of the male. Compared with the male tree, the female was more sensitive to the monthly minimum temperature. The female was significantly positively related with the spring minimum temperature and significantly negatively with the minimum temperature at the end of previous growing season. There was no significant correlation between the male and monthly minimum temperature. The monthly minimum temperature had an important impact on female P. davidiana trees in Changbai Mountains. Under the condition of stable precipitation, the increase of minimum temperature would restrain the growth of females, but lightly influenced the males' growth.

Pinus koraiensis in broad-leaved Korean pine forests of Changbai Mountain at different successional stages (secondary poplar-birch forest, secondary coniferous and broad-leaved forest and the primitive Korean pine forest) were selected in this paper as the research objects. In this research, the annual growth of net primary productivity (NPP) (1921-2006) of P. koraiensis was obtained by combining the tree-ring chronology and relative growth formulae, the correlation between NPP of P. koraiensis and climatic factors was developed, and the annual growth of NPP of P. koraiensis at different successional stages in relation to climatic variation within different climate periods were analyzed. The results showed that, in the research period, the correlations between climatic factors and NPP of P. koraiensis at different successional stages were different. With increasing the temperature, the correlations between NPP of P. koraiensis in the secondary poplar-birch forest and the minimum temperatures of previous and current growing seasons changed from being significantly negative to being significantly positive. The positive correlation between NPP of P. koraiensis in the secondary coniferous and broad-leaved forest and the minimum temperature in current spring changed into significantly positive correlation between NPP of P. koraiensis and the temperatures in previous and current growing seasons. The climatic factors had a stronger hysteresis effect on NPP of P. koraiensis in the secondary coniferous and broad-leaved forest, but NPP of P. koraiensis in the primitive Korean pine forest had weaker correlation with temperature but stronger positive correlation with the precipitation of previous growing season. The increases of minimum and mean temperatures were obvious, but no significant variations of the maximum temperature and precipitation were observed at our site. The climatic variation facilitated the increase of the NPP of P. koraiensis in the secondary poplar-birch forest at the initial successional stage and in secondary coniferous and broad-leaved forest at the intermediate successional stage, and this effect was especially obvious for the secondary coniferous and broad-leaved forest, but very small for the primitive Korean pine forest which was at the climax phase.

Although basic medical studies have shown that lysophosphatidic acid (LPA) has an important relationship to activated blood platelets, we know little about this from clinical experience. This pilot study examined plasma LPA levels in patients with a risk of thrombotic events and evaluated the effects of aspirin on plasma LPA levels. In this basically cross-sectional study, we recruited 1352 patients with either hypertension or hyperlipidemia and 670 controls without any risk factors. Patients with risk factors had significantly higher plasma LPA levels than controls, the mean of LPA = 3.12 ± 2.24 vs. 2.57 ± 1.96 μmol/l, P < 0.001. The patients who had been taking aspirin had relatively lower plasma LPA levels compared with those who did not take aspirin, χ = 43.8, odds ratio (OR) [95% confidence interval (CI)] = 2.76 (2.03-3.75). For the hypertension group, χ = 23.1, OR (95% CI) = 3.44 (2.03-5.82), P < 0.001; for the hyperlipidemia group, χ = 22.9, OR (95% CI) = 2.53 (1.72-3.74), P < 0.001. Patients with a risk factor had higher plasma LPA levels compared with controls. Administration of aspirin may decrease elevated plasma LPA levels. This pilot clinical observation indicates that plasma LPA is worth to be studied further.

The aim of this study was to analyze the association between pulse pressure and a novel type of phospholipid with solubility similar to that of lysophosphatidic acid (LPA), designated as AP, which was reported to be elevated during ischemia. In this cross-sectional study, 416 hypertensive patients and 252 controls aged between 35 and 70 years were enrolled consecutively. Fasting blood samples were extracted for assays of phospholipids and other biomarkers. Compared to controls, the hypertensive patients had higher levels of both LPA [odds ratio (OR) = 3.83] and AP (OR = 4.30). Changes in blood pressure did not affect the levels of LPA or AP. However AP, but not LPA, levels were significantly higher in patients with lower or higher pulse pressure (Pearson χ(2) = 11.239, P = 0.001). For patients whose pulse pressure was ≤60 mmHg, plasma levels of AP were significantly negatively correlated with pulse pressure. However, this was not observed for LPA and nine other biomarkers, including lipoproteins. Plasma levels of AP increased in hypertensive patients with higher or lower pulse pressure. Thus, attention should be paid to the possibility of cerebral ischemia in hypertensive patients when they have abnormal pulse pressure, especially for those with relatively low pulse pressure.

The long-term efficacy and safety of electroconvulsive therapy (ECT) for refractory schizophrenia is rarely reported. We report the case of a 38-year-old female patient with refractory schizophrenia who was treated with ECT for 14 years (from 24 years of age). Case records of clinical treatment and laboratory tests are described and analyzed. During the first 11 years, the patient was treated with ECT as an adjunct to antipsychotic drugs, but the effectiveness was unstable. For the remaining 3 years she was treated with antipsychotic drugs as an adjunct to ECT and her condition stabilized as she gradually recovered social function. We summarize the clinical characteristics, therapy regimen, long-term effectiveness, and safety of this interesting case.

