Background： Population-based cancer registration data in 2012 from all available cancer registries were collected by the National Central Cancer Registry （NCCR）. NCCR estimated the numbers of new cancer cases and c...Background： Population-based cancer registration data in 2012 from all available cancer registries were collected by the National Central Cancer Registry （NCCR）. NCCR estimated the numbers of new cancer cases and cancer deaths in China with compiled cancer incidence and mortality rates. Methods： In 2015, there were 261 cancer registries submitted cancer incidence and deaths occurred in 2012. All the data were checked and evaluated based on the NCCR criteria of data quality. Qualified data from 193 registries were used for cancer statistics analysis as national estimation. The pooled data were stratified by area （urban/rural）, gender, age group [0, 1-4, 5-9, 10-14, ..., 85＋] and cancer type. New cancer cases and deaths were estimated using age-specific rates and corresponding national population in 2012. The Chinese census data in 2000 and Segi＇s population were applied for age-standardized rates. All the rates were expressed per 100,000 person-year. Results： Qualified 193 cancer registries （74 urban and 119 rural registries） covered 198,060,406 populations （100,450,109 in urban and 97,610,297 in rural areas）. The percentage of cases morphologically verified （NIV%） and death certificate-only cases （DCO%） were 69.13% and 2.38%, respectively, and the mortality to incidence rate ratio （M/I） was 0.62. A total of 3,586,200 new cancer cases and 2,186,600 cancer deaths were estimated in China in 2012. The incidence rate was 264.85/100,000 （289.30/100,000 in males, 239.15/100,000 in females）, the age-standardized incidence rates by Chinese standard population （ASIRC） and by world standard population （ASIRW） were 191.89/100,000 and 187.83/100,000 with the cumulative incidence rate （0-74 age years old） of 21.82%. The cancer incidence, ASIRC and ASIRW in urban areas were 277.17/100,000, 195.56/100,000 and 190.88/100,000 compared to 251.20/100,000, 187.10/100,000 and 183.91/100,000 in rural areas, respectively. The cancer mortality was 161.49/ 100,000 （ 198.99/100,000 in展开更多
Objective： To explore the cancer patterns in areas with different urbanization rates（URR） in China with data from 255 population-based cancer registries in 2013, collected by the National Central Cancer Registry（N...Objective： To explore the cancer patterns in areas with different urbanization rates（URR） in China with data from 255 population-based cancer registries in 2013, collected by the National Central Cancer Registry（NCCR）.Methods： There were 347 cancer registries submitted cancer incidence and deaths occurred in 2013 to NCCR.All those data were checked and evaluated based on the NCCR criteria of data quality, and qualified data from 255 registries were used for this analysis. According to the proportion of non-agricultural population, we divided cities/counties into 3 levels： high level, with URR equal to 70% and higher; median level, with URR between 30%and 70%; and low level, with URR equal to 30% and less. Cancer incidences and mortalities were calculated,stratified by gender and age groups in different areas. The national population of Fifth Census in 2000 and Segi＇s population were applied for age-standardized rates.Results： Qualified 255 cancer registries covered 226,494,490 populations. The percentage of cases morphologically verified（MV%） and death certificate-only cases（DCO%） were 68.04% and 1.74%, respectively,and the mortality to incidence rate ratio（M/I） was 0.62. A total of 644,487 new cancer cases and 399,275 cancer deaths from the 255 cancer registries were submitted to NCCR in 2013. The incidence rate was 284.55/100,000（314.06/100,000 in males, 254.19/100,000 in females）, and the age-standardized incidence rates by Chinese standard population（ASIRC） and by world standard population（ASIRW） were 190.10/100,000 and 186.24/100,000 with the cumulative incidence rate（0–74 age years old） of 21.60%. The cancer mortality was 176.28/100,000（219.03/100,000 in males, 132.30/100,000 in females）, and the age-standardized mortality rates by Chinese standard population（ASMRC） and by world standard population（ASMRW） were 110.91/100,000 and 109.92/100,000, and the cumulative mortality rate（0–74 age years old） was 12.43%. Low urbanization areas were high 展开更多
Concern over the health effects of fine particles in the ambient environment led the U.S. Environmental Protection Agency to develop the first standard for PM2.5 （particulate matter less than 2.5 μm） in 1997. The P...Concern over the health effects of fine particles in the ambient environment led the U.S. Environmental Protection Agency to develop the first standard for PM2.5 （particulate matter less than 2.5 μm） in 1997. The Particle Technology Laboratory at the University of Minnesota has helped to establish the PM2.5 standard by developing many instruments and samplers to perform atmospheric measurements. In this paper, we review various aspects of PM2.5, including its measurement, source apportionment, visibility and health effects, and mitigation. We focus on PM2.s studies in China and where appropriate, compare them with those obtained in the U.S. Based on accurate PM2.5 sampling, chemical analysis, and source apportionment models, the major PM2.5 sources in China have been identified to be coal combustion, motor vehicle emissions, and industrial sources. Atmospheric visibility has been found to correlate well with PM2.s concentration. Sulfate, ammonium, and nitrate carried by PM2.s, commonly found in coal burning and vehicle emissions, are the dominant contributors to regional haze in China. Short-term exposure to PM2.s is strongly associated with the increased risk of morbidity and mortality from cardiovascular and respiratory diseases in China. The strategy for PMzs mitigation must be based on reducing the pollutants from the two primary sources of coal-fired power plants and vehicle emissions. Although conventional Particulate Emission Control Devices （PECD） such as electrostatic precipitators in Chinese coal-fired power plants are generally effective for large particles, most of them may not have high collection efficiency of PM2.5. Baghouse filtration is gradually incorporated into the PECD to increase the PM2.5 collection efficiency. By adopting stringent vehicle emissions standard such as Euro 5 and 6, the emissions from vehicles can be gradually reduced over the years. An integrative approach, from collaboration among academia, government, and industries, can effectively manage and mitigate the PM2.s p展开更多
In 1995,Yu et al.[1]first reported bulk-heterojunction(BHJ)solar cells with a conjugated polymer donor and a fullerene acceptor as the active materials.From then on,BHJ organic solar cells(OSCs)have attracted academic...In 1995,Yu et al.[1]first reported bulk-heterojunction(BHJ)solar cells with a conjugated polymer donor and a fullerene acceptor as the active materials.From then on,BHJ organic solar cells(OSCs)have attracted academic and industrial interests due to the advantages like lightweight,flexibility and roll-to-roll fabrication.Nowadays,17%power conversion efficiencies(PCEs)have been achieved in the state-of-the-art OSCs[2,3].The remarkable progress in OSCs relies on the continuously emerging new materials and device fabrication technologies,and the understanding on film morphology and device physics[4,5].展开更多
