Esophageal cancer is one of the most unknown and deadliest cancers worldwide,mainly because of its extremely aggressive nature and poor survival rate.Esophageal cancer is the 6th leading cause of death from cancer and...Esophageal cancer is one of the most unknown and deadliest cancers worldwide,mainly because of its extremely aggressive nature and poor survival rate.Esophageal cancer is the 6th leading cause of death from cancer and the 8th most common cancer in the world.The 5-year survival is around 15%-25%.There are clear differences between the risk factors of both histological types that affect their incidence and distribution worldwide.There are areas of high incidence of squamous cell carcinoma(some areas in China) that meet the requirements for cost-effectiveness of endoscopy for early diagnosis in the general population of those areas.In Europe and United States the predominant histologic subtype is adenocarcinoma.The role of early diagnosis of adenocarcinoma in Barrett's esophagus remains controversial.The differences in the therapeutic management of early esophageal carcinoma(high-grade dysplasia,T1 a,T1 b,N0) between different parts of the world may be explained by the number of cancers diagnosed at an early stage.In areas where the incidence is high(China and Japan among others) early diagnoses is more frequent and has led to the development of endoscopic techniques for definitive treatment that achieve very effective results with a minimum number of complications and preserving the functionality of the esophagus.展开更多
Background Fluid therapy for severe acute pancreatitis （SAP） should not only resolve deficiency of blood volume, but also prevent fluid sequestration in acute response stage. Up to date, there has not a strategy for...Background Fluid therapy for severe acute pancreatitis （SAP） should not only resolve deficiency of blood volume, but also prevent fluid sequestration in acute response stage. Up to date, there has not a strategy for fluid therapy dedicated to SAP. So, this study was aimed to investigate the effects of fluid therapy treatment on prognosis of SAP. Methods Seventy-six patients were admitted prospectively according to the criteria within 72 hours of SAP onset. They were randomly assigned to a rapid fluid expansion group （Group I, n=36） and a controlled fluid expansion group （Group II n=-40）. Hemodynamic disorders were either quickly （fluid infusion rate was 10-15 ml.kg-1-h-1, Group I） or gradually improved （fluid infusion rate was 5-10 ml-kg1.h-1, Group II） through controlling the rate of fluid infusion. Parameters of fluid expansion, blood lactate concentration were obtained when meeting the criteria for fluid expansion. And APACHE II scores were obtained serially for 72 hours. Rate of mechanical ventilation, incidence of abdominal compartment syndrome （ACS）, sepsis, and survival rate were obtained. Results The two groups had statistically different （P 〈0.05） time intervals to meet fluid expansion criteria （Group I, 13.5±6.6 hours; Group II, （24.0±5.4） hours）. Blood lactate concentrations were both remarkably lower as compared to the level upon admission （P 〈0.05） and reached the normal level in both groups upon treatment. It was only at day 1 that hematocrit was significantly lower in Group I （35.6%±6.8%） than in Group II （38.5%±5.4%） （P〈0.01）. Amount of crystalloid and colloid in group I （（4028±1980）ml and （1336±816）ml） on admission day was more than those of group II （（2472±1871）ml and （970±633）ml）. No significant difference was found in the total amount of fluids within four days of admission between the two groups （P〉0.05）. Total amount of fluid sequestration within 4 days was higher in Group I （（5378±2751）ml�展开更多
This paper provides a detailed analysis of the factors influencing the evolution of rural settlements, including natural environmental constraints, infrastructure, regional cultural inheritance and integration, urbani...This paper provides a detailed analysis of the factors influencing the evolution of rural settlements, including natural environmental constraints, infrastructure, regional cultural inheritance and integration, urbanization and rural industrial transformation, land use refor- mation and innovation, rural household behavior conversion, macro-control policy factors, and so on. Based on differences between the ways and degree of effect on rural settlement evolution, these factors are classified into basic factors, new-type factors and mutation factors The drive of basic factors mainly focuses on the traditional inheritance of rural settlements, the new-type factors mainly affect rural settlement transition, and the mutation factors may bring about sudden changes. All these factors constitute a ＂three-wheel＂ driving mechanism for the evolution of rural settlements, and shape three typical driver paths： slow smooth path under the basic factors, new path to rapid development under the new-type factors, and the sudden change path under the mutation factors. The paper also investigates the overall situation of rural settlement evolution in the aspects of settlement system, settlement scale, settlement morphology, settlement function, settlement culture, settlement environment, etc. The general process of rural settlement evolution is divided into four stages： initial, transi- tional, developmental, and mature stages.展开更多
