乳腺癌术前灰阶超声与彩色多普勒超声联合应用对预后的预测价值

目的探究乳腺癌术前灰阶超声与彩色多普勒超声联合应用对预后的预测价值。方法选取温州医科大学附属第一医院2013年5月—2015年5月期间收治的乳腺癌患者83例,治疗前均行灰阶超声与彩色多普勒超声检查,分析患者超声检查结果、临床征象与术后随访2年期间患者预后的关系,从而分析术前灰阶超声与彩色多普勒超声联合应用对乳腺癌患者预后的预测价值。结果乳腺癌肿块边界清晰、边界不清晰、边界恶性晕的患者2年无瘤生存率依次降低,边界恶性晕与边界不清晰患者死亡率均显著高于边界清晰患者(P0.05);肿瘤≥2 cm患者2年无瘤生存率显著低于2 cm患者;淋巴结转移患者2年无瘤生存率显著低于无转移患者(P0.05);血流分级Ⅱ级患者2年无瘤生存率明显低于0级(P0.05),Ⅲ级患者2年无瘤生存率显著低于0级和Ⅰ级(P0.05)。结论乳腺癌患者术前联合应用灰阶超声与彩色多普勒超声检查可确定肿瘤边界、大小及淋巴转移等征象,其与患者无瘤生存率、死亡率等预后指标密切相关,可作为预测乳腺癌患者预后的重要方法。     

金蒲抑瘤片在鼻咽癌的临床应用研究

为探讨鼻咽癌患者放疗期间合并应用金蒲抑瘤片治疗对细胞免疫功能及血中微量元素硒、锌、铜的影响，经病理证实鼻咽癌患者58例，随机分为放疗服药组30例和单纯放疗组28例。两组放疗前后抽静脉血测定T细胞亚群（CD3＋，CD4＋，CD8＋，CD4＋／CD8＋），血中微量元素硒，锌，铜并与30例健康者（正常对照组）进行比较。结果表明，鼻咽癌患者血中微量元素硒，锌，铜及CD3＋，CD4＋，CD4＋／CD8＋显著低于健康人，放疗期间合并应用金蒲抑瘤片治疗后血中微量元素硒，锌，铜及CD3＋，CD4＋，CD4＋／CD8＋较服药前显著升高。提示鼻咽癌患者细胞免疫功能低下，血中微量元素硒，锌，铜显著低于健康人。金蒲抑瘤片能提高鼻咽癌患者因中微量元素硒，锌，铜含量，使低下的细胞免疫功能迅速恢复。     

Monte Carlo simulations of systems of rodlike molecules with semiflexible terminal groups

The results of Monte Carlo simulations of systems of rodlike molecules with semiflexible terminal groups are compared with those of systems with terminal groups at a fixed angle τ with respect to the rigid core and with those of a system containing the rigid cores alone in the same total volume. The nematic/isotropic transition temperature decreases with increasing flexibility or with increasing τ. For semiflexible groups, the transition is coupled with a conformational change favouring more extended conformations in the nematic phase. The results of the simulations are discussed in connection with those obtained for similar models in the recent literature and with the predictions of the Maier‐Saupe and Flory‐Ronca‐Irvine theories.     

Extraction behaviour of uranium,zirconium and ruthenium with gamma-irradiated sulfoxides and tri-n-butyl phosphate

The extraction, scrubbing and stripping behaviour of uranium, zirconium and ruthenium with di-n-hexyl and di-n-octyl sulfoxides in Solvesso-100 and tri-n-butyl phosphate (TBP) in shell Sol-T irradiated by various gamma doses (0–169 Mrads) have been investigated. 2M HNO₃ was used for extraction and scrubbing and 0.01M HNO₃ for stripping purposes. Results indicate that the extraction of uranium with TBP increases and that with sulfoxide decreases with dose. This is reflected in their corresponding scrubbing percentages too. The stripping percentage of uranium with TBP decreases with dose while the reverse is the case with sulfoxide. The extraction of zirconium with TBP increases sharply with dose as compared to sulfoxides. The extraction scrubbing and stripping of ruthenium remain almost unaffected by dose both in the case of TBP and sulfoxides. These results lead to much higher overall decontamination factors for uranium with respect to zirconium as well as ruthenium with irradiated sulfoxides as compared to those with irradiated TBP.     