AIM To evaluate the effects of Helicobacterpylori infection and other environmental factorson the development of gastric cancer.METHODS A population-based case-controlstudy was conducted in Changle County,FujianProvin...AIM To evaluate the effects of Helicobacterpylori infection and other environmental factorson the development of gastric cancer.METHODS A population-based case-controlstudy was conducted in Changle County,FujianProvince.The primary gastric cancer cases werehistologically confirmed or diagnosed by surgerybetween,January 1996 and March 1998.Healthycontrols were randomly selected and matched byage,sex,and neighborhood of residence.Atotal of 101 pairs were included in the study.Specially trained interviewers conducted face-to-face interviews with the subjects according toa standardized questionnaire.Helicobacterpylori infections were measured by serum IgGantibody to Helicobacter pylori.ConditionalLogistic Regression analysis was used.RESULTS The presence of IgG antibody toHelicobacter pylori was 63.7% in studysubjects,56.0% in patients with cardiac cancer,and 60.5% in patients with non-cardiac gastriccancer.The risk factors of gastric cancer inChangle County were identified such as loweducational level[OR=3.864;95% confidenceinterval(95% CI)1.604-9.311],lowconsumption of fresh vegetables(OR=4.925;95%Cl 1.356-17.885),high intake of fish sauce(OR=10.587;95% Cl 2.821-39.738),unscheduled meals(OR=4.254;95%Cl 1.445- 12.552),and Helicobacter pylori infection(OR=3.453;95%Cl 0.901-13.224).CONCLUSION Helicobacter pylori infectionmay be important in the etiology of gastriccancer,but major risk factors other thanHelicobacter pylori are responsible for the highgastric morbidity in Changle County.展开更多
In China interventional therapy of liver cancer started in the 1980s. It is well-known that Professor Lin Gui is the founding father of Interventional radiology. Under the leadership of Lin Gui and other professors, i...In China interventional therapy of liver cancer started in the 1980s. It is well-known that Professor Lin Gui is the founding father of Interventional radiology. Under the leadership of Lin Gui and other professors, interventional therapy of liver cancer has swiftly progressed in China. Indeed, TAI, TAE, TACE and ablation therapy have witnessed great innovations in hardware facil ities, technical means, and therapeutic philosophy, while incorporating Chinese characteristics. As with the development of combined interventional therapy in China, interventional treatment of liver cancer has gradually started the process of precision and individualization. Actually, multidisciplinary, multimodal, and polymorphic treatments will be the most suitable pattern for liver cancer in the future, among which combination of interventional therapy with targeted, immunological treatments and information technology(IT) tools may bring a revolutionary breakthrough in liver cancer treatment.展开更多
Organic solar cells （OSCs） have advantages like light-weight, flexibility, colorfulness and solution processability [1 ]. The active layer of OSCs generally contains two organic semiconductors： an electron donor an...Organic solar cells （OSCs） have advantages like light-weight, flexibility, colorfulness and solution processability [1 ]. The active layer of OSCs generally contains two organic semiconductors： an electron donor and an electron acceptor. The donor and acceptor make nanoscale phase separation to allow efficient exciton dissociation and also form a three-dimensional （3D） passage to rapidly transfer free charge carriers to respective electrodes.展开更多
BACKGROUND: Liver transplantation is one of the most effective therapeutic options for patients with end-stage liver diseases, and gut microbiota is actively involved in potential infections in pretransplant and postt...BACKGROUND: Liver transplantation is one of the most effective therapeutic options for patients with end-stage liver diseases, and gut microbiota is actively involved in potential infections in pretransplant and posttransplant patients. However, the diversity of gut microbiota and its relationship with the immune parameter of liver transplantation recipients are not well understood. METHODS: We collected fresh feces and blood samples from 190 participants in China from November 2004 to May 2008, including 28 healthy volunteers, 51 cirrhotic patients and 111 liver-transplanted patients. Six interesting gut bacteria, plasma endotoxin, serum cytokines (i.e., tumor necrosis factor alpha and interleukin-6) and fecal secretory IgA (SIgA) were investigated by real-time quantitative PCR, chromogenic limulus amoebocyte assay, sandwich-type enzyme-linked immunosorbent assay and radioimmunoassay, respectively. RESULTS: All Eubacteria, Bifidobacterium spp., Faecalibacterium prausnitzii and Lactobacillus spp. were significantly lower in the liver transplantation recipients while Enterobacteriaceae and Enterococcus spp. were significantly higher (P<0.05). Except for Enterococcus spp., other bacteria showed a tendency to restore to normal level along with the time after liver transplantation. Plasma endotoxin, interleukin-6 and fecal SIgA in cirrhotic patients increased significantly, but not in liver transplantation recipients. Plasma endotoxin and interleukin-6 were negatively correlated with all Eubacteria and the Bacteroides-Prevotella group, while tumor necrosis factor alpha was not significantly correlated with these six gut bacteria in cirrhotic patients.CONCLUSIONS: Our study demonstrates that abundant gut bacteria were altered significantly in both cirrhotic and liver transplantation patients, while plasma endotoxin and interleukin-6 increased remarkably in cirrhotic patients, showing significant correlations with gut microbiota. Interestingly, our data show a tendency for these gut bacteria to restore to normal levels展开更多
AIM: To evaluate the effectiveness and safety of percutaneous hepatic cryoablation in combination with percutaneous ethanol injection (PEI) in patients with unresectable hepaocellular carcinoma (HCC).METHODS: A total ...AIM: To evaluate the effectiveness and safety of percutaneous hepatic cryoablation in combination with percutaneous ethanol injection (PEI) in patients with unresectable hepaocellular carcinoma (HCC).METHODS: A total of 105 masses in 65 HCC patients underwent percutaneous hepatic cryoablation. The cryoablation was performed with the Cryocare system (Endocare, Irvine, CA, USA) using argon gas as a cryogen.Two freeze-thaw cycles were performed, each reaching a temperature of -180 ℃ at the tip of the probe. PEI was given in 36 patients with tumor masses larger than 6 cm in diameter 1-2 weeks after cryoablation and then once per week for 4 to 6 sessions. The efficacy was evaluated with survival, change of tumor size and alpha-fetoprotein (AFP) levels. RESULTS: During a follow-up duration of 14 months in average with a range of 5 to 21 months, 33 patients (50.8 %)were free of tumors, 22 patients (33.8 %) alive with tumor recurrence: two had bone metastases, three were found to have lung metastases, and the remaining 17 recurrences occurred in the liver, of whom only 3 developed a cryosite recurrence. Among the 41 patients who were followed up for more than one year, 32(78 %) were alive despite of tumor recurrence. Seven patients (10.8 %) died due to disease recurrence. Three patients (4.6 %) died due to some noncancer-related causes. Among the 43 patients who had a CT scan available for review, 38 (88.4 %) had a shrinkage of tumor mass. Among the 22 patients who received biopsies of cryoablated tumor mass, all biopsies except one, showed only dead or scar tissues. Of the patients who had an increased AFP preablatively, 91.3 % had a decrease of AFP to normal or nearly normal levels during postablative 3-6 months. Complications of cryoablation included liver capsular cracking in one patient,transient thrombocytopenia in 4 patients and asymptomatic right-sided pleural effusions in 2 patients. Two patients developed liver abscess at the previous cryoablation site at 2 and 4 months, respectively,following cryoablation, a展开更多
