Rare and lacking typical clinical symptoms of liver tumors:Four case reports

BACKGROUND Rare liver tumors(RLTs)have an extremely low likelihood of forming,and some have been recorded only in isolated cases.The lack of normal clinical symptoms in RLTs makes preoperative diagnosis extremely challenging,which results in frequent misinterpretation.The present case report helps enhance our ability to recognize and treat uncommon liver tumor disorders.CASE SUMMARY We describe four distinct examples of rare liver tumor diseases.These cases were all true cases with no conventional clinical signs or imaging findings.In all patients,hepatic occupancy was discovered on physical examination,which raised the preoperative suspicion of hepatic cancer.All tumors were surgically removed,and postoperative histology and immunohistochemistry were performed to confirm the diagnosis.The first patient had primary hepatic fibrosarcoma.The second case involved a primary hepatic neuroendocrine tumors.These two patients had malignant liver tumors,and both had extremely satisfactory surgical outcomes.The third case involved focal hepatic steatosis,and the fourth case involved a single necrotic nodule in the liver.These two patients had benign liver tumors,but they had already undergone surgery and did not require any postoperative care.CONCLUSION The number of patients with RLTs is small,and the clinical and imaging results are vague.Preoperative diagnosis is challenging,and patients are sometimes mistakenly diagnosed with liver cancer,which leads to unnecessary surgical therapy in certain individuals.

Responses of Crop Yields and Soil Fertility to Long-term Nutrient Lacking

[Objective] Long-term （over 18 years） fertilization experiments were con- ducted to study the responses of crop yields and soil fertility to long-term nutrient lacking at Zhengzhou in China. [Method] The present study consisted of five treat- ments： 1 CK （no fertilizer or manure）, （2） NP （nitrogen and phosphorus fertilizer applied）, 31 NK （nitrogen and potassium fertilizer applied）, 4 PK （phosphorus and potassium fertilizer applied） and ：5 NPK （nitrogen, phosphorus and potassium fertil- izer applied）. [Result] Lacking of nitrogen or phosphorus led to a low yield; however, there was no significant difference in grain yields between the NP and NPK treat- ments which maintained a higher yield. Receiving no phosphorus, soil available phosphorus content declined to about 2.5 mg/kg. The concentration of soil ex- changeable potassium remained constant at a level of 60 mg/kg under the treat- ments without potassium fertilizer addition. Soil potassium spontaneous supply ca- pacity fluctuated around 100%.[Conclusion] In fluvo-aquic soil, nitrogen and phos- phorus were two key limiting factors to grain yields, biomass and yield component factors of wheat and maize, while potassium was not. However, potassium defi- ciency may occur in the future if there was still no potassium fertilizer applied.

Development of a Method to Produce Chromosome Lacking Lines (CLLs) in <i>Nicotiana tabacum</i>L. “Red Russian”

Monosomic lines of Nicotiana tabacum are helpful to confirm the location of genes on specific chromosomes. In the cross N. nudicaulis and N. tabacum, hybrid seedlings express lethal symptoms, which are controlled by the S subgenome of N. tabacum. To identify the responsible chromosome, we needed to produce chromosome lacking lines (CLLs) of N. tabacum L. “Red Russian” and use them to cross with N. nudicaulis. From a cross of (N. tabacum × N. tomentosiformis) × N. tabacum, 380 BC1 individuals were obtained. Using a Haplo-Q line (a monosomic line lacking the single linkage group 11) and N. tabacum, we found that qPCR is a simple and reliable screening method for CLLs of N. tabacum. The marker PT30342 is located on linkage group 11, and the -Ct value (Ct Actin - Ct PT30342) was 2.0 for a disomic line and was 1.097 for a Haplo-Q line. By the use of flow cytometry, qPCR and chromosome counting together as a screening method, we identified 6 CLLs lacking 2 to 6 chromosomes. Compared with conventional methods, our method is a rapid technique for making and screening CLLs ofthe S or S/T subgenome of N. tabacum. Further, these CLLs will be useful to identify the location of two or more factors on chromosomes controlling a variety of genetic problems affecting breeding. Here, we only made CLLs of the S or S/T subgenome of N. tabacum. We will use the method established in this study to produce CLLs of the T subgenome of N. tabacum, and gather a full set of CLLs of N. tabacum. qPCR could also be applied to the identification of chromosome aberrations in other plants.

