The ring-width chronology of a Juniperus przewalskii tree from the middle of the Qilian Mountain was constructed to estimate the annual precipitation (from previous August to current July) since AD 1480.The reconstruc...The ring-width chronology of a Juniperus przewalskii tree from the middle of the Qilian Mountain was constructed to estimate the annual precipitation (from previous August to current July) since AD 1480.The reconstruction showed four major alternations of drying and wetting over the past 521 years.The rainy 16th century was followed by persistent drought in the 17th century.Moreover,relatively wet conditions persisted from the 18th to the beginning of 20th century until the recurrence of a drought during the 1920s and 1930s.Based on the Empirical Mode Decomposition method,eight Intrinsic Mode Functions (IMFs) were extracted,each representing unique fluctuations of the reconstructed precipitation in the time-frequency domain.The high amplitudes of IMFs on different timescales were often consistent with the high amount of precipitation,and vice versa.The IMF of the lowest frequency indicated that the precipitation has undergone a slow increasing trend over the past 521 years.The 2-3 year and 5-8 year time-scales reflected the characteristics of inter-annual variability in precipitation relevant to regional atmospheric circulation and the El Ni?o-Southern Oscillation (ENSO),respectively.The 10-13 year scale of IMF may be associated with changing solar activity.Specifically,an amalgamation of previous and present data showed that droughts were likely to be a historically persistent feature of the Earth's climate,whereas the probability of intensified rainfall events seemed to increase during the course of the 19th and 20th centuries.These changing characteristics in precipitation indicate an unprecedented alteration of the hydrological cycle,with unknown future amplitude.Our reconstruction complements existing information on past precipitation changes in the Qilian Mountain,and provides additional low-frequency information not previously available.展开更多
Oculocutaneous albinism（OCA） is an autosomal recessive disorder characterized by hypopigmentation in eyes,hair and skin,accompanied with vision loss.Currently,six genes have been identified as causative genes for no...Oculocutaneous albinism（OCA） is an autosomal recessive disorder characterized by hypopigmentation in eyes,hair and skin,accompanied with vision loss.Currently,six genes have been identified as causative genes for non-syndromic OCA（OCA-1w4,6,7）,and ten genes for syndromic OCA（HPS-1e9,CHS-1）.Genetic counseling of 51 Chinese OCA families（39 OCA-1 with mutations in the TYR gene,6 OCA-2 with mutations in the OCA2 gene,4 OCA-4 with mutations in the SLC45A2 gene,1 HPS-1（Hermanskye Pudlak syndrome-1） with mutation in the HPS1 gene,and 1 mixed OCA-1 and OCA-4） led us to perform the prenatal genetic testing of OCA using amniotic fluid cells through the implementation of our optimized strategy.In our cohort,eleven previously unidentified alleles（PUAs）（5 in TYR,2 in OCA2,and 4 in SLC45A2） were found.Three missense PUAs（p.C112 R,p.H363 R and p.G379 V of TYR） and one in-frame deletional PUA（p.S222 del of SLC24A5） led to fetuses with OCA when co-inherited with other disease causative alleles.Three PUAs（p.P152 H and p.W272 X of TYR,p.A486 T of SLC24A5） identified in the OCA probands did not co-transmit with known pathological alleles and thus gave rise to unaffected fetuses.Four PUAs（p.Q83 X and p.A658 T of TYR,p.G161 R and p.G366 R of SLC24A5） did not transmit to the unaffected fetuses.In addition,the in vitro transfection assays showed that the p.S192 Y variant of TYR produced less pigment compared to the wild-type allele.A fetus with a digenic carrier of OCA-1 and OCA-4 was unaffected.In combination with functional assays,the family inheritance pattern is useful for the evaluation of pathogenicity of PUAs and genetic counseling of OCA.展开更多
In this editorial,we discussed the apparent discrepancy between the findings described by Colapietro et al,in their case report and data found in the literature.Colapietro et al reported a case of hepatitis B virus(HB...In this editorial,we discussed the apparent discrepancy between the findings described by Colapietro et al,in their case report and data found in the literature.Colapietro et al reported a case of hepatitis B virus(HBV)-related hepatic decompensation in a patient with chronic myeloid leukemia and a previously resolved HBV infection who was receiving Bruton’s tyrosine kinase(BTK)inhibitor therapy.First of all,we recapitulated the main aspects of the immune system involved in the response to HBV infection in order to underline the role of the innate and adaptive response,focusing our attention on the protective role of anti-HBs.We then carefully analyzed literature data on the risk of HBV reactivation(HBVr)in patients with previous HBV infection who were treated with either tyrosine kinase inhibitors or BTK inhibitors for their hematologic malignancies.Based on literature data,we suggested that several factors may contribute to the different risks of HBVr:The type of hematologic malignancy;the type of therapy(BTK inhibitors,especially second-generation,seem to be at a higher risk of HBVr than those with tyrosine kinase inhibitors);previous exposure to an anti-CD20 as first-line therapy;and ethnicity and HBV genotype.Therefore,the warning regarding HBVr in the specific setting of patients with hematologic malignancies requires further investigation.展开更多
