Objective To observe changes in the lactate(Lac)receptor,G protein-coupled receptor 81(GPR81),and apoptosis after hypoxic ischemic brain injury in newborn piglets,and to clarify the mechanism of Lac/GPR81 signal pathway on the cell apoptosis through the intervention of Lac.Methods Thirty newborn piglets were selected.A total of 21 newborn piglets were randomly divided into Sham and hypoxia-ischemia(HI)model groups,and the HI model group was subdivided into 0-2 h,2-6 h,6-12 h,12-24 h,24-48 h,and 48-72 h HI groups,with n=3 each group.Changes in GPR81 expression and apoptosis in the basal ganglia after HI injury were observed using immunohistochemical and TUNEL staining.Nine newborn piglets were randomly divided into Sham+normal saline(NS),HI+NS,and HI+Lac groups,with n=3 each group.The effects of Lac on the expression of GPR81,apoptotic cell percentage,and the expressions of PI3K,AKT,Bcl-2,and Bax in the basal ganglia after HI injury were observed.Results The cell apoptosis rate increased gradually after HI injury and peaked at 24-48 h(P＜0.05).After HI injury,GPR81 expression initially increased and then decreased,peaking at 2-6 h(P＜0.05).The cell apoptosis rate and the expressions of Bax were higher and p-AKT/AKT ratio and the expressions of PI3K and Bcl-2 were lower in the HI+NS group compared with the Sham+NS group(all P＜0.05).The cell apoptosis rate and the expressions of Bax were lower and p-AKT/AKT ratio and the expressions of GPR81,P13K,and Bcl-2 were higher in the HI+Lac group compared with the HI+NS group(all P＜0.05).Conclusion After HI injury,exogenous Lac can inhibit cell apoptosis through activation of the PI3K/AKT signaling pathway mediated by GPR81.

Objective To observe changes in the lactate(Lac)receptor,G protein-coupled receptor 81(GPR81),and apoptosis after hypoxic ischemic brain injury in newborn piglets,and to clarify the mechanism of Lac/GPR81 signal pathway on the cell apoptosis through the intervention of Lac.Methods Thirty newborn piglets were selected.A total of 21 newborn piglets were randomly divided into Sham and hypoxia-ischemia(HI)model groups,and the HI model group was subdivided into 0-2 h,2-6 h,6-12 h,12-24 h,24-48 h,and 48-72 h HI groups,with n=3 each group.Changes in GPR81 expression and apoptosis in the basal ganglia after HI injury were observed using immunohistochemical and TUNEL staining.Nine newborn piglets were randomly divided into Sham+normal saline(NS),HI+NS,and HI+Lac groups,with n=3 each group.The effects of Lac on the expression of GPR81,apoptotic cell percentage,and the expressions of PI3K,AKT,Bcl-2,and Bax in the basal ganglia after HI injury were observed.Results The cell apoptosis rate increased gradually after HI injury and peaked at 24-48 h(P＜0.05).After HI injury,GPR81 expression initially increased and then decreased,peaking at 2-6 h(P＜0.05).The cell apoptosis rate and the expressions of Bax were higher and p-AKT/AKT ratio and the expressions of PI3K and Bcl-2 were lower in the HI+NS group compared with the Sham+NS group(all P＜0.05).The cell apoptosis rate and the expressions of Bax were lower and p-AKT/AKT ratio and the expressions of GPR81,P13K,and Bcl-2 were higher in the HI+Lac group compared with the HI+NS group(all P＜0.05).Conclusion After HI injury,exogenous Lac can inhibit cell apoptosis through activation of the PI3K/AKT signaling pathway mediated by GPR81.