Photoaddition of ketones to imidazoles,thiazoles, isothiazoles and isoxazoles. Synthesis of their oxetanes

Imidazole itself did not undergo photoaddition reactions with ketones. However, irradiation of 1-acetyl and 1-benzoylimidazole, and 1,1-carbonyldiimidazole with benzophenone yielded oxetanes. On irradiation with carbonyl compounds, 1,2-dimethylimidazole and 1-benzylimidazole did not give oxetanes but a hydroxyaryl or hydroxyalkyl derivative. Thiazole itself did not yield any photoaddition product, but 2,4-dimethylthiazole afforded oxetanes on irradiation with benzophenone and with 3-benzoylpyridine. Irradiation of 2,4-dimethylthiazole with acetophenone led to the formation of a dimeric material. On irradiation with benzophenone, 4-methylisothiazole did not yield an oxetane but rather a hydroxyphenyl derivative. 3,5-Dimethylisoxazole on irradiation with benzophenone and with 3-benzoylpyridine gave oxetanes. Irradiation of 4,5-dimethylisoxazole yielded similarly an oxetane with benzophenone     

Comparison of electrothermal atomization diode laser Zeeman- and wavelength-modulated atomic absorption and coherent forward scattering spectrometry

Atomic absorption and coherent forward scattering spectrometry by using a near-infrared diode laser with and without Zeeman and wavelength modulation were carried out with graphite furnace electrothermal atomization. Analytical curves and limits of detection were compared. The magnetic field was modulated with 50 Hz, and the wavelength of the diode laser with 10 kHz. Coherent forward scattering was measured with crossed and slightly uncrossed polarizers. The results show that the detection limits of atomic absorption spectrometry are roughly the same as those of coherent forward scattering spectrometry with crossed polarizers. According to the theory with bright flicker noise limited laser sources the detection limits and linear ranges obtained with coherent forward scattering spectrometry with slightly uncrossed polarizers are significantly better than those obtained with crossed polarizers and with atomic absorption spectrometry. This is due to the fact that employing approaches of polarization spectroscopy reduce laser intensity fluctuations to their signal carried fractions.     

Zur reaktionvon cyclotri- und cyclotri- und cyclotetrasilazanen mit silylfluoriden

Fluorosilyl substituted cyclosilazanes are formed by treating lithium salts of hexamethylcyclotri- and octa-methylcyclotetrasilazanes with silicon tetrafluoride and organo-substituted silicon fluorides. Disubstituted compounds are obtained by the reaction of dilithium hexamethylcyclotrisilazane with silicon fluorides or by the reaction of lithium hexamethylcyclotrisilazane with silicon fluorides at higher temperature. Cyclosilazanes with bulky ligands react with butyllithium with elimination of butane as a first step and then react further with a silicon fluoride compound, with LiF-elimination, to give a mixed substituted cyclosilazane. Ring coupling through a silicon bridge is achieved by the reaction of a fluorosilyl-substituted cyclotrisilazane with lithium hexamethylcyclotrisilazane. The mass,¹H and¹⁹F NMR spectra of the compounds are reported.     

A coupled reagent of o-phthalaldehyde and sulfanilic acid for protein detection based on the measurements of light scattering signals with a common spectrofluorometer

A rapid and sensitive method for the determination of proteins is proposed with a coupled reagent of o-phthalaldehyde and sulfanilic acid by measuring the light scattering (LS) signals with a common spectrofluorometer. Mechanism investigations showed that o-phthalaldehyde couples at first with sulfanilic acid with fast speed and forms a new synthesized Schiff base dye, which then interacts with protein rapidly on acidic condition, resulting in greatly enhanced LS signals with the maximum peak located at 344 nm. Based on the linear relationship between enhanced LS intensities and concentrations of proteins, a novel assay of HSA and BSA is established in the linear range of 0.1-25.0 microg ml(-1) with the limits of detection (3sigma) being 13 ng ml(-1) depending on the concentration of the reagent. Results for sample detections of our method were consistent with the documented spectrophotometric method with CBB G250 assay.     

Modified nucleosides in human serum.