Objective: To investigate the influence of autophagy on the survival and proliferation of multiple myeloma (MM) cells., Methods: Multiple myeloma (MM) cell line U266 cell autophagy was induced by serum-free culture condition, and adding rapamycin or 3-MA respectively. The cells proliferation was observed. U266 cells, lymphoma cell Jurket under normal culture condition, and serum-free cultured Jurket cell were used as control group. The proliferation and apoptosis of cells were determined by CCK8 and flow cytometry, respectively. MDC staining were employed to detect the autophagy. The mRNA expression of Mtor and Beclin1 gene of U266 cells were assayed by RT-PCR. Protein LC3I/LCII and LAMP1 was analyzed by western blot., Results: There was low level of autophagy in U266 cells, sera starvation increased the level of autophagy. Rapamycin upregulated autophagy of the U266 cells and stimulated their proliferation. But the autophagy level of sera starvation and rapamycin group declined when culture for 96h.3-MA had the same effects on U266 cells, although it was on 24 h. But rapamycin and 3-MA could inhibit cell proliferation under normal culture condition. Compared with normal culture condition, apoptosis of U266 cells increased significantly after 24h incubation in medium without sera \[(1.33 ± 0.09)% and (17.90 ± 1.46)%, respectively\] (P < 0.01). Rapamycin and 3-MA could inhibit the serum-free induced apoptosis \[(6.23 ± 0.12)% and (6.97 ± 0.03)%, respectively\](P < 0.01), but cell apoptosis was at the same level after 72 hour incubation \[(30.37 ± 0.27)%, (30.13 ± 1.93)% and (28.57 ± 2.83)%, respectively\] (P > 0.05). However, apoptosis of U266 cells decreased to 18.7% and 12.6% after removal of rapamycin and 3-MA., Conclusion: There is basically level of autophagy in MM cells which is higher than those in the Jurkat cells. Both Rapamycin and 3-MA can inhibit the cells proliferation under normal culture condition. Up-regulated autophagy promotes survival and proliferation of MM cells under sera deletion. Rapamycin strengthens this effect with limited duration. 3-MA has dual effects on cell autophagy.

To reduce the size and weight of the hydrogen maser atomic clocks, some useful attempts and related research results about sapphire-loaded cylindrical cavities for hydrogen masers were reported by the Beijing Institute of Radio Metrology and Measurement. The fractional frequency stability of the order of 10(¿15) over 10,000 seconds can be realized. However, because of a large frequency-temperature coefficient in a single sapphire bulb in the cavity, further improvement of the stability in the compact hydrogen clock was restricted. In this work, we chose several small single-crystal chips of SrTiO3 with a large negative frequency-temperature coefficient to compensate the sapphire microwave cavity. Based on the theoretical calculation, the frequency-temperature coefficient in the TE011 mode of a sapphire cavity associated with several small chips of SrTiO3 can be greatly reduced. A sapphire-loaded cavity and 8 compensated chips of SrTiO3 were prepared, and a combined cavity was simulated by finite element method and measured by experiments. When quality factor was kept above 40,000, the frequency-temperature coefficient can be reduced to about 1/5 of its starting value. The experimental results agree very well with the calculation and simulation. Furthermore, this new method was applied in the compact hydrogen maser. Because of the decrease of temperature frequency shift, the hydrogen maser stability at medium- and long- term averaging time from 1 s to 10(5) s has an obvious improvement compared with the our previous results.

The previous compact hydrogen maser with sapphire microwave cavity at the Beijing Institute of Radio Metrology and Measurement was not suitable for a space application in navigation systems with limitations on volume and weight. To resolve this problem, we present a new design of the sapphire-loaded cavity with optimal parameters in the minimization of volume and maximization of the quality factor. Methods of theoretical calculations, finite element simulation, and related experiments were performed in designing the sapphire-loaded cavity. Based on the analysis, a miniaturized sapphire microwave cavity with the total volume of 3.04 dm(3), the quality factor 67,500, and frequency-temperature coefficient -59.7 kHz/degrees C is developed. The experimental results are completely consistent with calculation values. In addition, the theoretical calculation result shows that the product of the z-component of the magnetic energy filling factor in the bulb region and the cavity TE011-mode Q-factor is 40,800 at 50 degrees C in the miniaturized sapphire cavity. In addition, 2 sapphire-loaded cavities in the Japanese National Institute of Information and Communications Technology and in the Microwave and Optical Communication Research Institute at the University of Limoges, France, are compared with that of our designs.

