Effect of TSH Suppression Therapy on Sex Hormone Levels after Thyroid Cancer Surgery

Objective:To analyze the effect of thyroid-stimulating hormone(TSH)suppression therapy on sex hormone levels in patients undergoing postoperative treatment for thyroid cancer.Methods:A total of 40 patients undergoing postoperative thyroid cancer treatment were selected for data analysis.TSH suppression therapy was implemented during the postoperative period.Patients were grouped according to the TSH level:TSH<0.1,0.1≤TSH<0.5,and TSH≥0.5.Results:Among male patients,there were no significant differences in sex hormone levels at different dosing times and TSH levels(P>0.05).For female patients,testosterone levels at different dosing times showed no significant differences under the same circumstances(P>0.05).The comparison of testosterone levels at different TSH levels over 5 years of TSH suppression therapy did not yield significant differences(P>0.05).However,the comparison of testosterone levels within 5 years of TSH suppression therapy yielded significant differences(P<0.05),with the lowest levels observed at 0.1≤TSH<0.5.Conclusion:The use of TSH suppression therapy in postoperative thyroid cancer treatment minimally affects sex hormone levels in male patients.However,it has a significant impact on female patients.Therefore,preoperative sex hormone testing is recommended,and postoperative monitoring should include regular sex hormone testing.

Role of TSH Inhibition Therapy in the Postoperative Management of Patients with Differentiated Thyroid Cancer

Objective:To investigate the effect of TSH inhibition therapy in the postoperative management of patients with differentiated thyroid cancer.Methods:Seventy patients diagnosed with differentiated thyroid cancer were selected for the study.TSH inhibition therapy was administered to the research group,while thyroxine replacement therapy was provided to the control group during the postoperative management phase.This allowed for a comparative analysis between the two groups.Results:In comparison with the control group,the research group exhibited significant decreases in serum TSH,T3,and T4 levels after treatment,while FT4 and FT3 levels significantly increased(P<0.05).Additionally,significant decreases in Tg,VEGF,TSGF,CD44V6,and sIL-2R levels were observed in the research group after treatment(P<0.05).No significant differences were found in pre-treatment thyroid function between the two groups(P>0.05).Conclusion:The application of TSH inhibition therapy in the postoperative management of patients with differentiated thyroid cancer demonstrates promising outcomes.

Benign Multicystic Peritoneal Mesothelioma: A Case Report

Benign multicystic peritoneal mesothelioma(BMPM)is a rare tumor originating from peritoneal mesothelial cells.Here,we present a case of an 18-year-old male with right lower abdominal pain.Physical examination revealed a palpable mass with unclear boundaries.Laboratory tests showed elevated levels of monocytes and high-sensitivity C-reactive protein.CT scan revealed a cystic mass in the ileocecal region with multiple septations.Laparoscopic surgery confirmed a cystic solid mass resembling beads on the colon’s right side.Immunohistochemistry confirmed BMPM diagnosis.BMPM,especially in the ileocecal region,is uncommon and presents diagnostic challenges.Differential diagnosis includes lymphangioma,peritoneal metastasis,and malignant mesothelioma.CT findings,such as thin cyst walls and septations,aid in diagnosis.Recognition of BMPM’s imaging features improves diagnostic accuracy.Surgical resection remains the primary treatment.This case underscores the importance of considering BMPM in young male patients with abdominal pain and emphasizes the value of imaging modalities in accurate diagnosis and management.

Study on Tissue Culture and Rapid Propagation of Platycodon grandiflorus

With seeds as experimental materials,MS was used as the basic medium to combine different species and concentrations of auxin and mitogen for proliferation,elongation and rooting culture. The best combination of medium and the most suitable medium were selected. The results showed that the best formula for the medium was MS + 0. 5 mg/L BA + 0. 5 mg/L IAA + 30 g/L sucrose in the proliferation culture,MS + 0. 25 mg/L BA + 0. 5 mg/L IAA + 30 g/L sucrose in the elongation culture,and MS + 0. 5 mg/L IAA + 20 g/L sucrose in the rooting culture respectively. The experimental results will be applied in the rapid propagation and breeding of high-quality seedlings of Platycodon grandiflorus.

