Marcus-Gunn Jaw Winking Syndrome and Gustatory Sweating in Long Standing Poorly Controlled Diabetes: A Case Report

Introduction: Marcus Gunn jaw winking syndrome (MGJWS) is a rare congenital disorder belonging to the synkinetic eye movement group of disorders observed in children. It occurrence in adults and patients with diabetes has not been reported. Material and Methods: A 64 year man with poorly controlled diabetes of 18 years presented with 3 month history of jaw winking on the left side along with gustatory sweating, which was managed conservatively. There was spontaneous improvement in jaw wink at 4 months of follow up. Conclusions: Acquired causes of MGJWS are not known. This is probably the first report of this syndrome occurring at such a late age. Long standing poorly controlled diabetes may have had some role in the development of jaw winking in this patient.

GUSTATORY RESPONSES OF NEURONS IN THE PARABRACHIAL NUCLEUS OF RATS

Objective To investigate the gustatory neural response of the neurons to five basic taste stimuli in the parabrachial nucleus (PBN). Methods Evoked responses from PBN taste neurons to tastants were recorded using standard extracellular microelectrode technique. Results 46 taste neurons were recorded in PBN, and most of them were broadly responsive. On the basis of their most effective taste stimuli, these taste neurons were classified into five types. Those are NaCl-, HCl-, quinine-, sucrose-, and monosodium glutamate (MSG)-best neurons. Except for the quinine-best neurons, the responses of each best-stimulus category to its best stimulus were significantly stronger than those of others (P<0.01). The results of correlation analysis showed that the correlations between sucrose and each of the other 4 tastants were smaller than those among others. Conclusion The results suggest that PBN taste neurons probably play an important role in discriminating for hedonic taste.

Relationship between Menopausal Sweating and Body Mass Index

We sought to examine the relationship between BMI, sweat rate (SR) and sweat volume (SV) in pre-, peri- and postmenopausal women during a moderate exercise. Based on their ages and menstrual cycle history, thirty healthy women were divided into three groups: pre- (22.5 ± 0.8 yrs, n = 10), peri- (46.5 ± 1.1 yrs, n = 10) and post- (52.2 ± 0.9 yrs, n = 10). Participants underwent a 15- minute walk on a treadmill at a constant speed of 4.2 km/h at 27°C. Sweat was collected and measured with a suction apparatus around a confined area of 120 cm2 outlined on the skin of the face and neck of the participants during the exercise. SR and BMI were determined using the formulae: and ? , respectively. The older women had a significantly higher BMI: pre-, peri- and post- (23.7 ± 1.3 kg/m2 vs 28.0 ± 1.2 kg/m2 vs 28.4 ± 0.7) (p there was no significant difference in SV (1.3 ± 0.4 ml vs 1.7 ± 0.2 ml vs 0.9 ± 0.1 ml) between the groups, the peri-women showed a significantly higher SR (0.07 ± 0.02 ml/min vs 0.12 ± 0.01 ml/min vs 0.06 ± 0.01 ml/min) (p < 0.05). A significant and positive correlation existed between BMI and SR (p < 0.05);SV (p < 0.01). Our findings support the conclusions that increased menopausal sweating is associated with weight gain/increased BMI especially during the perimenopausal transition period.

Dynamic Analysis of Mental Sweating by the Time-Sequential Piled-Up En-Face OCT Images

In this paper, the dynamic analysis of mental sweating for sound stimulus of a few tens of eccrine sweat glands is performed by the time-sequential piled-up en-face optical coherence tomography (OCT) images with the frame spacing of 3.3 sec. In the experiment, the amount of excess sweat can be evaluated simultaneously for a few tens of sweat glands by piling up of all the en-face OCT images. Strong non-uniformity is observed in mental sweating where the amount of sweat in response to sound stimulus is different for each sweat gland. Furthermore, the amount of sweat is significantly increased in proportion to the strength of the stimulus.

Gray Synthetic Evaluation on Moisture Comfort of Sportswear Fabrics under the Condition of Heavy Sweating

Moisture and water transfer under the condition of heavy sweating are analyzed. Four different experiments are made to test moisture resistance, water-keep, wicking effect and drying ability of samples. Then gray analysis method is introduced to evaluate the comprehensive comfort of these fabrics. Result shows chemical fiber with high moisture transfer performance has advantage in water transfer and diffusion, which is suitable for human under the condition of heavy sweating. Though natural fiber can absorb moisture well, it cannot transfer fluid sweat. Therefore natural fiber fabrics such as cotton, wool are unsuitable to make functional sportswear.

