Objective The objective of this study was to utilize proton magnetic resonance spectroscopy (1H-MRS) to assess metabolites in cerebellar nuclei in unmedicated patients with insomnia disorder. Methods 1H-MRS was performed on cerebellar nuclei in 23 unmedicated patients with insomnia disorder (insomnia group) and 18 normal sleepers (control group). N-acetylaspartate (NAA), choline-containing compound (Cho) and creatine (Cr) were measured and the ratios of NAA/Cr and Cho/Cr were determined.Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) were used to assess the subjective sleep quality and insomnia severity of all subjects, while State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory (BDI) were used to assess the levels of anxiety and depression of all subjects. Sleep parameters of all subjects were measured by polysomnography (PSG). Results Mean NAA/Cr ratio of right cerebellar nuclei in insomnia group was significantly lower than that in control group (1.72±0.37 vs. 2.03±0.50, t=2.280, P=0.028). Mean NAA/Cr ratio of right cerebellar nuclei was significantly higher than that of left cerebellar nuclei within control group (2.03±0.50 vs. 1.68±0.21, t=3.386, P=0.004). There was no significant difference with regard to NAA/Cr ratio between bilateral cerebellar nuclei within insomnia group (t=1.416, P=0.171). Across all subjects, PSQI global scores (r=-0.369, P=0.018), and sleep latency (r=-0.437, P=0.004) and number of awakenings after sleep onset (r=-0.432, P=0.005) measured by PSG were negatively correlated with NAA/Cr ratios of right cerebellar nuclei, while percentages of stage 3 sleep (r=0.377,P=0.015) measured by PSG were positively correlated with NAA/Cr ratios of right cerebellar nuclei,respectively. Conclusion Patients with insomnia disorder have a hemispherically lateralized metabolic disturbance of NAA/Cr in right cerebellar nuclei,indicating that patients with insomnia disorder have neuronal damage in right cerebellar nuclei.

Objective To observe the interfering effect of different doses of penehyclidine hydrochloride (PHC) on the mRNA expressions of nuclear factor kappa B (NF-κB) and inducible nitric oxide synthase (iNOS) in the lung tissue of rats with traumatic shock so as to investigate the protective role of PHC in secondary long injury following traumatic shock and the underlying mechanism.Methods The traumatic shock model was established.A total of 104 Wistar rats were randomly divided into four groups:control group,shock group,low dose PHC group ( P1 group) and high dose PHC group ( P2 group).At the beginning of resuscitation,the rats in P1 and P2 groups were given transjugular intravenous injection of 2 ml/kg isotonic saline containing 0.15 mg/kg and 0- 45 mg/kg PHC respectively,while the rats in shock and control groups were injected only isometric isotonic saline.The rats in the four groups were killed at 2 h,6 h,12 h and 24 h after resuscitation respectively to detect the mRNA expressions of NF-κB and iNOS by using RT-PCR and determine the lung wet/dry weight (W/D) ratio,lung permeability index (LPI) and lung injury score (LIS).Results The mRNA expressions of NF-κB and iNOS,lung W/D ratio,LPI and LIS at all the time intervals in the shock,P1 and P2 groups were all significantly increased as compared with those in the control group (P＜0.05).Howerver,the P2 group showed significant reduction in aspects of the mRNA expressions of NF- κB and iNOS,lung W/D ratio,LPI and LIS at all time points and P1 group also had significant decrease regarding the mRNA expressions of NF-κB and iNOS,lung W/D ratio at2 h,6 h,and LPI and LIS at 2 h,6 h,12 h,as compared with the shock group.Meanwhile,P2 group showed evident decrease at 6 h concerning the mRNA expressions of NF-κB and iNOS,lung W/D ratio,LPI and LIS as compared with P1 group (P ＜ 0.05 ).Conclusions PHC,especially at a large dosage,can significantly mitigate the long injury secondary to traumatic shock,and the mechanism may be associated with the inhibition of mRNA expressions of NF-κB and iNOS.

