Comparison of molar intrusion efficiency and bone density by CT in patients with different vertical facial morphology.

The purpose of this study is to examine the relationship between molar intrusion efficiency and bone density in patients with different vertical facial morphology. Thirty-six female patients, with overerupted upper first molars, were divided into two groups according to mandiblular plane angle (FH-MP): hyperdivergent, FH-MP>30° (G1), hypodivergent, FH-MP<22° (G2). Mini-screw implants with elastic chains were used to intrude upper first molars. Spiral CT was used to measure the intrusion degree of upper first molar and bone density, and molar intrusion efficiency was calculated as amount/duration (mm month(-1) ). In addition, each tooth was divided into three portions (cervical, furcation and apical) to measure the bone density. It was found in this study that treatment duration was 3·13 and 4·71 months in G1 and G2 and that the intrusion efficiency was 1·57 and 0·81 in G1 and G2 with significant difference (P < 0·05). There were significant differences in cervical, furcation and apical bone density between two groups (P < 0·05). The bone density was significantly reduced after molar intrusion. In addition, the bone density change was greater in G1 than in G2 (P < 0·05). It was concluded that molars were more easily to be intruded in hyperdivergent than in hypodivergent patients. The difference of bone density and bone density changes during intrusion may account for the variation of molar intrusion efficiency.

Effect of occlusal stabilisation splint with or without arthroscopic disc repositioning on condylar bone remodelling in adolescent patients.

The aim of this study was to investigate the treatment effects of a stabilisation splint (SS) with and without arthroscopic disc repositioning (ADR) on condylar bone remodelling in adolescent patients with anterior disc displacement without reduction (ADDwoR). Cone beam computed tomography and magnetic resonance imaging were used to analyse condylar bone remodelling, condyle position, and disc position. Twenty-two temporomandibular joints of 14 patients who underwent ADR (age range 12-20 years; mean follow-up 12.5 ± 7.8 months) and 21 temporomandibular joints of 14 patients who did not undergo ADR (age range 13-20 years; mean follow-up 11.1 ± 5.1 months) were included. The change in bone volume (P < 0.001), rate of bone volume change (P < 0.001), and change in condyle height (P = 0.031) were significantly greater in patients with ADR than in those without ADR. The changes in posterior joint space (P = 0.013), superior joint space (P = 0.020), and ratio of condyle sagittal position (P = 0.013) were significantly greater in patients with ADR than in those without ADR. All discs in patients who underwent ADR and one disc in those who did not undergo ADR were backward repositioned. In conclusion, in adolescent patients with ADDwoR, ADR with SS therapy achieved better condyle and disc position than SS therapy alone, and also induced bone generation.

Comparison of the differences in cephalometric parameters after active orthodontic treatment applying mini-screw implants or transpalatal arches in adult patients with bialveolar dental protrusion.

The purpose of this study was to compare the differences in cephalometric parameters after active orthodontic treatment applying mini-screw implants (G1) or transpalatal arches (G2) as anchorage in adult patients with bialveolar dental protrusion needing extraction of four premolars. A total of 34 Chinese patients (18-33 years) with bialveolar dental protrusion were randomly assigned to G1 and G2. Sliding mechanics and en-masse retraction of anterior teeth were applied to close extraction spaces. The changes in skeletal, dental and soft tissues were analyzed in both groups on lateral cephalograms before and after active orthodontic treatment. Independent samples and paired-samples t-tests were utilized to analyze the morphological changes in both groups. ANB angle was decreased in G1 and remained unchanged in G2 (P < 0.05). Upper incisors were retracted more in G1 than in G2 (P < 0.01). Upper incisors and molars were intruded in G1, but extruded in G2 (P < 0.01). Although the upper molars were found with no significant distalization (P > 0.05), there existed molars distalization in some patients. However, the maxillary molars in G2 were mesialized (P < 0.01). The intrusion of upper molars in G1 resulted in counterclockwise rotation of the mandible and decrease of SN-MP angle (P < 0.01). Upper lip linear measurements including UL-Y and UL-E were decreased more in G1 than in G2 (P < 0.05). Mini-screw implants provide absolute anchorage in vertical and sagittal directions. Better dental, skeletal and soft tissue changes could be achieved by mini-screw implants especially in hyperdivergent patients. Skeletal anchorage should be routinely recommended in patients with bialveolar dental protrusion.