Methylated purines and pyrimidines derived from the degradation of transfer ribonucleic acid have been shown to be excreted in abnormal amounts in the urine of patients with cancer. Recent technology developed by Gehrke and Kuo has allowed the separation and quantification of modified nucleosides in serum using reversed-phase high-performance liquid chromatography with diode-array measurement. Serum levels of ten modified nucleosides were measured in 37 normal healthy adults to establish normal values and to correlate activity with age and sex. In addition, serum levels of patients with several malignancies were measured to determine activity in these diseases. Levels of modified nucleosides in normal individuals were consistently reproducible and showed no significant variation among males versus females or with age. Patients with malignant diseases showed consistent elevations and these were highest in patients with more advanced disease. The evidence of no significant differences in the mean levels of modified nucleosides in serum with age or sex in normal adults and elevations in patients with malignancies demonstrate the potential value of modified nucleosides as cancer biomarkers.     

Determination of paraquat in marijuana by reversed-phase paired-ion high performance liquid chromatography.

A sensitive and selective method is described for the quantitative determination of paraquat in marijuana. Paraquat is extracted from finely ground plant material with hydrochloric acid with sonification, and the resulting acidic solution is extracted with chloroform:isopropanol (9:1) and evaporated to dryness. The residue is reconstituted with aqueous phosphate buffer pH 7.0; the solution is passed through a C-18 SEP-PAK TM and is analyzed with high performance liquid chromatography, using a reversed-phase column and an "ion pairing" reagent in the mobile phase. The recovery of paraquat in laboratory-spiked material varied from 90-97%. Results obtained with confiscated, field-sprayed marijuana by the procedure described were in excellent agreement with those obtained with a well-established ultraviolet procedure. The calculated limit of detection with this method is 2 ng of paraquat.     

A hierarchically zeolite Y for the N-heterocyclic compounds synthesis

High activity and selectivity of the hierarchical H-Ymmm zeolite in the synthesis of practically important pyridines (by interaction of C₂–C₄ alcohols with formaldehyde and ammonia, cyclocondensation of acetaldehyde and propanal with ammonia), dialkyl quinolines (by reaction of aniline with aldehydes) and alkyl dihydroquinolines (by reaction of aniline with ketones- acetone, acetophenone) were revealed in the research.The advantages of the micro-meso-macroporous H-Ymmm zeolite over the microporous H-Y zeolite in the synthesis of pyridines and quinolines were demonstrated. In the products formed by the reaction of ethanol with formaldehyde and ammonia, picolines (up to 63%) and lutidine are predominant in H-Ymmm, Pb-H-Ymmm and Fe-H-Ymmm zeolites. The interaction of n-propanol (n-butanol) with formaldehyde and ammonia in the presence of H-Ymmm zeolite with high selectivity produced 3,5-lutidine (up to 90%) or 3,5-diethylpyridine (85%). H-Ymmm zeolite makes it possible to prepare 2-methyl-5-ethylpyridine with 87% selectivity (reaction of acetaldehyde with ammonia) and 2-ethyl-3,5-dimethylpyridine with 58% selectivity (reaction of propanal with ammonia).The synthesis of dialkylquinolines and dialkyltetrahydroquinolines with a total selectivity of 65–73% by the interaction of aniline with C₃–C₅ aldehydes has been carried out. The dihydroquinoline derivatives with the selectivity of up to 70% have been synthesized by the reaction of aniline with ketones (acetone, acetophenone).     

DOTTADs--readily made novel metal ligands with multivariant functionality

The interaction of Hantzsch pyridinecarboxylic acids with dialkylformamides and POCl3, followed by treatment with NH4OH yields 1,8-dioxo-1,2,7,8-tetrahydro-2,7,10-triazaanthracenes (DOTTADs), which have great potential as useful ligands for Group I and II metals and some transition metals. The corresponding Hantszch esters similarly for DOTTADs or their bis-imines by way of isolable intermediates, which are then treated with an amine RNH2. DOTTAD-imines are also available from DOTTADs with amines and this reaction is also effective with 1,8-diamino-3,6-dioxaoctane to give macrocyclic analogues, as well as with chiral amines. DOTTAD-imines can be reduced with diethylsilane and Wilkinson's catalyst to the corresponding amines, which can also be formed from DOTTADs by reductive amination with amines and Na(AcO)3BH. Mono-aldols of DOTTADs are easily formed by treatment of DOTTADs with acetone.     

