1.Quantitative analysis of the distance between articular disc and condyle in patients with temporomandibular disorders
Lei SUN ; Shifeng DAI ; Yuhua CHEN ; Xinyi XU ; Kele JIANG ; Xiaowen LI ; Chengjing LI ; Tingting WU
Journal of Shanghai Jiaotong University(Medical Science) 2025;45(6):684-692
Objective·To evaluate the relationships between disc-condyle distance and anterior disc displacement,as well as between disc-condyle distance and disc morphology,in patients with temporomandibular disorders(TMD)using magnetic resonance imaging(MRI)of the temporomandibular joint(TMJ).Methods·From September 2023 to March 2024,90 patients(180 TMJs)who visited the TMJ clinic of Department of Stomatology,The Second Affiliated Hospital of Anhui Medical University,with clinical symptoms of TMD and were diagnosed via MRI with either anterior disc displacement or no significant displacement,were included.Clinical data were collected,and MRI images were used to measure the angle of disc displacement,disc-condyle distance,disc length,and thickness.The degree of disc deformation was assessed.The relationships between clinical symptoms and anterior disc displacement,between anterior disc displacement and both disc morphology and disc-condyle distance,and between disc-condyle distance and disc morphology were analyzed.Results·Among the 90 patients,there were 16 males and 74 females,with a mean age of(28.1±14.5)years.Among the 180 TMJs,175 had clinical symptoms and 5 were asymptomatic.There were 40 joints with no displacement,78 with reducible anterior disc displacement,and 62 with irreducible anterior disc displacement.In the joints with irreducible anterior disc displacement,the proportion of those with two or more symptoms was slightly higher at 62.9%,but the difference was not statistically significant compared with the joints with no displacement or reducible anterior disc displacement.MRI assessment revealed that in the joints with irreducible anterior disc displacement,the proportion of disc deformation type Ⅲ or higher was significantly higher compared with the non-displaced joints(P<0.001).The disc length was significantly shorter(P<0.001),and the intermediate zone thickness was significantly greater(P<0.001)compared with the non-displaced joints.The disc displacement angles at centric closure and maximum opening were also significantly larger(P<0.001).The disc-condyle distance was 3.10(2.70,3.70)mm for non-displaced joints,3.40(3.00,4.00)mm for joints with reducible anterior disc displacement,and 6.60(4.78,7.90)mm for joints with irreducible anterior disc displacement,with significant differences(P<0.001).The disc-condyle distance was 3.10(2.80,3.60)mm for type Ⅰ discs,3.70(3.10,4.60)mm for type Ⅱ discs,5.10(4.00,7.30)mm for type Ⅲ discs,and 6.80(4.98,8.20)mm for type Ⅳ/Ⅴ discs,with significant differences(P<0.001).The disc-condyle distance was negatively correlated with disc length(rs=-0.469,P<0.001),positively correlated with intermediate zone thickness(rs=0.319,P<0.001),and positively correlated with disc displacement angle at centric closure(rs=0.626,P<0.001).Conclusion·With increasing severity of disc deformation,intermediate zone thickness,and disc displacement angle at centric closure,as well as decreasing disc length,the disc-condyle distance increases.The disc-condyle distance is an important indicator for MRI assessment of pathological changes in TMD.
