涡静脉、睫状后长动脉在眼内异物定位中的应用

目的 探讨涡静脉、睫状后长动脉在眼内异物 ,尤其是后极部异物定位诊断中的应用价值。方法 对 36例 (36眼 )眼内异物患者 ,先行X线缝环定位后 ,以涡静脉、睫状后长动脉的巩膜表面标志作参考 ,确定切口位置 ,摘出异物。结果 异物摘出率 10 0 %。 19例术后视力有不同程度提高 ,12例视力不变 ,5例视力下降。结论 涡静脉。

渦静脈、睫状后长动脈在眼内异物定位中的应用

目的 探討渦静脉、睫狀后長動脉在眼内异物,尤其是后極部异物定位診斷中的應用價值。方法 對26例(26只眼)眼内异物患者,先行X绕縫環定位后,以渦静脉、睫狀后長動脉的鞏膜表面標志作參考,確定切口位置,摘出异物。結果 异物摘出率100％。18例術后視力有不同程度提高,1例視力下降,7例視力不變。結論 渦静脉、睫狀后長動脉鞏膜表面標志對眼内异物具有可靠的輔助定位作用。

杉木苗期施氮对二年生生长的影响

为了研究杉木苗期施氮的后期效应,我们在盆栽条件下对一年生杉苗按0.0、0.4、0.8、1.2、1.6、2.0g氮/盆6个水平进行施肥,结果表明:苗期施用氮肥对二年生杉苗的生长仍有十分显著的影响,二年生杉苗的苗高、地径、生物量(干重)积累、分枝数、分枝总长等各项生长指算随施氮水平的变化趋势均与一年生时相似;H/D值、T/R值与根、茎、叶占全苗比重等各项比例在不同的施氮水平之间有著差异,但在一年生和二年生之间无显著差异;当仅以苗高、地径、根长来评价其二年生生长效应时,可以认为苗期施氮无效,但综合生物量枳累和分枝特性指算,施氮的效应显著。

美国教授脑后长眼

美国的一位教授在脑后植入一部小型数码相机，用“第三只眼”看世界。这部相机每隔一分钟拍摄一组图片．让他的学生们好奇不已。

眼内异物摘出术中巩膜表面解剖学标志定位法

目的 探讨眼球后段异物外路 (后径 )摘出术中巩膜表面径线定位新方法 ,提高眼后段异物摘出手术效果。方法 以离体及原位眼球巩膜表面的解剖学标志为根据 ,对 95例眼球后段异物 ,按术前X线摄片所示的眼内不同位置 ,术中选用眼外肌、涡静脉或睫状后长动脉径线定位切口摘出异物。结果 本法定位的 95例与 2 0例角膜缘缝线标志法的术后效果进行对照分析 ,体会到 ,前者一次性切口异物摘出成功率、脱盲脱残率及并发症发生率等均优于后者。结论 术中巩膜解剖学标志定位 ,方法简单、创伤小、准确性高 ,可避免术中牵拉旋转眼球所造成的径线位误差 ,是外路异物摘出术中一种较为可靠的径线定位新方法。

眼外肌睫状前血管的解剖

眼前节的血液供应主要来自睫状前动脉和睫状后长动脉两组血管。传统的斜视矫正手术中，在离断眼直肌时同时损伤睫状前动脉，影响了眼前节的正常血供。若能在手术中保留睫状前动脉大部分血供，将有效减少术后眼前节血供锐减造成的组织损伤。既往在多条直肌的离断手术中曾采用分离保留睫状前血管的手术避免眼前节缺血综合征，但因操作难度高在单条直肌手术中未以采用。本研究通过对睫状前动脉的行程及分支、分布的显微解剖进行观测，旨在寻找一种保留睫状前动脉大部分血供的简便方法。

Morphological changes of silver and bighead carp in the Yangtze River over the past 50 years

