简介：Inthepresentpaper,theauthorsumsupandanalyzesdescriptionsaboutneedle-insertiondepthinChineseclassicalmedicalbookHuangDiNeiJing(TheYellowEmperor'sInternalClassic).InmanychaptersofNeiJing,theneedle-insertiondepthisstressedtobevariousaccordingto1)thedeficiencyorexcessofsyndromes,2)thepatients'constitution,3)theseverityofdisease,4)thedurationofdisease,5)thelocationofdisease,6)thepatient'sage,7)thelocationoftheneedledacupoint,8)theseason,9)thepatient'stemperament,10)thepulsecondition,11)thestateof'Deqi',and12)thelocationoftherunningcourseofmeridians.Inaddition,differentkindsofdiseasesanddifferentstagesofdiseasesalsoneeddifferentdepthsofneedleinsertion,differentmanipulatingskillsanddifferentstimulatingquantity.

简介：Animpulseresponsetechniquehasbeeninvestigatedbyapplicationtotheopenscreensforobtainingsoundtransmissionloss.ThemeasurementsofsuchscreensaccordingtoISO140werealsopresented.ThepredictedresultscalculatedbyamodelwhichisbasedonHuygen’sprincipleandKirchhoff’sformulationhaveshowngoodagreementswiththeresultsobtainedbyimpulsemethod.Themethodrequiresnospecialistacousticfacilitiesandmeasurementsystemscanbeportable.

简介：

简介：Hydraulicspinalcordandcaudaequinanerveinjuriesareveryuncommon.Since1996,wehavereceivedandtreated4patientswithhydraulicspinalcordandcaudaequinainjuries.Thisreportgivesadetaildescription.Fourpatientswithhydraulicspinalcordandcaudaequinanerveinjuries,male:3,female:1,aging13-56yearshavebeentreatedinourhospitalsince1996.Extraduralblockinginjurywasin1patient,extraduralanaesthesiainjuryin1patientandintraspinalcanalmyelographyinjuryin2patients;thesegmentsofintraspinalcanalwereL2-3andL3-4.Onepatientwasaccompaniedbyfemoralfracture,2patientsbyintraspinaltumorand1patienthadoperationbecauseofprolapseoflumbarintervertebraldisc.

简介：客观：在老鼠在试验性的针的绳索损害(SCI)上观察橡黄素的效果。方法：六十只Sprague-Dawley老鼠随机被划分成四个组；仅仅为laminectomy的组A，为有SCI的laminectomy的组B，为有为SCI和intraperitoneal注射的200mg/kg橡黄素和组D的一丸大丸药的SCI和intraperitonealinjection的组C盐。SCI模型被使用修改侨民做“T_(12)上的s方法。每个组的六只老鼠在损害和免费的铁的层次以后在4h被打死，深奥针的绳索片断的malondialdehyde(MDA)被bleomycin和thiobarbituric酸(TBA)测量试金独立。后部的手足功能的Therecovery被修改Tarlov估计“在在SCI以后的7d，14d和21d的s规模和斜面方法。损坏针的绳索的组织学的变化也在SCI以后在7d被检验。结果：在SCI以后，免费的铁和MDA的层次显著地在组B和D被增加，当时不在组C。修改Tarlov“s分数和斜面角度显著地在组B，C和D被减少。组织学的调查结果没被改进。结论：在SCI以后，橡黄素能每氧化减少类脂化合物的水平，然而并非改进功能的恢复。

