精神分裂症的预测和早早期干预

对精神分裂症的预测途径、预测指标以及早早期干预的效果进行简述。

急性阑尾炎的早早期诊断与治疗探析

目的对急性阑尾炎早早期及时准确做出诊断，采取适当的治疗进行探讨分析，方法对笔者本院2007年-2012年所接受的急性阑尾炎患者进行回顾性的分析，得出结论为了避免急性阑尾炎患者病情的延误导致失去最佳手术时机，早早期的诊断尤为重要。

Intergeneration CAG expansion in a Wuhan juvenile-onset Huntington disease family

Objective To make early diagnosis of IT15 gene mutation in a Wuhan juvenile-onset Huntington disease （HD） family, for providing them with genetic counseling, and making preparation for the further research on pathogenesis and experimental therapy of HD. Methods According to the principle of informed consent, we extracted genomic DNA from peripheral blood samples and carried genetic diagnosis of pathogenic exon 1 of IT15 gene by modified touchdown PCR and DNA sequencing methods. Results Eight of twenty-five family members carried abnormal allele： Ⅲ10 Ⅲ12, IIIt4, Ⅳ3, and Ⅴ2 carded （CAG） 48, Ⅳ11 and Ⅳ12 carried （CAG） 67, and Ⅳ14 carried （CAG） 63, in contrast with the 8-25 CAG trinucleotides in the members of control group. Ⅳ14 carried 15 more CAG trinucleotides than her father Ⅲ10. Conclusion The results definitely confirm the diagnosis of HD and indicate the CAG trinucleotide repeat expansion of IT15 gene in this HD family. In addition, CAG expansion results in juvenile-onset and anticipation （characterized by earlier age of onset and increasing severity） of the patientⅣ12.

NOVA快速筛查恶性肿瘤158例临床报告与分析

目的探索恶性肿瘤超早早期诊断方法。方法对158例肿瘤患者快速筛查结果与其手术后病理切片结果对照。结果 NOVA定性诊断与病理切片结果完全一致,定位诊断与病理切片符合率95.6%。结论NOVA在健康人群快速筛查超早早期恶性肿瘤领域前景十分广阔。

Pancreatic ductal adenocarcinoma screening:New perspectives

Pancreatic ductal adenocarcinoma accounts for more than 90% of all pancreatic cancers and its incidence has increased significantly worldwide.Patients with pancreatic ductal adenocarcinoma have a poor outcome and more than 95% of the people affected die from the disease within 12 mo after diagnosis.Surgery is the first-line treatment in the case of resectable neoplasm,but only 20% of patients are candidates for this approach.One of the reasons there are few candidates for surgery is that,during the early phases of the disease,the symptoms are poor or non-specific.Early diagnosis is of crucial importance to improve patient outcome;therefore,we are looking for a good screening test.The screening test must identify the disease in an early stage in order to be effective;having said this,a need exists to introduce the concept of "early" ductal adenocarcinoma.It has been reported that at least five additional years after the occurrence of the initiating mutation are required for the acquisition of metastatic ability of pancreatic adenocarcinoma and patients die an average of two years thereafter.We have reviewed the most recent literature in order to evaluate the present and future perspectives of screening programs of this deadly disease.

Morphological changes and allometric growth in hatcheryreared Chinese loach Paramisgurnus dabryanus(Dabry de Thiersant, 1872)

The length-weight relationship and allometric growth patterns of hatchery-reared Chinese loach, Paramisgurnus dabryanus(Dabry de Thiersant, 1872), were determined from hatching to 60 days after hatching. A best power model was estimated for the length-weight relationship during the early life stages. Positive allometric growth for the head segment, trunk length, tail length and eye diameter was also found in the early life stages, while body depth, tail depth, tail fi n length, pectoral fi n length and barbel length displayed a negative coeffi cient. During the subsequent early developmental stage, the growth coeffi cients showed a clear and common tendency towards isometry for all measured body ratios. The allometric growth changes in Chinese loach during the early stage are possibly the result of selective organogenesis directed towards survival priorities.

