[Influence and Driving of Environmental Heterogeneity on the Epilithic Diatom Community in Xiangxi River, a Tributary of the Three Gorges Reservoir Area].

Environmental heterogeneity can not only increase species diversity to some extent but also affect the stability of terrestrial communities. However, how environmental heterogeneity affects species diversity of epilithic diatom communities in aquatic ecosystems is rarely reported. In this study, therefore, epilithic diatoms and their roles in driving species diversity were explored by quantifying and comparing the environmental heterogeneity in Xiangxi River, a tributary of the Three Gorges Reservoir Area (TGR), on a time scale. The results showed that environmental heterogeneity, taxonomic ß-diversity, and functional ß-diversity in non-impoundment periods were significantly higher than those in impoundment periods. Moreover, the turnover components in the two hydrological periods showed the highest contribution to ß-diversity. However, the taxonomic α-diversity in impoundment periods was significantly higher than that in non-impoundment periods. In addition, functional richness in functional α-diversity was significantly higher in non-impoundment periods than that in impoundment periods, whereas there was no significant difference in other functional α-diversity, i.e., functional dispersion and functional evenness, found between the two periods. Multiple regression on (dis)similarity matrices (MRM) analysis indicated that ammonium nitrogen (NH4+-N) and silicate (SiO32--Si) were the key environmental heterogeneous factors affecting the epilithic diatom community in Xiangxi River during the non-impoundment periods, whereas the key heterogeneous factors were ammonium nitrogen (NH4+-N), silicate (SiO32--Si), and total phosphorus (TP) during the impoundment periods. These results suggested that the environmental heterogeneity during different hydrological periods in TGR can significantly affect the community structure of epilithic diatoms, resulting in the differentiation of species within the community and even affecting the stability of aquatic ecosystems.

Surgical Precision Analysis of Orthognathic Surgery Combined With Invisible Orthodontic.

BACKGROUND: This study aimed to explore the changes in hard tissue after applying invisible orthodontic-orthognathic treatment and the digital design, and to explore the accuracy of the treatment effect of maxillofacial tissue after invisible orthodontic treatment and orthognathic treatment. METHODS: From September 2020 to January 2022, 25 patients with class III skeletal malocclusion and 7 patients with class II skeletal malocclusion, were treated with invisible orthodontic treatment and orthognathic combined treatment. Orthodontic treatment with preoperative invisible orthodontic treatment followed by orthodontic surgery. All patients had cephalometric lateral films after surgery to analyze orthognathic surgery's goals and surgical effects of orthognathic surgery and the digital design. Measure the angle of the sella-nasion-A point angle, angle of sella-nasion-B point, ANB angle, maxillary convex angle, mandibular plane (MP) angle, 1-SN angle, 1-MP angle, etc, and compare surgery outcome with digital design. RESULT: All patients were satisfied with the effect and no complications occurred. Angle of sella-nasion-A point, angle of sella-nasion-B point, ANB angle, maxillary convex angle, MP angle, 1-SN angle, and 1-MP angle had no significant difference between the postoperative effect and the purpose of digital design ( P >0.05), there was no apparent deviation between the upper and lower jaw and the chin ( P >0.05). CONCLUSION: The combined invisible orthodontic treatment and orthognathic treatment are accurate and effective, and are worthy of promotion. It supplements traditional orthognathic therapy and is suitable for corresponding patients.

[Impounding Impacts of the Three Gorges Reservoir on Phytoplankton Function Groups and Its Relationship with Resource Use Efficiency].

