BACKGROUND Early gastric cancer(EGC)is a common malignant tumor of the digestive system,and its lymph node metastasis and survival prognosis have been concerning.By retrospectively analyzing the clinical data of EGC p...BACKGROUND Early gastric cancer(EGC)is a common malignant tumor of the digestive system,and its lymph node metastasis and survival prognosis have been concerning.By retrospectively analyzing the clinical data of EGC patients,we can better under-stand the status of lymph node metastasis and its impact on survival and prog-nosis.AIM To evaluate the prognosis of EGC patients and the factors that affect lymph node METHODS The clinicopathological data of 1011 patients with EGC admitted to our hospital between January 2015 and December 2023 were collected in a retrospective cohort study.There were 561 males and 450 females.The mean age was 58±11 years.The patient underwent radical gastrectomy.The status of lymph node metastasis in each group was determined according to the pathological examination results of surgical specimens.The outcomes were as follows:(1)Lymph node metastasis in EGC patients;(2)Analysis of influencing factors of lymph node metastasis in EGC;and(3)Analysis of prognostic factors in patients with EGC.Normally distributed measurement data are expressed as mean±SD,and a t test was used for comparisons between groups.The data are expressed as absolute numbers or percentages,and the chi-square test was used for comparisons between groups.Rank data were compared using a nonparametric rank sum test.A log-rank test and a logistic regression model were used for univariate analysis.A logistic stepwise regression model and a Cox stepwise regression model were used for multivariate analysis.The Kaplan-Meier method was used to calculate the survival rate and construct survival curves.A log-rank test was used for survival analysis.RESULTS Analysis of influencing factors of lymph node metastasis in EGC.The results of the multifactor analysis showed that tumor length and diameter,tumor site,tumor invasion depth,vascular thrombus,and tumor differentiation degree were independent influencing factors for lymph node metastasis in patients with EGC(odds ratios=1.80,1.49,2.65,5.76,and 0.60;95%CI:1.29–2.50,1.11–2.00,1.81–3.88,3.87-8.59,and 0.48-0.76,respectively;P<0.05).Analysis of prognostic factors in patients with EGC.All 1011 patients with EGC were followed up for 43(0–13)months.The 3-year overall survival rate was 97.32%.Multivariate analysis revealed that age>60 years and lymph node metastasis were independent risk factors for prognosis in patients with EGC(hazard ratio=9.50,2.20;95%CI:3.31-27.29,1.00-4.87;P<0.05).Further analysis revealed that the 3-year overall survival rates of gastric cancer patients aged>60 years and≤60 years were 99.37%and 94.66%,respectively,and the difference was statistically significant(P<0.05).The 3-year overall survival rates of patients with and without lymph node metastasis were 95.42%and 97.92%,respectively,and the difference was statistically significant(P<0.05).CONCLUSION The lymph node metastasis rate of EGC patients was 23.64%.Tumor length,tumor site,tumor infiltration depth,vascular cancer thrombin,and tumor differentiation degree were found to be independent factors affecting lymph node metastasis in EGC patients.Age>60 years and lymph node metastasis are independent risk factors for EGC prognosis.展开更多
Surface uplift at the southeastern margin of the Tibetan Plateau has been widely studied,but more palaeoaltimetry data are required to better understand the elevation history of this geologically complex region.In thi...Surface uplift at the southeastern margin of the Tibetan Plateau has been widely studied,but more palaeoaltimetry data are required to better understand the elevation history of this geologically complex region.In this study,fossil leaves of Abies(Pinaceae),a cool-temperate element,recovered from the latest Miocene-Pliocene Yangyi Formation of the southern Baoshan Basin,were used as a proxy to estimate the local palaeoelevation.Based on the regional modern altitude range(2100-4280 m)of the genus as well as regional temperature discrepancy(1.5℃)between the past and present,the palaeoelevation of the study area was calculated to be>2360 m above sea level as compared to 1670 m at present.Our result suggests that the southern Baoshan Basin experienced pronounced uplift prior to the time of fossil deposition,probably as a result of crustal shortening and thickening of the northern Baoshan Terrane during the Eocene-Oligocene.We infer that surface growth in areas south of the Dali Basin may have been greater than previously interpreted,and that a widespread plateau or plateau patches higher than 2000 m probably extended southwards into at least the Baoshan Basin by the latest Miocene-Pliocene.We also infer that the elevation of the southern Baoshan Basin has decreased by at least 690 m since then,in contrast to most other scenarios in which the elevation of the southeastern margin of the Tibetan Plateau has increased or remained close to modern levels since the late Miocene.The major cause of the inferred altitude decline is likely tectonic deformation.As a transtensional graben basin,the Baoshan Basin has experienced pull-apart and base-fall movement since the late Miocene,which would reduce the altitude of its southern part located on the hanging wall.Surface erosion associated with the increased summer rainfall might also have played a role especially in reducing the local relief,although its contribution can be limited.Our study provides one of the few palaeoelevation estimates from areas south of the Dali Basin and an example of past elevation loss at the southeastern margin of the Tibetan Plateau,thus shedding important light on the landscape evolution of this region.展开更多
