BACKGROUND Gastric cancer(GC)is a prevalent malignancy,leading to a high incidence of cancer-associated death.Cisplatin(DDP)-based chemotherapy is the principal therapy for clinical GC treatment,but DDP resistance is ...BACKGROUND Gastric cancer(GC)is a prevalent malignancy,leading to a high incidence of cancer-associated death.Cisplatin(DDP)-based chemotherapy is the principal therapy for clinical GC treatment,but DDP resistance is a severe clinical challenge and the mechanism remains poorly understood.Circular RNAs(circRNAs)have been identified to play crucial roles in modulating the chemoresistance of gastric cancer cells.AIM To explore the effect of circVAPA on chemotherapy resistance during GC progression.METHODS The effect of circVAPA on GC progression and chemotherapy resistance was analyzed by MTT assay,colony formation assay,Transwell assay,wound healing assay,and flow cytometry analysis in GC cells and DDP resistant GC cell lines,and tumorigenicity analysis in nude mice in vivo.The mechanism was investigated by luciferase reporter assay,quantitative real-time PCR,and Western blot analysis.RESULTS CircVAPA expression was up-regulated in clinical GC tissues compared with normal samples.CircVAPA depletion inhibited proliferation,migration,and invasion and increased apoptosis of GC cells.The expression of circVAPA,STAT3,and STAT3 downstream genes was elevated in DDP resistant SGC7901/DDP cell lines.CircVAPA knockdown attenuated the DDP resistance of GC cells.Mechanically,circVAPA was able to sponge miR-125b-5p,and miR-125b-5p could target STAT3 in the GC cells.MiR-125b-5p inhibitor reversed circVAPA depletion-enhanced inhibitory effect of DDP on GC cells,and STAT3 knockdown blocked circVAPA overexpression-induced proliferation of DDPtreated SGC7901/DDP cells.The depletion of STAT3 and miR-125b-5p inhibitor reversed circVAPA depletion-induced GC cell apoptosis.Functionally,circVAPA contributed to the tumor growth of SGC7901/DDP cells in vivo.CONCLUSION CircVAPA promotes chemotherapy resistance and malignant progression in GC by miR-125b-5p/STAT3 signaling.Our findings present novel insights into the mechanism by which circVAPA regulates chemotherapy resistance of GC cells.CircVAPA and miR-125b-5p may be considered as the potential targets for GC therapy.展开更多
Objective: To explore the effectiveness of OSCE-based Escape Room Approach for nursing training in the Department of Gastroenterology. Method: 160 nursing students who were interns in the Department of Gastroenterolog...Objective: To explore the effectiveness of OSCE-based Escape Room Approach for nursing training in the Department of Gastroenterology. Method: 160 nursing students who were interns in the Department of Gastroenterology of the Affiliated Hospital of Xuzhou Medical University were enrolled and randomly divided into the experimental group and the control group, with 80 participants in each group. Conventional approach and the Escape Room Approach were employed for the experimental group and the control group, respectively. Result: The critical thinking capability, learning engagement, scores of self-regulated learning capability of clinical nursing practice and final scores of the experimental group were significantly higher than those of the control group (P Conclusion: OSCE-based Escape Room Approach can effectively enhance critical thinking capability, learning engagement, scores of self-regulated learning capability of clinical nursing practice, and knowledge and skills of the nursing interns.展开更多
Objective: To explore the application of Deliberate Practice-based simulated teaching in clinical teaching of medical nursing. Methods: 160 undergraduate student nurses were divided into the experimental group (80) an...Objective: To explore the application of Deliberate Practice-based simulated teaching in clinical teaching of medical nursing. Methods: 160 undergraduate student nurses were divided into the experimental group (80) and the control group (80) by using the convenience sampling method. Both groups were exposed to staged nurse core competence training. In the control group, standardized patients were employed for training, after which group discussion and oral presentation were included;in the experimental group, teaching was designed based on Deliberate Practice, wherein high-fidelity simulation system was used and video-assisted guiding feedback after training was involved. Results: After four teaching cycles, the nurse core competence score of the experimental group was significantly higher than that of the control group (P Conclusion: Deliberate Practice-based simulated learning can effectively improve clinical teaching performance of medical nursing.展开更多
