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Table of Content

    25 January 2015, Volume 36 Issue 1
    论文
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  1-1. 
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    Objective To investigate the effect of valsartan on activation of Notch pathway and podocyte loss.Methods Apoptosis and podocyte detachment of glomeruli were measured after diabetic mice were treated with valsartan.The levels of Notch intracellular domain 1 (NICD1),Hes1,Hey1,Bax,Bcl-2 and cleaved caspase-3 were determined by Western blot.Real-time PCR was used to evaluate Hes1 and Hey1 mRNA expression.Results Valsartan suppressed cell apoptosis and podocyte detachment of glomeruli in diabetic mice.Valsartan also inhibited overexpression of NICD1,Hes1,Hey1,Bax and cleaved caspase-3,and increased Bcl-2 level in glomerular tissues of diabetic mice (P<0.05).Conclusion Valsartan inhibits the activation of Notch pathway in glomerular tissues of diabetic mice,also inhibits podocyte apoptosis and detachment.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  5-5. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    DONG Yun-fang;LI Dong-zheng;LI Jian-mei
    2015, 36(1):  6-6. 
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    Objective To explore the effect and value of comprehensive intervention on the patients with type 2 diabetes mellitus.Methods A total of 138 patients with type 2 diabetes mellitus participated in this study and the patients were randomly divided into control group (n=69)and observation group (n=69 ),the control group received traditional nursing mode,the observation group adopted traditional nursing mode plus diabetic education propaganda, reasonable exercise therapy,psychological guidance and nutritional diet therapy.Results Compared with control group,the awareness rate of diabetic related knowledge and the treatment compliance in the observation group significantly increased,in addition the fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin in the observation group significantly decreased(P<0.01).Conclusion Preventive comprehensive nursing intervention on patients with diabetes mellitus can promote patients'compliance,ameliorate glucose control and improve the patients'quality of life.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    SHI Hai-ping;ZENG Chun;ZHANG Shi-yuan;DUAN Jia;KANG Dong
    2015, 36(1):  9-9. 
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    Objective To evaluate the curative effect of neural endoscopic hematoma evacuation surgery and stereotactic aspiration surgery for hypertensive intracerebral hemorrhage. Methods One hundred and twenty cases of hypertensive intracerebral hemorrhage patients in the hospital were randomly divided into experimental group (n=60)and control group (n=60), experimental group was given CT-guided neural endoscopic surgery,control group stereotactic aspiration surgery.The curative effect was compared between two groups.Results The hematoma evacuation rate of experimental group was higher than that of control group,the incidence of pulmonary infection of experimental group was significantly lower than that of control group.At 3 d after operation,the average Glasgow coma scale of experimental group was significantly higher than that of control group;Glasgow outcome scale 12 months after surgery and barthel index 3,6, 1 2 months after surgery of experimental group were higher than those of control group (P<0.05).Conclusion Recent efficacy and long-term efficacy of endoscopic hematoma evacuation surgery for hypertensive cerebral hemorrhage are superior to those of stereotactic aspiration, which deserves populization in clinic.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    WANG Dong-lai;FENG Jian-gang;LI Zeng-huai;FENG Qi;WANG Lei
    2015, 36(1):  13-13. 
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    Objective To investigate the techniques and effects of primary and metastatic lesions by simultaneous surgical treatment of non-small cell lung cancer with thoracic oligo metastases.Methods Retrospective analysis was performed on 10 non-small cell lung cancer patients with thoracic oligo metastases who were treated in our hospital.Lobectomy and vetebrectomy by simultaneous operation was performed.Intraoperative and diagnostic data, including perioperative complications,operative time,chest tube length,intraoperative bleeding and survival time were collected using retrospective chart review.The surgical outcomes were assessed according to survival status,neurological function,local recurrence,and pain before and after surgery.Results Ten patients underwent vetebrectomy and lobectomy by one-stage operation of anterior transcavitary approach,the mean operative time was (348.00±27.48)min, intraoperative bleeding (1 500.00± 547.72)mL,chest tube length (9.00± 1.85)d,and median survival time 2 6 months.Neurologic improvement by at least one Frankel grade was noted in 6 of 10 cases (60.0%).The visual analogue score of the patients were significantly reduced after operation(P<0.05).Conclusion The patients of non-small cell lung cancer with thoracic oligo metastases who underwent simultaneous surgical treatment for the primary tumor and thoracic metastatic lesions still have chances to obtain long-term survival.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    WANG Xuan
    2015, 36(1):  17-17. 