Progression of remnant gastric cancer is associated with duration of follow-up following distal gastrectomy

AIM： TO re-evaluate the recent clinicopathological fea- tures of remnant gastric cancer （RGC） and to develop desirable surveillance programs.METHODS： Between 1997 and 2008, 1149 patients underwent gastrectomy for gastric cancer at the Department of Digestive Surgery, Kyoto Prefectural Uni- versity of Medicine, Japan. Of these, 33 patients un- derwent gastrectomy with lymphadenectomy for RGC. Regarding the initial gastric disease, there were 19 patients with benign disease and 14 patients with gas- tric cancer. The hospital records of these patients were reviewed retrospectively. RESULTS： Concerning the initial gastric disease, the RGC group following gastric cancer had a shorter in- terval [P 〈 0.05; gastric cancer vs benign disease： 12 （2-22） vs 30 （4-51） years] and were more frequently reconstructed by Billroth- I procedure than those fol- lowing benign lesions （P 〈 0.001）. Regarding recon- struction, RGC following Billroth-]_l reconstruction showed a longer interval between surgical procedures [P 〈 0.001; Billroth-11 vs Billroth- I ： 32 （5-51） vs 12 （2-36） years] and tumors were more frequently associated with benign disease （P 〈 0.001） than those following Billroth- I reconstruction. In tumor location of RGC, after Billroth- I reconstruction, RGC occurred more fre- quently near the suture line and remnant gastric wall. After Billroth- 1I reconstruction, RGC occurred more fre- quently at the anastomotic site. The duration of follow- up was significantly associated with the stage of RGC （P 〈 0.05）. Patients diagnosed with early stage RGC such as stage Ⅰ-Ⅱ tended to have been followed up almost every second year. CONCLUSION： Meticulous follow-up examination and early detection of RGC might lead to a better prognosis. Based on the initial gastric disease and the procedure of reconstruction, an appropriate follow-up interval and programs might enable early detection of RGC.

Anatomical Structures of " Lepidodendron " pulchrum Zhang in Coal-balls from the Taiyuan Formation (Lower Lower Permian) in Shandong Province, North China

This study reports the anatomical structures of a kind of lepidodendralean stem in coal balls from the early Early Permian Taiyuan Formation in Yanzhou Mining District, southwestern Shandong Province, North China. The leaf cushion is slightly rhomboid in outline with a height of 9 - 10 mm and a width of 7.5 9.0 mm and its lower sides are slightly longer than the upper ones. The top and basic angles of the leaf cushion are truncate and the basic angle is slightly elongate. The upper part of the leaf cushion is strongly high-rising. The leaf sear is large and lenticular in shape. The leaf trace is wide and V-shaped in the leaf scar, and horizontally elongate within the leaf cushion. The leaf trace and lateral parichnos strand extend at a nearly horizontal course outward within the leaf cushion. The ligular pit is deep and extends outward at an oblique course and its aperture is located near the top angle of the leaf scar. No infrafoliar parichnos strands are present. The stem is probably siphonostelic and its pith is probably parenchymatous. The primary xylem is exarch with a nearly smooth outer margin. Only the outer cortex is present and it consists of alternately-arranged radial cell bands and gaps within which the are-shaped or V-shaped leaf traces can be seen. The concave side of the leaf trace is toward the center of the stem. No bundle sheath is developed. Periderm is well-developed and consists of phelloderm and phellem in nearly equal thickness. Compared with the lepidodendralean stems of the Cathaysian and Euramerican Floras, the present specimens are most close to an impression-compression species Lepidodendron pulchrum Zhang in morphology of the leaf cushion and they are put into this species temporarily. Whether the present specimens or the type specimens of L. pulchrum are very different from Lepidodendron Sternburg sensu DiMichele, thus the correct nomenclature and classification of L. pulchrum needs to be reconsidered based on the study of better- and anatomically-preserved stems and fertile organs in the future. Because 'L'. pulchrum possesses the mixed features of several genera of Euramerican lepidodendralean stems, it bears significance to study the origin and evolution of the Cathaysian lepidodendralean lycopods.