In order to investigate the relationship between phytoplankton community functional group compositions and resource use efficiency in important tributaries of the Three Gorges Reservoir, phytoplankton and environment parameters were sampled from five tributaries, the Xiangxi River, Daning River, Meixi River, Pengxi River, and Huangjin River, in August and November, 2020. There were 119 species (variants) belonging to 62 genera and 7 phyla identified in summer, whereas 118 species (variants) belonging to 7 divisions of 58 genera were found in winter. According to Padisak's theory, all phytoplankton were divided into 25 functional groups, of which there were six important functional groups in both summer and winter:L0, H1, D, Y, MP, and P in summer and L0, H1, A, M, MP, and Y in winter. The α-diversity of the phytoplankton functional group in summer was higher than that in winter. Moreover, a higher α-diversity was also found in downstream samples relative to that in upstream samples, indicating that the community structure was more complex, and the community stability was relatively better in downstream regions of the rivers. Redundancy analysis (RDA) showed that the environment factors, i.e., ν, pH, permanganate index, WT, and RUETN, significantly affected phytoplankton functional groups (P<0.05). Variance partitioning analysis (VPA) indicated that environmental factors had a higher explanatory degree for the change in functional group composition in summer (45.23%); on the contrary, resource use efficiency had a higher explanatory degree in winter (42.33%). The linear fitted model showed that functional groups L0, H1, D, and Y showed a significant positive correlation relationship with RUETN and RUETP in summer, whereas only four functional groups (M, MP, Y, and A) had a linear relationship with RUETP, and all function groups had a good linear relationship with RUETN in winter. These results indicated that the functional groups belonging to cyanobacteria, dinoflagellates, and cryptophyta were more efficient at using limited resources in summer, whereas the diatoms had a good linear relationship with resource use efficiency and formed a dominant group in the low temperature environment of winter. These results suggest that the impounding of the Three Gorges Reservoir area can significantly change the resource use efficiency of phytoplankton, resulting in changes in the phytoplankton functional group composition and community structure.

[Succession Pattern and Consequences of the Dominant Species During Cyanobacterial Bloom and Its Influencing Factors].

The succession of dominant species always occurs during cyanobacterial blooms because there are certain conditions for cyanobacterial blooms formed by different cyanobacteria; this results in more uncertain and complex effects in cyanobacterial blooms. However, the succession pattern and consequences of dominant species and its driving factors have not received enough attention during cyanobacteria blooms. In this study, the phytoplankton community characteristics and water environment factors of Nanpeng Reservoir, a drinking water source in Chongqing, were monitored and analyzed from April to September 2018. The results showed that:① a total of 108 species of phytoplankton belonging to 59 genera and 8 phyla were identified in Nanpeng Reservoir. Of this, 13 species of 4 phyla were identified as dominant species, among which the dominance index of Cylindrospermopsis raciborskii was the highest, followed by that of Pseudoanabaena sp. ② The most dominant cyanobacteria were Pseudoanabaena and Cylindrospermopsis in May and July, respectively, in which cyanobacteria density peaked, whereas the Shannon-Weiner diversity and Pielou evenness were significantly lower than those in the other months. ③ NMDS results showed that the correlation between Cylindrospermopsis or Pseudoanabaena and the ambient phytoplankton community was 0.58 and 0.48, respectively. Moreover, the VPA results showed that 47.51% of the community variation could be explained by environmental factors, and only 12.04% and 12.74% of variation in community composition could be explained by Cylindrospermopsis and Pseudoanabaena, respectively. ④ The abundance of Cylindrospermopsis was significantly positively affected by WT, pH, and RUEN and negatively affected by SD and RUEP. However, the abundance of Pseudoanabaena was significantly positively affected by permanganate index and negatively affected by EC and DO. These results suggested that both dominating cyanobacteria had significant effects on the surrounding phytoplankton community. Relative to that of Pseudoanabaena, however, Cylindrospermopsis had a more obvious impact on the aquatic ecosystem. Moreover, the synergistic effect of N limitation and warming of the water column may have caused the replacement of Pseudoanabaena with Cylindrospermopsis to form a dominant population.

Temporal heterogeneity of bacterial communities and their responses to Raphidiopsis raciborskii blooms.

