Effectiveness of total knee arthroplasty using three-dimensional printing technology for knee osteoarthritis accompanied with extra-articular deformity

目的探讨3D打印技术辅助人工全膝关节置换术(total knee arthroplasty,TKA)治疗合并关节外畸形的膝骨关节炎(knee; osteoarthritis,KOA)的临床疗效。方法2013年3月2015年12月,收治15例(18膝)合并关节外畸形的KOA患者。男6例(6; 膝),女9例(12膝);年龄55~70岁,平均60.2岁;病程7~15年,平均10.8年。单膝12例,双膝3例。膝关节学会评分系统(KSS)临床; 评分为(57.441.06)分,功能评分为(60.881.26)分。膝关节活动度为(72.220.18)°。下肢力线偏移(18.890.92)°; 。合并股骨侧畸形8例(10膝),胫骨侧畸形5例(5膝),股骨侧及胫骨侧畸形2例(3膝)。术前3D打印骨骼模型、截骨导航模板并设计手术方案,选择合; 适的膝关节假体后实施TKA。结果手术时间65~100 min,平均75.6 min;术中出血量50~150 mL,平均90.2; mL。术后均未出现切口愈合不良、感染、血栓等并发症。患者均获随访,随访时间12~30个月,平均22个月。末次随访时,X线片示假体位置均良好,未发; 现松动、下沉;下肢力线偏移(2.000.29)°,与术前比较差异有统计学意义(t=13.120,P=0.007);KSS临床评分为(87.500; .88)分、功能评分为(81.941.41)分,与术前比较差异有统计学意义(t=27.553,P=0.000;t=35.551,P=0.000); ;膝关节活动度为(101.941.42)°,与术前比较差异有统计学意义(t=31.633,P=0.000)。结论对于合并关节外畸形的KOA,采用; 3D打印技术辅助TKA,可达到个体化治疗、降低手术难度,有效矫正畸形,恢复患者膝关节功能的目的。Objective To evaluate the effectiveness of total knee arthroplasty (TKA); using three-dimensional (3D) printing technology for knee osteoarthritis; (KOA) accompanied with extra-articular deformity. Methods Between March; 2013 and December 2015, 15 patients (18 knees) with extra-articular; deformity and KOA underwent TKA. There were 6 males (6 knees) and 9; females (12 knees), aged 55-70 years (mean, 60.2 years). The mean; disease duration was 10.8 years (range, 7-15 years). The unilateral knee; was involved in 12 cases and bilateral knees in 3 cases. The clinical; score was 57.441.06 and the functional score was 60.881.26 of Knee; Society Score (KSS). The range of motion of the knee joint was; (72.220.18)°. The deviation of mechanical axis of lower limb was; (18.890.92)° preoperatively. There were 8 cases (10 knees) with; extra-articular femoral deformity, 5 cases (5 knees) with; extra-articular tibial deformity, and 2 cases (3 knees) with; extra-articular femoral and tibial deformities. Bone models and the; navigation templates were printed and the operation plans were designed; using 3D printing technology. The right knee joint prostheses were; chosen. Results The operation time was 65-100 minutes (mean, 75.6; minutes). The bleeding volume was 50-150 mL (mean, 90.2 mL). There was; no poor incision healing, infection, or deep venous thrombosis after; operation. All patients were followed up 12- 30 months (mean, 22; months). Prostheses were located in the right place, and no sign of; loosening or subsidence was observed by X-ray examination. At last; follow-up, the deviation of mechanical axis of lower limb was; (2.000.29)°, showing significant difference when compared with; preoperative one (t=13.120, P=0.007). The KSS clinical score was; 87.500.88 and function score was 81.941.41, showing significant; differences when compared with preoperative ones (t=27.553, P=0.000;; t=35.551, P=0.000). The range of motion of knee was (101.941.42)°,; showing significant difference when compared with preoperative one; (t=31.633, P=0.000). Conclusion For KOA accompanied with extra-articular; deformity, TKA using 3D printing technology has advantages such as; individualized treatment, reducing the difficulty of operation, and; achieving the satisfactory function

Study on Fluorimetry for Determination of Phenylalanine Using Enzyme Substituted by the UV-Light

在碱性介质中， 光子可以取代苯丙氨酸氧化酶使苯丙氨酸分解并生成H2 O2 ， 然后用氯化血红素作为模拟酶检测H2O2 ， 从而建立间接测定苯丙氨酸的新方法.In alkaline medium,the photon can substitute phenylalanine oxydase,and cause phenylalanine to decompose and produce H 2 O 2 ,which are detected by using HPA to be coupled and produce strong fluorescent substance in present of mimetic peroxydase-hemin.Thus,a new fluorimetry for the determination of phenylalanine was developed.福建省自然科学基金!（B96003

Establishment of a method to quantitatively detect FLT3 internal tandem duplication in acute myeloid leukemia with denaturing high-performance liquid chromatography