2.Quantitative analysis of the distance between articular disc and condyle in patients with temporomandibular disorders
Lei SUN ; Shifeng DAI ; Yuhua CHEN ; Xinyi XU ; Kele JIANG ; Xiaowen LI ; Chengjing LI ; Tingting WU
Journal of Shanghai Jiaotong University(Medical Science) 2025;45(6):684-692
Objective·To evaluate the relationships between disc-condyle distance and anterior disc displacement,as well as between disc-condyle distance and disc morphology,in patients with temporomandibular disorders(TMD)using magnetic resonance imaging(MRI)of the temporomandibular joint(TMJ).Methods·From September 2023 to March 2024,90 patients(180 TMJs)who visited the TMJ clinic of Department of Stomatology,The Second Affiliated Hospital of Anhui Medical University,with clinical symptoms of TMD and were diagnosed via MRI with either anterior disc displacement or no significant displacement,were included.Clinical data were collected,and MRI images were used to measure the angle of disc displacement,disc-condyle distance,disc length,and thickness.The degree of disc deformation was assessed.The relationships between clinical symptoms and anterior disc displacement,between anterior disc displacement and both disc morphology and disc-condyle distance,and between disc-condyle distance and disc morphology were analyzed.Results·Among the 90 patients,there were 16 males and 74 females,with a mean age of(28.1±14.5)years.Among the 180 TMJs,175 had clinical symptoms and 5 were asymptomatic.There were 40 joints with no displacement,78 with reducible anterior disc displacement,and 62 with irreducible anterior disc displacement.In the joints with irreducible anterior disc displacement,the proportion of those with two or more symptoms was slightly higher at 62.9%,but the difference was not statistically significant compared with the joints with no displacement or reducible anterior disc displacement.MRI assessment revealed that in the joints with irreducible anterior disc displacement,the proportion of disc deformation type Ⅲ or higher was significantly higher compared with the non-displaced joints(P<0.001).The disc length was significantly shorter(P<0.001),and the intermediate zone thickness was significantly greater(P<0.001)compared with the non-displaced joints.The disc displacement angles at centric closure and maximum opening were also significantly larger(P<0.001).The disc-condyle distance was 3.10(2.70,3.70)mm for non-displaced joints,3.40(3.00,4.00)mm for joints with reducible anterior disc displacement,and 6.60(4.78,7.90)mm for joints with irreducible anterior disc displacement,with significant differences(P<0.001).The disc-condyle distance was 3.10(2.80,3.60)mm for type Ⅰ discs,3.70(3.10,4.60)mm for type Ⅱ discs,5.10(4.00,7.30)mm for type Ⅲ discs,and 6.80(4.98,8.20)mm for type Ⅳ/Ⅴ discs,with significant differences(P<0.001).The disc-condyle distance was negatively correlated with disc length(rs=-0.469,P<0.001),positively correlated with intermediate zone thickness(rs=0.319,P<0.001),and positively correlated with disc displacement angle at centric closure(rs=0.626,P<0.001).Conclusion·With increasing severity of disc deformation,intermediate zone thickness,and disc displacement angle at centric closure,as well as decreasing disc length,the disc-condyle distance increases.The disc-condyle distance is an important indicator for MRI assessment of pathological changes in TMD.
3.Identification of laccase gene family members in peach and its relationship with chilling induced browning.
Kang WANG ; Minjie YANG ; Siyi WU ; Qingli LIU ; Shifeng CAO ; Wei CHEN ; Liyu SHI
Chinese Journal of Biotechnology 2022;38(1):264-274
The laccase (PpLAC) gene family members in peach fruit were identified and the relationship between their expression pattern and chilling induced browning were investigated. The study was performed using two varieties of peaches with different chilling tolerance, treated with or without exogenous γ-aminobutyric acid (GABA) during cold storage. Twenty-six genes were screened from the peach fruit genome. These genes were distributed on 6 chromosomes and each contained 5-7 exons. The PpLAC gene family members shared relatively similar gene structure and conserved motifs, and they were classified into 7 subgroups based on the cluster analysis. Transcriptome sequencing revealed that the expression levels of PpLAC7 and PpLAC9 exhibited an increasing pattern under low temperature storage, and displayed a similar trend with the browning index of peach fruit. Notably, GABA treatment reduced the degree of browning and inhibited the expression of PpLAC7 and PpLAC9. These results suggested that PpLAC7 and PpLAC9 might be involved in the browning of peach fruit during cold storage.
Food Storage
;
Fruit/genetics*
;
Laccase/genetics*
;
Prunus persica/genetics*
4. Advances in the research of pain assessment and non-drug intervention in burn children
Weiwei WU ; Yinghui LU ; Dan CHENG ; Shifeng WU
Chinese Journal of Burns 2020;36(1):76-80
Children are a high-risk group of burn, and burn pain is a special type of pain. Because children of different ages have different cognitive ability and behavioral response to pain, thus it is particularly difficult to effectively evaluate the pain. It is very important for medical staff to understand the pain of children, to define the adverse reactions of pain, to evaluate and take appropriate pain intervention measures in time and effectively. In this paper, different evaluation methods of burn pain in children and non-drug intervention related measures were reviewed in order to provide references for clinical practice.