In this paper a new theory referred to as the decrease-radix design （DRD） is proposed, which is found in the research of logic units of ternary （tri-valued） optical computer. Based on the theory proposed, the prin...In this paper a new theory referred to as the decrease-radix design （DRD） is proposed, which is found in the research of logic units of ternary （tri-valued） optical computer. Based on the theory proposed, the principles and the regulations of the DRD for making operation units of multi-valued operation with carrying/borrowing free are also presented. The research work has come to the following important conclusion： let D be a special state contained in n physical informative states, then one may figure out any multi-valued processors within n^（n×n） carrying/borrowing free n-valued units by the composition some of n×n×（n-1） simplest basic operating units according to the regulations of DRD proposed in this paper. The detailed systematic way of our design regulations is highlighted step by step in the paper with an example of design of a tri-valued logic optical operating unit. The real architecture, the procedure, and the experimental results of our sample in tri-valued logic operating unit are given. Finally, a re-constructible model of ternary logical optical processor is introduced. The theory proposed in the paper has laid down a solid foundation for the design of re-constructible carrying/borrowing free operating units in ternary optical computers and can be widely used as the designing reference in a variety of multi-valued logic operating units.展开更多
AIM: To study the therapeutic value of combination o cryosurgery and 125iodine seed implantation for locally advanced pancreatic cancer. METHODS: Forty-nine patients with locally advanced pancreatic cancer (males 36, ...AIM: To study the therapeutic value of combination o cryosurgery and 125iodine seed implantation for locally advanced pancreatic cancer. METHODS: Forty-nine patients with locally advanced pancreatic cancer (males 36, females 13), with a median age of 59 years, were enrolled in the study. Twelve patients had liver metastases. In all cases the tumors were considered unresectable after a comprehensive evaluation. Patients were treated with cryosurgery, which was performed intraoperatively or percutaneously unde guidance of ultrasound and/or computed tomography (CT), and 125iodine seed implantation, which was performed during cryosurgery or post-cryosurgery under guidance of ultrasound and/or CT. A few patients received regional celiac artery chemotherapy. RESULTS: Thirteen patients received intraoperative cryosurgery and 36 received percutaneous cryosurgery Some patients underwent repeat cryosurgery. 125Iodine seed implantation was performed during freezing procedure in 35 patients and 3-9 d after cryosurgery in 14 cases. Twenty patients, 10 of whom had hepaticmetastases received regional chemotherapy. At 3 mo after therapy, CT was repeated to estimate tumor response to therapy. Most patients showed varying degrees of tumor necrosis. Complete response (CR) of tumor was seen in 20.4% patients, partial response (PR), in 38.8%, stable disease (SD), in 30.6%, and progressive disease (PD), in 10.2%. Adverse effects associated with cryosurgery included upper abdomen pain and increased serum amylase. Acute pancreatitis was seen in 6 patients one of whom developed severe pancreatitis. All adverse effects were controlled by medical management with no poor outcome. There was no therapy-related mortality. During a median follow-up of 18 mo (range of 5-40), the median survival was 16.2 mo, with 26 patients (53.1%) surviving for 12 mo or more. Overall, the 6-, 12-, 24- and 36-mo survival rates were 94.9%, 63.1%, 22.8% and 9.5%, respectively. Eight patients had survival of 24 mo or more. The patient with the longest survival (40 展开更多
Background: Liver cancer is a common cancer with poor prognosis in China. In this study, the national population?based cancer registration data were used to evaluate and analyze liver cancer incidence and mortality in...Background: Liver cancer is a common cancer with poor prognosis in China. In this study, the national population?based cancer registration data were used to evaluate and analyze liver cancer incidence and mortality in China in 2011 and provide a reference for liver cancer prevention and control.Methods: We collected and evaluated the incidence and mortality data of liver cancer in 2011 from 177 cancer registries with qualiied data. These data were used in the inal analysis including calculating crude, standardized, and truncated incidences and mortalities, and estimated new liver cancer cases and deaths using age?speciic rates and the corresponding populations. The national census in 2000 and Segi's population were used for age?standardized rates.Results: The estimates of new liver cancer cases and deaths were 355,595 and 322,416, respectively, in China in 2011. The crude incidence, age?standardized rate of incidence by Chinese standard population(ASRIC), and age?stand?ardized rate of incidence by world standard population(ASRIW) of liver cancer were 26.39/100,000, 19.48/100,000, and 19.10/100,000, respectively; the crude mortality, age?standardized rate of mortality by Chinese standard popula?tion(ASRMC), and age?standardized rate of mortality by world standard population(ASRMW) of liver cancer were 23.93/100,000,17.48/100,000, and 17.17/100,000, respectively. The incidence and mortality were higher in rural areas than in urban areas and higher in males than in females. The age?speciic incidence and mortality of liver cancer increased greatly with age, particularly after 30 years and peaked at 80–84 or 85+ years.Conclusions: Liver cancer is a common cancer in China, particularly for males and residents in rural areas. Targeted prevention, early detection, and treatment programs should be carried out.展开更多
The Dongcaohe ophiolite, located at the south of the North Qilian subduction complexes, is a tectonic block with an exposed area of about 3 km×6 km. It consists of an intrusive section overlain by an ex- trusive ...The Dongcaohe ophiolite, located at the south of the North Qilian subduction complexes, is a tectonic block with an exposed area of about 3 km×6 km. It consists of an intrusive section overlain by an ex- trusive section. The lower part of the intrusive section consists of cyclic layers of cumulate dunites, troctolites, anorthosites, anorthositic gabbros, and gabbros with small discordant dunite and troctolite bodies. This layered sequence grades upward to isotropic gabbros and gabbronorites, which are overlain by the extrusive sequence of diabasic sheeted dikes and basaltic lavas. The overall mineral crystallization sequence was olivine±Cr-spinel, plagioclase, clinopyroxene, orthopyroxene, and Fe-Ti oxides. The Cr-spinel (Mg#: 42-66, Cr#: 41-57) in these layered cumulates and present-day abyssal peridotites have similar compositions. Also, the compositional variations of the plagioclase and cli- nopyroxene in the intrusive section reflect crystallization from melts compositionally similar to the present-day ocean basalts. Moreover, the rare earth element (REE) and multi-element distribution pat- terns of the intrusive and extrusive lithologies in the Dongcaohe ophiolite are consistent with crystal- lization of mid-ocean ridge basalts. The zircon grains separated from the gabbronorite have an SHRIMP average 206Pb/238U weighted age of 497 ± 7 Ma, which is considered as the tectonic emplacement age of the Dongcaohe ophiolite. The field occurrence, mineral and whole-rock compositions indicate that the Dongcaohe ophiolite represents a well-persevered oceanic crustal fragment composed of a complete oceanic crustal section of layered cumulates at bottom upgrading through isotropic cumulates to sheeted dikes and lava flows.展开更多
