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1Quantitative analysis of vascular endothelial growth factor, microvascular density and their clinicopathologic features in human hepatocellular carcinoma显示文摘BACKGROUND: Angiogenesis is known to be essential to the survival, growth, invasion, and metastasis of tumor cells. Vascular endothelial growth factor (VEGF) are an important angiogenic factor regulating tumor angiogenesis, but its significance and tumor pathologic features are un- clear in hepatocellular carcinoma (HCC). In the present study, we analyzed expression of tissue VEGF, alteration of microvascular density (MVD) in microvessel angiogenesis, development and metastasis of HCC, and level of serum VEGF in differential diagnosis of benign and malignant liv- er diseases. METHODS: Tumor specimens were prospectively collected from HCC patients undergoing resection. Total RNAs were extracted and the expression levels were detected from different parts of HCC tissues. The cellular distributions of VEGF and MVD of liver tumors and their paracancerous and distal cancerous tissues were investigated by streptavi- din peroxidase (S-P) immunohistochemistry, respectively. The VEGF levels of circulating blood and hepatoma tissues were measured by enzyme-linked immunosorbent assay. RESULTS: The incidence of VEGF expression was 63.9% in HCCs (23/36 cases), 78.3% in non-encapsulated HCCs (18/23), and 90.9% in HCCs with extrahepatic metastasis (10/11), respectively. The VEGF expression was tightly correlated with MVD (P <0.01). The MVD in HCC with metastasis, low differentiation or non-encapsulation was significantly higher than that in HCC with intact capsule, high differentiation, or no metastasis. No significant diffe- rence was found between VEGF, MVD, tumor size, and hepatitis virus infection. The level of total RNA in HCC tis- sues was significantly lower but the VEGF level significantly higher than those in paracancerous or distal cancerous ones (P<0.01). The abnormal expression levels of VEGF in sera of HCC patients were directly correlated with the me- tastasis and recurrence of tumors. CONCLUSION: The high expression of VEGF and abnor- mality of tissue MVD are useful predictors for vascular inva- sion and metastasis of liver tumors.Deng-Fu Yao, Xin-Hua Wu, Yong Zhu, Gong-Sheng Shi, Zhi-Zhen Dong, Deng-Bing Yao, Wei Wu, Li-Wei Qiu and Xian-Yong Meng Nantong, China Research Center of Clinical Molecular Biology , Department of Pathology and Department of Gastroenterology , Affiliated Hos- pital of Nantong University Department of Diagnostics , and Institute of Neurosciences , Nantong University Nantong 226001, China 2005Hepatobiliary & Pancreatic Diseases International2005,4,2:81
2Geochronology and petrogenesis of granitic rocks in Gangdese batholith, southern Tibet显示文摘Based on petrological and geochemical characteristics such as rock assemblage, petrogeochemistry, Sr-Nd isotope, zircon U-Pb age, and Hf isotope, we studied geochronological framework, magma types, source characters, and petrogenesis of different stages of magmatism of the granitic rocks from the Gangdese batholith in southern Tibet. The magmatic activities of the Gangdese batholith can be divided into three stages. The Mesozoic magmatism, induced by northern subduction of Neotethyan slab, was continuously developed, with two peak periods of Late Jurassic and Early Cretaceous. The Paleocene-Eocene magmatism was the most intensive, and resulted from a complex progress of Neotethyan oceanic slab, including subduction, rollback, and subsequent breakoff. And the Oligocene-Miocene magmatism was attributed to the convective removal of thickened lithosphere in an east-west extension setting after India-Asia collision. Isotopically, zircons from these granitic rocks are characterized by positive εHf(t) values, suggesting that the magmatic source of the Gangdese batholith might be an arc terrane, which was accreted to the southern margin of Asia during Late Paleozoic. Therefore, the chronological framework and Hf isotopic characteristics of the Gangdese batholith are distinct from the granitic rocks in adjacent areas, which can be served as a powerful tracer in studying source-to-sink relation of sediments during the uplift and erosion of Tibetan Plateau.JI WeiQiang WU FuYuan LIU ChuanZhou CHUNG SunLin 2009Science China Earth Sciences2009,52,9:89
