A New Fully Covered Irradiation Stent Versus a Partially Covered Irradiation Stent for Unresectable Malignant Dysphagia: A Single-Center Experience.

PURPOSE: To assess the efficacy and safety of a newly developed fully covered irradiation stent (FCIS) compared with a partially covered irradiation stent (PCIS) in patients with unresectable malignant dysphagia. MATERIALS AND METHODS: Data of 195 patients [158 (81.0%) males, median age of 75 years (range 49-89 years)] who underwent FCIS or PCIS placement for unresectable malignant dysphagia from January 2012 to November 2017 were retrospectively analyzed. The median follow-up time was 181 days (range 4-547 days). Outcomes were measured in terms of recurrent dysphagia (primary), technical success, clinical success, overall survival, and adverse events. Recurrent dysphagia was analyzed by Fine-Gray regression model. RESULTS: The technical success rate was 97.8% (87/89) in the FCIS group and 99.1% (105/106) in the PCIS group (P = 0.59). The clinical success rate was 100.0% in both groups. There was no statistically significant difference in the recurrent dysphagia rate between the FCIS and PCIS groups (21.8% vs. 28.6%; P = 0.12). Compared with PCISs, FCISs were associated with a decrease in tissue/tumor growth rate (11.5% vs. 21.9%; P = 0.01), while stent migration rates were statistically comparable (11.5% vs. 5.7%; P = 0.23). The median overall survivals were comparable between the FCIS and PCIS groups (164 days vs. 162 days; P = 0.70). A dysphagia score of 4 and metastasis were risk factors for survival. No significant differences were observed in the rates of adverse events, including chest pain, fistula formation, hemorrhage, and aspiration pneumonia (P > 0.05). CONCLUSION: For patients with unresectable malignant dysphagia, this newly developed FCIS can provide efficacy and safety comparable to those of a PCIS. Compared with PCIS, this FCIS is more successful in preventing tissue/tumor growth, with a comparable stent migration rate.

[Distribution characteristics of soil organic carbon under different forest restoration modes on opencast coal mine dump].

The content and storage of soil organic carbon (SOC) were compared in six wood restoration modes and adjacent abandoned land on opencast coal mine dump, and the mechanisms behind the differences and their influencing factors were analyzed. Results showed that the contents of SOC in six wood lands were significantly higher (23.8%-53.2%) than that of abandoned land (1.92 g · kg⁻¹) at 0-10 cm soil depth, the index were significantly higher (5.8%-70.4%) at 10-20 cm soil depth than the abandoned land (1.39 g · kg⁻¹), and then the difference of the contents of SOC in the deep soil (20-100 cm) were not significant. The contents of SOC decreased with increase of soil depth, but the decreasing magnitude of the topsoil (0-20 cm) was higher than that of the deep soil (20-100 cm). Compared with the deep soil, the topsoil significant higer storage of SOC in different woods, the SOC storage decreased with the soil depth. Along the 0-100 cm soil layer, the storage of SOC in six wood lands higher (18.1%-42.4%) than that of the abandoned land (17.52 t · hm⁻²). The SOC storage of Amorpha fruticosa land (24.95 t · hm⁻²) was obviously higher than that in the other wood lands. The SOC storage in the shrub lands was 12.4% higher than that of the arbor woods. There were significantly positive correlations among forest litter, fine root biomass, soil water content and SOC on the dump. Consequently, different plantation restorations significantly improved the SOC level on the dump in 0-100 cm soil, especially the topsoil. But there was still a big gap about SOC level between the wood restoration lands and the original landform. To improve the SOC on opencast coal mine dump, A. fruticosa could be selected as the main wood vegetation.

The difference in antioxidant capacity of four alfalfa cultivars in response to Zn.

