AIM:To explore the feasibility of pertorming minimally invasive surgery(MIS)on subsets of submucosal gastric cancers that are unlikely to have regional lymph node metastasis. METHODS:A total of 105 patients underwent ...AIM:To explore the feasibility of pertorming minimally invasive surgery(MIS)on subsets of submucosal gastric cancers that are unlikely to have regional lymph node metastasis. METHODS:A total of 105 patients underwent radical gastrectomy with lymph node dissection for submucosal gastric cancer at our hospital from January 1995 to December 1995.Besides investigating many clinicopathological features such as tumor size,gross appearance,and differentiation, we measured the depth of invasion into submucosa minutely and analyzed the clinicopathologic features of these patients regarding lymph node metastasis. RESULTS:The rate of lymph node metastasis in cases where the depth of invasion was<500 μm,500-2 000 μm,or >2 000 μm was 9%(2/23),19%(7136),and 33%(15/46), respectively(P<0.05).In univariate analysis,no significant correlation was found between lymph node metastasis and clinicopathological characteristics such as age,sex,tumor location,gross appearance,tumor differentiation,Lauren's classification,and lymphatic invasion.In multivariate analysis, tumor size(>4 cm vs≤2 cm,odds ratio=4.80, P=0.04)and depth of invasion(>2 000 μm vs ≤500 μm, odds ratio=6.81,P=0.02)were significantly correlated with lymph node metastasis.Combining the depth and size in cases where the depth of invasion was less than 500 μm, we found that lymph node metastasis occurred where the tumor size was greater than 4 cm.In cases where the tumor size was less than 2 cm,lymph node metastasis was found only where the depth of tumor invasion was more than 2 000 μm. CONCLUSION:MIS can be applied to submucosal gastric cancer that is less than 2 cm in size and 500 μm in depth.展开更多
AIM: To assess the possibility of non-invasive screening of atrophic chronic gastritis for preventing further development of gastric cancer.METHODS: One hundred and seventy-eight consecutive Helicobacter pylori ( H py...AIM: To assess the possibility of non-invasive screening of atrophic chronic gastritis for preventing further development of gastric cancer.METHODS: One hundred and seventy-eight consecutive Helicobacter pylori ( H pylori)-positive dyspeptic patients after detection of serum levels of pepsinogen-1 (PG-1) and gastrin-17 (G-17) by enzyme immunoassay were proposed for endoscopy and histology. The serologic and morphologic results were compared with estimating the sensitivity, specificity and prognostic values of the tests.RESULTS: There was statistically significant reverse dependence between the grade of stomach mucosal antral or corpus atrophy and the proper decreasing of serum G17 or PG1 levels. The serologic method was quite sensitive in the diagnosis of non-atrophic and severe antral and corpus gastritis. Also, it was characterized by the high positive and negative prognostic values.CONCLUSION: Detection of serum G-17 and PG1 levels can be offered as the screening tool for atrophic gastritis. The positive serologic results require further chromoendoscopy with mucosal biopsy, for revealing probable progressing of atrophic process with development of intestinal metaplasia, dysplasia or gastric cancer.展开更多
Because co-occurring native and invasive plants are subjected to similar environmental selection pressures,the differences in functional traits and reproductive allocation strategies between native and invasive plants...Because co-occurring native and invasive plants are subjected to similar environmental selection pressures,the differences in functional traits and reproductive allocation strategies between native and invasive plants may be closely related to the success of the latter.Accordingly,this study examines differences in functional traits and reproductive allocation strategies between native and invasive plants in Eastern China.Plant height,branch number,reproductive branch number,the belowground-to-aboveground biomass ratio,and the reproductive allocation coefficient of invasive plants were all notably higher than those of native species.Additionally,the specific leaf area(SLA)values of invasive plants were remarkably lower than those of native species.Plasticity indexes of SLA,maximum branch angle,and branch number of invasive plants were each notably lower than those of native species.The reproductive allocation coefficient was positively correlated with reproductive branch number and the belowground-to-aboveground biomass ratio but exhibited negative correlations with SLA and aboveground biomass.Plant height,branch number,reproductive branch number,the belowground-to-aboveground biomass ratio,and the reproductive allocation coefficient of invasive plants may strongly influence the success of their invasions.展开更多
The rock indentation tests by a conical pick were conducted to investigate the rock cuttability correlated to confining stress conditions and rock strength.Based on the test results,the regression analyses,support vec...The rock indentation tests by a conical pick were conducted to investigate the rock cuttability correlated to confining stress conditions and rock strength.Based on the test results,the regression analyses,support vector machine(SVM)and generalized regression neural network(GRNN)were used to find the relationship among rock cuttability,uniaxial confining stress applied to rock,uniaxial compressive strength(UCS)and tensile strength of rock material.It was found that the regression and SVM-based models can accurately reflect the variation law of rock cuttability,which presented decreases followed by increases with the increase in uniaxial confining stress and the negative correlation to UCS and tensile strength of rock material.Based on prediction models for revealing the optimal stress condition and determining the cutting parameters,the axial boom roadheader with many conical picks mounted was satisfactorily utilized to perform rock cutting in hard phosphate rock around pillar.展开更多
