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2.
Plants (Basel) ; 13(5)2024 Mar 06.
Article in English | MEDLINE | ID: mdl-38475587

ABSTRACT

Nuclear Factor Y (NF-Y) is a class of heterotrimeric transcription factors composed of three subunits: NF-A, NF-YB, and NF-YC. NF-YC family members play crucial roles in various developmental processes, particularly in the regulation of flowering time. However, their functions in petunia remain poorly understood. In this study, we isolated four PhNF-YC genes from petunia and confirmed their subcellular localization in both the nucleus and cytoplasm. We analyzed the transcript abundance of all four PhNF-YC genes and found that PhNF-YC2 and PhNF-YC4 were highly expressed in apical buds and leaves, with their transcript levels decreasing before flower bud differentiation. Silencing PhNF-YC2 using VIGS resulted in a delayed flowering time and reduced chlorophyll content, while PhNF-YC4-silenced plants only exhibited a delayed flowering time. Furthermore, we detected the transcript abundance of flowering-related genes involved in different signaling pathways and found that PhCO, PhGI, PhFBP21, PhGA20ox4, and PhSPL9b were regulated by both PhNF-YC2 and PhNF-YC4. Additionally, the transcript abundance of PhSPL2, PhSPL3, and PhSPL4 increased only in PhNF-YC2-silenced plants. Overall, these results provide evidence that PhNF-YC2 and PhNF-YC4 negatively regulate flowering time in petunia by modulating a series of flowering-related genes.

3.
Breast ; 69: 392-400, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37116400

ABSTRACT

BACKGROUND: Homologous recombination deficiency (HRD) phenotype will sensitize tumors to poly (ADP-ribose) polymerases inhibitors and platinum. However, previous studies did not focus on the prevalence of HRD among Chinese breast cancer (BC) patients. METHODS: One hundred and forty-seven BC patients were included in this study. Their HRD status was assessed by Genomic Scar Score (GSS), which was determined according to the length, site, and type of copy number. HRD was defined as positive when a harmful BRCA1/2 mutation was detected or GSS ≥50. RESULTS: Our data revealed that 9.5% of the 147 patients tested positive for BRCA1/2 mutation, while approximately 34.7% were HRD-positive. For triple negative BC (TNBC), HRD positivity rate (60.5%) was higher than Luminal A (5.3%), Luminal B (HER2-) (28.8%), and Luminal B (HER2+) (31.6%) subgroups. HRD-positive tumors were more likely to be ER/PR-negative and exhibited higher Ki-67 expression. 50.0% of the HRD-positive patients achieved pathologic complete remission (pCR) after neoadjuvant therapy. HRD-positive patients tended to have a higher risk for cancer recurrence or metastasis compared to HRD-negative patients (29.4% vs. 13.5%). CONCLUSION: We investigated the HRD status among Chinese BC patients using an HRD detection tool developed based on the Chinese population. The clinical characteristics, pathological profile, family history pattern, neoadjuvant efficacy, and disease progression events of HRD-positive and negative patients were described and compared. Thus, our data provided an evidence-based basis for applying the original HRD assay in Chinese BC.


Subject(s)
BRCA1 Protein , Triple Negative Breast Neoplasms , Humans , BRCA1 Protein/genetics , Cicatrix/pathology , Mutation , BRCA2 Protein/genetics , Neoplasm Recurrence, Local , Triple Negative Breast Neoplasms/pathology , Genomics , Homologous Recombination
4.
Open Life Sci ; 18(1): 20220530, 2023.
Article in English | MEDLINE | ID: mdl-36742452