简介：Tostudythechangesofexcitatoryaminoacids(EAAs)andintracellularcalcium([Ca2+]i),andtheprotectiveeffectofEAAsreceptorantagonistsinthetissuesofrabbitlumbarspinalcordafter40-minuesischemiaand4-hoursreperfusion.Methods:Thirtyhealthyrabbitsweredividedintosixgroups:sham-operation,40-minuesischemia,4-hourreperfusion,ketamineandMgSO4treatment,ketaminetreatment,andsalinetreatmentgroups.ThecontentsofEAAs(glutamateandaspartate)and[Ca2+]iweremeasured.Results:Thecontentsofglutamateandaspartateweredecreasedto15.18μmol/g±2.33μmol/gand9.99μmol/g±0.69μmol/g,respectively;13.75μmol/g±2.58μmol/gand6.49μmol/g±1.39umol/gafterreperfusion.Intheischemiagroup,the[Ca2+]iwaselevatedto221.2μg/g±4.27μg/g,andelevatedfurtherto298.3μg/g±9.26μg/gafterreperfusion,beingsignificantlyhigherthanthatofischemiaandcontrolgroups.Ketaminecouldobviouslyincreasethelevelofglutamateandaspartateanddecreasethelevelof[Ca2+]iduringtheischemiaandreperfusioninjury.Conclusions:TheexcitotoxicityofEAAsandtheoverloadofcalciuminducedbyEAAsplayaharmfulroleinischemiaandreperfusioninjury.Ketaminehasaneffectiveinhibitoryeffect.

简介：Objective:Toanalyzethehistologicalresultsandthebiologicalremodelingofligamentousinsertionafterthereconstructionofanteriorcruciateligament(ACL)withautograftorallografttendon.Methods:ExtensordigitorumtendonwasharvestedfromhindlimbasgraftmaterialandtransplantedtoreconstructtheresectedACLin12mongreldogs.Eachfreetendonendwassecuredbyholdingsuturesandthenthesuturesweretiedtothepostscrewatthefemoralandtibialbonytunneloutletaftertransplantationrespectively.Autograftwasrandomlyperformedononesideofkneewhileallograftontheothersideofknee.Aftertransplantation,thehistologicalanalysiswasundertakenatthe6th,12thweeksandthe6thmonthusinghematoxylin-eosin(HE)stainunderlightmicroscope.Results:TheinsertionstructureofnormalACLtypicallyconsistedoffourlayers,i.e.,denseconnectivetissue,fibrocartilage,mineralizedfibrocartilageandbone.Therewasadistinctregulartidemarklinebetweenfibrocartilageandmineralizedfibrocartilage.Atthe6thweekpostoperativcly,looseconnectivetissuepresentedintheinterspacebetweengraftandbonytunnelwallinbothautograftandallograftgroups.Atthe12thweekpostoperatively,thecollagenousfibersbetweenautograftandtunnelwallbecamewellorganizedandthefourlayersofinsertionwithdiscontinuoustidemarklineweredemonstratedindistinctlyinautograftgroupbutnotinallograftgroup.Atthe6thmonthpostoperatively,bothofaclearandcontinuoustidemarklineanddistinctfourlayerscouldbeseeninautograftgroup.Inallograftgroup,onlyawaveddiscontinuoustidemarklinewasshownandeithertheanatomicmorphologyorthematurityofinsertionwasinferiortothatofautograftgroup.Conclusions:Atthe6thmonthpostoperatively,althoughtheligament-cartilageinsertionisprimarilyformedafterACLreconstructionwithautograftorallografttendon,thehistologicalmorphologyandthematurationofinsertionofautografttendonar

简介：Treateduroschesisduetospinalcordinjuryin32caseswithacupuncturetherapy(acupuncturegroup)andcomparedwithNeostigmineinjection(controlgroup).Inacupucturegroup,10casesgotclinicalrecovery,17efficacyand5inefficacy,withaneffectiverateof84.4%;among32casesincontrolgroup,3casesgotclinicalrecovery,15efficacyand14inefficacy,theeffecriveratewas56.2%.

简介：Thedistributionofacetylcholinesterase(AChE)-positivestructuresinthedevelopingratspinalcordwasstudiedwithAChE-histochemistry.AChE-positiveperikaryawerefirstseenonembryonicday14(E14)intheventrolateralportionofthespinalcord.Fromthattimeonward.AChE=containingcellsappearedgraduallyintheintermediategray,dorsalhornandlateralspinalnucleusofthespinalcordinaventral-to-dorsal,andlateral-to-medialorder.Noobviousrostral-to-caudalsequencewasfound.Atbirth,thedistributionpatternofAChE-positiveperikaryawasbasicallysimilartothatinadults.AfterbirthadramaticincreaseintheAChEstainingintensityextendedfrompostnatalday5(P5)topostnatalday21(P21),Inaddition,twophasesoftransientAChEstainingwereobservedintheexternalsurfaceofthedorsalhornfromembryonicday15(E15)toembryonicday21(E21)andinthemarginallayerfromembryonicday21(E21)topostnatalday14(P14),respectively.

