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Objective The predictive factors of early death in patients with craniocerebral injury (CI) were analyzed to provide a reference for clinical treatment. Methods Collected clinical data from 1 102 patients with craniocerebral injury and admitted into the Department of Neurological Surgery, First Affiliated Hospital of Shaanxi University of Chinese Medicine from January 2014 to December 2019, and analyzed the correlation of general data, injuries, and auxiliary examinations that may affect patients' early death, Using multi-factor Logistic regression analysis to influence the predictive factors of early death in patients with craniocerebral injury. Results Among them, 104 CI patients died after early rescue, accounting for 9.4% of the total number. Abnormal pupil responses (OR=4.669, P＜0.05), midline shift (OR=7.898, P＜0.001), brain herniation (OR=8.013, P＜0.001),lower GCS score (OR=3.847, P＜0.001), multiple trauma (OR=6.354, P＜0.01), coagulopathy (OR=5.281, P＜0.01), and abnormal blood sugar (OR=6.574, P＜0.01) are risk factors for early death. Conclusions Patients with low GCS score, slow or absent pupil light reflex, midline deviation, cerebral hernia, abnormal blood glucose and abnormal blood coagulation and multiple injuries are predictive factors for early death of craniocerebral injury, early intervention is encouraged as a tackling to the challenge.

Carbon nanofibers with various contents of Co nanoparticle were synthesized by a two step process of electrospinning and subsequent heat treatment. The thermal stability,phase composition,microstructure and electromagnetic characteristics of the carbon nanofibers were characterized by differential scanning calorimetry-thermogravimmetric analysis (DSC-TGA),X-ray diffraction(XRD),scanning electron microscope(SEM) and vector network analyzer(VNA),and the microwave absorption performance was studied.The results indicate that the crystallinity of composite nanofibers is moderate when the carbonization temperature is 800℃.The amorphous carbon is partially converted into graphite and CoAc2 completely reduces to face-centered cubic structured Co nanoparticle. The fiber is intact and beads-on-string structure exists in the fiber networks. The electromagnetic characteristics of the carbon nanofibers significantly improve by the doping of Co. The Carbon nanofibers containing 7%(mass fraction) as fillers with thickness of 1.5mm exhibit maximum effective absorption bandwidth of 4.5GHz, and it is obviously improved compared to pure carbon nanofibers.

Antibody drugs are becoming increasingly popular in disease diagnosis, targeted therapy, and immunoprevention owing to their characteristics of high targeting ability, strong specificity, low toxicity, and mild side effects. The demand for antibody drugs is steadily increasing, and their production scale is expanding. Upstream cell culture technology has been greatly improved by the high-capacity production of monoclonal antibodies. However, the downstream purification of antibodies presents a bottleneck in the production process. Moreover, the purification cost of antibodies is extremely high, accounting for approximately 50%-80% of the total cost of antibody production. Chromatographic technology, given its selectivity and high separation efficiency, is the main method for antibody purification. This process usually involves three stages: antibody capture, intermediate purification, and polishing. Different chromatographic techniques, such as affinity chromatography, ion-exchange chromatography, hydrophobic interaction chromatography, mixed-mode chromatography, and temperature-responsive chromatography, are used in each stage. Affinity chromatography, mainly protein A affinity chromatography, is applied for the selective capture and purification of antibodies from raw biofluids or harvested cell culture supernatants. Other chromatographic techniques, such as ion-exchange chromatography, hydrophobic interaction chromatography, and mixed-mode chromatography, are used for intermediate purification and antibody polishing. Affinity biomimetic chromatography and hydrophobic charge-induction chromatography can produce antibodies with purities comparable with those obtained through protein A chromatography, by employing artificial chemical/short peptide ligands with good selectivity, high stability, and low cost. Temperature-responsive chromatography is a promising technique for the separation and purification of antibodies. In this technique, antibody capture and elution is controlled by simply adjusting the column temperature, which greatly eliminates the risk of antibody aggregation and inactivation under acidic elution conditions. The combination of different chromatographic methods to improve separation selectivity and achieve effective elution under mild conditions is another useful strategy to enhance the yield and quality of antibodies. This review provides an overview of recent advances in the field of antibody purification using chromatography and discusses future developments in this technology.