Multivariate analysis was adopted to analyze 30 morphometrical characteristics of 121 one-year-old juvenile silver carp （Hypophthalmichthys molitrix） and bighead carp （Aristichthys nobilis） bred during the 1950s （＂the former population＂） and 2008 （＂the current population＂） and collected from the middle reach of the Yangtze River. The average discriminant accuracies of the former and current silver and bighead carp population were 94.2% and 98.0%, respectively. Discriminant analysis also revealed that significant differences in morphology occurred between the former and current populations of both carp in overall characteristics. One-way analysis of variance indicated that between former and current populations, silver carp showed highly significant differences （P0.01） in twelve of their characteristics and significant differences （P0.05） in eight of their characteristics, while bighead carp showed highly significant differences （P0.01） in eight of their characteristics and significant differences （P0.05） in eight of their characteristics. Six head morphology variables of the current silver and bighead carp were significantly or highly significantly larger than the former populations; fourteen characteristics of silver carp and ten characteristics of bighead carp of the current populations, mainly reflecting truck and tail morphology, were significantly or very significantly smaller than the former populations. Our results indicate that silver and bighead carp have developed a larger head and smaller truck and tail during the last 50 years. Due to such morphological changes, it seems apparent that the heads of these fish species need to be considered in regards to human diets, particularly in relation to economic and nutritious value.

Expression of vascular endothelial growth factor and its prognostic significance in gastric carcinoma

AIMS To investigate the clinical significance of vas- cular endothelial growth factor (VEGF) expression in gastric carcinoma. METHODS The expression of VEGF in 128 gastric carcinomas was investigated by immunohistochemical staining with a polyclonal antibody against VEGF. Cor- relations between the expression of VEGF and various clinicopathologic factors and prognosis were studied. RESULTS The VEGF-rich expression rate was 64.1% in gastric carcinoma. VEGF-rich expression rate of patients with stage Ⅲ and stage Ⅳ disease was greater than that of patients with stage f disease (P <0.05). Significant differences of expression rate ex- isted with respect to growth pattern,serosal invasion and lymph node metastasis. The VEGF-rich rate was much higher in tumors with expanding growth pattern (71.8%) or serosal invasion (73.5%) than in those with infiltrative growth pattern (52.0%) or non-serosal invasion (53.3%) (P<0.025,respectively),and it was also significantly higher in patients with lymph node metastases (75.0%) than in those without such metastases (50.0%) (P<0.05). In addition,postop- erative survey of 86 patients who had been followed up for at least 5 years demonstrated that the 5-year sur- vival rate of patients with VEGF-rich tumors was signifi- cantly lower than that of patients with VEGF-poor tu- mors (P<0.05). CONCLUSIONS The expression of VEGF may be as- sociated with the invasion and metastasis and may also be a useful prognostic indicator of gastric carcinoma.

视神经剪断及其联合球外引流术治疗绝对期青光眼的探讨

视神经剪断及其联合球外引流术治疗绝对期青光眼的探讨汤萌（上海市曲阳医院眼科）为解除绝对期青光眼的疼痛所采取摘除眼球的方法，不仅有损仪容，而且会给患者带来心理上的创伤。我们采用球后视神经剪断术，又根据不同情况联合施行球外引流术，能迅速、可靠地止痛降压，...

Studies on the relationship between the point mutation of ras oncogenes and the prognosis of patients with gastric cancer

AIM To study the relationship between the point mutation of ras oncogenes and the prognosis of patients with gastric cancer.

Prognostic significance of S100A4 and vascular endothelial growth factor expression in pancreatic cancer

AIM: To investigate the expression of vascular endothelial growth factor (VEGF) and calcium-binding protein S100A4 in pancreatic cancer and their relationship to the clinicopathological parameters and prognosis of pancreatic cancer. METHODS: Expression status of VEGF and S100A4 was examined in 62 surgical specimens of primary pancreatic cancer by immunohistochemistry. Correlation between the expression of VEGF and S100A4 and clinicopathological parameters was analyzed. RESULTS: Thirty-eight of 62 (61.3%) specimens of primary pancreatic cancer were positive for S100A4. Thirty-seven (59.7%) specimens showed positive expression of VEGF. The positive correlation between S100A4 and VEGF expression was significant in cancer tissues (P < 0.001). S100A4 expression was significantly correlated with tumor size, TNM stage and poorer prognosis. VEGF expression had a significant correlation with poorer prognosis. The prognosis of 17 S100A4-and VEGF-negative cancer patients was significantly better than that of other patients (P < 0.05). Distant metastasis (P = 0.001), S100A4-(P = 0.008) and VEGF-positive expression (P = 0.016) were significantly independent prognostic predictors (P < 0.05). CONCLUSION: Over-expression of S100A4 and VEGF plays an important role in the development of pancreatic cancer. Combined examination of the two molecules might be useful in evaluating the outcome of patients with pancreatic cancer.