Dehydroabietyl polyethylene glycol glycidyl ether-grafted hydroxyethyl cellulose(HEC)polymer surfactant(DA(EO)5GE-g-HEC)was prepared using ring-opening polymerization with biobased rosin and hydroxyethyl cellulose as ...Dehydroabietyl polyethylene glycol glycidyl ether-grafted hydroxyethyl cellulose(HEC)polymer surfactant(DA(EO)5GE-g-HEC)was prepared using ring-opening polymerization with biobased rosin and hydroxyethyl cellulose as feedstocks.Dehydroabietyl polyethylene glycol glycidyl ether(DA(EO)5GE)was formed by condensation of dehydroabietyl alcohol polyoxyethylene ether(Rosin derivative:DA(EO)5H)and epichlorohydrin.The grafting degree of DA(EO)5GE-g-HEC was manipulated by adjusting the mass ratio of HEC and DA(EO)5GE and confirmed by EA.According to the formula,when m(HEC)/m(DA(EO)2GE)was 1:1~1:5,the grafting rate of DA(EO)5GE in DA(EO)5GE-g-HEC varied from 34.43%to 38.33%.The surface activity and foam properties of DA(EO)5GE-g-HEC aqueous solution were studied.The results showed that with the increase in grafting rate,the critical micellar concentration(CMC)in aqueous solution changed from 1.28 to 0.96 g/L.The results of the thermogravimetric analysis showed that the temperature range of the main stage of mass loss of DA(EO)5GE-g-HEC was 310°C~410°C,and the thermal decomposition processes of the samples with five mass ratios were similar.An oil in water emulsion was prepared by choosing cyclohexane as the oil phase and DA(EO)5GE-g-HEC as the emulsifier.The effect of DA(EO)5GE-g-HEC mass fraction on emulsion particle size and stability was analyzed.The results suggested that when the oil-water ratio was 8:2 with 0.4%emulsifier,the emulsion droplets were the smallest in terms of particle size and were the most stable.The rheological test results showed that the apparent viscosity decreased with the increase in shear rate and showed a typical elastic gel phenomenon.展开更多
A morphing aircraft can adapt its configuration to suit different types of tasks,which is also an important requirement of Unmanned Aerial Vehicles(UAV).The successful development of an unmanned morphing aircraft invo...A morphing aircraft can adapt its configuration to suit different types of tasks,which is also an important requirement of Unmanned Aerial Vehicles(UAV).The successful development of an unmanned morphing aircraft involves three steps that determine its ability and intelligent:configuration design,dynamic modeling and flight control.This study conducts a comprehensive survey of morphing aircraft.First,the methods to design the configuration of a morphing aircraft are presented and analyzed.Then,the nonlinear dynamic characteristics and aerodynamic interference caused by a morphing wing are described.Subsequently,the dynamic modeling and flight control methods for solving the flight control problems are summarized with respect to these features.Finally,the general as well as special challenges ahead of the development of intelligent morphing aircraft are discussed.The findings can provide a theoretical and technical reference for designing future morphing aircraft or morphing-wing UAVs.展开更多
The effects of NaCl salinity and NO^-3 on growth, root morphology, and nitrogen uptake of a halophyte Suaeda physophora were evaluated in a factorial experiment with four concentrations of NaCl （1, 150, 300, and 450 ...The effects of NaCl salinity and NO^-3 on growth, root morphology, and nitrogen uptake of a halophyte Suaeda physophora were evaluated in a factorial experiment with four concentrations of NaCl （1, 150, 300, and 450 mmol L^-1） and three NO^-3 levels （0.05, 5, and 10 mmol L^-1） in solution culture for 30 d. Addition of NO^-3 at 10 mmol L^-1 significantly improved the shoot （P 〈 0.001） and root （P 〈 0.001） growth and the promotive effect of NO^-3 was more pronounced on root dry weight despite the high NaCl concentration in the culture solution, leading to a significant increase in the root：shoot ratio （P 〈 0.01）. Lateral root length, but not primary root length, considerably increased with increasing NaCl salinity and NO^-3 levels （P 〈 0.001）, implying that Na^＋ and NO3^- in the culture solution simultaneously stimulated lateral root growth. Concentrations of Na^＋ in plant tissues were also significantly increased by higher NaCl treatments （P 〈 0.001）. At 10 mmol L^-1 NO^-3, the concentrations of NO^-3 and total nitrogen and nitrate reductase activities in the roots were remarkably reduced by increasing salinity （P 〈 0.001）, but were unaffected in the shoots. The results indicated that the fine lateral root development and effective nitrogen uptake of the shoots might contribute to high salt tolerance of S. physophora under adequate NO^-3 supply.展开更多
