Castleman Disease with Retroperitoneal Invasion of Iliac Vascular Zone: A Case Report of Unicentric Type & Review of the Literature

Castleman Disease is a rare nonneoplastic lymphoproliferative disorder that can be found in any lymph node station with unknown etiology. The current cumulative number of reported cases is minimal. We report a case of a 44-year-old woman with a hard mass in the pelvic retroperitoneal that has been gradually increasing in size for many years. Abdominopelvic MRI scan showed a left retroperitoneal mass and visible calcifications. The patient underwent resection of the left retroperitoneal mass and the pathological diagnosis was Castleman disease of hyaline vascular type.

Evaluation of the Effects of Sugary Beverages on the Health of Adolescent Students in Guangxi Based on Health System Function Scores

Objective:To evaluate the health effects of sugary beverage consumption among adolescent students in Guangxi.Methods:In three cities of Guangxi(Nanning,Liuzhou,and Guilin),we investigated the consumption of sugary beverages by distributing a self-administered Functional Assessment Questionnaire of Life Health System and a Dietary Behavior Questionnaire(this paper analyzes only the part of sugary beverage consumption)to adolescent students in four schools,aiming to find out the general health status of the students and also to assess the effects of sugary beverages on the functional system health of adolescent students.Results:A total of 953 adolescent students between the ages of 14 and 24 were surveyed.Among them,46.17%consumed sugary beverages once a week;37.46%consumed them 2-3 times;11.52%consumed them more than 3 times;and 4.83%consumed them every day.The mean score of Functional Assessment Questionnaire of Life Health System was 32.There was a positive correlation between the frequency of consumption of sugary beverages and the overall systemic function assessment score(P<0.05),and the rank of the total score elevated by 0.314 times for each increase in the level of consumption.Compared to those who drink sugary beverages at least once a day,drinking them once a week showed a statistically significant difference(P<0.05).However,there was no statistically significant difference between drinking 2-3 times a week and more than 3 times a week(P>0.05).The correlation between consuming sugary beverages once a week and 2-3 times a week and endocrine system scores was also statistically significant(P<0.05).Conclusion:More than half of the students in the surveyed areas consumed sugary beverages two or more times a week,and the higher the frequency of consumption,the higher the scores of systemic function assessment.Health education on sugar reduction among adolescents should be strengthened.

Caveolin-1 Polymorphism (rs7804372) and Cancer Risk: A Meta-Analysis of 15 Case-Control Studies

Purpose: Epidemiological studies have assessed the association between Caveolin-1 polymorphism and cancer risk. However, published data are still inconclusive. To clarify this inconsistency, we conducted a meta-analysis to evaluate the relationship between Caveolin-1 polymorphism (rs7804372) and cancer susceptibility. Methods: We conducted a comprehensive literature search, using PubMed, Embase, Medline, Web of Science, CNKI, and Wanfang database, which included English and Chinese literatures. The latest updated date was January 2018. The following search terms were performed to retrieve the relevant articles: ((CAV1) OR (Caveolin-1) OR (rs7804372)) AND (cancer OR tumor OR carcinoma OR neoplasms OR malignancy) AND (polymorphism OR mutation OR variant OR genotype). Odds ratio (OR) with 95% confidence interval (CI) was used to estimate the pooled effect. Results: In the overall analysis, this kind of polymorphism showed a significant association with increased risk of cancer: allelic model (T/A;OR = 1.33, 95% CI: 1.19 - 1.49;P < 0.0001), homozygous (TT/AA;OR = 1.73, 95% CI: 1.37 - 2.18;P < 0.0001), and heterozygous genetic models (TT/TA;OR = 1.23, 95% CI: 1.14 - 1.33;P < 0.0001), the dominant genetic model (TT + TA/AA;OR = 1.58, 95% CI: 1.28 - 1.96;P < 0.0001), and the recessive genetic model (TT/TA + AA;OR = 1.34, 95% CI: 1.20 - 1.50;P < 0.0001). In addition, the stratified analysis of the results was carried out by ethnicity, HWE status, and cancer types. The outcome indicated that Caveolin-1 rs7804372 polymorphism was associated with an increased risk of cancer. Conclusion: The present study demonstrated that the allele T of Caveolin-1 (rs7804372) polymorphism might associate with increased susceptibility to cancer, and might predict worse survival in patients with various types of cancer. However, further well-designed studies are required to evaluate this association.