3Increasing the frequency of CIK cells adoptive immunotherapy may decrease risk of death in gastric cancer patients显示文摘AIM: To analyze the correlation between cytokineinduced killer (CIK) cells adoptive immunotherapy and cancer-related death in gastric cancer patients. METHODS: One hundred and fifty-six gastric cancer patients after operation at the Third Affiliated Hospital of Soochow University were enrolled in this study. Their clinical data including demographic characteristics, operation time, tumor size, pathological type and staging, tumor metastasis, outcome of chemotherapy or CIK cells adoptive immunotherapy, survival time or time of death were collected with a standard structured questionnaire. Kaplan-Meier method was used to estimate the median survival time, and the 2- and 5- year survival rates. Hazard risk (HR) and 95% confidence interval (95% CI) of CIK cells adoptive immunotherapy for gastric cancer were calculated using the two-stage time-dependent covariates Cox model. RESULTS: The survival time of gastric cancer patients was longer after CIK cells adoptive immunotherapy than after chemotherapy (χ 2 = 10.907, P = 0.001). The median survival time of gastric cancer patients was also longer after CIK cells adoptive immunotherapy than after chemotherapy (49 mo vs 27 mo, P < 0.05). The 2- and 5-year survival rates of gastric cancer patients were significantly higher after CIK cells adoptive immunotherapy than after chemotherapy (73.5% vs 52.6%, 40.4% vs 23.9%, P < 0.05). A significant difference was observed in the survival curve for patients who received CIK cells adoptive immunotherapy (0, 1-10, 11-25, and over 25 frequencies) (χ 2 = 14.534, P = 0.002). The frequencies of CIK cells adoptive immunotherapy were significantly related with the decreasing risk of death in gastric cancer patients after adjustment for sex and age of the patients, tumor stage and relapse (HR = 0.54, 95% CI: 0.36-0.80) when the first stage Cox model was used to define the subjects who remained alive beyond 36 mo as survivors. However, no correlation was observed between the frequencies of death in CIK cells adoptive immunotherapy and the risk of gastric cancer patients (HR = 1.09, 95% CI: 0.63-0.89) when the second stage Cox model was used to define the subjects who survived for more than 36 mo as survivors. CONCLUSION: The survival time of the gastric cancer patients treated with chemotherapy combined with CIK cells adoptive immunotherapy is significantly longer than that of the patients treated with chemotherapy alone and increasing the frequency of CIK cells adoptive immunotherapy seems to benefit patients more.Jing-Ting Jiang, Chang-Ping Wu, Lu-Jun Chen, Xiao Zheng, Department of Tumor Biological Treatment, Third Affiliated Hospital of Soochow University, Changzhou 213003, Jiangsu Province, China Yi-Bei Zhu, Jing Sun, Xue-Guang Zhang, Key Laboratory of Stem Cell of Jiangsu Province, Institute of Biotechnology, Key Laboratory of Clinical Immunology of Jiangsu Province, Soochow University, Suzhou 215123, Jiangsu Province, China Yue-Ping Shen, Wen-Xiang Wei, Department of Medicine, Soochow University, Suzhou 215123, Jiangsu Province, China Bin-Feng Lu, Department of Immunology, University of Pitts- burgh School of Medicine, Pittsburgh, PA 15261, United States 2010World Journal of Gastroenterology2010,16,48:82
