Objective： To study the influences of different time intervals between loop electrosurgical excision （LEEP） and abdominal hysterectomy or radical hysterectomy on postoperative complications. Methods： Sixty-eight p...Objective： To study the influences of different time intervals between loop electrosurgical excision （LEEP） and abdominal hysterectomy or radical hysterectomy on postoperative complications. Methods： Sixty-eight patients, who received subsequent abdominal hysterectomy or radical hysterectomy after LEEP due to C1N III and cervical cancer （IA1, IA2 and IB1）, were included in the present study. The hospital and clinic records of these patients were reviewed. The patients were divided into three groups according to the time intervals between LEEP and hysterectomy or radical hysterectomy： group l（within 48 h）, group 2 （between 48 h to 6 weeks）, and group 3（〉 6 weeks ）.Results： General characteristics of patients, including the mean age, delivery history, BMI, menopausal status, clinical stage and HPV infection, were comparable between patients of different groups. There were no significant differences in the mean transfusion amount, posthysterectomy hospital stay or operation time between different groups. The frequencies and spectrum of complications were not significantly affected by the time interval between LEEP and hysterectomy or radical hysterectomy. Conclusion： It is concluded that whenever the LEEP is done, the operation including hysterectomy or radical hysterectomy can be conducted at any time as it is necessary for the patients.展开更多
AIM:To investigate endoscopic findings in patients with Schatzki rings(SRs) with a focus on evidence for eosinophilic esophagitis(EoE).METHODS:We consecutively approached all adult patients scheduled for elective outp...AIM:To investigate endoscopic findings in patients with Schatzki rings(SRs) with a focus on evidence for eosinophilic esophagitis(EoE).METHODS:We consecutively approached all adult patients scheduled for elective outpatient upper endoscopy for a variety of indications at the German Diagnostic Clinic,Wiesbaden,Germany between July 2007 and July 2010.All patients with endoscopically diagnosed SRs,defined as thin,symmetrical,mucosal structures located at the esophagogastric junction,were prospectively registered.Additional endoscopic findings,clinical information and histopathological findings with a focus on esophageal eosinophilia(≥ 20 eosinophils/high power field) were recorded.The criteria for active EoE were defined as:(1) eosinophilic tissue infiltration ≥ 20 eosinophils/hpf;(2) symptoms of esophageal dysfunction;and(3) exclusion of other causes of esophageal eosinophilia.Gastroesophageal reflux disease was excluded by proton pump inhibitor treatment prior to endoscopy.The presence of ≥ 20 eosinophils/hpf in esophageal biopsies in patients that did not fulfil the criteria of EoE was defined as esophageal hypereosinophilia.RESULTS:A SR was diagnosed in 171(3.3%;128 males,43 females,mean age 66 ± 12.9 years) of the 5163 patients that underwent upper gastrointestinalendoscopy.Twenty of the 116 patients(17%) from whom esophageal biopsies were obtained showed histological hypereosinophilia(≥ 20 eosinophils/hpf).Nine of these patients(8 males,1 female,mean age 49 ± 10 years) did not fulfill all diagnostic criteria of EoE,whereas in 11(9%) patients with ≥ 20 eosinophils/hpf,a definite diagnosis of EoE was made.Three of the 11 patients(27%) with definite EoE had no suspicious endoscopic features of EoE.In contrast,in the 25 patients in whom EoE was suspected by endoscopic features,EoE was only confirmed in 7(28%) patients.Patients with EoE were younger(mean age 41.5 ± 6.5 vs 50.5 ± 11.5 years,P = 0.012),were more likely to have a history of allergies(73% vs 29%,P = 0.007) and complained more often of dysphagia(91% vs 34%,P = 0.004) and food impaction(36% vs 6%,P = 0.007) than patients without EoE.Endoscopically,additional webs were found significantly more often in patients with EoE than in patients without EoE(36% vs 11%,P = 0.04).Furthermore,the SR had a tendency to be narrower in patients with EoE than in those without EoE(36% vs 18%,P = 0.22).The percentage of males(73% vs 72%,P = 1.0) and frequency of heartburn(27% vs 27%,P = 1.0) were not significantly different in both groups.The 9 patients with esophageal hypereosinophilia that did not fulfil the diagnostic criteria of EoE were younger(mean age 49 ± 10 years vs 58 ± 6 years,P = 0.0008) and were more likely to have a history of allergies(78% vs 24%,P = 0.003) than patients with < 20 eosinophils/hpf.Predictors of EoE were younger age,presence of dysphagia or food impaction and a history of allergies.CONCLUSION:A significant proportion of patients with SRs also have EoE,which may not always be suspected according to other endoscopic features.展开更多
