Objective To explore the influence factors in hematoma formation after removing benign breast lesions with an ultrasound-guided vacuum-assisted system.Methods A total of 232 females with 312 benign breast masses recei...Objective To explore the influence factors in hematoma formation after removing benign breast lesions with an ultrasound-guided vacuum-assisted system.Methods A total of 232 females with 312 benign breast masses received excisional biopsy with ultrasoundguided vacuum-assisted system.The pathology of patients,results of hematoma development and outcome,influence factors for hematoma occurrence(nodule size,nodule location,number of nodule,breast shape,menstrual period,efficacy time of bandage,and application of hemostatic agents during the procedure) were recorded.Results Pathologic examination revealed fibroadenomas in 138 lesions,fibroadenosis in 127 lesions,intraductal papillomas in 39 lesions,inflammatory change in 4 lesions,retention cyst of the breast in 3 lesions,and benign phyllodes tumor in 1 lesion.Thirty hematomas were observed in patients(9.6%).Finally,97.0%hematomas were absorbed completely within 6 months follow-up.The incidence rates of hematoma were increased by 24.7%,10.0%,63.2%,13.9%in the nodule diameter larger or equal to 25 mm group,removal of larger or equal to two nodules once time from one patient group,menstrual period group,and larger and loose breast group,respectively(all P<0.05).However,the incidences were decreased by 60.6%in the bandage performed for 12-24 hours or beyond 24 hours group(P<0.05).The multiple logistic regression models revealed that nodule size(x^2=15.227,P<0.001),number of nodule(x^2=7.767,P=0.005),menstrual period(x^2=24.530,P<0.001),and breast shape(x^2=9.559,P=0.002) were independent risk factors associated with hematoma occurrence,but efficacy time of bandage was a protective factor associated with hematoma occurrence.Conclusion The occurrence of hematoma after the minimally invasive operation was associated with nodule size,number of nodule,menstrual period,breast shape,and efficacy time of bandage.展开更多
The early Paleozoic tectonic evolution of the Xing'an-Mongolian Orogenic Belt is dominated by two oceanic basins on the northwestern and southeastern sides of the Xing'an Block,i.e.,the Xinlin-Xiguitu Ocean an...The early Paleozoic tectonic evolution of the Xing'an-Mongolian Orogenic Belt is dominated by two oceanic basins on the northwestern and southeastern sides of the Xing'an Block,i.e.,the Xinlin-Xiguitu Ocean and the Nenjiang Ocean.However,the early development of the Nenjiang Ocean remains unclear.Here,we present zircon U-Pb geochronology and whole-rock elemental and Sr-Nd isotopic data on the gabbros in the Xinglong area together with andesitic tuffs and basalts in the Duobaoshan area.LA-ICP-MS zircon U-Pb dating of gabbros and andesitic tuffs yielded crystallization ages of 443-436 Ma and 452-451 Ma,respectively.The Early Silurian Xinglong gabbros show calc-alkaline and E-MORB affinities but they are enriched in LILEs,and depleted in HFSEs,with relatively low U/Th ratios of 0.18-0.36 andεNd(t)values of-1.6 to+0.5.These geochemical features suggest that the gabbros might originate from a mantle wedge modified by pelagic sediment-derived melts,consistent with a back-arc basin setting.By contrast,the andesitic tuffs are characterized by high MgO(>5 wt.%),Cr(138-200 ppm),and Ni(65-110 ppm)contents,and can be termed as high-Mg andesites.Their low Sr/Y ratios of 15.98-17.15 and U/Th values of 0.24-0.25 and moderate(La/Sm)_n values of 3.07-3.26 are similar to those from the Setouchi Volcanic Belt(SW Japan),and are thought to be derived from partial melting of subducted sediments,and subsequent melt-mantle interaction.The Duobaoshan basalts have high Nb(8.44-10.30 ppm)and TiO2 contents(1.17-1.60 wt.%),typical of Nb-enriched basalts.They are slightly younger than regional adakitic rocks and have positiveεNd(t)values of+5.2 to+5.7 and are interpreted to be generated by partial melting of a depleted mantle source metasomatized by earlier adakitic melts.Synthesized with coeval arc-related igneous rocks from the southeastern Xing'an Block,we propose that the Duobaoshan high-Mg andesitic tuffs and Nbenriched basalts are parts of the Late Ordovician and Silurian Sonid Zuoqi-Duobaoshan arc belt,and they were formed by the nor展开更多