文摘AIM:To explore the feasibility of pertorming minimally invasive surgery(MIS)on subsets of submucosal gastric cancers that are unlikely to have regional lymph node metastasis. METHODS:A total of 105 patients underwent radical gastrectomy with lymph node dissection for submucosal gastric cancer at our hospital from January 1995 to December 1995.Besides investigating many clinicopathological features such as tumor size,gross appearance,and differentiation, we measured the depth of invasion into submucosa minutely and analyzed the clinicopathologic features of these patients regarding lymph node metastasis. RESULTS:The rate of lymph node metastasis in cases where the depth of invasion was<500 μm,500-2 000 μm,or >2 000 μm was 9%(2/23),19%(7136),and 33%(15/46), respectively(P<0.05).In univariate analysis,no significant correlation was found between lymph node metastasis and clinicopathological characteristics such as age,sex,tumor location,gross appearance,tumor differentiation,Lauren's classification,and lymphatic invasion.In multivariate analysis, tumor size(>4 cm vs≤2 cm,odds ratio=4.80, P=0.04)and depth of invasion(>2 000 μm vs ≤500 μm, odds ratio=6.81,P=0.02)were significantly correlated with lymph node metastasis.Combining the depth and size in cases where the depth of invasion was less than 500 μm, we found that lymph node metastasis occurred where the tumor size was greater than 4 cm.In cases where the tumor size was less than 2 cm,lymph node metastasis was found only where the depth of tumor invasion was more than 2 000 μm. CONCLUSION:MIS can be applied to submucosal gastric cancer that is less than 2 cm in size and 500 μm in depth.
文摘AIM: To assess the possibility of non-invasive screening of atrophic chronic gastritis for preventing further development of gastric cancer.METHODS: One hundred and seventy-eight consecutive Helicobacter pylori ( H pylori)-positive dyspeptic patients after detection of serum levels of pepsinogen-1 (PG-1) and gastrin-17 (G-17) by enzyme immunoassay were proposed for endoscopy and histology. The serologic and morphologic results were compared with estimating the sensitivity, specificity and prognostic values of the tests.RESULTS: There was statistically significant reverse dependence between the grade of stomach mucosal antral or corpus atrophy and the proper decreasing of serum G17 or PG1 levels. The serologic method was quite sensitive in the diagnosis of non-atrophic and severe antral and corpus gastritis. Also, it was characterized by the high positive and negative prognostic values.CONCLUSION: Detection of serum G-17 and PG1 levels can be offered as the screening tool for atrophic gastritis. The positive serologic results require further chromoendoscopy with mucosal biopsy, for revealing probable progressing of atrophic process with development of intestinal metaplasia, dysplasia or gastric cancer.
基金Project(31300343)supported by the National Natural Science Foundation of ChinaProject supported by Jiangsu Collaborative Innovation Center of Technology and Material of Water Treatment,ChinaProject(12JDG086)supported by Research Foundation for Advanced Talents of Jiangsu University,China
文摘Because co-occurring native and invasive plants are subjected to similar environmental selection pressures,the differences in functional traits and reproductive allocation strategies between native and invasive plants may be closely related to the success of the latter.Accordingly,this study examines differences in functional traits and reproductive allocation strategies between native and invasive plants in Eastern China.Plant height,branch number,reproductive branch number,the belowground-to-aboveground biomass ratio,and the reproductive allocation coefficient of invasive plants were all notably higher than those of native species.Additionally,the specific leaf area(SLA)values of invasive plants were remarkably lower than those of native species.Plasticity indexes of SLA,maximum branch angle,and branch number of invasive plants were each notably lower than those of native species.The reproductive allocation coefficient was positively correlated with reproductive branch number and the belowground-to-aboveground biomass ratio but exhibited negative correlations with SLA and aboveground biomass.Plant height,branch number,reproductive branch number,the belowground-to-aboveground biomass ratio,and the reproductive allocation coefficient of invasive plants may strongly influence the success of their invasions.
基金financial supports from the National Natural Science Foundation of China(Nos.51904333,51774326)。
文摘The rock indentation tests by a conical pick were conducted to investigate the rock cuttability correlated to confining stress conditions and rock strength.Based on the test results,the regression analyses,support vector machine(SVM)and generalized regression neural network(GRNN)were used to find the relationship among rock cuttability,uniaxial confining stress applied to rock,uniaxial compressive strength(UCS)and tensile strength of rock material.It was found that the regression and SVM-based models can accurately reflect the variation law of rock cuttability,which presented decreases followed by increases with the increase in uniaxial confining stress and the negative correlation to UCS and tensile strength of rock material.Based on prediction models for revealing the optimal stress condition and determining the cutting parameters,the axial boom roadheader with many conical picks mounted was satisfactorily utilized to perform rock cutting in hard phosphate rock around pillar.