Association between Subjective Evaluation of Skin Toxicities and Quality of Life in Patients with Lung Cancer Undergoing Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor Treatment: A Pilot Study for Developing Skin Toxicity Assessment

Purposes: Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) exert satisfactory therapeutic effects in lung cancer patients. However, the resultant skin toxicity can deteriorate patients’ quality of life (QoL). Differences exist in skin toxicity evaluation between patients and clinicians. We aimed to clarify the association between the subjective evaluation of skin toxicities and QoL in lung cancer patients and to establish a document of scale development in the subjective evaluation of skin toxicity. Methods: We used self-administered questionnaires to evaluate 12 lung cancer patients receiving EGFR-TKI treatment. Indices of QoL were generated using the Functional Assessment of Cancer Therapy-Lung and Hospital Anxiety and Depression Scale, and a subjective evaluation questionnaire concerning skin toxicity was completed. The data were collected immediately before treatment initiation and at 4 weeks post treatment. Results: In the subjective evaluation of skin toxicity, four patients (33.3%) were classified as ≥Grade 2 (painful group), experiencing painful pruritus at the emergence site of the skin rash or xerosis. In this group, the QoL scores of physical and emotional aspects declined after treatment. Conversely, patients in the painless group (Grade 0 - 1) demonstrated an improved emotional QoL following treatment (p = 0.028). Conclusions: Lung cancer patients suffering from painful skin toxicity tended to show a decline in the physical and emotional aspects of QoL following EGFR-TKI treatment. The skin toxicity questionnaire was useful from the point of view of a subjective evaluation and could be a powerful assessment tool in future clinical settings with further modification.

Prediction Model of Drilling Costs for Ultra-Deep Wells Based on GA-BP Neural Network

Drilling costs of ultra-deepwell is the significant part of development investment,and accurate prediction of drilling costs plays an important role in reasonable budgeting and overall control of development cost.In order to improve the prediction accuracy of ultra-deep well drilling costs,the item and the dominant factors of drilling costs in Tarim oilfield are analyzed.Then,those factors of drilling costs are separated into categorical variables and numerous variables.Finally,a BP neural networkmodel with drilling costs as the output is established,and hyper-parameters(initial weights and bias)of the BP neural network is optimized by genetic algorithm(GA).Through training and validation of themodel,a reliable prediction model of ultra-deep well drilling costs is achieved.The average relative error between prediction and actual values is 3.26%.Compared with other models,the root mean square error is reduced by 25.38%.The prediction results of the proposed model are reliable,and the model is efficient,which can provide supporting for the drilling costs control and budget planning of ultra-deep wells.

Succession of bacteria communities during production and application of dairy bedding by membrane-covered aerobic fermentation

The cost of dairy manure treatment and bedding material purchase increases the operating cost of the dairy farm.Membrane-covered aerobic fermentation system has been widely used for dealing with dairy manure and recycling the final product as bedding material.However,the microbial safety in each processing step is still uncertain.To better understand the bacterial community dynamics during the whole bedding conversion process,a full-chain and large-scale experiment including 16-day membrane-covered aerobic fermentation and 11-day bedding material application was conducted.The results showed that the pile temperatures in the fermentation stage rapidly increased to 80°C and maintained>50°C for more than 11 days and the use of fermentation product as bedding material provided cows with a stable and comfortable bedding environment.The Chao1 and Shannon index decreased at the end of the fermentation stage and remained stable in the application stage,indicating that membrane-covered aerobic fermentation effectively killed some pathogenic bacteria and guaranteed both the maturity and stability of the final product.The dominant bacteria in the fermentation stage were Acinetobacter,Thermus,and Rhodothermus at genus level.Seven common potential pathogens of mastitis(Staphylococcus,Enterococcus,Serratia,Pseudomonas,Corynebacterium,Mycobacterium,and Bacillus)were found at the end of fermentation stage but the relative abundance was low(0.0025%-0.2727%).The dominant bacteria in the application stage mainly included Acinetobacter,Pseudomonas,and Flavobacterium at the genus level.The relative abundance of Pseudomonas increased in the application stage,which was a reminder to the dairy farm to pay attention to the disinfection and timely replacement of bedding material to prevent the occurrence of dairy mastitis.The results of this study contributed deep understanding of the microorganism-driven bedding conversion process and provide practical guidance and cautions for the bedding materials application.