To elucidate the interspecies connectivity between cyanobacteria and other bacteria (noncyanobacteria), microbial diversity and composition were investigated through high-throughput sequencing (HTS) in a drinking water reservoir in Chongqing city, Southwest China, during Raphidiopsis raciborskii blooms. Significant temporal changes were observed in microbial community composition during the sampling period, primarily reflected by variations in relative bacterial abundance. The modularity analysis of the network demonstrated that the bacterial community forms co-occurrence/exclusion patterns in response to variations in environmental factors. Moreover, five modules involved in the dynamic phases of the R. raciborskii bloom were categorized into the Pre-Bloom, Bloom, Post-Bloom, and Non-Bloom Groups. The reservoir was eutrophic (i.e., the average concentrations of total nitrogen (TN) and total phosphorus (TP) were 2.32 and 0.07 mg L-1, respectively) during the investigation; however, Pearson's correlation coefficient showed that R. raciborskii was not significantly correlated with nitrogen and phosphorus. However, other environmental factors, such as water temperature, pH, and the permanganate index, were positively correlated with R. raciborskii. Importantly, Proteobacteria (α-, γ-Proteobacteria), Acidobacteria, Chloroflexi, and Firmicutes were preferentially associated with increased R. raciborskii blooms. These results suggested that the transition of R. raciborskii bloom-related microbial modules and their keystone species could be crucial in the development and collapse of R. raciborskii blooms and could provide a fundamental basis for understanding the linkage between the structure and function of the microbial community during bloom dynamics.

Simultaneous Management of Condylar Osteochondroma and Secondary Malformation With a New Intraoral Approach.

PURPOSE: The present study aimed to investigate the clinical efficacy of simultaneous management of condylar osteochondroma and its secondary dentofacial deformities using an intraoral surgical approach. METHODS: Six patients with condylar osteochondroma were treated with intraoral vertical ramus osteotomies and condylar resection. The free rising branch was used for reconstructing the temporomandibular joint. The simultaneous orthognathic surgery and plastic surgery were performed sequentially to correct the secondary dentofacial deformities. The indexes of aesthetic symmetry, occlusion relationship, temporomandibular joint function, condylar height, and volume change were assessed in the subsequential follow up. RESULTS: The mean follow up period was 31 months. All patients had no tumor recurrence. The ipsilateral joint function, occlusal relationship, and facial symmetry were satisfied. The ipsilateral condylar reconstruction had no obvious bone resorption and the ramus height was maintained well. Postoperative assessment showed the preoperative design was accurately fulfilled. CONCLUSIONS: The simultaneous condylar osteochondroma resection and temporomandibular joint reconstruction using intraoral approach avoids extraoral scars and correct facial asymmetry without compromising the long-term joint function and occlusal relationship.

Transcriptomic responses to phosphorus in an invasive cyanobacterium, Raphidiopsis raciborskii: Implications for nutrient management.

Phosphorus (P) is a vital macronutrient associated with the growth and proliferation of Raphidiopsis raciborskii, an invasive and notorious bloom-forming cyanobacterium. However, the molecular mechanisms involved in P acclimation remain largely unexplored for Raphidiopsis raciborskii. Here, transcriptome sequencing of Raphidiopsis raciborskii was conducted to reveal multifaceted mechanisms involved in mimicking dipotassium phosphate (DIP), ß-glycerol phosphate (Gly), 2-aminoethylphosphonic acid (AEP), and P-free conditions (NP). Chlorophyll a fluorescence parameters showed significant differences in the NP and AEP groups compared with the DIP and Gly-groups. Expression levels of genes related to phosphate transportation and uptake, organic P utilization, nitrogen metabolism, urea cycling, carbon fixation, amino acid metabolism, environmental information, the ATP-synthesis process in glycolysis, the tricarboxylic acid (TCA) cycle, and the pentose phosphate pathway were remarkably upregulated, while those related to photosynthesis, phycobiliproteins, respiration, oxidative phosphorylation, sulfur metabolism, and genetic information were markedly downregulated in the NP group relative to the DIP group. However, the expression of genes involved in organic P utilization, the urea cycle, and genetic information in the Gly-group, and carbon-phosphorus lyase, genetic information and environmental information in the AEP group were significantly increased compared to the DIP group. Together, these results indicate that Raphidiopsis raciborskii exhibits the evolution of coordination of multiple metabolic pathways and certain key genes to adapt to ambient P changes, which implies that if P is reduced to control Raphidiopsis raciborskii bloom, there is a risk that external nutrients (such as nitrogen, amino acids, and urea) will stimulate the growth or metabolism of Raphidiopsis.

