The central retinal arteries were studied in 32 eyes obtained from 16 fetuses.(7-8 months old)with the stereoscopy for the microsurgical anatomy.4 eyes obtain-ed from 2 fetuses of the same age were injected by A.B.S.,the casts were usedfor the contrast study.The central retinal artery of the fetus was divided into the intraorbital portion,the intravaginal portion,the intraneural portion and the portion of the lamina cri-brosa and the pre-lamina cribrosa of the sclera.All four portions gave off branchesto supply the optic nerve and its sheath.The central retinal artery of the fetus developed very well,its incidence was100%,its average caliber was 0.42 mm.The central retinal artery of the fetus gave off the posterior ciliary branch(9.4%)which anastomosed with the Zinn-Haller circle.It forms another communi-cation between the central retinal artery and posterior ciliary branch.

The posterior portion of Willis' circle and the posterior cerebral artery of 50Chinese brains(40 adults and 10 children)were systematically studied.The hypoplastic posterior communicating artery was found in 56.0%?4.96.The posterior communicating artery gave off,in average,5.3 perforating branchesto the hypothalamus and 3.5 perforating branches to the posterior perforatingsubstance.The posterior cerebral artery was divided into 3 segments:P_1, P_2 and P_3.The segment P_1 of the posterior cerebral artery gave off,in average,1.8thalamoperforating branches to the interpeduncular fossa and 0.9 mamillary branchto the mamillary body.The segment P_2 gave off direct perforating branches,whichwere divided into 3 groups:in average 4.3 branches to the cerebral peduncule,1.0branch to the pulvinar and brachium quadrigeminum superius and 5.4 thalamogeni-culate branches.Moreover,the posterior cerebral artery also sent short circumflex branches tothe mesencephalic tegmentum,long circumflex branches to the mesencephalic tectum,medial posterior choroidal arteries to the choroid plexus of the third ventricle andlateral posterior choroidal arteries to the choroid plexus of the lateral ventricle.The blood stream of the segment P_2 mainly came from the basilar artery in79.0%?4.07,from the internal carotid artery in 4.0%?1.96 and equally from bothof them in 17.0%?3.76.The posterior cerebral artery sent off five cortical branches,and was mainlydistributed to the inferior surface of a temporal lobe and the medial surface of anoccipital lobe.

The petrous and the cavernous segments of 50 internal carotid arteries were examined in 25 adult cadavers.The petrous segment was divided into two portions, namely,the vertical portion and the horizontal portion.The two portions joined at the genu.No branch was found on the vertical portion.The horizontal portion sent off the pterygoid artery and the periosteal artery.Moreover,a surgical approach to the petrous segment of the internal carotid artery was explained. The cavernous segment was divided into the posterior acscending portion,hori- zontal portion,anterior ascending portion,posterior curve and anterior curve.The cavernous segment sent off two main branches,namely,the meningohypophyseal trunk and the artery of the inferior cavernous sinus.Moreover,a rare case of the persistent trigeminal artery was reported.

The supraclinoidal segments of 50 carotid internal arteries were studied in 25 adult cadavers.The supraclinoidal segment was divided into the ophthalmic arterial por- tion,the communicational arterial portion and the choroidalarterial portion.The ophthalmic arterial portion of the supraclinoidal segment sent off the ophthalmic artery,the superior hypophyseal artery and the hypothalamic branch.The microsur- gical anatomy of the ophthalmic artery was specially studied.

The seasonal dynamics of the soil microbial growth and soil net respir ation rate were studied in the imminent Heptacodium miconioides community T he results indicate that the numbers of bacteria and actynomices of rhizosphere soil or that of bacteria ,fungi and actynomices of non rhizosphere soil as well as net respiration rate of soil maintain similar seasonal dynamics in which dis play mono peak curves and their biggest values occure in September but the bi ggest nu mber of fungi of rhizosphere soil is in October The microbial numbers of soil,e s pecially that of soil fungi ,are greatly affected by the water content and tempe rature of soil The net respiration rate of soil closely relate not only with t h e water content and temperature of soil,but also with the soil microbial numbers of non rhizosphere soil which are mostly responsible for the net respiration r ate of soil

Purpose:To explore the all-trans-retinoic acid(ATRA) on induction of apoptosis in human bladder transitional cell carcinoma cell line T24.Methods: The apoptosis of T24 cell line was studied by fluorescence microscopy, flow cytometry and DNA agarose gel electrophoresis.Results:After T24 cells were treated by 3×10-6 mol/L ATRA six days, the apoptotic rates of T24 cells were 15.20% in treated group and 0.01% in control group respectively under fluorescence microscopy(P<0.05); the apoptotic rates of T24 cells were 15.31% in treated group and 1.49% in control group separately on flow cytometry ; a characteristic DNA “ladder” on agarose gels was observed in treated group.Conclusions:The apoptosis of human bladder transitional cell carcinoma cell line T24 can be induced by ATRA.