Here we report the first direct Rb-Sr dating of pyrites and ores using sub-sampling from lode gold deposits in Linglong, Jiaodong Peninsula, which is a supra-large lode gold deposit and propose this as a useful geochr...Here we report the first direct Rb-Sr dating of pyrites and ores using sub-sampling from lode gold deposits in Linglong, Jiaodong Peninsula, which is a supra-large lode gold deposit and propose this as a useful geochronological technique for gold mineralization with poor age constraint. The Rb-Sr data of pyrites yield an isochron age of (121.6±8.1) Ma, whereas those of ore and ore-pyrite spread in two ranges from 120.0 to 121.8 Ma and from 110.0 to 111.7 Ma. Studies of characteristic of gold deposit and microscopy of pyrite and quartz indicate that the apparent ages of ore and ore-pyrite are not isochron ages, only mixed by two end members, i.e. the primitive hydrothermal fluids and wall rocks, whereas the isochron age of pyrite sub-samples constrains the age of gold mineralization (121.6±8.1) Ma, i.e. early Cretaceous, which is in good agreement with the published SHRIMP zircon U-Pb ages.展开更多
AIM： To investigate whether S100A4 played an important role in the development or progression of colorectal cancer. METHODS： A total of 124 colorectal adenocarcinoma tissue specimens were analyzed by immunohistochem...AIM： To investigate whether S100A4 played an important role in the development or progression of colorectal cancer. METHODS： A total of 124 colorectal adenocarcinoma tissue specimens were analyzed by immunohistochemistry for the expression of S100A4 protein and subsequently investigated for the gene mutations in the coding region of S100A4 gene. The specimens were collected over a 3-year period in the laboratories at our large teaching hospital in Seoul, Republic of Korea. RESULTS： Normal colonic epithelium either failed to express or showed focal weak expression of S100A4. Moderate to strong cytoplasmic expression of S100A4 was seen in 69 （55.6%） of the 124 colorectal carcinoma tissue specimens. S100A4 expression was detected in 43 （69.4%） of 62 specimens with lymph node metastasis. Statistically, overexpression of S100A4 was significantly associated with Dukes＇ stage and lymph node metastasis. Nuclear staining was also observed in 24 （19.4%） of 124 samples and closely associated with Dukes＇ stage. However, there was no significant correlation between overexpression of S100A4 and other investigated clinico-pathologic parameters, including tumor localization, tumor size, and survival period. In mutational analysis, no gene mutation was found in the analyzed genomic area of colorectal cancer. CONCLUSION： Overexpression of S100A4 may be closely related with the aggressiveness of colorectal carcinoma.展开更多
文摘Esophageal cancer is one of the most unknown and deadliest cancers worldwide,mainly because of its extremely aggressive nature and poor survival rate.Esophageal cancer is the 6th leading cause of death from cancer and the 8th most common cancer in the world.The 5-year survival is around 15%-25%.There are clear differences between the risk factors of both histological types that affect their incidence and distribution worldwide.There are areas of high incidence of squamous cell carcinoma(some areas in China) that meet the requirements for cost-effectiveness of endoscopy for early diagnosis in the general population of those areas.In Europe and United States the predominant histologic subtype is adenocarcinoma.The role of early diagnosis of adenocarcinoma in Barrett's esophagus remains controversial.The differences in the therapeutic management of early esophageal carcinoma(high-grade dysplasia,T1 a,T1 b,N0) between different parts of the world may be explained by the number of cancers diagnosed at an early stage.In areas where the incidence is high(China and Japan among others) early diagnoses is more frequent and has led to the development of endoscopic techniques for definitive treatment that achieve very effective results with a minimum number of complications and preserving the functionality of the esophagus.