4辽西医巫闾山地区瓦子峪变质核杂岩的厘定(英文)显示文摘以前未被发现的辽西医巫闾山地区瓦子峪变质核杂岩主要由一条向西倾的低角度正断层———瓦子峪拆离断层组成 ,它将由早白垩世沉积岩和火山岩组成的上盘与糜棱岩化和未变形的下盘分开。瓦子峪拆离断层 (以前称之为孙家湾—稍户营子断裂 )位于变质核杂岩的西侧 ,倾角 10~ 4 0°,构造标志指示向北西方向 (约 2 90°)剪切。与早白垩世地壳伸展相伴生的下盘糜棱岩剪切方向也是北西向 ,这与瓦子峪拆离断层运动相关。已经发表的和未发表的锆石U Pb年龄、40 Ar/3 9Ar热年代学和上盘阜新盆地中生物地层的时代研究表明 ,地壳伸展和变质核杂岩形成时代为早白垩世 (约 12 7~ 116Ma)。我们未发现以前文献报道的医巫闾山是一对称的变质核杂岩的任何证据。瓦子峪变质核杂岩以及WNW侧的拆离断层的厘定会加深我们对华北克拉通早白垩世伸展作用的理解和认识 ,下一步的研究重点包括野外构造研究以确定拆离断层和下盘糜棱岩的空间展布 ,进一步采集样品以研究变质核杂岩的地质 /热年代学和变质核杂岩范围内的岩体成因。我们认为瓦子峪变质核杂岩的形成是太平洋板块边界重组、早白垩世岩浆作用致使地壳升温 ,从而导致经造山作用而加厚的地壳垮塌的结果。Brian J. DARBY Gregory A. DAVIS ZHANG Xiao-hui WU Fu-yuan Simon WILDE YANG Jin-hui 2004地学前缘2004,11,3:84
5Emplacement age of the Tahe granite and its constraints on the tectonic nature of the Ergun block in the northern part of the Da Hinggan Range显示文摘Large-scale granitic plutons are exposed in the Ergun block in the northern part of the Da Hinggan Range, but their emplacement age and petrogenesis remain un-known. Of these plutons, the Tahe pluton is composed mainly of porphyritic syenogranite and monzogranite, with minor hornblende alkali feldspar granite and gabbro, which have affinities to post-orogenic granitoids. Laser-ablation Induc-tively Coupled Plasma Mass-spectroscope (LA-ICP-MS) analysis shows that the major rock types of the Tahe pluton formed at 494-480 Ma ago, indicating its emplacement in the Early Paleozoic. It is concluded, therefore, that the colli-sion between the Ergun and the Xing’an blocks ended in Early Paleozoic. Considering the geochronological data of the plutons in the adjacent areas, the Early Paleozoic evolu-tionary history of the Ergun block is similar to the central Mongolia and the Tuvino blocks in Mongolia, and the Ergun block should be a part of the accretionary continental mar-gin in the southern Siberian Craton.GE Wenchun WU Fuyuan ZHOU Changyong Abdel Rahman A. A. 2005Chinese Science Bulletin2005,50,18:111
6Changes in hippocampal connectivity in the early stages of Alzheimer's disease: evidence from resting state fMRI显示文摘Wang L Zang Y He Y Liang M Zhang X Tian L Wu T Jiang T Li K 2006中国生物学文摘2006,20,10:84
7Porphyry Cu-Mo deposits in the eastern Xing’an-Mongolian Orogenic Belt: Mineralization ages and their geodynamic implications显示文摘东方 Xing “一 -- 蒙古(Xing-Meng ) Orogenic 带(XMOB ) 是斑岩铜(Cu ) 的重要区域之一在中国的铝(瞬间) 存款。然而,在矿化作用和他们的 geodynamic 意义的准确年龄的研究是很有限的。在这研究,从 Duobaoshan Cu 的 granodioritic 岩石扔, Daheishan 瞬间沉积物被选择做锆石虾 U-Pb 分析以便抑制他们的矿化作用年龄。Geochronological 数据显示矿化作用的二个事件发生在 Duobaoshan Cu 存款。与 Duobaoshan 斑岩 Cu 存款有关的 granodiorite 被形成在与 485 ± 8 妈的锆石 U-Pb 年龄早古生代,而与 Sankuanggou skarn 类型 Cu 存款有关的 granodiorites 是 emplaced 在里面,有锆石 U-Pb 的侏罗记 176 ± 3 和 177 ± 3 妈变老。在吉林省的 Daheishan 区域,与斑岩瞬间存款有关的 granodiorite 斑岩的炮兵阵地年龄在 178 ± 3 妈在 170 ± 3 妈,和 unmineralized monzogranite 被标明日期。因此, Cu 瞬间矿化作用的二个事件分别地在东方 XMOB 被开发,在 -485 妈和 -175 妈。基于地质的历史和 granitoids 的空间时间的分发在东北( NE )中国, Duobaoshan Cu 存款与 Xing 的碰撞有关,这被建议“and Erguna 堵住在早古生代,并且 Sankuanggou Cu 和 Daheishan 瞬间存款在侏罗记期间与Paleo和平的板的 subduction 有关。GE WenChun WU FuYuan ZHOU ChangYong ZHANG JiHeng 2007Chinese Science Bulletin2007,52,24:108
8MicroRNA-21 targets tumor suppressor genes in invasion and metastasis显示文摘MicroRNAs (miRNAs ) 是在 post-transcriptional 指向编码蛋白质的 mRNAs 的小非编码的 RNA 铺平的自然地发生的一个班。我们的以前的研究建议 mir-21 作为 oncogene 工作并且在 tumorigenesis 有一个角色,部分地通过肿瘤的规定压制或基因对流肌浆球蛋白 1 (TPM1 ) 。给那 TPM1 在房间移植被含有,在我们进一步调查了的这研究在房间侵略和肿瘤转移的 mir-21 的角色。我们发现在变形乳癌 MDA-MB-231 房间的 mir-21 的抑制显著地减少了侵略和肺转移。与这一致, TPM1 的宫外的表示显著地减少了房间侵略。而且,我们识别了二个另外的直接 mir-21 目标,规划房间死亡 4 (PDCD4 ) 并且妈大头针,哪个在侵略和转移被含有。象 TPM1 一样, PDCD4 和妈大头针也减少了 MDA-MB-231 房间的侵略海角。最后, PDCD4 的表示和妈大头针相反地在人的胸肿瘤标本与 mir-21 表示相关,显示由在这些肿瘤的 mir-21 的 PDCD4 和妈大头针的潜在的规定。总起来说,结果建议作为 oncogenic miRNA, mir-21 由指向多重肿瘤 / 转移不仅在肿瘤生长而且在侵略和肿瘤转移有一个角色压制或基因。因此, mir-21 的抑制可以为先进癌症的治疗提供一条新奇途径。Shuomin Zhu Hailong Wu Fangting Wu Daotai Nie Shijie Sheng Yin-Yuan Mo 2008Cell Research2008,18,3:205