[Analysis of Phytoplankton Community Stability and Influencing Factors in a Tributary of the Three Gorges Reservoir].

Changes in the community stability of freshwater phytoplankton not only induce a series of ecological environment problems but also influence freshwater ecosystem service functions. To understand the changes in community stability and its driving factors, phytoplankton and environmental parameters were analyzed at 11 sample sites in Huaxi River, a tributary of the Three Gorges Reservoir, in spring, summer, autumn, and winter. Moreover, the resource use efficiency (RUEPP), phytoplankton richness (S), phytoplankton evenness (J), and community turnover (BC) were also determined. Results showed that a total of 8 phyla, including 103 genera and 380 species, were identified in Huaxi River throughout the year. Among them, 264 species were collected in spring, 181 in summer, 197 in autumn, and 183 in winter. The number of Chlorophyta was the largest, followed by Bacillariophyta, Euglenophyta, and Cyanophyta. The number of species and cell density in S0 site were the smallest, while those in S2 site were the largest. The RUEPP was fluctuated in four seasons, with the maximum in summer and the minimum in autumn. BC was significantly negatively correlated with RUEPP, phytoplankton richness, total phosphorus (TP), orthophosphate (PO43--P), total nitrogen (TN), nitrate (NO3--N), permanganate index, and conductivity (Spc); however, it was significantly positively correlated with phytoplankton evenness and dissolved oxygen (DO). These results suggest that water level regulation in the Three Gorges Reservoir has a significant impact on the structure of phytoplankton community in Huaxi River, which leads to the instability of phytoplankton community and easy replacement, and the degree of community turnover is affected by the combined effect of biological and abiotic factors.

[Changes in Epilithic Algae Community and Its Relationship with Environmental Factors in the Meixi River, a Tributary of the Three Gorges Reservoir].

To explore the relationship between the community of epilithic algae and environmental factors in tributaries of the Three Gorges Reservoir region, the epilithic algae and related environment factors were investigated from 26 sampling sites in Meixi River, a tributary of the Three Gorges Reservoir region, during flood period (August 2016), drought period (November 2016), and normal water period (March 2017). Results showed that 106 species (including varieties) belonging to 47 genera and 5 families were identified from 26 sampling sites during the three periods. Among these, 73 species belonged to 38 genera and 5 families in the flood period, 67 species belonged to 36 genera and 4 families in the drought period, and 63 species belonged to 33 genera and 4 families in the normal water period. Nineteen, 17, and 18 dominant species were identified during the flood period, drought period, and normal water period, respectively. The main dominant species were Achnanthes sp., Aphanizomenon sp., and Phormidium sp. in the flood period; Achnanthes sp., Gomphonema sp., and Microcystis sp. in the drought period; and Gomphonema sp., Nitzschia sp., and Chroococcus sp. in the normal water period. Moreover, species such as Cocconeis placentula, Achnanthes sp., Gomphonema subclavatum, G. parvulum, Navicula parva, and G. constrictum were determined to be the common dominant species during the three periods. Redundancy analysis revealed that the changes in the relative abundance of dominant species in the backwater sections were significantly related to the electrical conductivity, dissolved oxygen, pH, total phosphorus, and total nitrogen, and the relative abundance of dominant species in the natural sections was mainly related to the electrical conductivity, pH, total phosphorus, temperature, and velocity. Moreover, a different relationship with the environmental factors was determined among the three periods. However, a negative correlation between total phosphorus and the relative abundances in G. parvulum, G. constrictum, and Achnanthes sp. and a positive correlation between pH and the relative abundances in G. parvulum, G. constrictum, and Achnanthes sp. were found during the three periods. These results indicated that the differences in the hydrological regime and environmental factors in the Three Gorges Reservoir played an important role on the composition of epilithic algae community and led to a significant change in the community structure of epilithic algae.