Organ Donation and Obstacles: University Student Survey

Background: Organ transplantation has helped improve the quality of life of patients with lethal terminal organ failure. This success is owed to the progress made in many fields such as surgery, immunology…However, in our country Morocco, we are faced with reluctance to donate. The study’s objective is to evaluate the perception of organ donation among university students. Methods: We conducted this cross-sectional study with descriptive and analytical aims. Our target population consisted of 991 university students from eight higher education structures. An anonymous questionnaire was distributed to those students by a single interviewer. The questions of the survey answered four main themes. Thus, two types of studies were done. The first was a descriptive study of the socio-demographic characteristics of the selected population and their knowledge and attitudes about organ donation. The second was an analytical study of the correlation between the socio-demographic characteristics, type and level of education of the target population and their knowledge and attitudes towards organ donation. Results: 97.2% of the respondents have already heard about organ donation. If 836 of the students (84.4%) thought that transplantation could be an effective therapeutic alternative, 155 of the students (15.6%) were not aware of this possibility. Furthermore, 298 students, which means 30.1% of the students, did not know that organ transplantation was practiced in Morocco. The causes of refusal found in our study were numerous. 68.5% of students blamed the lack of information as the main cause of their reluctance. 64.7% were afraid of organ trafficking. 41.1% refused the idea of mutilating the body of the deceased, which could impact the funeral. 37.3% thought that donation would be a violation of the human body according to religious values. 33.9% were against donation because they hoped that the brain-dead patient could wake up. The main results of our survey showed the very favorable attitude towards organ donation and transplantation, despite the lack of knowledge on the subject. Conclusion: This study revealed the absence of information on the practice of organ transplantation in Morocco and the underestimation of the number of people waiting for transplantation. On the other hand, like the data found in the literature, our study highlights the religious obstacles and the lack of confidence in the legislation governing donation and transplantation in our country.

两种雀形目鸟类的窝雏数处理实验:检验Lack假说

于 1 997～ 1 999年在位于青海省北部的中国科学院海北高寒草甸生态系统定位站进行。选择地面筑巢的小云雀 ( Alauda gulgula)和灌丛筑巢的黄嘴朱顶雀 ( Acanthis flavirostris)为代表进行窝雏数处理实验。根据 Lack假说的预报检验 ( 1 )常见窝卵数是否是最大生产力窝卵数 ;( 2 )窝雏数处理对雏鸟质量和亲鸟投入是否产生影响 ;( 3)两种鸟的响应方式是否相同。其结果如下 :1小云雀和黄嘴朱顶雀的常见窝卵数分别是 3和 5枚 ,年间变化不明显 ,用幼鸟出飞率作为生产力 ,两种鸟的扩增窝幼鸟出飞率下降 ,常见窝卵数 (分布频率最高 )等同于最大生产力窝卵数 ;2小云雀的幼鸟的生长参数不随窝雏数的改变而变化 ,而黄嘴朱顶雀有明显变化 ,说明窝雏数处理对后者幼鸟质量有明显影响。 3用递食率作为亲鸟投资指标 ,小云雀亲鸟的递食率随窝雏数的增加而增加 ,但雏期不变 ;而黄嘴朱顶雀递食率不变 ,但雏期延长。 4扩增窝雏数后 ,两种亲鸟表现出不同的响应方式 ,小云雀表现为提高单位时间递食次数 ,而黄嘴朱顶雀延长育幼时间。这两种方式不是通过影响雏鸟质量就是通过影响亲鸟存活率来降低子代和亲代的适合度。结果支持了自然选择将窝卵数调节到亲鸟能喂活最大数量子代的限度 ,即常见窝卵数就是最大生产力窝卵数的 Lack?