ABSTRACT

Beta-tricalcium phosphate (ß-TCP) bioceramics have an inorganic composition similar to the human bone. While conventional methods can only produce ceramic scaffolds with poor controllability, the advancement of 3D-printing, especially stereolithography, made it possible to manufacture controllable, highly precise, micropore ceramic scaffolds. In this study, the stereolithography was applied to produce ß-TCP bioceramics, while ZrO2, Al2O3, Ti6Al4V, and polyetheretherketone (PEEK) were used as controls. Phase analysis, water contact angle tests, and Micro-CT were applied to evaluate the surface properties and scaffold. Hemolytic toxicity, cell proliferation, and morphological assessment were performed to evaluate the biocompatibility. Alkaline phosphatase (ALP) level, mineralization, and qRT-PCR were measured to evaluate the osteointegration. During the manufacturing of ß-TCP, no evident impurity substance and hemolytic toxicity was found. Cells on ß-TCP had good morphologies, and their proliferation capability was similar to Ti6Al4V, which was higher than the other materials. Cells on ß-TCP had higher ALP levels than PEEK. The degree of mineralization was significantly higher on ß-TCP. The expression of osteogenesis-related genes on ß-TCP was similar to Ti6Al4V and higher than the other materials. In this study, the ß-TCP produced by stereolithography had no toxicity, high accuracy, and excellent osteointegration capability, thus resulting as a good choice for bone implants.

5.
J Orthop Surg Res ; 18(1): 4, 2023 Jan 02.
Article in English | MEDLINE | ID: mdl-36593501

ABSTRACT

BACKGROUND AND OBJECTIVE: Anterior lumbar interbody fusion (ALIF) and oblique lumbar interbody fusion (OLIF) have shown a great surgical potential, while it has always been controversial which surgical approach and which type of fixation system should be selected. This study investigated the biomechanical response of ALIF and OLIF with various supplementary fixation systems using the finite element method. MATERIALS AND METHODS: Lumbar L4-L5 ALIF and OLIF models stabilized by different supplementary fixation systems (stand-alone cage, integrated stand-alone cage, anterior plate, and bilateral pedicle screw) were developed to assess the segmental range of motion (ROM), endplate stress (EPS), and screw-bone interface stress (SBIS). EXPERIMENTAL RESULTS: ALIF showed lower ROM and EPS than OLIF in all motion planes and less SBIS in the most of motion planes compared with OLIF when the anterior plate or pedicle screw was used. ALIF induced higher ROM, while lower EPS and SBIS than OLIF in the majority of motion planes when integrated stand-alone cage was utilized. Using a stand-alone cage in ALIF and OLIF led to cage migration. Integrated stand-alone cage prevented the cage migration, whereas caused significantly larger ROM, EPS, and SBIS than other fixation systems except for the rotation plane. In the most of motion planes, the pedicle screw had the lowest ROM, EPS, and SBIS. The anterior plate induced a slightly larger ROM, EPS, and SBIS than the pedicle screw, while the differences were not significant. CONCLUSION: ALIF exhibited a better performance in postoperative segmental stability, endplate stress, and screw-bone interface stress than OLIF when the anterior plate or the pedicle screw was used. The pedicle screw could provide the greatest postoperative segmental stability, less cage subsidence incidence, and lower risk of fixation system loosening in ALIF and OLIF. The anterior plate could also contribute to the stability required and fewer complications, while not as effectively as the pedicle screw. Extreme caution should be regarded when the stand-alone cage is used due to the risk of cage migration. The integrated stand-alone cage may be an alternative method; however, further optimization is needed to reduce complications and improve postoperative segmental stability.


Subject(s)
Pedicle Screws , Spinal Fusion , Finite Element Analysis , Spinal Fusion/methods , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/surgery , Lumbar Vertebrae/physiology , Biomechanical Phenomena/physiology , Range of Motion, Articular/physiology
6.
Int J Mol Sci ; 23(21)2022 Oct 24.
Article in English | MEDLINE | ID: mdl-36361603