Minute pulmonary meningothelial-like nodules (MPMNs) are benign small lesions in the lungs, with similar pathological characteristics to the meningeal epithelium. MPMNs have similar imaging manifestations to malignant tumors, which can lead to misdiagnosis in clinical practice. There is no consensus on the pathogenesis of MPMNs, with some suggest that MPMNs derive from reactive proliferation, while others suggest that MPMNs share a common origin and molecular mechanism with meningiomas in the central nervous system. Understanding the characteristics of MPMNs and studying their pathogenesis will help improve the understanding and diagnosis of MPMNs. In this article, we reviewed the clinical, pathological, imaging characteristics, differential diagnosis and pathogenesis of MPMNs. We also analyze the existing research advances regarding the pathogenesis and propose prospects for further research.
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The goal of this study was to identify MSX1 gene variants in multiple Chinese families with nonsyndromic oligodontia and analyse the functional influence of these variants. Whole-exome sequencing (WES) and Sanger sequencing were performed to identify the causal gene variants in five families with nonsyndromic oligodontia, and a series of bioinformatics databases were used for variant confirmation and functional prediction. Phenotypic characterization of the members of these families was described, and an in vitro analysis was performed for functional evaluation. Five novel MSX1 heterozygous variants were identified: three missense variants [c.662A>C (p.Q221P), c.670C>T (p.R224C), and c.809C>T (p.S270L)], one nonsense variant [c.364G>T (p.G122*)], and one frameshift variant [c.277delG (p.A93Rfs*67)]. Preliminary in vitro studies demonstrated that the subcellular localization of MSX1 was abnormal with the p.Q221P, p.R224C, p.G122*, and p.A93Rfs*67 variants compared to the wild type. Three variants (p.Q221P, p.G122*, and p.A93Rfs*67) were classified as pathogenic or likely pathogenic, while p.S270L and p.R224C were of uncertain significance in the current data. Moreover, we summarized and analysed the MSX1-related tooth agenesis positions and found that the type and variant locus were not related to the severity of tooth loss. Our results expand the variant spectrum of nonsyndromic oligodontia and provide valuable information for genetic counselling.
Anodontia/genetics* ; Humans ; MSX1 Transcription Factor/genetics* ; Pedigree ; Whole Exome Sequencing

Objective:To investigate the application and effect of the virtual reality (VR) combined with the augmented reality (AR) integrated teaching system in stomatology general medical education of clinical medicine students.Methods:A total of 160 undergraduates from the five-year clinical medicine Batch 2015 of Naval Medical University were randomly divided into VR+AR group and traditional group, with 80 students in each group. A comparative analysis was made on the previous and teaching achievements of the two groups of students, and a questionnaire survey was conducted after the completion of the class. Epidata 3.0 was used to input questionnaire data, and SPSS 23.0 software was used to carry out t test, chi-square test and Fisher precision test. Results:There was no statistical difference in written test scores between the VR+AR group and the traditional group [(52.65±3.76) vs. (51.90±3.46), P=0.516], but the VR+AR group was significantly higher than the traditional group in case analysis scores [(35.85±2.56) vs. (31.40±2.96), P < 0.001] and overall performance [(88.50±4.95) vs. (83.30±4.86), P= 0.002]. The questionnaire survey results showed that the scores of "teaching mode" [(92.30±6.90) vs. (85.20±7.30), P<0.001], "teaching method" [(91.70±5.90) vs. (86.00±6.70), P=0.012] and "teaching improvement" [(90.70± 8.70) vs. (82.30±8.40), P<0.001] in VR + AR group were significantly higher than those in the traditional teaching group. Conclusion:The VR combined with AR integrated teaching system can significantly improve teaching performance and teaching quality, and is convenient for teaching demonstrations and simulation operations in small oral spaces, and is especially suitable for oral general medical education for clinical medicine.

Academic Papers published with hospital-based data between 2004～2013 on top 5％ impact factor journals in all JCR 184 subject categories were reviewed in the study.All of them were differentiated to 3 groups according to the ways of collaboration between authors.The distribution of these papers institutions and subjects were studied and questionnaire survey to hospitals was also used.It's found that the multidisciplinary collaborating work is a key factor to publish high impact papers which showed the central tendency in subjects and institutions levels,active management measures on interdisciplinary development will contribute the outcome of high impact papers.

OBJECTIVETo explore the short-term effects of ambient PM10 pollution on mortality due to circulatory diseases, and to study the modifying effect of season on the association between ambient PM10 concentration and mortality in Nanjing.

METHODSDaily mortality, air pollution, and meteorological data from 1 January 2009 to 31 December 2013 in Nanjing were collected; Time-stratified case-crossover design was used to analyze the associations between daily average concentration of inhalable particle (PM10) and mortality due to circulatory diseases; Odds ratios (OR) and 95% confidence intervals (CI) were calculated; And stratified analysis was conducted to compare the mortality risks of circulatory diseases exposed to outdoor PM10 in warm season (May-October) with that in cool season (November-April).

RESULTSThe mean daily average concentrations of PM10, NO2, and SO2 from 2009 to 2013 in Nanjing were 109.1, 51.5, and 35.4 µg/m(3), respectively. During our study period, a total of 78 299 circulatory disease deaths were recorded. On average, there were approximately 43 circulatory disease deaths per day; and deaths due to cardiac diseases, ischemic heart disease and cerebrovascular diseases were 19, 10 and 24 per day, respectively. After adjusting for the meteorological variables such as daily temperature, relative humidity and air pressure, a10 µg/m(3) increment of PM10 was associated with the mortality on values of (OR) 1.002 4 (95% CI: 1.000 1-1.004 8) for total circulatory diseases, 1.004 8 (95% CI: 1.001 3-1.008 3) for cardiac diseases, 1.007 3 (95% CI: 1.002 4-1.012 3) for ischemic heart disease and 1.000 5 (95% CI: 0.998 5-1.002 4) for cerebrovascular diseases, respectively. In summer season, the OR values of daily mortality for total circulatory diseases and cerebrovascular diseases were 1.008 0 (95% CI: 1.003 9-1.012 2) and 1.005 7 (95% CI: 1.002 0-1.009 4), respectively, the corresponding OR values in cool season were 1.001 4 (95% CI: 0.998 5-1.004 2) and 0.998 8 (95% CI: 0.996 4-1.001 2), respectively; The effect estimates in warm season were higher than that in cool season.