Beta-THAlassemia (beta-thal) is one of the most common genetic diseases in southern China. In order to obtain detailed epidemiology data to be used for primary prevention programs, we have analyzed 2,055 independent subjects living in Zhongshan City, Guangdong Province, People's Republic of China (P.R. China), by using hematological biochemical screening and DNA technology. The results indicate a higher prevalence (3.07%) of beta-thal and coinheritance of alpha- and beta-thal (0.49%) than previously reported for Guandong Province. Ten beta-thal mutations were found in 63 independent chromosomes. The four most common mutations [codons 41/42 (-TCTT), IVS-II-654 (C>T), -28 (A>G), codon 17 (A>T)] accounted for 90.46% of the total. The uncommon mutations profile was different from that of other cities in Guangdong Province and the rare mutation IVS-II-2 (-T), once reported in Hong Kong, was also detected. This study will contribute to the development of prevention strategies in the region, allowing better genetic counseling and prenatal diagnosis of beta-thal.

Objective: To evaluate the short-term results of humeral head replacement for the treatment of four-part proximal humeral fractures or fracture-dislocations., Methods: Twenty-five patients (11 male and 14 female)with four-part proximal humeral fractures or fracture-dislocations underwent humeral head replacement. The average age was 68.2 years (ranging from 56 to 77 years). All cases were followed up and evaluated the clinical results including pain, function and range of motion of shoulder with Neer scoring system., Results: The follow-up ranged from 12 to 40 months with an average time of 29.3 months. No prosthesis loosening, prosthesis dislocation, postoperative infection, nerve injury or periprosthesis fractures occurred. The results were excellent in 8 cases, good in 11 cases and fair in 6 cases. The excellent and good rate was 76% according to Neer scoring system., Conclusion: Replacement of humeral head prosthesis could attain good short-term results for four-part proximal humeral fractures or fracture-dislocations. The key to improve the postoperative results is meticulous surgical techniques and appropriate correct consecutive physical therapy.

To study the oxidative alkaline-degradation products of PQS (Panax quinquefolium saponin), two compounds were isolated from the crude product of oxidative alkaline-degradation by silica gel column chromatography, Sephadex LH-20 column chromatography and recrystallized methods. On the basis of spectroscopic analysis, their structures were established as (12R, 20S, 24R)-20, 24; 12, 24-diepoxy-24-deisopropyl-dammarane-3beta-ol (1) and (20S, 24R)-20, 24-epoxydammarane-3beta3, 12beta, 25-triol (2). Compounds 1 and 2, dammarane type triterpene with cyclization at the side chain, were obtained for the first time from alkaline-degradation products of total ginsenosides of Panax quinquefolium L., compound 1 is a new compound.

Objective: To study the relationship between the immune response of anti-tetrodotoxin vaccine, including its dose-response, and to select optimal immunization dose so as to enhance antitoxic effect of the anti-tetrodotoxin vaccine., Methods: Tetrodotoxin (TTX) was coupled to Tachypleus tridentatus hemocyanin (TTH) chemically to form artificial antigen (TTX-TTH), and with which Balb/c mice were immunized. Influence of different immunization doses [100 microg as the higher (H) and 25 microg as the lower (L) dose group] on the protective effects of TTX vaccine was compared. The quality of antisera and effects of vaccine in anti-TTX poisoning were observed., Results: The sera antibody quality increased more quickly in group L than that in group H after immunization. The dose at which the half of immunized mice survived when challenged once with TTX were 16 x LD (1 LD = 13.5 microg/kg, i.p.) in group L and 11 x LD in group H. When TTX was used time and again, the half of immunized mice could tolerate as high as 40 x LD and 22 x LD of accumulated dose, and the maximum tolerable cumulated dose was 104 x LD and 90 x LD for group L and H respectively. The scheme L was better both in antibody quality and effect of protecting against TTX toxicity than that in scheme H., Conclusions: The experimental vaccine of TTX could effectively protect animal from TTX intoxication. The lower immunization dose in this study is selected as the optimal immunization scheme.

The cooperative group included 18 provincial and district hospitals. A retrospective study was carried out on 140 cases of therapy related leukemia (TRL) caused by bimolane (BML) for psoriasis from 1984 to 1992. This series of BML-TRL consists of 90 male and 50 female patients. 87.1% of them were from 20 to 50 years old. Annual incidence varied from 4 to 24 cases, and was maintained at this level through the period from 1986 to 1991 without any declining tendency. The average time interval between BML administration and diagnosis of leukemia was 46 months. 138 cases were diagnosed as ANLL and 2 cases were suspected of having ALL. Subtype frequency was shown as follows: M3 > M2 > M5 > M4 > M1 > M6. 67.1% of the patients had a low peripheral white blood cell counts (< 5 x 10(9)/L). 116 patients received chemotherapy. A 26.7% remission rate was obtained with 18.1% complete remission and 8.6% partial remission. A 115 day median survival was calculated through a follow up survey of 95 patients. Finally, we concluded that: (1) This has been the largest group of non-cancer-therapy-related-leukemia patients ever reported. This type of leukemia is characterized by a shorter latent period, higher remission rate less incidence of myelodysplastic syndrome and more frequent occurrence of leukopenia, as compared with other types of TRL. BML is supposed to be a strong leukemia-causing cytotoxic agent. Use of this drug in psoriasis and other benign diseases is not recommended.