[Analysis of optimal plan of multiple acupuncture manipulations for shoulder pain after stroke at different stages].

OBJECTIVE: To observe the effects between acupuncture combined with rehabilitation and simple rehabilitation for shoulder pain after stroke, and to select the best plan of acupuncture manipulations at different stages by orthogonal design. METHODS: Ninety patients were treated with comprehensive rehabilitation, and nine cases without acupuncture were arranged into a control group. Eighty-one patients of orthogonal design were applied by acupuncture with the same acupoints and course. The VAS score and its weighted value were regarded as the observation indices,and the effects between the acupuncture group and the control group were compared. The optimal plans of acupuncture manipulations of the early stage and the later stage were chosen after the first course treatment and the third course treatment separately. The acupuncture depth (factor A:A: shallow depth less than 25 mm, A(II): modest depth 25-40 mm, A(III): deep depth 40-50 mm), the acupuncture angle (factor B:B(I): perpendicular insertion, B(II): horizontal insertion, B(III): oblique insertion), needle manipulated frequency (factor C: C(I): zero time, C(II): one time, C(III): three times) and needle retained time(factor D:D(I):20 min, D(II): 30 min, D(III): 60 min) were studied. The differences among all factors and the diversity among major factors at different stages were analyzed. RESULTS: (1) Acupuncture combined with rehabilitation at the early and the later stage acquired better improvement than simple rehabilitation (all P < 0.01). (2) The optimal acupuncture manipulation plan at the early stage was A(III) B(III) C(I) D(I), which was deep acupuncture and oblique insertion for 20 min with zero-time manipulation; the optimal acupuncture manipulation plan at the later stage was A(III) B(III) C(III) D(I), which was deep acupuncture and oblique insertion for 20 min with three-time manipulation. (3) There was significance for acupuncture depth and angle at the early stage (both P < 0.01) and there was significance for insertion depth, acupuncture angle and manipulating frequency at the later stage (all P < 0.05). (4) At the early stage, the insertion depth was statistically significant between A(I) and A(II), A(I) and A(III), A(II) and A(III) (P < 0.05, P < 0.01), and the statistical significance was existed between B(I) and B(III) (P < 0.01). At the later stage, the insertion depth was statistically significant between A(I) and A(III), A(III) and A(II), A(I) and A(II) (P < 0.05, P < 0.01), and the statistical significance was existed between C(I) and C(III), C(II) and C(III) (P < 0.05). CONCLUSION: Acupuncture combined with rehabilitation acquire apparent effect for shoulder pain after stroke. At the early stage,the optimal plan is deep and oblique insertion for 20 min with zero-time manipulation. At the later stage, the best plan is deep and oblique insertion for 20 min with 3-time manipulation.

Complete mitochondrial genome of the assassin bug Oncocephalus breviscutum (Hemiptera: Reduviidae).

The mitochondrial genome of an assassin bug, Oncocephalus breviscutum Reuter, is a typical circular DNA molecule of 15,984 bp with 37 genes and a large control region. The gene order is identical to that of the putative ancestral arrangement of insects. Twelve protein-coding genes start with ATN codon and ND4L uses GTG. All of the 22 tRNAs, ranging from 61 to 70 bp, have the clover-leaf structure except for the dihydrouridine (DHU) arm of trnS2 forms a simple loop. The control region is 1345 bp in length and includes six tandem repeats of three 31-nt and three 145-nt units.

Complete nucleotide sequence and organization of the mitochondrial genome of Sirtheneaflavipes (Hemiptera: Reduviidae: Peiratinae) and comparison with other assassin bugs.