BACKGROUND:Retinoic acid signaling pathways is very important in the formation pf nervous system, specialization of neurons and outgrowth of axons. The recent studies show that, retinoic acid plays an important role in the process of axonal regeneration, but few research reports its exact molecular mechanism.
OBJECTIVE:To analyze and summarize the mechanism underlying retinoic acid signaling pathways in the process of axonal regeneration.
METHODS:A computer-based online research was conducted among the VIP, CNKI, PubMed, BioMed Centeral, Springer, The Free Medical Journals, EBSCO and Foreign Journals Integration System between January 2000 and December 2013, with the key words of“retinoic acid, the central nervous system, nerve damage, axon regeneration, and mechanism”in Chinese and English. A total of 43 studies addressing the molecular mechanism of retinoic acid in axonal regeneration were screened. According to the supplementary documents, another five references were added. Repetitive research and atypical reports were excluded.
RESULTS AND CONCLUSION:Fol owing acute central nervous system injury, axonal regeneration and functional recovery are extremely limited. For proper functionality fol owing injury, axons must regrow, reinnervate their targets, and remyelinate their axons. When the central nervous system injuries occur, retinoic acid signaling pathways express transcription factor retinoic acid receptorβ2 to induce axonal regeneration fol owing injury;in dorsal root ganglion neurons, cAMP levels are greatly increased by lentiviral retinoic acid receptorβ2 expression and contribute to neurite outgrowth. More recently, retinoic acid-retinoic acid receptorβ2 pathways directly transcriptional y repress a member of the inhibitory Nogo receptor complex, Lingo-1, under an axonal growth inhibitory environment in vitro as wel as fol owing spinal cord injury in vivo. Through these molecular mechanisms, retinoic acid signaling pathways play its important role in the process of axonal regeneration.

Objective: To determine the effect of polygona-polysaccharose (PP) on learning and memory ability in rats with Alzheimer’s disease (AD). Methods: Forty ifve Sprague-Dawley rats were assigned into 3 groups. Rats in the sham-operated group were injected with normal saline. Rats in the Aβ group were injected with Aβ1-42. Rats in the PP group were injected with 16% PP solution for 45 days consecutively. hTe Morris water maze was used to investigate the ability of learning and memory in the rats. hTe effect of Aβ and PP on the hippocampus cells was observed by HE and Congo red staining of methanol. Results: Rats in the sham-operated group had no obvious morphological change; and morphology of rats in the PP group was basicaly normal. The layer of pyramidal cells in the Aβ group was decreased. hTe cells appeared sparse and irregular and became smaller. Karyopyknosis and vacuolardegeneration cells were also found. More positive staining materials aggradated in the Aβ group compared with the PP group by Congo red staining (P<0.05). Conclusion: Aβ infusion into the hippocampus results in the impairment of the neuronal degeneration in the rats, which shows similar characterizations of AD. PP can reduce the deposition of Aβ in the hippocampus.

Objective:To evaluate the 1-year postoperative efficacy and nutritional indicators of single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) in obese patients.Methods:This retrospective observational study included patients with a body mass index (BMI) of ≥40.0 kg/m 2 regardless of other related metabolic diseases and patients with severe type 2 diabetes and a BMI between 27.5 and 40.0 kg/m 2. The clinical data of 66 obese patients who underwent SADI-S at the Bariatric and Metabolic Surgery Department of China-Japan Union Hospital of Jilin University from November 2018 to May 2022 were collected, including 53 cases of da Vinci robotic surgery and 13 cases of laparoscopic surgery. The patients comprised 38 men and 28 women with a median age of 35 (18–61) years and a mean preoperative BMI of 42.93 ± 6.82 kg/m 2. A total of 38 patients had type 2 diabetes, and 46 had hyperuricemia, 45 had hypertension, 35 had hyperlipidemia, 12 had hypercholesterolemia, and 12 had a high low-density lipoprotein (LDL) level. The main observation indicators were (1) intraoperative and postoperative conditions; (2) weight loss outcomes, including body weight, BMI, excess body weight loss (%EWL), and total body weight loss (%TWL) at 3, 6, and 12 months after surgery; (3) effects of treatment on metabolic disease; and (4) changes in nutrient indicators. Results:(1) Intraoperative and postoperative conditions: All patients successfully underwent SADI-S with neither conversion to laparotomy nor death. Four (6.1%) patients developed postoperative complications, and all of them recovered and were discharged after conservative or surgical treatment. (2) Weight loss outcomes: %EWL at 3, 6, and 12 months after surgery was 62.07 ± 26.56, 85.93 ± 27.92, and 106.65 ± 29.65, respectively, and %TWL was 22.67 ± 4.94, 32.10 ± 5.18, and 40.56 ± 7.89, respectively. Body weight and BMI 3 to 12 months after surgery were significantly lower than those before surgery (all P < 0.001). (3) Effect of treatment on metabolic disease: 3 to 12 months after surgery, fasting blood sugar, HbA1c, uric acid, systolic blood pressure, diastolic blood pressure, triglycerides, total cholesterol, LDL, and other indicators were significantly lower than those before surgery (all P < 0.05). Twelve months after surgery, the remission rates of diabetes, hyperuricemia, hypertension, hypertriglyceridemia, hypercholesterolemia, and high LDL were 100% (38/38), 65.2% (30/46), 62.2% (28/45), 94.3% (33/35), 100% (12/12), and 100% (12/12), respectively. (4) Changes in nutrient indicators: Compared with the preoperative nutrient levels, the hemoglobin and hematocrit levels were lower at 3 to 12 months after surgery, the total protein level was lower at 6 to 12 months after surgery, the albumin level was lower at 6 months after surgery, and the ferritin level was lower at 3 months after surgery. The differences were statistically significant (all P < 0.05). The incidence of anemia was 6.1% (4/66), hypoalbuminemia was 4.5% (3/66), and ferritin deficiency was 4.5% (3/66), all of which were improved or normalized through conservative treatment. Twelve months after surgery, 30 (45.5%) patients had vitamin A deficiency, 17 (25.8%) had vitamin E deficiency, 11 (16.7%) had folic acid deficiency, 2 had potassium deficiency (3.0%), 3 (4.5%) had calcium deficiency, 2 (3.0%) had magnesium deficiency, 9 (13.6%) had iron deficiency, and 16 (24.2%) had zinc deficiency. However, no relevant clinical symptoms occurred. Conclusions:SADI-S has a very significant effect on weight loss and alleviation of metabolic diseases. Nutrient deficiencies after SADI-S mainly involve vitamin A, vitamin E, zinc, and folic acid. The long-term efficacy and safety of SADI-S still need further follow-up observation.