AIM： To estimate the incidence of collagenous colitis （CC） in southern Sweden during 2001-2010. METHODS： Cases were identified by searching for CC in the diagnostic registers at the Pathology Departments in the co...AIM： To estimate the incidence of collagenous colitis （CC） in southern Sweden during 2001-2010. METHODS： Cases were identified by searching for CC in the diagnostic registers at the Pathology Departments in the county of Skane. The catchment area comprised the south-west part of the county （394 307 inhabitants in 2010） and is a mixed urban and rural type with limited migration. CC patients that had under- gone colonoscopy during the defined period and were living in this area were included in the study regardless of where in Skane they had been diagnosed. Medical records were scrutinized and uncertain cases were re- assessed to ensure that only newly diagnosed CC cases were included. The diagnosis of CC was based on both clinical and histopathological criteria. The clinical crite-rion was non-bloody watery diarrhoea. The histopatho- logical criteria were a chronic inflammatory infiltrate in the lamina propria, a thickened subepithelial collagen layer ≥10 micrometers （um） and epithelial damage such as flattening and detachment. RESULTS： During the ten year period from 2001-2010, 198 CC patients in the south-west part of the county of Skane in southern Sweden were newly diagnosed. Of these, 146 were women and 52 were men, i.e., a female： male ratio of 2.8：1. The median age at diag- nosis was 71 years （range 28-95/inter-quartile range 59-81）, for women median age was 71 （range 28-95） years and was 73 （range 48-92） years for men. The mean annual incidence was 5.4/105 inhabitants. During the time periods 2001-2005 and 2006-2010, the mean annual incidence rates were 5.4/105 for both periods [95% confidence interval （CI）： 4.3-6.5 in 2001-2005 and 4.4-6.4 in 2006-2010, respectively, and 4.7-6.2 for the whole period]. Although the incidence varied over the years （minimum 3.7 to maximum 6.7/105） no increase or decrease in the incidence could be identi- fied. The odds ratio （OR） for CC in women compared to men was estimated to be 2.8 （95% CI： 2.0-3.7）. The OR for women 65 years of age or above compared to below 65 years of age was 6.9 （95% CI：5.0-9.7）, and for women 65 years of age or above compared to the whole group the OR was 4.7 （95% CI： 3.6-6.0）. The OR for age in general, i.e., above or 65 years of age compared to those younger than 65 was 8.3 （95% CI： 6.2-11.1）. During the last decade incidence figures for CC have also been reported from Calgary, Canada dur- ing 2002-2004 （4.6/105） and from Terrassa, Spain dur- ing 2004-2008 （2.6/105）. Our incidence figures from southern Sweden during 2001-2010 （5.4/10s） as well as the incidence figures presented in the studies during the 1990s （Terrassa, Spain during 1993-1997 （2.3/10s）, OI- msted, United States during 1985-2001 （3.1/10s）, Orebro, Sweden during 1993-1998 （4.9/10s）, and Iceland during 1995-1999 （5.2/10s） are all in line with a north- south gradient, something that has been suggested be- fore both for CC and inflammatory bowel disease.CONCLUSION： The observed incidence of CC is com- parable with previous reports from northern Europe and America. The incidence is stable but the female： male ratio seems to be decreasing.展开更多
Objective: To retrospectively analyze the clinical data of 275 cases of cervical cancer (CC) in our hospital, and investigate the clinicopathological parameters of cervical cancer based on the expression of p16INK4A p...Objective: To retrospectively analyze the clinical data of 275 cases of cervical cancer (CC) in our hospital, and investigate the clinicopathological parameters of cervical cancer based on the expression of p16INK4A proteins. Methods: The clinical information of 275 patients with cervical cancer were retrospectively analyzed between 2006 and 2011, including the patients' age, clinical FIGO stage, differentiation, histologic grade, infiltration depth, treatment, pathological diagnosis after surgery, and results of following-up.Immunohistochemistry was also done on sections of confirmed cancer specimens without prior chemotherapy/radiotherapy. Results: Among various clinicopathological parameters, the median age was 48 years old. The grade was significantly associated with histological type, HPV infection and with lymph node invasion. FIGO stage was strongly correlated to the infiltration depth and lymph node metastasis. P16INK4A expression was significantly correlated with histologic grade. However, there were no differences between p16INK4A staining and patient's age, histopathology and lymph node metastases. Conclusion: The incidence of cervical cancer becomes increasingly younger. Additionally, p16INK4A can function as a diagnostic marker of cervical carcinomas.展开更多