5.Optimization of conventional diving decompression scheme in complex conditions based on 5 factors
Shifeng WANG ; Jie CHEN ; Chuanlu LYU ; Shuo YAN ; Yiqun FANG ; Shengkang WU
Chinese journal of nautical medicine and hyperbaric medicine 2020;27(1):10-13
Objective:To optimize the decompression scheme of conventional air diving based on the data of 5 factors.Methods:Five factors, i. e. bottom material, water temperature, water current velocity, individual susceptibility to decompression sickness, and labor intensity, associated with decompression safety were calculated and analyzed, to select the most optimized decompression scheme.Results:A modified formula for the duration of underwater operation was proposed, and it was proved safe and reliable during the underwater construction of railway bridge pier.Conclusion:Based on synthetical consideration of various factors, i. e. bottom material, water temperature, water current velocity, individual susceptibility to decompression sickness, and labor intensity, an optimized decompression scheme was gained for balancing the decompression efficiency and the safety of divers by modifying the time duration of underwater operation.
6.Optimization of conventional diving decompression scheme in complex conditions based on 5 factors
Shifeng WANG ; Jie CHEN ; Chuanlu LYU ; Shuo YAN ; Yiqun FANG ; Shengkang WU
Chinese journal of nautical medicine and hyperbaric medicine 2020;27(1):10-13
Objective:To optimize the decompression scheme of conventional air diving based on the data of 5 factors.Methods:Five factors, i. e. bottom material, water temperature, water current velocity, individual susceptibility to decompression sickness, and labor intensity, associated with decompression safety were calculated and analyzed, to select the most optimized decompression scheme.Results:A modified formula for the duration of underwater operation was proposed, and it was proved safe and reliable during the underwater construction of railway bridge pier.Conclusion:Based on synthetical consideration of various factors, i. e. bottom material, water temperature, water current velocity, individual susceptibility to decompression sickness, and labor intensity, an optimized decompression scheme was gained for balancing the decompression efficiency and the safety of divers by modifying the time duration of underwater operation.
7.Advances in the research of virtual reality technology for pain intervention after burns
Weiwei WU ; Shumei LIU ; Tingting HE ; Shifeng WU
Chinese Journal of Burns 2020;36(7):620-622
Pain is one of the most common complications of burn patients. Burn from onset to rehabilitation is a long and complex process, during which dressing change, debridement, operation, and rehabilitation may cause different degrees of pain to the patients. As one of the means of non-pharmaceutical pain management, the interventional effect of virtual reality technology has gradually been recognized by more and more researchers. This paper reviewed the definition, the interventional mechanisms, and the interventional effect on burn pain of virtual reality technology, to provide a reference for clinical application of virtual reality technology in pain management of burn patients.
8.Investigation and study on how medical college freshmen make use of their spare time
Songlin WU ; Yuming YANG ; Chunyan YANG ; Shifeng ZHANG
Chinese Journal of Medical Education Research 2018;17(7):747-752
Objective To understand the utilization of spare time among medical college freshmen at different academic levels and to explore the factors that affect undergraduates' utilization of spare time and their solutions.Methods The questionnaire is designed by myself,including after-school time planning,arrangement purpose,arrangement content and time allocation,etc.392 freshmen with three different educational levels were selected by cluster sampling.The questionnaires were issued and recovered in anonymous way.Data was recorded and collated by EpiData software,and descriptive analysis and chisquare test was used by SPSS 19.0.Results There are basic or frequent arrangements in spare time for 40.5% (155 people) of medical students.For 61.5% (236 people) of medical students,relaxation is the purpose in arranging their activity in spare time.Medical students who surf the Internet,read books and sleep in spare time account for 28.7% (110 people),28.5% (109 people) and 22.3% (85 people) respectively.60.5% (232 people) of medical students chat and play games on the Internet.There are significant differences among the three groups of different academic levels in the purposes of arrangements,activity contents,internet surfing time and attitude of part-time job (P<0.05).Conclusion There are deficiencies in the utilization of spare time among medical college freshmen,and different academic levels are probably one of the influential factors that affect college students' utilization of spare time.
