BACKGROUND: The physical property of porcelain fused to metal (PFM) differs from those of its constituents, which nake impacts on PFM,and the mechanical property of most composites can be estimated with mixture rule. However, there are various factors influencing the mechanical property of PFM and great differences found in the estimations, thus it is necessary to combine the theoretical analysis of mechanical property and mechanics of materials by matbematical models, and provide guidances for PFM' s application.OBJECTIVE: To explore the experiment and computing methods of mechanical analysis on PFM repair materials, and analyze its correlativity and internal relation.DESIGN: Three-point bending experiment and mixture rule of the composites were applied to measure and calculate the intensity and modulus of materials, and then the experimental results and computations were compared.SETTING: Repair Department of Stomatology, West China Stomatological College.MATERIALS: According to the different metal-porcelain ratios, 15 PFM test pieces of 26 mm×4 mm×1.5 mm were divided into 5 groups, with 3 in each.METHODS: Three-point bending experiment was used to detect the bending level and elastic modulus of PFM, whose changing rule was observed,and then was compared with theoretical computed value as well as study the correlation.MAIN OUTCOME MEASURES: PFM experimental result, theoretical computation and the comparison of the two,RESULTS: There were obvious correlations between the experimental measurement and theoretical results, which indicated that the mechanical property of PFM could be predicted by the revised formula.CONCLUSION: The mechanical property of PFM has regular relations with the geometrical morphous parameter and mechanical parameter of PFM constituents, and can be predicted and improved by revised theoretical formula.

Background One of the features of the pathogenesis of primary angle-closure glaucoma(PACG) is anterior synechia of peripheral iris.Goniosynechialysis and combination of phacoemulsification and goniosynechialysis have been applied for the treatment of the disease recently,but the selection of operative types has great impact on clinical efficacy.Objective This study was to investigate the long-term efficacy of goniosynechialysis and combination of phacoemulsification and goniosynechialysis for the management of chronic PACG.Methods A non-randomized clinical controlled trial was designed.This clinical trial complied with Declaration of Helsinki and was approved by Medical Ethic Committee of Nanjing Medical University.Written informed consent was obtained from each patient.One hundred and ten eyes of 110 patients with chronic PACG were assigned to the goniosynechialysis group and combined operative group from March,2008 to February,2011 in Wuxi People's Hospital.180° goniosynechialysis was performed on 34 patients in the goniosynechialysis group,and phacoemulsifieation +intraocular lens (IOL) implantation + goniosynechialysis were carried out in 78 patients of the combination operative group.All the patients were followed-up for 2 years.Vision acuity,intraocular pressure (IOP),anterior chamber depth(ACD),unltrasound biomicroscopy and perimetry were recorded and compared between before and after operation.Results No significant difference was found in vision acuity between preoperation and postoperative 2 years in the goniosynechialysis group ([0.65 ± 0.15] vs.[0.45 ± 0.15]) (t =1.57,P＞0.05),but in the combination operative group,the vision acuity was significantly different between the before and after operation ([0.25±0.15] vs.[0.85 ±0.05]) (t =9.12,P＜0.001).The lOPs at 2 years after operation were (14.2±4.1) mmHgand(13.7±4.8) mmHg,respectively in the goniosynechialysis group and combination operative group and were significantly lower than(47.2 ±6.3) mmHg and(46.9±7.0) mmHg before operation(t =4.95,P＜0.001 ;t=5.03,P＜0.001).The ACD values in the goniosynechialysis group and combination operative group were(3.38±0.02)mm and (3.54±0.03) mm 2 years after operation,which were significantly increased in comparison with (1.33 ±0.24)mm and (1.56±0.37) mm before operation(t=7.65,P＜0.001;t=6.76,P＜0.001).Conclusions Both combination of phacomulsification with goniosynechialysis or 180° goniosynechialysis are effective for the treatment of PACG.Suitable operation should be alternated depending on the indicators of PACG patients.