Risk Prediction Model for Surgical Treatment of Ruptured Corpus Luteum in the Ovary

Objective: To explore the related factors of surgical treatment of patients with corpus luteum rupture and establish a risk prediction model of surgical treatment of corpus luteum rupture. Methods: 222 patients with corpus luteum rupture treated in Jingzhou First People’s Hospital from January 2015 to March 2022 were analyzed retrospectively, including 45 cases of surgery and 177 cases of conservative treatment. The training set and validation set were randomly assigned according to 7:3. We collected the basic information, laboratory and ultrasonic examination data of 222 patients. Logistic regression analysis was used to determine the independent risk factors and combined predictors of surgical treatment of corpus luteum rupture. The risk prediction model was established and the nomogram was drawn. The discrimination and calibration of the prediction model were verified and evaluated by receiver operating characteristic (ROC) curve, calibration curve and Hosmer-Lemeshow goodness of fit test;Decision curve analysis (DCA) was used to evaluate the clinical effectiveness of the prediction model. Results: Univariate logistic regression showed that whole abdominal pain (OR: 2.314, 95% CI: 1.090 - 4.912), abdominal muscle tension (OR: 2.379, 95% CI: 1.112 - 5.089), adnexal mass ≥ 4 cm (OR: 3.926, 95% CI: 1.771 - 8.266), hemoglobin Conclusion: The nomogram prediction model containing three predictive variables (hemoglobin, depth of pelvic effusion under ultrasound and cervical lifting pain) can be used to predict the risk of surgical treatment in patients with corpus luteum rupture.

Two Cases of Complicated Rectovaginal Fistula Treated by Hanging Line Method Were Reported and Reviewed in the Literature

This paper retrospectively analyzes the complicated rectovaginal fistula in 2 cases after the successful treatment. Through literatures collected, with the difficulties and contradictions of the treatment of complicated rectovaginal fistula as the starting point, the currently used hanging line method, the advantage and deficiency of surgical treatment in recent years, and the change of treatment method were reviewed. We wish to explore which current treatments could be a better choice.

Synthesis of porous carbon nanomaterials and their application in tetracycline removal from aqueous solutions

The low-cost and efficient elimination of tetracycline from wastewater and to decrease the concentration in soils,sediments,rivers,underground water,or lakes are crucial to human health.Herein,threedimensional porous carbon nanomaterials were synthesized using glucose and NH_(4)Cl by sugarblowing process at 900℃ and then oxidized under air atmosphere for surface functional group modification.The prepared 3D porous carbon nanomaterials were applied for the removal of tetracycline from aqueous solutions.The sorption isotherms were well simulated by the Langmuir model,with the calculated sorption capacity of 2378 mg·g^(-1) for C-450 at pH=6.5,which was the highest value of today's reported materials.The porous carbon nanomaterials showed high stability at acidic conditions and selectivity in high salt concentrations.The good recycle ability and high removal efficiency of tetracycline from natural groundwater indicated the potential application of the porous carbon nanomaterials in natural environmental antibiotic pollution cleanup.The outstanding sorption properties were attributed to the structures,surface areas and functional groups,strong interactions such as H-bonding,π-π interaction,electrostatic attraction,etc.This paper highlighted the synthesis of porous carbon nanomaterials with high specific surfaces,high sorption capacities,stability,and reusability in organic chemicals'pollution treatment.

Simulation Research on the Effect of 2-Stroke Engine Exhaust Resonance on Aspiration

Exhaust resonance effect on the 2-stroke engine aspiration is investigated via one-dimensional simulation on GT-Power.Result shows that exhaust resonance is established when the number of oscillation periods per engine cycle derived from the engine speed and exhaust length is an integer.Exhaust resonance may raise or lower the trapping ratio,and the specific effect depends on the value of the number of oscillation periods per engine cycle.There is a liner regression relationship between the trapping ratio and average after back pressure.The primary way to improve the trapping ratio with the exhaust resonance is to increase the average after back pressure.The optimum exhaust resonance state is the one that suits the port timings so that the peak of exhaust pressure lies within the after charging period,raising the average after back pressure.For the case where the exhaust duration is 184°CA and the scavenge duration is 111°CA,the optimum number of oscillation periods per engine cycle is 3.