9.Anterior tooth movement of micro-implant-double slot lingual bracket system with Heat Induction Typodont System
Xiuping WU ; Moonkyung HEE ; Bing LI ; Xuan JING ; Shifeng LI
Chinese Journal of Tissue Engineering Research 2017;21(22):3525-3530
BACKGROUND:Heat Induction Typodont System (HITS) and Double-Slot Lingual Bracket System are patented products of the research group.It is very important to explore a good control of anterior tooth torque on the micro-implant-double-slot lingual bracket system.OBJECTIVE:To provide the experimental basis for force system applied for controlling the anterior tooth torque in lingual orthodontics through Typodont experiment based on the HITS.METHODS:Sixteen Class Ⅱ1 maxillary Typodont models without first premolar were made.Micro-implants were implanted in the lingual region of posterior teeth and labial region of anterior teeth.The direction of the retracting force was adjusted by changing the position of the lingual micro-implant (with a distance of 4,8 mm from the alveolar crest) and the length of the hook (4,8 mm).And lingual retracting force (150,300 g) and labial intruding force (50,100 g) were loaded.The tooth movement by HITS was simulated and the models were scanned before and after force loading.Then the three-dimensional images were reconstructed by Mimics 17.0.Factorial variance analysis was adopted to compare the anterior movement changes under different loading modes.RESULTS AND CONCLUSION:When the length of the hook was 4 mm/8 mm and the lingual micro-implant was 6 mm/10 mm from the alveolar crest,the displacement difference between the incisal edge and the root of the anterior teeth was smaller than other groups.The optimal mechanics was 150 g for the lingual retracting force and 100 g for the labial intruding force.It could provide a satisfactory control to the anterior teeth torque when retracting force and labial intruding force were loaded at the same time during the space closing phase of lingual treatment.This study based on HITS provided a scientific basis for the clinical application of micro-implant-double-slot lingual bracket system in space closing phase.
10.Comparison of electroacupuncture at lower-sea points on HMGB 1 and nAchR α7 in rats with acute gastric mucosal lesion.
Hong ZHANG ; Jinfeng WU ; Fang QI ; Xiuting YIN ; Kun AI ; Xiqin YI ; Xi LING ; Shifeng DENG
Chinese Acupuncture & Moxibustion 2016;36(10):1071-1076
OBJECTIVETo observe the influence of electroacupuncture (EA) at lower-sea points of stomach, large intestine, small intestine and gallbladder on interleukin-1β (IL-1β), high mobility group protein 1 (HMGB 1) and alpha 7 nicotinic acetylcholine receptor (nAchR α7) in rats with acute gastric mucosal lesion (AGML), so as to explore whether there is relative specificity in treating gastric viscera disease by stimulating Zusanli (ST 36).
METHODSSixty healthy SD rats were randomly assigned into a blank group, a model group, a Zusanli group, a Shangjuxu group, a Xiajuxu group and a Yanglingquan group, ten rats in each one (half male and half female). The WRS method was applied to induce the AGML model except the rats in the blank group. The rats in the blank group were treated with routine diet; the rats in the model group were treated with immobilization at rat platform, 30 min per time; the rats in the Zusanli group, Shangjuxu group, Xiajuxu group and Yanglingquan group were treated with acupuncture and connected with EA device (dilatational wave 10 Hz/50 Hz, positive electrode on the left side and negative electrode on the right side, intensity was appropriate when rat hind leg slightly shook), 30 min per time. The treatment was given once a day. After consecutive 10-day treatment, the gastric tissue was collected and the damage of gastric mucosa was evaluated; ELISA method was applied to measure the content of serum IL-1β and tissue HMGB 1; the Western blot method was applied to measure the expression of nAchR α7 receptor.
RESULTS(1) Compared with the model group, the ulcer index (UI) of gastric mucosa, serum IL-1β and tissue HMGB 1 were lower, and the expression of nAchR α7 was increased in the remaining groups (<0.05,<0.01). (2) Compared with the Zusanli group, the UI of gastric tissue, serum IL-1β and tissue HMGB 1 were higher in the Shangjuxu group, Xiajuxu group and Yanglingquan group (<0.05,<0.01), and the expression of nAchRα7 was reduced in the Yanglingquan group (<0.01).
CONCLUSIONS(1) EA at digestive system-related lower-sea points, through IL-1β, HMGB 1 and nAchR α7, could regulate immune response, lighten inflammatory reaction and reduce mucosal injury, which could realize the intervention effect on AGML rats. (2) From the comparison, it is concluded the intervention effect of Zusanli group is superior to the other groups, partly indicating the relative specificity between Zusanli and stomach.

Result Analysis
Print
Save
E-mail