Long non-coding RNA MALAT1 regulates ovarian cancer cell proliferation, migration and apoptosis through Wnt/ß-catenin signaling pathway.

OBJECTIVE: Long non-coding RNA (LncRNA) MALAT1 is an important regulatory molecule in many diseases, especially in ovarian cancer. We aimed at exploring the function of MALAT1 in ovarian cancer and at clarifying its mechanisms. PATIENTS AND METHODS: The expression level of MALAT1 in ovarian cancer tissues, para-carcinoma tissues and ovarian cancer cell lines were analyzed by Real-time polymerase chain reaction (RT-PCR). The cell proliferation rate was detected by CCK8 assay in SKOV3 and HO8910 cells. Transwell was used to detect the invasion and migration activities in SKOV3 and HO8910 cells. The cell cycle distribution and apoptosis rate were measured by flow cytometry analysis. The expression level of Dvl2, GSK-3ß, ß-catenin and cyclin D1 were detected by RT-PCR and Western blot. RESULTS: The relative expression level of MALAT1 was identified to be aberrantly up-regulated in ovarian cancer tissues and cell lines. The high expression level of MALAT1 was associated with poor prognosis in ovarian cancer patients. The down-regulation of MALAT1 inhibited cell proliferation, invasion and migration, arrested cell cycle progression in S phase and induced cell apoptosis in ovarian cancer cell lines. Meanwhile, the down-regulation of MALAT1 decreased the expression level of DVL2, ß-catenin and cyclin D1 and increased the expression level of GSK-3ß in SKOV3 and HO8910 cells. Moreover, the inhibitory effect of MALAT1 down-regulation in cell invasion and migration was reversed by SKL2001 activating Wnt/ß-catenin signal pathway and enhanced by XAV939 inhibiting Wnt/ß-catenin signal pathway. CONCLUSIONS: MALAT1 was overexpressed in ovarian cancer and associated to the poor prognosis. The down-regulation of MALAT1 inhibited cell proliferation, invasion and migration, arrested cell cycle progression in S phase and induced cell apoptosis by restraining the activation of Wnt/ß-catenin signaling pathway in ovarian cancer cells.

[The study of genistein attenuating genioglossus muscle fatigue under chronic intermittent hypoxia].

OBJECTIVE: To investigate the effects of genistein on genioglossus muscle function and nuclear factor erythroid 2 related factor 2(Nrf-2)/antioxidant responsive element(ARE) signaling pathway in rats under chronic intermittent hypoxia(CIH) condition in order to find medication treatment of obstructive sleep apnea/hyponea syndrome. METHODS: Thirty female Sprague-Dawley(SD) rats (8 weeks old) were randomly(random number table) divided into three groups 1 week after ovariectomy: control group(NC group), CIH group, and CIH+genistein treatment group(T group). Rats in the latter two groups were exposed to CIH for 8 h/d for 5 weeks. Electrophysiological method was used to detect the change of genioglossus muscle function, and real-time reverse transcription(RT)-PCR and Western blotting were used to determine the level of Nrf-2 gene and protein. RESULTS: Compared to NC group, the contractive properties of genioglossus muscle fatigue test at every time set was significantly decreased in CIH group(P<0.05). Compared to CIH group, the contractive properties was significantly increased in T group(P<0.05). The level of Nrf-2 gene and protein were less in CIH group(0.54±0.11 and 0.35±0.13) than in NC group(1.00±0.001.00±0.00)(P<0.05). Compared to CIH group the level of Nrf-2 gene and protein were increased in T group (0.76 ± 0.16 and 0.63 ± 0.14) (P<0.05), however, it was still less than the level in NC group(P<0.05). CONCLUSIONS: CIH attenuates genioglossus muscle fatigue resistance under chronic intermittent hypoxia through Nrf-2/ARE signaling pathway. Genistein protects genioglossus muscle function through up-regulation of the level of Nrf-2 gene and protein.