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简介：BACKGROUND&OBJECTIVE:Themajorityofintramedullaryspinalcordtumors(IMSCT)arelow-gradegliomas.RadicalresectionforIMSCTsremainschallenging.Recently,improvedneuroimagingandadvancedmicrosurgicaltechniquehavemadegreatsuccessinsurgicalmanagementoftheintramedullaryspinalcordtumors.METH-ODS&RESULTS:Twenty-ninepatientswithintramedullaryspinalcordtumorsweretreatedbyradicalresectiondur-ingthepast4yearsinourinstitute.Thehistologicalresultswereasfollows:12ependymomas,4astrocytomas,4heman-gioblastomas,4epidermoids,1cavernoma,2lipomas,2metastatics.Agross-totalresection(>95%)wasachievedin25surgicalprocedures.Subtotalresections(80-95%)wereperformedin4cases.Therewasnosurgicaldeath.Whencomparingthepreoperativeand3-monthpostoperativefunctionalgrades,12patientswerestable14improved,and3deteriorated.Patientswitheithernodeficitoronlymilddeficitbeforesurgerywererarelyimpairedbytheproce-dure,reinforcingtheimportanceofearlydiagnosisandtreatment.Themajordeterminantoflong-termsurvivalwashistologi-calcompositionofthetumor.PatientsinwhomanIMSCTwasonlypartiallyresected(<80%)faredsignificantlyworse.CONCLUSIONS:Thelong-termsurvivalandqualityoflifeforpatientswithlow-gradegliomastreatedbyradi-calresectionaloneiscomparableorsuperiortominimalresectionplusradiotherapy.Theoptimaltherapyforpatientswithhigh-gradegliomaisyettobedetermined.Forbenignlesion,suchashemangioblastomaandcavernomacouldbecuredbytotalresectionofthetumor.Forlipomaandepidermoid,fibrousadhesionstothecordmaketotalremovaldifficult,andthus,removalisnotthegoalofsurgery.Thecarbondioxidelaserisparticularlyusefulduringsurgeryforthislesion.

简介：Withtheexceptionofmatureerythrocytes,cellswithinthehumanhematopoieticsystemarecharacterizedbythecellsurfaceexpressionofthepan-leukocytereceptorCD45.Here,weidentifyanovelsubsetamongmononuclearcordbloodcellsdepletedoflineagecommitmentmarkers(Lin-)thataredevoidofCD45expression.Surprisingly,functionalexaminationofLin-CD45-cellsalsolackingcellsurfaceCD34revealedtheywerecapableofmultipotentialhematopoieticprogenitorcapacity.Co-culturewithmouseembryoniclimbbudcellsdemonstratedthatLin-CD45-CD34-cellswerecapableofcontributingtocartilagenodulesanddifferentiatingintohumanchondrocytes.BMP-4,amesodermalfactorknowntopromotechondrogenesis,significantlyaugmentedLin-CD45-CD34-differentiationintochondrocytes.Moreover,unlikeCD34+humanhematopoieticstemcells,Lin-CD45-CD34-cellswereunabletoproliferateorsurviveinliquidcultures,whereassingleLin-CD45-CD34-cellswereabletochimerizetheinnercellmass(ICM)ofmurineblastocystsandproliferateinthisembryonicenvironment.OurstudyidentifiesanovelpopulationofLin-CD45-CD34-cellscapableofcommitmentintobothhematopoieticandchondrocyticlineages,suggestingthathumancordbloodmayprovideamoreubiquitoussourceoftissuewithbroaderdevelopmentalpotentialthanpreviouslyappreciated.