Objective: Mucin 1(MUC1/EMA) and sialyl Lewis X(sLe^(x)) indicate polarity reversal in invasive micropapillary carcinoma(IMPC). The purpose of this study was to evaluate the expression of MUC1/EMA and sLe^(x) and to a...Objective: Mucin 1(MUC1/EMA) and sialyl Lewis X(sLe^(x)) indicate polarity reversal in invasive micropapillary carcinoma(IMPC). The purpose of this study was to evaluate the expression of MUC1/EMA and sLe^(x) and to assess their diagnostic and prognostic value in patients with IMPC.Methods: The expression of sLe^(x) and MUC1/EMA in 100 patients with IMPC and a control group of 89 patients with invasive ductal carcinoma not otherwise specified(IDC-NOS) were analyzed with IHC. Fresh tumor tissues were collected from patients with IMPC or IDC-NOS for primary culture and immunofluorescence analysis.Results: The rate of nodal metastasis was higher in patients with IMPC than those with IDC-NOS, and IMPC cells tended to express more sLe^(x) and MUC1/EMA in the cytomembranes(the stroma-facing surfaces of the micropapillary clusters) than IDC-NOS cells. In IMPC, high cytomembrane expression of sLe^(x), but not MUC1/EMA, indicated poor prognosis. In addition, among the 100 patients with IMPC, 10 patients had sLe^(x)+/EMA-expression patterns, and 8 patients had sLe^(x)-/EMA+ expression patterns. The primary IMPC cells were suspended, non-adherent tumor cell clusters, whereas the primary IDC cells were adherent tumor cells. Immunofluorescence analysis showed that MUC1/EMA and sLe^(x) were co-expressed on the cytomembranes in IMPC cell clusters and in the cytoplasm in IDC-NOS cells.Conclusions: sLe^(x) can be used as a prognostic indicator and can be combined with MUC1/EMA as a complementary diagnostic indicator to avoid missed IMPC diagnosis.展开更多
AIM: To compare the clinical efficacy of intravitreal injections of bevacizumab and ranibizumab for treating Chinese patients with neovascular age-related macular degeneration (AMD).METHODS: Among 60 Chinese patients ...AIM: To compare the clinical efficacy of intravitreal injections of bevacizumab and ranibizumab for treating Chinese patients with neovascular age-related macular degeneration (AMD).METHODS: Among 60 Chinese patients with exudative AMD (60 eyes), 28 received intravitreal bevacizumab injections (1.25mg) and 32 received intravitreal ranibizumab injections (0.5mg), once a month for 3 months and were followed for a total of 6 months. Monthly optical coherence tomography (OCT) was used to determine whether the patients received additional treatments during the follow-up. We compared the baseline and 6 -month follow-up values of mean best-corrected visual acuity (BCVA) and central retinal thickness (CRT) in both groups of patients. We also compared the occurrence of adverse events.RESULTS: At the 6-month follow-up, the mean BCVA (logMAR) of the bevacizumab and ranibizumab treatment groups improved from the baseline measurements of 0.72 ±0.23 and 0.73 ±0.22 to 0.47 ±0.14 and 0.45 ±0.20, respectively (P 【0.05 for both groups). However, the change was not significantly different between the two groups. As evaluated by OCT, CRT decreased from 366.71 ±34.72μm and 352 ±36.9μm at baseline to 250.86 ± 41.51μm and 243.22 ±41.38μm in the bevacizumab and ranibizumab groups, respectively (P 【0.05 for both groups). However, the change was not significantly different between the two groups. There were no severe local adverse reactions or systemic adverse events.CONCLUSION:Intravitreal bevacizumab and ranibizumab have equivalent effects on BCVA and CRT and appeare safe over the short-term.展开更多
