Is it safe to have a laboratory test?

A recent US Institute of Medicine report indicated that up to 98,000 deaths and more than 1 million injuries occur each year in the United States due to medical errors. These include diagnostic errors, such as an error or delay in diagnosis, failure to employ indicated tests and the use of outmoded tests. Laboratory tests provide up to 80% of the information used by physicians to make important medical decisions, therefore it is important to determine how often laboratory testing mistakes occur, whether they cause patient harm, where they are most likely to occur in the testing process, and how to prevent them from occurring. A review of the literature and a US Quality Institute Conference in 2003 indicates that errors in laboratory medicine occur most often in the pre-analytical and post-analytical steps in the testing process, but most of the quality improvement efforts focus on improving the analytical process. Measures must be developed and employed to reduce the potential for mistakes in laboratory medicine, including better indicators for the quality of laboratory service. Users of laboratory services must be linked with the laboratorys information system to assist them with decisions about test ordering, patient preparation, and test interpretation. Quality assessment efforts need to be expanded beyond external quality assessment programs to encompass the detection of non-analytical mistakes and improving communication between the users of and providers of laboratory services. The actual number of mistakes in laboratory testing is not fully recognized, because no widespread process is in place to either determine how often mistakes occur or to systematically eliminate sources of error. We also tend to focus on mistakes that result in adverse events, not the near misses that cause no observable harm. The users of laboratory services must become aware of where testing mistakes can occur and actively participate in designing processes to prevent mistakes. Most importantly, healthcare institutions need to adopt a culture of safety, which is implemented at all levels of the organization. This includes establishing closer links between providers of laboratory services and others in the healthcare delivery system. This was the theme of a 2003 Quality Institute Conference aimed at making the laboratory a key partner in patient safety. Plans to create a permanent public–private partnership, called the Institute for Quality in Laboratory Medicine, whose mission is to promote improvements in the use of laboratory tests and laboratory services are underway.Presented at the 9th Conference on Quality in the Spotlight, 18–19 March 2004, Antwerp, Belgium.     

用L-脯氨酸衍生物作为手性流动相添加剂拆分对映异构体

用自制的N-十二酰基-L-脯氨酸和N-十二酰基-L-脯氨酸-3，5-二甲基苯胺两种L-脯氨酸衍生物作手性流动相添加剂，在氨丙基硅烷化硅胶柱上，用正己烷／异丙醇作流动相，对多种手性化合物进行了高效液相色谱拆分。实验结果表明：用N-十二酰基-L-脯氨酸作添加剂拆分的12种手性化合物，有8种手性化合物能得到拆分，具有较好的手性选择性。虽然用N-十二酰基-L-脯氨酸-3，5-二甲基苯胺作添加剂，手性选择性也较好，但由于含有苯环，紫外吸收增强，基线波动严重。     

MM3 parametrization of four‐ and five‐coordinated rhenium complexes by a genetic algorithm—Which factors influence the optimization performance?

Genetic algorithms (GA) were used to solve one of the multidimensional problems in computational chemistry, the optimization of force field parameters. The correlation between the composition of the GA, its parameters (p(c), p(m)) and the quality of the results were investigated. The composition was studied for all combinations of a Simple GA/Steady State GA with a Roulette Wheel/Tournament Selector using different values each for crossover (0.5, 0.7, 0.9) and mutation rates (0.01, 0.02, 0.05, 0.10, 0.20). The results show that the performance is strongly dependent on the GA scheme, where the Simple GA/Tournament Selector yields the best results. Two new MM3 parameters were introduced for rhenium compounds with coordination number four (204) and coordination number five (205), the formal oxidation states of rhenium ranging from +V to +VII. A manifold of parameters (Re-C, N, O, S) was obtained by using a diverse set of CSD structures. The advantage of the GA vs. UFF calculations is shown by comparison of several examples. The GA optimized parameters were able to reproduce the geometrical data of the X-ray structures.     

Chiral separation of triazole pesticide enantiomers by high performance liquid chromatography

Four triazole enantiomers of diclobutrazol (erythro form) (1), paclobutrazol (erythro form) (2), diniconazole (3) and uniconazole (4) have been separated by high performance liquid chro-matography (HPLC) on chiral stationary phase (CSP) OA-4700. Chromatographic data and a chiral recongnition model are presented for the separation of these pesticide enantiomers. The influence of column temperature and composition of mobile phase have been described.     