BACKGROUND Tinnitus affects 10%-30%of the population.Recent evidence suggests that tinnitus is associated with spleen deficiency.However,compared with kidney deficiency-related tinnitus,less research has been conducte...BACKGROUND Tinnitus affects 10%-30%of the population.Recent evidence suggests that tinnitus is associated with spleen deficiency.However,compared with kidney deficiency-related tinnitus,less research has been conducted on the impact of spleen defi-ciency-related tinnitus.AIM To investigate the clinical efficacy of using Guipi Wan and dietary and lifestyle modification based on traditional Chinese medicine for treatment of patients with spleen and stomach deficiency-related tinnitus.METHODS We enrolled 110 patients with spleen and stomach deficiency-related tinnitus who were distributed into treatment(58 cases)and control(52 cases)groups.Tinnitus severity,sleep quality and emotional state were assessed by questionnaires[Tinnitus Evaluation Questionnaire(TEQ);Pittsburgh Sleep Quality Index(PSQI);Depression-Anxiety-Stress Scale-21(DASS-21)]that were used for analysis in the two groups during the initial and intervention and after.In the treatment group,patients were treated with oral administration of Guipi Wan and consulted for healthy dietary and lifestyle modification.In the control group,patients were only assessed and not treated.RESULTS At the end of the 6-months,TEQ scores decreased significantly in the treatment group(P=0.021)but not in the Control group.Significant effects in the treatment group were noted for PSQI total score(P=0.043)and several PSQI component scores in the treatment group(P<0.05).After treatment,the DASS-21 scores were significantly reduced in the treatment group(P<0.05).CONCLUSION Guipi Wan combined with dietary and lifestyle modification based on regulating the spleen and stomach can be considered core to the treatment of tinnitus related to spleen and stomach deficiency.展开更多
Swallowtail butterflies(Papilionidae)are a historically significant butterfly group due to their colorful wing patterns,extensive morphological diversity,and phylogenetically important position as a sister group to al...Swallowtail butterflies(Papilionidae)are a historically significant butterfly group due to their colorful wing patterns,extensive morphological diversity,and phylogenetically important position as a sister group to all other butterflies and have been widely studied regarding ecological adaption,phylogeny,genetics,and evolution.Notably,they contain a unique class of pigments,i.e.,papiliochromes,which contribute to their color diversity and various biological functions such as predator avoidance and mate preference.To date,however,the genomic and genetic basis of their color diversity and papiliochrome origin in a phylogenetic and evolutionary context remain largely unknown.Here,we obtained high-quality reference genomes of 11 swallowtail butterfly species covering all tribes of Papilioninae and Parnassiinae using long-read sequencing technology.Combined with previously published butterfly genomes,we obtained robust phylogenetic relationships among tribes,overcoming the challenges of incomplete lineage sorting(ILS)and gene flow.Comprehensive genomic analyses indicated that the evolution of Papilionidae-specific conserved non-exonic elements(PSCNEs)and transcription factor binding sites(TFBSs)of patterning and transporter/cofactor genes,together with the rapid evolution of transporters/cofactors,likely promoted the origin and evolution of papiliochromes.These findings not only provide novel insights into the genomic basis of color diversity,especially papiliochrome origin in swallowtail butterflies,but also provide important data resources for exploring the evolution,ecology,and conservation of butterflies.展开更多
基金Supported by the National Major Scientific Equipment Special Project(2012YQ16020304)