文摘Background Fluid therapy for severe acute pancreatitis （SAP） should not only resolve deficiency of blood volume, but also prevent fluid sequestration in acute response stage. Up to date, there has not a strategy for fluid therapy dedicated to SAP. So, this study was aimed to investigate the effects of fluid therapy treatment on prognosis of SAP. Methods Seventy-six patients were admitted prospectively according to the criteria within 72 hours of SAP onset. They were randomly assigned to a rapid fluid expansion group （Group I, n=36） and a controlled fluid expansion group （Group II n=-40）. Hemodynamic disorders were either quickly （fluid infusion rate was 10-15 ml.kg-1-h-1, Group I） or gradually improved （fluid infusion rate was 5-10 ml-kg1.h-1, Group II） through controlling the rate of fluid infusion. Parameters of fluid expansion, blood lactate concentration were obtained when meeting the criteria for fluid expansion. And APACHE II scores were obtained serially for 72 hours. Rate of mechanical ventilation, incidence of abdominal compartment syndrome （ACS）, sepsis, and survival rate were obtained. Results The two groups had statistically different （P 〈0.05） time intervals to meet fluid expansion criteria （Group I, 13.5±6.6 hours; Group II, （24.0±5.4） hours）. Blood lactate concentrations were both remarkably lower as compared to the level upon admission （P 〈0.05） and reached the normal level in both groups upon treatment. It was only at day 1 that hematocrit was significantly lower in Group I （35.6%±6.8%） than in Group II （38.5%±5.4%） （P〈0.01）. Amount of crystalloid and colloid in group I （（4028±1980）ml and （1336±816）ml） on admission day was more than those of group II （（2472±1871）ml and （970±633）ml）. No significant difference was found in the total amount of fluids within four days of admission between the two groups （P〉0.05）. Total amount of fluid sequestration within 4 days was higher in Group I （（5378±2751）ml�
基金National Social Science Foundation of China, No.07BJL033 Youth Foundation of Hunan Normal University, No.Z080625 Key Subject of Hunan Normal University about Human Geography
文摘This paper provides a detailed analysis of the factors influencing the evolution of rural settlements, including natural environmental constraints, infrastructure, regional cultural inheritance and integration, urbanization and rural industrial transformation, land use refor- mation and innovation, rural household behavior conversion, macro-control policy factors, and so on. Based on differences between the ways and degree of effect on rural settlement evolution, these factors are classified into basic factors, new-type factors and mutation factors The drive of basic factors mainly focuses on the traditional inheritance of rural settlements, the new-type factors mainly affect rural settlement transition, and the mutation factors may bring about sudden changes. All these factors constitute a ＂three-wheel＂ driving mechanism for the evolution of rural settlements, and shape three typical driver paths： slow smooth path under the basic factors, new path to rapid development under the new-type factors, and the sudden change path under the mutation factors. The paper also investigates the overall situation of rural settlement evolution in the aspects of settlement system, settlement scale, settlement morphology, settlement function, settlement culture, settlement environment, etc. The general process of rural settlement evolution is divided into four stages： initial, transi- tional, developmental, and mature stages.
文摘Here we report the first direct Rb-Sr dating of pyrites and ores using sub-sampling from lode gold deposits in Linglong, Jiaodong Peninsula, which is a supra-large lode gold deposit and propose this as a useful geochronological technique for gold mineralization with poor age constraint. The Rb-Sr data of pyrites yield an isochron age of (121.6±8.1) Ma, whereas those of ore and ore-pyrite spread in two ranges from 120.0 to 121.8 Ma and from 110.0 to 111.7 Ma. Studies of characteristic of gold deposit and microscopy of pyrite and quartz indicate that the apparent ages of ore and ore-pyrite are not isochron ages, only mixed by two end members, i.e. the primitive hydrothermal fluids and wall rocks, whereas the isochron age of pyrite sub-samples constrains the age of gold mineralization (121.6±8.1) Ma, i.e. early Cretaceous, which is in good agreement with the published SHRIMP zircon U-Pb ages.
基金Supported by the Korea Science and Engineering Foundation, No.R13-2002-005-01004-0
文摘AIM： To investigate whether S100A4 played an important role in the development or progression of colorectal cancer. METHODS： A total of 124 colorectal adenocarcinoma tissue specimens were analyzed by immunohistochemistry for the expression of S100A4 protein and subsequently investigated for the gene mutations in the coding region of S100A4 gene. The specimens were collected over a 3-year period in the laboratories at our large teaching hospital in Seoul, Republic of Korea. RESULTS： Normal colonic epithelium either failed to express or showed focal weak expression of S100A4. Moderate to strong cytoplasmic expression of S100A4 was seen in 69 （55.6%） of the 124 colorectal carcinoma tissue specimens. S100A4 expression was detected in 43 （69.4%） of 62 specimens with lymph node metastasis. Statistically, overexpression of S100A4 was significantly associated with Dukes＇ stage and lymph node metastasis. Nuclear staining was also observed in 24 （19.4%） of 124 samples and closely associated with Dukes＇ stage. However, there was no significant correlation between overexpression of S100A4 and other investigated clinico-pathologic parameters, including tumor localization, tumor size, and survival period. In mutational analysis, no gene mutation was found in the analyzed genomic area of colorectal cancer. CONCLUSION： Overexpression of S100A4 may be closely related with the aggressiveness of colorectal carcinoma.