The species richness and propagule number of arbuscular mycorrhizal fungi(AMF)are high in intensively-managed agricultural soils.Past research has shown that AMF improve crop phosphorus(P)uptake under low soil P condi...The species richness and propagule number of arbuscular mycorrhizal fungi(AMF)are high in intensively-managed agricultural soils.Past research has shown that AMF improve crop phosphorus(P)uptake under low soil P conditions,however it is unclear if AMF play a role in high Olsen-P soils.In this study,we investigated whether native fungal benefits exist under high P input field conditions in-situ and contribute to P utilization.We installed in-grow tubes which were sealed with different membrane pore sizes(30 or 0.45μm)to allow or prevent AMF hyphae access to the hyphal compartment and prevent cotton roots from penetrating the chamber.We used the depletion of soil available P(Olsen-P)in the hyphae accessed compartment to indicate P uptake by the native AMF community.Our results showed that the native AMF mediated P depletion and microbial biomass P(MBP)turnover and caused the largest Olsen-P depletion ratio and MBP turnover ratio in the high P treatments(Olsen-P:78.29 mg kg^(-1)).The cotton roots in each fertilization regime were colonized by a unique AMF community and Glomus and Paraglomus were the dominant genera,implying the longterm fertilization regimes domesticated the AMF community.We conclude that native AMF caused the P depletion and P turnover even under high soil Olsen-P conditions.展开更多
Objective To evaluate the clinical and pathological features of Riedel's thyroiditis(RT),and current diagnostic and treatment methods for that disease.Methods Five RT cases identified by surgery and pathological e...Objective To evaluate the clinical and pathological features of Riedel's thyroiditis(RT),and current diagnostic and treatment methods for that disease.Methods Five RT cases identified by surgery and pathological examinations at Peking Union Medical College Hospital from 1985 to 2009 were analyzed and compared with the cases reported in the literature in terms of clinical and pathological features.Immunohistochemical staining of kappa and lambda light chains was carried out for RT tissues from all the five patients.Results All the five cases were females,aged 45-55 years.Elevation of serum thyroid autoantibodies was found in only one patient,who had longer disease duration than the others.Pathological examination revealed invasive fibrosclerosis of the thyroid follicles,thyroid capsule,and the surrounding tissues.In RT tissues,the number of cells containing lambda chains was a little higher than those containing kappa chains.Conclusions RT is a rare disease which might be more common in middle-aged females than in other populations.Pathological features include the destruction of thyroid follicle,extension into surrounding tissues by inflammatory cells and fibrous tissues.Immunohistochemical staining of kappa and lambda chains could help diagnose RT.展开更多
基金Natural Science Foundation of Liaoning Province,No.2019-MS-385.
文摘BACKGROUND Gastric cancer(GC)is a prevalent malignancy,leading to a high incidence of cancer-associated death.Cisplatin(DDP)-based chemotherapy is the principal therapy for clinical GC treatment,but DDP resistance is a severe clinical challenge and the mechanism remains poorly understood.Circular RNAs(circRNAs)have been identified to play crucial roles in modulating the chemoresistance of gastric cancer cells.AIM To explore the effect of circVAPA on chemotherapy resistance during GC progression.METHODS The effect of circVAPA on GC progression and chemotherapy resistance was analyzed by MTT assay,colony formation assay,Transwell assay,wound healing assay,and flow cytometry analysis in GC cells and DDP resistant GC cell lines,and tumorigenicity analysis in nude mice in vivo.The mechanism was investigated by luciferase reporter assay,quantitative real-time PCR,and Western blot analysis.RESULTS CircVAPA expression was up-regulated in clinical GC tissues compared with normal samples.CircVAPA depletion inhibited proliferation,migration,and invasion and increased apoptosis of GC cells.The expression of circVAPA,STAT3,and STAT3 downstream genes was elevated in DDP resistant SGC7901/DDP cell lines.CircVAPA knockdown attenuated the DDP resistance of GC cells.Mechanically,circVAPA was able to sponge miR-125b-5p,and miR-125b-5p could target STAT3 in the GC cells.MiR-125b-5p inhibitor reversed circVAPA depletion-enhanced inhibitory effect of DDP on GC cells,and STAT3 knockdown blocked circVAPA overexpression-induced proliferation of DDPtreated SGC7901/DDP cells.The depletion of STAT3 and miR-125b-5p inhibitor reversed circVAPA depletion-induced GC cell apoptosis.Functionally,circVAPA contributed to the tumor growth of SGC7901/DDP cells in vivo.CONCLUSION CircVAPA promotes chemotherapy resistance and malignant progression in GC by miR-125b-5p/STAT3 signaling.Our findings present novel insights into the mechanism by which circVAPA regulates chemotherapy resistance of GC cells.CircVAPA and miR-125b-5p may be considered as the potential targets for GC therapy.