ABSTRACT

Nuclear Factor Y, Subunit C (NF-YC) transcription factors are conserved in most plants, and play essential roles in plant growth and development, especially in flowering regulation. Chrysanthemums are important commercial plants, and their market value is strongly impacted by flowering time. Until now, no details regarding the NF-YC family in the Chrysanthemum genus have been available. In this study, five NF-YC genes were cloned from Chrysanthemum indicum. Multiple alignments showed that CiNF-YCs had the highly conserved characteristic regions. Phylogenetic analyses identified a pair of paralogue NF-YC proteins in chrysanthemums. Gene structure and conserved motifs were also analyzed for functional understanding. According to the results of the expression experiments, CiNF-YC1 and CiNF-YC5 were mainly expressed in leaves or flowers, and their expression levels varied greatly from the seedling to flower bud differentiation stage. Arabidopsis overexpressing CiNF-YC1 and CiNF-YC3 showed significantly delayed flowering, accompanied by other morphological alterations. RT-qPCR analysis revealed that genes associated with photoperiod, vernalization, aging, and gibberellin pathways were downregulated in CiNF-YC1-OX lines, relative to the wild type, whereas in CiNF-YC3-OX lines, only SHORT VEGETATIVE PHASE (AtSVP), the key factor in the ambient temperature pathway, was upregulated. Taken together, these findings suggest that CiNF-YC1 and CiNF-YC3 negatively regulate flowering in Arabidopsis via different flowering pathways.


Subject(s)
Arabidopsis , Chrysanthemum , Chrysanthemum/metabolism , Arabidopsis/genetics , Gene Expression Regulation, Plant , Phylogeny , Flowers , Plant Proteins/genetics , Plant Proteins/metabolism
7.
Sensors (Basel) ; 22(20)2022 Oct 19.
Article in English | MEDLINE | ID: mdl-36298327

ABSTRACT

With the accelerated construction of the smart grid, new energy sources such as photovoltaic and wind power are connected to the grid. In addition to power frequency, the current signal of power grid also includes several DC signals, as well as medium-high and high-frequency transient signals. Traditional current sensors for power grids are bulky, have a narrow measurement range, and cannot measure both AC and DC at the same time. Therefore, this paper designs a non-intrusive, AC-DC wide-bandwidth current sensor based on the composite measurement principle. The proposed composite current detection scheme combines two different isolation detection technologies, namely tunneling reluctance and the Rogowski coil. These two current sensing techniques are complementary (tunneling magnetoresistive sensors have good low-frequency characteristics and Rogowski coils have good high-frequency characteristics, allowing for a wide detection bandwidth). Through theoretical and simulation analysis, the feasibility of the composite measurement scheme was verified. The prototype of composite current sensor was developed. The DC and AC transmission characteristics of the sensor prototype were measured, and the sensitivity and linearity were 11.96 mV/A, 1.14%, respectively. Finally, the sweep current method and pulse current method experiments prove that the designed composite current sensor can realize the current measurement from DC to 17 MHz.

8.
Med Sci Monit ; 28: e936652, 2022 Apr 24.
Article in English | MEDLINE | ID: mdl-35462392

ABSTRACT

BACKGROUND Dural tear and subsequent cerebrospinal fluid leakage are frequent complications during lumbar spine surgery. This retrospective study aimed to investigate the risk factors and the use of prophylactic antibiotics in patients with fever after drainage removal (FDR) following lumbar dural tear during lumbar spinal surgery. MATERIAL AND METHODS The authors retrospectively analyzed 2812 patients who underwent different spinal surgical procedures from January 2015 to December 2017. The basic information of patients was obtained to analyze the risk factors of dural tear and FDR. The patients were divided into 5 groups according to their antibiotic strategies for FDR (no antibiotics, ceftriaxone, vancomycin, ceftriaxone+vancomycin, other antibiotics). Body temperature, laboratory test results, and pathogen profiles were collected for analysis. RESULTS There were 326 cases diagnosed as dural tear, including 198 cases of FDR. Sex, age, type of disease, and previous lumbar surgery played significant roles in the dural tear rate (P<0.05). Patients older than 60 years old had a higher incidence of FDR after dural tear (P<0.05). There was no significant difference in the incidence of surgical site infection among the various treatment groups (P>0.05). CONCLUSIONS Age has obvious effect on dural tear and FDR, whereas sex, revision surgery, primary diagnosis, and procedure type only affect the rate of dural tear. The prophylactic use of antibiotics has no effect on the incidence of surgical site infection when fever after drainage removal occurred in patients with dural tear.