Clinical Characteristics and Outcomes of Severe or Critical COVID-19 Patients Presenting No Respiratory Symptoms or Fever at Onset

It is difficult to identify suspected cases of atypical patients with coronavirus disease 2019(COVID-19),and data on severe or critical patients are scanty.This retrospective study presents the clinical,laboratory,and radiological profiles,treatments,and outcomes of atypical COVID-19 patients without respiratory symptoms or fever at onset.The study examined ten atypical patients out of 909 severe or critical patients diagnosed with COVID-19 in Wuhan Union Hospital West Campus between 25 January 2020 and 10 February 2020.Data were obtained from the electronic medical records of severe or critical patients without respiratory symptoms or fever at onset.Outcomes were followed up to discharge or death.Among 943 COVID-19 patients,909(96.4%)were severe or critical type.Of the severe or critical patients,ten(1.1%)presented without respiratory symptoms or fever at admission.The median age of the ten participants was 63 years(interquartile range(IQR):57–72),and seven participants were men.The median time from symptom onset to admission was 14 d(IQR:7–20).Eight of the ten patients had chronic diseases.The patients had fatigue(n=5),headache or dizziness(n=4),diarrhea(n=5),anorexia(n=3),nausea or vomiting(n=3),and eye discomfort(n=1).Four patients were found to have lymphopenia.Imaging examination revealed that nine patients had bilateral pneumonia and one had unilateral pneumonia.Eventually,two patients died and eight were discharged.In the discharged patients,the median time from admission to discharge lasted 24 d(IQR:13–43).In summary,some severe or critical COVID-19 patients were found to have no respiratory symptoms or fever at onset.All such atypical cases should be identified and quarantined as early as possible,since they tend to have a prolonged hospital stay or fatal outcomes.Chest computed tomography(CT)scan and nucleic acid detection should be performed immediately on close contacts of COVID-19 patients to screen out those with atypical infections,even if the contacts present without respiratory symptoms or fever at onset.

Characteristics of the Distribution of Ferritin in Epithelial Ovarian Tumor Patients: Results of a Retrospective, Observational Study

Purpose: To investigate the ferritin distribution in epithelial ovarian cancer patients according to the FIGO stage in the prognosis of epithelial ovarian cancer. Method: All ovarian cancer patients were divided into two groups according their FIGO stage. Benign ovarian tumor patients were analyzed as the control. Serum ferritin, serum iron, and other related medical index were detected by automatic instruments for all patients. In addition, ferritin heavy chain (FHC) and ferritin light chain (FLC) proteins were detected by immunohistochemical staining in 60 epithelial ovarian cancer (EOC) patients and 30 benign ovarian tumor (BOT) patients, which were diagnosed in our department between 2011 and 2016. Results: The serum ferritin concentration was significantly higher in the EOC group than in the BOT group (172.56 ± 99.39 ng/mL vs 78.18 ± 43.06 ng/mL;p &mu;mol/L vs 14.92 ± 6.36 &mu;mol/L;p p p p p p p > 0.05). Conclusion: Patients showed an overexpression of ferritin and a downregulation of serum iron correlated with the prognosis of epithelial ovarian cancer, which may be a new target for diagnosis and treatment of epithelial ovarian cancer.

Establishment of Risk Prediction Model and Nomogram for Lymph Node Metastasis of Cervical Cancer: Based on SEER Database

Objective: To predict the risk factors of lymph node metastasis in cervical cancer by using large sample clinical data, and to construct and verify the nomogram for predicting lymph node metastasis. Methods: A total of 5940 patients with cervical cancer from 2004 to 2015 in the National Cancer Institute Surveillance Epidemiology and End Results database were retrospectively screened and randomly assigned to training group (n = 4172) and validation group (n = 1768). Multivariate Logistic regression analysis was used, and the optimal model was selected according to AIC or BIC and likelihood ratio test, and a nomogram was drawn. The accuracy and robustness of the prediction model were evaluated in three aspects: discrimination, calibration and clinical net benefit. Results: The prediction model based on race, tumor tissue differentiation degree, tumor histopathological type, distant metastasis of tumor, tumor diameter and other risk factors was successfully established and a nomogram was constructed. The AUCs of training group and validation group were: 0.736 and 0.714, respectively. And the p-values of the Hosmer-Lemeshow test were 0.28 and 0.11, respectively. The calibration curve was in good agreement with the ideal curve. It had high accuracy and applicability after internal verification. Conclusion: A prediction model is constructed based on the risk factors of lymph node metastasis of cervical cancer. The nomogram has a good effective prediction and can provide a theoretical basis for clinicians to assess the disease quickly before surgery.