9In situ simultaneous determination of trace elements,U-Pb and Lu-Hf isotopes in zircon and baddeleyite显示文摘This paper describes a combined method of simultaneously measuring U-Pb and Lu-Hf isotopes as well as trace elements in Phalaborwa baddeleyite and 91500, GJ-1, TEMORA-1 and SK10-2 zircons by means of Neptune MC-ICPMS and Agilent Q-ICPMS connected to a 193 nm excimer laser ablation system. Material ablated by laser was carried in different proportions into Q-ICPMS for U-Pb isotopic and trace elemental and MC-ICPMS for Lu-Hf isotopic compositions. Experiments indicate that different proportions of ablated material for the Q-ICPMS and MC-ICPMS (6:4, 5:5 and 4:6 respectively) do not show any bias for the zircon/baddeleyite U-Pb age, Lu-Hf isotope and trace elemental compositions within ana-lytical errors. Using 40―60 μm spot size, the obtained U-Pb ages of Phalaborwa baddeleyite, 91500, GJ-1, TEMORA and SK10-2 zircons are 2065±15 (2σ, n=20), 1063±6 (2σ, n=19), 613±6 (2σ, n=20), 416±5 (2σ, n=20) and 32.6±0.5 (2σ, n=20) Ma, respectively. The 176Hf/177Hf ratios are 0.281231±24 (2SD, n=20), 0.282310±35 (2SD, n=19), 0.282028±34 (2SD, n=20), 0.282687±34 (2SD, n=20) and 0.282752±53 (2SD, n=20), respectively. The obtained trace elemental compositions are identical to the reference values. Therefore, this kind of technique makes it possible to simultaneously obtain the U-Pb age, Lu-Hf iso-topes and trace elemental compositions of zircon and baddeleyite, which could be an important tool in solving problems in earth sciences.XIE LieWen ZHANG YanBin ZHANG HuiHuang SUN JingFeng WU FuYuan 2008Chinese Science Bulletin2008,53,10:97
10Fluid therapy for severe acute pancreatitis in acute response stage显示文摘为严重尖锐胰腺炎(树液) 的背景液体治疗不应该仅仅解决血体积的缺乏,而且在尖锐反应舞台阻止液体隐遁。最新,在那里,为液体治疗的策略没奉献给树液。那么,这研究被瞄准在树液的预后上调查液体治疗治疗的效果。76 个病人在 72 小时树液发作以内根据标准有希望地被招收的方法。他们随机被分到一个快速的液体扩大组(组我, n=36 ) 并且一个控制液体扩大组(组, n=40 ) 。血液动力学的混乱快速是任何一个(液体注入率是 10-15 ml 吗??MAO En-qiang TANG Yao-qing FEI Jian QIN Shuai WU Jun LI Lei MIN Dong ZHANG Sheng-dao 2009Chinese Medical Journal2009,,2:89
11Spatial patterns and driving forces of land use change in China during the early 21st century显示文摘Land use and land cover change as the core of coupled human-environment systems has become a potential field of land change science (LCS) in the study of global environmental change. Based on remotely sensed data of land use change with a spatial resolution of 1 km × 1 km on national scale among every 5 years, this paper designed a new dynamic regionalization according to the comprehensive characteristics of land use change including regional differentiation, physical, economic, and macro-policy factors as well. Spatial pattern of land use change and its driving forces were investigated in China in the early 21st century. To sum up, land use change pattern of this period was characterized by rapid changes in the whole country. Over the agricultural zones, e.g., Huang-Huai-Hai Plain, the southeast coastal areas and Sichuan Basin, a great proportion of fine arable land were engrossed owing to considerable expansion of the built-up and residential areas, resulting in decrease of paddy land area in southern China. The development of oasis agriculture in Northwest China and the reclamation in Northeast China led to a slight increase in arable land area in northern China. Due to the 'Grain for Green' policy, forest area was significantly increased in the middle and western developing regions, where the vegetation coverage was substantially enlarged, likewise. This paper argued the main driving forces as the implementation of the strategy on land use and regional development, such as policies of 'Western Development', 'Revitalization of Northeast', coupled with rapidly economic development during this period.LIU Jiyuan ZHANG Zengxiang XU Xinliang KUANG Wenhui ZHOU Wancun ZHANG Shuwen LI Rendong YAN Changzhen YU Dongsheng WU Shixin JIANG Nan 2010Journal of Geographical Sciences2010,20,4:154