The effects of Previously Fermented Juice （PFJ） on the fermentative quality and changes in chemical composition during fermentation of rice straw silage were investigated. The results showed that the PFJ and diluted...The effects of Previously Fermented Juice （PFJ） on the fermentative quality and changes in chemical composition during fermentation of rice straw silage were investigated. The results showed that the PFJ and diluted the PFJ （dPFJ） treated silages had significantly （p〈0.05） lower pH and ammonia-nitrogen content, while significantly higher lactic acid content compared with treatments. This study confirmed that the applying of the PFJ and the dPFJ improved fermentation quality of silage.展开更多
Salvage liver transplantation (LT) has been performed for recurred hepatocellular carcinoma(HCC) or for deterioration of liver function after resection of HCC. Controversies arise, howeverover the technical feasibilit...Salvage liver transplantation (LT) has been performed for recurred hepatocellular carcinoma(HCC) or for deterioration of liver function after resection of HCC. Controversies arise, howeverover the technical feasibility of salvage LT in patientswho underwent liver surgery,展开更多
Background: Erlotinib has been reported to be effective for the treatment of non-small cell lung cancer (NSCLC). To evaluate the efficacy and safety of erlotinib under conditions similar to daily clinical practice, a ...Background: Erlotinib has been reported to be effective for the treatment of non-small cell lung cancer (NSCLC). To evaluate the efficacy and safety of erlotinib under conditions similar to daily clinical practice, a phase II trial was conducted in Japanese patients with previously treated NSCLC. Methods: The eligibility criteria were stage IIIB/IV NSCLC, a performance status (PS) of 0 - 2, and previous treatment with 1 - 2 non-EGFR-TKI regimens. Patients received erlotinib (150 mg/day) orally until disease progression or intolerable toxicity occurred. The primary endpoint was the objective response rate (ORR). In addition, the disease control rate (DCR), progression-free survival (PFS), overall survival (OS), safety, and EGFR gene mutation status were evaluated. Results: Thirty-eight patients were enrolled, and 37 patients were evaluated. The median age was 69 years (range, 50 - 80 years). Patient characteristics were as follows: 26 were male and 11 were female;12 had a PS of 0, 20 had a PS of 1, and 5 had a PS of 2;and 26 had adenocarcinoma, and 11 had non-adenocarcinoma histology. The ORR and DCR were 21.6% (95% confidence interval [CI], 11.4% - 37.2%) and 54.1% (95% CI, 35.9% - 66.6%), respectively. Twenty-seven patients could be evaluated for EGFR gene status (12, mutated;15, wild-type). The ORR for EGFR-mutated patients was 41.7%, while that for patients with wild-type EGFR was 13.3%. The median PFS was evaluated as 4.4 months (95% CI, 2.2 - 10.7 months). The median OS was 14.9 months (95% CI, 9.2 months - not reached). Common adverse events were tolerable skin toxicities, diarrhea, and stomatitis. In addition, interstitial lung disease occurred in 8.1% of patients. Conclusion: As efficacy and safety were similar to previous studies, erlotinib was found to be effective for Japanese patients with previously treated NSCLC in clinical practice.展开更多
Background:Recurrent,previously stented basilar trunk aneurysms pose significant challenges to either microsurgical clipping or traditional endovascular treatment.We here presented an intriguing case that was successf...Background:Recurrent,previously stented basilar trunk aneurysms pose significant challenges to either microsurgical clipping or traditional endovascular treatment.We here presented an intriguing case that was successfully treated by the pipeline embolization device(PED;ev3/Covidien Neurovascular,Irvine,California,USA).Case presentation:A 62-year-old male found a recurrent aneurysm,which had been treated with coiling and stentassisted coiling before.The patient came to our center seeking for a third treatment.In our center,a single PED and additional coils were used to treat this refractory aneurysm.The whole length of the PED was delicately implanted in the previous Enterprise stent(Cordis Corporation,Miami FL,USA),which resembled the double-layer flow diverter FRED(Microvention,Tustin,California,USA).The inflow zone of the aneurysmal sac was further coiled considering that this aneurysm had ruptured.No procedure-related complications occurred.Follow-up angiogram at 6 months indicated that the intractable aneurysm was completely occluded and the patient was free from any neurologic deficit.Conclusions:This is a case that adds knowledge to improve the poor performance of flow diverters in previously stented aneurysms.However,future studies with larger group of patients are needed to further test the safety and efficacy of this technique.展开更多