[Dynamics of Epilithic Algae Communities and Their Relationship with Environmental Factors During Storage and Non-storage Periods in the Three Gorges Reservoir].

In order to explore the composition of epiphytic algae and its related environmental factors, 12 sampling sites in the natural reaches and the backwater reaches (including perennial backwater sections and fluctuating backwater sections) were investigated among tributaries of the Caotang River, the Meixi River, and the Daxi River in the Fengjie district of the Chongqing section of the Three Gorges Reservoir under different hydrological regimes (i.e., storage and non-storage periods). Results showed that 103 species of epilithic algae belonging to 45 genera and 4 families are found in the 3 tributaries. This included 67 species belonging to 34 genus in the natural sections and 82 species (64 species in perennial backwater sections and 41 species in fluctuating backwater sections) belonging to 34 genera in the backwater sections. During the storage period, the dominant species in the natural sections were Melosira varians, Cocconeis placentula, Diatoma vulgure, Gyrosigma scalproides, and Oscillatoria tenuis, while the dominant species in the backwater sections were M. varians, Cymbella affinis,D. vulgure, Eucapsis alpina, and M. granulata. During the non-storage period, the dominant species in the natural sections were M. varians, C. affinis, and C. placentula, whereas the dominant species in the backwater sections were O. princeps, O. rupicola,O. formosa, Synedra acus, Ulothrix sp., Merismopedia elegans, and O. tenuis. These results suggested that the compositions of dominant species showed significant differences during the non-storage period, while little difference was found during the storage period. In addition, the dominant species did not show a significant change in the natural sections, but a marked difference was observed in the backwater sections. Similar dominant species were observed in both perennial and fluctuating backwater sections during the non-storage period, but significantly different dominant species were found during the storage period. Redundancy analysis suggested that the composition of epilithic algae was influenced by different environmental factors, such as temperature, electrical conductivity, pH, total nitrogen, and total phosphorus. Indeed, changes in the cell densities of dominant algae at the different sites were mainly affected by temperature and the concentrations of nitrogen and phosphorus. These results suggest that the different hydrological regimes had an important role not only on the reservoir water environment, but also the dynamics of epilithic algal communities.

[Benthic Diatom Communities in the Main Stream of Three Gorges Reservoir Area and Its Relationship with Environmental Factors].

In order to study changes in benthic diatom communities and their relationships with environmental factors during different hydrological periods, 32 sites were sampled in the main stream of the Three Gorges Reservoir during the non-storage period (July 2015 to September 2015) and the storage period (December 2015 to March 2016). Results showed that there were significant differences in water temperature (WT), underwater light intensity (PAR), pH, conductivity (Spc), dissolved oxygen (DO), redox potential (ORP), turbidity (Tur), transparency (SD), flow rate (v), and permanganate index between the storage and non-storage periods. Ninety-six species of benthic diatoms, belonging to 28 genera, were identified during the two hydrological periods. Thirteen dominant species and three dominant species were identified during the non-storage period and the storage period, respectively, suggesting that some differences existed in the composition and distribution of dominant species between the two periods. However, Melosira varians, an α-polluting and eutrophic species, was dominant during both of the hydrological periods. Redundancy analysis (RDA) found that pH, flow rate, and orthophosphate (PO43--P) were the main environmental factors affecting the composition of benthic diatom communities, and a significant difference was found between up- and down-stream areas during the non-storage period. In comparison, water temperature, turbidity, permanganate index, and dissolved oxygen (DO) were the main environmental factors influencing the patterns of benthic diatoms communities, for which an insignificant difference was observed between up- and down-stream areas during the storage period. These results suggest that water storage in the Three Gorges Reservoir has an important impact on the composition of benthic diatom communities, and that this results in a change in community structure.