12Timing,scale and mechanism of the destruction of the North China Craton显示文摘The North China Craton (NCC) is a classical example of ancient destroyed cratons.Since the initiation of the North China Craton Destruction Project by the National Natural Science Foundation of China,numerous studies have been conducted on the timing,scale,and mechanism of this destruction through combined interdisciplinary research.Available data suggest that the destruction occurred mainly in the eastern NCC,whereas the western NCC was only locally modified.The sedimentation,magmatic activities and structural deformation after cratonization at ~1.8 Ga indicate that the NCC destruction took place in the Mesozoic with a peak age of ca 125 Ma.A global comparison suggests that most cratons on Earth are not destroyed,although they have commonly experienced lithospheric thinning;destruction is likely to occur only when the craton has been disturbed by oceanic subduction.The destruction of the NCC was coincident with globally active plate tectonics and high mantle temperatures during the Cretaceous.The subducted Pacific slab destabilized mantle convection beneath the eastern NCC,which resulted in cratonic destruction in the eastern NCC.Delamination and/or thermal-mechanical-chemical erosion resulted from the destabilization of mantle convection.ZHU RiXiang CHEN Ling WU FuYuan LIU JunLai 2011Science China Earth Sciences2011,54,6:178
13Spatial distribution and pollution assessment of heavy metals in urban soils from southwest China显示文摘To identify the concentrations and sources of heavy metals, and to assess soil environmental quality, 63 soil samples were collected in Yibin City, Sichuan Province, China. Mean concentrations of As, Pb, Zn, and Cu were 10.55, 61.23, 138.88 and 56.35 mg/kg, respectively. As concentrations were comparable to background values, while Pb, Zn, and Cu concentrations were higher than their corresponding background values. Industrial areas exhibited the highest concentrations of As, Pb, Zn, and Cu, while the lowest concentrations occurred in parks. Statistical analysis was performed and two cluster groups of metals were identified with Pb, Zn, and Cu in one group and As in the other. Spatial distribution maps indicated that Pb, Zn, and Cu were mainly controlled by anthropogenic activities, whereas As could be mainly accounted for by soil parent materials. Pollution index values of As, Pb, Zn, and Cu varied in the range of 0.24-1.93, 0.66-7.24, 0.42-4.19, and 0.62-5.25, with mean values of 0.86, 1.98, 1.61, and 1.78, respectively. The integrated pollution index (IPI) values of these metals varied from 0.82 to 3.54, with a mean of 1.6 and more than 90% of soil samples were moderately or highly contaminated with heavy metals. The spatial distribution of IPI showed that newer urban areas displayed relatively lower heavy metal contamination in comparison with older urban areas.Guanghui Guo Fengchang Wu Fazhi Xie Ruiqing Zhang 2012Journal of Environmental Sciences2012,24,3:86
14Photoperiod- and thermo-sensitive genic male sterility in rice are caused by a point mutation in a novel noncoding RNA that produces a small RNA显示文摘光周期敏感、 thermo 敏感的遗传因子的男绝育(PGMS 和 TGMS ) 是为在庄稼的混合繁殖的核心部件。基于使用的较普通活字大一倍的系统, PGMS 和 TGMS 衬里的混合大米是成功地在农业广泛地发展了并且适用。然而,位于 PGMS 和 TGMS 的控制下面的分子的机制仍然保持阴暗。在这研究,我们印射并且克隆一个主要地点, p/tms12-1 (染色体 12 上的感光性或 thermo 敏感的遗传因子的男绝育地点) 它在装饰用的梨树米饭线 Nongken 58S (NK58S ) 授与 PGMS 和在 indica 米饭的 TGMS 衬里 Peiai 64S (PA64S,源于 NK58S ) 。包含野类型的等位基因 P/TMS12-1 的 A 2.4-kb DNA 碎片能在基因互补恢复 NK58S 和 PA64S 植物的花粉富饶。P/TMS12-1 编码唯一的 noncoding RNA,它生产 21 核苷酸我们说出 osa-smR5864w 的小 RNA。在 p/tms12-1 的 C-to-G 的替换,相对 P/TMS12-1 的唯一的多型性,在变异的小 RNA 是在场的,也就是 osa-smR5864m。而且,在转基因的 NK58S 和 PA64S 植物的 P/TMS12-1 的一个 375-bp 序列的 overexpression 也生产了 osa-smR5864w 并且恢复了花粉富饶。小 RNA 在年轻圆锥花序优先地被表示,但是它的表示没被不同的天长度或温度显著地影响。我们的结果表明在 p/tms12-1 的点变化,可能为 osa-smR5864m 导致 loss-of-function,分别地在装饰用的梨树和 indica 线为 PGMS 和 TGMS 组成一个普通原因。我们的调查结果因此建议那小 RNA 基因是的这 noncoding 男开发的一个重要管理者由在基因网络和环境条件之间的串音控制了。Hai Zhou Qinjian Liu Jing Li Dagang Jiang Lingyan Zhou Ping Wu Sen Lu Feng Li Liya Zhu Zhenlan Liu Letian Chen Yao-Guang Liu Chuxiong Zhuang 2012Cell Research2012,22,4:99