Development of a New-type Sweating Manikin System

A new type of sweating manikin system has been developed to evaluate thermal insulation and moisture evaporative resistance of clothing, which is reliable, easy control and low cost. In this paper the manikin system was reported and discussed from the aspects of system construction, work principles, figure formation, simulated sweating system, and technical properties.

Post-COVID-19 persistent olfactory,gustatory,and trigeminal chemosensory disorders:Definitions,mechanisms,and potential treatments

The nose and the oral cavities are the main sites for severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)entry into the body.Smell and taste deficits are the most common acute viral manifestations.Persistent smell disorders are the most common and bothersome complications after SARS-CoV-2 infection,lasting for months to years.The mechanisms and treatment of persistent post-coronavirus disease 2019(COVID-19)smell and taste disorders are still challenges.Information sources for the review are PubMed,Centers for Disease Control and Prevention,Ovid Medline,Embase,Scopus,Web of Science,International Prospective Register of Systematic Reviews,Cumulative Index to Nursing and Allied Health Literature,Elton Bryson Stephens Company,Cochrane Effective Practice and Organization of Care,Cooperation in Science and Technology,International Clinical Trials Registry Platform,World Health Organization,Randomized Controlled Trial Number Registry,and MediFind.This review summarizes the up-to-date information about the prevalence,patterns at onset,and prognoses of post-COVID-19 smell and taste disorders,evidence for the neurotropism of SARS-CoV-2 and the overlap between SARSCoV-1,Middle East respiratory syndrome coronavirus,and SARS-CoV-2 in structure,molecular biology,mode of replication,and host pathogenicity,the suggested cellular and molecular mechanisms for these post-COVID19 chemosensory disorders,and the applied pharmacotherapies and interventions as trials to treat these disorders,and the recommendations for future research to improve understanding of predictors and mechanisms of these disorders.These are crucial for hopeful proper treatment strategies.

Chief Physician Defen Wang’s Clinical Experience in Dialectical Treatment with Mediation Method of Perimenopausal Sweating

The objective of this paper is to outline Chief Physician Defen Wang’s clinical experience in perimenopausal sweating syndrome differentiation and treatment,to inherit Mr.Gao’s academic concept of mediation technique,and to integrate multiple prescriptions under Mr.Gao’s thinking.The deficiency is based on the deficiency of liver and kidney Yin,the weakness of spleen and stomach,and the standard is the imbalance of Ying and Wei,the imbalance of Qi,blood and body fluid,and the main method of treatment is nourishing liver and kidney,soothing liver and invigorating spleen,regulating Ying and Wei,as well as tonifying Qi and absorbing fluid.

The temporal-spatial expression and functional analysis of three gustatory receptor genes in Solenopsis invicta using sweet and bitter compounds

The insect gustatory system participates in identifying potential food sources and avoiding toxic compounds.During this process,gustatory receptors(GRs)recognize feeding stimulant and deterrent compounds.However,the GRs involved in recognizing stimulant and deterrent compounds in the red imported fire ant,Solenopsis invicta,remain unknown.Therefore,we conducted a study on the genes SinvGR1,SinvGR32b,and SinvGR28a to investigate the roles of GRs in detecting feeding stimulant and deterrent compounds.In this current study,we found that sucrose and fructose are feeding stimulants and the bitter compound quinine is a feeding deterrent.The fire ant workers showed significant behavior changes to avoid the bitter taste in feeding stimulant compounds.Reverse transcription quantitative real-time polymerase chain reaction results from developmental stages showed that the SinvGR1,SinvGR32b,and SinvGR28a genes were highly expressed in fire ant workers.Tissue-specific expression profiles indicated that SinvGR1,SinvGR32b,and SinvGR28a were specifically expressed in the antennae and foreleg tarsi of workers,whereas SinvGR32b gene transcripts were also highly accumulated in the male antennae.Furthermore,the silencing of SinvGRI or SinvGR32b alone and the co-silencing of both genes disrupted worker stimulation and feeding on sucrose and fructose.The results also showed that SinvGR28a is required for avoiding quinine,as workers with knockdown of the SinvGR28a gene failed to avoid and fed on quinine.This study first identified stimulant and deterrent compounds of fire ant workers and then the GRs involved in the taste recognition of these compounds.This study could provide potential target gustatory genes for the control of the fire ant.