Effectiveness of universal pre-enrichment broth for recovery of Salmonella from selected dairy foods

The relative efficiencies of 2 Bacteriological Analytical Manual (BAM) pre-enrichments, lactose broth (LAC) and brilliant green water (BGW), were compared with Universal Pre-enrichment (UP) broth for the recovery of individual Salmonella serovars from instant nonfat dry milk (NFDM), dry whole milk (DWM), lactic casein (LC), and liquid whole milk (LWM). BGW was compared with UP broth for the analysis of NFDM and DWM but not with the other 2 matrixes. LAC was compared with UP broth for the analysis of LC and LWM. UP broth was made both from a commercial dehydrated preparation (UPC) and from individual ingredients (UPI). Bulk quantities of the selected dairy foods were inoculated with Salmonella serovars at levels intended to produce fractionally positive results, where at least half of the test portions analyzed, with one of the methods being evaluated, would be shown to be Salmonella-positive. For NFDM, in 6 of 9 experiments, with 2 different Salmonella serovars, BGW was significantly more productive than either UPI or UPC broth (p < 0.05). Salmonella was recovered from 118 of 180 test portions with BGW, from 25 of 180 test portions with UPC, and from 14 of 180 test portions with UPI. For DWM, in 2 of 4 experiments, with 2 different Salmonella serovars, BGW was significantly more productive than either UPI or UPC broth (p < 0.05). Salmonella was recovered from 67 of 80 test portions with BGW, from 36 of 80 test portions with UPC, and from 37 of 80 test portions with UPI. For LWM, in 9 of 9 experiments, with 3 different Salmonella serovars, there were no significant differences among the broths. Salmonella was recovered from 120 of 180 test portions with LAC, from 135 of 180 test portions with UPC, and from 129 of 180 test portions with UPI. For LC, in 5 of 7 experiments, with 2 different Salmonella serovars, both UPI and UPC broth were significantly more productive than LAC (p < 0.05). Salmonella was recovered from 42 of 140 test portions with LAC, from 114 of 140 test portions with UPC, and from 114 of 140 test portions with UPI. In addition, overall results showed that UPC and UPI broths were equivalent for the recovery of Salmonella from the foods tested, without regard to their performance in comparison with either LAC or BGW.     

Effective 1,5-, 1,6- and 1,7-remote stereocontrol in reactions of alkoxy- and hydroxy-substituted allylstannanes with aldehydes

Alk-2-enylstannanes with 4-, 5- and 6-alkoxy- or -hydroxy-substituents are transmetallated stereoselectively with tin(iv) halides to generate allyltin trihalides which react with aldehydes to give (Z)-alk-3-enols with useful levels of 1,5-, 1,6- and 1,7-stereocontrol. Alk-2-enylstannanes with a stereogenic centre bearing a hydroxy or alkoxy group at the 4-, 5- or 6-position, react with overall (Z)-1,5-, 1,6- and 1,7-syn-stereoselectivity with respect to the hydroxy and alkoxy substituents. The analogous reactions of alkoxy- and -hydroxyalk-2-enylstannanes with a methyl bearing stereogenic centre at the 4- or 5-position react with overall (Z)-1,5- and 1,6-anti-stereoselectivity with respect to the hydroxy and methyl substituents.     

Adduct of dimedone and 1,2-dibenzoylethene in reactions with nitrogen binucleophiles

Dimedone adduct with 1,2-dibenzoylethene in reaction with p-phenylenediamine formed a bispyrrole derivative, and with benzidine and ethylenediamine afforded the corresponding monopyrroles. The reaction of the initial adduct with tryptamine results in a product containing a pyrrole and an indole fragments. Both versions of N-heterocyclization proceed in the reaction with urea yielding derivatives of tetrahydroindole and pyrrole. In the reaction with hydrazine hydrate a substituted pyridazine was obtained as a result of a dimedone molecule elimination from the intermediate cyclization product.     