Objective:To evaluate the 1-year postoperative efficacy and nutritional indicators of single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) in obese patients.Methods:This retrospective observational study included patients with a body mass index (BMI) of ≥40.0 kg/m 2 regardless of other related metabolic diseases and patients with severe type 2 diabetes and a BMI between 27.5 and 40.0 kg/m 2. The clinical data of 66 obese patients who underwent SADI-S at the Bariatric and Metabolic Surgery Department of China-Japan Union Hospital of Jilin University from November 2018 to May 2022 were collected, including 53 cases of da Vinci robotic surgery and 13 cases of laparoscopic surgery. The patients comprised 38 men and 28 women with a median age of 35 (18–61) years and a mean preoperative BMI of 42.93 ± 6.82 kg/m 2. A total of 38 patients had type 2 diabetes, and 46 had hyperuricemia, 45 had hypertension, 35 had hyperlipidemia, 12 had hypercholesterolemia, and 12 had a high low-density lipoprotein (LDL) level. The main observation indicators were (1) intraoperative and postoperative conditions; (2) weight loss outcomes, including body weight, BMI, excess body weight loss (%EWL), and total body weight loss (%TWL) at 3, 6, and 12 months after surgery; (3) effects of treatment on metabolic disease; and (4) changes in nutrient indicators. Results:(1) Intraoperative and postoperative conditions: All patients successfully underwent SADI-S with neither conversion to laparotomy nor death. Four (6.1%) patients developed postoperative complications, and all of them recovered and were discharged after conservative or surgical treatment. (2) Weight loss outcomes: %EWL at 3, 6, and 12 months after surgery was 62.07 ± 26.56, 85.93 ± 27.92, and 106.65 ± 29.65, respectively, and %TWL was 22.67 ± 4.94, 32.10 ± 5.18, and 40.56 ± 7.89, respectively. Body weight and BMI 3 to 12 months after surgery were significantly lower than those before surgery (all P < 0.001). (3) Effect of treatment on metabolic disease: 3 to 12 months after surgery, fasting blood sugar, HbA1c, uric acid, systolic blood pressure, diastolic blood pressure, triglycerides, total cholesterol, LDL, and other indicators were significantly lower than those before surgery (all P < 0.05). Twelve months after surgery, the remission rates of diabetes, hyperuricemia, hypertension, hypertriglyceridemia, hypercholesterolemia, and high LDL were 100% (38/38), 65.2% (30/46), 62.2% (28/45), 94.3% (33/35), 100% (12/12), and 100% (12/12), respectively. (4) Changes in nutrient indicators: Compared with the preoperative nutrient levels, the hemoglobin and hematocrit levels were lower at 3 to 12 months after surgery, the total protein level was lower at 6 to 12 months after surgery, the albumin level was lower at 6 months after surgery, and the ferritin level was lower at 3 months after surgery. The differences were statistically significant (all P < 0.05). The incidence of anemia was 6.1% (4/66), hypoalbuminemia was 4.5% (3/66), and ferritin deficiency was 4.5% (3/66), all of which were improved or normalized through conservative treatment. Twelve months after surgery, 30 (45.5%) patients had vitamin A deficiency, 17 (25.8%) had vitamin E deficiency, 11 (16.7%) had folic acid deficiency, 2 had potassium deficiency (3.0%), 3 (4.5%) had calcium deficiency, 2 (3.0%) had magnesium deficiency, 9 (13.6%) had iron deficiency, and 16 (24.2%) had zinc deficiency. However, no relevant clinical symptoms occurred. Conclusions:SADI-S has a very significant effect on weight loss and alleviation of metabolic diseases. Nutrient deficiencies after SADI-S mainly involve vitamin A, vitamin E, zinc, and folic acid. The long-term efficacy and safety of SADI-S still need further follow-up observation.