After autologous transplantation of sciatic nerve segments into the retinae of adult golden hamsters for 1-4 months, anterograde and retrograde labelling with horseradish peroxidase demonstrated that ganglion cell axons have regrown into the peripheral nerve graft for a distance up to 2 cm. The regenerating axons into the grafts were distributed within fan-or beltshaped areas between the sites of grafting and the limbus of the retina, their numbers being greater for grafts near the optic disc than for those in the outer portions of the retina. Histogram of cell soma areas of labelled neurons from retinae with grafts indicated that all normal cell sizes were represented and there was a substantial population of enlarged neurons. Retrograde labelling with fluorescent dyes, Nuclear Yellow, applied to the optic tract and True Blue to the graft, demonstrated that the regenerating axons originated from axotomized ganglion cells rather than by axonal collateral sprouting of undamaged neurons.

A segment of autologous sciatic nerve was transplanted into the 17/18a borderoregion or near the midline of the occipital brain in the adult golden hamsters.After42-131 days survival time,HRP (50% in saline) was administered to the cut endof the graft.It was found that the neurons of different sizes and shapes in visualcortex can be induced to regenerate their fibers into the peripheral nerve graft forup to 10mm;Some of the regenerated cells became larger than that of the normal cells.in the visual cortex,which is similar to that in the retina,but the ability of regenera-tion of the cortical neurons is much lower than that of the retinal ganglion cells.Fluorescent dye double-labelling method was used and it was demonstrated thatthe callosal neurons in visual cortex can regenerate their fibers into peripheral nervegraft,the regenerative fibers originated from axotomized neurons rather than fromcollateral sprouting of undamaged neurons.Predegeneration treatment for the sciaticnerve did not enhance the regeneration of neurons in the visual cortex.Extradamagemade near the graft insertion does not seem to increase the quantity of regenerationcells in the visual cortex.The results of the experiment suggest that peripheral nerve graft can induceregeneration of neurons in visual cortex and the local environment is one of theimportant factors affecting the ability of regeneration of mammalian CNS.

The projection of the optic nerve to the visual centers of the frog was studied by means of autoradiographic and terminal degenerating method. The results obtained from the two methods were essentially identical in the distribution of the optic term inals in the lateral geniculate body and the pretectum neuropile contralateral to the [~3H]-leucine injected or enucleated eye. There are also some differences:1. In autoradiographic cross sections at certain level of diencephalon, the Bellonci nucleus contralateral to injected eye has a circular outline. It is filled with the optic terminals. Within the Bellonci nucleus and the lateral geniculate body ipsilateral to the injected eye, the distribution of the optic terminals is clear. The Bellonci nucleus contralateral to enucleated eye, revealed by degenerating technique, has a circular outline too, but the optic terminals mainly concentrate on the peripheral of the nucleus. In the central area of the nucleus there are only few degenerating optic terminals. And the Bellonci nucleus and the lateral geniculate body ipsilateral to enucleated eye have only few degenerating optic terminals. The outlines of the two nuclei can hardly be recognized.2. The optic terminals of the superficial layers of the tectum contralateral to injected eye appear to have random distribution revealed by autoradiographic method, while in the sections of the preparation with degenerating method, the optic terminals have a laminar distribution which is very similar to that obtained with modified Cajal's method.3. The appearance of the midbrain tegmental nucleus revealed by autoradiographic method was much clearer than that revealed by degenerating methodIn addition, it has been observed that the number and distribution of degenerating terminals varied with the animal's survival time after the operation.The causes which bring about the differences, the advantages and disadvantages of the two techniques were discussed.

Parts of the left tecta of the frogs were removed in one group. In another group, the left optic nerves of the frogs were cut through the mouth. The first group of animals survived for 12～26days and the second group 11～22 days. Both right and left retinas (with a small piece of optic nerve attached) were sectioned radially at 25?m on a freezing microtome and stained by Ebbesson-Heimer's method which allow degenerating fibers and terminals stained specially. We did not find any evidences showing degeneration. We concluded that centrifugal fibers coming from the centers to the retinas were absent in the frog.