Tuina combined with moxibustion for 28 cases of lung-wei insecurity-type sweating syndrome in children

Objective To explore the clinical efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children.Methods Infantile tuina combined with moxibustion was conducted for 28 cases of lung-wei insecurity-type sweating syndrome in children.Tuina was carried out for once every other day,and moxibustion was conducted for once every other three days.Clinical efficacy was observed after treatment for 4 weeks.Results The total effective rate of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children was 92.85%.Conclusion The efficacy of tuina combined with moxibustion for treatment of lung-wei insecurity-type sweating syndrome in children is definite,which is worthy of being popularized clinically.

T_3/T_4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis

Background Compensatory sweating （CS） is one of the most common postoperative complications after thoracic sympathectomy, sympathicotomy or endoscopic sympathetic block （ESB） for palmar hyperhidrosis. This study was conducted to examine the relevance between CS and the sympathetic segment being transected in the surgical treatment of palmar hyperhidrosis, and thus to detect the potential mechanism of the occurrence of CS. Methods Between October 2004 and June 2006, 163 patients with primary hyperhidrosis were randomly divided into two groups, T3 sympathicotomy （78 patients） and T4 sympathicotomy（85）, who were operated upon under general anesthesia via single lumen intubation and intercostal video-mediastinoscopy （VM）. Results No morbidity or mortality occurred. Palmar hyperhidrosis was cured in all patients. Follow-up（mean （13.8i-6.2） months） showed no recurrence of palmar hyperhidrosis. The difference of rates of mild CS in groups T3 and T4 was of no statistical significance. The rate of moderate CS was significantly lower in group T4 than in group T3. No severe CS occurred. Conclusion The rates of occurrence and severity of CS are lowered with the lower sympathetic chain being transected.

Comparison of compensatory sweating and quality of life following thoracic sympathetic block for palmar hyperhidrosis： electrocautery hook versus titanium clip

Background Video-assisted thoracic sympathetic block is an effective, safe, and minimally invasive method for treatment of primary hyperhidrosis. The purpose of this study was to decide which one of using electrocautery hook and titanium clip is the appropriate procedure for primary palmar hyperhidrosis by assessing the compensatory sweating （CS） and quality of life （QOL） of patients after sympathetic block. Methods Between October 2007 to August 2010, 120 patients with primary palmar hyperhidrosis were randomly divided into two groups, electrocautery hook group （60 patients） and titanium clip group （60 patients）. All patients were treated by sympathetic block at T4 level. The CS was graded based on severity and location; the QOL was classified to 5 different levels based upon the summed total scores （range from 20 to 100） before and after surgery. The variables were compared. Results The postoperative follow-up period was 2 months. All patients were cured. Three patients in electrocautery hook group and 1 patient in titanium clip group had a unilateral pneumothorax on chest X-ray, but none of them was necessary to have chest drainage. Neither perioperative mortality nor serious complications such as cardiac arrhythmia or arrest were observed during the operation. No bradycardia or Horner＇s syndrome occured. CS was not more common in patients in titanium clip group than in those in electrocautery hook group （P=0.001）. Moderate and severe CS was few in all patients, and there was no significant difference between two groups （P=0.193）. Most of the patients feel a notable improvement of the the QOL; nevertheless, there was no significant difference between the groups （P=0.588）. Conclusions Both electrocautery hook and titanium clip used for sympathetic block at the T4 level are effective, safe, and minimally invasive for palmar hyperhidrosis. Because of the lower severity of CS and the similar improvements in the QOL after operation, we prefer to use of titanium clip for treating palmar hyperhidrosis.

Identification of a sugar gustatory receptor and its effect on fecundity of the brown planthopper Nilaparvata lugens

In insects, the gustatory system plays a crucial role in multiple physiological behaviors, including feeding, toxin avoidance, courtship, mating and oviposition. Gustatory stimuli from the environment are recognized by gustatory receptors. To date, little is known about the function of gustatory receptors in agricultural pest insects. In this study, we cloned a sugar gustatory receptor gene, N/Gr11, from the brown planthopper (BPH), Nilaparvata lugens (Stal), a serious pest of rice in Asia;we then identified its ligands, namely, fructose, galactose and arabinose, by calcium imaging assay. After injection of N/Gr11 doublestranded RNA, we found that the number of eggs laid by BPH decreased. Moreover, we found that N/Gr11 inhibited the phosphorylation of adenosine monophosphate-activated protein kinase (AMPK) and promoted the phosphorylation of protein kinase B (AKT). These findings demonstrated that N/Gr11 could accelerate the fecundity of BPH through AMPK- and AKT-mediated signaling pathways. This is the first report to indicate that a gustatory receptor modulates the fecundity of insects and that the receptor could be a potential target for pest control.