Subject(s)
Anti-Bacterial Agents , Dura Mater , Anti-Bacterial Agents/therapeutic use , Ceftriaxone , Drainage/adverse effects , Dura Mater/surgery , Humans , Lumbar Vertebrae/surgery , Middle Aged , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Postoperative Complications/prevention & control , Retrospective Studies , Surgical Wound Infection/drug therapy , Surgical Wound Infection/etiology , Surgical Wound Infection/prevention & control , Vancomycin
10.
Front Microbiol ; 13: 1004911, 2022.
Article in English | MEDLINE | ID: mdl-36726574

ABSTRACT

Nonalcoholic fatty liver disease (NAFLD) has a high prevalence worldwide, but there are no medications approved for treatment. Gut microbiota would be a novel and promising therapeutic target based on the concept of the gut-liver axis in liver disease. We reviewed randomized controlled trials on gut microbiota therapy in NAFLD in this study to evaluate its efficacy and plausibility in NAFLD.

11.
World J Gastroenterol ; 27(28): 4697-4709, 2021 Jul 28.
Article in English | MEDLINE | ID: mdl-34366630

ABSTRACT

BACKGROUND: There is little data available on the role of new anti-reflux plastic stents (ARPSs). AIM: To compare the use of ARPSs with that of traditional plastic stents (TPSs) for patients with biliary strictures. METHODS: Consecutive patients with biliary strictures who underwent first endoscopic biliary stenting between February 2016 and May 2019 were included. The onset of stent-related cholangitis, stent patency, clinical success, and other adverse events were evaluated. RESULTS: Sixty-seven patients in the ARPS group and 66 patients in the TPS group were included in the final analyses. Fewer patients experienced stent-related cholangitis in the ARPS group than that in the TPS group (8 patients vs 18 patients; P = 0.030). The median time till the onset of first stent-related cholangitis was later in the ARPS group than that in the TPS group (128.5 d vs 76 d; P = 0.039). The cumulative median stent patency in the ARPS group was 185 d, which was significantly longer than that in the TPS group (133 d; P = 0.001). The clinical success rates and other adverse events did not significantly differ between both groups. CONCLUSION: Placement of new ARPS might be a safe and effective optional therapeutic strategy to reduce the risk of stent-related cholangitis and prolong stent patency.


Subject(s)
Cholangitis , Cholestasis , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Cholangitis/etiology , Cholangitis/prevention & control , Cholestasis/etiology , Constriction, Pathologic , Humans , Plastics , Retrospective Studies , Stents , Treatment Outcome
12.
Sci Rep ; 11(1): 8197, 2021 04 14.
Article in English | MEDLINE | ID: mdl-33854171

ABSTRACT

Phenology is an important indicator of global climate change. Revealing the spatiotemporal characteristics of crop phenology is vital for ameliorating the adverse effects of climate change and guiding regional agricultural production. This study evaluated the spatiotemporal variability of soybean's phenological stages and key growth periods, and assessed their sensitivity to key climatic factors, utilizing a long-term dataset (1992-2018) of soybean phenology and associated meteorological data collected at 51 stations across China. The results showed that (1) during the soybean growing seasons from 1992 to 2018, the average temperature (0.34 ± 0.09 â„ƒ decade-1) and cumulative precipitation (6.66 ± 0.93 mm decade-1) increased, but cumulative sunshine hours (- 33.98 ± 1.05 h decade-1) decreased. (2) On a national scale, dates of sowing, emergence, trifoliate, anthesis, and podding of soybean were delayed, while the maturity date showed an advancing trend. The vegetative growth period (- 0.52 ± 0.24 days decade-1) and whole growth period (- 1.32 ± 0.30 days decade-1) of soybean were shortened, but the reproductive growth period (0.05 ± 0.26 days decade-1) was slightly extended. Trends in soybean phenological stages and key growth periods diverged in regions. Soybean phenological stages were delayed in Huang-Huai-Hai soybean zone, whereas advanced in southern soybean zone. Moreover, the key growth periods were greatly shortened in northern soybean zone. (3) In general, the sensitivity of soybean key growth periods to temperature was negative, whereas those to precipitation and sunshine hours differed among regions. In particular, most phenological stages were negatively sensitive to sunshine hours. Our results will provide scientific support for decision-making in agricultural production practices.


