简介:Objective:Gastriccancer(GC)isoneoftheleadingcausesofdeathinChinaandotherAsiancountries.Recently,gastricendoscopyhasbecomethemainapproachforGCscreening,buttheidentificationofhigh-riskindividualsremainsachallengeinGCscreeningprograms.Methods:Therewere7,302patientswithchronicgastritisinvolvedinthisstudy.Endoscopicexaminationswereperformed,andtheirdemographiccharacteristicsandlifestyledatawerecollected.EachpossibleassociatedfactorofGC/premalignantandprecursorlesionswasevaluatedbyunivariateandmultivariatelogisticregressions.Nomogramswereusedforvisualizationofthosemodels,andreceiveroperatingcharacteristic(ROC)curveanalysiswasusedtopresentthepredictiveaccuracy.Results:Wedetected8(0.11%)gastricadenocarcinomas,17(0.23%)dysplasiacases,14(0.19%)hyperplasiacases,52(0.71%)intestinalmetaplasiacases,217(2.97%)inflammatorylesions,141(1.93%)gastriculcers,10(0.14%)atrophicgastritiscases,1,365(18.69%)erosivegastritiscases,and5,957(81.58%)superficialgastritiscasesin7,302patients.Theage(P<0.001),gender(P=0.086),laborintensity(P=0.018)andleekfoodintake(P=0.143)wereidentifiedasindependentpredictivefactorsofGC/premalignantlesionspossibility.Thecorrespondingnomogramexhibitedanareaunderthecurve(AUC)[95%confidenceinterval(95%CI)]of0.82(0.74–0.89)forthemodelinggroupand0.80(0.75–0.85)forthevalidationgroup.Theage(P=0.002),gender(P=0.024),smoking(P=0.002)andleekfoodintake(P=0.039)wereindependentpredictivefactorsofprecursorlesionspossibility.ThecorrespondingnomogramexhibitedanAUC(95%CI)of0.62(0.60–0.65)forthemodelinggroupand0.61(0.59–0.63)forthevalidationgroup.Conclusions:WeidentifiedseveralpotentialassociatedfactorsandprovidedapreclinicalnomogramwiththepotentialtopredictthepossibilityofGC/premalignantandprecursorlesions.
简介:AIMToverifythevalidityoftheendoscopyguidelinesforpatientstakingwarfarinordirectoralanticoagulants(DOAC).METHODSWecollecteddatafrom218patientsreceivingoralanticoagulants(73DOACusers,145warfarinusers)and218patientsnotreceivinganyantithrombotics(age-andsexmatchedcontrols)whounderwentpolypectomy.(1)Weevaluatedpost-polypectomybleeding(PPB)riskinpatientsweassessedtherisksofPPBandthromboembolismbetweenthreeACmanagementmethods:DiscontinuingACwithheparinbridge(HPB)(endoscopyguidelinerecommendation),continuingAC,anddiscontinuingACwithoutHPB.RESULTSPPBratewassignificantlyhigherinwarfarinusersandDOACuserscomparedwithcontrols(13.7%and13.7%vs0.9%,P<0.001),butwasnotsignificantlydifferentbetweenrivaroxaban(13.2%),dabigatran(11.1%),andapixaban(13.3%)users.Twothromboemboliceventsoccurredinwarfarinusers,butnoneinDOACusers.Comparedwiththecontinuinganticoagulantgroup,thediscontinuinganticoagulantwithHPBgroup(guidelinerecommendation)hadahigherPPBrate(10.8%vs19.6%,P=0.087).ThesefindingsweresignificantlyevidentinwarfarinbutnotDOACusers.OnethromboticeventoccurredinthediscontinuinganticoagulantwithHPBgroupandthediscontinuinganticoagulantwithoutHPBgroup;noneoccurredinthecontinuinganticoagulantgroup.CONCLUSIONPPBriskwassimilarbetweenpatientstakingwarfarinandDOAC.Thromboembolismwasobservedinwarfarinusersonly.TheguidelinerecommendationsforHPBshouldbere-considered.