Perfluorinated compounds (PFCs) are widely used in textiles, fire protection, metal electroplating, and semiconductor production owing to their hydrophobic and oil-repellent characteristics. However, they are also persistent organic pollutants. The uncontrolled discharge of PFCs into the environment has led to serious global pollution. PFCs pose severe reproductive, neural, immune, and other threats to human health by accumulating through the food chain. Thus, the development and application of high-performance extraction materials has become a research hotspot in efforts to achieve the accurate detection of trace PFCs in environmental waters. Most traditional PFC adsorbents present a number of disadvantages, such as low adsorption selectivity, slow diffusion, and poor reusability. Covalent organic frameworks (COFs) are crystalline polymers with ordered porous structures, large specific surface areas, and high chemical and thermal stability. These frameworks can easily be functionalized for the desired purpose. In this paper, spherical amino-functionalized COFs (denoted COF-NH 2 ) were fabricated via a two-step method to effectively enrich/remove PFCs from water. First, vinyl covalent organic framework (Vinyl COF) was synthesized at room temperature using 1,4-diradical-2,5-divinylbenzene (Dva) and 1,3,5-tris(4-aminophenyl)benzene (Tab) as building blocks. Then, thioether-bridged aromatic amine-functionalized spherical COF-NH 2 was synthesized through a thiol-alkenyl click reaction using 4-aminothiophenol as the functional monomer. COF-NH 2 showed good dispersion in water owing to its abundant amino groups, forming multiple hydrogen bonds with the F atoms of PFCs. The synergistic hydrophobic interactions between the organic skeleton of the COF and alkyl carbon chains of the PFCs led to enhanced adsorption efficiency. The produced Vinyl COF and COF-NH 2 were characterized by Fourier transform infrared spectroscopy (FT-IR), field-emission scanning electron microscopy (SEM), powder X-ray diffraction (PXRD), thermogravimetric analysis (TGA), and Brunner-Emmet-Teller (BET) measurements. The results confirmed that spherical COF-NH 2 materials with a homogeneous size distribution were successfully fabricated. The obtained COF-NH 2 microspheres had a diameter of approximately 500 nm and exhibited high thermal stability as well as a large specific surface area and pore volume. The adsorption kinetics, isotherm adsorption models, pH effects, and regeneration properties of COF-NH 2 were also investigated, and the results indicated that the adsorption of PFCs by COF-NH 2 conformed to the pseudo-second-order kinetic and Langmuir isotherm adsorption models. The obtained COF-NH 2 microspheres can be applied over a wide pH range, and the best adsorption effect was achieved in neutral and alkaline environments. After five cycles of regeneration and reuse, the COF-NH 2 microspheres retained their good adsorption efficiency for PFCs. The adsorption mechanism was mainly attributed to the synergistic effect of hydrogen bonding and hydrophobic interactions between COF-NH 2 and the PFCs. The extraction efficiencies of the microspheres toward five PFCs (perfluorobutyric acid, perfluorovaleric acid, perfluorohexanoic acid, perfluorooctanoic acid, and perfluorononanoic acid) in tap and Pearl River water samples were between 91.76% and 98.59%, with relative standard deviations (RSDs) ( n =3) varying from 0.82% to 3.8%; these findings indicate that the obtained COF-NH 2 is promising for the extraction of PFCs from complex water samples. Given their uniform size distribution, high thermal stability, good adsorption performance, and reusability, the novel spherical COF-NH 2 materials developed in this study may be used as solid-phase extraction materials or filled into liquid chromatographic columns for the enrichment, separation, and detection of PFCs in complex samples.

Objective: To investigate the possible causes of abnormal hemoglobin electrophoresis results., Methods: The hemoglobin electrophoresis results of 5 696 patients in the First Affiliated Hospital of Chengdu Medical College from September 2018 to July 2021 were collected, and the abnormal results and clinical significance were analyzed., Results: The results of 486 patients (accounting for 8.53%) were abnormal, of which 300 cases had increased HbA2, 135 cases had decreased HbA2, 44 cases had increased F alone, and 7 cases had abnormal hemoglobin bands. Among the 486 patients, 246 patients were thalassemia gene positive (the positive rate was 50.62%), including 29 cases of α thalassemia, 208 cases of β thalassemia and 9 cases of αβ thalassemia. Among the patients with elevated HbA2, 68.67% were detected β thalassemia, 3.00% αβ thalassemia, 9.33% were suspected to be caused by macrocytosis, 6.33% by thyroid dysfunction, and 12.67% by uncertainty of the method. Among the patients with reduced HbA2, 21.48% were detected α thalassemia, 60.00% iron deficiency anemia, 8.15% were suspected to be caused by thyroid dysfunction, and 10.37% by uncertainty of the method. Among the patients with elevated F alone, the results of thalassemia gene detection were negative, 40.91% of them were suspected to be caused by macrocytosis, 27.27% by hereditary persistence of fetal hemoglobin, 29.55% by special physiological condition of pregnant women, and 2.27% by hyperthyroidism. Abnormal hemoglobin bands were detected in 7 patients, including 4 cases of hemoglobin D, 2 cases of hemoglobin E, and 1 case of hemoglobin J., Conclusion: Thalassemia, iron deficiency anemia, macrocytosis such as megaloblastic anemia and non-severe aplastic anemia, thyroid dysfunction, hereditary persistence of fetal hemoglobin, abnormal hemoglobin diseases, the uncertainty of the method are all important causes of abnormal hemoglobin electrophoresis results. In clinical work, the patient's indicators should be comprehensively analyzed to determine the possible cause.

