Maxillary first molar with twin-root canal in palatal side is rare. This article described two cases of maxillary first molar with twin-root canal. A properly designed and prepared access of the cavity is helpful for the diagnosis and negotiation of the root canal morphology.
Dental Pulp Cavity ; Humans ; Maxilla ; Molar ; Root Canal Therapy

Objective　To investigate the feasibility of hypocaloric nutrition support in elderly patients.Methods　Sixteen elderly patients ( ＞ 85 years) were treated with hypocaloric nutrition for 4 weeks. The calorie intake was 75-96 kJ·kg-1·d -1 , including 44％ -59％ of carbohydrates ( 137-207 g·d -1 ) , 26％ -42％ of lipids (40-67 g·d-1) , and 14％-16％ of proteins (0.7-0.9 g·kg-1·d-1). Nonprotein calorie-to-nitrogen ratio was 131∶1-150∶1. After 4 weeks of treatment, changes in blood routine test, biochemistry, and clotting function were compared with those before hypocaloric nutrition support. Results　After hypocaloric nutrition support, the plasma proteins, blood fats, and lymphocytes in these 16 elderly patients were well maintained, and no obvious adverse effect on clotting function or liver/kidney functions was observed. Conclusion　Hypocaloric nutrition support is safe and effective for elderly patients who are older than 85 years.

Objective To investigate the effect of curcumin on the proliferation,cell cycle distribution and gene expression of human breast cancer MCF-7 cells.Methods MCF-7 cells were treated with 10,20,40,80 ?mol/L curcumin for 24,48 or 72 h.MTT was used to assay the biologic activities of curcumin and its antiproliferative effect.FCM was used to detect cell cycle distribution and apoptosis.The expression levels of bcl-2,bax,PCNA mRNA were analyzed by RT-PCR.Results The curcumin IC_(50)value for MCF-7 cells was(18.5 ?mol/L.) The inhibitory effect of curcumin on cell growth was in a time-and dose-dependent manner.MCF-7 cells treated with 20 ?mol/L or(40 ?mol/L) curcumin for 24 h were arrested in G_0/G_1 phase and induced apoptosis.The expression levels of bcl-2,PCNA mRNA were decreased in MCF-7 cells by 10,20 and 40 ?mol/L curcumin treatment for 24 h,and bax mRNA was increased.Conclusion Curcumin is of inhibitory effect on MCF-7 cell growth,and it can arrest MCF-7 cells in G_0/G_1 phase,inhibit the proliferation and induce apoptosis.Curcumin down-regulates bcl-2,PCNA mRNA expression in MCF-7 cells,but upregulates bax mRNA expression.

[Objective]To analyze the correlation between disk degeneration and development of isthmic spondylolisthesis in adults.[Method]Totally 156 patients who had spoondvlolvsis and spondylolisthesis were follow-up.There were 86 males and 70 females.All patients were made radiographs for lumbar discomfort or low back pain.Spondylolysis and spondylolisthesis were discovered.According to Meyerding slip degree;68 cases were spondylolysis,88 cases were spondylolisthesis in degree Ⅰ.All patients were under conservative treatment and observed the development of the disease.According to Boxall defined the development of spondylolisthesis.There were 40 patients with development of spondylolisthesis and aggravation of dies degeneration.24 males,16 females.[Result]All the patients were followed-up for 3~9 years,with an average of 6.3 years.Lumbar vertebra slippage increased about 11%~30%(average 18.5%),the height of intervertebral disk decreased about 45%~90%(average 72%)in the level of spondylolysis.x2 test was used for statistical treatment,There was a significant positive correlation between development of isthmic spondylolisthesis in adults and aggravation of disk degeneration.[Conclusion]There are development in adults of spondylolysis and spondylolisthesis,may be correlated to the disc degeneration.

Objective To investigate the epidemiological status and risk factors in hypertensive disorder during pregnancy in Pudong New Area in Shanghai. Methods The retrospective study analyzed data of 4 056 maternal residents in the region from 2009 to 2012. The prevalence of hypertensive disorders in pregnancy was analyzed. The related factors for the hypertensive disorder during pregnancy were evaluated by multivariate unconditional logistic analysis. Results The in-cidence of hypertensive disorder during pregnancy was 5.18%, including gestational hypertension 2.49%, preeclampsia-mild 0.64%, preeclampsia-severe 1.85%, eclampsia 0.05%and pregnancy with chronic hypertension 0.15%. The multivari-ate unconditional logistic regression analysis showed that the advanced age (OR=7.610, OR95%CI:2.322-24.936), the high body mass index (BMI) before pregnancy (OR=120.715,OR 95%CI:61.867-235.540) and the excessively increased BMI during pregnancy (OR=16.219,OR 95%CI:6.219-42.316) were risk factors for hypertensive disorder during pregnancy. Conclusion The risk factors for hypertensive disorder during pregnancy are advanced age, the high BMI before pregnancy and the excessively increased BMI during pregnancy. The hypertensive disorder during pregnancy has no relation with the number of pregnancies.