三维动脉自旋标记成像量化脑转移瘤放疗前后灌注变化的研究

目的:应用三维动脉自旋标记(three-dimensional arterial spin labeling,3D-ASL)定量分析脑转移瘤(brain metastasis,BMs)患者放射治疗(放疗)过程中BMs肿瘤靶区、正常脑区域及瘤周水肿区的血流灌注变化。建立三者灌注变化与放疗剂量梯度的关系,为BMs患者进行个体化放疗提供参考依据。方法:收集2018年7月至2019年6月山东省肿瘤防治研究院26例BMs患者放疗前及放疗后的MR模拟定位图像(包括强化T1WI图像和3D-ASL的灌注图,由强化T1WI图像获得BMs肿瘤靶区,3D-ASL图像获得血流灌注信息)。分别定义强化T1WI中BMs高信号区、正常脑区域及瘤周水肿区为感兴趣区域(regions of interest,ROIs)。研究BMs肿瘤靶区放疗前后平均最大截面积、平均最大脑血流量(cerebral blood flow,CBF)的变化及相关性;分析不同剂量梯度下3个ROIs CBF值的变化规律。结果:BMs肿瘤靶区放疗前后平均最大截面积和CBF值分别降低26.46%和29.64%(P<0.05)。BMs肿瘤靶区在30~40、40~50 Gy和>50 Gy剂量梯度下,CBF放疗前后下降率分别为33.75%、24.61%和27.55%(P<0.05),30~40 Gy时最大。正常脑区域在0~10、10~20、20~30、30~40、40~50 Gy和>50 Gy剂量梯度下,CBF放疗前后下降率分别为7.65%、11.12%、18.42%、20.23%、19.79%和17.89%(P<0.05),30~40 Gy时最大。瘤周水肿区放疗后CBF下降率与剂量梯度增高同步。BMs肿瘤靶区放疗前后的灌注下降较正常脑区域和瘤周水肿区更为显著。结论:3D-ASL可客观反映BMs肿瘤靶区、正常脑区域及瘤周水肿区放疗中灌注变化情况。依据CBF的变化,正常脑区域的放疗剂量建议控制在30 Gy以下,而肿瘤靶区高灌注区和瘤周水肿区应给予高剂量。

颅骨及脑组织CT MR显示差异对脑肿瘤放疗剂量学影响的研究

目的:研究颅骨及脑组织CT/MR显示差异对脑瘤放疗剂量学的影响。方法:选取60例接受放疗的脑转移瘤(brain metastases,BM)患者,每例患者均行CT和MR模拟定位,将CT图像和MR图像刚性配准,在CT/MR融合图像上勾画肿瘤靶区、危及器官、颅骨(分别命名为Skull-CT、Skull-MR)、脑组织(分别命名为Brain-CT、不包含脑膜的Brain-MR-1、包含脑膜的Brain-MR-2)等组织和器官。基于CT图像制定三维适形放射治疗(3D-CRT)或调强放射治疗(IMRT)计划为Plan1;复制CT图像,基于CT/MR图像确定的颅骨(Skull)显示的差异区域Skull-sub赋予CT值20 HU,得到CT2图像,再将Plan1复制到CT2图像上进行放疗剂量的再次计算,获得Plan2。评估两组计划的靶区及组织器官的剂量学变化。结果:Skull-MR较Skull-CT体积平均减少约46%,Brain-CT的体积较不包含脑膜的Brain-MR-1与包含脑膜的Brain-MR-2平均减少约0.8%和6.7%,差异均具有统计学意义(均P<0.05)。相比Plan1,Plan2的颅骨剂量变化率平均<3.5%;计划靶区(planning target volcome,PTV)剂量指标的变化率除了靶区剂量均匀性(HI)平均减少约6.8%,其他指标平均变化均<1.1%;危及器官的剂量平均变化率均<2%。此外,全脑放疗患者的PTV_(Brain-MR-1)及PTV_(Brain-MR-2)剂量指标较PTV_(Brain-CT),除了HI平均变化约11%和2.4%,其他指标的平均变化率均<2.2%。结论:颅骨及脑组织在CT/MR上的显示差异显著,虽然未对正常器官与肿瘤靶区的放疗剂量带来显著性变化,但对HI的影响仍不可忽视。

Review of Factors Influencing Active Components of Lonicera japonica Thunb.