The "cascade static lens （CSL） gauge" has a high sensitivity（S） because the emitted electrons repeat the go and back oscillation before they are received by the electrodes. (S=18.6 Pa<sup>-1</su...The "cascade static lens （CSL） gauge" has a high sensitivity（S） because the emitted electrons repeat the go and back oscillation before they are received by the electrodes. (S=18.6 Pa<sup>-1</sup> (2480 Torr<sup>-1</sup> in a展开更多
基金supported by the National Natural Science Foundation of China (Grant Nos. 41001058, 41001009, 40971119 and 40890052)the China Postdoctoral Science Foundation (Grant Nos. 201003194)
文摘The ring-width chronology of a Juniperus przewalskii tree from the middle of the Qilian Mountain was constructed to estimate the annual precipitation (from previous August to current July) since AD 1480.The reconstruction showed four major alternations of drying and wetting over the past 521 years.The rainy 16th century was followed by persistent drought in the 17th century.Moreover,relatively wet conditions persisted from the 18th to the beginning of 20th century until the recurrence of a drought during the 1920s and 1930s.Based on the Empirical Mode Decomposition method,eight Intrinsic Mode Functions (IMFs) were extracted,each representing unique fluctuations of the reconstructed precipitation in the time-frequency domain.The high amplitudes of IMFs on different timescales were often consistent with the high amount of precipitation,and vice versa.The IMF of the lowest frequency indicated that the precipitation has undergone a slow increasing trend over the past 521 years.The 2-3 year and 5-8 year time-scales reflected the characteristics of inter-annual variability in precipitation relevant to regional atmospheric circulation and the El Ni?o-Southern Oscillation (ENSO),respectively.The 10-13 year scale of IMF may be associated with changing solar activity.Specifically,an amalgamation of previous and present data showed that droughts were likely to be a historically persistent feature of the Earth's climate,whereas the probability of intensified rainfall events seemed to increase during the course of the 19th and 20th centuries.These changing characteristics in precipitation indicate an unprecedented alteration of the hydrological cycle,with unknown future amplitude.Our reconstruction complements existing information on past precipitation changes in the Qilian Mountain,and provides additional low-frequency information not previously available.
基金partially supported by grants from the National Natural Science Foundation of China(Nos.81472871 and31230046)the Natural Science Foundation of Beijing(No.7132073)the State Key Laboratory of Molecular Developmental Biology of China(No.2013-MDB-KF-03)
文摘Oculocutaneous albinism（OCA） is an autosomal recessive disorder characterized by hypopigmentation in eyes,hair and skin,accompanied with vision loss.Currently,six genes have been identified as causative genes for non-syndromic OCA（OCA-1w4,6,7）,and ten genes for syndromic OCA（HPS-1e9,CHS-1）.Genetic counseling of 51 Chinese OCA families（39 OCA-1 with mutations in the TYR gene,6 OCA-2 with mutations in the OCA2 gene,4 OCA-4 with mutations in the SLC45A2 gene,1 HPS-1（Hermanskye Pudlak syndrome-1） with mutation in the HPS1 gene,and 1 mixed OCA-1 and OCA-4） led us to perform the prenatal genetic testing of OCA using amniotic fluid cells through the implementation of our optimized strategy.In our cohort,eleven previously unidentified alleles（PUAs）（5 in TYR,2 in OCA2,and 4 in SLC45A2） were found.Three missense PUAs（p.C112 R,p.H363 R and p.G379 V of TYR） and one in-frame deletional PUA（p.S222 del of SLC24A5） led to fetuses with OCA when co-inherited with other disease causative alleles.Three PUAs（p.P152 H and p.W272 X of TYR,p.A486 T of SLC24A5） identified in the OCA probands did not co-transmit with known pathological alleles and thus gave rise to unaffected fetuses.Four PUAs（p.Q83 X and p.A658 T of TYR,p.G161 R and p.G366 R of SLC24A5） did not transmit to the unaffected fetuses.In addition,the in vitro transfection assays showed that the p.S192 Y variant of TYR produced less pigment compared to the wild-type allele.A fetus with a digenic carrier of OCA-1 and OCA-4 was unaffected.In combination with functional assays,the family inheritance pattern is useful for the evaluation of pathogenicity of PUAs and genetic counseling of OCA.