文摘Objective To explore the influence factors in hematoma formation after removing benign breast lesions with an ultrasound-guided vacuum-assisted system.Methods A total of 232 females with 312 benign breast masses received excisional biopsy with ultrasoundguided vacuum-assisted system.The pathology of patients,results of hematoma development and outcome,influence factors for hematoma occurrence(nodule size,nodule location,number of nodule,breast shape,menstrual period,efficacy time of bandage,and application of hemostatic agents during the procedure) were recorded.Results Pathologic examination revealed fibroadenomas in 138 lesions,fibroadenosis in 127 lesions,intraductal papillomas in 39 lesions,inflammatory change in 4 lesions,retention cyst of the breast in 3 lesions,and benign phyllodes tumor in 1 lesion.Thirty hematomas were observed in patients(9.6%).Finally,97.0%hematomas were absorbed completely within 6 months follow-up.The incidence rates of hematoma were increased by 24.7%,10.0%,63.2%,13.9%in the nodule diameter larger or equal to 25 mm group,removal of larger or equal to two nodules once time from one patient group,menstrual period group,and larger and loose breast group,respectively(all P<0.05).However,the incidences were decreased by 60.6%in the bandage performed for 12-24 hours or beyond 24 hours group(P<0.05).The multiple logistic regression models revealed that nodule size(x^2=15.227,P<0.001),number of nodule(x^2=7.767,P=0.005),menstrual period(x^2=24.530,P<0.001),and breast shape(x^2=9.559,P=0.002) were independent risk factors associated with hematoma occurrence,but efficacy time of bandage was a protective factor associated with hematoma occurrence.Conclusion The occurrence of hematoma after the minimally invasive operation was associated with nodule size,number of nodule,menstrual period,breast shape,and efficacy time of bandage.
基金supported by National Natural Science Foundation of China(41802236)“the Fundamental Research Funds for the Central universities”(N170103013,N2001004 and N170104022)Opening Foundation of Key Laboratory of Mineral Resources Evaluation in Northeast Asia,Ministry of Natural Resources(DBY-KF-18-05)。
文摘The early Paleozoic tectonic evolution of the Xing'an-Mongolian Orogenic Belt is dominated by two oceanic basins on the northwestern and southeastern sides of the Xing'an Block,i.e.,the Xinlin-Xiguitu Ocean and the Nenjiang Ocean.However,the early development of the Nenjiang Ocean remains unclear.Here,we present zircon U-Pb geochronology and whole-rock elemental and Sr-Nd isotopic data on the gabbros in the Xinglong area together with andesitic tuffs and basalts in the Duobaoshan area.LA-ICP-MS zircon U-Pb dating of gabbros and andesitic tuffs yielded crystallization ages of 443-436 Ma and 452-451 Ma,respectively.The Early Silurian Xinglong gabbros show calc-alkaline and E-MORB affinities but they are enriched in LILEs,and depleted in HFSEs,with relatively low U/Th ratios of 0.18-0.36 andεNd(t)values of-1.6 to+0.5.These geochemical features suggest that the gabbros might originate from a mantle wedge modified by pelagic sediment-derived melts,consistent with a back-arc basin setting.By contrast,the andesitic tuffs are characterized by high MgO(>5 wt.%),Cr(138-200 ppm),and Ni(65-110 ppm)contents,and can be termed as high-Mg andesites.Their low Sr/Y ratios of 15.98-17.15 and U/Th values of 0.24-0.25 and moderate(La/Sm)_n values of 3.07-3.26 are similar to those from the Setouchi Volcanic Belt(SW Japan),and are thought to be derived from partial melting of subducted sediments,and subsequent melt-mantle interaction.The Duobaoshan basalts have high Nb(8.44-10.30 ppm)and TiO2 contents(1.17-1.60 wt.%),typical of Nb-enriched basalts.They are slightly younger than regional adakitic rocks and have positiveεNd(t)values of+5.2 to+5.7 and are interpreted to be generated by partial melting of a depleted mantle source metasomatized by earlier adakitic melts.Synthesized with coeval arc-related igneous rocks from the southeastern Xing'an Block,we propose that the Duobaoshan high-Mg andesitic tuffs and Nbenriched basalts are parts of the Late Ordovician and Silurian Sonid Zuoqi-Duobaoshan arc belt,and they were formed by the nor
基金National Key Research Foundation Project,No.2020YFC2005202.