文摘Objective: To explore the effectiveness of OSCE-based Escape Room Approach for nursing training in the Department of Gastroenterology. Method: 160 nursing students who were interns in the Department of Gastroenterology of the Affiliated Hospital of Xuzhou Medical University were enrolled and randomly divided into the experimental group and the control group, with 80 participants in each group. Conventional approach and the Escape Room Approach were employed for the experimental group and the control group, respectively. Result: The critical thinking capability, learning engagement, scores of self-regulated learning capability of clinical nursing practice and final scores of the experimental group were significantly higher than those of the control group (P Conclusion: OSCE-based Escape Room Approach can effectively enhance critical thinking capability, learning engagement, scores of self-regulated learning capability of clinical nursing practice, and knowledge and skills of the nursing interns.
文摘Objective: To explore the application of Deliberate Practice-based simulated teaching in clinical teaching of medical nursing. Methods: 160 undergraduate student nurses were divided into the experimental group (80) and the control group (80) by using the convenience sampling method. Both groups were exposed to staged nurse core competence training. In the control group, standardized patients were employed for training, after which group discussion and oral presentation were included;in the experimental group, teaching was designed based on Deliberate Practice, wherein high-fidelity simulation system was used and video-assisted guiding feedback after training was involved. Results: After four teaching cycles, the nurse core competence score of the experimental group was significantly higher than that of the control group (P Conclusion: Deliberate Practice-based simulated learning can effectively improve clinical teaching performance of medical nursing.
基金supported by the National Natural Science Foundation of China(31901257 and 32071706)School-Level Research Projects of the Yancheng Institute of Technology(xjr2019008).
文摘Dehydroabietyl polyethylene glycol glycidyl ether-grafted hydroxyethyl cellulose(HEC)polymer surfactant(DA(EO)5GE-g-HEC)was prepared using ring-opening polymerization with biobased rosin and hydroxyethyl cellulose as feedstocks.Dehydroabietyl polyethylene glycol glycidyl ether(DA(EO)5GE)was formed by condensation of dehydroabietyl alcohol polyoxyethylene ether(Rosin derivative:DA(EO)5H)and epichlorohydrin.The grafting degree of DA(EO)5GE-g-HEC was manipulated by adjusting the mass ratio of HEC and DA(EO)5GE and confirmed by EA.According to the formula,when m(HEC)/m(DA(EO)2GE)was 1:1~1:5,the grafting rate of DA(EO)5GE in DA(EO)5GE-g-HEC varied from 34.43%to 38.33%.The surface activity and foam properties of DA(EO)5GE-g-HEC aqueous solution were studied.The results showed that with the increase in grafting rate,the critical micellar concentration(CMC)in aqueous solution changed from 1.28 to 0.96 g/L.The results of the thermogravimetric analysis showed that the temperature range of the main stage of mass loss of DA(EO)5GE-g-HEC was 310°C~410°C,and the thermal decomposition processes of the samples with five mass ratios were similar.An oil in water emulsion was prepared by choosing cyclohexane as the oil phase and DA(EO)5GE-g-HEC as the emulsifier.The effect of DA(EO)5GE-g-HEC mass fraction on emulsion particle size and stability was analyzed.The results suggested that when the oil-water ratio was 8:2 with 0.4%emulsifier,the emulsion droplets were the smallest in terms of particle size and were the most stable.The rheological test results showed that the apparent viscosity decreased with the increase in shear rate and showed a typical elastic gel phenomenon.