Laizhou Bay provides a critical spawning and nursery habitat for many fishery species, including commercially important spe- cies, such as Fenneropenaeus chinensis and Larimichthys polyactis. The bay is severely stres...Laizhou Bay provides a critical spawning and nursery habitat for many fishery species, including commercially important spe- cies, such as Fenneropenaeus chinensis and Larimichthys polyactis. The bay is severely stressed due to high fishing pressure and environmental changes. Based on the long-term ecosystem surveys in Laizhou Bay during the main spawning period （May） of most fishery species from 1959 to 2008, the responses of the Laizhou Bay fishery ecosystem were analyzed here, including regime shifts in species composition, biomass, species diversity, zooplankton, phytoplankton, and environmental variables. The dominant species of large-size and high economic value （e.g. Trichiurus haumela, L. polyactis） have been replaced by the short-lived, low-trophic-level planktivorous pelagic species （e.g. Setipinna taty, Engraulisjaponicus） since the 1980s, and it is probable that the small-sized pelagic fishes have been recently replaced by invertebrates （e.g. Oratosquilla oratoria, Crangon affinis）. The biomass of fishery resources declined continuously from 423.6 kg haul 1 h-1 in 1959 to 164.6 kg haul-l h i in 1982, 37.7 kg haul-1 h-1 in 1993, and less than 8 kg haul 1 h-a in 1998-2008. Moreover, the biomass of zooplankton showed an increasing trend during 1959-2006, but showed a slight decline in 2008. The abundance of phytoplankton increased from 1959 through 1982, decreased substantially in 1993, and increased again until 2004. More recently, however, the phytoplankton abundance was very low. The sea surface temperature （SST） and sea bottom temperature （SBT） in May increased by 0.23~C a-~ and 0.16~C a-~, respectively, during 1982-2008. The salinity in May showed large fluctuations and reached its lowest val- ues in 2004 and 2006. The ratio of dissolved inorganic nitrogen （DIN） to dissolved inorganic phosphate （DIP） increased. However, the dissolved silicon （DSi）：DIP and DSi：DIN ratios decreased to a low level during 1959-2008. These changes seri- ously impacted primary produ展开更多
Firstly, the early warning index system of coal mine safety production was given from four aspects as per- sonnel, environment, equipment and management. Then, improvement measures which are additional momentum method...Firstly, the early warning index system of coal mine safety production was given from four aspects as per- sonnel, environment, equipment and management. Then, improvement measures which are additional momentum method, adaptive learning rate, particle swarm optimization algorithm, variable weight method and asynchronous learning factor, are used to optimize BP neural network models. Further, the models are applied to a comparative study on coal mine safety warning instance. Results show that the identification precision of MPSO-BP network model is higher than GBP and PSO-BP model, and MPSO- BP model can not only effectively reduce the possibility of the network falling into a local minimum point, but also has fast convergence and high precision, which will provide the scientific basis for the forewarnin~ management of coal mine safetv production.展开更多
To understand the prevalence and evolution of drug resistant HIV strains in Henan China after the implementation of free antiretroviral therapy for AIDS patients. 45 drug naive AIDS patients, 118 AIDS patients who rec...To understand the prevalence and evolution of drug resistant HIV strains in Henan China after the implementation of free antiretroviral therapy for AIDS patients. 45 drug naive AIDS patients, 118 AIDS patients who received three months antiretroviral therapy and 124 AIDS patients who received six months antiretroviral treatment were recruited in the southern part of Henan province. Information on general condition, antiretroviral medicines, adherence and clinical syndromes were collected by face to face interview. Meanwhile, 14ml EDTA anticoagulant blood was drawn. CD4/CD8 T cell count, viral load and genotypic drug resistance were tested. The rates of clinical improvement were 55.1% and 50.8% respectively three months and six months after antiretroviral therapy. The mean CD4 cell count after antiretroviral therapy was significantly higher than in drug naive patients. The prevalence rate of drug resistant HIV strains were 13.9%, 45.4% and 62.7% in drug naive patients, three month treatment patients and six month treatment patients, respectively. The number of resistance mutation codons and the frequency of mutations increased significantly with continued antiretroviral therapy. The mutation sites were primarily at the 103, 106 and 215 codons in the three-month treatment group and they increased to 15 codon mutations in the six-month treatment group. From this result, the evolution of drug resistant strains was inferred to begin with the high level NNRTI resistant strain, and then develop low level resistant strains to NRTIs. The HIV strains with high level resistance to NVP and low level resistance to AZT and DDI were highly prevalent because of the AZT＋DDI＋NVP combination therapy. These HIV strains were also cross resistant to DLV, EFV, DDC and D4T. Poor adherence to therapy was believed to be the main reason for the emergence and prevalence of drug resistant HIV strains. The prevalence of drug resistant HIV strains was increased with the continuation of antiretroviral therapy in the southern part of Henan p展开更多
Background Fibrinogen-depleting agents are promising in the treatment of cerebral ischemic disease. They were studied by many trials, and the outcomes were different because of different regimens and different doses. ...Background Fibrinogen-depleting agents are promising in the treatment of cerebral ischemic disease. They were studied by many trials, and the outcomes were different because of different regimens and different doses. In this study, we assessed the efficacy and safety of defibrase on acute cerebral infarction in China. Methods A search using Chinese hospital knowledge database （CHKD） and MEDLINE database for randomized controlled trials was carded out. A CHKD （1994 June 2005） search was performed with the keyword ＂defibrase＂, then a second search for the keyword ＂acute cerebral infarction＂; a MEDLINE search （1950 June 2005） was performed with the following keywords： [（cerebral ischemia）, OR （acute cerebral infarction）, OR （stroke）], AND [defibrase]. Meta-analysis was performed with RevMan software 4.2. Results Included were 14 studies comparing the efficiency and safety of defibrase with other drugs in the treatment of acute cerebral infarction. Patients＇ records were pooled （total 646 patients; defibrase, n=328, no defibrase n=318）. Neurological deficit score （NDS） before treatment showed weighted mean differences （WMD）=0.95, 95% confidence interval （CI）= （-0.60, 2.50）, P=0.23; NDS after treatment showed WMD=- 2.20, 95% CI= （-4.21, -0.18）, P=0.03; Barthel index at 3 months showed WMD=4.45, 95% CI= （-0.13, 9.03）, P=0.06; the plasma fibrinogen level before treatment showed WMD=0.02, 95% CI= （-0.16, 0.19）, P=0.86; plasma fibrinogen level after treatment showed WMD=- 1.51, 95% CI= （- 1.88, - 1.15）, P〈0.00 001.Conclusions With the given dose and regimen of defibrase in China, defibrase may play a role of anticoagulation. It might inhibit the progression of stroke and prevent the recurrence of stroke.展开更多
AIM: To identify the radiological characteristics of focal autoimmune pancreatitis (f-AIP) useful for differentiation from pancreatic cancer (PC). METHODS: Magnetic resonance imaging (MRI) and triple-phase computed to...AIM: To identify the radiological characteristics of focal autoimmune pancreatitis (f-AIP) useful for differentiation from pancreatic cancer (PC). METHODS: Magnetic resonance imaging (MRI) and triple-phase computed tomography (CT) scans of 79 patients (19 with f-AIP, 30 with PC, and 30 with a normal pancreas) were evaluated retrospectively. A radiologist measured the CT attenuation of the pancreatic parenchyma, the f-AIP and PC lesions in triple phases. The mean CT attenuation values of the f-AIP lesions were compared with those of PC, and the mean CT attenuation values of pancreatic parenchyma in the three groups were compared. The diagnostic performance of CT attenuation changes from arterial phase to hepatic phase in the differentiation between f-AIP and PC was evaluated using receiver operating characteristic (ROC) curve analysis. We also investigated the incidence of previously reported radiological findings for differentiation between f-AIP and PC. RESULTS: The mean CT attenuation values of f-AIP lesions in enhanced phases were significantly higher than those of PC (arterial phase: 60 ± 7 vs 48 ± 10, P < 0.05; pancreatic phase: 85 ± 6 vs 63 ± 15, P < 0.05; hepatic phase: 95 ± 7 vs 63 ± 13, P < 0.05). The mean CT attenuation values of f-AIP lesions were significantly lower those of uninvolved pancreas and normal pancreas in the arterial and pancreatic phase of CT (P < 0.001, P < 0.001), with no significant difference at the hepatic phase or unenhanced scanning (P = 0.4, P = 0.1). When the attenuation value increase was equal or more than 28 HU this was considered diagnostic for f-AIP, and a sensitivity of 87.5%, specificity of 100% and an area under the ROC curve of 0.974 (95%CI: 0.928-1.021) were achieved. Five findings were more frequently observed in f-AIP patients: (1) sausageshaped enlargement; (2) delayed homogeneous enhancement; (3) hypoattenuating capsule-like rim; (4) irregular narrowing of the main pancreatic duct (MPD) and/or stricture of the common bile duct (CBD); and (5) MPD upstream dila展开更多