目的:建立一种应用变性高效液相色谱技术(dHPlC)相对定量检测急性髓细胞白血病(AMl)患者fMS样酪氨酸激酶3(flT3)基因的内部串联重复(ITd)突变的方法。方法:根据flT3-ITd突变基因多位于14外显子而设计引物,用聚合酶链反应(PCr)方法特异性扩增121例AMl患者flT3-ITd突变基因,再用dH-PlC技术相对定量检测flT3-ITd等位基因突变的情况;与毛细管电泳法(CE)检测突变的结果对比进行该方法的有效性检验;最后与121例样品PCr扩增产物的测序结果进行对比。结果:经dHPlC分析后均能得到特征性的洗脱峰。121例样本中检测到flT3-ITd突变阳性的样本13例,总阳性率为10.7%,阳性突变等位基因的比例不一,分布范围中位数为34.5%(11.4%-80.2%),为21-87 bP单个插入片段。阳性率和突变比例与CE方法检测结果相比较均无显著差异(P>0.05),并与121例样本flT3-ITd扩增PCr产物基因测序结果一致。结论:成功建立了一种应用dHPlC相对定量检测AMl患者flT3-ITd基因突变的方法。AIM: To establish a relatively-quantitative method to detect the internal tandem duplication(ITD) mutation of Fms-like tyrosine kinase 3(FLT3)gene in acute myeloid leukemia(AML) patients using denaturing high-performance liquid chromatography(DHPLC).METHODS: According to the fact that much more FLT3-ITD mutations are located in exon 14,we designed the primers,and use the method of polymerase chain reaction(PCR) to specifically amplify FLT3-ITD mutation gene in 121 cases of AML,and relatively quantified the situation of mutant allelic gene of FLT3-ITD by the method of DHPLC.The effectiveness of DHPLC was verified by the method of capillary electrophoresis(CE).The sequenced results from PCR amplified products of 121 samples were compared.RESULTS: A characteristic of elution peak was detected by DHPLC with 10.7% overall positive rate(13/121) and varied in the proportion of mutant alleles,with a single duplicated insert fragment from 21 bp to 87 bp.The median range of mutant alleles was 34.5%(11.4%-80.2%).No significant difference of the positive rates and mutation proportions between the results with DHPLC and the results with CE method was observed.The results of FLT3-ITD mutant gene of 121 samples were consistent with the results using sequencing method.CONCLUSION: A relatively-quantitative method to analyze AML patients with FLT3-ITD mutation by DHPLC is successfully established

Light as a Substitute for Glutaminic Acid Oxidase and Fluorimentric Determination of Glutaminic acid

在弱碱性介质中，紫外光的照射引起谷氨酸的光化学反应，产生Ｈ２Ｏ２和ＮＨ３，与谷氨酸氧化酶存在下的酶促反应等效。利用氯化血红素（ｈｅｍｉｎ）作为过氧化酶的替代物，催化Ｈ２Ｏ２与对羟基苯乙酸（ＨＰＡ）的偶合荧光反应，建立了间接荧光法测定谷氨酸的方法。Under the irradiation of UV-light, photochemical reaction of glutaminic acid occur and produces H2O2 and HN3 in weak alkaline medium with acetone. This reaction is equal in value for enzymatic reaction of glutaminic acid in the presence of glutaminic acid oxidase. Then, using hemin as catalyst, H2O2 produced by photochemical reaction oxidase p-hydroxyphenyl acetic acid (HPA) and causes fluorescence reaction coupled of it. Based on this result, a new fluorimetric method was developed for indirect determination of glutaminic acid.福建省自然科学基金资助项

生物油提质中失活催化剂焦炭前驱物分析

Characterizations of coke precursor on Co/Mo/Ni bifunctional catalyst on bio-oil upgrading process in the CO atmosphere are analyzed with thermogravimetry, X-ray diffraction, infrared analysis, scanning electron microscopy and nuclear magnetic resonance

CHAR AS CATALYST FOR HYDROGEN PRODUCTION BY GLYCEROL REFORMING

Using char as catalyst, fixed bed reactor. The results show decrease with increasing of WHSV, hydrogen production from the steam reforming reaction of glycerol was studied in a that the hydrogen yield, the potential hydrogen yield and carbon conversion

ANALYSIS OF COKE PRECURSOR ON DEACTIVATED CATALYST ON BIO-OIL UPGRADING PROCESS

Characterizations of coke precursor on Co/Mo/Ni bifunctional catalyst on bio-oil upgrading process in the CO atmosphere are analyzed with thermogravimetry, X-ray diffraction, infrared analysis, scanning electron microscopy and nuclear magnetic resonance

木炭催化甘油重整制氢研究

Using char as catalyst, fixed bed reactor. The results show decrease with increasing of WHSV, hydrogen production from the steam reforming reaction of glycerol was studied in a that the hydrogen yield, the potential hydrogen yield and carbon conversion

Deposition Microcrystallne Diamond Film on QuartZ Glass Using Radio Frequency PCVD

利用射频等离子体化学气相沉积法（r，f.PCVd），在石英玻璃上生长出透明均匀的薄膜，经过电子衍射，激光喇曼散射，可见光透过率等测试，证明是金刚石薄膜，通过透射电子显微镜看不到颗粒。polycrystalline diamondFilms have been prepared on quartz glass by means ofradio Frenquency plasma assisted chemical vapor depositlon(PCVD).The surFace morphology,crystall structure and some physical properties of the Films are examined by Raman oscopy transs-mission electron microscopy,IR and UV-visible oscopies,It is conFirmed that the Film is com-posed of microcrystalline diamond

聚合物薄膜中生色团分子间的相互作用对其宏观二阶非线性的影响

制备了3-(1,1-二氰基塞吩)-1-苯-4,5-二羟基-H-噻唑(DCNP)与聚醚醚酮(PEK-c)组成的主客掺杂聚合物薄膜，用Maker条纹法测量了不同掺杂浓度下薄膜的二阶非线性系数λ~((2))_(33)。实验结果表明，聚合物中生色团的含量高到一定程度，其宏观二阶非线性随生色团含量的增加反而下降。该文在考虑聚合物中生色团分子相互作用的情况下，修正了聚合物宏观二阶非线性与生色团的含量之间的关系，此时聚合物宏观二阶非线性与生色团的含量已非简单的正比关系。讨论了生色团分子间的相互作用对聚合物宏观二阶非线性的影响，从微观上解释了生色团分子在较高含量下其相互作用对聚合物宏观二阶非线性的衰减