Identification and expression profiles of gustatory receptor genes in Bactrocera minax larvae(Diptera:Tephritidae):Role of BminGR59f in larval growth

Insects employ various types of gustatory receptors(GRs)to identify nutrient-rich food and avoid toxic substances.The larval gustatory system is the critical checkpoint for food acceptance or rejection.As a specialist herbivore,the larvae of Bactrocera minax feed only on unripe citrus fruits.However,how larvae use GRs to check and adapt to the secondary metabolites in unripe citrus fruits remains unknown.In this study,we first performed developmental expression profiles showing that most BminGRs genes were highly expressed in 1st and 2nd instar larvae and that tissue-specific expression indicated high expression of most BminGRs genes in the mouthparts of 2nd instar larvae.Furthermore,we found that silencing BminGR59f by RNA interference(RNAi)affected the growth of 2nd instar B.minax larvae.Hesperidin and naringin were screened as ligands of BminGR59f via RNAi and cell calcium imaging,and the combination of these two flavones increased the body weight of larvae.In summary,we identified a novel gustatory perception pattern in B.minax for detecting hesperidin and naringin,which boosted the growth of B.minax larvae.These results shed light on how specialist herbivores detect and adapt to host metbolites in adverse environments depending on larval GRs.

Olfactory and gustatory dysfunctions of COVID-19 patients in China:A multicenter study

Introduction:With the spread of the epidemic worldwide,an increasing number of doctors abroad have observed the following atypical symptoms of coronavirus disease 2019(COVID-19):olfactory or taste disorders.Therefore,clarifying the incidence and clinical characteristics of olfactory and taste disorders in Chinese COVID-19 patients is of great significance and urgency.Materials and Methods:A retrospective study was conducted,which included 229 severe acute respiratory syndrome coronavirus 2 confirmed patients,through face-to-face interviews and telephone follow-up.Following the completion of questionnaires,the patients participating in the study,were categorized according to the degree of olfactory and taste disorders experienced,and the proportion of each clinical type of patient with olfactory and taste disorders and the time when symptoms appeared were recorded.Results:Among the 229 patients,31(13.54%)had olfactory dysfunction,and 44(19.21%)had gustatory dysfunction.For the patients with olfactory dysfunction,6(19.35%)developed severe disease and became critically ill.Olfactory dysfunction appeared before the other symptoms in 21.43%of cases.The proportion of females with olfactory and gustatory dysfunction was higher than that of males(P<0.001).Conclusions:The incidence of olfactory and gustatory dysfunction was much lower than that reported abroad;the prognosis of patients with olfactory dysfunction is relatively favorable;olfactory and gustatory dysfunction can be used as a sign for early screening;females are more prone to olfactory and gustatory dysfunction.

Ligand dose-dependent activation of signaling pathways through the gustatory receptor NlGr11 linked to feeding efficacy in Nilaparvata lugens

Insects often face both conditions with sufficient nutrients and conditions of undernutrition in the field.Through gustatory receptors,insects sense nutrients and regulate their physiological functions such as feeding and reproduction.However,it remains unclear whether signaling pathways activated by gustatory receptors depend on the concentration of nutrients and whether the difference in signaling pathways directly affects insects’physiological functions.Herein,we found that a sugar gustatory receptor,NlGr11,from the brown planthopper(BPH),Nilaparvata lugens,activated G protein-coupled signaling and ionotropic pathways when bound to high galactose concentration.BPHs subsequently demonstrated longer feeding times,feeding loads,and higher vitellogenin(NlVg)expression than BPHs exposed to high galactose concentrations,which only activated the ionotropic pathway.For the first time,our findings link plant nutrient conditions,signaling pathways activated by nutrients,and their gustatory receptors,and nutrient dose-dependent feeding efficacy and vitellogenin(Vg)expression in an insect.This will help us to better understand the molecular mechanism for insect feeding strategies on plants at different stages of nutritional conditions.