Subject(s)
Crops, Agricultural/growth & development , Glycine max/growth & development , China , Climate Change , Spatio-Temporal Analysis , Temperature
13.
Medicine (Baltimore) ; 100(11): e23855, 2021 Mar 19.
Article in English | MEDLINE | ID: mdl-33725926

ABSTRACT

ABSTRACT: The application of transcatheter angiographic embolization (TAE) is controversial in the treatment of ulcer bleeding. This study aims to determine rebleeding risk factors and evaluate the efficacy of prophylactic TAE (p-TAE) following endoscopic hemostasis in rebleeding prevention of Forrest lla ulcers.The medical records of Forrest lla ulcer patients who underwent endoscopic hemostasis (E group) and endoscopic hemostasis plus p-TAE (E + p-TAE group) in West China Hospital from May 2009 to May 2018 were retrospectively reviewed. Baseline characteristics, clinical efficacy, and rebleeding risk factors were analyzed.As a result, a total of 102 patients were included, with 75 and 27 patients in E and E + p-TAE group, respectively. Most of the baseline data in E and E + p-TAE group were similar except for the proportion of protruded non-bleeding visible vessel (NBVV) (E group vs E + p-TAE group, 50.7% vs 74.1%, P = .035). The rebleeding rate of E + p-TAE group (3.7%) was significantly lower than E group (24.0%) (P = .02). The protruded NBVV (OR: 6.896, 95% confidence interval [CI]: 1.532-30.642, P = .01) and employment of p-TAE (OR: 0.038, 95% CI: 0.003-0.448, P = .009) were identified as independent risk factors for Forrest IIa ulcer rebleeding. Additionally, log-rank test indicated the rebleeding occurrence was greatly reduced by p-TAE in patients with protruded NBVVs (P = .006).In conclusion, the protruded NBVV and employment of p-TAE were the independent risk factors tightly associated with rebleeding of Forrest IIa ulcer. P-TAE following endoscopic hemostasis could effectively prevent Forrest IIa ulcer from rebleeding.


Subject(s)
Embolization, Therapeutic/methods , Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage/therapy , Secondary Prevention/methods , Adult , Aged , Angiography/methods , Catheterization/methods , Female , Humans , Logistic Models , Male , Middle Aged , Recurrence , Retrospective Studies , Treatment Outcome
14.
Ann Palliat Med ; 10(1): 61-73, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33545749

ABSTRACT

BACKGROUND: Elderly patients with painless colonoscopy often complain listlessness, fatigue when they left postanesthesia care unit (PACU). These patients also commonly occur hypotension during anesthesia. However, intravenous infusion and blood volume assessment are seldom performed in elderly patients. Therefore, we aimed to observe the effect of intravenous infusion and to explore the value of inferior vena cava diameter (IVCD) measurement by ultrasound in rapid recovery. METHODS: Randomized, controlled, clinical trials, elderly patients (aged ≥60 years) with painless colonoscopy were randomly divided into two groups: intravenous infusion versus no intravenous infusion was administered procedure. The primary outcome observed was the time required for complete recovery from anesthesia. Secondary outcomes included willingness to accept follow-up colonoscopy, discomfort symptoms, changes in the inferior vena cava (IVC)-related parameters. Hypotension was defined as a ≥20% decrease in systolic blood pressure (SBP) from baseline. The patients in the two groups were divided into non-hypotensive and hypotensive subgroups, respectively. Receiver operating characteristic (ROC) curves were used to determine the efficacy of the IVC-related parameters for predicting hypotension and the optimal threshold. RESULTS: A total of 65 patients were enrolled, including 34 patients in the infusion group and 31 patients in the conventional group. Administration of intravenous infusion reduced the time required for complete recovery and increased the willingness to accept follow-up colonoscopy and reduced discomfort symptoms. The IVC-related parameters were changed before and after bowel preparation and after reaching infusion loading dose. The ROC curve was used to predict hypotension during anesthesia. The maximum value of inferior vena cava diameter (IVCDmax) was the best predictive efficacy in the both groups [area under the ROC curve (AUC) =0.839, AUC =0.877, respectively]. CONCLUSIONS: Intravenous infusion promotes the rapid recovery of elderly patients with painless colonoscopy. Measurement of the IVCDmax can help to guide intravenous infusion.


