[Review of development of Department of Burn Surgery in the First Hospital of Naval Medical University over the past 60 years].

This paper briefly described the establishment and development of Department of Burn Surgery in the First Affiliated Hospital of Naval Military Medical University (the former Changhai Hospital of the Second Military Medical University) over the past 60 years. After several generations of hard work and innovative development, our department has accumulated a wealth of experience and outstanding treatment effects in the treatment of severe burn and trauma patients. We have made great achievements in clinical practice, scientific development, and talent cultivation, as well as making important contribution to the development of burn and trauma medicine in Shanghai and even in China.

[Greeting the new era: reflection on the 60 years of Chinese burn medicine].

As an initial member of burn medicine in China, I am lucky to participate in the activity of writing paper for the journal to celebrate the 60th anniversary of the founding of burn medicine in China. It is a chance to introduce my clinical work, laboratory study, and teaching. I review the development of burn surgery to make some points in the transformation and development of burn surgery, some suggestions for better coordination between burn surgery and critical care medicine during emergency support for mass burn casualties. Furthermore, I wish that some of the differences in opinions and experience in burn care could be studied and conformed in order to form relatively uniform opinion which might benefit the successors.

Ancient traditional Chinese medicine in burn treatment: a historical review.

Burn treatment in traditional Chinese medicine (TCM) has a long and remarkable history. This article provides a review of it's philosophy and knowledge, basic principles and treatment strategies as well as their modifications during 1300 years of medical development. The specific features presented are still influencing modern traditional Chinese medicine practitioners as well as modern Chinese burn treatment with considerable benefit for the treatment of burn victims.

[Methicillin-resistant Staphylococcus aureus infection and its treatment in burned patients].

Burn wound and systemic infections caused by methicillin-resistant Staphylococcus aureus (MRSA) were analysed in 95 patients. Results showed that both 95 (92.2%) out of 103 strains of Staphylococcus aureus isolated from burn wound and all 17 strains from blood were MRSA. Wound MRSA infection could be found in patients with variety of severity and in any kind of wound, while systemic MRSA infection was often occurred in extensive burn patients. The isolated MRSA were most resistant to cephalosporins and sensitive to vancomycin. In order to control wound MRSA infection, Lysostaphin which is active against these organisms could be used as a topical antimicrobial.

Centrifugal enhancement of human immunodeficiency virus type 1 infection and human cytomegalovirus gene expression in human primary monocyte/macrophages in vitro.

In an effort to facilitate the efficiency of human immunodeficiency virus type 1 (HIV-1) and/or human cytomegalovirus (HCMV) infection in primary monocyte/macrophages in vitro, the effect of low-speed centrifugation was studied. The infectivity of three strains (Bal, Ada-M, and IIIB) of HIV-1 tested was significantly enhanced by centrifugal inoculation at a force of 1500g for 60 min. Reverse transcriptase activity and HIV-1 p24 antigen in primary monocyte/macrophages infected by a centrifugal inoculation technique were detectable 3-7 days earlier and were more than 10-fold greater in magnitude (at an early stage of the infection) than those of control cells infected by the conventional inoculation technique. Examination of the cells by indirect immunofluorescence revealed higher expression of HIV-1 p24 protein in the monocyte/macrophages infected by the centrifugal inoculation technique. These differences were directly related to centrifugal inoculation and were evident up to 3 weeks after infection. Enhancement was not observed when centrifugation was carried out before or after HIV-1 infection. Centrifugal inoculation of HCMV also enhanced its immediate-early and early gene expression up to 30- to 50-fold, although neither late nuclear antigens and glycoproteins of HCMV nor infectious virus was detected in HCMV-infected monocyte/macrophage cultures. These results show that centrifugal inoculation is a useful technique for improving the efficiency of HCMV and HIV-1 infection in vitro.

[A HPLC method for determining piroxicam in body fluids].