The aim of this study was to evaluate antioxidative responses in roots, stem and leaves of four alfalfa cultivars to different concentrations of zinc (Zn) (0, 300, 600 and 900 µM) for 23 days. Among the four cultivars, Aohan displayed the highest Zn concentrations in tissues and the largest Zn amount in aerial parts. Zn stress induced the production of H2O2 and increased the content of free proline and activities of antioxidative enzymes in roots, stem and leaves of Aohan. Based on the above results, we concluded that Aohan is superior to other three cultivars for Zn phyto-remediation, which indicated that Aohan is a novel Zn accumulator and able to tolerate Zn-induced toxicity by activating the antioxidative defense system.

[Soil organic carbon storage changes with land reclamation under vegetation reconstruction on opencast coal mine dump].

Vegetation reconstruction was an effective solution to reclaim the opencast coal mine dump which was formed in the process of mining. To understand the impact of the vegetation reconstruction patterns' on the mine soil organic carbon (SOC) storage was essential for selecting the methods of vegetation restoration and also important for accurately estimating the potential of the soil carbon sequestration. The study area was on the Heidaigou opencast coal mine, which was 15 years reclaimed coal mine dump in Zhungeer, Inner Mongolia autonomous region, we selected 5 vegetation reconstruction patterns (natural recovery land, grassland, bush land, mixed woodland of arbor and bush, arbor land), and 16 vegetation types, 408 soil samples (0-100 m), to study the effect of the vegetation reconstruction patterns on the SOC storage. The results were showed as follows: (1) on the reclaimed coal mine dump, the vegetation reconstruction patterns significantly affected the SOC content and its distribution in the soil profile (P < 0.05). The surface 0-10 cm SOC content was grassland > shrub land > arbor forest > mixed forest of arbor and shrub > natural recovery land, in which the grassland, shrub land and arbor forest were about 2.2, 1.3, and 1.3 times of natural recovery land (2.14 g · kg(-1)) respectively. The total nitrogen (TN) showed the similar trends. (2) Among the vegetation types, Medicago sativa had the highest surface SOC content (5.71 g · kg(-1)) and TN content (0.49 g · kg(-1)), that were 171.3% and 166.7% higher than the natural recovery land, and two times of Hippophae rhamnoides, Amorpha fruticosa + Pinus tabulaeformis and Robinia pseudoacacia. (3) The effect of vegetation types on SOC mainly concentrated in the 0-20 cm depth, and the effect on TN accounted for 40 cm. (4) For the SOC storage, the order was original landform area > reclaimed dump > new dump and grassland > woodland (including arbor and shrub land). After 15 years revegetation, the soil carbon storage of the grassland, shrub land and arbor land were increased by 15.47 t · hm(-2), 6.93 t · hm(-2) and 6.95 t · hm(-2) respectively in the 100 cm depth, which were equivalent to 2/3, 1/2 and 1/2 of the original landform levels. The results showed a great ability of carbon sequestration.

[Study on the inhibit mechanism primarily of extracts from Coptis on clinical resistant the medicine of Staphylococcus aureus].

OBJECTIVE: To discuss the inhibit mechanism primarily of extracts from Coptis on clinical resistant the medicine of Staphylococcus aureus. METHODS: Used SDS-PAGE electrophoresis, spectrophotometry and semiautomatic biochemistry analysis to detect the accumulated concentration of norfloxacin, membranin electrophoretogram and the enzymatic activity in extracellular fluid before and after Coptis extract disposition. RESULTS: The accumulated concentration of medicine norfloxacin within the experiment strains which treated with Coptis extract was clear higher than that of the blank space (P < 0.01); some proteins which molecular weights were in 35 - 38 kDa rebound expressed after Coptis extract treated; The extracellular fluid enzymic activities of resistant Staphylococcus aureus had no significant difference (P > 0.05). CONCLUSION: The inhibit mechanism primarily of extracts from Coptis on clinical resistant the medicine of Staphylococcus aureus is the results of the combined action of various chemical composition and multi-target interaction, and the exact molecular mechanism remains to be further researched.