再生障碍性贫血患者中药治疗前后微量元素变化初步观察

对20例再生障碍性贫血患者（以下简称再障）头发中12种微量元素的含量进行测定，与正常人做对照，结果发现，阴虚型患者锂、钙、锶、铬显著减少，阴虚型患者锌、镁、钡、钙、锂明显下降，阴阳俱虚型患者则12种元素均减少，并对本院治疗再障贫血的24味中药的微量元素的含量也进行测定。结合微量元素变化对指导再障的辩证组方和辩证施治提供新的思路，同时系统观察再障贫血10例治疗前后微量元素的变化情况，从微量元素角度探求再障的发症因素，认为与部分微量元素缺乏有关，补充相关的微量元素，再障患者可恢复健康。     

Application of electron-attachment reactions to enhance selectivity of electron-capture detector for nitroaromatic explosives

The differences in the extent of electron-attachment reactions between thermal electrons and selected classes of organic molecules with high electron affinities were investigated. The investigations showed that interactions of thermal electrons with nitroaromatic compounds lead to the formation of neutral products with very low electron affinities. By contrast, a number of other analytes with high electron affinities such as polyhalogenated organic compounds, lead to products with high electron affinities. This difference was exploited to differentiate between nitroaromatic and polychlorinated organic compounds with a tandem arrangement consisting of two electron-capture detectors connected in series with an electron-attachment reactor.     

Polymerization of allyl(vinyl phenyl) ethers and reactions of the resulting polymers

Solution polymerizations of allyl(o-vinyl phenyl)ether and allyl(p-vinyl phenyl)ether with cationic and radical initiators were investigated. Soluble polymers were formed in polymerizations with boron trifluoride etherate and with benzoyl peroxide. In polymerization with azobisisobutyronitrile the polymerization in dilute solution gave a soluble polymer, whereas that in concentrated solution gave a crosslinked, insoluble one. For informationon the polymerization behavior some infrared and ultraviolet spectroscopic investigations of the soluble polymers were made. From these results it appears that polymers with pendant allyl groups are formed in polymerization with boron trifluoride etherate at low temperature, and polymers containing pendant vinyl groups and allyl groups are obtained with the two types of radical initiator. Copolymerizations of these monomers with ethyl vinyl ether and styrene with the use of boron trifluoride etherate were sucessfully effected. Such reactions as Claisen rearrangement, crosslinking induced with radical initiators, and epoxidation with perbenzoic acid were examined for the polymers prepared in the polymerization with boron trifluoride etherate. Good results were obtained for the former two reactions. However, the latter was unsuccessful.     

Brownian dynamics simulations on the self-assembly behavior of AB hybrid dendritic-star copolymers

The micellization behavior of hybrid dendritic-star copolymers with solvophilic dendritic units is studied by means of Brownian dynamics simulations. The critical micelle concentration and the micelle size and shape are examined for different solvophobic/solvophilic ratios r as a function of the number of the dendritic and linear arms. Hybrid dendritic-star copolymers with one dendritic and up to three solvophobic linear branches form spherical micelles with preferential aggregation number. Those with two dendritic arms and three solvophobic branches form micelles with wide aggregation numbers only for small values of r. For hybrid dendritic-star copolymers with three dendritic arms and two or three solvophobic linear arms, micelles with wide aggregation numbers are also formed but for slightly higher values of r. Our results for the aggregation number are compared with existing results of other architectures obtained at the same temperature, and an inequality for the aggregation number is proposed.     

Thin-layer chromatographic and high-performance thin-layer chromatographic ready-for-use layers with lipophilic modifications

Stable silica gel sorbents with aliphatic or aromatic groups are formed by chemical modifications of the silanol groups with special reactive silanes. Various lipophilic surface modifications on silica gels with varying pore structures are tested with regard to their chemical and physico-chemical characteristics, their wettability and their chromatographic retention data. The main problem in TLC is the preparation of abrasion-resistant layers on glass or on foils which meet the usual high standard of quality and are also suited for quantitative determinations. Thin-layer chromatography on reversed-phase layers can only be performed if the complete wettability of the lipophilic stationary phase in dry form is guaranteed by the mobile phase. Adsorption-chromatographic separations with lipophilic eluents and reversed-phase partition-chromatographic separations with hydrophilic eluents are performed, for example, with dyes, with polycyclic aromatic hydrocarbons and with lipids. The great differences in selectivity caused by the various modifications of the sorbent and the varying eluent composition are remarkable. Ready-for-use layers with lipophilic surface modifications complement the existing range of pre-coated layers and thus widen the application of TLC and HPTLC considerably.