It has aroused extensive concern that how to check for new or after-maintenance medical instruments and keep unqualified instruments out of clinical fields.By analyzing the present situation of medical equipment checking and quality management,main problems are pointed out.The importance of medical measuring and testing is emphasized.It is suggested medical metrology management should be strengthened and the checking procedures should be improved.

BACKGROUND: Olfactory ensheathing cells (OECs) and bone marrow mesenchymal stem cells (BMSCs) repair the function of injured spine cord. Whether their combination can have better repair effect is unclear. OBJECTIVE: To investigate effects of OEC and BMSC transplantation for treating injured spine cord.DESIGN, TIME AND SETTING: The randomized control animal experiment was performed at the Linyi People’ s Hospital and Kunming Medical College from June 2006 to October 2007. MATERIALS: Healthy clean adult female Sprague Dawley rats with the body mass of 220-280 g were enrolled and divided into a normal control group (n=5), a OEC group (n=10), a BMSC group (n=10), a co-transplantation group (n=10) and a operation control group (n=10). METHODS: OECs and BMSCs were harvested from the olfactory bulb and femoral bone. Animal models of complete spinal cord injury were established by cutting rat spinal cord. Rats in the normal control group only received vertebral plate unfolding, but no spinal cord transaction. Rats in the OEC group, BMSC group and co-transplantation group were respectively injected with OECs, BMSCs and their combination at the broken ends and proximal and distal ends. Using three points injection, the injection depth was separately 0.5 mm, 1.0 mm and 1.5 mm. Rats in the operation control group only received medium following spinal cord transaction. MAIN OUTCOME MEASURES: OECs and MSCs were co-cultured after being digested. Cells were identified by P75 and BrdU immunofluorenscence. Spinal cord functional recovery was assessed, and pathological changes and cell survival were observed after transplantation. RESULTS: One proportion of co-cultured cells wove into net with their processes linking. The other proportion grew like strip-shaped. OECs were identified on the cell membrane (green fluorescence) and on the cell core (red fluorescence), whereas BMSCs were identified on the cell core (red fluorescence) without cell membrane (green fluorescence). Spinal cord function was improved in rats treated with OECs and BMSCs. Four weeks later, the spinal cord function was better in the co-transplantation group compared to the OEC and BMSC groups. Pathology observation showed that spinal cord structure was severely destroyed in the operation control group, showing a mass of cavitates and pericaryon atrophy, surrounded by many cavitates and tissue fluids; cell number became small; nerve fibers arranged disordered. Following OEC and BMSC transplantation, spinal cord structure was still severely damaged, but cavitas area was small, with many cells; nerve cells arranged orderly. Under a fluorescent microscope, many cell nuclei stained red at the injured spinal cord, and many positive cells were seen at the proximal and distal ends of the injured spinal cord. OECs and BMSCs were both found in the co-transplantation group, but cells were disordered, no significant arrangement or significant movement. CONCLUSION: OECs and BMSCs are co-cultured well in vitro for repairing spinal cord injury. Their combination obtains a better outcome compared to OECs or BMSCs alone.

Objective To explore the effect of comfortable care in alleviating insomnia for cerebral infarction patients and improve the health of the patients. Methods Selecting 231 conscious and hospitalized cerebral infarction patients randomly from January to December,2005.Giving apprpfi-ate comfortable care measures in acute period,stable period and recovery period.Insomnia WaS evaluated at admission and after two weeks of hospitalization.Results Insomnia of cerebral infaretion patients allevi-ated after two weeks,which was statistically different from that at admission.P<0.01. Conclusions Comfortable care is significant to alhviate insomnia of cerebral infarction patients.reduce the com-plication and improve the quality of nursing service.We should emphasize it and put it into practice widely.

Segmentation of cryo-electron micrograph (Cryo-EM) image is crucial to identification of macromolecular particles. In this paper, the features of Cryo-EM image are discussed and a new automatic segmentation algorithm for Cryo-EM image based on wavelet transformation and difference of Gaussian (DoG) is also provided. This method uses wavelet decomposition to do the multi-resolution analysis, which can depress noise and enhance contrast. After DoG image is segmented by using OTSU method, main edges are selected by the combination of gray and grads information. Experiment results show that the algorithm has good result.

Objective To investigate possible nerological origination of rabbit P3a potential. Method we simultaneously recorded the ERPs at dura and various depths beneath the skull in a point of rabbit skull, similarly did some in different points of rabbit skull. Result In the Brodmann 25 and 32 areas(AcgI), the polarity of P3a to those at dura was markedly reverse and the reverse rate of P3a(81.3%) was significantly higher than other locations, the P3a without polarity reversal showed steep voltage gradient. There was an increasing trend of the P3a reversal and moderate voltage gradient nearby the AcgI, but not other regions. Conclusion Rabbit P3a potential possibly originate from the AcgI acea.