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简介：Toexplorethemolecularmechanismoftheprotectiveeffectofnervegrowthfactor(NGF)oninjuredspinalcord.Methods:TheposteriorT8(the8ththoracicsegment)spinalcordsof60Wistarratswereinjuredbyimpactscausedbyobjects(weighing10g)fallingfromaheightof2.5cmwithAllensway.Solutionwithnervegrowthfactors(NGF)wasgivento30rats(theNGFgroup)throughamicrotubuleinsertedintothesubarachnoidcavityimmediately,andat2,4,8,12and24hoursafterspinalcordinjury(SCI)respectively.Normalsaline(NS)withsamevolumewasgiventotheother30rats(theNSgroup)withthesamemethod.And5normalratsweretakenasthenormalcontrols.Theexpressionofbcl-2andbaxproteinsinspinalcordwasdetectedwithimmunohistochemistry.Theapoptoticneuronsinspinalcordweremeasuredwithterminaldeoxynucleotidyltransferase-mediateddUTP-biotinnickend-labelingofDNAfragments(TUNEL)staining.Results:Thepositiveexpressionofbcl-2proteinwasstronginthenormalcontrols,butdecreasedintheNSgroup,andincreasedsignificantlyintheNGFgroupascomparedwiththatoftheNSgroup(P<0.01).Thepositiveexpressionofbaxproteinwasalsostronginthenormalcontrols,butincreasedintheNSgroup,anddecreasedsignificantlyintheNGFgroupascomparedwiththatoftheNSgroup(P<0.01).ApoptoticneuronswerefoundintheNSgroup,andtheydecreasedsignificantlyintheNGFgroupascomparedwiththatoftheNSgroup(P<0.01).Conclusions:NGFcanprotecttheinjurednervetissuesthroughstimulatingtheexpressionofbcl-2protein,inhibitingtheexpressionofbaxproteinandinhibitingtheneuronalapoptosisafterSCI.

简介：Objective:Tobetterunderstandthecharacteristicsoftheneurogenicmotorevokedpotential(NMEP)beforeandafteracutespinalcordinjury.Methods:WerecordedandcharacterizedthespinalcordNMEPfrom48normalratsandfrom38ratswithspinalcordhemisectionlesion.SpinalcordNMEPswereelicitedbyapplyingarangeofcurrentintensitieswithbipolarmicroelectrodestimulitotheC4cordsegmentandrecordingtheresponsesfromsciaticnerveswithbipolarmicroelectrodesplacedintheneurilemma.Results:Theevokedpotentialsconsistedofthreestableandreproduciblenegativeandthreepositivepeaks.Themean±SDlatenciesofN1were2.89±0.22msontherightsideand2.89±0.24msontheleftside.Themeanconductionvelocitywas47.9m/s.Themean±SDamplitudesofN1were3.61±2.10μVontherightsideand3.83±2.32μVontheleftside.TheamplitudesofN1weresignificantlydifferentamongtheeightstimulusintensitygroups(rightside:F=2.22,df=7201,P=0.03;leftside:f=2.11,df=7206,P=0.04).Theamplitudewaslargestwhenthestimulusintensitywas1.1-2.5mA.ThelatenciesofN1werenotsignificantlydifferentamongtheeightstimulusintensitygroups(rightside:F=0.40,df=7201,P=0.9;leftside:F=1.20,df=7206,P=0.3).TheamplitudesandlatenciesofN2,N3werenotsignificantlydifferentamongtheeightstimulusintensitygroups.Therewerenosignificantchangesinlatencyandamplitudebetweentheleftandtherightsidenerveresponses.Thirty-eightratsundewentT9cordrightsidehemisection.Amongthem,20(53%),30(79%),and32(84%)ratscouldnotberecordedincorrespondingtoN1,N2,andN3,respectively,intheright-sidesciaticnerves;and13(79%),18(47%),and21(55%),incorrespondingtoN1,N2,andN3intheleft-sidesciaticnerves.Thelatencywassignificantlydelayedonthebothrightandleftsides.TheamplitudeN1wassignificantlydepressedonthebothsides,withN3significantlydepressedontherightsideandN2notsignificantlydepressed.Conclusions:TheamplitudeofNissignificantlydiffere