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    Objective To analyze the retinal lesions in patients with pregnancy-induced hypertension syndrome,provide the basis for clinical diagnosis and treatment.Methods The clinical data of 1 026 cases with pregnancy-induced hypertension syndrome diagnosed and treated in the obstetric department of the hospital were analyzed to observe the different stages,blood pressure,hematocrit value,proteinuria levels and their relationship with retinal changes.Results Out of the patients,normal fundus included 296 cases (28.85%);fundus changes involved 730 cases (71.15%),of which stage Ⅰ change was 390 cases (38.01%),stage Ⅱ change 219 cases (2 1 .3 5%),stage Ⅲ change 1 2 1 cases (1 1 .7 9%);the higher the blood pressure in patients,the greater retinal changes in staging,patients with high pressure was higher than 160 mmHg,while low pressure was higher than 110 mmHg,retinal changes in patients with stageⅡ,Ⅲ change rate were up to 100.00%.The urinary protein levels were higher,the retinal lesions were more obvious. When proteinuria levels were > + + +,the retinal lesions in patients with stage Ⅲ occurrence was up to 40.67%.When hematocrit value>35%,retinopathy change was 84.82%,stage Ⅱchange was 32.55%.Conclusion Fundus observation helps the diagnosis and treatment of pregnancy-induced hypertension syndrome,it is of great significance to prevent retinal disease and postpartum eclampsia and other diseases in the patients.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  20-20. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    HAN Hua;XUE Gai;ZHANG Jun-qin;YAN Ping;LI Yan-li
    2015, 36(1):  21-21. 
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    Objective To explore isolating,culturing,identifying,freezing and thawing mesenchymal stem cells(MSCs)approach from Wharton j elly of human umbilical cord.Methods The MSCs were isolated from neonate umbilical cord,cultured by tissue explants adherent method.The surface markers were identified by flow cytometry.Passage cells,frozen 6 months, were thawed,then their biological characteristics were identified.Results MSCs were easily obtained from Wharton j elly of human umbilical cord via the proposed approach of tissue adherence.The flow cytometry analysis showed that MSCs expressed CD29,CD44,CD90 and CD105 positively,but negatively for CD34,CD45.The living cells of MSCs were 80%-90% after having been frozen and the thawed cells had the same characteristics as the previous.Conclusion MSCs can be successfully isolated from Wharton j elly of human umbilical cord by this method. The stem cells derived from Wharton j elly of human umbilical cord may be a novel alternative source of human MSCs for experimental and clinical applications.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    JIA Xi-qun;LIU Cui-qing;XIA Yao-fang;LIU Shu-hua
    2015, 36(1):  24-24. 
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    Objective To discuss the major clinical complications of premature infants by analyzing the relationship of gestational age,birth weight,high risk pregnancy factors and complications,for clinical diagnosis,treatment and prevention.Methods The medical data of 1 3 7 premature infants admitted to Children's Hospital of Hebei Province were analyzed retrospectively.The relationship of gestational age,birth body mass and high pregnancy risks and complications were analyzed.Results The main complications were pneumonia,j aundice,apnea, respiratory distress syndrome,asphyxia,intracranial hemorrhage,anemia,hypoglycemia,sepsis, cholestasis,bronchial pulmonary dysplasia,retinopathy of prematurity,necrotizing enterocolitis and others.The complications in the group of gestation 28-32 weeks and in the group of birth body mass<1 500 g were significantly higher than those in the group of gestation 32-37 weeks and in the group of birth body mass≥1 500 g (P<0.05 ).The complications in the group of pregnant mothers with high pregnancy risks were higher than those in the group without risk factors (P<0.01).Conclusion When the gestational age was smaller and birth body mass was lower,the mortality and the complications were higher.Some high risk pregnancy factors affect the complications of premature infants.Perinatal health care should be strengthened to improve the survival quality of premature infants and reduce the fatality rate.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    CUI Yue-xian;ZHOU Na-lei;AN Jian-bin;WANG Jia-wei;ZHANG Bin;MA Jing-xue
    2015, 36(1):  27-27. 
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    Objective To observe the characteristics of familial exudative vitreoretinopathy (FEVR)on fluorescein fundus angiography (FFA),to discuss the FFA diagnostic criteria in patients who suffered from FEVR,and to improve the clinical diagnostic rate of this disease. Methods Thirteen patients(26 eyes)were diagnosed of FEVR by clinical examination in the Second Hospital of Hebei Medical University.After detailed check in anterior segment and fundus,we classified the eyes according to the criteria of Pendergast for familial exudative vitreoretinopathy.Heidelberg fundus angiography imaging system was applied to inspect 13 patients,and then we recorded and analyzed the characteristics.Results In 1 3 patients(2 6 eyes), 1 5 eyes were at stage 1 with uncompleted vascularization of the periphery,especially in the temporal quadrant,very straight retinal vessels,and more branches of peripheral vessels on FFA;seven eyes were at stage 2 with neovascularization and fluorescein leakage on FFA;two eyes were at stage 3 with limited retinal detachement;two eyes with retinal detachement involving macula were classified as stage 4;no total retinal detachement (stage 5)were observed.Conclusion FFA, as a the specific diagnostic measurement of FEVR,plays an important role in the stage classification of FEVR,and FFA can guide the early diagnosis of FEVR and be of great help in choosing the appropriate treatment.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  29-29. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    MA Ying;LIU Yan-jun;YU Wen-xing
    2015, 36(1):  30-30. 