[Functional Group Characteristics of Planktonic Diatoms and Their Relationship with Environmental Factors in the Ruxi River].

To elucidate the functional group characteristics of planktonic diatoms and their relationship with environment factors in the Ruxi River, multivariate statistical analysis and functional group classification were conducted in this study. The success pattern of a diatom functional group and its driving factor were analyzed for the Ruxi River, a typical tributary of Three Gorges Reservoir, after the phytoplankton community and environmental variables were investigated at three different stages: level water period (April 2014), dry season (December 2014), and wet season (July 2014), based on the characteristic of water level. The results showed that there were 10 diatom functional groups in the Ruxi River: the A, B, C, D, Lo, MP, P, TB, X3, and S1 groups, and among them, MP was the most groups, but the dominant group was D group. Stepwise multiple regression analysis indicated that ρ(TN) in the water column was the primary factor significantly affecting the densities in the normal water period, whereas turbidity, alkalinity, and pH significantly influenced the functional group densities in the normal water period. In the high water period, however, transparency was the most important environmental factor affecting the functional group densities. Additionally, the results of RDA analysis found that water temperature, electrical conductivity (Spc), oxidation-reduction potential (ORP), ρ(DO), and ρ(NO3--N) were the main environmental factors that influenced the diversity of diatom functional groups in the Ruxi River. These results suggested that functional groups could well reflect the habitat characteristics of the Ruxi River and the effect of the nutrient element, nitrogen, to the success of phytoplankton functional groups and changes of water quality in the Ruxi River should be paid more attention.

Epithelial-mesenchymal transition in keratocystic odontogenic tumor: possible role in locally aggressive behavior.

The aim of this study is to clarify whether epithelial-mesenchymal transition (EMT) is involved in the pathogenesis and development of keratocystic odontogenic tumor (KCOT). The expression levels of EMT-related proteins and genes in normal oral mucosa (OM), radicular cyst (RC), and KCOT were determined and compared by real-time quantitative PCR and immunohistochemistry. Our data showed that the expression of epithelial markers E-cadherin and Pan-cytokeratin was significantly downregulated in KCOT with upregulation of mesenchymal markers N-cadherin compared to OM and RC. Importantly, TGF-ß, a potent EMT inducer, and Slug, a master transcription factor, were also found highly expressed in KCOT. In addition, the results from Spearman rank correlation test and clustering analysis revealed the close relationship between Slug and MMP-9, which was further evidenced by double-labeling immunofluorescence that revealed a synchronous distribution for Slug with MMP-9 in KCOT samples. All the data suggested EMT might be involved in the locally aggressive behavior of KCOT.

The adaptor protein p62 is involved in RANKL-induced autophagy and osteoclastogenesis.

Previous studies have implicated autophagy in osteoclast differentiation. The aim of this study was to investigate the potential role of p62, a characterized adaptor protein for autophagy, in RANKL-induced osteoclastogenesis. Real-time quantitative PCR and western blot analyses were used to evaluate the expression levels of autophagy-related markers during RANKL-induced osteoclastogenesis in mouse macrophage-like RAW264.7 cells. Meanwhile, the potential relationship between p62/LC3 localization and F-actin ring formation was tested using double-labeling immunofluorescence. Then, the expression of p62 in RAW264.7 cells was knocked down using small-interfering RNA (siRNA), followed by detecting its influence on RANKL-induced autophagy activation, osteoclast differentiation, and F-actin ring formation. The data showed that several key autophagy-related markers including p62 were significantly altered during RANKL-induced osteoclast differentiation. In addition, the expression and localization of p62 showed negative correlation with LC3 accumulation and F-actin ring formation, as demonstrated by western blot and immunofluorescence analyses, respectively. Importantly, the knockdown of p62 obviously attenuated RANKL-induced expression of autophagy- and osteoclastogenesis-related genes, formation of TRAP-positive multinuclear cells, accumulation of LC3, as well as formation of F-actin ring. Our study indicates that p62 may play essential roles in RANKL-induced autophagy and osteoclastogenesis, which may help to develop a novel therapeutic strategy against osteoclastogenesis-related diseases.

