[A case control study:the treatment of cervical vertigo with micro needle knife]

OBJECTIVE

To observe the clinical efficacy of micro needle knife therapy on cervical vertigo.

METHODS

A total of 300 patients with cervical vertigo treated from January 1, 2017 to December 31, 2019 were randomly divided into micro needle knife group (96 cases, 4 cases falling off), traditional acupuncture group (96 cases, 4 cases falling off) and oral drug group(95 cases, 5 cases falling off). The micro needle knife group was treated with micro needle knife in the local upper cervical segment once every other day for 7 times; the traditional acupuncture group was treated with traditional acupuncture once a day for 2 weeks;the oral drug group was given Merislon (betahistine mesilate tablets) orally, 6 mg each time, 3 times a day for 2 weeks. The patients were followed up before treatment, at the end of treatment and 3 months after treatment. The dizziness handicap inventory(DHI) was observed and the curative effect was evaluated according to the DHI score.

RESULTS

At the end of the course of treatment and 3 months after the treatment, DHI scores of the three groups were significantly lower than those before treatment(P<0.01), and the DHI scores of micro needle knife group were lower than those of traditional acupuncture group and oral drug group at the same time point after treatment (P<0.01). There was no statistically significant difference in DHI scores between traditional acupuncture group and oral drug group at the same time after treatment(P< 0.05). The curative effect was evaluated according to DHI score:in micro needle knife group, 50 cases were cured, 28 cases were markedly effective, 14 cases were improved, the total effective rate was 95.83%; in traditional acupuncture group, 28 cases were cured, 26 cases were markedly effective, and 24 cases were improved, with the total effective rate of 81.25%;in oral drug group, 18 cases were cured, 20 cases were markedly effective, and 28 cases were improved, with the total effective rate of 69.47%. The total effective rate of micro needle knife group was significantly higher than that of other two groups (χ²=45.956, P=0.000). Among the cured patients in the three groups, the time required in the micro needle knife group was significantly less than that in the traditional acupuncture group and oral drug group(F=18.796, P=0.000).

CONCLUSION

Micro needle knife loosening atlantoaxial soft tissue has obvious curative effect on cervical vertigo which clinical cure rate, effective rate and treatment time required for cured patients are better than traditional acupuncture and oral drug.

Yolk hormone levels in the eggs of snapping turtles and painted turtles

Although yolk steroids appear to play important roles in the development, growth, and behavior of some birds, their effects in oviparous reptiles are largely unknown. These investigations were initiated to determine initial levels of steroid hormones in the yolks of eggs from two turtle species. Clutches of snapping turtle (Chelydra serpentina) and of painted turtle (Chrysemys picta) eggs were collected and individual egg yolks were analyzed for estradiol-17beta (E(2)) and testosterone (T) using specific RIAs. E(2) and T levels differed significantly between species, the mean E(2) value in snapping turtles was 2.78+/-0.095 (ng/g) compared to 0.89+/-0.064 (ng/g) for painted turtles, and the mean value for T in snapping turtle yolks was 2.56+/-0.098 (ng/g) compared to 0.68+/-0.045 (ng/g) for painted turtles. In addition, E(2) levels were greater than T levels in both species. Within each species, there were significant differences among clutches from different females. E(2) levels in the snapping turtle yolks varied from a clutch mean of 1.38 to 4.55 ng/g and in painted turtles, the clutch means for E(2) varied from 0.34 to 1.34 ng/g. T levels demonstrated similar phenomena within species, with levels in snapping turtles varying from a clutch mean of 0.68 to 4.71 ng/g. Painted turtle levels of T varied from a clutch mean of 0.22 to 0.72 ng/g. There were also significant differences in the E(2)/T ratio, however, E(2)/T ratios did not differ between species. Painted turtle follicles of different sizes showed significant differences in levels of both E(2) and T, and these differences may reflect differing deposition patterns of these steroids in the egg yolk of this turtle during vitellogenesis. The differences in E(2) and T concentration reported here could have important implications for development, growth, and behavior in oviparous reptilian species.

Dynamics of yolk steroid hormones during development in a reptile with temperature-dependent sex determination