Wildfire bears a close relationship with vegetation as its fuel source.The southeastern margin of the Tibetan Plateau witnesses frequent wildfires among various types of vegetation,whereas such wide in-teractions betw...Wildfire bears a close relationship with vegetation as its fuel source.The southeastern margin of the Tibetan Plateau witnesses frequent wildfires among various types of vegetation,whereas such wide in-teractions between wildfire and vegetation remain poorly studied from geological times.In this study,we reported a local fire using sedimentary macroscopic charcoals from the latest Miocene to early Pliocene of the Baoshan Basin in this region,and then inferred the local vegetation at the time of the fire event based chiefly on the coexistent fruit and seed fossil assemblage.Our taxonomic results show that the charcoal assemblage is probably dominated by broadleaved plants and the fruit and seed fossil assemblage is apparently dominated by Salix(Salicaceae)followed by Sambucus(Adoxaceae),suggesting a deciduous broadleaved forest in which the fire likely occurred.Under a seasonally dry climate associated with the Asian monsoon,this type of vegetation might be prone to natural fire,because in the wet rainy season the plants grew well to accumulate biofuel and in the dry season abundant ground litter resulting from leaf decay would be desiccated to become highly flammable.Due to the fire-tolerant habit of Salix as the dominant plant,the forest might be in return adapted to the fire event or even more fires that potentially followed.All these may suggest a close relationship between the fire event and the reconstructed vegetation.Our finding documents a new type of wildfire—vegetation interaction,namely the interaction between wildfire and deciduous broadleaved forest,from the geological past at the southeastern margin of the Tibetan Plateau.It therefore sheds new light on the wildfire history coupling vegetation change in the region.展开更多
文摘BACKGROUND Early gastric cancer(EGC)is a common malignant tumor of the digestive system,and its lymph node metastasis and survival prognosis have been concerning.By retrospectively analyzing the clinical data of EGC patients,we can better under-stand the status of lymph node metastasis and its impact on survival and prog-nosis.AIM To evaluate the prognosis of EGC patients and the factors that affect lymph node METHODS The clinicopathological data of 1011 patients with EGC admitted to our hospital between January 2015 and December 2023 were collected in a retrospective cohort study.There were 561 males and 450 females.The mean age was 58±11 years.The patient underwent radical gastrectomy.The status of lymph node metastasis in each group was determined according to the pathological examination results of surgical specimens.The outcomes were as follows:(1)Lymph node metastasis in EGC patients;(2)Analysis of influencing factors of lymph node metastasis in EGC;and(3)Analysis of prognostic factors in patients with EGC.Normally distributed measurement data are expressed as mean±SD,and a t test was used for comparisons between groups.The data are expressed as absolute numbers or percentages,and the chi-square test was used for comparisons between groups.Rank data were compared using a nonparametric rank sum test.A log-rank test and a logistic regression model were used for univariate analysis.A logistic stepwise regression model and a Cox stepwise regression model were used for multivariate analysis.The Kaplan-Meier method was used to calculate the survival rate and construct survival curves.A log-rank test was used for survival analysis.RESULTS Analysis of influencing factors of lymph node metastasis in EGC.The results of the multifactor analysis showed that tumor length and diameter,tumor site,tumor invasion depth,vascular thrombus,and tumor differentiation degree were independent influencing factors for lymph node metastasis in patients with EGC(odds ratios=1.80,1.49,2.65,5.76,and 0.60;95%CI:1.29–2.50,1.11–2.00,1.81–3.88,3.87-8.59,and 0.48-0.76,respectively;P<0.05).Analysis of prognostic factors in patients with EGC.All 1011 patients with EGC were followed up for 43(0–13)months.The 3-year overall survival rate was 97.32%.Multivariate analysis revealed that age>60 years and lymph node metastasis were independent risk factors for prognosis in patients with EGC(hazard ratio=9.50,2.20;95%CI:3.31-27.29,1.00-4.87;P<0.05).Further analysis revealed that the 3-year overall survival rates of gastric cancer patients aged>60 years and≤60 years were 99.37%and 94.66%,respectively,and the difference was statistically significant(P<0.05).The 3-year overall survival rates of patients with and without lymph node metastasis were 95.42%and 97.92%,respectively,and the difference was statistically significant(P<0.05).CONCLUSION The lymph node metastasis rate of EGC patients was 23.64%.Tumor length,tumor site,tumor infiltration depth,vascular cancer thrombin,and tumor differentiation degree were found to be independent factors affecting lymph node metastasis in EGC patients.Age>60 years and lymph node metastasis are independent risk factors for EGC prognosis.