ObjectiveTo investigate the effect of acupuncture on motor function and serum expressions of TNF-aand IL-6 contents in cerebral hemorrhage rats.MethodSeventy-two male Wistar rats were randomized into sham operation, model and acupuncture groups. A rat model of cerebral hemorrhage was made by intracerebral injection of autoblood. Baihui-to-Qubin acupuncture was performed after successful model making. The TNF-aand IL-6 contents of rat serum were measured by enzyme linked immunosorbent assay at three time points: one, three and seven days.ResultBaihui-to-Qubin acupuncture markedly increased the neurological function score and reduced neurologic deficits in cerebral hemorrhage rats. At the same time point, serum TNF-aand IL-6 contents were significantly lower in the acupuncture group of rats thanin the model and acupuncture group; there were statistically significant differences (P<0.01).ConclusionBaihui-to-Qubin acupuncture can reduce neurologic deficits in cerebral hemorrhage rats. It may be related to decreases in serum TNF-aand IL-6 contents after acupuncture.

Epithelial-to-mesenchymal transition (EMT) plays a critical role in cancer metastasis,and is relevant to the inflammatory microenvironment.Lipopolysaccharide (LPS),a cell wall constituent of gram-negative bacteria,has been reported to induce EMT of cancer cells through TLR4 signal.We previously reported that LPS promoted metastasis of mesenchymallike breast cancer cells with high expression of cyclin D 1 b.However,the role of cyclin D1b in LPS-induced EMT has not been fully elucidated.In the present study,we described that cyclin D1b augmented EMT induced by LPS in MCF-7 breast cancer cells.Cyclin D1b markedly amplified integrin αvβ3 expression,which was further up-regulated under LPS stimulation.Our results showed ectopic expression of cyclin D1b promoted invasiveness of epithelial-like MCF-7 cells under LPS stimulation.Additionally,LPS-induced metastasis and EMT in MCF-7-D1b cells might depend on αvβ3 expression.Further exploration indicated that cyclin D1b cooperated with HoxD3,a transcription factor promoting αvβ3 expression,to promote LPS-induced EMT.Knockout of HoxD3 repressed LPS-induced EMT and αvβ3 over-expression in MCF-7 cells with high expression of cyclin D1b.Specifically,all these effects were in a cyclin D1a independent manner.Taken all together,LPS up-regulated integrin αvβ3 expression in MCF-7 cells with high expression of cyclin D 1b and induced EMT in breast cancer cells,which highlights that cyclin D1b may act as an endogenous pathway participating in exogenous signal inducing EMT in breast cancer cells.

· ATM:To analyze bacterial spectrum and drug sensitivity in conjunctival sac of cataract patients of Kazak.
· METHODS:A total of 538 cases of conjunctival sac secretion in cataract patients of Kazak were collected.The samples were cultured and their sensibilities to antibiotics were tested.
· RESULTS: The bacterial culture was positive in 214 cases.The positive rate was 39.8%. The variety of pathogenic bacteria were mainly made up of gram positive cocci ( 88.3%), and most of them were Staphylococcus epidermidis ( 66.4%), followed by Micrococcus(9.8%).Sex had no effect on conjunctival bacteria rate in the cataract patients of Kazak, while age, place of residence had an effect on camier rate. The camier rate of conjunctival bacteria was significantly higher in people over 60 years old than that in people with age between 40 to 59 years old.And the people from city had a significant lower bacteria positive rate than those from countryside and pastoral. Most of grams were sensitive to Vancomycin, Teicoplanin, Rifampicin, Duly cloth mildew mutual and Amikacin, the tolerance was less than 20%, and they usually had higher tolerance to Penicillin, Erythromycin, Tetracycline and Chloramphenicol (>70%) .
·CONCLUSlON:Gram positivecocci is the most common bacteria in conjunctival sac in cataract patients of Kazak. Staphylococcus epidermidis was most common, followed by Micrococcus.The germ-carrying rate of conjunctival SAC in Kazakh population is associated with the patient’s age and area of residence.The clinical use of antibacterial drugs should be strictly grasp the indications, to reduce the incidence of bacterial resistance.