15Analysis of DC Grid Prospects in China显示文摘随着化石能源的日益枯竭,中国已将发展可再生能源提升至重要地位,并逐步实现能源结构的战略性调整。分析可再生能源发电的间歇性与不稳定性特点,以及可再生能源发电集中并网带来的稳定性问题,提出通过建设广域覆盖的直流电网以有效解决可再生能源集中并网的有功波动问题。建设全国性的直流骨干输电网,不仅可更有效地利用可再生能源,也将积极推动坚强智能电网的建设。与交流系统相比,直流电网在未来城市配电、微网等领域也有较大的优势。根据中国国情,对直流电网在中国建设的可行性进行了具体分析,并提出中国直流电网主干结构设想图,指出了直流电网建设的一些关键技术问题,为中国直流电网建设提供参考。WEN Jialiang WU Rui Peng Chang Wang Yu 2012中国电机工程学报2012,32,13:172
16Two-stage vs single-stage management for concomitant gallstones and common bile duct stones显示文摘AIM:To evaluate the safety and effectiveness of twostage vs single-stage management for concomitant gallstones and common bile duct stones.METHODS:Four databases,including PubMed,Embase,the Cochrane Central Register of Controlled Trials and the Science Citation Index up to September 2011,were searched to identify all randomized controlled trials(RCTs).Data were extracted from the studies by two independent reviewers.The primary outcomes were stone clearance from the common bile duct,postoperative morbidity and mortality.The secondary outcomes were conversion to other procedures,number of procedures per patient,length of hospital stay,total operative time,hospitalization charges,patient acceptance and quality of life scores.RESULTS:Seven eligible RCTs [five trials(n = 621) comparing preoperative endoscopic retrograde cholangiopancreatography(ERCP)/endoscopic sphincterotomy(EST) + laparoscopic cholecystectomy(LC) with LC + laparoscopic common bile duct exploration(LCBDE);two trials(n = 166) comparing postoperative ERCP/EST + LC with LC + LCBDE],composed of 787 patients in total,were included in the final analysis.The metaanalysis detected no statistically significant difference between the two groups in stone clearance from the common bile duct [risk ratios(RR) =-0.10,95% confidence intervals(CI):-0.24 to 0.04,P = 0.17],postoperative morbidity(RR = 0.79,95% CI:0.58 to 1.10,P = 0.16),mortality(RR = 2.19,95% CI:0.33 to 14.67,P = 0.42),conversion to other procedures(RR = 1.21,95% CI:0.54 to 2.70,P = 0.39),length of hospital stay(MD = 0.99,95% CI:-1.59 to 3.57,P = 0.45),total operative time(MD = 12.14,95% CI:-1.83 to 26.10,P = 0.09).Two-stage(LC + ERCP/EST) management clearly required more procedures per patient than single-stage(LC + LCBDE) management.CONCLUSION:Single-stage management is equivalent to two-stage management but requires fewer procedures.However,patient's condition,operator's expertise and local resources should be taken into account in making treatment decisions.Jiong Lu Yao Cheng Xian-Ze Xiong Yi-Xin Lin Si-Jia Wu Nan-Sheng Cheng 2012World Journal of Gastroenterology2012,18,24:107
17Outline of the Report on Cardiovascular Disease in China,2010显示文摘Major and profound changes have taken place in China over the past 30 years.Rapid socioeconomic progress has exerted a great impact on lifestyle,ranging from food,clothing,working and living conditions,and means of transportation to leisure activities and entertainment.At the same time,new health problems have emerged,and health services are facing new challenges.Presently,cardiovascular diseases (CVD) are among the top health problems of the Chinese people,and pose a serious challenge to all engaged in the prevention and control of these diseases.An epidemic of CVD in China is emerging as a result of lifestyle changes,urbanization and longevity.Both national policy decision-making and medical practice urgently need an authoritative report which comprehensively reflects the trends in the epidemic of CVD and current preventive measures.Since 2005,guided by the Bureau of Disease Prevention of the Ministry of Health of the People's Republic of China and the National Center for Cardiovascular Diseases of China,nationwide experts in the fields of epidemiology,clinical medicine