Lonicera japonica Thunb. is a typical medicinal and edible plant in China. It has antibacterial, anti-oxidant, anti-endotoxin, and anti-inflammatory effects, etc. Its pharmacological action is closely related to its active components. Based on the results of previous studies, this paper summarized the effects of variety, origin, cultivation conditions, pruning, harvesting period and processing methods on the active components of L. japonica , in the hope of providing theoretical guidance for high-yield and high-quality cultivation of L. japonica.

Original askiatic imaging used in Chinese medicine eye-feature diagnosis of visceral diseases

Eye-feature diagnosis is a time-homored met hod for studying many diseases in tradit ional Chinese medicine.There is a dlose relationship between eye feature and viscera,and eye feature is a reflect ion of viscer al health status.Commercially used ophthalmology diagnosis instr uments have disadvantages and cannot satisfy the requirements of eye feature diagnosis.In this paper,we proposed a novel askiatic imaging method that removes the interference of an ilumination source's reflection shadow and is free from image splicing.We developed a novel imaging system to implement this method,and some eye feature characteristics to analyze visceral diseases were obtained.

CETP polymorphism confer genetic contribution to centenarians of Hainan,south of China

Objective:In this paper,we will discuss if the CETP polymorphism contributes to the centenarians in Hainan island.Methods:We tested the Taq IB and I405 V polymorphisms of CETP gene among 276 centenarians and 301 matched healthy individuals by AS-PCR and analyzed the data with SPSS software package(Version 19.0).Results:Our data indicated that allele B1 and V have the significant differences between centenarians and healthy control groups with P<0.001.Further analysis implied that genotypes B1B1(P<0.001,OR=0.148,95% CI=0.095-0.230) and VV(P<0.001 and OR=0.353,95% CI=0.237-0.525) were significantly different between centenarians and matched controls.The combination of B and V,such as B1B1-II(P<0.001,OR=0.128,95% CI=0.049-0.329),B1B1-IV(P<0.001,OR=0.115,95% CI=0.056-0.237),B1B2-VV(P<0.05,OR=0.534,95% CI=0.310-0.920),and B2B2-VV(P<0.001,OR=0.198,95% CI=0.086-0.453) have significant differences between centenarians and matched healthy individuals from Hainan.Conclusion:Our results implied that allele B1B1 and VV,as well as the combination B1B1-II,B1B1-IV,B1B2-VV and B2B2-VV may contribute to the longevity in centenarians of Hainan,south of China.

Content Analysis of Baicalin and Heavy Metals in Scutellaria baicalensis Georgi Cultivated in Jizhou District

This study aimed to explore an analysis method for baicalin in Scutellaria baicalensis Georgi and make a reference for the analysis of the medicinal value of S. baicalensis cultivated in Jizhou District. The content of baicalin in S. baicalensis cultivated in Jizhou District was determined using high-performance liquid chromatography( HPLC) to judge whether it met the requirements of Chinese Pharmacopoeia; and according to the requirements of the Chinese Pharmacopoeia of 2015 edition,the contents of heavy metals were determined by ICP-MS. The results showed that the contents of baicalin,Cr,Cu,As,Cd and Pb in S. baicalensis planted in Jizhou District were 14. 625 05%,11. 360,12. 830,0. 062 315,0. 025 715 and 0. 176 65 μg/g,respectively. The content of baicalin in S. baicalensis planted in Jizhou District was much higher than the standard( ≥ 9. 0%) of Chinese Pharmacopoeia of 2015 edition,and the contents of heavy metals were also below the limit( ≤20/1000 000) required by Chinese Pharmacopoeia of 2015 edition.