Study on the Early Detection and Clinico—pathologic Staging of Colorectal Cancer in China

Objective To confirm an effective and practicable screening model for early detection of colorectal cancer (CRC) , and to modify an acceptable and reasonable staging of CRC for predicting prognosis and to define the therapeutic strategy.Methods Data from 3 case-control studies have been used for selecting the high risk factors of CRC to optimize Sequencing Screening Model (SSM) . The fieldwork recalls have been utilized to compare the sensitivity, specificity and Youden Index between the SSM and the optimized one. The 1722 individuals have been used to evaluate the Optimized Sequencing Screening Model (OPSM). From 1980 to 1995, 1334 cases of CRC pathologically confirmed have been analyzed for 3-, 5- and 10-year survival rates. All tests were performed at the 0.05 level of significances. Statistical analysis was conducted by using the SPSS 10.0 statistic software.Results A simple questionnaire and RPHA-FOB test as the screening model for early detecting CRC had been proved as an optimized screening model. The sensitivity, specificity and Youden Index of the optimized model were higher than those of SSM. From the 1722 individuals 4 Dukes A and 5 Dukes B CRC were screened out. Analysis of the 3-, 5- and 10-year survival rates revealed that there were statistically significant differences between serosa and extraserosa. The 3-, 5- and 10-year survival rates were 0.91?

Earliest Modern Humans in Southern China Recast History of Early Human Migration

The hominin record from southern Asia for the early Late Pleistocene epoch is scarce.Well-dated and well-preserved fossils older than 45.000 years that can be unequivocally attributed to H.sapiens are lacking.In a paper published October 15 online in Nature,Dr.LIU Wu from Institute of Vertebrate Paleontology and Paleoanthropology（IVPP）.CAS,and his international team announced the discovery of human teeth between 80.000 and120,000 years old from the newly excavated Fuyan Cave in Daoxian.southern China,

Early Cretaceous dinosaur and other tetrapod tracks of southwestern China

In recent years the Lower Cretaceous red beds of southwestern China have yielded more than 20 significant dinosaur-dominated tracksites. More than half occur in the Jiaguan Formation with the remainder in the Feitianshan and Xiaoba formations. Collectively these sites provide evidence of at least 13 distinct dinosaurian trackmaker morphotypes, in addition to two avian theropod(bird)morphotypes and pterosaur and turtle tracks. Together these total 17 morphotypes provide a data base of 479 potential trackmakers, probably representing the same number of individuals. Such an ichnological database provides a useful proxy paleoecological census of tetrapod communities in the area during the Early Cretaceous, and is especially significant given the complete absence or scarcity of skeletal remains reported from these formations.The composition of ichnofaunas in all three formations is heavily saurischian(theropod and sauropod) dominated with a high diversity of distinctive theropod morphotypes,mostly assignable to known ichnogenera. Moreover, ichnofaunal data from multiple sites are generally consistent between sites and an indication of the reliability and repeatability of track census data. Such regionally-widespread data are rapidly superseding the information available from the skeletal record in the corresponding area, and must therefore be considered of high paleontological value.