Long-term outcome and prognostic factors of patients with hilar cholangiocarcinoma

AIM： To evaluate the long-term outcome and prognostic factors of patients with hilar cholangiocarinoma. METHODS： Ninety-six consecutive patients underwent treatment for malignant hilar bile duct tumors during 1995-2005. Of the 96 patients, 20 were initially treated with surgery （n = 2 R0 / n = 18 R1）. In non-operated patients, data analysis was performed retrospectively. RESULTS： Among the 96 patients, 76 were treated with endoscopic transpapillary （ERC, n = 45） and/or percutaneous transhepatic biliary drainage （PTBD, n = 31）. The mean survival time of these 76 patients undergoing palliative endoscopic and/or percutaneous drainage was 359 ± 296 d. The mean survival time of patients with initial bilirubin levels 〉 10 mg/dL was significantly lower （P 〈 0.001） than patients with bilirubin levels 〈 10 mg/dL. The mean survival time of patients with Bismuth stage Ⅱ （n = 8）, Ⅲ （n = 28） and Ⅳ （n = 40） was 496 =1= 300 d, 441 ± 385 d and 274 ± 218 d, respectively. Thus, patients with advanced Bismuth stage showed a reduced mean survival time, but the difference was not significant. The type of biliary drainage had no significant benefidal effect on the mean survival time （ERC vs PTBD, P = 0.806）. CONCLUSION： Initial bilirubin level is a significant prognostic factor for survival of patients. In contrast, age, tumor stage according to the Bismuth-Corlette classification, and types of intervention are not significant prognostic parameters for survival. Palliative treatment with endoscopic or percutaneous biliary drainage is still suboptimal, new diagnostic and therapeutic tools need to be evaluated.

Current status and influencing factors of post-traumatic growth in maintenance hemodialysis

Objective:To study the post-traumatic growth level and influencing factors in patients with maintenance hemodialysis.Methods:A total of 179 patients receiving maintenance hemodialysis from a third-level grade A hospital in Tianjin,China were investigated using Post-traumatic Growth Inventory(PTGI),Perceived Social Support Scale,and Medical Coping Modes Questionnaire.Results:The total score for the PTGI was 53.73±16.45.Multiple linear regression analysis showed that social support,coping style,marital status,and family income significantly influenced the post-traumatic growth level in patients undergoing maintenance hemodialysis.These factors explained 41.4%of the variance.Conclusion:Medical staff should help patients under maintenance hemodialysis to fulfill their potentials by boosting the level of social support and to effectively cope with internal conflicts.In addition,nursing staff should provide relevant psychological health education to patients to improve their post-traumatic growth.

Transitions in a Logistic Growth Model Induced by Noise Coupling and Noise Color

With unified colored noise approximation, the logistic growth model is used to analyze cancer cell population when colored noise is included. It is found that both the coupling between noise terms and the noise color can induce continuous first-order-like and re-entrance-like phase transitions in the system. The coupling and the noise color can also increase tumor cell growth for small number of cell mass and repress tumor cell growth for large number of cell mass. It is shown that the approximate analytic expressions are consistent with the numerical simulations.

Effects of temperature and salinity on the development of embryos and larvae of the veined rapa whelk Rapana venosa(Valenciennes, 1846)

The major population of the veined rapa whelk Rapana venosa （Valenciennes, 1846）, which is an important fishery resource, is facing a large decline in China. We studied the effects of incubation temperature （16-34℃ at salinity 30） and salinity （5-45 at 25℃） on the incubation period and subsequent larval development. In the temperature experiment, the shortest incubation period was 12 days at 34℃, the lower temperature limit was 16~C, the longest mean shell length （1 193＋17 pan） occurred at 25℃ and the highest survival rate 72.28%＋5.62% was observed at 28℃. In the salinity experiment, the shortest incubation period was 15 days at 25. The salinity tolerance range was 15-40, the longest mean shell length （855-4-9 μm） and the highest survival rate 72.93%~4.85% were both observed at 35. This study demonstrated that, during the egg-mass stage, temperature and salinity regimes influence later growth and survival of larvae. These observations deepen our understanding of the ecology and conservation of natural populations of Rapana venosa.