基于MR超长期延迟强化量化分析鼻咽癌放疗GTV退缩规律的研究

目的:探讨基于MR超长期延迟强化扫描对鼻咽癌(nasopharyngeal carcinoma,NPC)肿瘤靶区及淋巴结不同区域差异性退缩规律的研究。方法:选取2019年12月至2020年8月山东省肿瘤医院53例接受放疗的NPC患者,获得放疗前、中及后MR(T2WI、15s强化及>10 min超长期延迟强化的T1WI像)。在T2WI上确定大体肿瘤靶区(GTVp)和淋巴结(GTVn)。根据15 s强化与>10 min强化T1WI的剪影图像确定造影剂清除比较快的区域(GTVp_(快)、GTVn_(快)),清除慢的区域(GTVp_(慢)、GTVn_(慢)),分析不同亚靶区放疗后的退缩差异性。结果:1)GTVp在接受50 Gy及放疗结束的退缩率分别为57.37%、18.61%,低于GTVp_(快)的64.52%、29.66%,而显著高于GTVp_(慢)的25.21%、7.55%(P<0.05),GTVn、GTVn_(快)、GTVn_(慢)的退缩也具有相似变化趋势;2)放疗前、后GTVp_(快)与GTVp、GTVn_(快)与GTVn体积变化均具有相关性(r=0.872、0.998,P<0.05)。而GTVp_(慢)与GTVp、GTVn_(慢)与GTVn体积变化差异无统计学意义(P<0.05);3)放疗后GTVp_(慢)与接受50 Gy放疗时相比体积增加了7.55%,而GTVp与GTVp_(快)、GTVp_(慢)的退缩均小于淋巴结。结论:MR超长期延迟强化扫描可以将NPC及阳性淋巴结分为造影剂清除快、慢的亚区域,不同亚区域及整体靶区退缩显著不同步;在以体积为标准进行NPC放疗疗效评估时,不同亚区域应行个体化分析。

Determination of Chemical Composition of Salvia miltiorrhiza Cultivated in Jizhou

[Objectives] This study aimed to evaluate the quality of Salvia miltiorrhiza cultivated in Jizhou. [Methods] The contents of chemical ingredients( tanshinone ⅡA,tanshinone Ⅰ and salvianolic acid B) in S. miltiorrhiza were determined by high-performance liquid chromatography( HPLC),and the chemical composition of S. miltiorrhiza planted in Jizhou and purchased from market was compared.[Results]The contents of tanshinone ⅡA,tanshinone I and salvianolic acid B in S. miltiorrhiza planted in Jizhou were 0. 014%,0. 421 2%and 3. 018%,respectively,higher than the standards of the Chinese Pharmacopoeia of the 2015 edition. [Conclusions]The chemical composition of S. miltiorrhiza planted in Jizhou meets the standards of the Chinese Pharmacopoeia of the 2015 edition.

Review of Research Situation of Lagenaria siceraria(Molina) Standl.

Lagenaria siceraria( Molina) Standl. Var. hispisa( Thund.) Hara is an annual creeping herb of the family Cucurbitaceae. It has high nutritional value and medicinal value,and it is a high-quality vegetable with low sugar and many kinds of vitamins. This paper introduced the current research situation of L. siceraria( Molina) Standl. from medicinal value,cultivation management technology and processing technology. Besides,it discussed main points of future researches on the basis of existing research,to promote the development of L. siceraria( Molina) Standl.

Introduction Performance of Aornia melanocarpa in 4 Districts of Tianjin

[Objectives]To enrich the species resources of Tianjin,Aornia melanocarpa was introduced and cultivated in 4 districts of Tianjin.[Methods]Two consecutive years of observation in 2018-2019 and research on the phenological period,high yield and fruit economic traits in 4 districts of Tianjin were carried out.[Results]The A.melanocarpa of the Linhai Jiayuan Experimental Site in Jinghai District has larger single fruit weight,higher nutrient composition,stronger plant growth,higher yield and storage stability,so this site can be used as a main planting base for large-scale planting of A.melanocarpa;the experimental site of Tianjin Agricultural University East Campus and the experimental site of Cuiping Lake Science Park of Jizhou District have a sour and astringent taste but relatively low yield,need to be processed as by-products in combination with market prices to determine whether to plant;the experimental site of Tianjin Agricultural University West Campus has low yield,small fruit and poor taste,and the planting effect is the worst among the four experimental sites.[Conclusions]From the overall economic traits of fruits,the fruits produced in the experimental site of Jinghai District have sufficient weight,high solid-acid ratio,and relatively high nutrient content,thus this experimental site can be used as large-scale cultivation base for A.melanocarpa.