Subject(s)
Ultrasonics , Vena Cava, Inferior , Aged , Colonoscopy , Humans , Infusions, Intravenous , Prospective Studies , Vena Cava, Inferior/diagnostic imaging
15.
Front Bioeng Biotechnol ; 9: 810897, 2021.
Article in English | MEDLINE | ID: mdl-35083208

ABSTRACT

Focal cortical dysplasia (FCD) type IIIa is an easily ignored cause of intractable temporal lobe epilepsy. This study aimed to analyze the clinical, electrophysiological, and imaging characteristics in FCD type IIIa and to search for predictors associated with postoperative outcome in order to identify potential candidates for epilepsy surgery. We performed a retrospective review including sixty-six patients with FCD type IIIa who underwent resection for drug-resistant epilepsy. We evaluated the clinical, electrophysiological, and neuroimaging features for potential association with seizure outcome. Univariate and multivariate analyses were conducted to explore their predictive role on the seizure outcome. We demonstrated that thirty-nine (59.1%) patients had seizure freedom outcomes (Engel class Ia) with a median postsurgical follow-up lasting 29.5 months. By univariate analysis, duration of epilepsy (less than 12 years) (p = 0.044), absence of contralateral insular lobe hypometabolism on PET/MRI (p Log-rank = 0.025), and complete resection of epileptogenic area (p Log-rank = 0.004) were associated with seizure outcome. The incomplete resection of the epileptogenic area (hazard ratio = 2.977, 95% CI 1.218-7.277, p = 0.017) was the only independent predictor for seizure recurrence after surgery by multivariate analysis. The results of past history, semiology, electrophysiological, and MRI were not associated with seizure outcomes. Carefully included patients with FCD type IIIa through a comprehensive evaluation of their clinical, electrophysiological, and neuroimaging characteristics can be good candidates for resection. Several preoperative factors appear to be predictive of the postoperative outcome and may help in optimizing the selection of ideal candidates to benefit from epilepsy surgery.

16.
Sci Rep ; 10(1): 20063, 2020 11 18.
Article in English | MEDLINE | ID: mdl-33208878

ABSTRACT

Duodenal dysbiosis may be potential infection risks in patients with severe acute pancreatitis (SAP). Acid-suppression drugs (ACDs) are widely used in SAP patients in Asian countries. However, the impact of ACDs on duodenal microbiota during the early phase of SAP is still unknown. This randomized controlled clinical trial evaluated the impacts of esomeprazole (Eso), one of ACDs on duodenal microbiota during the first week of SAP with duodenal aspirates culture and 16sRNA Illumina sequencing analysis. 66 patients were randomized as 1:1 ratio into Eso group (Eso 40 mg/day) and Eso-N group (no Eso). The occurrence of duodenal bacterial overgrowth (DBO) was significantly higher in Eso group (about 85%) than that in Eso-N group (about 42%). The duodenal microbiota of the SAP patients shifted away from that of the normal control. There were differences between the Eso-N and Eso groups including enriched abundances of the class Negativicutes, order Selenomonadales and genus Veillonella. Acid suppression significantly increased incidence of Candida oesophagitis (CE) by 8-folds but did not increase other infectious events. In conclusion, acid suppression greatly increased the occurrence of DBO, duodenal dysbiosis and CE during the first week of SAP. Restrictive use of acid-suppressing medications might be helpful to reduce CE and potential risk of pancreatic infection in SAP patients.Trial registration: Chictr.org, ChiCTR-IPR-16008301, Registered April 18 2016, http://www.chictr.org.cn/showproj.aspx?proj=14089 .