HRP solution (33%) was injected into the left superior colliculus of 21 adult albino rats. 1-2 days after injection, the animal was sacrificed. Brains were frozen sectioned and processed according to. DAB- or TMB-method. The labeled neurones were examined in the right superior colliculus and other areas of the brain. The resu ts are as follows:1. No matter where the HRP was injected (either in the rostral or caudal part of the superior colliculus or thepart between them) HRP labeled neurones were always observed on the opposite superior colliculus if the injection sites reached layers deeper than the stratum oPticum. The locations of the labeled neurones corresponded roughly to the sites of HRP injections. However, no HRP labeled neurones were observed when the core of HRP deposites was restricted to layers superficial to the stratum griseum intermediale.2. Of all labeled neurones, 53.6% were located in the stratum griseum intermediale, 16.5% in the stratum opticum. The rest were in deeper layers. In no case were HRP labeled neurones observed in the stratum zonale or stratum griseum superficiale.3. Labeled neurones could be classified morphologically into vertical fusiform, horizontal fusiform and multipolar neurones.4. In addition to the visual cortex, labeled neurones were also found in the inferior colliculi, paralemniscal nuclei, dorsal nuclei of the lateral lemniscus, substantia nigrae and lateral tegmental nuclei bilaterally. Labeled neurones were also found in the ipsilateral ventral nucleus of the lateral geniculate body, contralatera pretectal area and reticular formation.

In order to investigate the distribution and other features of callosal neurons inthe visual areas,12 adult albino rats were used in a series of experiments,in whichHRP(30～50%,DAB brown reaction)was injected into one hemisphere and theretrograde labelled cells were observed in the other hemisphere.1.Hardly any labelled neuron was found in contralateral visual cortices whenthe injections were made at sites within 3.6 mm from the midline of the brain.However,when the injections were made at sites 4～6 mm from the midline,manylabelled neurons could be observed.2.Generally,most labelled cells aggregated near the border between area 17 and18a.In area 18a numerous cells were labelled,which distributed in the form ofincontinuous patches.In the proper of area 17,however,less labelled cells werefound.3.A gross topographical correlation was observed between locations of injectionand labelling on the two hemispheres.4.The labelled cells were found in all cortical layers except layer Ⅰ.In area 17they were mainly in layers Ⅳ and Ⅴ,while in area 18 a they were found mainly inlayers Ⅲ,Ⅳ and Ⅴ.5.Some callosal neurons were lightly labelled.For these cells,only the outlinesof the cell body could be seen even under dark-field microscope.The diameters ofthese cells were about 8～10?m.A few cells were as large as 16?m in diameter.Other labelled neurons could be seen with both dark-field and bright-field illumina-tions.They were identified as pyramidal,multipolar bipolar and granular cells accordingto the shape of the cell bodies and the pattern of dendrites.The majority of labelledcells were pyramidal cells,with a long apical dendrite to the pia surface,10～20?min diameter.Other ceils were 10～20?m for multipolar cells,and less than 10?m forgranular cells.Comparisons were made between the above results and the physiological studies.