Historical experience in the elimination of visceral leishmaniasis in the plain region of Eastern and Central China.

Visceral leishmaniasis (VL) (kala-azar) was most seriously prevalent in the plain regions of eight provinces/municipalities in the eastern and central parts of China. In the early 1950s, the number of counties/cities endemic for VL and the number of cases in the plain regions accounted for 60% and 80%, respectively, of the total numbers in the entire country. By implementing comprehensive control measures, including treatment of patients for eliminating the source of infection and spraying insecticide in endemic villages to kill sandflies, VL transmission has been brought under control in this region by the early 1960s, and no new infected cases have been found since 1983, achieving the goal of eliminating VL.

Subapical anterior maxillary segmental osteotomy: a modified surgical approach to treat maxillary protrusion.

BACKGROUND: Anterior segmental osteotomy has become an established surgical technique to achieve functional occlusion and improve the facial profile in the treatment of maxillary protrusion. Postoperative nasal changes, however, are somewhat unpredictable. The here presented subapical anterior maxillary segmental osteotomy has been developed to avoid such unintended nasal changes. PATIENTS AND METHODS: Thirty-two patients (29 women and 3 men; age range, 18-40 y; mean age, 22 y) with maxillary protrusion underwent subapical anterior maxillary segmental osteotomy. A horizontal osteotomy was carried out between the apices of the anterior teeth and the piriform aperture, maintaining a distance of approximately 2 to 3 mm to the apices. Lateral to both canines, this horizontal osteotomy was connected with vertical osteotomies carried out along the alveolar socket of the first premolar on the right and left sides. Lateral cephalograms and lateral and en face photographs were taken preoperatively and postoperatively for analysis. All patients were followed up for at least 6 months. RESULTS: Significant changes were observed in hard tissue parameters except the anterior nasal spine. The nasal tip, the alar base, and the lip width remain to have no significant change. The ratio of the upper lip to the maxillary incisor retraction was 0.64:1. Whereas both the nasolabial angle and the philtrum length were significantly increased, the protrusion of the upper incisors and the vermilion length presented decreased. The intraoperative and postoperative courses were uneventful during the entire follow-up period. CONCLUSIONS: Subapical anterior maxillary segmental osteotomy provides a suitable option in the treatment of maxillary protrusion. It provides improvement of the aesthetic profile without nasal changes.

Tribendimidine and albendazole for treating soil-transmitted helminths, Strongyloides stercoralis and Taenia spp.: open-label randomized trial.