Considering the dental CBCT images' characteristics, the method of deformable surface of 3D triangle mesh model is proposed. The method uses a deformable model which is initialized from an icosahedron and evolves to fit the teeth's surface by the application of the locally adaptive external forces computed from the image data and internal forces coming from the model itself. The experimental results indicate that the proposed method is robust and accurate.
Cone-Beam Computed Tomography ; methods ; Imaging, Three-Dimensional ; Radiography, Dental ; methods

Objective To investigate different surgical treatments for femoral intertrochateric fractures. To evaluate the results of treatment of intertrochateric fractures with PFNA. Methods 37 patients with femoral intertrochateric fracture were retrospectively reviewed,of which 12 patients were treated operatively with PFNA,25 patients were treated operatively with DHS. Therapeutic efficacy were compared and analyzed. Results All the patients were followed up for 5-18 months(an average of 11 months). All fractures healed in a mean of 3 months. According to Harris'standard of hip-joint fuction,the outcome was classified into excellent,good and poor. In 25 patients with DHS,the good clinical results was 21 cases. In 12 patients with PFNA, excellent and good clinical result was 11 cases. Conclusion PFNAintemal fixation was an effective method for treating the femoral intertrochateric fractures and better than that by DHS.

Objective To investigate the clinical applications of the chain locking-type tension bands. Methods89 cases with patellar bone fractures,27 olecranal fractures patients,18 patients with fractures of surgical neck of humerus,16 patients with dislocation of the acromioclavicular joints and 12 patients with clavicular lateral fractures were treated with chain locking-type tension bands. ResultsTheResultsshowed that all patients wound were postoperative first intention.The healing time of the fractures were 6 ～ 18 months(average 10 months).The Kirschner's pins lapping,steel wire breaks and tension bands out of control were not found. ConclusionCompared with the traditional tension bands,the chain locking-type tension bands had stronger stability,stress distribution more even and less complications.

After injecting retrograde tracer fiuoro-gold (FG) into the parabrachial region(PB), caudal ventrolateral medulla(CVLM) and the fourth segment of cervical spinal cord (C4), respectively, neurons in laminae I ～ Ⅱ of the medullary dorsalhorn projecting to the above mentioned brain areas were observed. PB received projections from bilateral laminae I and Ⅱ withan ipsilateral dominance; CVLM and C4 received projections from ipsilateral laminae I and Ⅱ. Neurons projecting to C4 werevery sparsely distributed in laminae I and Ⅱ of the medullary dorsal horn. The projecting neurons in outer part of lamina Ⅱwere more than those in inner part of lamina Ⅱ . Combined with immunofluorescence histochemistry for calbindin-D28k(CB) andparvalbumin(PV), it was demonstrated that a part of neurons projecting to PB or CVLM showed CB-like immunoreactivity, butnone of them exhibited PV-like immunoreactivity. There were only a few neurons in lamina Ⅱ projecting to C4 and they exhibitedneither CB- nor PV-like immunoreactivity. The present study provides further evidence for the existence of projecting neurons inlamina Ⅱ and suggests that immunostaining against CB and PV may distinguish two neuronal subpopulations in lamina Ⅱ .

Objective To express a mutated insulin gene in HepG-2 cell line to further research of insulin gene therapy. Methods Native human insulin cDNA was obtained from fetus pancreas with RT-PCR. Furin consensus cleavage sequence was introduced into proinsulin cDNA with site-directed mutagenesis (overlap extension PCR), and the new sequence was named as INS/furin. Subsequently, INS/furin was subcloned into the multiple clone sites of plasmid p(G1RE)3BP-1Luc. The new plasmid p(G1RE)3BP-11?furin was identified with the method of enzyme digestion by Hind Ⅲ and EcoR V. HepG-2 cells were transfected with the plasmid p(G1RE)3BP-11?furin by liposome-mediated method. The transfected HepG-2 cells were incubated for 48h in a glucose-containing medium (25mmol/L), and then the conditioned media were collected and HepG-2 cells were harvested respectively. The expression of INS/furin mRNA in transfected HepG-2 cells was examined by RT-PCR, the regained DNA was sequenced and insulin in conditioned media was investigated by radioimmunoassay. Results Two enzymes, Hind Ⅲ and EcoR V, digested p(G1RE)3BP-11?furin, and 2 fragments with length of 260 bp and 4 700bp, were obtained. The 260bp fragment was identified as insulin/furin, indicating that the target gene had been successfully inserted in specific sites. RT-PCR showed that insulin/furin mRNA was expressed in transfected HepG-2 cell, and the regained DNA was confirmed as insulin/furin by sequencing; while insulin was detected by radioimmunoassay in conditioned media. Conclusion The recombinant mammalian expression plasmid p(G1RE)3BP-11?furin has been successfully constructed, and transfected into HepG-2 cells, which therefore may efficiently secrete bioactive insulin.