基金supported by the National Key R&D Program of China(No.2018YFC0810102)the National Natural Science Foundation of China(Nos.91848203 and 91948202)+1 种基金the State Key Laboratory of Robotics(2020-Z02)Natural Science Foundation of Liao Ning Province of China(20180520014)。
文摘A morphing aircraft can adapt its configuration to suit different types of tasks,which is also an important requirement of Unmanned Aerial Vehicles(UAV).The successful development of an unmanned morphing aircraft involves three steps that determine its ability and intelligent:configuration design,dynamic modeling and flight control.This study conducts a comprehensive survey of morphing aircraft.First,the methods to design the configuration of a morphing aircraft are presented and analyzed.Then,the nonlinear dynamic characteristics and aerodynamic interference caused by a morphing wing are described.Subsequently,the dynamic modeling and flight control methods for solving the flight control problems are summarized with respect to these features.Finally,the general as well as special challenges ahead of the development of intelligent morphing aircraft are discussed.The findings can provide a theoretical and technical reference for designing future morphing aircraft or morphing-wing UAVs.
基金Supported by the Key Technology Program of the Xinjiang Uygur Autonomous Region, China (No.200733144-1)the Knowledge Innovation Project of the Chinese of Academy of Sciences (No.KSCX2-YW-N-41)
文摘The effects of NaCl salinity and NO^-3 on growth, root morphology, and nitrogen uptake of a halophyte Suaeda physophora were evaluated in a factorial experiment with four concentrations of NaCl （1, 150, 300, and 450 mmol L^-1） and three NO^-3 levels （0.05, 5, and 10 mmol L^-1） in solution culture for 30 d. Addition of NO^-3 at 10 mmol L^-1 significantly improved the shoot （P 〈 0.001） and root （P 〈 0.001） growth and the promotive effect of NO^-3 was more pronounced on root dry weight despite the high NaCl concentration in the culture solution, leading to a significant increase in the root：shoot ratio （P 〈 0.01）. Lateral root length, but not primary root length, considerably increased with increasing NaCl salinity and NO^-3 levels （P 〈 0.001）, implying that Na^＋ and NO3^- in the culture solution simultaneously stimulated lateral root growth. Concentrations of Na^＋ in plant tissues were also significantly increased by higher NaCl treatments （P 〈 0.001）. At 10 mmol L^-1 NO^-3, the concentrations of NO^-3 and total nitrogen and nitrate reductase activities in the roots were remarkably reduced by increasing salinity （P 〈 0.001）, but were unaffected in the shoots. The results indicated that the fine lateral root development and effective nitrogen uptake of the shoots might contribute to high salt tolerance of S. physophora under adequate NO^-3 supply.
基金supported by funding from the National Natural Science Foundation of China (Grant Nos. 81672637 and 81872164)。
文摘Objective: Mucin 1(MUC1/EMA) and sialyl Lewis X(sLe^(x)) indicate polarity reversal in invasive micropapillary carcinoma(IMPC). The purpose of this study was to evaluate the expression of MUC1/EMA and sLe^(x) and to assess their diagnostic and prognostic value in patients with IMPC.Methods: The expression of sLe^(x) and MUC1/EMA in 100 patients with IMPC and a control group of 89 patients with invasive ductal carcinoma not otherwise specified(IDC-NOS) were analyzed with IHC. Fresh tumor tissues were collected from patients with IMPC or IDC-NOS for primary culture and immunofluorescence analysis.Results: The rate of nodal metastasis was higher in patients with IMPC than those with IDC-NOS, and IMPC cells tended to express more sLe^(x) and MUC1/EMA in the cytomembranes(the stroma-facing surfaces of the micropapillary clusters) than IDC-NOS cells. In IMPC, high cytomembrane expression of sLe^(x), but not MUC1/EMA, indicated poor prognosis. In addition, among the 100 patients with IMPC, 10 patients had sLe^(x)+/EMA-expression patterns, and 8 patients had sLe^(x)-/EMA+ expression patterns. The primary IMPC cells were suspended, non-adherent tumor cell clusters, whereas the primary IDC cells were adherent tumor cells. Immunofluorescence analysis showed that MUC1/EMA and sLe^(x) were co-expressed on the cytomembranes in IMPC cell clusters and in the cytoplasm in IDC-NOS cells.Conclusions: sLe^(x) can be used as a prognostic indicator and can be combined with MUC1/EMA as a complementary diagnostic indicator to avoid missed IMPC diagnosis.