The complete sequence of the mitochondrial (mt) genome of the assassin bug, Sirtheneaflavipes (Stål), was determined. The circular genome is 15, 961 bp long and contains a standard gene complement, i.e., the large and small ribosomal RNA (rRNA) subunits, 22 transfer RNA (tRNA) genes, 13 protein-coding genes (PCGs), and the 1, 295 bp control region. The nucleotide composition of S. flavipes mt genome is 71.8% AT-rich, reflected in the predominance of AT-rich codons in PCGs. Compared with the other three reduviid species available in complete mt genomes, the genome architecture as well as the nucleotide composition, codon usage, and amino acid composition reflected high similarity. All PCGs use standard initiation codons (ATN); however, ND4L and ND1 started with GTG. Canonical TAA and TAG termination codons are found in nine PCGs, the remaining four (COIII, ND3, ND5, and ND]) have incomplete termination codons. All tRNAs have the typical clover-leaf structure, except the dihydrouridine (DHU) arm of tRNASer(AGN) forms a simple loop as seen in many other metazoans. Secondary structure models of the ribosomal RNA genes of S. flavipes are presented and are similar to those proposed for other insects. The structure of rrnL is more conservative than that of rrnS among sequenced assassin bugs. The monophyly of Reduviidae is highly supported by Bayesian inferences, and the Peiratinae presents a sister position to the Triatominae+ (Salyavatinae + Harpactorinae).

The architecture and complete sequence of mitochondrial genome of an assassin bug Agriosphodrus dohrni (Hemiptera: Reduviidae).

The 16, 470 bp nucleotide sequence of the mitochondrial genome (mitogenome) of an assassin bug from the reduviid subfamily Harpactorinae, Agriosphodrus dohrni, has been revealed. The entire genome encodes for two ribosomal RNA genes (rrnL and rrnS), 22 transfer RNA (tRNA) genes, 13 protein-coding genes, and a control region. The nucleotide composition is biased toward adenine and thymine (A+T = 72.2%). Comparative analysis with two other reduviid species Triatoma dimidiata and Valentia hoffmanni, exhibited highly conserved genome architectures including genome contents, gene order, nucleotide composition, codon usage, amino acid composition, as well as genome asymmetry. All protein-coding genes use standard mitochondrial initiation codons (methionine and isoleucine), except that nad1 starts with GTG. All tRNAs have the classic clover-leaf structure, except that the dihydrouridine (DHU) arm of tRNA(Ser(AGN)) forms a simple loop. Secondary structure comparisons of the two mitochondrial ribosomal subunits among sequenced assassin bugs show that the sequence and structure of rrnL is more conservative than that of rrnS. The presence of structural elements in the control region is also discussed, with emphasis on their implications in the regulation of replication and/or transcription of the reduviid mitogenome. The phylogenetic analyses indicated that within Reduviidae, Harpactorinae is a sister group to the Salyavatinae + Triatominae clade.

[Clinical study on acute periapical periodontitis caused by overfilling].

OBJECTIVE: To study the relation on overfilling with gutta-percha point or paste and acute periapical periodontitis. METHODS: Collected sixty cases of acute periapical periodontitis which had been filled with gutta-percha point and paste within 1 week, and took dental radiographs. The cases that dental radiographs showed only guttapercha point was overfilling were assigned to group A (34 cases), and the cases that dental radiographs showed only paste was overfilling were assigned to group B (26 cases). The cases that dental radiographs showed both gutta-percha point and paste were overfilling were excluded. Sixty cases were divided into light group and severe group according to clinical sign. Measured gutta-percha point length or paste areas over apex. Took out the ohturation material cornpletely, adjusted occlusion when necessary and changed root canal medicament every day until clinical sign disappeared completely. Recorded the time of clinical sign disappeared completely. RESULTS: In group A, gutta-percha point length over apex averaged 1.01 mm on light cases, and 1.79 mm on severe cases. In group B, the paste areas over apex averaged 2.45 mm2 on light cases, and 8.26 mm2 on severe cases. Group A had 13 light cases and 21 severe cases, and group B had 18 light cases and 8 severe cases. In group A, the average time of clinical sign disappeared completely was 3.56 days, and in group B the average time was 6.19 days. The statistical test showed there were significant differences among these four couples. CONCLUSION: The more overfilling, the more severe clinical sign was. Clinical sign caused by gutta-percha point overfilling was more severe. The time of clinical sign which caused by gutta-percha point overfilling disappeared completely was shorter.