简介:Objective:Oralsquamous-cellcarcinoma(OSCC)accountsfor>90%oforalcancersaffectingadultsmostlybetweenthefourthtoseventhdecadesoflife.ThemostcommonOSCCtreatmentisconcomitantchemoradiotherapy(CCRT)havingbothlocoregionalanddistantcontrol,butCCRThasacuteandchronictoxiceffectsonadjacentnormaltissue.ThisstudyaimedtodeterminethesideeffectsofCCRTontheoralmucosaandtocharacterizetheclinicopathologyoforallesionsinpatientswithOSCC.Methods:Thisdescriptive,cross-sectionalstudywascertifiedbytheEthicalReviewCommittee(UHS/Education/126-12/2728)oftheUniversityofHealthSciences,Lahore,Pakistan.OSSCpatients(n=81)withvarioushistologicalsubtypes,grades,andstageswererecruited,andfindingsontheiroralexaminationwererecorded.Thesepatientsreceived70,90,and119Gyofradiotherapydosagesincombinationwiththechemotherapydrugscisplatinand5-fluorouracil.DatawereanalyzedusingSPSS20.0.Results:ThemostcommonpresentationofOSCCwasanonhealingulcer(63%)involvingtongue(55.6%).Clinicalfindingsincludedmucositis(92.6%)andxerostomiaofmild,moderate,andseveredegreesin11.1%,46.9%,and35.8%cases,respectively.Ulcers(87.7%),palpablelymphnodes(64.2%),limitedmouthopening(64.2%)andfistula(40.7%)werealsoobserved.Infemales,theassociationofradiotherapydosagewithlimitedmouthopening,xerostomia,andhistologicalgradingwasstatisticallysignificant(P<0.05).Theassociationofchemotherapydrugswithxerostomia(P=0.003)wasalsostatisticallysignificant.Conclusions:CCRTinducedmucositis,xerostomia,andtrismusinpatientswithOSCC.
简介:Thesuddenoutbreakofsevereacuterespiratorysyndrome(SARS)in2002promptedtheestablishmentofaglobalscientificnetworksubsumingmostofthetraditionalrivalriesinthecompetitivefieldofvirology.WithinmonthsoftheSARSoutbreak,collaborativeworkrevealedtheidentityofthedisastrouspathogenasSARS-associatedcoronavirus(SARS-CoV).However,althoughtherapididentificationoftheagentrepresentedanimportantbreakthrough,ourunderstandingofthedeadlyvirusremainslimited.Detailedbiologicalknowledgeiscrucialforthedevelopmentofeffectivecountermeasures,diagnostictests,vaccinesandantiviraldrugsagainsttheSARS-CoV.ThisarticlereviewsthepresentstateofmolecularknowledgeaboutSARS-CoV,fromtheaspectsofcomparativegenomics,molecularbiologyofviralgenes,evolution,andepidemiology,anddescribesthediagnostictestsandtheanti-viraldrugsderivedsofarbasedontheavailablemolecularinformation.
简介:WhenbeingplantedinwideareasinsouthernChina(23°23'-33°23'N,98°35’-129°19'E,sealevelabove2.7-1285m),Liangyoupeijiu(LYPJ),atwo-linehybridricecombination,showedaseedsettingrateof75.2-77.2%,whichwaslowerby4.3-7.5percentpointthanthatofanindicahybridriceShanyou63(CK),withsimilarvaluesofgrainyieldandcoefficientsofvariationtoCK.Sowingduring5-25thofMayinNanjing(32°3'N.118°48'E),China,LYPJheadedbefore4thSeptember,andgaveaseedsettingrateof75-90%,andgrainyieldover1kg/m^2.Ifthesowingdatewasdelayedto14-15th,June,itsheadingdatewouldbeaslateas17th-21stSeptember,andseedsettingratewouldbedeclinedby10-15%incomparisonwiththatonasuitablesowingdate.Whenfloweringtookplaceatanaveragedailytemperaturerangeof13.7-28.5℃forfivedays,thespikeletfertility(SF)wouldbeincreasedby1.9-10.7%,foreachincrementof1℃.Thesuitable(SF≥90%)andsafe(SF≥75%)temperaturesforfloweringstagewereindicatedtobe26.5°and22.9°,respectively.TogetahighandstableseedsetincultivatingLYPJ,itwasrecommendedthatLYPJwouldbeplantedintheareassouthof34°N,andthefavorableaveragedailytemperatureduringfloweringstageshouldbeat26-28℃.