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    Objective To explore the effect of the clinical path management in treatment of vocal cord polyp and chronic tonsillitis,to provide the scientific advice for the standardization, regulation and homogeneity of the ear-nose-throat (ENT)single disease treatment.Methods A retrospective cohort study from Suining Center Hospital was applied to compare the status between traditional group and the clinical pathway group.The main evaluation indicators included hospital cost,hospitalization day and treatment effects.Results The differences of basic situation such as vocal cord polyp and chronic tonsillitis between the clinical pathway group and the control group were not significant (P>0.05).The average total cost of hospitalization,inspection fee, surgery fee,drugs fee,other treatment charge and the average hospitalization day of the vocal cord polyp clinical pathway group were less than those of the control group (P<0.05);the average total cost of hospitalization,inspection fee,surgery fee,drugs fee,nursing fee,other treatment charge and the average hospitalization day of the chronic tonsillitis clinical pathway group were less than those of the control group (P<0.01);Clinical curative effect between the vocal cord polyp clinical pathway group and the control group were not significant (P>0.05 );Clinical curative effect of chronic tonsillitis patients path group was higher (P<0.05 ),whereas the incidence of hospital complications,infection,between the path and control group were no significant (P>0.05).Conclusion Clinical path management can shorten the average length of hospitalization,reduce the hospital cost and improve the quality of diagnosis and treatment to help standardize the treatment of ENT diseases.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    LI Xiao-jing;LI Zhi-feng;WANG Jiu-jiang;LI Xian-ping
    2015, 36(1):  34-34. 
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    Objective To assess the efficacy and safety of narrow-band ultraviolet(UVB) combined with compound clobetasol propionate ointment for the treatment of psoriasis vulgaris. Methods A randomized clinical trial was conducted.Totally 60 patients with psoriasis vulgaris were randomly divided into the experiment group(treated with NB-UVB plus topical compound clobetasol propionate ointment once daily in the evening ) and control group (treated with compound clobetasol propionate ointment once daily only).The treatment course lasted for eight weeks.The efficiency and adverse reactions were evaluated at the baseline,as well as 2,4 and 8 weeks after treatment.Results After treatment,psoriasis area and severity index of two groups were lower than before,also the degree of experimental group decreased significantly compared with that of control group.After the treatment for 2,4,8 weeks,the efficacy of experimental group was better than that of control group,and with the time,the effect significantly increased. Adverse reactions showed no significant difference between two groups.Conclusion NB-UVB combined with compound clobetasol propionate ointment is a safe and effective choice for psoriasis vulgaris.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    HE Li;LIU Zhai;REN Qing-yun;LEI Li-cun
    2015, 36(1):  38-38. 
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    Objective To observe the changes of white matter by using diffusion tensor imaging(DTI ) in developmental delay children with normal routine MRI results.Methods Twenty patients (aged 1 2-3 6 months)with developmental delay and the twenty cases of month-old matched normal development children were studied by conventional MRI and DTI technology. Fractional anisotropy(FA)and mean diffusivity(MD)values were measured in five regions of deep white matter and four regions of shallow white matter.Comparison were made in FA and MD values of developmental normal and development delay children.Results FA value in shallow white matter of developmental delay children was lower than that of control group (P<0.05), MD values in shallow white matter and corpus callosum knee of developmental delay children was higher than that of control group (P<0.05).Conclusion DTI may quantify the injuries of white matter microstructure in developmental delay children with normal routine MRI results.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  41-41. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    HAN Bin;ZHAO Jun-ying;HE Ai-ping;SHU Ya
    2015, 36(1):  42-42. 
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    Objective To observe the effect of dexmedetomidine for Toll-like receptor 4 (TLR4)in renal tubular epithelial cells on rat injured by lipopolysaccharide (LPS),then to explore the possible mechanism.Methods Rat renal tubular epithelial cells were purchased, recovered,cultured,then added LPS 10μg/L and were cultured and divided into three groups, group A,the blank control group,group B added dexmedetomidine 2.5μg as control group,group C joined atipamezole 10μg and added dexmedetomidine 2.5μg after 30 min as the experimental group,all continued culture for 1 2 h.Then,immunohistochemistry was used to measure TLR4 protein expression and TLR4mRNA in three groups,and the apoptosis rate of three groups were determined.Results After using dexmedetomidine,TLR4,TLR4mRNA and apoptotic rate of group B were lower than those of A group (all P<0.01 ),while TLR4,TLR4mRNA and apoptosis rate of group C were higher than those of group B (all P<0.01 ).Conclusion Dexmedetomidine can downregulate TLR4 expression in renal tubular epithelial cells of the rat inj ured by LPS,and the regulation for TLR4 of dexmedetomidine is related withα2 adrenoglc recptor excited.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    WEI Hong-lian;WANG Chong;SU Jun-hua;SHI Dong-yan
    2015, 36(1):  45-45. 