我国山丘疫区杜氏利什曼原虫LACK保护性抗原基因克隆和序列分析

利什曼原虫的LACK抗原是利什曼原虫的蛋白激酶C受体的同源物 ,是新发现的一种抗原蛋白。本实验用分子克隆的方法获得我国山丘疫区杜氏利什曼原虫编码LACK保护性抗原的基因片段 ,测序并对其序列分析比较。我国山丘疫区杜氏利什曼原虫 (L dSC10 )LACK抗原基因片段的大小为 94 2bp ,与GenBank中LACK的核苷酸序列一致性在 94 %以上 ,呈高度同源性 ;推导的氨基酸序列与GenBank中LACK的氨基酸序列一致性达 95 %以上 ,具有高度保守性 ;该蛋白质属于WD蛋白家族 ,有重要的生物学意义。

利什曼原虫DNA压电晶体传感器的初步研究

目的 研制利什曼原虫DNA压电晶体传感器。方法 对压电石英晶体表面进行处理并结合上探针DNA制成DNA传感器 ,在不同的杂交时间和杂交浓度条件下测定其频率响应。结果 在 5h内随着杂交时间的增加 ,压电晶体振荡频率的改变值△f也呈线性增加 ,在相同的杂交时间内 ,低浓度范围△f随被测DNA浓度的增加而增加。结论 在一定条件下 。

杜氏利什曼原虫LACK抗原基因的克隆和表达

目的 在大肠杆菌中高效表达纯化杜氏利什曼原虫的LACK抗原。方法 以本实验室的重组质粒T -LACK为模板 ,PCR扩增得到LACK抗原基因 ,与表达载体pQE31定向重组 ,转化到宿主菌M 15中进行表达和纯化 ,并以SDS -PAGE和Western -blotting进行鉴定。结果 1 SDS -PAGE电泳检测 ,重组质粒 pQE31-LACK的全菌蛋白没有出现明显的特异表达带 ,而纯化蛋白和包涵体溶解物在 36kDa处均出现了特异的表达带。 2 36kDa的纯化蛋白被抗利什曼原虫鼠血清清晰地识别。结论 得到了高效表达的LACK纯化蛋白 。

杜氏利什曼原虫LACK基因真核表达重组质粒及其在真核细胞中的表达

利什曼原虫的 L ACK抗原是利什曼原虫活性蛋白激酶 C受体同源物 ,是一种新发现的抗原蛋白。我们以本实验室的重组质粒 T- L ACK为模板 ,PCR扩增获得 L ACK基因 ,与真核表达载体 pc DNA3.1(+)定向重组 ,重组质粒经酶切和 PCR分析 ,含有约 95 0 bp的 L ACK基因 ,成功构建含有 L ACK基因的真核表达重组质粒 pc D-NA3- L ACK。将此重组质粒转染 COS- 7细胞 ,通过 RT- PCR及免疫荧光检测 L ACK基因在真核细胞中的表达。实验结果显示转染了重组质粒的 COS- 7细胞 ,其 RT- PCR及免疫荧光检测均呈阳性反应 ,证实重组质粒 pc DNA3-L ACK能在 COS- 7细胞中有效表达 L ACK蛋白。

多样性维持与整合缺失:多元文化背景下元代民族社会教育政策分析

元代是一个文化多样性特征极其突出的社会,如何面对文化的多样性成为摆在统治者面前的一个重要问题。通过对元代的多元文化政策及"各依其本俗而治"的少数民族社会教育政策及其与国家整合的关系分析,认为元代"各依其本俗而治"的少数民族社会教育政策主要是为了统治的暂时稳定而实施的,偏重于文化多样性现状的维持,而于国家的整合无太多的考虑。

鸟类窝卵数进化:几个窝卵数概念之间的区别和联系

通过分析和讨论最大生产力窝卵数、最适窝卵数、常见窝卵数和平均窝卵数四个概念之间的区别和联系,认为在检验Lack假说时,应该检验常见窝卵数是否等于最适窝卵数.

Human papillomaviruses as targets for cancer gene therapy

Gene therapy of human cancer is likely to bemost effective when it is directed at targets that areexpressed in cancer cells but are lacking from othercells. Human papillomaviruses (HPV) can providesuch target, since these viruses are present in manycervical and oral cancers, and likely to be etiologicagents of the tumor. The oncogenic ability of HPVhas been assigned primarily to its two early genes, E6and E7. Continued expression of these two genes

DETECTION OF HUMAN IN VIVO SOMATIC MUTATIONS WITH FLOW CYTOMETRY

In order to monitor human exposures to the environ-mental mutagens,we have been developing and puttinginto practice three methods for the detection ofsomatic mutation at human specific loci.A summaryof results on atomic bomb survivors and other exposedindividuals are as follows:

Analysis of T.S Eliot's The Waste Land

This essay put emphasis on the analysis T.S. Eliot's The Waste Land, pointing the masterpiece can be interpreted by three- levels, the person, the society and human race. Eliot also indicated two kinds of people, the one is just secularized, and the other one is lack of faith in The Waste Land. We can analyze the feeling of protagonist is afraid to live new life, but afraid of death, the important theme is corruption of sex.