Saline water irrigation has become an important means to alleviate the shortage of freshwater in arid areas. However, long-term saline water irrigation can cause soil salinity accumulation, affect soil microbial community structure, and then affect soil nutrient transformation. In this study, we used metagenomics to investigate the effects of long-term saline water drip irrigation on soil microbial community structure in a cotton field. In the experiment, the salinity of irrigation water (ECw) was set to two treatments:0.35 dS·m -1 and 8.04 dS·m -1 (denoted as FW and SW, respectively), and the nitrogen application rates were 0 kg·hm -2 and 360 kg·hm -2 (denoted as N0 and N360, respectively). The results showed that saline water irrigation increased soil water content, salinity, organic carbon, and total nitrogen content and decreased soil pH and available potassium content. Nitrogen fertilizer application increased soil organic carbon, salinity, and total nitrogen content and decreased soil water content, pH, and available potassium content. The dominant bacterial phyla in each treatment were:Proteobacteria, Actinobacteria, Acidobacteria, Chloroflexi, and Gemmatimonadetes. Saline water irrigation significantly increased the relative abundances of Actinobacteria, Chloroflexi, Gemmatimonadetes, and Firmicutes but significantly decreased the relative abundances of Proteobacteria, Acidobacteria, Cyanobacteria, and Nitrospira. Nitrogen fertilizer application significantly increased the relative abundances of Chloroflexi and Nitrospira but significantly decreased the relative abundances of Acidobacteria, Gemmatimonadetes, Planctomycetes, Cyanobacteria, and Verrucomicrobia. LEfSe analysis showed that saline water irrigation had no significant effect on the number of potential biomarkers, and nitrogen fertilizer application decreased the number of potential biomarkers in soil microbial communities. The correlation network diagram showed that the 20 genera had different degrees of correlation, including 44 positive correlations and 48 negative correlations. The core species in the network diagram were Nocardioides, Streptomyces, Pyrinomonas, Candidatus_Solibacter , and Bradyrhizobium spp. Saline water irrigation increased the relative abundances of the denitrification genes nirK, nirS, nasB , and norC and decreased the relative abundances of the nitrification genes amoB, amoC , and nxrA , whereas nitrogen fertilizer application increased the relative abundances of the nitrification genes amoA, amoB, amoC, hao , and nxrA and decreased the relative abundances of the denitrifying genes narB, napA, nasA , and nosZ . Saline water irrigation could adversely affect soil physicochemical properties; SWC, EC 1:5 , and BD were the main driving factors affecting soil microbial community structure and function genes; and soil microorganisms adapted to soil salt stress by regulating species composition.