BACKGROUND: Tribendimidine is an anthelminthic drug with a broad spectrum of activity. In 2004 the drug was approved by Chinese authorities for human use. The efficacy of tribendimidine against soil-transmitted helminths (Ascaris lumbricoides, hookworm, and Trichuris trichiura) has been established, and new laboratory investigations point to activity against cestodes and Strongyloides ratti. METHODOLOGY/PRINCIPAL FINDINGS: In an open-label randomized trial, the safety and efficacy of a single oral dose of albendazole or tribendimidine (both drugs administered at 200 mg for 5- to 14-year-old children, and 400 mg for individuals > or = 15 years) against soil-transmitted helminths, Strongyloides stercoralis, and Taenia spp. were assessed in a village in Yunnan province, People's Republic of China. The analysis was on a per-protocol basis and the trial is registered with controlled-trials.com (number ISRCTN01779485). Both albendazole and tribendimidine were highly efficacious against A. lumbricoides and, moderately, against hookworm. The efficacy against T. trichiura was low. Among 57 individuals who received tribendimidine, the prevalence of S. stercoralis was reduced from 19.3% to 8.8% (observed cure rate 54.5%, p = 0.107), and that of Taenia spp. from 26.3% to 8.8% (observed cure rate 66.7%, p = 0.014). Similar prevalence reductions were noted among the 66 albendazole recipients. Taking into account "new" infections discovered at treatment evaluation, which were most likely missed pre-treatment due to the lack of sensitivity of available diagnostic approaches, the difference between the drug-specific net Taenia spp. cure rates was highly significant in favor of tribendimidine (p = 0.001). No significant adverse events of either drug were observed. CONCLUSIONS/SIGNIFICANCE: Our results suggest that single-dose oral tribendimidine can be employed in settings with extensive intestinal polyparasitism, and its efficacy against A. lumbricoides and hookworm was confirmed. The promising results obtained with tribendimidine against S. stercoralis and Taenia spp. warrant further investigations. In a next step, multiple-dose schedules should be evaluated.

[Tribendimidine enteric coated tablet in treatment of 1,292 cases with intestinal nematode infection--a phase IV clinical trial].

OBJECTIVE: To further evaluate the efficacy and safety of tribendimidine in treatment of adult patients with intestinal nematode infections. METHODS: An open and multi-center clinical trial was conducted in the provinces of Hainan, Sichuan and Guizhou. A total of 1,292 infected cases aged 15-70 years were enrolled in the study. Modified Kato-Katz method was used to diagnose the cases with intestinal nematode infections and assess the efficacy 3-4 weeks post treatment. Patients with Ascaris lumbricoides infection were treated orally with tribendimidine enteric coated tablets at a single dose of 300 mg, while in the patients with Ancylostoma duodenale, mixed A. duodenale and A. lumbricoides, or with other helminth infections, a single dose of 400 mg was administered. RESULTS: The cure rate and effective rate of the patients with Ancylostoma infection were 88.4% (1,009/1,141) and 99.1% (1,131/1,141), respectively, while in patients with A. lumbricoides infection, they were 95.0% (419/441) and 99.8% (440/441), respectively. The cure rate of tribendimidine enteric coated tablet given to patients with Trichuris trichiura infection at a single dose of 400 mg was 76.8% (109/142). The adverse effect induced by tribendimidine was light and transient with a rate of 3.3% (42/1,292). No apparent impact was seen on blood and urine routine examinations, hepatic and renal functions as well as ECG examination. CONCLUSION: It is further confirmed that under the used dosage for expanding treatment in larger sample of patients with various ages and infected with Ancylostoma duodenale, A. lumbricoides and other helminths, tribendimidine enteric coated tablet is safe with satisfactory efficacy.

Modified approach for lingual thyroid transposition: report of two cases.

Lingual thyroid is a rare congenital anomaly of thyroid development resulting from failure of the thyroglossal duct to migrate from the foramen cecum to the prelaryngeal site. The lingual thyroid associated with a fetal adenoma is even more unusual. We presented two cases of lingual thyroid, one associated with fetal adenoma. The ectopic gland was transposed into the muscle space at the floor of the mouth using an extraoral midline lower lip, mandible and tongue-splitting approach in case 1, and a transoral lower lip degloving and midline mandibulotomy and tongue-splitting approach in case 2. Sixteen-year follow-up of case 1 and 6-month follow-up of case 2 showed that the transposed thyroids achieved normal function. Case 2 had no visible scar in the lower lip and mental area. Surgical transposition of the lingual thyroid to the floor of the mouth with the vascular supply intact offers a promising approach for the treatment of this anomaly. The transoral lower lip degloving and midline-splitting approach is recommended because of its better cosmetic outcome.