Corneal astigmatism correction with scleral flaps in trans-scleral suture-fixed posterior chamber lens implantation:a preliminary clinical observation

AIM: To study the impact of scleral flap position, under which the posterior chamber intraocular lenses (PC-IOL) were sulcus-fixed by trans-scleral suture, on cornea astigmatism. METHODS: Twenty-six aphakic or cataract eyes were comprised in this prospective noncomparative case series study. Eleven eyes had traumatic cataract removed without sufficient capsular support, 3 had blunt trauma with subluxated traumatic cataract, 8 had undergone vitreoretinal surgery and 4 had congenital cataract removed. The average age was 54 years (range 21-74 years), with 17 men and 7 women. The foldable PC-IOL was fixed in sulcus by trans-scleral suture. The incision for IOL implantation was made 1mm posterior to limbus along the steepest meridian of cornea, while scleral flaps to bury the knots of trans-scleral suture were made along the flattest meridian. All the surgeries were performed by a single doctor (Ma L), and the follow up was at least 13 months (range 13-28 months). The preoperative, 3 months and 1 year postoperative corneal curvature along the steepest and flattest cornea meridian and overall cornea astigmatism were compared. RESULTS: The curvature along the steepest meridian changed from 44.25 +/- 2.22D preoperatively to 44.08 +/- 2.16D at 3 months postoperatively, and 43.65 +/- 5.23D at 1 year postoperatively (P>0.05); the curvature along the flattest meridian changed from 41.24 +/- 2.21D preoperatively to 43.15 +/- 3.94D at 3 months postoperatively, and 42.85 +/- 5.17D at 1 year postoperatively (P<0.05); and the surgery induced astigmatism (SIA) on cornea was calculated by vector analysis, which was 2.42 +/- 2.13D at 3 months postoperatively, and 2.18 +/- 3.42D at 1 year postoperatively, the difference was statistically significant (P<0.05). CONCLUSION: The scleral flap made along the flattest meridian, under which the posterior chamber intraocular lenses (PCIOL) were sulcus-fixed by trans-scleral suture, can steepen the cornea in varying degrees, thus reducing preexisting corneal astigmatism.

Use of the tumor necrosis factor-blockers for Crohn's disease

The use of anti-tumor necrosis factor-α therapy for inflammatory bowel disease represents the most important advance in the care of these patients since the publication of the National Co-operative Crohn＇s disease study thirty years ago. The recommendations of numerous consensus groups worldwide are now supported by a wealth of clinical trials and several meta-analyses. In general, it is suggested that tumor necrosis factor-c~ blockers （TNFBs） are indicated （1） for persons with moderately-severe Crohn＇s disease or ulcerative colitis （UC） who have failed two or more causes of glucocorticosteroids and an acceptably long cause （8 wk to 12 wk） of an immune modulator such as azathioprine or methotrexate; （2） non-responsive perianal disease; and （3） severe UC not responding to a 3-d to 5-d course of steroids. Once TNFBs have been introduced and the patient is responsive, therapy given by the IV and SC rate must be continued. It remains open to definitive evidence if concomitant immune modulators are required with TNFB maintenance ther- apy, and when or if TNFB may be weaned and discon- tinued. The supportive evidence from a single study on the role of early versus later introduction of TNFB in the course of a patient＇s illness needs to be confirmed. The risk/benefit profile of TNFB appears to be accept- able as long as the patient is immunized and tested for tuberculosis and viral hepatitis before the initiation of TNFB, and as long as the long-term adverse effects on the development of lymphoma and other tumors do not prone to be problematic. Because the rates of ben- efits to TNFB are modest from a population perspec- tive and the cost of therapy is very high, the ultimate application of use of TNFBs will likely be established by cost/benefit studies.