端视ICP－AES系统分析性能研究──Ⅰ．在稀土分析中的应用

本工作通过比较端视与侧视ＩＣＰ的分析性能，研究了端视ＩＣＰ系统对稀土元素的分析特性。高频发生器输出功率与载气流量对端视与侧视ＩＣＰ激发特性的影响没有明显差异，取光方式的不同是二者分析性能差异的根本原因。端视ＩＣＰ由于取光时避开了产生连续背景的环形热区和截取了整个中心通道的光谱，其背景减小，谱线强度增强，获得较好的测定下限。对１４种稀土元素测定下限的比较表明：端视ＩＣＰ比铡视ＩＣＰ下降１０－３０倍。     

2,4,6-三硝基苯酚改性锆铝复合氧化物固定相分离富勒烯的色谱性能研究

制备了用于分离C60和C70的2，4，6－三硝基苯酚改性锆铝复合氧化物高效液相色谱固定相，考察了流动相中甲苯的含量、柱温及流速对C60和C70分离的影响，同时比较了酸腐蚀前后锆铝复合氧化物基质对分离的影响，结果表明，2，4，6－三硝基苯酚改性酸腐蚀后锆铝复合氧化物填料对富勒烯表现出较强的分离能力，具有作为富勒烯制备分离的潜力。     

氯氮平、去甲氯氮平及奥氮平的高效液相色谱电化学检测特性的研究

 采用高效液相色谱安培电化学检测法 ,考察了氯氮平、去甲氯氮平和奥氮平在不同 pH值流动相下的色谱分离情况及其色谱峰高与检测电压的关系。结果表明 ,氯氮平、去甲氯氮平和奥氮平的保留时间均随流动相 pH值的升高而延长 ;在pH值为 4 5 6和 5 5 6的流动相中 ,均可实现基线分离。 3种化合物的色谱峰高与检测电压之间呈典型的“S”型曲线 ,pH值升高时该曲线均左移。氯氮平、去甲氯氮平和奥氮平的检测电压必须大于产生最大氧化电流的最低电压才能得到稳定的检测电流。这种典型的“S”型伏安曲线对于化合物的定量和定性检测具有重要意义。     

Insoluble eggshell matrix proteins--their peptide mapping and partial characterization by capillary electrophoresis and high-performance liquid chromatography

Avian eggshell matrix proteins were studied by two analytical approaches. Peptide mapping was done by trypsin and pepsin followed by collagenase cleavage; analyses were carried out by capillary electrophoresis and reversed-phase high-performance liquid chromatography (HPLC). Comparison of peptide maps obtained by both methods revealed a complex mixture of peptides in the insoluble layers of the eggshell; it was concluded that there are at least three different insoluble protein/peptide layers in the avian eggshell (cuticle, palisade, and mammillary layer). Partial characterization of peptides in each layer was made by HPLC-mass spectrometry analysis. There is an evidence that the eggshell insoluble proteins contain species susceptible to collagenase cleavage, however, the sequences split by this enzyme probably are not those typical for the main triple-helical core of collagenous proteins. It is proposed that the action of collagenase upon eggshell proteins is caused by the side effect of collagenase described previously with synthetic peptides. Some of the proteins present are probably glycosylated. Fatty acid content in the insoluble eggshell layers (after decalcification) was in the range of 2-4% (which reflected both lipid and lipoproteins bound fatty acids). Porphyrin pigments are dominant in the cuticle layer.     

复合半导体负载金属材料光催化性能研究

CO₂和烃类光催化直接合成烃类氧化物在合成化学、碳资源利用和环境保护等方面均有重大意义。用溶胶-凝胶和浸渍-还原相结合的方法制得M/V₂O₅-TiO₂(M=Pd、Cu、Ni和Ag)光催化剂。利用XRD、TPR、IR、TPD、UV-Vis DRS和光反应器等技术研究了负载金属复合半导体的物相结构、吸附性能、光吸收性能和光催化反应性能。结果表明：金属负载在复合半导体上延迟了TiO₂由锐钛矿向金红石相的转化,增强了V与载体TiO₂的相互作用,使TiO₂光吸收限发生蓝移,对可见光部分的吸收明显增加,拓宽了催化剂的光响应范围;材料吸光性能强弱顺序Pd/V₂O₅-TiO₂ >Cu/V₂O₅-TiO₂ >Ag/V₂O₅-TiO₂>Ni/V₂O₅-TiO₂;材料的吸附性能及反应物的吸附态是反应发生的关键,CO₂在Ag/V₂O₅-TiO₂表面无法形成卧式吸附态,没有目的产物甲基丙烯酸(MAA)生成,光量子效率低;光吸收性能较好的Pd/V₂O₅-TiO₂对CO₂吸附能力过强,卧式吸附态脱附温度高,光催化效率不高;Cu/V₂O₅-TiO₂对CO₂吸附能力适中,CO₂与C₃H₆脱附温度较接近,实现了“光-表面-热”的协同作用,光量子效率最高,达15.1%。     

高效液相色谱法检测保健食品中大豆异黄酮含量

建立了保健食品中大豆异黄酮的高效液相色谱检测方法 ,通过正交试验法得出保健食品中大豆异黄酮的最佳水解条件为 :盐酸浓度2.0mol/L,酸体积40mL ,水解温度80℃ ,水解时间3h;采用HypersilODS2C18 色谱柱 (250mm×4.6mmID ,5μm) ,流动相为甲醇 -水(体积比47∶53) ,流速1.0mL/min ,检测波长260nm ,柱温40℃ ,线性范围在0.5～96mg/L ,相关系数r为0.999 ,相对标准偏差 (RSD)2.09% ,回收率在98.5 %～100.5 %。