How effective is nicotine replacement therapy in helping people to stop smoking?

OBJECTIVE--To assess the efficacy of nicotine replacement therapy in helping people to stop smoking. DESIGN--Analysis of the results of 28 randomised trials of nicotine 2 mg chewing gum, six trials of nicotine 4 mg chewing gum, and six trials of nicotine transdermal patch. SUBJECTS AND SETTING--Subjects were self referred (responding to advertisements or attending anti-smoking clinics) in 20 trials and invited (general practice or hospital patients) in 20. Therapists in self referred trials were generally experienced in helping people stop smoking but not in invited trials. MAIN OUTCOME MEASURE--Efficacy was defined as difference in percentages of treated and control subjects who had stopped smoking at one year. RESULTS--Efficacy was highly significant (P < 0.001) for both gum and patch. Nicotine 2 mg chewing gum had an overall efficacy of 6% (95% confidence interval 4% to 8%), greater in self referred subjects than in invited subjects (11% v 3%). Efficacy depended on the extent of dependence on nicotine as assessed by a simple questionnaire; it was 16% (7% to 25%) in "high dependence" smokers, but in "low dependence" smokers there was no significant effect. The 4 mg gum was effective in about one third of "high dependence" smokers. The efficacy of the nicotine patch (9% (6% to 13%) overall) was less strongly related to nicotine dependence, perhaps because the patch cannot deliver a bolus of nicotine to satisfy craving. CONCLUSIONS--Both gum and patch are effective aids to help nicotine dependent smokers who seek help in stopping. Among the most highly nicotine dependent smokers (those craving a cigarette on waking) the 4 mg gum is the most effective form of replacement therapy; it could enable one third to stop. In less highly dependent smokers the different preparations are comparable in their efficacy but the patch offers greater convenience and minimal need for instruction in its use. Overall, nicotine replacement therapy could enable about 15% of smokers who seek help in stopping smoking to give up the habit.     

聚焦色谱法测定肌型肌酸激酶亚型

报道了测定CK-MM亚型的聚焦色谱法,此法简单,快速,结果可靠,线性范围宽,最低检测限（8U／L）较正常参考值低,比国外报道的类似方法高6倍以上,分离度亦有改进.测定了20例健康人血清亚型分布,与文献报道结果相近.该法自动化程度高,已在急性心梗的诊断中实际应用.     

虾钳菜披龟甲生物学的研究

虾钳菜披龟甲是湘南危害空心莲子草的重要害虫,1年发生4代,以成虫越冬。成虫产卵期长达25～45天,平均每雌产卵64粒。各虫态历期,因代别而异,卵期在3～9天,幼虫期在16～26天,蛹期3～8天。成虫寿命长达60天或200余天（越冬代）。发生为害与温、湿度关系密切,高温、干旱对其不利。     

质体醌重组的D1／D2／Cytb559复合物的荧光衰减动力学和光破坏作用

光系统Ⅱ反应中心Ｄ１／Ｄ２／Ｃｙｔｂ５５９ 在分离纯化过程中失去了电子受体ＱＡ 和ＱＢ,人工合成的质体醌可以与Ｄ１／Ｄ２／Ｃｙｔｂ５５９ 复合物发生重组。癸基质体醌（ＤＰＱ）与Ｄ１／Ｄ２／Ｃｙｔｂ５９９ 复合物的重组导致该复合物的荧光强度下降及发射光谱蓝移,同时两个与光化学活性相关的长寿命（２４ ｎｓ和７３ ｎｓ）荧光衰减组分占整个荧光的百分数下降,这些结果表明ＤＰＱ作为Ｐｈｅｏ－ 的电子受体,限制了Ｐ６８０＋ ·Ｐｈｅｏ－ 的电荷重组。ＤＰＱ 的加入对Ｄ１／Ｄ２／Ｃｙｔｂ５５９复合物中Ｃｈｌａ 分子的光破坏敏感性影响不大,但β－胡萝卜素在加入ＤＰＱ 之后可以被光照破坏,这个过程可能与β－胡萝卜素的生理功能相关。     

甜菜碱对呼吸酶的保护效应

以菠菜（Ｓｐｉｎａｃｉａ ｏｌｅｒａｃｅａ Ｌ．）叶片为材料,研究了不同浓度的甜菜碱和ＮａＣｌ对三羧酸循环、末端氧化和光呼吸的组成酶的活性的影响。与电解质ＮａＣｌ不同,高浓度的甜菜碱对这些酶的活性是非抑制性的,并对ＮａＣｌ的抑制作用有一定保护效应。甜菜碱是很好的有机渗透调节剂。这与甜菜碱在细胞质中起渗透调节作用,以及是无机渗透调节剂的配伍溶质的假设是一致的。     

忍冬科(狭义)植物地理及其对认识东亚植物区系的意义

本文所谓狭义的忍冬科,包含4族、12属即忍冬族(忍冬属、鬼吹箫属),北极花族(毛核属,糯米条属、六道木属、北极花属、双盾木属、猬实属、七子花属),锦带花族(德维花属、锦带花属)和莛子？族(莛子？属)。基于它们的分布、化石资料和以木本为主的特性,忍冬科可认为是一个古老的科,可能起源于晚白垩纪或早第三纪。又基于以下事实：在东亚糯米条属、莛子？属和锦带花属中,可见到一系列的系统发育列;东亚特有的七子花属,是联系忍冬族和北极花族的一个中间纽带;东亚不但有较高比例的古特有属,还有一些新特有属;由此,我们认为东亚是该科的多样化中心。在化石和细胞学资料不充分的情况下,我们仅根据三个主要特征,如属的系统位置是否孤立,与近缘属的分布区是否间断及属内的分化类型的多寡和种间的区别是否明显,试图将6个东亚特有属归为三类：七子花属、双盾木属和猬实属作为古特有属,锦带花属作为活化了的古特有属,六道木属和鬼吹箫属作为新特有属。     

田麻属的分类学研究

本文对田麻属植物的分类进行了研究,确认1种2变种,归并了1种3变种1变型,降级1种。     

人重组IL6／IL2融合蛋白的变性、复性及纯化

经超声破碎,分离已表达CH925包涵体,较系统地研究变性剂浓度、融合蛋白浓度对蛋白折叠的影响.在还原型及氧化型谷胱甘肽复性条件下,成功地将融合蛋白CH925折叠成具有IL6及IL2双活性蛋白,IL6的比活为2.3×10⁸U/mg, IL2比活为2.2×10⁶U/mg.经阴离子交换、凝胶过滤层析,获得一定纯度的CH925,配合反相HPLC.洗脱收集蛋白峰,CH925纯度为98%.     

高铁离子自由基与亚油酸反应的初步研究

利用停留仪快速反应动力学方法和自旋捕集ＥＳＲ技术监测高铁离子自由基和自旋捕捉剂ＰＯＢＮ的反应,发现高铁离子自由基本身不被自旋捕捉剂ＰＯＢＮ捕捉,但是ＰＯＢＮ可以捕捉到停流仪第三相中的ＯＨ,可能来自剩余的Ｆｅｎｔｏｎ试剂或高铁离子自由基的衰变。以含两个双键的不饱和脂肪酸－亚油酸（ＬＨ）作为模型化合物,测定高铁离子自由基与亚油酸分子的反应速率。ＥＳＲ结果表明,高铁离子自由基可能在一定程度上启动了亚油酸体系的脂质过氧化。