简介:Recentstudieshaveshownthattheglycation-associateddamageisnotlimitedtopatientswithdiabetes.Becauseoftheirassociationwithoxidativestress,advancedglycationend-products(AGEs)havealsobeenimplicatedinmanyneurodegenerativediseases,suchasHuntingtondisease,amyotrophiclateralsclerosis,andAlzheimerdisease(Yanetal.,
简介:Seasonalvariationsofphytoplankton/chlorophyll-a(Chl-a)distribution,seasurfacewind,seaheightanomaly,seasurfacetemperatureandotheroceanicenvironmentsforlongperiodsareanalyzedintheSouthChinaSea(SCS),especiallyinthetwotypicalregionsofftheeastcoastofVietnamandoffthenorthwestcoastofLuzon,usingremotesensingdataandotheroceanographicdata.TheresultsshowthatseasonalandspatialdistributionsofphytoplanktonbiomassintheSCSareprimarilyinfluencedbythemonsoonwindsandoceanicenvironments.OfftheeastcoastofVietnam,Chl-aconcentrationisapeakinAugust,ajetshapeextendingintotheinteriorSCS,whichisassociatedwithstrongsouthwesterlymonsoonwinds,thecoastalupwellinginducedbyoffshoreEkmantransportandthestrongoffshorecurrentinthewesternSCS.InDecember,highChl-aconcentrationappearsintheupwellingregionoffthenorthwestcoastofLuzonandspreadssouthwestward.Strongmixingbythestrongnortheasterlymonsoonwinds,thecycloniccirculation,southwestwardcoastalcurrentsandriverdischargehaveimpactsondistributionofphytoplankton,sothatthehighphytoplanktonbiomassextendsfromthecoastalareasoverthenorthernSCStotheentireSCSinwinter.TheseresearchactivitiescouldbeimportantforrevealingspatialandtemporalpatternsofphytoplanktonandtheirinteractionswithphysicalenvironmentsintheSCS.
简介:Thisstudyfocusesonthedecadalvariabilityoftropicalcyclones(TC)overtheWesternNorthPacific(WNP)andhowthesechangesarerelatedtotheMadden-JulianOscillation(MJO).ItwasdonewiththehelpoftheReal-timeMultivariateMJOindexfromtheAustralianGovernmentBureauofMeteorologyoftheCentreforAustralianWeatherandClimateResearch,TCdatafromtheJointTyphoonWarmingCenterbesttrackdatasets,anddailyandmonthlydatasetsfromtheNCEP/NCARreanalysiscenter.TheresultsshowthattheTCfrequencyintheWNPexhibitedastatisticallysignificantdecreaseduring1998-2010comparedtoduring1979-1997.ThedecreaseinTCfrequencyintheWNPmainlyoccurredduringMJOactivephases(i.e.,phases4,5,6,and7).FurtherinvestigationoftheclimatebackgroundandthepropagationdifferencesoftheMJObetween1979-1997and1998-2010wasperformed.TheLaNina-liketropicalseasurfacetemperaturecoolingcausedstrongerWalkercirculationandthusinducedunfavorableatmosphereconditionsforWNPTCgenesisincludingalow-leveleasterlyanomaly,anegativerelativevorticityanomaly,anincreaseinsea-levelpressure,andstrongerverticalwindshear.Moreover,shorteningoftheMJOcycle,declineinthedurationoftheactivephasesintheWNP,andeasterlyanomalyandshrinkageoftheconvectionareaduringMJOactivephasesmayalsopartlyexplainthedecadalvariationofTC.
简介:胆碱是在精子膜结构和流动性的规定的一个关键因素,并且这营养素在成熟和精子的使肥沃的能力起一个重要作用。phosphatidylethanolamineN-methyltransferase(PEMT)和胆碱脱氢酶(CHDH)的抄本,胆碱新陈代谢的二基本的酶,在人的睾丸被观察了,在这纸巾表明他们的基因表示。在现在的学习,我们探索了PEMT和CHDH基因变体的贡献到精子参数。200oligospermic和250个normozoospermic人被招募。DNA从精子,和PEMT−被提取;774G>;C和CHDH+;432G>;T多型性是genotyped。PEMT−的遗传型分发;774G>;C多型性没在oligospermic和normozoospermic人之间不同。相反,在CHDH+的情况中;432G>;T多型性,oligospermic人比normozoospermic人更经常介绍了CHDH432G/G遗传型(62%;对42%;,P<;0.001)。PEMT774G/G遗传型在oligospermic人与PEMT774G/C和774C/C遗传型相比与更高的精子集中被联系(12.5±;5.6×;106精子ml−1对8.3±;5.2×;106精子ml−1,P<;0.002)并且normozoospermic人(81.5±;55.6×;106对68.1±;44.5×;106精子ml−1,P<;0.006)。另外,CHDH432G/G遗传型在oligospermic与CHDH432G/T和432T/T遗传型相比与更高的精子集中被联系(11.8±;5.1×;106对7.8±;5.3×;106精子ml−1,P<;0.003)并且normozoospermic人(98.6±;62.2×;106对58.8±;33.6×;106精子ml−1,P<;0.001)。在我们的系列,PEMT−;774G>;C和CHDH+�
简介:Cancerevadeshostimmunesurveillancebyusingimmunecheckpoints,whichareinhibitorypathwayscrucialformaintainingself-tolerance1.Tumorcellsexpressmultipleinhibitoryligands,andtumor-infiltratinglymphocytes(TIL)expressavarietyofinhibitoryreceptors.InhibitoryreceptorscytotoxicT-lymphocyte-associatedprotein4(CTLA-4)andprogrammeddeath-1