Physiological Effects of Alkaline Stress on Seedlings of Lonicera caerulea L.

[Objectives]This study was conducted to clarify the saline-alkali tolerance in seedlings of Lonicera caerulea L.[Methods]The L.caerulea seedling variety,Lanjingling,was used as the test material,and alkaline solution(NaHCO 3)with different concentration gradients was used for stress treatment to observe physiological effects on L.caerulea seedlings.[Results]L.caerulea seedlings were most affected by alkaline stress at a treatment concentration of 100 mmol/L,and their osmotic substances(proline,soluble sugar,soluble protein)and antioxidant enzymes(CAT,SOD and POD)were higher in content at a concentration of 100 mmol/L compared with the alkaline stresses in this range.The contents were generally higher,and even in the detection of proline,soluble sugar,SOD and POD,the contents of these substances and enzymes reached a peak at 100 mmol/L.The contents of soluble sugar,CAT,SOD,POD and malondialdehyde were generally higher than that of the control check(CK),and the contents of proline and soluble protein in each treatment concentration were generally higher than that of the CK.[Conclusions]The metabolic physiology of L.caerulea seedlings has a certain adaptability to alkaline stress.

Analysis of the hemodynamics changes of ipsilateral extracranial carotid artery with middle cerebral artery stenosis or occlusion patients

Objective: By observing the relation between middle cerebral artery stenosis or occlusion patients with ipsilateral extracranial carotid artery hemodynamics changes, to identify the value of hemodynamic change of extracranial carotid artery in predicting the middle cerebral artery stenosis, in order to improve the detection rate and accuracy. Methods: Eighty-three patients with unilateral severe middle cerebral artery stenosis or occlusion who confirmed by MRA were enrolled in the study, in all case were detected by TCD. The relationship of hemodynamic between extracranial carotid arteries and intracranial carotid arteries were analyzed. Results:The patients with severe middle cerebral artery stenosis or occlusion tend to have lower velocity and higher pulsitility index (PI). The PI(iCA), Vm(iCA) has a certain significance. The PI difference of carotid artery, end diastolic velocity of internal carotial artery (Vd (iCA) ) can evaluate stenosis of MCA more sensitive. The PI difference of common carotid artery=0.13, PI difference of internal carotid artery=0.15, Vd (iCA) =13.8 cm/s, Yonden index were 0.709, 0.710, 0.601.Sensitivity were 80.49%, 78.05%, 80.49%.Specificity were 90.48%, 92.86%, 78.57%;Positive predictive value were 89.20%, 91.42%, 78.57%.Negative predictive value were 82.60%, 81.25%, 80.48%. Conclusion: The patients tend to have lower velocity and higher PI. The PI difference of carotid artery, Vd(iCA), PI(iCA), Vm (iCA) severe middle cerebral artery stenosis or occlusion can be evaluated and provide a basis for the early diagnosis.

Content Determination of Chlorogenic Acid and Luteoloside in Flos Lonicerae

The contents of chlorogenic acid and luteoloside in Flos Lonicerae from Binhai New Area and Jinnan District of Tianjin were determined to provide basis for the quality identification of this medicinal material. The content of chlorogenic acid was determined by HPLC. In Flos Lonicerae from Binhai New Area and in Flos Lonicerae harvested at different stages from Jinnan District,the contents of chlorogenic acid were 3. 804%,5. 507%( three green stage),4. 855%( silver flower stage) and 4. 220%( golden flower stage),respectively,and the contents of luteoloside were 5. 53%,12. 405%( three green stage),14. 370%( silver flower stage) and 0. 917%( golden flower stage),respectively. The contents of chlorogenic acid in Flos Lonicerae from Jinnan District were higher than that from Binhai New Area. Among different stages,the content of chlorogenic acid was highest in three green stage,followed by that in silver flower stage. As the flowers bloomed,the content of chlorogenic acid in the medicinal material showed a significant downward trend. In Flos Lonicerae from Jinnan District,the content of luteoloside was highest in silver flower stage and lowest in golden flower stage.