Experimental study on transient behavior of semi-open two-phase thermosyphon

An experimental system was set up to measure the temperature, pressure, heat transfer rate and mass flow rate in a semi-open two-phase thermosyphon. The behaviors of a semi-open two-phase thermosyphon during startup, shutdown and lack of water were studied to get complete understanding of its thermal characteristics. The variation of wall temperature, heat-exchange condition and pressure fluctuations of semi-open two-phase thermosyphons showed that the startup of SOTPT needs about 60-70 min; the startup speed of SOTPT is determined by the startup speed of the condensation section; the average pressure in the heat pipe is equal to the environmental pressure usually; the shutdown of SOTPT needs about 30-50min; a semi-open two-phase thermosyphon has good response to lack of water accident.

Comparison between the SAPIEN S3 and the SAPIEN XT transcatheter heart valves:A single-center experience

AIM To investigate the clinical outcomes of transcatheter aortic valve implantation(TAVI) with the SAPIEN 3 transcatheter heart valve(S3-THV) vs the SAPIEN XT valve(XT-THV).METHODS We retrospectively analyzed 507 patients that underwent TAVI with the XT-THV and 283 patients that received the S3-THV at our institution between March 2010 and December 2015.RESULTS Thirty-day mortality(3.5% vs 8.7%:OR=0.44,P=0.21) and 1-year mortality(25.7% vs 20.1%,P=0.55) were similar in the S3-THV and the XT-THV groups.The rates of both major vascular complication and paravalvular regurgitation(PVR)>1 were almost 4 times lower in the S3-THV group than the XT-THV group(major vascular complication: 2.8% vs 9.9%,P<0.0001:PVR>1: 2.4% vs 9.7%,P<0.0001).However,the rate of new pacemaker implantation was almost twice as high in the S3-THV group(17.3% vs 9.8%,P=0.03).In the S3 group,independent predictors of new permanent pacemaker were pre-procedural RBBB(OR=4.9:P=0.001),pre-procedural PR duration(OR=1.14,P=0.05) and device lack of coaxiality(OR=1.13:P=0.05) during deployment.CONCLUSION The S3-THV is associated to lower rates of major vascular complications and PVR but higher rates of new pacemaker compared to the XT-THV.Sub-optimal visualization of the S3-THV in relation to the aortic valvular complex during deployment is a predictor of new permanent pacemaker.

Treating severe periodontitis with staged load applied implant restoration: A case report

BACKGROUND Because immediate implant surgery is not recommended for patients who have been diagnosed with periodontitis,researchers have treated these patients with a variety of methods,including combining orthodontic and periodontal surgeries as well as implantation.However,these treatments cost time and money for the patient.Although it has been reported that temporary implants released a severe gag reflex in 1 case,only a few studies have documented using temporary implants to treat patients diagnosed with severe periodontitis.CASE SUMMARY The patient was a 49-year-old female who was missing the majority of her teeth and had gingival atrophy and severe alveolar bone atrophy.After being diagnosed with severe periodontitis,the patient underwent staged load applied implant restoration therapy.The first load-bearing stage was carried out immediately by inserting temporary Osstem mini implants.Maxillary teeth were extracted by using the guided bone regeneration technique,and lateral maxillary sinus lifting was conducted on both sides.During the second load-bearing stage,temporary implants were removed,and permanent implants were placed.The resin bridge was segmented during the third load-bearing stage.During the fourth load-bearing stage,the permanent prosthesis was positioned in the patient’s mouth.CONCLUSION By conducting the load-bearing treatment in stages,the patient’s mouth contained restorations throughout the procedure,thus guaranteeing basic function and appearance.

Research on the lack of alloying in the galvannealed coating of automotive sheet steel

Samples of the cross section microstructures of galvannealed steel sheets that lack alloying were analyzed. X-ray diffraction （XRD） tests were carried out. The study discovers that the deficit of alloying was higher on both sides of the steel sheet when compared to the center and the thickness of the coating on the sides was also higher than the center. The results of the XRD tests demonstrate that the microstructure of the coating with a lack of alloy is mainly composed of zinc,ζ and δ. They also indicate that the lack of alloying is mainly due to a lower galvannealing temperature and thicker coating. It is shown by the optical micrographs of coating that the δ phase forms first in a discontinuous manner at the interface and then rapidly pushes towards the coating and enlarges.