and health economics in the realms of CVD,cerebrovascular disease,diabetes and chronic kidney disease,completed the Report on Cardiovascular Diseases in China every year.The report aims to provide a timely review of the trend of the epidemic and to assess the progress of prevention and control of CVD.In addition,as the report is authoritative,representative and readable,it will become an information platform in the CVD field and an important reference book for government,academic institutes,medical organizations and clinical physicians.This publication is expected to play a positive role in the prevention and control of CVD in China.We present an abstract from the Report on Cardiovascular Diseases in China (2010),including trends in CVD,morbidity and mortality of major CVDs,up-to-date assessment of risk factors,as well as health resources for CVD,and a profile of medical expenditure,with the aim of providing evidence for decision-making in CVD prevention and control programs in China,and of delivering the most authoritative information on CVD prevention and control for all citizens.HUSheng Shou KONG Ling Zhi GAO Run Lin ZHU Man Lu WANG Wen WANG Yong Jun WU Zhao Su CHEN Wei Wei LIU Ming Bo For the editorial board 2012Biomedical and Environmental Sciences2012,25,3:93
18心理韧性研究诸进路显示文摘心理韧性研究自发轫至今出现了若干可供遵循的进路,主要有:以人为中心模型、以变量为中心模型、时间路径模型和因素-过程模型等。以人为中心进路围绕'人'开展研究,将甄别出的心理韧性者与非韧性者及未经历严重压力/逆境者进行比较,尝试理解心理韧性的由来。以变量为中心进路则聚焦于压力/危险逆境指标、心理韧性相关因子及心理社会发展功能指标,经由分析这些变量的关系以探寻和推测心理韧性发展的机制。时间路径进路专注于时间进程,追踪研究对象在严重压力/逆境开始前后到相当长一段时期心理社会功能变化过程特点,以解读人类压力/逆境适应系统的运作特征及其功能差异,推断心理韧性发展的过程及机制。因素-过程整合进路则以生态系统理论为指导,兼顾因素与过程,尝试提供一个更具研究指导性的心理韧性整合模型和一套机制解释策略基准框架。诸心理韧性研究进路各有侧重,互有长短,研究者对之了然于胸将有助于选择适切的研究设计与分析策略,取长避短,从而提高研究揭示效力。席居哲 左志宏 WU Wei 2012心理科学进展2012,20,9:140
19The incidences and mortalities of major cancers in China, 2009显示文摘In 2012, the National Central Cancer Registry (NCCR) of China collected cancer registration information for the year 2009 from local cancer registries and analyzed it to describe the incidences and mortalities of cancers in China. Based on the data quality criteria from NCCR, data from 104 registries covering 85,470,522 people (57,489,009 in urban areas and 27,981,513 in rural areas) were checked and evaluated. The data from 72 registries were qualified and accepted for the cancer registry annual report in 2012. The total cancer incident cases and cancer deaths were 244,366 and 154,310, respectively. The morphologically verified cases accounted for 67.23%, and 3.14% of the incident cases only had information from death certifications. The crude incidence in the Chinese cancer registration areas was 285.91/ 100,000 (317.97/100,000 in males and 253.09/100,000 in females). The age-standardized rates for incidences based on the Chinese standard population (ASRIC) and the world standard population (ASRIW) were 146.87/100,000 and 191.72/100,000, respectively, with a cumulative incidence of 22.08%. The cancer mortality in the Chinese cancer registration areas was 180.54/100,000 (224.20/100,000 in males and 135.85/100,000 in females). The age-standardized rates for mortalities based on the Chinese standard population (ASRMC) and the world standard population (ASRMW) were 85.06/100,000 and 115.65/100,000, respectively, and the cumulative mortality was 12.94% . Lung cancer, gastric cancer, colorectal cancer, liver cancer, esophageal cancer, pancreatic cancer, encephaloma, lymphoma, female breast cancer, and cervical cancer were the most common cancers, accounting for 75% of all cancer cases. Lung cancer, gastric cancer, liver cancer, esophageal cancer, colorectal cancer, pancreatic cancer, breast cancer, encephaloma, leukemia, and lymphoma accounted for 80% of all cancer deaths. The cancer registration's population coverage has been increasing, and its data quality is improving. As the basis of the cancer control program, the cancer registry plays an important role in directing anticancer strategies in the medium and long term. Because cancer burdens are different in urban and rural areas in China, prevention and control efforts should be based on practical situations.Wanqing Chen Rongshou Zheng Siwei Zhang Ping Zhao Guanglin Li Lingyou Wu Jie He 2013Chinese Journal of Cancer2013,32,3:111