Jiāwèi Wǔbèizǐsǎn(Supplemented Galla Chinensis Powder) application on the navel for different syndromes of profuse sweating after tumor chemotherapy

Objective To observe the clinical efficacy of Jiāwèi Wǔbèizǐ sǎn（加味五倍子散,Supplemented Galla Chinensis Powder） application on the different syndromes of profuse sweating after tumor chemotherapy.Methods One hundred and sixty patients with profuse sweating after tumor chemotherapy were randomly divided into a control group（n=80） and a treatment group（n=80）.Placebo application was carried out in the control group,and traditional Chinese medicine application was conducted in the treatment group.Treatment for 7 days was considered as 1 course of treatment.Results In treatment group,48 patients were cured,improvement was found in25 cases,and ineffectiveness was seen in 7 cases.For the patients with lungwei insecurity syndrome,19 cases were cured,improvement was found in10 cases,and ineffectiveness was seen in 1 case;for the patients with deficiency of both qi and yin,27 cases were cured,improvement was found in 9 cases,and ineffectiveness was seen in 2 cases;for the patients with vigorous fire due to yin deficiency,3 cases were cured,improvement was found in5 cases,and ineffectiveness was seen in 4 cases.According to statistical analysis,the total efficacy of treatment group was superior to that of control group（P0.05）.The efficacy on lung-wei insecurity and deficiency of both qi and yin of treatment group was superior to that of control group（both P0.05）,but there was no obvious difference between treatment group and control group in the efficacy on vigorous fire due to yin deficiency（P0.05）.Conclusion Supplemented Galla Chinensis Powder application on the navel can effectively improve the profuse sweating syndrome of patients in the types of lung-wei insecurity and deficiency of both qi and yin after tumor chemotherapy,but the efficacy is not so good for the patients in the type of vigorous fire due to yin deficiency.

Skin mimicking-sweating evaporation polyimide cooling film for electronic devices

In hot environments,the human body shows an efficient capability to maintain a stable temperature by benefiting from sweating behavior.Inspired by this skin perspiration strategy,in this study,we demonstrated an innovative polyimide foam(PIF)-based mimetic skin with excellent cooling capability by integrating a silver coating and reusable hydrogel for the first time.Because of the hybrid thermal dissipating system,the successive silver coating quickly transferred heat to the inside of the polyacrylamide hydrogel.Meanwhile,the hydrogel absorbed a large amount of heat due to its large enthalpy and effectively dissipated heat to the environment through the evaporation of moisture,similar to the sweating of skin.Thus,the temperature of the skin-like film was reduced by 25.4℃compared with pure PIF under a high-power laser heating source.Identical and remarkable cooling effects were also obtained in mobile phone and battery applications,far better than commercially available thermally conductive polyimide(PI).This outstanding performance paves a new way for the thermal management application of PI in wearable electronics,microprocessors,and flexible electronics.

苦味受体的非味觉功能研究进展

苦味的识别对动物生存至关重要,该过程由苦味受体介导。食物中的化学物质刺激口腔内的苦味感受器,经信号传导反馈给大脑,产生苦味感知并最终影响食物的选择和排斥。除了基本的味觉功能,苦味受体在口腔外的其他器官和组织中普遍表达,在细胞增殖、代谢调控、免疫反应等重要的生理生化过程中发挥作用。尽管苦味受体的蛋白结构仍未得到全部解析,具体的功能和作用机制未知,但由于其亚型众多且分布广泛,是理想的靶点,并将成为各类疾病治疗的重要探究方向。本文介绍苦味受体在口腔外部分器官组织中的表达和在相关疾病中的研究进展,有助于全面系统理解苦味受体的重要作用。

可穿戴汗液传感器系统的研究进展

在新材料和新技术广泛应用的背景下,柔性可穿戴汗液监测设备成为当前国内外研究的热点。目前,基于柔性可穿戴设备的汗液检测一般需要3个环节:汗液的取样、目标分析物的选择性检测以及系统的集成与控制。本文主要从汗液原位检测的优势出发,总结了汗液的刺激和提取的方法,并对电化学类的汗液传感器的研究进展进行多角度的分析与评价。最后讨论了可穿戴的汗液传感器存在的不足,以及未来系统的发展方向。