B-Twin可膨胀式融合器系统腰椎融合术

目的:介绍B-Twin可膨胀式融合器系统及相关B-Twin椎间融合术的开展情况。方法:应用计算机检索“B-Twin expandable cage,lumbar interbody space fusion,lumbar disc degenerative disease,minimal invasive spinal fusion”;中文期刊检索词“B-Twin、腰椎融合术”。检索工具:Pubmed,google,CNKI中文期刊网。同时有部分国外会议资料。结果:腰椎间盘退行性疾病是临床上引起腰腿痛及功能障碍的一类疾病,目前常用的治疗方法包括保守治疗、微创手术以及外科手术治疗。传统的腰椎融合术多为开放性手术,创伤大,恢复时间长,近年来,可膨胀的B-Twin融合器的应用使经皮腰椎融合术成为可能,并且具有创伤小、恢复快、操作简便、安全性高的特点。结论:可膨胀的B-Twin融合器的应用,使得经皮腰椎融合术成为可能,具有广阔的前景。     

Novel PRKD gene rearrangements and variant fusions in cribriform adenocarcinoma of salivary gland origin

Polymorphous low‐grade adenocarcinoma (PLGA) and cribriform adenocarcinoma of minor salivary gland (CAMSG) are low‐grade carcinomas arising most often in oral cavity and oropharynx, respectively. Controversy exists as to whether these tumors represent separate entities or variants of one spectrum, as they appear to have significant overlap, but also clinicopathologic differences. As many salivary carcinomas harbor recurrent translocations, paired‐end RNA sequencing and FusionSeq data analysis was applied for novel fusion discovery on two CAMSGs and two PLGAs. Validated rearrangements were then screened by fluorescence in situ hybridization (FISH) in 60 cases. Histologic classification was performed without knowledge of fusion status and included: 21 CAMSG, 18 classic PLGA, and 21 with “mixed/indeterminate” features. The RNAseq of 2 CAMSGs showed ARID1A‐PRKD1 and DDX3X‐PRKD1 fusions, respectively, while no fusion candidates were identified in two PLGAs. FISH for PRKD1 rearrangements identified 11 additional cases (22%), two more showing ARID1A‐PRKD1 fusions. As PRKD2 and PRKD3 share similar functions with PRKD1 in the diacylglycerol and protein kinase C signal transduction pathway, we expanded the investigation for these genes by FISH. Six additional cases each showed PRKD2 and PRKD3 rearrangements. Of the 26 (43%) fusion‐positive tumors, there were 16 (80%) CAMSGs and 9 (45%) indeterminate cases. A PRKD2 rearrangement was detected in one PLGA (6%). We describe novel and recurrent gene rearrangements in PRKD1–3 primarily in CAMSG, suggesting a possible pathogenetic dichotomy from “classic” PLGA. However, the presence of similar genetic findings in half of the indeterminate cases and a single PLGA suggests a possible shared pathogenesis for these tumor types. © 2014 Wiley Periodicals, Inc.     

Electro-encephalogram disturbances in different sleep-wake states following exposure to high environmental heat

In this study, cerebral electrical activity or electro-encephalogram (EEG) was studied following exposure to high environmental heat, in three different age groups of freely moving rats. Each age group was subdivided into three groups: the acute heat stress group, subjected to a single exposure of 4h at 38°C in the biological oxygen demand incubator; the chronic heat stress group, exposed for 21 days, for 1 h each day, at 38°C in the incubator; and the handling control group. The polygraphic sleep-wake recordings involved simultaneous recordings of cortical EEG, electrooculogram (EOG), and electromyogram (EMG), on paper and in digital form on computer hard disk, just after the heat exposure for the acute stressed rats and on the 22nd day for the chronic stressed rats. The power spectrum was calculated for 2s epochs of the EEG signals. Quantitative analyses of EEG (qEEG) showed that, in all three age groups, changes in higher-frequency components (β₂) were significant in all sleep-wake states following both acute and chronic heat stress conditions. The power of β₂ activity in all three age groups after acute heat exposure was significantly decreased during slow wave sleep (SWS) (p<0.05) and rapid eye movement sleep (p<0.05), whereas the reverse was observed in the awake state (p<0.05). Following chronic heat exposure, β₂ activity was found to increase in all three sleep-wake stages in all groups of rats (p<0.01 for SWS in the weaning group and p<0.05 for other data). Thus the study demonstrated that the cortical EEG is sensitive to environmental heat, and alterations in EEG frequencies in different states of mental consciousness due to high heat can be differentiated efficiently by EEG power spectrum analysis.