Minimal detectable concentration of serum piroxicam by using HPLC reported in literature was mostly around 50 ng.ml-1 serum. Though the sensitivity was enough for pharmacokinetics study, it could not meet the needs of drug formulation screen study in developing precision drug delivery system (DDS) such as transdermal delivery system. A new HPLC method providing a detection limit of 0.75 ng, sensitive enough to quantify low concentrations of serum piroxicam down to 5 ng.ml-1 was reported in this paper. A Waters Model 481 instrument was used throughout the experiment. Isoxicam was proved to be the most suitable internal standard at maximum absorption wave length of 360 nm. A mixture of methanol and ammonium acetate 0.1 mol.L-1 (1:0.9 vol.vol-1) was selected as mobile phase with a flow rate of 1 ml.min-1. 0.025% tetramethyl ethylene diamine was added to ammonium acetate solution and adjusted to pH 4.5 with citric acid before mixing. Calibration curve was linear (r = 0.9999) in the concentration range of 10-5,000 ng.ml-1. The within-day and day-to-day precisions (CV) of this method were 2.88% and 2.89% respectively, with average recoveries of 96.0-102.4% (10-5,000 ng.ml-1). No interference was found in the body fluids of subjects who took piroxicam concomitantly with other commonly used non-steroidal anti-inflammatory medicines such as indomethacin, ibuprofen, naproxen, phenylbutazone and acetylsalicylic acid.

[Experimental study of topical uses of para-chloro-methyl-xylenol in burns: therapeutic effect against Staphylococcus aureus].

The therapeutic effect of para-chloro-methyl-xylenol (PCMX), a disinfectant of phenol compound, against Staphylococcus aureus infection in burns is evaluated in the present article. The MIC of PCMX is 50 micrograms/ml. Experimental study was done on deep burn wounds of white rabbit. Bacterial stock of Staphylococcus aureus was inoculated on the wound surface 15 min after the burn. Five hours later, cream base, and creams of 1% silver sulfadiazine (Ag-SD) and 5% PCMX were topically applied followed by dressing change once a day. Biopsy was performed on the third postburn day. Samples of subeschar tissue were sent for bacterial count and pathological examination. The average bacterial count per gram of subeschar tissue of cream base, Ag-SD cream, and PCMX cream groups was 4.69 X 10(8), 3.05 X 10(6), zero, respectively. Gross inspection of the wound surface showed dry and intact in PCMX cream group, while in the other two groups autolysis of the eschar were seen. Microscopic examination of the pathological sections indicated a generalized lesion with degeneration and necrosis of the epithelium and the dermis, subcutaneous edema, infiltration of inflammatory cells, and degeneration of myofascia. The lesion seen in PCMX group was mild. While those of the other two groups were severe with the amount distribution of Staphylococcus aureus and more severe in the cream base group. Results of the study demonstrated that PCMX is an effective antimicrobial agent against Staphylococcus aureus. Its better therapeutic effect might be due to a higher concentration of PCMX cream than that reported in the literature was used in the present study.

Experimental study on topical antimicrobial agents in burns.

Numerous organic silver salts have been tested against a virulent strain of Pseudomonas aeruginosa which had been deliberately applied to the scalded tails of mice and deeper scald wounds on the backs of rabbits. Silver pipemidate was found to be more effective than silver sulphadiazine in treating these infected wounds.

Gas-liquid chromatographic determination of chlordimeform and its metabolites in cargo rice and husk.

A specific method is described for the alkali flame ionization gas-liquid chromatographic determination of chlordimeform (N'-(4-chloro-o-tolyl)-N,N-dimethylformamidine) and 3 potential metabolites in cargo rice and husk. Samples are extracted with absolute alcohol or hexane, and cleaned up on neutral alumina columns. Residues of chlordimeform and its metabolites are chromatographed directly on a column of 1% DEGS coated on 60-80 mesh 405 support (PEG 20M bonded phase). The detection limits for chlordimeform, 4-chloro-o-toluidine, 2,2'-dimethyl-4,4'-dichloroazobenzene, and N-formyl-(4-chloro-o-toluidine) are 0.03, 0.028, 0.11, and 0.43 ppm for cargo rice and 0.03, 0.028, 0.22 and 0.43 ppm for husk, respectively.