Intratumoural microbiota:a new frontier in cancer development and therapy

Human microorganisms,including bacteria,fungi,and viruses,play key roles in several physiological and pathological processes.Some studies discovered that tumour tissues once considered sterile actually host a variety of microorganisms,which have been confirmed to be closely related to oncogenesis.The concept of intratumoural microbiota was subsequently proposed.Microbiota could colonise tumour tissues through mucosal destruction,adjacent tissue migration,and hematogenic invasion and affect the biological behaviour of tumours as an important part of the tumour microenvironment.Mechanistic studies have demonstrated that intratumoural microbiota potentially promote the initiation and progression of tumours by inducing genomic instability and mutations,affecting epigenetic modifications,promoting inflammation response,avoiding immune destruction,regulating metabolism,and activating invasion and metastasis.Since more comprehensive and profound insights about intratumoral microbiota are continuously emerging,new methods for the early diagnosis and prognostic assessment of cancer patients have been under examination.In addition,interventions based on intratumoural microbiota show great potential to open a new chapter in antitumour therapy,especially immunotherapy,although there are some inevitable challenges.Here,we aim to provide an extensive review of the concept,development history,potential sources,heterogeneity,and carcinogenic mechanisms of intratumoural microorganisms,explore the potential role of microorganisms in tumour prognosis,and discuss current antitumour treatment regimens that target intratumoural microorganisms and the research prospects and limitations in this field.

Omics methods predict the prognosis and treatment efficacy of chronic obstructive pulmonary disease

To the Editor:Chronic obstructive pulmonary disease(COPD)is a condition that severely endangers human health.In 2018,Wang et al^([1])reported that there are approximately 100 million patients with COPD in China,with a 13.7%prevalence in people aged over 40 years.The disease severity,frequency of exacerbations,and comorbidities,which are commonly(30–57%)observed in patients with COPD,are the three most crucial elements affecting the economic and societal consequences of COPD.^([2])Hospitalizations for exacerbations are the main contributors to health care expenses.To reduce the clinical and financial burden of COPD,interventions are needed to slow the disease course,avoid exacerbations,and reduce comorbidities,such as approaches for improving the prognosis and treatment efficacy in COPD.

聚苯胺@碳纳米纤维复合材料对放射性核素铀的高效去除

本文通过原位聚合方法成功制备了聚苯胺改性的碳纳米纤维(PANI@CNF)复合材料,并用于水溶液中放射性核素铀(U(VI))的高效去除.扫描电子显微镜(SEM)、透射电子显微镜(TEM)、X射线衍射(XRD)、傅里叶红外光谱(FTIR)和X射线光电子能谱(XPS)等表征证明所制备的材料具有丰富的官能团和优良的物理化学性质.批实验方法系统研究了周围环境(pH、背景电解液、反应时间和温度)的变化对U(Ⅵ)去除结果的影响.结果表明,pH对于U(Ⅵ)去除影响很大,而离子强度没有影响,表明二者之间的作用机理为内层表面络合.吸附能够在30 min内快速达到平衡,且符合拟二级动力学模型.吸附等温线符合Langmuir等温线,表明U(Ⅵ)的去除是单分子层均匀吸附过程.在pH=5.0和T=298 K时, PANI@CNF对U(Ⅵ)的最大吸附量高达319.4 mg/g,远远高于单纯的CNF(133.9 mg/g). U(Ⅵ)主要与材料表面的含氮和含氧官能团形成了稳定的内层络合物,从而达到高效去除的目的.以上分析表明, PANI@CNF具有快速反应动力学和高效吸附能力,可以作为放射性核素高效去除的潜在储备材料,为我国核废料治理工作提供理论依据.

MXene负载纳米零价铁材料对U(Ⅵ)的高效富集和机理分析

纳米零价铁(NZVI)作为一种新型环境友好材料,因其本身不稳定、易团聚等性质而在环境污染治理等领域有所限制.本研究利用一种新型二维层状材料MXene作为基底,通过支撑与负载作用对NZVI进行改性合成MXFe材料,并将其应用于水环境中U(Ⅵ)的去除.微观表征证明MXFe具有优异的稳定性、较高的比表面积和良好的磁性.批次实验则证明MXFe对U(Ⅵ)的去除过程十分高效,且在实际海水中仍能获得60%的去除效率,充分证明材料的稳定性与实际应用价值.最后,通过结合pH影响研究和反应前后的XPS数据,我们得出MXFe对U(Ⅵ)的作用机理为氧化还原作用与内层表面络合主导的吸附作用相结合的结果.综上所述,MXFe材料拥有出色的理化性质和作用效果,在未来放射性核素U(Ⅵ)或其他污染物的治理中具有巨大潜力和应用价值.