简介：Objective:Toobservetheeffectsofcryopreservedolfactoryensheathingcells(OECs)transplantationonaxonalregenerationandfunctionalrecoveryfollowingspinalcordinjuryinadultrats.Methods:Twenty-fourratsweredividedintoexperimentalandcontrolgroups,eachgrouphaving12rats.ThespinalcordinjurywasestablishedbytransectingthespinalcordatT10levelwithmicrosurgeryscissors.OECswerepurifiedfromSDratolfactorybulbandculturedinDMEM(Dulbecco'sminimumessentialmedium)andcryopreserved(-120℃)fortwoweeks.OECssuspension[(1-1.4)×105/ul]wastransplantedintotransectedspinalcord,whiletheDMEMsolutionwasinjectedinsteadinthecontrolgroup.At6and12weeksaftertransplantation,theratswereevaluatedwithclimbingtestandMEP(moterevokedpotentials)monitoring.Thesamplesofspinalcordwereprocuredandstudiedwithhistologicalandimmunohistochemicalstainings.Results:At6weeksaftertransplantation,alloftheratsinbothtransplantedandcontrolgroupswereparaplegic,andMEPscouldnotberecorded.MorphologyoftransplantedOECswasnormal,andOECswereinterfusedwithhostwell.Axonscouldregrowintogaptissuebetweenthespinalcords.BothOECsandregrownaxonswereimmunoreactiveforMBP.Noregrownaxonswerefoundinthecontrolgroup.At12weeksaftertransplantation,2rats(2/7)hadlowerextremitiesmusclecontraction,2rats(2/7)hadhipand/orkneeactivemovement,andMEPof5rats(5/7)couldberecordedinthecalfinthetransplantationgroup.Noneoftherats(7/7)inthecontrolgrouphadfunctionalimprovement,andnonehadMEPsrecorded.Inthetransplantedgroup,histologicalandimmunohistochemicalmethodsshowedthenumberoftransplantedOECsreducedandsomeregrownaxonshadreachedtheendoftransectedspinalcord.However,noregrownaxonscouldbeseenexceptscarformationinthecontrolgroup.Conclusions:CryopreservedOECscouldintegratedwiththehostandpromoteregrowingaxonsacrossthetransectedsp

简介：BACKGROUND:Transplantedmononuclearcell(MNC)ofumbilicalbloodcansurviveincentralnervoussystem(CNS)ofhostthroughbloodbrainbarrier,differentiateintonervercells,migratetodamagedsiteandintegratemorphologicalstrucghandfunctionwithnervecellsofhostsoastoimprovedeficienciesofsensatoryfunction,motorfunctionandcognitivefunctionandinfluenceonstrokesequela.OBJECTIVE:Toobservetheveintransplantationofhumanumbilicalcordbloodstemcells(HUCBSC)forimprovingneurologicalfunction,limbfuntionandactivityofdailylivingofpatientswithstrokeandevaluatethereliability.DESIGN:Self-controlledstudy.SETTING:DepartmentofNeurosurgery,theSecondPeople'sHospitalofZhengzhouCity;Red-crossedBloodCenterofHenanProvince;DepartmentofNeurosurgery,theFistAffiliatedHospitalofZhenzhouUniversity.PARTICIPANTS:Atotalof10patientswithstokesequelawereselectedfromDepartmentofCerebralSurgery,theSecondPeople'sHospitalofZhengzhouCityfromApriltoDecember2005.Therewere9malesand1femaleagedfrom35to75yearswiththemeanageof56years.AllofthemwerediagnosedwithCTandMRIexaminationandcoincidencewithdiagnosticcriteriaofstrokeestablishedbytheFourthNationalAcademicMeetingforCerebrovascularDisease.Allpatientsprovidedinformedconsent.METHODS:80-140mLumbilicalbloodoftermbirthofnewbornwasselectedhermeticallyandmaintainedinsterileplasticbag.Andthen,thebloodwascentrifugatedatthespeedof1500r/minfor30minutesat22℃inordertoseparateMNC,i.e.,HUCBSC.Inaddition,afterfinaldiagnosisduringhospitalization,strokepatientswereperfusedwithHUCBSCthroughsuperficialveinofbackofthehand.Eachpatientwasaveragelypenfusedwith6portionsofHUCBSC(cellularnumbers≥1×108/portion)andtheintervalbetweeneachportionwas1-7dayswiththemeanintervalof4days.MAINOUTCOMEMEASURES:①Neurologicalfunctionofstrokepatientswasevaluatedwithneurologicalfunctiondeficiency(NFD)befor