Subject(s)
Acids/metabolism , Anti-Ulcer Agents/pharmacology , Duodenum/drug effects , Dysbiosis/drug therapy , Esomeprazole/pharmacology , Microbiota/drug effects , Pancreatitis/drug therapy , Adolescent , Adult , Aged , Duodenum/microbiology , Dysbiosis/microbiology , Dysbiosis/pathology , Female , Humans , Male , Middle Aged , Pancreatitis/microbiology , Pancreatitis/pathology , Young Adult
17.
World J Clin Cases ; 8(11): 2116-2126, 2020 Jun 06.
Article in English | MEDLINE | ID: mdl-32548141

ABSTRACT

Achalasia is a type of esophageal motility disorder, consisting of relaxation dysfunction of the lower esophagus and disturbed esophageal peristalsis. Related clinical symptoms include dysphagia, regurgitation, chest pain, and weight loss. Traditional treatment options include endoscopic botulinum toxin injection, endoscopic pneumatic dilation, and laparoscopic Heller's myotomy. These therapies mainly relieve symptoms by reducing the pressure on the lower esophageal sphincter and reducing blood flow resistance at the esophagogastric junction. Based on endoscopic submucosal dissection and natural orifice transluminal endoscopic surgery, peroral endoscopic myotomy (POEM) is a purely endoscopic method of myotomy with minimal invasiveness and a low rate of adverse events when performed by experienced operators. Since then, numerous studies have shown the significant clinical efficacy and safety of POEM. The purpose of this article is to introduce different modified POEMs, special indications for different POEMs, and their advantages as well as disadvantages.

18.
Int Rev Neurobiol ; 151: 171-183, 2020.
Article in English | MEDLINE | ID: mdl-32448606

ABSTRACT

OBJECTIVE: To explore the strategy of surgical treatment of low-grade brain tumors associated with epilepsy. METHODS: Clinical data of 158 patients with low-grade brain tumors were collected from January 2011 to December 2017 in Guangdong Sanjiu brain hospital. All patients received Preoperative evaluation. Lesion site: 18 cases were located in multiple cerebral lobes, 10 cases were in the functional zones, 130 cases were in the non-functional zones (including 74 cases were in the medial of temporal lobe). The surgical strategy included subtotal resection, gross-total resection and enlarged resection. Postoperative effects were evaluated by Engel classification. RESULTS: A total of 158 patients underwent surgical treatment, among these patients, only 1 patient underwent intracranial electrode implantation. Surgical methods: 34 cases of subtotal resection, 3 cases of gross-total resection, 119 cases of enlarged resection (including Anterior temporal lobectomy in 74 cases) and 2 case of Selective hippocampal amygdalectomy. The final pathology suggested that there are 74 cases of ganglionglioma, 25 cases of dysembryoplastic neuroepithelial tumors, 9 cases of pilocytic astrocytoma, 16 cases of oligodendroglioma, 10 cases of pleomorphic xanthoastrocytoma, 4 case of diffuse astrocytoma, 9 cases of unclassified astrocytoma, 11 case of oligoastrocytoma. The follow-up time was between 1 and 7 years, with an average of 3.44±1.77 years. Postoperative recovery: 147 patients had an Engel Class I outcome, 10 patients were in Engel Class II, 1 patient was in Class IV. CONCLUSION: The strategy of surgical treatment of low-grade brain tumors associated with epilepsy should pay more attention to the preoperative assessment of the epileptogenic zone. The tumor is not exactly the same as the epileptogenic zone, and the strategy of surgical treatment depends on the tumor feature as well as whether it was located in temporal lobe or involved in functional areas.