Elevated circulating tumor necrosis factor levels in Alzheimer's disease.

Recent investigations have demonstrated a local inflammatory response in Alzheimer's disease (AD), including microglia and cytokines. Levels of the cytokine tumor necrosis factor alpha (TNF-alpha) in sera from patients with AD and age-matched controls were measured by an enzyme-linked immunoassay and a cytotoxicity bioassay. Significantly elevated levels of TNF were found in AD sera compared to controls. Elevated circulating TNF may be derived from the local CNS inflammatory reaction in AD, and may account for some systemic manifestations of AD such as weight loss. Future studies may determine if, in the absence of complicating disorders which may elevate TNF, circulating TNF could be a marker of AD inflammatory activity.

Acute vasoconstriction after subarachnoid hemorrhage.

OBJECTIVE: Decreased cerebral blood flow (CBF) and cerebral ischemia occurring immediately after subarachnoid hemorrhage (SAH) may be caused by acute microvascular constriction. However, CBF can also be influenced by changes in intracranial pressure (ICP) and cerebral perfusion pressure (CPP). The goal of these experiments was to assess the significance of acute vasoconstriction after SAH and its relationship to changes in CBF, ICP, CPP, and extracellular glutamate concentrations. METHODS: Three experiments were performed using the endovascular filament technique to produce SAH. In the first experiment, CBF, ICP, and CPP were measured for 60 minutes after SAH (n = 21) and were correlated with the 24-hour mortality rate. In the second experiment, rats undergoing SAH (n = 23) or a sham procedure (n = 7) were perfused 60 minutes after SAH for measurement of the circumference and wall thickness of the internal carotid and anterior cerebral arteries and correlation with CBF, ICP, and CPP. In the third experiment (n = 11), extracellular glutamate concentrations determined by hippocampal and cortical microdialysis and high performance liquid chromatography were correlated with physiological changes. RESULTS: CBF reductions to less than 40% of baseline for 60 minutes after SAH predicted 24-hour mortality with 100% accuracy and were used to define "lethal" SAH. In contrast, ICP and CPP 60 minutes after SAH were not correlated with the mortality rate. The vascular circumference was significantly smaller in lethal than in sublethal SAH or sham-operated rats (P < 0.001). Vessel measurements were correlated with both CBF and hemorrhage size (P < 0.01). Extracellular glutamate concentration increased to 600% of baseline after lethal SAH in both hippocampus and cortex and was inversely correlated with CBF (r = 0.9, P < 0.001) but did not increase after sublethal SAH. CONCLUSION: Acute vasoconstriction after SAH occurs independently of changes in ICP and CPP and is associated with decreased CBF, larger hemorrhage size, persistent elevations of extracellular glutamate, and poor outcome. Acute vasoconstriction seems to contribute directly to ischemic brain injury after SAH. Further evaluations of pharmacological agents with the potential to reverse acute vasoconstriction may increase CBF and improve outcome.

Application of pressurized liquid extraction followed by gas chromatography-mass spectrometry to determine 4-nonylphenols in sediments.

A time- and solvent-saving method, pressurized liquid extraction (PLE), to extract 4-nonylphenol (4-NP) in sediment was developed. The effects of various operational parameters (i.e., temperature, pressure, etc.) for the quantitative extraction of 4-NP by PLE were investigated. The analytes were then identified and quantitated by a large-volume injection GC-MS technique. The 4-NP can be completely extracted by methanol at 100 degrees C and 100 atm combined with 15 min static and then 10 min dynamic extraction steps (1 atm = 101,325 Pa). Recovery of 4-NP in spiked blank kaolin samples was 98% with 5% RSD. The degrees of recovery of 4-NP in the spiked sediment samples from a reservoir and a polluted river were 111% with 4% RSD and 106% with 5% RSD, respectively. The perfect applicability of PLE for 4-NP was determined after testing it with spiked and aged samples. The extraction efficiency of the PLE was compared with conventional Soxhlet and bath ultrasonication extraction methods using the spiked sediment samples.