文摘BACKGROUND Tinnitus affects 10%-30%of the population.Recent evidence suggests that tinnitus is associated with spleen deficiency.However,compared with kidney deficiency-related tinnitus,less research has been conducted on the impact of spleen defi-ciency-related tinnitus.AIM To investigate the clinical efficacy of using Guipi Wan and dietary and lifestyle modification based on traditional Chinese medicine for treatment of patients with spleen and stomach deficiency-related tinnitus.METHODS We enrolled 110 patients with spleen and stomach deficiency-related tinnitus who were distributed into treatment(58 cases)and control(52 cases)groups.Tinnitus severity,sleep quality and emotional state were assessed by questionnaires[Tinnitus Evaluation Questionnaire(TEQ);Pittsburgh Sleep Quality Index(PSQI);Depression-Anxiety-Stress Scale-21(DASS-21)]that were used for analysis in the two groups during the initial and intervention and after.In the treatment group,patients were treated with oral administration of Guipi Wan and consulted for healthy dietary and lifestyle modification.In the control group,patients were only assessed and not treated.RESULTS At the end of the 6-months,TEQ scores decreased significantly in the treatment group(P=0.021)but not in the Control group.Significant effects in the treatment group were noted for PSQI total score(P=0.043)and several PSQI component scores in the treatment group(P<0.05).After treatment,the DASS-21 scores were significantly reduced in the treatment group(P<0.05).CONCLUSION Guipi Wan combined with dietary and lifestyle modification based on regulating the spleen and stomach can be considered core to the treatment of tinnitus related to spleen and stomach deficiency.
基金supported by the National Natural Science Foundation of China(31621062 to W.W.,32070482 to X.Y.L.)Chinese Academy of Sciences(“Light of West China”to X.Y.L.,XDB13000000 to W.W.)+1 种基金Yunnan Provincial Science and Technology Department(Talent Project of Yunnan:202105AC160039)Biodiversity Conservation Program of the Ministry of Ecology and Environment,China(China BON-Butterflies)。
文摘Swallowtail butterflies(Papilionidae)are a historically significant butterfly group due to their colorful wing patterns,extensive morphological diversity,and phylogenetically important position as a sister group to all other butterflies and have been widely studied regarding ecological adaption,phylogeny,genetics,and evolution.Notably,they contain a unique class of pigments,i.e.,papiliochromes,which contribute to their color diversity and various biological functions such as predator avoidance and mate preference.To date,however,the genomic and genetic basis of their color diversity and papiliochrome origin in a phylogenetic and evolutionary context remain largely unknown.Here,we obtained high-quality reference genomes of 11 swallowtail butterfly species covering all tribes of Papilioninae and Parnassiinae using long-read sequencing technology.Combined with previously published butterfly genomes,we obtained robust phylogenetic relationships among tribes,overcoming the challenges of incomplete lineage sorting(ILS)and gene flow.Comprehensive genomic analyses indicated that the evolution of Papilionidae-specific conserved non-exonic elements(PSCNEs)and transcription factor binding sites(TFBSs)of patterning and transporter/cofactor genes,together with the rapid evolution of transporters/cofactors,likely promoted the origin and evolution of papiliochromes.These findings not only provide novel insights into the genomic basis of color diversity,especially papiliochrome origin in swallowtail butterflies,but also provide important data resources for exploring the evolution,ecology,and conservation of butterflies.