文摘Background： Population-based cancer registration data in 2012 from all available cancer registries were collected by the National Central Cancer Registry （NCCR）. NCCR estimated the numbers of new cancer cases and cancer deaths in China with compiled cancer incidence and mortality rates. Methods： In 2015, there were 261 cancer registries submitted cancer incidence and deaths occurred in 2012. All the data were checked and evaluated based on the NCCR criteria of data quality. Qualified data from 193 registries were used for cancer statistics analysis as national estimation. The pooled data were stratified by area （urban/rural）, gender, age group [0, 1-4, 5-9, 10-14, ..., 85＋] and cancer type. New cancer cases and deaths were estimated using age-specific rates and corresponding national population in 2012. The Chinese census data in 2000 and Segi＇s population were applied for age-standardized rates. All the rates were expressed per 100,000 person-year. Results： Qualified 193 cancer registries （74 urban and 119 rural registries） covered 198,060,406 populations （100,450,109 in urban and 97,610,297 in rural areas）. The percentage of cases morphologically verified （NIV%） and death certificate-only cases （DCO%） were 69.13% and 2.38%, respectively, and the mortality to incidence rate ratio （M/I） was 0.62. A total of 3,586,200 new cancer cases and 2,186,600 cancer deaths were estimated in China in 2012. The incidence rate was 264.85/100,000 （289.30/100,000 in males, 239.15/100,000 in females）, the age-standardized incidence rates by Chinese standard population （ASIRC） and by world standard population （ASIRW） were 191.89/100,000 and 187.83/100,000 with the cumulative incidence rate （0-74 age years old） of 21.82%. The cancer incidence, ASIRC and ASIRW in urban areas were 277.17/100,000, 195.56/100,000 and 190.88/100,000 compared to 251.20/100,000, 187.10/100,000 and 183.91/100,000 in rural areas, respectively. The cancer mortality was 161.49/ 100,000 （ 198.99/100,000 in
基金supported by Ministry of Science and Technology of China (Grant No. 2014FY121100)the National Natural Science Fund (Grant No. 81602931)
文摘Objective： To explore the cancer patterns in areas with different urbanization rates（URR） in China with data from 255 population-based cancer registries in 2013, collected by the National Central Cancer Registry（NCCR）.Methods： There were 347 cancer registries submitted cancer incidence and deaths occurred in 2013 to NCCR.All those data were checked and evaluated based on the NCCR criteria of data quality, and qualified data from 255 registries were used for this analysis. According to the proportion of non-agricultural population, we divided cities/counties into 3 levels： high level, with URR equal to 70% and higher; median level, with URR between 30%and 70%; and low level, with URR equal to 30% and less. Cancer incidences and mortalities were calculated,stratified by gender and age groups in different areas. The national population of Fifth Census in 2000 and Segi＇s population were applied for age-standardized rates.Results： Qualified 255 cancer registries covered 226,494,490 populations. The percentage of cases morphologically verified（MV%） and death certificate-only cases（DCO%） were 68.04% and 1.74%, respectively,and the mortality to incidence rate ratio（M/I） was 0.62. A total of 644,487 new cancer cases and 399,275 cancer deaths from the 255 cancer registries were submitted to NCCR in 2013. The incidence rate was 284.55/100,000（314.06/100,000 in males, 254.19/100,000 in females）, and the age-standardized incidence rates by Chinese standard population（ASIRC） and by world standard population（ASIRW） were 190.10/100,000 and 186.24/100,000 with the cumulative incidence rate（0–74 age years old） of 21.60%. The cancer mortality was 176.28/100,000（219.03/100,000 in males, 132.30/100,000 in females）, and the age-standardized mortality rates by Chinese standard population（ASMRC） and by world standard population（ASMRW） were 110.91/100,000 and 109.92/100,000, and the cumulative mortality rate（0–74 age years old） was 12.43%. Low urbanization areas were high
文摘Concern over the health effects of fine particles in the ambient environment led the U.S. Environmental Protection Agency to develop the first standard for PM2.5 （particulate matter less than 2.5 μm） in 1997. The Particle Technology Laboratory at the University of Minnesota has helped to establish the PM2.5 standard by developing many instruments and samplers to perform atmospheric measurements. In this paper, we review various aspects of PM2.5, including its measurement, source apportionment, visibility and health effects, and mitigation. We focus on PM2.s studies in China and where appropriate, compare them with those obtained in the U.S. Based on accurate PM2.5 sampling, chemical analysis, and source apportionment models, the major PM2.5 sources in China have been identified to be coal combustion, motor vehicle emissions, and industrial sources. Atmospheric visibility has been found to correlate well with PM2.s concentration. Sulfate, ammonium, and nitrate carried by PM2.s, commonly found in coal burning and vehicle emissions, are the dominant contributors to regional haze in China. Short-term exposure to PM2.s is strongly associated with the increased risk of morbidity and mortality from cardiovascular and respiratory diseases in China. The strategy for PMzs mitigation must be based on reducing the pollutants from the two primary sources of coal-fired power plants and vehicle emissions. Although conventional Particulate Emission Control Devices （PECD） such as electrostatic precipitators in Chinese coal-fired power plants are generally effective for large particles, most of them may not have high collection efficiency of PM2.5. Baghouse filtration is gradually incorporated into the PECD to increase the PM2.5 collection efficiency. By adopting stringent vehicle emissions standard such as Euro 5 and 6, the emissions from vehicles can be gradually reduced over the years. An integrative approach, from collaboration among academia, government, and industries, can effectively manage and mitigate the PM2.s p
基金the National Key Research and Development Program of China (2017YFA0206600)the National Natural Science Foundation of China (51773045, 21572041, 21772030 and 51922032)the Youth Association for Promoting Innovation (CAS) for financial support.
文摘In 1995,Yu et al.[1]first reported bulk-heterojunction(BHJ)solar cells with a conjugated polymer donor and a fullerene acceptor as the active materials.From then on,BHJ organic solar cells(OSCs)have attracted academic and industrial interests due to the advantages like lightweight,flexibility and roll-to-roll fabrication.Nowadays,17%power conversion efficiencies(PCEs)have been achieved in the state-of-the-art OSCs[2,3].The remarkable progress in OSCs relies on the continuously emerging new materials and device fabrication technologies,and the understanding on film morphology and device physics[4,5].