Objective: To investigate the morphological, histological and ultrastructural changes of acute closed rupture of Achilles tendon, in order to clarify the pathological basis of the injury and to explore the significance., Methods: From January 2015 to January 2019, 35 patients with acute Achilles tendon rupture who underwent the minimally invasive Achilles tendon suture technique were retrospectively analyzed. Among these patients, 12 cases in acute open Achilles tendon rupture group included 10 males and 2 females, with an average age of (35.1±9.7) years old ranging from 19 to 50, and the time from injury to operation was 2 to 8 hours with an average of(5.6±1.8);23 cases in acute closed Achilles tendon rupture group included 21 males and 2 females, with an average age of (35.5±6.6) years old ranging from 18 to 50, and the time from injury to operation was 3 to 15 hours with an average of (7.5±3.1). The gross appearance and imaging findings of the broken end of Achilles tendon tissue in the two groups were compared by naked eye observation and foot and ankle MRI at 4 to 6 hours before operation. HE staining, scanning and fluoroscopic electron microscopy, immunohistochemistry(Sirius red staining) were performed on the intraoperative Achilles tendon tissue specimens at 1 to 2 days after operation, the collagen fiber degeneration and local fat infiltration, collagen fiber shape, cell morphology and function, and the distribution of typeⅠand type Ⅲ collagen fibers in Achilles tendon were compared between the two groups., Results: Compared with the acute open Achilles tendon rupture group, the acute closed Achilles tendon rupture group had poor elasticity, hard texture, moderate edema, irregular shape of Achilles tendon broken end, horsetail shape, and more calcification around the broken end. HE staining results:the collagen fibers in the Achilles tendon of the acute open Achilles tendon rupture group were arranged irregularly, with hyaline degeneration and fat infiltration;The results of electron microscopy showed that collagen arranged disorderly and fibroblasts atrophied in the acute closed Achilles tendon rupture group. Immunohistochemical(Sirius staining) results:the proportion of collagenⅠin the acute open Achilles tendon rupture group and the acute closed Achilles tendon rupture group was(91.12±4.34)% and(54.71±17.78)% respectively, and the proportion of collagen Ⅲ was (8.88±4.34)% and (45.29±17.78)% respectively. The content of collagenⅠin the acute closed Achilles tendon rupture group was lower than that in the acute open Achilles tendon rupture group, and the content of collagen Ⅲ in the acute closed Achilles tendon rupture group was higher than that in the acute open Achilles tendon rupture group( P <0.05)., Conclusion: The morphology, histology and ultrastructure of the acute closed ruptured Achilles tendon are significantly altered compared with the normal Achilles tendon. The original fine and orderly spatial structure cannot be maintained, part of collagen Ⅰ is replaced by collagen Ⅲ, and the toughness and strength of the tendon tissue decreased, which may be the feature of degeneration of the Achilles tendon and an important pathological basis for closed Achilles tendon rupture.

A field experiment was conducted in moderately and severely Cd contaminated paddy fields in Beishan Town, Changsha City, Hunan Province. This study examined the effects of LS amendment (limestone+sepiolite), in combination with soil application and foliar spraying of Zn fertilizer, on Cd uptake in early and late rice plants. The results showed that: ① the application of LS (2250 kg·hm -2 and 4500 kg·hm -2 ) significantly increased pH and CEC values in paddy soil during the early and late rice seasons, but the addition of Zn fertilizer (90 kg/hm 2 ) to soil and through foliar spraying (0.2 g·L -1 and 0.4 g·L -1 ) had no significant effects on the pH or CEC of the soil. ② LS application decreased concentrations of TCLP-Cd and CaCl 2 -Cd in the soils, by 11.5%-38.8% and 24.0%-81.0%, respectively, while neither of the treatments involving the addition of Zn fertilizer to soil or through foliar spraying had any significant effects on the concentrations of TCLP-Cd and CaCl 2 -Cd. ③Single treatments involving only LS amendment, Zn fertilizer in soil, or foliar spraying of Zn fertilizer also reduced Cd concentrations in brown rice, but to a lesser degree than the combined treatments. The combined treatments (L1Z1F1, L1Z1F2, L2Z1F1, and L2Z1F2) reduced Cd concentrations in brown rice by 64.9%-67.5% and 56.1%-80.6%, for early and late rice, respectively, while L2Z1F1 (4500 kg·hm -2 LS+90 kg·hm -2 Zn fertilizer+foliar spraying 0.2 g·L -1 Zn fertilizer) resulted in the largest reduction in Cd concentration in brown rice. ④ The Cd/Zn ratio in brown rice was significantly positively correlated with Cd concentrations, indicating that increased Zn concentration in different rice tissues was one of the key reasons for decreased Cd concentration in brown rice. Clearly, as a remediation technology, combining LS amendments with zinc fertilizer is an effective method for achieving the safe utilization of moderately and severely Cd contaminated paddy fields, by effectively inhibiting the uptake, accumulation, and transportation of Cd in rice plants and decreasing Cd concentrations in brown rice.