Analysis of nonylphenol polyethoxylates and their degradation products in river water and sewage effluent by gas chromatography-ion trap (tandem) mass spectrometry with electron impact and chemical ionization.

A method is presented for the analysis of nonylphenol polyethoxylate (NPEO) residues and their degradation products, nonylphenol polyethoxy carboxylates and carboxyalkylphenol ethoxy carboxylates, in the samples of river water and sewage effluent. The method involves extraction of the samples by graphitized carbon black (GCB) cartridge, propylation by a propanol/acetyl chloride derivatization procedure, and separation, identification and quantitation by ion-trap GC-MS with electron impact ionization (EI), liquid-chemical ionization (CI) and CI-MS-MS modes. The large-volume injection technique provides high precision and sensitivity for both NPEO residues and their degradation products, to quantitation at > or = 0.01 microgram/l in 100 ml of water samples. Dicarboxylic acids of NPEO residues were identified by the CI-MS-MS technique with relatively high concentrations in the samples of river water and sewage effluent. Recovery of nonylphenol and octylphenoxyacetic acid in spiked water samples ranged from 81 to 107%. Relative standard deviations of replicate analyses ranged from 2 to 12%.

Analysis of linear alkylbenzenesulfonates in water samples by large-volume injection-port derivatization and gas chromatography-mass spectrometry.

This work presents a modified method to analyze linear alkylbenzenesulfonates (LASs) in water samples. The method involves extraction of samples by a graphitized carbon black (GCB) cartridge, and direct derivatization in the GC injection port using a large-volume (10-20 microl) direct sample introduction (DSI) device with tetraalkylammonium (TAA) salts. The analytes were then identified and quantitated by ion-trap GC-MS. The large-volume DSI injection-port derivatization technique provides sensitivity, fast and reproducible results for LAS residues, to quantitation at 0.1 microg/l in 200 ml of water samples. The retention effect of TAA salts in the injection port was not detected. Enhanced selected mass chromatograms of [M-55]+ ions of butylated C10-C13 LASs by electron impact ionization MS allows one to determine LAS residues at trace levels in environmental samples. Recovery of total LASs in spiked variety water samples ranged from 89 to 112% while RSDs ranged from 2 to 13%.

Analysis of nonylphenol polyethoxycarboxylates and their related metabolites by on-line derivatization and ion-trap gas chromatography-mass spectrometry.

This study presents a modified method to analyze nonylphenol polyethoxycarboxylates (NPEC) and their related metabolites (carboxyalkylphenol ethoxycarboxylates (CNPEC)) in water samples. The method involves extraction of samples by a graphitized carbon black (GCB) cartridge, and direct derivatization in the GC injection-port using a large-volume (10-20 microl) direct sample introduction (DSI) device with tetraalkylammonium (TAA) salts. The analytes are identified and quantitated by ion-trap GC-MS. The large-volume DSI injection-port derivatization technique provides sensitivity, fast and reproducible results for NPEC and their metabolites, to quantitation at 0.1 microg/l in 200 ml of water samples. The retention effect of TAA salts in the injection-port is not detected. In addition, the significant [M-29]+ ions and molecular ions of butylated NPEC and CNPEC residues are observed. Recovery of NP1EC in spiked water samples ranges from 90 to 108%. Moreover, relative standard deviations of replicate analyses ranges from 1 to 9%. However, unsatisfactory on-line derivatization of CNPEC residues is observed. This finding maybe owing to their lesser dissociation with the ion-pair reagent in chloroform.