基金the Natural Science Foundation of Fujian Province,China,No.K98031
文摘AIM To evaluate the effects of Helicobacterpylori infection and other environmental factorson the development of gastric cancer.METHODS A population-based case-controlstudy was conducted in Changle County,FujianProvince.The primary gastric cancer cases werehistologically confirmed or diagnosed by surgerybetween,January 1996 and March 1998.Healthycontrols were randomly selected and matched byage,sex,and neighborhood of residence.Atotal of 101 pairs were included in the study.Specially trained interviewers conducted face-to-face interviews with the subjects according toa standardized questionnaire.Helicobacterpylori infections were measured by serum IgGantibody to Helicobacter pylori.ConditionalLogistic Regression analysis was used.RESULTS The presence of IgG antibody toHelicobacter pylori was 63.7% in studysubjects,56.0% in patients with cardiac cancer,and 60.5% in patients with non-cardiac gastriccancer.The risk factors of gastric cancer inChangle County were identified such as loweducational level[OR=3.864;95% confidenceinterval(95% CI)1.604-9.311],lowconsumption of fresh vegetables(OR=4.925;95%Cl 1.356-17.885),high intake of fish sauce(OR=10.587;95% Cl 2.821-39.738),unscheduled meals(OR=4.254;95%Cl 1.445- 12.552),and Helicobacter pylori infection(OR=3.453;95%Cl 0.901-13.224).CONCLUSION Helicobacter pylori infectionmay be important in the etiology of gastriccancer,but major risk factors other thanHelicobacter pylori are responsible for the highgastric morbidity in Changle County.
文摘In China interventional therapy of liver cancer started in the 1980s. It is well-known that Professor Lin Gui is the founding father of Interventional radiology. Under the leadership of Lin Gui and other professors, interventional therapy of liver cancer has swiftly progressed in China. Indeed, TAI, TAE, TACE and ablation therapy have witnessed great innovations in hardware facil ities, technical means, and therapeutic philosophy, while incorporating Chinese characteristics. As with the development of combined interventional therapy in China, interventional treatment of liver cancer has gradually started the process of precision and individualization. Actually, multidisciplinary, multimodal, and polymorphic treatments will be the most suitable pattern for liver cancer in the future, among which combination of interventional therapy with targeted, immunological treatments and information technology(IT) tools may bring a revolutionary breakthrough in liver cancer treatment.
基金supported by the National Natural Science Foundation of China (U1401244, 21374025, 21372053, 21572041, and 51503050)the National Key Research and Development Program of China (2017YFA0206600)+1 种基金State Key Laboratory of Luminescent Materials and Devices (2016-skllmd-05)Youth Association for Promoting Innovation (CAS)
文摘Organic solar cells （OSCs） have advantages like light-weight, flexibility, colorfulness and solution processability [1 ]. The active layer of OSCs generally contains two organic semiconductors： an electron donor and an electron acceptor. The donor and acceptor make nanoscale phase separation to allow efficient exciton dissociation and also form a three-dimensional （3D） passage to rapidly transfer free charge carriers to respective electrodes.
基金supported by the grants from the National Basic Research Program of China (973 program) (2007CB513003)Zhejiang Provincial Science and Technology Bureau Project(2006C23017)
文摘BACKGROUND: Liver transplantation is one of the most effective therapeutic options for patients with end-stage liver diseases, and gut microbiota is actively involved in potential infections in pretransplant and posttransplant patients. However, the diversity of gut microbiota and its relationship with the immune parameter of liver transplantation recipients are not well understood. METHODS: We collected fresh feces and blood samples from 190 participants in China from November 2004 to May 2008, including 28 healthy volunteers, 51 cirrhotic patients and 111 liver-transplanted patients. Six interesting gut bacteria, plasma endotoxin, serum cytokines (i.e., tumor necrosis factor alpha and interleukin-6) and fecal secretory IgA (SIgA) were investigated by real-time quantitative PCR, chromogenic limulus amoebocyte assay, sandwich-type enzyme-linked immunosorbent assay and radioimmunoassay, respectively. RESULTS: All Eubacteria, Bifidobacterium spp., Faecalibacterium prausnitzii and Lactobacillus spp. were significantly lower in the liver transplantation recipients while Enterobacteriaceae and Enterococcus spp. were significantly higher (P<0.05). Except for Enterococcus spp., other bacteria showed a tendency to restore to normal level along with the time after liver transplantation. Plasma endotoxin, interleukin-6 and fecal SIgA in cirrhotic patients increased significantly, but not in liver transplantation recipients. Plasma endotoxin and interleukin-6 were negatively correlated with all Eubacteria and the Bacteroides-Prevotella group, while tumor necrosis factor alpha was not significantly correlated with these six gut bacteria in cirrhotic patients.CONCLUSIONS: Our study demonstrates that abundant gut bacteria were altered significantly in both cirrhotic and liver transplantation patients, while plasma endotoxin and interleukin-6 increased remarkably in cirrhotic patients, showing significant correlations with gut microbiota. Interestingly, our data show a tendency for these gut bacteria to restore to normal levels
文摘AIM: To evaluate the effectiveness and safety of percutaneous hepatic cryoablation in combination with percutaneous ethanol injection (PEI) in patients with unresectable hepaocellular carcinoma (HCC).METHODS: A total of 105 masses in 65 HCC patients underwent percutaneous hepatic cryoablation. The cryoablation was performed with the Cryocare system (Endocare, Irvine, CA, USA) using argon gas as a cryogen.Two freeze-thaw cycles were performed, each reaching a temperature of -180 ℃ at the tip of the probe. PEI was given in 36 patients with tumor masses larger than 6 cm in diameter 1-2 weeks after cryoablation and then once per week for 4 to 6 sessions. The efficacy was evaluated with survival, change of tumor size and alpha-fetoprotein (AFP) levels. RESULTS: During a follow-up duration of 14 months in average with a range of 5 to 21 months, 33 patients (50.8 %)were free of tumors, 22 patients (33.8 %) alive with tumor recurrence: two had bone metastases, three were found to have lung metastases, and the remaining 17 recurrences occurred in the liver, of whom only 3 developed a cryosite recurrence. Among the 41 patients who were followed up for more than one year, 32(78 %) were alive despite of tumor recurrence. Seven patients (10.8 %) died due to disease recurrence. Three patients (4.6 %) died due to some noncancer-related causes. Among the 43 patients who had a CT scan available for review, 38 (88.4 %) had a shrinkage of tumor mass. Among the 22 patients who received biopsies of cryoablated tumor mass, all biopsies except one, showed only dead or scar tissues. Of the patients who had an increased AFP preablatively, 91.3 % had a decrease of AFP to normal or nearly normal levels during postablative 3-6 months. Complications of cryoablation included liver capsular cracking in one patient,transient thrombocytopenia in 4 patients and asymptomatic right-sided pleural effusions in 2 patients. Two patients developed liver abscess at the previous cryoablation site at 2 and 4 months, respectively,following cryoablation, a
基金the National Natural Science Foundation of China (Grant No.60473008)Science & Technology Foundation of University in Shanghai (Grant No.04AB38)+1 种基金Shanghai Leading Academic Discipline Project (Grant No.J50103)the Doctorate Foundation of Shanghai University
文摘In this paper a new theory referred to as the decrease-radix design （DRD） is proposed, which is found in the research of logic units of ternary （tri-valued） optical computer. Based on the theory proposed, the principles and the regulations of the DRD for making operation units of multi-valued operation with carrying/borrowing free are also presented. The research work has come to the following important conclusion： let D be a special state contained in n physical informative states, then one may figure out any multi-valued processors within n^（n×n） carrying/borrowing free n-valued units by the composition some of n×n×（n-1） simplest basic operating units according to the regulations of DRD proposed in this paper. The detailed systematic way of our design regulations is highlighted step by step in the paper with an example of design of a tri-valued logic optical operating unit. The real architecture, the procedure, and the experimental results of our sample in tri-valued logic operating unit are given. Finally, a re-constructible model of ternary logical optical processor is introduced. The theory proposed in the paper has laid down a solid foundation for the design of re-constructible carrying/borrowing free operating units in ternary optical computers and can be widely used as the designing reference in a variety of multi-valued logic operating units.