In this study we compare the experimental and mathematical analyses of mechanical properties of PFM and analyze their correlation levels and inner links. Fifteen PFM specimens with different thickness ratio of metal to porcelain are made , with the shape of 26mm x 4mm x 1.5mm, and are divided into 5 groups, the metal thickness increases with 0.05mm change each among every group from 0.25mm to 0.45mm, the porcelain thickness decreases accordingly. The three-point-fracture test is used to measure their bending strength and elastic modulus, exhibit their changing laws, and disclose their inner relationships. When the whole thickness of the specimen is determined, the fracture load, bending strength and elastic modulus increase according to the increase of the metal thickness. The experimental mechanical properties of PFM are significantly influenced by the thickness ratio of metal to porcelain, and are the same as the theoretical ones calculated by the mixed law formula of compound material. There is significant correlation between the experimental analysis and mathematical analysis of mechanical properties of PFM. The regression coefficients can be obtained to describe this relationship. Further more, they can be used as the corrected parameters of the theoretical formula. The corrected mathematical formula is helpful to predicting and improving the mechanical properties of PFM.
Compressive Strength ; Dental Bonding ; Dental Porcelain ; Dental Stress Analysis ; Elasticity ; Materials Testing ; Metal Ceramic Alloys ; Models, Theoretical ; Tensile Strength

Holmium ; Humans ; Kidney ; Lithotripsy, Laser ; Shock, Hemorrhagic ; Ureteroscopy

Objective To investigate the non-medication therapy for patients withhypertension,and to provide guidance to the further non-medication therapy program.Methods 86 hypertensive patients were interviewed by self-designed questionnaire and anxiety self-assess scale (SAS),and the data was analyzed by spss 13.0 software.Results The mean score was ( 10.42 ± 3.69) ; The mean BMI was (29.96 ± 3.91 ) kg/m2,among them there were 61 patients with BMI ＞ 24 kg/m2 (70.9％ ); Hypertensive patients with blood pressure ≥ 140/90 mm Hg have worse non-medication therapy ; The average score in women was ( 11.50 ± 2.60)and (9.71 ±4.13) in men,the difference has reach the statistical significance (t =-2.466,P ＜0.05).Age,educational level and disease duration were different in non-medication therapy ( P ＜ 0.05 ).Low-fat dietary and no-smoking and no-drinking in women were better than those in man (P ＜ 0.01 ).Low-salt and lowfat dietary and regular dietary,no-smoking,weight controlling and exercise in those more than 60 years were better than those younger (P ＜ 0.05 ).Weight controlling in those with higher education lever was better than those with lower education certification (P ＜0.05 ).Exercise in those with 10 years disease duration above was better than those less than 10 years (P＜0.05).Average score of anxiety was (35.62 ±7.24),and the range was from 20 to 55.Conclusions The status of non-medication therapy for patients with hypertension was not well.We should pay more attention to develop health care education to improve patients' consciousness of nonmedication therapy,and change unhealthy life style.

Multi-template molecularly imprinted solid phase extraction not only has the advantages of high selectivity, large adsorption capacity, easy preparation, reuse and low environmental pollution, but also can realize the enrichment and separation of many kinds of compounds. It has attracted wide attention in the extraction and separation of traditional Chinese medicine components. This study summarizes the latest development of multi-template molecularly imprinted solid phase extraction. At the same time, based on the classification of active components of traditional Chinese medicine (flavonoids, alkaloids, phenylpropanol, terpenes, etc.), the latest application of multi-template molecular imprinting solid phase extraction in multi-component separation of traditional Chinese medicine was reviewed, with a view to better application of multi-template molecularly imprinted polymer in active multi-component extraction and separation of traditional Chinese medicine and provide reference for the material basic research of the efficacy of traditional Chinese medicine.

Aged ; Aged, 80 and over ; Humans ; Laser Therapy ; Male ; Middle Aged ; Prostatic Hyperplasia ; surgery ; Treatment Outcome