OBJECTIVE: To evaluate the clinical application value of nasal airway obstruction objectively and quantificationally by acoustic rhinometry (AR) in children with adenoid hypertrophy. METHOD: Thirty patients with adenoid hypertrophy were examined with AR and questionnaire at preoperative and eight weeks after surgery. The values of AR were compared with those of 27 normal controls. RESULT: There were significant differences between preoperative and postoperative in NAR and NPV (P < 0.01), no significant difference was observed between preoperative and postoperative in MCSA (P > 0.05); There were significant differences in NAR, NPV, MCSA between the patient group and the control group (P < 0.01); There were significant differences between postoperative and the control group in NPV and MCSA (P < 0.01), no significant difference was observed between postoperative and the control group in TNAR (P > 0.05); There was negative correlation between MCSA and symptom scores (r = -0. 519, P < 0.05). No significant correlation was observed between NAR and NPV and symptom scores (P > 0.05). CONCLUSION Acoustic rhinometry was an objective and quantitative method for evaluating nasal airway in children with adenoid hypertrophy. In interpretation the relationships of the results of acoustic rhinometry reflection measurements and subjective symptoms, MCSA should be the main reference.
Adenoids ; pathology ; Case-Control Studies ; Child ; Child, Preschool ; Female ; Humans ; Hypertrophy ; complications ; Male ; Nasal Obstruction ; diagnosis ; etiology ; Rhinometry, Acoustic

Objective: To study the occurrence of sarcopenia in patients with liver cirrhosis, and to explore their risk factors and impact on clinical outcomes. Methods: 199 hospitalized cases with liver cirrhosis were collected for nutritional risk screening, anthropometric measurement and blood biochemical examination. The body composition analysis was measured based on the skeletal muscle content of the four limbs to calculate the appendicular skeletal muscle mass index (ASMI). Patients were divided into sarcopenia and non-sarcopenia group and the relevant indexes of both groups were compared to screen for factors affecting the occurrence of sarcopenia. During the follow-up of 48 months, the survival and complications of the both groups were compared. Statistical analysis was performed using t-test, χ² test and logistic regression analysis in terms of different data. Results: The incidence of sarcopenia in cirrhosis was 36.7%, with the highest prevalence in patients with recurrent hepatic encephalopathy (62.5%), followed by patients with abdominal ascites / pleural effusion (37.6%). The incidence of sarcopenia was significantly higher in those with nutritional risk than in those without nutritional risk (P < 0.05). However, even among those without nutritional risk, 14.8% had combined sarcopenia. The body mass index (BMI), upper arm muscle circumference (AMC), and body cell mass (BCM) of the sarcopenia group were lower than those of the non-sarcopenia group (P < 0.05), and the edema index (ECW/TBW) was higher than the latter (P < 0.05). Multivariate analysis showed that age, gender, BMI, and complications of hepatic encephalopathy were the main influencing factors of cirrhosis combined with sarcopenia (P < 0.05). During the follow-up period, the sarcopenia group had a higher mortality rate than non-sarcopenia goup (P < 0.05), and the incidence of recurrent abdominal ascites/pleural effusion, hepatic encephalopathy, and infection was also significantly elevated (P < 0.05). Conclusion Sarcopenia is one of the manifestations of malnutrition in patients with liver cirrhosis, which increases the risk of mortality and other complications, and has adverse impact on the clinical outcome. Additionally, older age, male sex, low BMI and recurrent hepatic encephalopathy has higher risk for developing sarcopenia.

