OBJECTIVE: To analyze the correlation of the tympanic injection of triamcinolone acetonide, middle ear pressure (MEP) and radioactive secretory otitis media (RSOM) with nasopharyngeal carcinoma (NPC) after radiotherapy. METHOD: Fifty-two patients suffering NPC without otitis media before radiotherapy were randomly divided into three groups. 17 cases with 34 ears were distributed into treatment group I, and radiotherapy 1 hour before the start of each side of the tympanic cavity injection of triamcinolone acetonide injection, 1-7 weeks 1 times a week. Treatment group I had 17 cases with 34 ears,and radiotherapy 1 hour before the start of each side of the tympanic cavity injection of triamcinolone acetonide injection, 1-12 weeks 1 times a week. And control group consisted of 18 cases with 36 ears who didn't accept such treatment. In all 104 ears, MEP was tested at the begin of radiotherapy and the end of 1st, 2nd, 3rd month after radiotherapy. RESULT: From the beginning of radiotherapy to the end of th 1st, 2nd, 3rd month after radiotherapy, the morbidity of RSOM gradually increased and MEP decreased in the treatment group I , II and the control group, in which treatment group II showed the lowest morbidity of RSOM and MEP was maximum (P < 0.01), and the treatment group I showed the lower morbidity of RSOM and MEP was greater (P < 0. 05), while the control group showed the highest morbidity of RSOM and MEP was minimum (P > 0.05). CONCLUSION Tympanic injection of triamcinolone acetonide could reduce radiation injury, and medication time was positively correlated with the MEP, and a negative correlation with RSOM morbidity, and the longer treatment, the more significant the effect is. The difference is most obvious at the end of 3rd month after radiotherapy. It may be due to the more active repairation after radiation damage in middle ears, but long-term efficacy must continue to observe.
Anti-Inflammatory Agents ; administration & dosage ; Carcinoma ; Ear, Middle ; Humans ; Injections ; Nasopharyngeal Carcinoma ; Nasopharyngeal Neoplasms ; radiotherapy ; Otitis Media with Effusion ; drug therapy ; Radiation Injuries ; Triamcinolone Acetonide ; administration & dosage

Objective To explore the clinical application effect of a locking type restraint tool that patients and their families cannot take down at will, convenient and practical, safe and reliable, comfortable and ethical.Methods After designing the locking restraint tool, 80 patients in the Neurology Department of Zhejiang Provincial Hospital of TCM from January 2014 to December 2016 were selected by convenient sampling method. The participants were randomly divided into the experimental group and the control group, each with 40 cases. The patients in the experimental group were controlled by locking restraint tools, while patients in the control group were treated with traditional bound gloves and restraint bands. The incidence of accidental extubation (i.e. conventional catheters, common gastric tubes and internal jugular vein catheters) and the skin integrity of the restricted site was compared between the two groups. Moreover, the satisfaction of the family members for the constraint instruments was investigated.Results The experimental group had significantly lower accidental extubation rate for conventional catheter and common gastric tubes compared with the control group (P<0.05). However, there were no significant differences in accidental extubation rate for internal jugular vein catheters between two groups (P>0.05). There were two patients in the control group had skin redness at the protective constraint site but the experimental group did not suffer from skin integrity damage. The satisfaction level of the family members in the experimental group was significantly higher than that in the control group (P<0.05).Conclusions The standard use of locking restraint tools can effectively reduce the accidental extubation rate in patients with restlessness, and improve the satisfaction of the family members. It is ethical and can be further applied in patients who need protective restraint.

Four different extracts of Oxytropis falcata, including the aerial aqueous extract, and the underground aqueous extract, the aerial lipophilic extract, and the underground lipophilic extract were prepared and then administrated orally to mice at the maximum dose (50 g x kg(-1) x d(-1) calculated by raw material) for fifteen days respectively. Compared with the control group, which was administrated of 1.0% tween-80, the treatment groups did not show significant differences in appearance and behavior. However, the organcoefficient, blood biochemical indicator and pathological section results showed that the lipophilic extracts of the aerial and underground parts of O. flacata showed mild injury to the liver of mice, while the aerial and underground aqueous extracts and the underground lipophilic extract showed mild toxicity to the kidney of male mice. Chemical analysis showed that the lipophilic extracts of the aerial and underground parts, especially aerial lipophilic extract, consisted of large amount of flavonoid aglycones with little amount of polysaccharides and proteins, while the aqueous extracts contained much polysaccharides and proteins with almost no flavonoid aglycones detected.
Animals ; Body Weight ; drug effects ; Female ; Liver ; drug effects ; growth & development ; Male ; Medicine, Tibetan Traditional ; Mice ; Molecular Structure ; Organ Size ; drug effects ; Oxytropis ; adverse effects ; chemistry ; Plant Extracts ; chemistry ; toxicity ; Spectrometry, Mass, Electrospray Ionization