Objective： The aim of the research was to study the clinical and epidemiological characteristics of incidence of colorectal cancer in North China. Methods： Analysis and summary were made for 704 colorectal cancer pa...Objective： The aim of the research was to study the clinical and epidemiological characteristics of incidence of colorectal cancer in North China. Methods： Analysis and summary were made for 704 colorectal cancer patients diagnosed from 2004 to 2008 in North China. Results： （1） Of 704 colorectal cancer patients, the median age was 56 years old, and the mean age was 58.2. There was no statistic difference in age between male and female cases, P 〉 0.05. （2） The male-female ratio was 1.62：1. （3） The proportion of rectal cancer was 62.92%, and incidence of the left colon cancer was higher than that of right colon cancer, P 〈 0.05. （4） Of 712 lesions, 658 cases were adenocarcinoma accounting for 92.4%, 34 were malignant adenoma accounting for 4.8%, and 20 carcinoid accounting for 2.8%. （5） The 48.9% of patients belonged to stages 0 to 11B. Conclusion： The cases of colorectal cancer in North China is mainly rectal cancers, and the incidence of left colon cancer is higher than that of right colon cancer. The histopathological classification is mainly adenocarcinoma, and the ratio of early stage is high.展开更多
Knowledge of the changes in cattle pelvic symphysis during gestation and obstetrics gives valuable information about the age of optimal primary calving of cows. The aim of the study was to investigate the histological...Knowledge of the changes in cattle pelvic symphysis during gestation and obstetrics gives valuable information about the age of optimal primary calving of cows. The aim of the study was to investigate the histological changes of pelvic symphysis in Estonian Holstein-Frisian＇s （EHF） of different ages. Eight EHF cows up to five years of their age were divided into three age groups： calved, in-calved and after calved bovines. Material for histological and histochemical investigation was taken from four places： （1） cranial part ofpubic bone; （2） pubo-ischiadic junction; （3） symphyseal eminence; （4） body of the interischiadic bone. In all study-groups, the cranial part of pubic bone consisted of cartilage. In pubo-ischiadic junction of calves connective tissue proper, fibrous and hyaline cartilage were noted. In in-calved cattle with gestation of 4-5 months and in after calved cattle group hyaline cartilage and bone tissue were noted, however in in-calved cattle with gestation of 7.5 months fibrous cartilage and connective tissue proper prevalated. In sympyseal eminence of calves connective cartilage osseous tissue was present. The region of interischiadic tissue proper and cartilage were noted; in other groups besides bone of calves consisted of connective tissue proper and fibrous cartilage, meanwhile in in-calved and after calved EHF＇s in the region hyaline cartilage and osseous tissue prevalated. These preliminary results demonstrate that the main changes in the pelvic symphysis histology, retardation of ossification, of EHF kines occur during the second-half of gestation in the pubo-ischiadic junction.展开更多
Background It is known that the brain structure changes with normal aging. The objective of this study was to quantify the anisotropy and average diffusion coefficient (DCavg) of the brain in normal adults to demonstr...Background It is known that the brain structure changes with normal aging. The objective of this study was to quantify the anisotropy and average diffusion coefficient (DCavg) of the brain in normal adults to demonstrate the microstructure changes of brain with aging.Methods One hundred and six normal adults were examined with diffusion tensor imaging (DTI). The fractional anisotropy (FA), 1-volume ratio (1-VR), relative anisotropy (RA) and average diffusion coefficient (DCavg) of different anatomic sites of brain were measured, correlated with age and compared among three broad age groups.Results Except in lentiform nucleus, the anisotropy increased and DCavg decreased with aging. Both anisotropy and DCavg of lentiform nucleus increased with aging. The normal reference values of DTI parameters of normal Chinese adult in major anatomic sites were acquired. Conclusions DTI data obtained noninvasively can reflect the microstructural changes with aging. The normal reference values acquired can serve as reference standards in differentiation of brain white matter diseases.展开更多
Objective： To assess the clinical curative effect of different treatment methods for large area avulsion injury in the lower limb. Methods： Between January 2010 and December 2013, 54 patients with large area avulsio...Objective： To assess the clinical curative effect of different treatment methods for large area avulsion injury in the lower limb. Methods： Between January 2010 and December 2013, 54 patients with large area avulsion injury in the lower limb were treated in the trauma center of our hospital, including 34 males and 20 females with a mean age of 35.7 years （range, 16-65 years）. The injury mechanism was traffic accident in 44 cases, hitting by heawj objects in 8 cases, and fall from height in 2 cases, involving 31 thighs, 19 legs and 4 feet involved. The sizes of the avulsed wounds ranged from 10 cm × 15 cm to 50 crn × 30 cm. There were 16 cases combined with hemorrhagic shock, 5 with femoral fractures, and 7 with tibiofibula fractures. Averagely the patients were sent to our hospital within 3.5 h （range, 1.5-10 h） after injury. For the 54 patients, three different surgical strategies were performed based on the wound area and condition of the avulsed skin： in Group A, 24 patients were treated by debridement and preservation of subcutaneous