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    Objective To retrospectively analyze 418 clinical isolates of Pseudomonas aeruginosa,observe the department distribution and drug resistance characteristics,and take effective control for multi-drug resistant P.aeruginosa.Methods Vitek 2 compact automated microbial identification and susceptibility for identification and susceptibility testing were used. Data were analyzed according to CLSI 2012 breakpoints with WHONET 5.6 sofeware.Results 418 isolates of P.aeruginosa were mainly from the respiratory medicine department,ICU and neurosurgery department.The samples from the sputum of respiratory tract were predominant, representing 78.72%.The drug resistance of P.aeruginosa to Amikacin was the lowest as 4.79%, followed by Cefepime and Ceftazidime,respectively,25.36% and 29.19%,and the rest of antimicrobial drug resistance rate over 30%,of which the highest Aztreonam was 50.72%. Conclusion P. aeruginosa is mainly from respiratory tract specimens higher resistance. Antimicrobial resistance surveillance plays an important role in controlling hospital infection.The monitoring and management measures should be strengthened.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    LI Bao-quan;BI Jian-cheng;AN Cui-ping;LI Yan-feng;XU Shun-jiang
    2015, 36(1):  48-48. 
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    Objective To investigate the characteristics of L-carnitine (LC)import into human corneal limbal epithelia (HCLE)cells,and to provide an experimental basis for further study of transport mechanism of LC in human ocular epithelium.Methods The transport of [3 H ]-L-carnitine was determined using the radio uptake assay and the apparent kinetic parameters of carnitine uptake by HCLE were estimated by nonlinear regression curve fitting according to the Michaelis-Menten equation.Results The uptake of LC into HCLE cells was saturable and time-dependent,and it also required the presence of Na+ in the external medium.An Eadie-Hofstee plot showed two distinct components:a high-and a low-affinity carnitine transport system in HCLE cells.The unlabelled LC and acetyl-L-carnitine competitively inhibited the uptake of [3 H]-L-carnitine by HCLE cells.Conclusion L-carnitine is transported into HCLE cells from tears by an active carrier mediated transport system and exerts its biological function.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    LIU Min;JIA Hai-hong;LIU Yan;LV Tao;FAN Shu-yan
    2015, 36(1):  52-52. 
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    Objective To develop a simultaneous analysis method for Aurantio-obtusifolin, Aloeemodin,Emodin and Physcion in Jiangzhiliing tablet by HPLC.Methods Determination of the Aurantio-obtusifolin,Aloeemodin,Emodin and Physcion in Jiangzhiliing tablet by HPLC, the four constituents were separated on an Kromasil C18 column (250 mm×4.6 mm,5μm)using a mobile phase consisted of methanol -0.1% phosphoric acid in water at the detection wavelength of 286 nm,gradient elution program (0-5 min,40∶60-70∶30;5-10 min,70∶30-80∶20;10-15 min,80∶20-90∶10;15-25 min,90∶10 ),the flow rate was 1.0 mL/min,the injection volume 20μL and the column temperature 25 ℃.Results Aurantio-obtusifolin, Aloeemodin,Emodin and Physcion were separated from imputities well.Aurantio-obtusifolin showed a good linear relationship in the range of 16.7-134 ng,the average recovery was 98.7%, and its RSD rate 0.3%;the range of Aloeemodin 11.1-89.1 ng,the average recovery 98.5%,and its RSD rate 1.0%;the range of emodin 90.3-722 ng,the average recovery 98.5%,and its RSD rate 0.7%;Physcion in range of 59.2-473 ng,the average recovery 102.0%,and its RSD rate 0.3%.Conclusion The method is rapid,simple,accurate and with good reproducibility and can be used in quality control of Jiangzhiling tablet.
    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  56-56. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  59-59. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  62-62. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  64-64. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  67-67. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  69-69. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  71-71. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  73-73. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  76-76. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  79-79. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  81-81. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  84-84. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  85-85. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  86-86. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  88-88. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  91-91. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  94-94. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  95-95. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  97-97. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  99-99. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  101-101. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  103-103. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  107-107. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  110-110. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  113-113. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  117-117. 
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    GAO Feng;YAO Min;WANG Xiao-mei;LIU Shu-xia;DUAN Hui-jun
    2015, 36(1):  119-119. 
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