CONCLUSIONThe elevated levels of ambient PM10 were positively associated with the increase of mortality due to circulatory diseases, and season may modify the effects of outdoor PM10 pollution on mortality.

Air Pollutants ; adverse effects ; Air Pollution ; Cardiovascular Diseases ; mortality ; Cerebrovascular Disorders ; mortality ; China ; Cross-Over Studies ; Humans ; Particulate Matter ; adverse effects ; Seasons ; Temperature

The study developed a metabolic balance model to evaluated the cardiotoxicity of doxorubicin. The rats were divided into 3 groups, control group(saline), low dose group(8 mg/kg of cumulative doxorubicin)and high dose group(15 mg/kg of cumulative doxorubicin). Doxorubicin or saline was intraperitoneally injected and blood sample was collected at day 1, 4, 7 and 10. The concentrations of nitric oxide(NO), B-type natriuretic peptide(BNP)and the activity of glutathion peroxidase(GSH-Px), xanthine oxidase(XOD)in rat plasma were determined. A metabolic balance model based on the four biomarkers was developed to evaluate the doxorubicin cardiotoxicity in rat. Doxorubicin leaded to significant changes of multiple biomarkers, resulting in metabolic balance disruption according to the metabolic balance maps and dynamic parameters of metabolic balance disruption. Moreover, the correlation study showed a good relationship between metabolic balance disruption and ejection fraction(EF). The metabolic balance model provide a novel method to integrally evaluate the doxorubicin-induced cardiotoxicity.

Interdisciplinary can be acted in any stages of researching procedure.The interdisciplinary process research thinking were addressed including how to builds variables,which are depth and width,fixed discipline or not,and also to reflect the collaboration level of interdisciplinary in certain period.By this quantity evaluation mode building,it will useful for the interdisciplinary research in the future,especially in medical and life science fields.

Objective To explore the short-term effects of ambient PM10 pollution on mortality due to circulatory diseases, and to study the modifying effect of season on the association between ambient PM 10 concentration and mortality in Nanjing. Methods Daily mortality, air pollution, and meteorological data from 1 January 2009 to 31 December 2013 in Nanjing were collected;Time-stratified case-crossover design was used to analyze the associations between daily average concentration of inhalable particle (PM10) and mortality due to circulatory diseases;Odds ratios (OR) and 95%confidence intervals (CI) were calculated;And stratified analysis was conducted to compare the mortality risks of circulatory diseases exposed to outdoor PM10 in warm season (May-October) with that in cool season (November-April). Results The mean daily average concentrations of PM10, NO2, and SO2 from 2009 to 2013 in Nanjing were 109.1, 51.5, and 35.4μg/m3, respectively. During our study period, a total of 78 299 circulatory disease deaths were recorded. On average, there were approximately 43 circulatory disease deaths per day; and deaths due to cardiac diseases, ischemic heart disease and cerebrovascular diseases were 19, 10 and 24 per day, respectively. After adjusting for the meteorological variables such as daily temperature, relative humidity and air pressure, a10μg/m3 increment of PM10 was associated with the mortality on values of (OR) 1.002 4(95%CI:1.000 1-1.004 8) for total circulatory diseases, 1.004 8 (95%CI: 1.001 3-1.008 3) for cardiac diseases, 1.007 3
(95%CI: 1.002 4-1.012 3) for ischemic heart disease and 1.000 5 (95%CI: 0.998 5-1.002 4) for cerebrovascular diseases, respectively. In summer season, the OR values of daily mortality for total circulatory diseases and cerebrovascular diseases were 1.008 0(95%CI:1.003 9-1.012 2) and 1.005 7(95%CI:1.002 0-1.009 4), respectively ,the corresponding OR values in cool season were 1.001 4(95%CI:0.998 5-1.004 2) and 0.998 8 (95%CI:0.996 4-1.001 2), respectively;The effect estimates in warm season were higher than that in cool season. Conclusion The elevated levels of ambient PM10 were positively associated with the increase of mortality due to circulatory diseases, and season may modify the effects of outdoor PM10 pollution on mortality.