20Report of incidence and mortality in China cancer registries, 2009显示文摘Objective: The National Central Cancer Registry (NCCR) collected cancer registration data in 2009 from local cancer registries in 2012, and analyzed to describe cancer incidence and mortality in China. Methods: On basis of the criteria of data quality from NCCR, data submitted from 104 registries were checked and evaluated. There were 72 registries' data qualified and accepted for cancer registry annual report in 2012. Descriptive analysis included incidence and mortality stratified by area (urban/rural), sex, age group and cancer site. The top 10 common cancers in different groups, proportion and cumulative rates were also calculated. Chinese population census in 1982 and Segi's population were used for age-standardized incidence/mortality rates. Results: All 72 cancer registries covered a total of 85,470,522 population (57,489,009 in urban and 27,981,513 in rural areas). The total new cancer incident cases and cancer deaths were 244,366 and 154,310, respectively. The morphology verified cases accounted for 67.23%, and 3.14% of incident cases only had information from death certifications. The crude incidence rate in Chinese cancer registration areas was 285.91/100,000 (males 317.97/100,000, females 253.09/100,000), age-standardized incidence rates by Chinese standard population (ASIRC) and by world standard population (ASIRW) were 146.87/100,000 and 191.72/100,000 with the cumulative incidence rate (0-74 age years old) of 22.08%. The cancer incidence and ASIRC were 303.39/100,000 and 150.31/100,000 in urban areas whereas in rural areas, they were 249.98/100,000 and 139.68/100,000, respectively. The cancer mortality in Chinese cancer registration areas was 180.54/100,000 (224.20/100,000 in males and 135.85/100,000 in females), age-standardized mortality rates by Chinese standard population (ASMRC) and by world standard population (ASMRW) were 85.06/100,000 and 115.65/100,000, and the cumulative incidence rate (0-74 age years old) was 12.94%. The cancer mortality and ASMRC were 181.86/100,000 and 80.86/100,000 in urban areas, whereas in rural areas, they were 177.83/100,000 and 94.40/100,000 respectively. Lung cancer, gastric cancer, colorectal cancer, liver cancer, esophageal cancer, pancreas cancer, encephaloma, lymphoma, female breast cancer and cervical cancer, were the most common cancers, accounting for 75% of all cancer cases in urban and rural areas. Lung cancer, gastric cancer, liver cancer, esophageal cancer, colorectal cancer, pancreatic cancer, breast cancer, encephaloma, leukemia and lymphoma accounted for 80% of all cancer deaths. The cancer spectrum showed difference between urban and rural areas, males and females. The main cancers in rural areas were cancers of the stomach, followed by esophageal cancer, lung cancer, liver cancer and colorectal cancer, whereas the main cancer in urban areas was lung cancer, followed by liver cancer, gastric cancer and colorectal cancer. Conclusions: The coverage of cancer registration population has been increasing and data quality is improving. As the basis of cancer control program, cancer registry plays an important role in making anticancer strategy in medium and long term. As cancer burdens are different between urban and rural areas in China, prevention and control should be implemented based on practical situation.Wanqing Chen Rongshou Zheng Siwei Zhang Ping Zhao Guanglin Li Lingyou Wu Jie He 2013Chinese Journal of Cancer Research2013,25,1:202
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