基金supported by the National Natural Science Foundation of China(41972023,42272026)the Natural Science Foundation of Yunnan Province(202301AT070374,202201AT070131)+1 种基金the Ten Thousand Talent Plans for Young Top-notch Talents of Yunnan Province(YNWR-QNBJ-2019-261)the West Light Foundation of the Chinese Academy of Sciences to Y.-J.Huang,and the Foundation of the State Key Laboratory of Palaeobiology and Stratigraphy,Nanjing Institute of Geology and Palaeontology,CAS(213106)。
文摘Surface uplift at the southeastern margin of the Tibetan Plateau has been widely studied,but more palaeoaltimetry data are required to better understand the elevation history of this geologically complex region.In this study,fossil leaves of Abies(Pinaceae),a cool-temperate element,recovered from the latest Miocene-Pliocene Yangyi Formation of the southern Baoshan Basin,were used as a proxy to estimate the local palaeoelevation.Based on the regional modern altitude range(2100-4280 m)of the genus as well as regional temperature discrepancy(1.5℃)between the past and present,the palaeoelevation of the study area was calculated to be>2360 m above sea level as compared to 1670 m at present.Our result suggests that the southern Baoshan Basin experienced pronounced uplift prior to the time of fossil deposition,probably as a result of crustal shortening and thickening of the northern Baoshan Terrane during the Eocene-Oligocene.We infer that surface growth in areas south of the Dali Basin may have been greater than previously interpreted,and that a widespread plateau or plateau patches higher than 2000 m probably extended southwards into at least the Baoshan Basin by the latest Miocene-Pliocene.We also infer that the elevation of the southern Baoshan Basin has decreased by at least 690 m since then,in contrast to most other scenarios in which the elevation of the southeastern margin of the Tibetan Plateau has increased or remained close to modern levels since the late Miocene.The major cause of the inferred altitude decline is likely tectonic deformation.As a transtensional graben basin,the Baoshan Basin has experienced pull-apart and base-fall movement since the late Miocene,which would reduce the altitude of its southern part located on the hanging wall.Surface erosion associated with the increased summer rainfall might also have played a role especially in reducing the local relief,although its contribution can be limited.Our study provides one of the few palaeoelevation estimates from areas south of the Dali Basin and an example of past elevation loss at the southeastern margin of the Tibetan Plateau,thus shedding important light on the landscape evolution of this region.
基金supported by the National Natural Science Foundation of China(No.41972023)the Natural Science Foundation of Yunnan Province(No.202301AT070374)+1 种基金the Ten-thousand Talents Program of Yunnan Province(No.YNWR-QNBJ-2019-261)the West Light Foundation of the Chinese Academy of Sciences to Y.-J.Huang.
文摘Wildfire bears a close relationship with vegetation as its fuel source.The southeastern margin of the Tibetan Plateau witnesses frequent wildfires among various types of vegetation,whereas such wide in-teractions between wildfire and vegetation remain poorly studied from geological times.In this study,we reported a local fire using sedimentary macroscopic charcoals from the latest Miocene to early Pliocene of the Baoshan Basin in this region,and then inferred the local vegetation at the time of the fire event based chiefly on the coexistent fruit and seed fossil assemblage.Our taxonomic results show that the charcoal assemblage is probably dominated by broadleaved plants and the fruit and seed fossil assemblage is apparently dominated by Salix(Salicaceae)followed by Sambucus(Adoxaceae),suggesting a deciduous broadleaved forest in which the fire likely occurred.Under a seasonally dry climate associated with the Asian monsoon,this type of vegetation might be prone to natural fire,because in the wet rainy season the plants grew well to accumulate biofuel and in the dry season abundant ground litter resulting from leaf decay would be desiccated to become highly flammable.Due to the fire-tolerant habit of Salix as the dominant plant,the forest might be in return adapted to the fire event or even more fires that potentially followed.All these may suggest a close relationship between the fire event and the reconstructed vegetation.Our finding documents a new type of wildfire—vegetation interaction,namely the interaction between wildfire and deciduous broadleaved forest,from the geological past at the southeastern margin of the Tibetan Plateau.It therefore sheds new light on the wildfire history coupling vegetation change in the region.