Many oviparous reptiles exhibit temperature-dependent sex determination (TSD); i.e., the temperature at which the egg is incubated determines the sex of the offspring. In TSD reptiles, yolk steroids not only may influence sex determination, but also may mediate hormonal effects on subsequent growth and behavior, as in some avian species. We investigated changes in the levels of estradiol (E(2)) and testosterone (T) during development in yolks of snapping turtle eggs, examined how incubation temperature affects hormone levels, and determined how hormones in turtle eggs are influenced by individual females (=clutch effects). Results indicate significant decreases in both hormones (>50% decline) by the end of the sex-determining period, when two-thirds of the development is complete. The declines in both E(2) and T were significantly affected by incubation temperature, but in different ways. Eggs incubated at female-producing temperatures maintained high levels, those incubated at male-producing temperatures had low E(2) values, and eggs incubated at pivotal temperatures had intermediate levels of E(2). At all three temperatures, T values underwent significant but approximately equal declines, except during the developmental stages just after the sex-determining period, when T levels decreased more at the male-producing temperature than at either of the other two temperatures. Initially, there were significant clutch effects in both hormones, but such differences, attributable to individual females, were maintained only for E(2) later in development. Here we report for the first time that incubation temperature significantly affects the hormonal environment of the developing embryo of a turtle with temperature-dependent sex determination. Based on this and related findings, we propose that yolk sex steroids influence sexual differentiation in these TSD species and play a role in sex determination at pivotal temperatures.

Cold tolerance in hatchling painted turtles (Chrysemys picta): supercooling or tolerance for freezing?

We studied tolerance for cold in hatchling painted turtles (Chrysemys picta) from Lake Metigoshe, Bottineau County, North Dakota, to determine whether neonates in populations near the northern limit of distribution rely on a tolerance for freezing or on a capacity for supercooling to survive their first winter of life. We placed hatchlings individually into artificial hibernacula constructed in jars of damp, loamy sand and then cooled the jars to approximately -0.45 degrees C, which was below the equilibrium freezing point for water held by the sand but above that for body fluids of the neonatal turtles. A piece of ice next was placed on the surface of the sand in each jar to induce freezing of the soil water. After the soil water had frozen to an equilibrium, the temperature in the jars was lowered by 1 degrees C/d to minima averaging -2.5 degrees C, -4.5 degrees C, -6.5 degrees C, and -10.5 degrees C in different treatments. These temperatures were maintained for varying periods, so that animals in each treatment were exposed to temperatures below the equilibrium freezing point for their body fluids for a total of 11 d. Thirty of 32 hatchlings survived exposure to -2.5 degrees C; 24 of 32 survived at -4.5 degrees C; 14 of 32 withstood -6.5 degrees C; and 7 of 32 tolerated -10.5 degrees C. Freezing exotherms were detected in temperature profiles for turtles that succumbed but not in those for hatchlings that survived. Thus, the ability of hatchlings to withstand subzero temperatures for extended periods apparently requires that they avoid freezing. Although other workers contend that tolerance for freezing is the key to survival over winter by hatchling painted turtles from the region of Lake Metigoshe, our findings indicate that neonates rely primarily on their ability to remain unfrozen and supercooled.

Yolk steroids decline during sexual differentiation in the alligator

The leading explanation of temperature-dependent sex determination (TSD) in reptiles postulates that (1) ovarian differentiation is directed by estrogen and that (2) estrogen is synthesized in the developing gonad following induction of aromatase expression. However, the source of steroid substrate for aromatization has not yet been identified. In addition, sex ratios vary as a function of clutch, but such biases are as yet unexplained. To address these issues, we measured estradiol, testosterone, and androstenedione in yolks of the American alligator (Alligator mississippiensis) before, during, and after the period of gonadal differentiation in this TSD species. Eggs were collected from a wild population in Louisiana and were incubated at male- and female-determining constant temperatures in the lab, as well as at intermediate temperatures that produced both sexes. Steroids were assayed in yolk extracts after celite column chromatography. All three steroids were found to be in the range of nanograms/gram of yolk at stage 16. Androstenedione was the predominant steroid, 2- to 3-fold higher in concentration than estradiol and 15- to 20-fold higher than testosterone. The levels of these steroids declined (5- to 30-fold) between stages 16 and 25, most markedly between stages 21 and 23, regardless of incubation temperature. The chronology of this sharp decline in steroid levels in our study coincides with the timing of gonadal differentiation in this species, between stages 21 to 23 based on previous reports. Estradiol levels in yolks differed by 3-fold in some clutches relative to others, whereas, no clutch differences were apparent for either androstenedione or testosterone. These data demonstrate that alligator yolk contains high concentrations of two steroid substrates utilized for estrogen synthesis, as well as significant quantities of estradiol itself. We hypothesize that estradiol levels in yolk provide a steroid background, variable among and within clutches, on which gonadal development is initiated and proceeds. As a consequence, we suggest that yolk provides an epigenetic maternal contribution that modulates the effect of incubation temperature on hatchling sex.