Endoscopic resection of gastric and esophageal cancer

Endoscopic submucosal dissection(ESD)and endoscopic mucosal resection(EMR)techniques have reduced the need for surgery in early esophageal and gastric cancers and thus has lessened morbidity and mortality in these diseases.ESD is a relatively new technique in western countries and requires rigorous training to reproduce the proficiency of Asian countries,such as Korea and Japan,which have very high complete(en bloc)resection rates and low complication rates.EMR plays a valuable role in early esophageal cancers.ESD has shown better en bloc resection rates but it is easier to master and maintain proficiency in EMR;it also requires less procedural time.For early esophageal adenocarcinoma arising from Barrett’s,ESD and EMR techniques are usually combined with other ablative modalities,the most common being radiofrequency ablation because it has the largest dataset to prove its success.The EMR techniques have been used with some success in early gastric cancers but ESD is currently preferred for most of these lesions.ESD has the added advantage of resecting into the submucosa and thus allowing for endoscopic resection of more aggressive(deeper)early gastric cancer.

Identification of an Early–Middle Jurassic oxidized magmatic belt,south Gangdese,Tibet,and geological implications

The south Gangdese region is the site of subduction of the Neo-Tethys and subsequent continental col- lision. Compared with widespread Cretaceous and Cenozoic magmatism, Early-Middle Jurassic magmatic rocks and related deposits are rarely reported, Our work identified a 〉200 km long felsic rock belt asso- ciated with Cu mineralization in the south Gangdese region. We report here zircon U-Pb ages, zircon Ce4＋/Ce3＋ values, and mineral assemblages of two Cu mineralized intrusions within the belt. A horn- blende granite and a diorite porphyry were emplaced at 177.3Ma and 166.3Ma, respectively. Geological occurrence and magmatic hematite-magnetite-chalcopyrite intergrowths suggest that Cu mineralization formed coeval with Jurassic intrusions. Mineralized intrusions have high zircon Ce4＋/ Ce3＋ and EuN/EuN ratios, and hematite-magnetite intergrowths, suggesting their parent magmas were highly oxidized, Hornblende is common and primary fluid inclusions are found in titanite and apatite, indicating their parent magmas were water-saturated and exsotved volatile phases at early stage of rnag- matic evolution. Those magma characters contribute to the formation of porphyry Cu deposits. Given that majority subduction-related porphyry Cu systems have been eroded following uplift and denudation, the well-preserved Early-Middle Jurassic cu mineralized igneous rocks in south Gangdese are favorable prospecting targets for subduction-related porphyry Cu deposits.

Lnc-TCL6 is a potential biomarker for early diagnosis and grade in liver-cirrhosis patients

Background:Long non-coding RNAs(lncRNAs)have been applied as biomarkers in many diseases.However,scarce biomarkers are available in single lncRNA differential expression associated with different clinical stages of liver cirrhosis(LC).The aim of the study is to identify some lncRNAs that can serve as non-invasive sensitive biomarkers for early diagnosis and grade of LC.Methods:Blood lncRNA expression was evaluated in three independent cohorts with 305 participants including healthy controls,hepatitis B virus(HBV)carriers,and patients with chronic hepatitis B(CHB)or LC.First,candidate lncRNAs were screened by CapitalBiotech microarray to diagnose cirrhosis.Quantitative reverse-transcriptase polymerase chain reaction was then used to investigate the expression of selected lncRNAs in the whole group of cirrhosis and different Child–Pugh classes.Ultimately,the diagnostic accuracy of the promising biomarker was examined and validated via Mann–Whitney test and receiver-operating characteristics analysis.Results:Lnc-TCL6 was identified as a sensitive biomarker for early diagnosis of LC(Child–Pugh A)compared with healthy controls(area under the ROC curve[AUC]=0.636),HBV carriers(AUC=0.671),and CHB patients(AUC=0.672).Furthermore,lnc-TCL6 showed a favourable capacity in discriminating among different Child–Pugh classes(AUC:0.711–0.837).Compared with healthy controls,HBV carriers,and CHB patients,the expression of lnc-TCL6 was obviously up-regulated in Child–Pugh A patients and,conversely,significantly down-regulated in Child–Pugh C patients.Conclusions:Lnc-TCL6 is a novel potential biomarker for early diagnosis of LC and is a possible predictor of disease progression.