The cholinergic neurons and fibers of the hypothalamus could not be revealedsuccessfully in the past,therefore,there has been general agreement that the hypotha-lamus is very poorly innervated by cholinergic system.In this study,choline acetyl-trans ferase (ChAT)-like immunoreactive positive neurons and fibers of the hypo-thalamus were revealed successfully by using avidin-biotin immunocytochemical me-thod.This study demonstrated for the first time that the cat hypothalamus is richlyinnervated by cholinergic system.We found cholinergic neurons of varying numbersin the following areas:dorsomedial hypothalamic nucleus,paraventricular nucleus,dorsal hypothalamic area,the area of the tuber cinereum surrounding ventromedialhypothalamic nucleus,lateral hypothalamic area,anterior hypothalamic area,anteriorhypothalamic nucleus,parvocellular hypothalamic nucleus,tuber-mammillary nucl-eus,posterior hypothalamic area,anterior mammillary nucleus and supramammillarynucleus.There were a lot of ChAT-like positive fibers in the lateral hypothalamicarea,mammillary area,dorsal hypothalamic area,paraventricular nucleus,parvocel-lular hypothalamic nucleus,the area of the tuber cinereum.Three kinds of neuronperikarya related to cholinergic system were identified in the hypothalamus of thecat:1.cholinergic perikarya;2.noncholinergic-cholinoceptive perikarya;3.choli-nergic-cholinoceptive perikarya.There were also immunoreactive positive fiberswhich were non-varicose and varicose.Two kinds of varicose-fibers,one withstrong immunoreactivity and the other with weak immunoreactivity were distingui-shed.

A cerebellar afferent connection from the periaqueductal grey (PAG) has been demonstrated in the rat by means of retrograde transport of horseradish peroxidase (HRP) in the present study. The projection is bilateral, but the projection from the ipsilateral side is predominant (3:1). Its main origin is the ventromedial and ventrolateral regions of middle and caudal parts of PAG (98.8％), and the fibers reach different cerebellar cortical regions: culmen, declive, folium vermis, tuber vermis, pyramis vermis, uvula vermis, lobulus quadrangularis, crus Ⅰ, crus Ⅱ, and paraflocculus. Most labelled neurons are medium sized, but some small neurons also appear to project to cerebellum. Only a few large neurons are retrogradely labelled at the most caudal end of the caudal part. Functionally, both cerebellum and PAG are related to visceral activities. Consulting the present experiment, we discussed the significant role of the PAG-cerebellar projection.

The distributions of 5-HT-like and Met-ENK-like immunoreactive (5-HT-LI and Met-ENK-LI) structures in the nucleus accumbens (Acb) of rats were studied by immunohistochemical technique in the present study. Under light microscope, 5-HT-LI fibers and terminals could be seen in each subnucleus at different planes of Acb, but the 5-HT-LI fibers and terminals in the medial and ventral subnuclei were more than the dorsal and lateral subnuclei, the amount of 5-HT-LI fibers and terminals in the caudal segment were more than the rostral segment. According to the diameter, pathway, and number of varicosity, 5-HT-LI fibers could be divided into 3 types: (A) thick fiber (0.35—0.40?m); (B) medium fiber(0.20—0.30?m); (C) thin fiber (about 0.10?m). These 3 types of 5-HT-LI fibers were remarkable in the medial and ventral subnuclei of Acb. 5-HT-LI neuronal bodies did not observed in the Acb. A few scattered Met-ENK-LI neuronal bodies were seen in the ventral subncleus and ventral part of the medial subnucleus. Met-ENK-LI fibers and terminals distributed in all subnuclei and predominant in the medial and ventral subnuclei. The distributions of Met-ENK-LI structures were no differences between the rostral and caudal segments. All of the Met-ENK-LI fibers were thin and irregular and villi-like in shape. There were only a few varicosities on the MetENK-LI fibers. Part of Met-ENK-LI fibers looked like discontinued varicosities. Under electron microscope, 5-HT-LI axonal boutons formed symmetric and asymmetric synapses with non-5-HT-LI dendrites. Met-ENK-LI dendrites formed symmetric and asymmetric axo-dendritc synapses with non-Met-ENK-LI axonal boutons. These synapses were mainly observed in the medial and ventral subnuclei of Acb. The identity of 5-HT-LI and Met-ENK-LI structures, especially in the medial and ventral subnuclei, supported the physiological studies that 5-HT-LI ascending efferent fibers activated the Met-ENK-LI neurons and then the latter sent descending efferent fibers to lower brainstem structures to take part in antinociceptive functions.