基金The Science-development Grand of Science-technology Department of Guangdong Province Grand of Health Department of Guangdong Province
文摘AIM: To study the therapeutic value of combination o cryosurgery and 125iodine seed implantation for locally advanced pancreatic cancer. METHODS: Forty-nine patients with locally advanced pancreatic cancer (males 36, females 13), with a median age of 59 years, were enrolled in the study. Twelve patients had liver metastases. In all cases the tumors were considered unresectable after a comprehensive evaluation. Patients were treated with cryosurgery, which was performed intraoperatively or percutaneously unde guidance of ultrasound and/or computed tomography (CT), and 125iodine seed implantation, which was performed during cryosurgery or post-cryosurgery under guidance of ultrasound and/or CT. A few patients received regional celiac artery chemotherapy. RESULTS: Thirteen patients received intraoperative cryosurgery and 36 received percutaneous cryosurgery Some patients underwent repeat cryosurgery. 125Iodine seed implantation was performed during freezing procedure in 35 patients and 3-9 d after cryosurgery in 14 cases. Twenty patients, 10 of whom had hepaticmetastases received regional chemotherapy. At 3 mo after therapy, CT was repeated to estimate tumor response to therapy. Most patients showed varying degrees of tumor necrosis. Complete response (CR) of tumor was seen in 20.4% patients, partial response (PR), in 38.8%, stable disease (SD), in 30.6%, and progressive disease (PD), in 10.2%. Adverse effects associated with cryosurgery included upper abdomen pain and increased serum amylase. Acute pancreatitis was seen in 6 patients one of whom developed severe pancreatitis. All adverse effects were controlled by medical management with no poor outcome. There was no therapy-related mortality. During a median follow-up of 18 mo (range of 5-40), the median survival was 16.2 mo, with 26 patients (53.1%) surviving for 12 mo or more. Overall, the 6-, 12-, 24- and 36-mo survival rates were 94.9%, 63.1%, 22.8% and 9.5%, respectively. Eight patients had survival of 24 mo or more. The patient with the longest survival (40
文摘Background: Liver cancer is a common cancer with poor prognosis in China. In this study, the national population?based cancer registration data were used to evaluate and analyze liver cancer incidence and mortality in China in 2011 and provide a reference for liver cancer prevention and control.Methods: We collected and evaluated the incidence and mortality data of liver cancer in 2011 from 177 cancer registries with qualiied data. These data were used in the inal analysis including calculating crude, standardized, and truncated incidences and mortalities, and estimated new liver cancer cases and deaths using age?speciic rates and the corresponding populations. The national census in 2000 and Segi's population were used for age?standardized rates.Results: The estimates of new liver cancer cases and deaths were 355,595 and 322,416, respectively, in China in 2011. The crude incidence, age?standardized rate of incidence by Chinese standard population(ASRIC), and age?stand?ardized rate of incidence by world standard population(ASRIW) of liver cancer were 26.39/100,000, 19.48/100,000, and 19.10/100,000, respectively; the crude mortality, age?standardized rate of mortality by Chinese standard popula?tion(ASRMC), and age?standardized rate of mortality by world standard population(ASRMW) of liver cancer were 23.93/100,000,17.48/100,000, and 17.17/100,000, respectively. The incidence and mortality were higher in rural areas than in urban areas and higher in males than in females. The age?speciic incidence and mortality of liver cancer increased greatly with age, particularly after 30 years and peaked at 80–84 or 85+ years.Conclusions: Liver cancer is a common cancer in China, particularly for males and residents in rural areas. Targeted prevention, early detection, and treatment programs should be carried out.
文摘The Dongcaohe ophiolite, located at the south of the North Qilian subduction complexes, is a tectonic block with an exposed area of about 3 km×6 km. It consists of an intrusive section overlain by an ex- trusive section. The lower part of the intrusive section consists of cyclic layers of cumulate dunites, troctolites, anorthosites, anorthositic gabbros, and gabbros with small discordant dunite and troctolite bodies. This layered sequence grades upward to isotropic gabbros and gabbronorites, which are overlain by the extrusive sequence of diabasic sheeted dikes and basaltic lavas. The overall mineral crystallization sequence was olivine±Cr-spinel, plagioclase, clinopyroxene, orthopyroxene, and Fe-Ti oxides. The Cr-spinel (Mg#: 42-66, Cr#: 41-57) in these layered cumulates and present-day abyssal peridotites have similar compositions. Also, the compositional variations of the plagioclase and cli- nopyroxene in the intrusive section reflect crystallization from melts compositionally similar to the present-day ocean basalts. Moreover, the rare earth element (REE) and multi-element distribution pat- terns of the intrusive and extrusive lithologies in the Dongcaohe ophiolite are consistent with crystal- lization of mid-ocean ridge basalts. The zircon grains separated from the gabbronorite have an SHRIMP average 206Pb/238U weighted age of 497 ± 7 Ma, which is considered as the tectonic emplacement age of the Dongcaohe ophiolite. The field occurrence, mineral and whole-rock compositions indicate that the Dongcaohe ophiolite represents a well-persevered oceanic crustal fragment composed of a complete oceanic crustal section of layered cumulates at bottom upgrading through isotropic cumulates to sheeted dikes and lava flows.