Objective To investigate the changing distribution and antibiotic resistance profiles of clinical isolates of Staphylococcus in hospitals across China from 2015 to 2021.Methods Antimicrobial susceptibility testing was conducted for the clinical isolates of Staphylococcus according to the unified protocol of CHINET(China Antimicrobial Surveillance Network)using disk diffusion method and commercial automated systems.The CHINET antimicrobial resistance surveillance data from 2015 to 2021 were interpreted according to the 2021 CLSI breakpoints and analyzed using WHONET 5.6.Results During the period from 2015 to 2021,a total of 204,771 nonduplicate strains of Staphylococcus were isolated,including 136,731(66.8％)strains of Staphylococcus aureus and 68,040(33.2％)strains of coagulase-negative Staphylococcus(CNS).The proportions of S.aureus isolates and CNS isolates did not show significant change.S.aureus strains were mainly isolated from respiratory specimens(38.9±5.1)％,wound,pus and secretions(33.6±4.2)％,and blood(11.9±1.5)％.The CNS strains were predominantly isolated from blood(73.6±4.2)％,cerebrospinal fluid(12.1±2.5)％,and pleural effusion and ascites(8.4±2.1)％.S.aureus strains were mainly isolated from the patients in ICU(17.0±7.3)％,outpatient and emergency(11.6±1.7)％,and department of surgery(11.2±0.9)％,whereas CNS strains were primarily isolated from the patients in ICU(32.2±9.7)％,outpatient and emergency(12.8±4.7)％,and department of internal medicine(11.2±1.9)％.The prevalence of methicillin-resistant strains was 32.9％in S.aureus(MRSA)and 74.1％in CNS(MRCNS).Over the 7-year period,the prevalence of MRSA decreased from 42.1％to 29.2％,and the prevalence of MRCNS decreased from 82.1％to 68.2％.MRSA showed higher resistance rates to all the antimicrobial agents tested except trimethoprim-sulfamethoxazole than methicillin-susceptible S.aureus(MSSA).Over the 7-year period,MRSA strains showed decreasing resistance rates to gentamicin,rifampicin,and levofloxacin,MRCNS showed decreasing resistance rates to gentamicin,erythromycin,rifampicin,and trimethoprim-sulfamethoxazole,but increasing resistance rate to levofloxacin.No vancomycin-resistant strains were detected.The prevalence of linezolid-resistant MRCNS increased from 0.2％to 2.3％over the 7-year period.Conclusions Staphylococcus remains the major pathogen among gram-positive bacteria.MRSA and MRCNS were still the principal antibiotic-resistant gram-positive bacteria.No S.aureus isolates were found resistant to vancomycin or linezolid,but linezolid-resistant strains have been detected in MRCNS isolates,which is an issue of concern.

Objective To monitor the susceptibility of clinical isolates to antimicrobial agents in tertiary hospitals in major regions of China in 2022.Methods Clinical isolates from 58 hospitals in China were tested for antimicrobial susceptibility using a unified protocol based on disc diffusion method or automated testing systems.Results were interpreted using the 2022 Clinical &Laboratory Standards Institute(CLSI)breakpoints.Results A total of 318 013 clinical isolates were collected from January 1,2022 to December 31,2022,of which 29.5％were gram-positive and 70.5％were gram-negative.The prevalence of methicillin-resistant strains in Staphylococcus aureus,Staphylococcus epidermidis and other coagulase-negative Staphylococcus species(excluding Staphylococcus pseudintermedius and Staphylococcus schleiferi)was 28.3％,76.7％and 77.9％,respectively.Overall,94.0％of MRSA strains were susceptible to trimethoprim-sulfamethoxazole and 90.8％of MRSE strains were susceptible to rifampicin.No vancomycin-resistant strains were found.Enterococcus faecalis showed significantly lower resistance rates to most antimicrobial agents tested than Enterococcus faecium.A few vancomycin-resistant strains were identified in both E.faecalis and E.faecium.The prevalence of penicillin-susceptible Streptococcus pneumoniae was 94.2％in the isolates from children and 95.7％in the isolates from adults.The resistance rate to carbapenems was lower than 13.1％in most Enterobacterales species except for Klebsiella,21.7％-23.1％of which were resistant to carbapenems.Most Enterobacterales isolates were highly susceptible to tigecycline,colistin and polymyxin B,with resistance rates ranging from 0.1％to 13.3％.The prevalence of meropenem-resistant strains decreased from 23.5％in 2019 to 18.0％in 2022 in Pseudomonas aeruginosa,and decreased from 79.0％in 2019 to 72.5％in 2022 in Acinetobacter baumannii.Conclusions The resistance of clinical isolates to the commonly used antimicrobial agents is still increasing in tertiary hospitals.However,the prevalence of important carbapenem-resistant organisms such as carbapenem-resistant K.pneumoniae,P.aeruginosa,and A.baumannii showed a downward trend in recent years.This finding suggests that the strategy of combining antimicrobial resistance surveillance with multidisciplinary concerted action works well in curbing the spread of resistant bacteria.