Subject(s)
Brain Neoplasms/complications , Brain Neoplasms/surgery , Epilepsy/etiology , Neurosurgical Procedures/methods , Outcome and Process Assessment, Health Care , Adolescent , Adult , Child , Child, Preschool , Electroencephalography , Epilepsy/diagnosis , Epilepsy/physiopathology , Female , Follow-Up Studies , Humans , Male , Middle Aged , Neoplasm Grading , Preoperative Care , Retrospective Studies , Young Adult
19.
Sci Total Environ ; 722: 137677, 2020 Jun 20.
Article in English | MEDLINE | ID: mdl-32192967

ABSTRACT

Degraded ecosystems refer to systems that deviate from their natural state as a result of natural or anthropogenic disturbances. Alpine swamp meadows on the eastern edge of the Tibetan Plateau have dramatically degraded owing to climate change, overgrazing, and rodents. Understanding the influence of meadow degradation on soil water availability is essential for the development of hydrological models and alpine swamp meadows restoration, which has been poorly explored in the eastern Tibetan Plateau. In this study, we analyzed how degradation affects variation in soil water availability with a series of parameters derived from soil moisture content and soil water retention curves. Our results showed that (1) soil moisture content consistently decreased with degradation and increased with soil depth; (2) soil water retention curves decreased with increasing degradation due to coarser soils and organic matter loss. Field water capacity and the permanent wilting point decreased, whereas the air entry value increased with the severity of degradation; and (3) soil water availability, as represented by soil water potential, available soil water content and fraction was less responsive to degradation than individual soil moisture content or soil water retention curves, which showed similar decreasing trends. However, soil water potential, available soil water content and fraction under moderate and severe degradation were relatively lower than those under light degradation, especially in deep soil layers (>20 cm). Thus, swamp meadow degradation negatively influences soil water availability, which might impede water absorption by deeply rooted species, thereby inducing soil-water stress and possibly increasing drought vulnerability.

20.
Oncol Lett ; 19(4): 3111-3122, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32218862

ABSTRACT

Lung cancer is the leading cause of cancer-associated mortality worldwide. In China, in particular, lung cancer mortality has markedly increased and is likely to continue to rise. RNA-binding proteins are pivotal to the development and progression of a variety of cancer types, including non-small cell lung cancer (NSCLC). RNA-binding motif protein 47 (RBM47) has been found to act as a tumor suppressor in breast cancer and NSCLC. However, to the best of our knowledge, RBM47 expression in NSCLC tissues has yet to be investigated. Analysis via the online database, Gene Expression Omnibus, revealed that RBM47 was upregulated in NSCLC and associated with pathological type, suggesting that RBM47 may play different roles in lung adenocarcinoma and lung squamous cell carcinoma. In the present study, the expression of RBM47 was examined by immunohistochemistry in 175 pairs of tumor and adjacent non-cancerous tissues resected from patients with NSCLC. The results indicated that the expression of RBM47 was significantly increased in NSCLC samples compared with that in the matched non-cancerous samples. Furthermore, RBM47 expression was higher in Xuanwei compared with that in non-Xuanwei NSCLC, suggesting that RBM47 is a more sensitive biomarker in Xuanwei NSCLC, and that it may serve as a candidate therapeutic target. In addition, RBM47 expression was associated with the pathological type, however not with the age, sex, lymph node metastasis, pT stage or pathological Tumor-Node-Metastasis stage of the patients. The increased expression level of RBM47 may indicate a worse overall survival rate for patients with NSCLC. In addition, multivariate survival analysis showed that the Xuanwei area is associated with poor prognosis for patients with NSCLC. In conclusion, the present study revealed that the upregulation of RBM47 accelerated the malignant progression of NSCLC, indicating that RBM47 may be a potential biomarker for NSCLC progression and a therapeutic target for NSCLC.

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