Determination of naphthalenesulfonic acid isomers by large-volume on-line derivatization and gas chromatography-mass spectrometry.

This work presents a modified method to analyze polar and water-soluble naphthalene monosulfonic acid (NS) isomers in industrial effluents and river water samples. The method involves extraction of samples by a styrene-divinylbenzene copolymer solid-phase extraction cartridge, and on-line derivatization in the GC injection port using a large-volume (10 microl) sample injection with tetrabutylammonium salts. The analytes were then identified and quantitatively determined by GC-MS. The large-volume injection-port derivatization technique provides sensitivity, fast and reproducible results for NS isomers, to quantitation at 0.05 microg/l in 200 ml of water sample. Enhanced extracted mass chromatograms of molecular ion and [M-56]+ ion of butylated NS isomers by electron impact ionization MS allows us to determine residues at trace levels in environmental samples. Recoveries of the NS isomers in spiked water samples ranged from 70 to 82% with RSDs around 10%. Naphthalene-2-sulfonic acid was found as a major pollutant and propagated in surface water and industrial effluents.

Analysis of linear alkylbenzenesulfonates by capillary zone electrophoresis with large-volume sample stacking.

A systematic investigation of optimal conditions for determining the homologues of linear alkylbenzenesulfonates (LAS) by capillary zone electrophoresis (CZE) using the large-volume sample stacking technique was presented. The most effective sample stacking and separation conditions was 20 mM borate buffer with 30% acetonitrile at pH 9.0, and the sample hydrodynamic injection of up to 90 s at 4 p.s.i. (1 p.s.i. = 6,892.86 Pa) (around 711 nl). Under such conditions, approximately a 100-fold enrichment factor was achieved based on peak heights. The reproducibility of migration time and quantitative results of stacking CZE can be improved by using internal standards. Quantitation limits of the homologues of LAS were 0.002-0.01 mg/l under these enrichment conditions. The analysis of real samples of laundry and dishwashing detergents was performed. The established high-performance liquid chromatography method was applied to evaluate the stacking CZE method, and compatible results were obtained.

Analysis of chlorophenoxy acid herbicides in water by large-volume on-line derivatization and gas chromatography-mass spectrometry.

This work presents a modified method to analyze chlorophenoxy acid herbicides in water samples. The herbicides 2,4-D (2,4-dichlorophenoxyacetic acid). Silvex (2,4,5-trichlorophenoxypropionic acid) and 2,4,5-T (2,4,5-trichlorophenoxyacetic acid) were used to evaluate the method. The method involves extraction of samples by a graphitized carbon black cartridge, and on-line derivatization in the GC injection port using a large-volume (10-20 microl) direct sample introduction (DSI) device with tetraalkylammonium salts. The analytes were then identified and quantitated by ion-trap gas chromatography-mass spectrometry. The large-volume DSI injection-port derivatization technique provides sensitivity, fast and reproducible results for chlorophenoxy acid herbicides residues, to quantitation at 0.1 to 0.2 microg/l in 500-ml water samples. An enhanced characteristic mass chromatogram of molecular ions of butylated chlorophenoxy acid herbicides with a significant chlorine isotope pattern by electron impact ionization MS allows us to determine herbicides residues at trace levels in aqueous samples. Recovery of the herbicide residues in spiked various water samples ranged from 70 to 99% while RSDs ranged from 1 to 13%.

Determination of linear alkylbenzenesulfonates and their degradation products in water samples by gas chromatography with ion-trap mass spectrometry.