简介：Objective:Todetecttheconcentrationofmonocytechemoattractantprotein-1(MCP-1)intheserumofpatientswithincompletespinalcordinjuryandevaluateitsrelationwiththepathologicclassificationofthespinalcordinjury.Methods:MCP-1concentrationintheserumofpatientswithincompletespinalcordinjury(iSCI),singlespinecompressionandhealthysubjectsweredetectedbyELISA,respectivelyinthepresentstudyandthemagneticresonanceimagingdataofthesepatientswerestudiedatthesametimeonablindbase.Results:SerumlevelofMCP-1iniSCIpatientswas428pg/ml±11pg/mlbyELISA,whichwashigherthanboththatofthepatientswithsinglespinecompressionandofcontrols,withtheconcentrationof184pg/ml±21pg/mland124pg/ml±15pg/ml,respectively.Therewassignificantdifferencebetweenanytwogroups(P<0.01).iSCIpatientswithnormalMRIshowedalowerserumlevelofMCP-1as312pg/ml±30pg/ml.Pathologicalclassificationofspinalcordedemaandhematomacorrespondedto390pg/ml±16pg/mland508pg/ml±24pg/mlintheconcentrationofMCP-1.Conclusions:MCP-1mayinducesecondaryinflammatoryresponsebyrecruitinginflammatorycellstotheinjurysiteandthusaffecttheprognosisofspinalcordinjury.

简介：Objective:ToinvestigateCaspase-3expressionanditsroleinneuronalapoptosis.Methods:TheT13-L2spinalcordofratswasinjuredbytractionaftertheamplitudeofP1-N1wave,monitoredbyacorticalsomatosensoryevokedpotential(CSEP)monitor,decreasedtoseventypercentofthatbeforeoperation.Thenratswerekilledin6h,1d,4d,7d,14dand21drespectivelyafteroperation.Flowcytometerterminaldeoxynucleotldyltransferease-mediatedbiotinylateddeoxynuridinetriphosphatenickendlabeling(TUNEL),Caspase-3activityassayandimmunohistochemicalmethodwereappliedtoinvestigateCaspase-3expressioninthespinalcordtissueandtostudyneuronalapoptosisinrats.Results:Afterspinalcordinjury,apoptoticcellsdetectedbyflowcytometryandTUNEL-positivecellsweresignificantlymore,andpositiveimmunohistochemicalstainingofCaspase-3andCaspase-3activityweresignificantlyhigherinGroupinjurythaninGroupscontrolandlaminectomy,respectively(P>0.05,P>0.01).Similartrendofchangeswasnoticedinapoptoticcells,TUNEL-positivecellsandpositiveimmunohistochemicalstainingofCaspase-3,allofwhichreachedtheirrespectivepeak7daysafteroperation.Caspase-3activityreacheditspeak,however,4dayspostoperatively.Conclusions:IncreasedexpressionandactivityofCaspase-3proteininneuronsaftertractivespinalcordinjuryisthebiochemicalsignalofearlyspinalcellapoptosis.Itisofgreatsignificanceforunderstandingthemechanismofspinalcordinjury.

简介：Objective:TostudythechangesofthegeneexpressionpatternofspinalcordtissuesintheearlystageafterinjurybyDNAmicroarray(genechip).Methods:ThecontusionmodelofratspinalcordwasestablishedaccordingtoAllen'sfallingstrikemethodandthegeneexpressionpatternsofnormalandinjuredspinalcordtissueswerestudiedbygenechip.Results:Theexpressionof45geneswassignificantlychangedintheearlystageafterspinalcordinjury,inwhich22genesup-regulatedand23genesdown-regulated.Conclusions:Theexpressionofsomegeneschangessignificantlyintheearlystageafterspinalcordinjury,whichindicatesthecomplexityofsecondaryspinalcordinjury.