文摘AIM: To compare the clinical efficacy of intravitreal injections of bevacizumab and ranibizumab for treating Chinese patients with neovascular age-related macular degeneration (AMD).METHODS: Among 60 Chinese patients with exudative AMD (60 eyes), 28 received intravitreal bevacizumab injections (1.25mg) and 32 received intravitreal ranibizumab injections (0.5mg), once a month for 3 months and were followed for a total of 6 months. Monthly optical coherence tomography (OCT) was used to determine whether the patients received additional treatments during the follow-up. We compared the baseline and 6 -month follow-up values of mean best-corrected visual acuity (BCVA) and central retinal thickness (CRT) in both groups of patients. We also compared the occurrence of adverse events.RESULTS: At the 6-month follow-up, the mean BCVA (logMAR) of the bevacizumab and ranibizumab treatment groups improved from the baseline measurements of 0.72 ±0.23 and 0.73 ±0.22 to 0.47 ±0.14 and 0.45 ±0.20, respectively (P 【0.05 for both groups). However, the change was not significantly different between the two groups. As evaluated by OCT, CRT decreased from 366.71 ±34.72μm and 352 ±36.9μm at baseline to 250.86 ± 41.51μm and 243.22 ±41.38μm in the bevacizumab and ranibizumab groups, respectively (P 【0.05 for both groups). However, the change was not significantly different between the two groups. There were no severe local adverse reactions or systemic adverse events.CONCLUSION:Intravitreal bevacizumab and ranibizumab have equivalent effects on BCVA and CRT and appeare safe over the short-term.
基金financially supported by the Beijing Natural Science Foundation,China(6202015)the National Natural Science Foundation of China(U1703232)the Hatch Project(ALA014-1-16016)funded by the National Institute of Food and Agriculture,US Department of Agriculture。
文摘The species richness and propagule number of arbuscular mycorrhizal fungi(AMF)are high in intensively-managed agricultural soils.Past research has shown that AMF improve crop phosphorus(P)uptake under low soil P conditions,however it is unclear if AMF play a role in high Olsen-P soils.In this study,we investigated whether native fungal benefits exist under high P input field conditions in-situ and contribute to P utilization.We installed in-grow tubes which were sealed with different membrane pore sizes(30 or 0.45μm)to allow or prevent AMF hyphae access to the hyphal compartment and prevent cotton roots from penetrating the chamber.We used the depletion of soil available P(Olsen-P)in the hyphae accessed compartment to indicate P uptake by the native AMF community.Our results showed that the native AMF mediated P depletion and microbial biomass P(MBP)turnover and caused the largest Olsen-P depletion ratio and MBP turnover ratio in the high P treatments(Olsen-P:78.29 mg kg^(-1)).The cotton roots in each fertilization regime were colonized by a unique AMF community and Glomus and Paraglomus were the dominant genera,implying the longterm fertilization regimes domesticated the AMF community.We conclude that native AMF caused the P depletion and P turnover even under high soil Olsen-P conditions.
文摘Objective To evaluate the clinical and pathological features of Riedel's thyroiditis(RT),and current diagnostic and treatment methods for that disease.Methods Five RT cases identified by surgery and pathological examinations at Peking Union Medical College Hospital from 1985 to 2009 were analyzed and compared with the cases reported in the literature in terms of clinical and pathological features.Immunohistochemical staining of kappa and lambda light chains was carried out for RT tissues from all the five patients.Results All the five cases were females,aged 45-55 years.Elevation of serum thyroid autoantibodies was found in only one patient,who had longer disease duration than the others.Pathological examination revealed invasive fibrosclerosis of the thyroid follicles,thyroid capsule,and the surrounding tissues.In RT tissues,the number of cells containing lambda chains was a little higher than those containing kappa chains.Conclusions RT is a rare disease which might be more common in middle-aged females than in other populations.Pathological features include the destruction of thyroid follicle,extension into surrounding tissues by inflammatory cells and fibrous tissues.Immunohistochemical staining of kappa and lambda chains could help diagnose RT.