A field experiment involving eight treatments with water management combined with leaf spraying silicon fertilizer was conducted in a paddy field heavily contaminated with Cd (2.83 mg·kg -1 ) to study the effects of these treatments on rice growth and Cd accumulation in different rice tissues. The results showed that:① the treatments had no significant effects on rice plant height or number of tillers, but increased the biomass of brown rice by 1.7% to 25.0%. Among the eight treatments, that of water flooding during the rice maturation period plus leaf spraying silicon fertilizer (CY) resulted in the highest amount of brown rice yield. ② The treatment of conventional water management plus leaf spraying silicon fertilizer (Si) had no significant effect on the exchangeable Cd content and TCLP extractable Cd content in soil, whereas the other treatments reduced the exchangeable Cd content by 7.8%-42.6% and the TCLP extractable Cd content by 20.0%-40.8%. ③ The Si treatment could reduce the Cd content in various rice tissues, with an overall decrease of 19.0% in brown rice. The other treatments significantly reduced the Cd content in various rice tissues. The treatment of moisture during the rice maturation period plus leaf spraying silicon fertilizer (CS) resulted in the highest reduction in the Cd content in brown rice (44.0%), and was followed by the treatments of batch-type water flooding during the entire rice growth period plus leaf spraying silicon fertilizer (JX; 36.4%), and moisture during the rice pustulation period plus leaf spraying silicon fertilizer (GS; 31.8%). ④ For paddy-fields that are contaminated with Cd to medium and heavy levels, the CS and JX treatments are recommended to manage rice production in order to significantly reduce the Cd content of brown rice whilst having little effect on the rice yield.

To clarify the sustainable soil reinforcement capacity of the lateral root branches of shrubs after injury by fracture force in a semi-arid coal mining subsidence region of Shendong, we analyzed the ultimate anti-fracture mechanical characteristics of three shrub species, Caragana microphylla, Salix cheilophila, and Hippophae rhamnoides, as well as the self-healing ability of their growth indices and mechanical characteristics after injury by fracture force. The results showed that the anti-fracture force and its strength had significant difference among the three shrub species in their late-ral root branches in the early stage of growing season, with the order of C. microphylla > S. cheilophila > H. rhamnoides. The anti-fracture strengths of C. microphylla and S. cheilophila were positively correlated with the contents of cellulose, lignin and holocellulose, while that of H. rhamnoides was significantly negatively correlated with cellulose and lignin contents, but significantly positively correlated with holocellulose content. The fracture force damage caused by activity in the subsidence area significantly reduced the normal growth and mechanical properties of lateral root branches, which could not return to control levels even after three months of self-healing. For the shrubs, stronger self-healing ability of growth indicators resulted in a higher degree of self-healing of anti-fracture forces. Self-healing ability of growth indicators was in the order of H. rhamnoides (91.2%) > S. cheilophila (82.0%) > C. microphylla (73.9%), and self-healing degree of anti-fracture forces was in the order of H. rhamnoides (41.4%) > S. cheilophila (37.1%) > C. microphylla (30.0%). Sustainable soil reinforcement indices of the shrubs' lateral root branches were in the order of C. microphylla (2.2084) > S. cheilophila (0.2009) > H. rhamnoides (-2.4093). Our results indicated that C. microphylla was the best, S. cheilophila was intermediate, and H. rhamnoides was the least in soil reinforcement in semi-arid coal mining subsidence areas.

The volatile components of roots and stems of Zanthoxylum nitidum were investigated by supercritical fluid carbon dioxide extraction (SFE-CO2) and gas chromatography-mass spectrometry(GC-MS). Thirty-one and fifty-one compounds were identified in the supercritical extracts from roots and stems of Z. nitidum, respectively, and total twenty-seven compounds were the common constituents. Among them, the major constituents in root and stem supercritical extracts were spathulenol (18.49 and 26.18%), n-hexadecanoic acid (14.24% and 12.79%), ar-tumerone (6.95% and 8.88%), oleic acid (8.39% and 5.71%) and hexanoic acid (4.39% and 7.78%). The in-vitro MTT assay showed that the volatile components of roots and stems of Z. nitidum did not exhibited any cytotoxic activity against human cancer Huh-7 and normal IEC-6 cells. These results indicated the same nature of the volatile constituents in the root and stem of Z. nitidum. This investigation may provide further evidence for expansion of medicinal parts of Z. nitidum.

Objective: To observe the distribution difference of magnetic resonance imaging (MRI) signals in osteonecrosis of the femoral head (ONFH) patients of different TCM syndrome types., Methods: Recruited 29 ONFH patients were assigned to the tendon and vessel stagnation group (14 cases) and the Gan-Shen deficiency group (15 cases) according to TCM syndrome typing. The distribution difference of their MRI signals of MRIT1WI, T2WI + fs, T1 and T2 combined signal were compared., Results: There was statistical difference in T1W1 signal distribution between the two TCM syndrome types (P = 0.04). There was no statistical difference in T2WI + fs or T1 and T2 combined signal between the two TCM syndrome types (P = 0.42, P = 0.15). MRI signals in the tendon and vessel stagnation group were mainly manifested as fat-like signals,while they were mainly manifested as mixed signals in the Gan-Shen deficiency group., Conclusion: Distribution difference of MRI signals exists between ONFH patients of different TCM syndrome types.