A method was developed for the analysis of linear alkylbenzenesulfonates (LAS) and their degradation products, sulfophenylcarboxylic acids (SPC), in samples of sewage effluent and river water. This method involved extraction of the samples by graphitized carbon black cartridge, esterification by a two-step thionyl chloride-trifluoroethanol derivatization procedure, and separation, identification and quantitation by ion-trap GC-MS with EI and low pressure CI modes. High selectivity with few signals was observed in the low pressure CI mass spectra of LAS and SPC. Enhanced sensitivity with protonated molecular ion chromatograms of homologous C10-C13 LAS by CI-MS permit the determination of LAS and SPC at trace concentrations in environmental samples. Recovery rates of LAS and SPC in spiked water samples ranged from 75 to 112% with R.S.D. values from 3 to 26%. The limit of quantitation for both LAS and SPC was estimated to be 0.01 microgram/l in 100 ml of water sample.

Occurrence and behavior of wastewater indicators in the Santa Ana River and the underlying aquifers.

The occurrence and behavior of wastewater indicator compounds in the Santa Ana River (SAR) water and the underlying aquifer recharged by the SAR has been studied. The SAR contains a high proportion of tertiary treated wastewater effluents, up to 100% during summer and fall. The following water quality parameters were quantified: four specific wastewater indicator compounds, ethylene diaminetetraacetic acid (EDTA), nitrilotriacetic acid (NTA), a naphthalene dicarboxylate (NDC) isomer, alkylphenol polyethoxy carboxylates (APECs), and selected haloacetic acids (HAAs), nitrate, dissolved oxygen (DO), DOC, total carbohydrate, and phenolic substances. Statistical analysis indicated that normal distribution was adequate to describe the probability distribution of the constituents in most cases. In the river, the concentrations of wastewater indicator compounds decreased as the fraction of storm runoff increased. EDTA and NDC were detected in a monitoring well near the river and in two production wells 1.8 and 2.7 km down gradient with little apparent attenuation. By contrast, NTA, APECs, bromochloro- and dibromoacetic acids appeared to be attenuated significantly during infiltration of river water and groundwater transport.

[Evaluation of head-chest lead ECG in the diagnosis of acute right ventricular infarction].

The clinical features, hemodynamic parameters, Wilson's lead and head-chest (H-C) lead ECG of 23 cases with acute right ventricular infarction (ARVI) were analyzed. Results showed that 13 cases revealed clinical right heart failure, but 10 of them had clear lung fields. 11 cases showed hypotension. 20 cases had mean right atrial pressure (MRAP) > or = 10 mmHg. The remaining 3 cases had MRAP between 8 mmHg and 10 mmHg, but it was > or = 10 mmHg after volume loading. The ratio of MRAP to pulmonary wedge pressure was > 0.65 and the right ventricular stroke work index < 5.0 g.m/m2 in all the 23 cases. ST elevation > or = 1 mm in V3R to V6R was found in 12 cases (52%), while ST elevation > or = 1 mm in HV3R to HV8R in 20 cases (87%). The results showed that the diagnostic accuracy for ARVI with H-C lead (right chest) ECG is higher than that with Wilson's lead. H-C ECG is better correlated with hemodynamics in patients with ARVI.

[Calcitonin gene-related peptide and thrombolysis].

After thrombolytic therapy with urokinase (UK) plasmaimmunoreactive calcitonin gene-related peptide (CGRP-ir) in patients with acute myocardial infarction (AMI) was increased rapidly, and 2 hours after treatment with UK the plasma CGRP-ir reached peak value which was 5 times higher than that before thrombolytic therapy. Fourteen hours after therapy with UK the plasma CGRP-ir gradually decreased to the initial level before treatment. In rat model with abdominal aorta thrombosis induced by FeCl3-injured vascular endothelium, it was found that change in plasma CGRP-ir of the rats after treatment with UK was similar to that of AMI patients, and that administration of CGRP alone had no recanalization effect on the thrombotic blood vessel. However, treatment with CGRP synergically potentiated the UK-induced vascular recanalization in a dose-dependent manner. And antagonist of CGRP (CGRP8-37) significantly attenuated the recanalization action of UK. The results suggest that release of CGRP by tissues could play an endogenous protective role in thrombolytic therapy with UK, and exogenous administration of CGRP might be useful clinically as an assistant of vascular recanalization.