Temperature-dependent sex determination in the snapping turtle: manipulation of the embryonic sex steroid environment

In certain reptiles with temperature-dependent sex determination (TSD), estrogens act as a signal for female differentiation. Because aromatase produces estrogens from androgens, this enzyme plays a pivotal role in TSD. Whether androgens act as the signal for male differentiation in TSD species in not yet clear. We manipulated the hormonal environment in eggs of the common snapping turtle (Chelydra serpentina) to determine the effects of an estrogen (estradiol 17-beta), an aromatase inhibitor (fadrozole; CGS 16949A), and androgens (testosterone and dihydrotestosterone) on sex determination in this TSD species. Test solutions were applied topically to representative eggs (total tested = 1054 from 27 clutches) and incubated at two male-producing temperatures (24 and 26.5 degrees) and at a predominantly female-producing temperature (29 degrees). In this species, application of an estrogen induced female development at all temperatures tested. In contrast, the aromatase inhibitor had no effect at the male-producing temperatures, but induced male development at the predominantly female-producing temperature. At this temperature, aromatase inhibitor plus testosterone had a similar male-producing effect, but when applied alone, testosterone failed to augment male production. Dihydrotestosterone had a similar effect, in contrast to its reported androgenic effects in other TSD species. In the snapping turtle, male differentiation may not be androgen dependent; rather, it may proceed in the absence of female differentiation. In this species, female development is clearly estrogen-dependent and is altered by aromatase inhibition at female-producing temperatures. Our results not only provide additional evidence that sex steroids mediate gonadal differentiation in TSD species, but also suggest caution with respect to generalizations about the proximal mechanisms of TSD in reptiles.

Generic affinities among crocodilians as revealed by DNA fingerprinting with a Bkm-derived probe

Genetic fingerprint profiles have been successfully used for establishing biological relationships, in linkage analysis, and in studies of population structure but have not so far been used for ascertaining phylogenetic relationships among related groups of species and genera. This is largely because these profiles are thought to evolve too rapidly to be informative over large time intervals. However, we show here that among the Crocodilia, whose phylogeny is a debated issue, these profiles can provide phylogenetically useful information. By using the probe Bkm-2(8), DNA fingerprints with distinct bands distributed in the size range 0.5-23.0 kb were obtained for individuals of 18 species belonging to seven of the eight genera of crocodilians. These genetic profiles showed individual-, species-, and restriction enzyme-specific patterns. In addition, striking differences were observed in the copy number of Bkm-related sequences in genomes of different crocodilian species. The qualitative data from DNA fingerprint profiles, and quantitative data on copy number variation in Bkm-related sequences, suggest that these genera belong to two distinct groups, one of which includes Alligator, Paleosuchus, and Caiman; the other includes Crocodylus, Osteolaemus, Tomistoma, and Gavialis. A close relationship between Tomistoma and Gavialis is also suggested by these results.

Individualization and estimation of relatedness in crocodilians by DNA fingerprinting with a Bkm-derived probe

Individual-specific DNA fingerprints of crocodilians were obtained by the use of Bkm-2(8) probe. Pedigree analyses of Crocodylus palustris, C. porosus and Caiman crocodilus revealed that the multiple bands (22-23 bands with Aludigest) thus obtained were inherited stably in a Mendelian fashion. Unique fingerprints permitted us to identify individuals, assign parentage, and reconstruct the DNA profile of a missing parent. Average band sharing between unrelated crocodiles was found to be 0.37. Band sharing between animals of known pedigrees increased predictably with relatedness and provided a basis for distinguishing relatives from non-relatives. Similar results obtained in other species/genera, using the same probe, suggest that this approach may be applicable to all species of crocodilians, and could facilitate genetic studies of wild and captive populations.

Isolation of high-molecular-weight DNA from small samples of blood having nucleated erythrocytes, collected, transported, and stored at room temperature

Blood samples collected in the field for isolating DNA suitable for molecular analysis need special care in their storage and handling. In this article, we describe a simple method for the isolation of good-quality high-molecular-weight DNA that does not require low temperature conditions during collection, storage, and/or transportation of blood samples. This method involves smearing small aliquots of blood onto clean slides and air drying them at room temperature. The slides with blood smears can then be transported or stored at room temperature and still serve as a very good source of high-molecular-weight DNA. Genomic DNA from these samples can be extracted by organic phase separation (phenol-chloroform extraction) after lysis. The DNA thus obtained is of high quality and yields DNA fingerprints qualitatively similar to those prepared from corresponding control DNA isolated from frozen blood samples. Needing minimal facilities at field sites, the method is very convenient for conducting RFLP analysis of wild/field populations for demographic, behavioral, and ecologic studies.

Amphibious behavior of Alligator mississippiensis: roles of a circadian rhythm and light

Juvenile American alligators in outdoor pens moved out of and into the water at sunrise and sunset, respectively. When the natural light cycle was extended with artificial illumination, these movements gradually shifted into phase with the altered light cycles; therefore, the amphibious behavior was modulated by a circadian rhythm cued by light. Movement between land and water was characterized by a decrease in body temperature, which suggests that it is was not simply a proximate heat-seeking response. After the movements had been in phase with the altered light cycles for a time, they spontaneously shifted back into phase with the natural light cycl. A changing response to light is viewed as an adaptation to seasonal changes in heat availability.