基金supported by Special Fund for Agro-scientific Research in the Public Interest(Grant No.200903005)National Basic Research Program of China(Grant Nos.2011CB409805 and 2010CB951204)Taishan Scholar Program of Shandong Province
文摘Laizhou Bay provides a critical spawning and nursery habitat for many fishery species, including commercially important spe- cies, such as Fenneropenaeus chinensis and Larimichthys polyactis. The bay is severely stressed due to high fishing pressure and environmental changes. Based on the long-term ecosystem surveys in Laizhou Bay during the main spawning period （May） of most fishery species from 1959 to 2008, the responses of the Laizhou Bay fishery ecosystem were analyzed here, including regime shifts in species composition, biomass, species diversity, zooplankton, phytoplankton, and environmental variables. The dominant species of large-size and high economic value （e.g. Trichiurus haumela, L. polyactis） have been replaced by the short-lived, low-trophic-level planktivorous pelagic species （e.g. Setipinna taty, Engraulisjaponicus） since the 1980s, and it is probable that the small-sized pelagic fishes have been recently replaced by invertebrates （e.g. Oratosquilla oratoria, Crangon affinis）. The biomass of fishery resources declined continuously from 423.6 kg haul 1 h-1 in 1959 to 164.6 kg haul-l h i in 1982, 37.7 kg haul-1 h-1 in 1993, and less than 8 kg haul 1 h-a in 1998-2008. Moreover, the biomass of zooplankton showed an increasing trend during 1959-2006, but showed a slight decline in 2008. The abundance of phytoplankton increased from 1959 through 1982, decreased substantially in 1993, and increased again until 2004. More recently, however, the phytoplankton abundance was very low. The sea surface temperature （SST） and sea bottom temperature （SBT） in May increased by 0.23~C a-~ and 0.16~C a-~, respectively, during 1982-2008. The salinity in May showed large fluctuations and reached its lowest val- ues in 2004 and 2006. The ratio of dissolved inorganic nitrogen （DIN） to dissolved inorganic phosphate （DIP） increased. However, the dissolved silicon （DSi）：DIP and DSi：DIN ratios decreased to a low level during 1959-2008. These changes seri- ously impacted primary produ
文摘Firstly, the early warning index system of coal mine safety production was given from four aspects as per- sonnel, environment, equipment and management. Then, improvement measures which are additional momentum method, adaptive learning rate, particle swarm optimization algorithm, variable weight method and asynchronous learning factor, are used to optimize BP neural network models. Further, the models are applied to a comparative study on coal mine safety warning instance. Results show that the identification precision of MPSO-BP network model is higher than GBP and PSO-BP model, and MPSO- BP model can not only effectively reduce the possibility of the network falling into a local minimum point, but also has fast convergence and high precision, which will provide the scientific basis for the forewarnin~ management of coal mine safetv production.
文摘To understand the prevalence and evolution of drug resistant HIV strains in Henan China after the implementation of free antiretroviral therapy for AIDS patients. 45 drug naive AIDS patients, 118 AIDS patients who received three months antiretroviral therapy and 124 AIDS patients who received six months antiretroviral treatment were recruited in the southern part of Henan province. Information on general condition, antiretroviral medicines, adherence and clinical syndromes were collected by face to face interview. Meanwhile, 14ml EDTA anticoagulant blood was drawn. CD4/CD8 T cell count, viral load and genotypic drug resistance were tested. The rates of clinical improvement were 55.1% and 50.8% respectively three months and six months after antiretroviral therapy. The mean CD4 cell count after antiretroviral therapy was significantly higher than in drug naive patients. The prevalence rate of drug resistant HIV strains were 13.9%, 45.4% and 62.7% in drug naive patients, three month treatment patients and six month treatment patients, respectively. The number of resistance mutation codons and the frequency of mutations increased significantly with continued antiretroviral therapy. The mutation sites were primarily at the 103, 106 and 215 codons in the three-month treatment group and they increased to 15 codon mutations in the six-month treatment group. From this result, the evolution of drug resistant strains was inferred to begin with the high level NNRTI resistant strain, and then develop low level resistant strains to NRTIs. The HIV strains with high level resistance to NVP and low level resistance to AZT and DDI were highly prevalent because of the AZT＋DDI＋NVP combination therapy. These HIV strains were also cross resistant to DLV, EFV, DDC and D4T. Poor adherence to therapy was believed to be the main reason for the emergence and prevalence of drug resistant HIV strains. The prevalence of drug resistant HIV strains was increased with the continuation of antiretroviral therapy in the southern part of Henan p
文摘Background Fibrinogen-depleting agents are promising in the treatment of cerebral ischemic disease. They were studied by many trials, and the outcomes were different because of different regimens and different doses. In this study, we assessed the efficacy and safety of defibrase on acute cerebral infarction in China. Methods A search using Chinese hospital knowledge database （CHKD） and MEDLINE database for randomized controlled trials was carded out. A CHKD （1994 June 2005） search was performed with the keyword ＂defibrase＂, then a second search for the keyword ＂acute cerebral infarction＂; a MEDLINE search （1950 June 2005） was performed with the following keywords： [（cerebral ischemia）, OR （acute cerebral infarction）, OR （stroke）], AND [defibrase]. Meta-analysis was performed with RevMan software 4.2. Results Included were 14 studies comparing the efficiency and safety of defibrase with other drugs in the treatment of acute cerebral infarction. Patients＇ records were pooled （total 646 patients; defibrase, n=328, no defibrase n=318）. Neurological deficit score （NDS） before treatment showed weighted mean differences （WMD）=0.95, 95% confidence interval （CI）= （-0.60, 2.50）, P=0.23; NDS after treatment showed WMD=- 2.20, 95% CI= （-4.21, -0.18）, P=0.03; Barthel index at 3 months showed WMD=4.45, 95% CI= （-0.13, 9.03）, P=0.06; the plasma fibrinogen level before treatment showed WMD=0.02, 95% CI= （-0.16, 0.19）, P=0.86; plasma fibrinogen level after treatment showed WMD=- 1.51, 95% CI= （- 1.88, - 1.15）, P〈0.00 001.Conclusions With the given dose and regimen of defibrase in China, defibrase may play a role of anticoagulation. It might inhibit the progression of stroke and prevent the recurrence of stroke.
基金Supported by National Nature Science Foundation of China No.30970801National Nature Science Foundation of China,No.81170435+1 种基金the China Post-doctoral Science Foundation,No.20100480545the Shanghai Leading Talent Team Construction Special Funds,No.2011-036
文摘AIM: To identify the radiological characteristics of focal autoimmune pancreatitis (f-AIP) useful for differentiation from pancreatic cancer (PC). METHODS: Magnetic resonance imaging (MRI) and triple-phase computed tomography (CT) scans of 79 patients (19 with f-AIP, 30 with PC, and 30 with a normal pancreas) were evaluated retrospectively. A radiologist measured the CT attenuation of the pancreatic parenchyma, the f-AIP and PC lesions in triple phases. The mean CT attenuation values of the f-AIP lesions were compared with those of PC, and the mean CT attenuation values of pancreatic parenchyma in the three groups were compared. The diagnostic performance of CT attenuation changes from arterial phase to hepatic phase in the differentiation between f-AIP and PC was evaluated using receiver operating characteristic (ROC) curve analysis. We also investigated the incidence of previously reported radiological findings for differentiation between f-AIP and PC. RESULTS: The mean CT attenuation values of f-AIP lesions in enhanced phases were significantly higher than those of PC (arterial phase: 60 ± 7 vs 48 ± 10, P < 0.05; pancreatic phase: 85 ± 6 vs 63 ± 15, P < 0.05; hepatic phase: 95 ± 7 vs 63 ± 13, P < 0.05). The mean CT attenuation values of f-AIP lesions were significantly lower those of uninvolved pancreas and normal pancreas in the arterial and pancreatic phase of CT (P < 0.001, P < 0.001), with no significant difference at the hepatic phase or unenhanced scanning (P = 0.4, P = 0.1). When the attenuation value increase was equal or more than 28 HU this was considered diagnostic for f-AIP, and a sensitivity of 87.5%, specificity of 100% and an area under the ROC curve of 0.974 (95%CI: 0.928-1.021) were achieved. Five findings were more frequently observed in f-AIP patients: (1) sausageshaped enlargement; (2) delayed homogeneous enhancement; (3) hypoattenuating capsule-like rim; (4) irregular narrowing of the main pancreatic duct (MPD) and/or stricture of the common bile duct (CBD); and (5) MPD upstream dila