文摘In this editorial,we discussed the apparent discrepancy between the findings described by Colapietro et al,in their case report and data found in the literature.Colapietro et al reported a case of hepatitis B virus(HBV)-related hepatic decompensation in a patient with chronic myeloid leukemia and a previously resolved HBV infection who was receiving Bruton’s tyrosine kinase(BTK)inhibitor therapy.First of all,we recapitulated the main aspects of the immune system involved in the response to HBV infection in order to underline the role of the innate and adaptive response,focusing our attention on the protective role of anti-HBs.We then carefully analyzed literature data on the risk of HBV reactivation(HBVr)in patients with previous HBV infection who were treated with either tyrosine kinase inhibitors or BTK inhibitors for their hematologic malignancies.Based on literature data,we suggested that several factors may contribute to the different risks of HBVr:The type of hematologic malignancy;the type of therapy(BTK inhibitors,especially second-generation,seem to be at a higher risk of HBVr than those with tyrosine kinase inhibitors);previous exposure to an anti-CD20 as first-line therapy;and ethnicity and HBV genotype.Therefore,the warning regarding HBVr in the specific setting of patients with hematologic malignancies requires further investigation.
基金Supported by the Scientific Research of Anhui Educational Committee (KJ2010B053)
文摘The effects of Previously Fermented Juice （PFJ） on the fermentative quality and changes in chemical composition during fermentation of rice straw silage were investigated. The results showed that the PFJ and diluted the PFJ （dPFJ） treated silages had significantly （p〈0.05） lower pH and ammonia-nitrogen content, while significantly higher lactic acid content compared with treatments. This study confirmed that the applying of the PFJ and the dPFJ improved fermentation quality of silage.
文摘Salvage liver transplantation (LT) has been performed for recurred hepatocellular carcinoma(HCC) or for deterioration of liver function after resection of HCC. Controversies arise, howeverover the technical feasibility of salvage LT in patientswho underwent liver surgery,
文摘Background: Erlotinib has been reported to be effective for the treatment of non-small cell lung cancer (NSCLC). To evaluate the efficacy and safety of erlotinib under conditions similar to daily clinical practice, a phase II trial was conducted in Japanese patients with previously treated NSCLC. Methods: The eligibility criteria were stage IIIB/IV NSCLC, a performance status (PS) of 0 - 2, and previous treatment with 1 - 2 non-EGFR-TKI regimens. Patients received erlotinib (150 mg/day) orally until disease progression or intolerable toxicity occurred. The primary endpoint was the objective response rate (ORR). In addition, the disease control rate (DCR), progression-free survival (PFS), overall survival (OS), safety, and EGFR gene mutation status were evaluated. Results: Thirty-eight patients were enrolled, and 37 patients were evaluated. The median age was 69 years (range, 50 - 80 years). Patient characteristics were as follows: 26 were male and 11 were female;12 had a PS of 0, 20 had a PS of 1, and 5 had a PS of 2;and 26 had adenocarcinoma, and 11 had non-adenocarcinoma histology. The ORR and DCR were 21.6% (95% confidence interval [CI], 11.4% - 37.2%) and 54.1% (95% CI, 35.9% - 66.6%), respectively. Twenty-seven patients could be evaluated for EGFR gene status (12, mutated;15, wild-type). The ORR for EGFR-mutated patients was 41.7%, while that for patients with wild-type EGFR was 13.3%. The median PFS was evaluated as 4.4 months (95% CI, 2.2 - 10.7 months). The median OS was 14.9 months (95% CI, 9.2 months - not reached). Common adverse events were tolerable skin toxicities, diarrhea, and stomatitis. In addition, interstitial lung disease occurred in 8.1% of patients. Conclusion: As efficacy and safety were similar to previous studies, erlotinib was found to be effective for Japanese patients with previously treated NSCLC in clinical practice.
基金the National Natural Science Foundation of China(grant no.81371314)the High-level Personnel Training Program of Beijing Health system(grant no.2013-2-016).
文摘Background:Recurrent,previously stented basilar trunk aneurysms pose significant challenges to either microsurgical clipping or traditional endovascular treatment.We here presented an intriguing case that was successfully treated by the pipeline embolization device(PED;ev3/Covidien Neurovascular,Irvine,California,USA).Case presentation:A 62-year-old male found a recurrent aneurysm,which had been treated with coiling and stentassisted coiling before.The patient came to our center seeking for a third treatment.In our center,a single PED and additional coils were used to treat this refractory aneurysm.The whole length of the PED was delicately implanted in the previous Enterprise stent(Cordis Corporation,Miami FL,USA),which resembled the double-layer flow diverter FRED(Microvention,Tustin,California,USA).The inflow zone of the aneurysmal sac was further coiled considering that this aneurysm had ruptured.No procedure-related complications occurred.Follow-up angiogram at 6 months indicated that the intractable aneurysm was completely occluded and the patient was free from any neurologic deficit.Conclusions:This is a case that adds knowledge to improve the poor performance of flow diverters in previously stented aneurysms.However,future studies with larger group of patients are needed to further test the safety and efficacy of this technique.
文摘The "cascade static lens （CSL） gauge" has a high sensitivity（S） because the emitted electrons repeat the go and back oscillation before they are received by the electrodes. (S=18.6 Pa<sup>-1</sup> (2480 Torr<sup>-1</sup> in a