Addition of hepatectomy decreases liver recurrence and leads to long survival in hilar cholangiocarcinoma

AIM： To evaluate hepatic recurrence and prognostic factors for survival in patients with surgically resected hilar cholangiocarcinoma in a single institution over the last 13 years. METHODS： From 1994 to 2007, all patients with hilar cholangiocarcinoma referred to a surgical clinic were evaluated. Demographic data, tumor characteristics, and outcome were analyzed retrospectively. Outcome was compared in patients who underwent additional liver resection with resection of the tumor. RESULTS： Of the 69 patients submitted to laparotomy for tumor resection, curative resection （Ro resection） was performed in 40 patients, and palliative resection in 29. Thirty-one patients had only duct resection, and 38 patients had combined duct resection with liver resection including 34 total or part caudate lobes. Curative rates with the combined hepatectomy were significantly improved compared with those without additional hepatectomy （27/38 vs 13/31; X^2 = 5.94, P 〈 0.05）. Concomitant liver resection was associated with a decreased incidence of initial recurrence in liver one year after surgery （11/38 vs 23/31; X^2 = 13.98, P 〈 0.01）. The 3-year survival rate after Ro resection was 30.7% and was 10.5% for palliative resection. R0 resection improved the 3-year survival rate （30.7% vs 10.5%; X^2 = 12.47, P 〈 0.01）.CONCLUSION： Hepatectomy, especially including the caudate lobe combined with bile duct resection should be considered standard treatment to cure hilar cholangiocarcinoma.

Expression of connective tissue growth factor in tumor tissues is an independent predictor of poor prognosis in patients with gastric cancer

AIM: To examine the expression of connective tissue growth factor (CTGF), also known as CCN2, in gastric carcinoma (GC), and the correlation between the expression of CTGF, clinicopathologic features and clinical outcomes of patients with GC. METHODS: One hundred and twenty-two GC patients were included in the present study. All patients were followed up for at least 5 years. Proteins of CTGF were detected using the Powervision two-step immunostaining method. RESULTS: Of the specimens from 122 GC patients analyzed for CTGF expression, 58 (58/122, 47.5%) had a high CTGF expression in cytoplasm of gastric carcinoma cells and 64 (64/122, 52.5%) had a low CTGF expression. Patients with a high CTGF expression showed a higher incidence of lymph node metastasis than those with a low CTGF expression (P = 0.032). Patients with a high CTGF expression had significantly lower 5-year survival rate than those with a low CTGF expression (27.6% vs 46.9%, P = 0.0178), especially those staging Ⅰ+Ⅱ+Ⅲ (35.7% vs 65.2%, P = 0.0027). CONCLUSION: GC patients with an elevated CTGF expression have more lymph node metastases and a shorter survival time. CTGF seems to be an independent prognostic factor for the successful differentiation of high-risk GC patients staging Ⅰ+Ⅱ+Ⅲ. Over-expression of CTGF in human GC cells results in an increased aggressive ability.

Acute kidney injury and post-reperfusion syndrome in liver transplantation

In the past decades liver transplantation(LT) has become the treatment of choice for patients with end stage liver disease(ESLD). The chronic shortage of cadaveric organs for transplantation led to the utilization of a greater number of marginal donors such as older donors or donors after circulatory death(DCD). The improved survival of transplanted patients has increased the frequency of long-term complications, in particular chronic kidney disease(CKD). Acute kidney injury(AKI) post-LT has been recently recognized as an important risk factor for the occurrence of denovo CKD in the long-term outcome. The onset of AKI post-LT is multifactorial, with pre-LT risk factors involved, including higher Model for End-stage Liver Disease score, more sever ESLD and pre-existing renal dysfunction, either with intra-operative conditions, in particular ischaemia reperfusion injury responsible for post-reperfusion syndrome(PRS) that can influence recipient's morbidity and mortality. Post-reperfusion syndrome-induced AKI is an important complication post-LT that characterizes kidney involvement caused by PRS with mechanisms not clearly understood and implication on graft and patient survival. Since preLT risk factors may influence intra-operative events responsible for PRS-induced AKI, we aim to consider all the relevant aspects involved in PRS-induced AKI in the setting of LT and to identify all studies that better clarified the specific mechanisms linking PRS and AKI. A Pub Med search was conducted using the terms liver transplantation AND acute kidney injury; liver transplantation AND post-reperfusion syndrome; acute kidney injury AND post-reperfusion syndrome; acute kidney injury AND DCD AND liver transplantation. Five hundred seventy four articles were retrieved on Pub Med search. Results were limited to title/abstract of English-language articles published between 2000 and 2015. Twenty-three studies were identified that specifically evaluated incidence, risk factors and outcome for patients developing PRS-induced AKI in liver transplantation. In order to identify intra-operative risk factors/mechanisms specifically involved in PRSinduced AKI, avoiding confounding factors, we have limited our study to "acute kidney injury AND DCD AND liver transplantation". Accordingly, three out of five studies were selected for our purpose.