Objective: To isolate and identify active neuraminidase constituents of Polygonum cuspidatum against influenza A (H1N1) influenza virus., Method: On the basis of the bioassay-guided fractionation,such chromatographic methods as silica gel, sephadex LH-20 and HPLC were adopted to isolate active constituents of extracts from Polygonum cuspidatum, and their molecular structures were identifiied on the basis of their spectral data such as NMR and MS and physico-chemical properties., Result: Seven compounds were isolated from the ethyl acetate extract of P. cuspidatum and identified as 2-methoxystypandrone (1), emodin (2), resveratrol (3), polydatin (4), emodin-8-O-beta-D-glucopyranoside (5), (E)-3, 5, 12-trihydroxystilbene-3-O-beta-D-glucopyranoside-2'-(3", 4", 5"-trihydroxybenzoate) (6) and catechin-3-O-gallate (7), respectively. Among them, the NA test showed that compounds 3, 6 and 7 had inhibitory effect against NAs activity, with IC50 values of 129.8, 44.8 and 21.3 micromol x L(-1), respectively. Moreover, the further CPE test showed compounds 6 and 7 had significant inhibitory effect against H1N influenza virus (EC50 = 5.9, 0.9 micromol x L(-1), respectively), with very low cytotoxicity to the host cells, their therapeutic selective index(SI) in MDCK cells ranged from 56 to 269., Conclusion: The neuraminidase inhibitors against H1N1 anti-influenza virus isolated from extracts of P. cuspidatum on the basis of the bioassay-guided fractionation are significant in specifying their therapeutic material basis and drug R&D against influenza.

Objective: To study the correlation of indwelling central venous catheter and systemic infection, to study the causative microorganisms and factors contributing to infections, and the diagnosis and treatment of such infection., Methods: All the central venous catheters were produced by American or German companies. Subclavian vein, internal jugular vein, or femoral vein was chosen. Skin swab, blood in the catheter and peripheral blood were cultured. Clinical data including sex, age, disease, times of puncture, site of puncture, indwelling duration, type of catheter, caliber of catheter (single or double chamber, hemodialysis), nursing care, ways of use of the catheter were recorded, and they were subjected to non-conditional logistic regression analysis, then independent risk factors were determined with multivariate stepwise non-conditional logistic regression analysis., Results: Unvaried non-conditional logistic regression analysis showed that sex, primary disease, site of puncture, nursing care, and ways of use of the catheter showed no correlation with CRS. Multivariate stepwise non-conditional logistic regression analysis showed that indwelling duration [odds ratio (OR)=2.682, 95% confidence interval (CI): 1.156-6.226, chi2=5.275, P=0.022], caliber of catheter (OR=2.702, 95% CI: 1.183-6.175, chi2=5.559, P=0.018) and white blood cell count (WBC)<4x10(9)/L (OR=1.371, 95% CI:1.044-1.800, chi2=5.142, P=0.023) were independent factors. The clinical study of 1,100 patients showed that the total correlated infection rate was 2.5% (28/1,100)., Conclusion: Central venous catheterization is the major cause of bacteremia in hospital. The risk factors of infection are maintenance duration, location, and individual difference, and they are obviously correlated.

Background: To study the arboviruses carried by mosquitoes collected in Hebei Province., Methods: Samples were collected from mosquito active sites and stored in liquid nitrogen till use. Pools of 20 to 30 mosquitoes were ground after sterilization, centrifugal supernant was inoculated onto C6/36 cell, cytopathic effect was observed for three sequential passages. Positive isolates were identified by IFA and RT-PCR., Results: Totally 1310 mosquitoes were collected from two villages of She county, Hebei province. They were divided into 46 pools and ground respectively. Thirteen positive isolates were obtained. Two isolates reacted with alphaviral antibodies and were amplified by alphaviral primers, nucleotide sequence showed the highest homology (98%) to Getah virus (AY702913.1), so the two isolates were identified as Getah virus., Conclusion: Getah virus was isolated from mosquitoes in Hebei Province. This is the first report of isolating Getah virus from inland of China.