OBJECTIVE: To observe the expression and distribution of transforming growth factor β3 (TGF-β3) in the mouse tooth germ after advanced bell stage, and to discuss the role of TGF-β3 during the development of tooth germs. METHODS: BALB/C's mouse tooth germs at 4, 11, and 18 days postnatal (4dpn,11dpn,and 18dpn) were collected and processed for routine fixation, decalcification, embedding, and slicing. The expression of TGF-β3 was detected by immunohistochemisty. RESULTS: As to 4dpn tooth germ: Positive expression of TGF-β3 was found in enameloblasts, odontoblasts, ambitus of dental pupilla, with weak positive expression in the intermedial of dental papilla. As to 11dpn tooth germ: Positive expression was seen in enameloblasts, with negative expression in odontoblasts and dental papilla. As to 18dpn tooth, positive expression of TGF-β3 was showed in the vessel wall and its surrounding, with negative expression in other areas. CONCLUSION The distribution of TGF-β3 expression showed a time-space characteristic during the mouse tooth germ development after advanced bell stage, which may exert a regulatory effect on tooth development and this effect is gradually getting weak with the development of tooth germs.
Animals ; Animals, Newborn ; Immunohistochemistry ; Mice ; Mice, Inbred BALB C ; Molar ; metabolism ; Tissue Distribution ; Tooth Germ ; growth & development ; metabolism ; Transforming Growth Factor beta3 ; metabolism

Objective To investigate the effects of mineral trioxide aggregate (MTA) on the proliferation and differentiation of rat dental papilla cells(RDPC).Methods RDPC were cultured by tissue block method and identified.RDPC of the third passage were cultured with material extract fluid containing different mass concentrations of MTA (0.002,0.02,0.2,2 and 20 g/L) for 3 d,those cultured with routine culture fluid served as control group.The proliferation-related parameters were measured by methyl thiazolyl tetrazolium(MTT) assay.RDPC were cultured with material extract fluids containing 0.002 g/L MTA,those cultured with routine culture fluid served as control group,the activity of alkaline phosphatase(ALP) at 1,3,5,7 d and the level of collagen Ⅰ at 1,3,5 d were detected.Results MTT results showed that the A value of RDPC of group 20 g/L(0.092 ±0.011) was less than that of the control group(0.249 ±0.006)at 3 d (P ＜ 0.01),the A value of RDPC of group 0.02 g/L (0.267 ± 0.005) and 0.002 g/L (0.276 ±0.006) were more than that of the control group (0.249 ± 0.006) at 3 d (P ＜ 0.01).ALP detection proved that ALP activity of MTA at 3 d (0.217 ± 0.008),5 d (0.253 ± 0.005),7 d (0.279 ± 0.004) were more than that of the control group at 3 d(0.166±0.006),5 d(0.221 ±0.006),7 d(0.242 ±0.004)(P ＜0.01).Collagen Ⅰ detection showed that the level of collagen Ⅰ of MTA at 3 d[(78.46 ±2.72) μg/L],5 d [(90.73 ± 3.08) μg/L] were more than that of the control group at 3 d [(66.75 ± 3.08) μg/L],[5 d(74.27 ± 3.50) μg/L] (P ＜ 0.01).Conclusions MTA of high concentrations can significantly inhibit cell growth,and of low concentrations can promote cells proliferation and differentiation.

OBJECTIVETo investigate the prevalence and potential risk factors of dentine hypersensitivity of adults in rural of Sichuan province.

METHODSAll representative samples, including 630 adults living in rural of Sichuan Province, were selected by multi-stage, stratified and random sampling. The dentine hypersensitivity of all 630 cases was surveyed with questionnaire and oral clinical examination. SPSS 18.0 software was used for statistical analysis.

RESULTS27.9% of all subjects were suffered from dentine hypersensitivity, sour was the most common stimulus of dentine hypersensitivity. The first premolar was the most common tooth with dentine hypersensitive, which occupied 27.4% of the total affected teeth. Female, acid regurgitation symptom, low frequency of toothbrush replacement (over 3 months), high tooth-brushing force and frequency of fresh fruits consumption (over 2 times per week) probably were high risk factors of dentine hypersensitivity.

CONCLUSIONThe prevalence of dentine hypersensitivity occurs in rural of Sichuan province is high, thus for future the publicity and education on dentine hypersensitivity preventive should be strengthened.

Adult ; Bicuspid ; Dentin ; Dentin Sensitivity ; Female ; Humans ; Prevalence ; Risk Factors ; Toothbrushing

OBJECTIVETo investigate the clinical characteristics and risk factors of dentine hypersensitivity in smaller cities and rural area in Sichuan province.

METHODSThe examinee aged 20 - 69 years old were interviewed and divided into five age groups (20 - 29, 30 - 39, 40 - 49, 50 - 59 and 60 - 69). The random sampling methods were performed in this study. A total of eight spots were survied, including 4 communities and 4 spots in rural area of Sichuan province. The information about the examinee's age, gender, occupation, education level, tooth brushing methods, the frequencies of eating fresh fruits and fruit juices and so on, were asked and recorded. All subjects were further diagnosed by a blast of air from a triple syringe connected to an air compressor at a pressure of 4 atm under room temperature of about 19 - 24°C.

RESULTSThe premolars were the most commonly affected, followed by the first molar. The exposed root surface was the most commonly affected position [63.87% (663/1038)]. The first premolar had the greatest number of teeth with dentine hypersensitivity [29.96% (311/1038)]. Different tooth had different sensitive position. Female, too much time of using a tooth brush, and hydrochloric acid in gastric juice were risk factors for dentine hypersensitivity (OR value = 2.175, 1.157, 1.760).

CONCLUSIONSDentine hypersensitivity is influenced by multiple factors. Prevention and treatment need be performed by improving general oral health and periodontal conditions.

Adult ; Aged ; Bicuspid ; pathology ; China ; Cross-Sectional Studies ; Cuspid ; pathology ; Dentin Sensitivity ; epidemiology ; pathology ; Feeding Behavior ; Female ; Gingival Recession ; complications ; Humans ; Hydrochloric Acid ; adverse effects ; Male ; Middle Aged ; Molar ; pathology ; Oral Health ; Periodontal Attachment Loss ; complications ; Prevalence ; Risk Factors ; Rural Population ; Sex Factors ; Surveys and Questionnaires ; Tooth Root ; pathology ; Toothbrushing ; Young Adult

OBJECTIVETo study the chemical constituents of the Tibetan medicine Caryopteris toroetii.

METHODThe crude drug was extracted with 95% EtOH and isolated by repeatedly chromatographic methods. The structures of the isolated compounds were elucidated by spectral analysis.

RESULTSix compounds were yielded and identified as: phenethyl cinnamide (1), 1-hydroxy-2, 3, 4, 5-tetramethoxy-xanthone (2), 1-hydroxy-2, 3, 5-trimethoxy-xanthone (3), (2S)-5-hydroxy-7-methoxyflavanone (4), 2', 4'-dihydroxydihydrochalcone (5) and rutin (6).

CONCLUSIONAll the above compounds were obtained from C. toroetii for the first time.

Drugs, Chinese Herbal ; chemistry ; Ethanol ; Lamiaceae ; chemistry ; Magnetic Resonance Spectroscopy ; Rutin ; chemistry

Adult ; Aged ; Fatty Liver ; metabolism ; pathology ; Female ; Humans ; Male ; Middle Aged ; Platelet-Derived Growth Factor ; metabolism ; Protein-Serine-Threonine Kinases ; metabolism ; Receptors, Platelet-Derived Growth Factor ; metabolism ; Receptors, Transforming Growth Factor beta ; metabolism ; Young Adult

Objective To compare the in-hospital and follow-up clinical results of percutaneous coronary intervention(PCI)and coronary artery bypass grafting(CABG)in patients of left ventricular dysfunction with coronary artery disease.Methods 147 patients with left ventricular dysfunction were divided into PCI group(n=60)and CABG group(n=87).Clinical,angiographic and revascularization data were collected for analysis.Patients were by SPSS 13.0 software.P value of less than 0.05 was considered statistically significant.Results In-hospital MACCE rates and mortality ofthe two groups were comparable[(6.7%vs 9.2%,P＞0.05)and(1.7%vs 8.0%,P＞0.05)].Multivariate Logistic regression analysis indicated that in-hospital MACCE risk of the two groups were similar(OR≥3.03,95%CI 0.27～34.48,P＞0.05).22-month follow-up showed no signficance in MACCE rates (16.0%vs 13.8%,P＞0.05)and in repeated revaseularization rates(8.O%vs 1.7%,P＞0.05)between the two groups.Multivariate Cox regression analysis indicated that follow-up MACCE risk of the two groups were comparable (HR≥1.35,95%C/0.44～4.13,P＞0.05).Conclusion In coronary artery disease patients with left ventricular dysfunction,PCI and CABG have similar in-hospital and long-tem MACCE rates.Long-terra effect of PCI would be further increased with the wide use of drug-eluting stents.