vascular network ＋ vertical mattress suture of full thickness skin flap ＋ tube drainage; in Group B, 25 patients were treated by split-thickness skin flap meshing and grafting ＋ vacuum sealing drainage （VSD）; and in Group C, the other 5 patients were treated by debridement and VSD at stage I ＋ reattachment of autologous reserved frozen split-thickness skin graft at stage II. Results： All the 54 patients recovered and were discharged eventually, without any deaths or amputees. In each group, there were no statistical differences （all p 〉 0.05） among different injury sites in terms of survival rate and length of hospital stay, except for the infection rate, which was much higher （p - 0.000） at the leg area than that at the thigh （32.54%± 2.97% vs. 2.32% ±2.34% in Group A and 50.00%±0.00% vs. 0 in Group C） or the foot （50.00% ±0.00% vs. 0 in Group C）. Moreover comparison of the three surgical methods showed a significant different （all p 〈 0.05） between each other for all the three assessed parameters, i.e. flap survival rate, length of hospital stay, and infection rate. Conclusion： Treatment choices for skin avulsion on the lower limb should be based on the viability of the avulsed skin flap and the location of the wound. Proper choice can not only reduce the economic burden caused by using VSD, but also shorten the long hospital stay due to repeated wound dressing change or second stage surgery.展开更多
In this paper, a susceptible-vazcinated-exposed-infectious-recovered epidemic model with waning immunity and continuous age structures in vaccinated, exposed and infectious classes has been formulated. By using the Fl...In this paper, a susceptible-vazcinated-exposed-infectious-recovered epidemic model with waning immunity and continuous age structures in vaccinated, exposed and infectious classes has been formulated. By using the Fluctuation lemma and the approach of Lyapunov functionals, we establish a threshold dynamics completely determined by the basic reproduction number. When the basic reproduction number is less than one, the disease-free steady state is globally asymptotically stable, and otherwise the endemic steady state is globally asymptotically stable.展开更多
In this paper, we propose an age-structured viral infection model with general incidence function that takes account of the loss of viral particles due to their absorption into susceptible cells. The proposed model is...In this paper, we propose an age-structured viral infection model with general incidence function that takes account of the loss of viral particles due to their absorption into susceptible cells. The proposed model is described by partial differential and ordinary differential equations. We first show that the model is mathematically and biologically well-posed. Furthermore, the uniform persistence and the global behavior of the model are investigated. Moreover, the age-structured models and results presented in many previous studies are improved and generalized.展开更多
文摘Objective： To study the influences of different time intervals between loop electrosurgical excision （LEEP） and abdominal hysterectomy or radical hysterectomy on postoperative complications. Methods： Sixty-eight patients, who received subsequent abdominal hysterectomy or radical hysterectomy after LEEP due to C1N III and cervical cancer （IA1, IA2 and IB1）, were included in the present study. The hospital and clinic records of these patients were reviewed. The patients were divided into three groups according to the time intervals between LEEP and hysterectomy or radical hysterectomy： group l（within 48 h）, group 2 （between 48 h to 6 weeks）, and group 3（〉 6 weeks ）.Results： General characteristics of patients, including the mean age, delivery history, BMI, menopausal status, clinical stage and HPV infection, were comparable between patients of different groups. There were no significant differences in the mean transfusion amount, posthysterectomy hospital stay or operation time between different groups. The frequencies and spectrum of complications were not significantly affected by the time interval between LEEP and hysterectomy or radical hysterectomy. Conclusion： It is concluded that whenever the LEEP is done, the operation including hysterectomy or radical hysterectomy can be conducted at any time as it is necessary for the patients.
文摘AIM:To investigate endoscopic findings in patients with Schatzki rings(SRs) with a focus on evidence for eosinophilic esophagitis(EoE).METHODS:We consecutively approached all adult patients scheduled for elective outpatient upper endoscopy for a variety of indications at the German Diagnostic Clinic,Wiesbaden,Germany between July 2007 and July 2010.All patients with endoscopically diagnosed SRs,defined as thin,symmetrical,mucosal structures located at the esophagogastric junction,were prospectively registered.Additional endoscopic findings,clinical information and histopathological findings with a focus on esophageal eosinophilia(≥ 20 eosinophils/high power field) were recorded.The criteria for active EoE were defined as:(1) eosinophilic tissue infiltration ≥ 20 eosinophils/hpf;(2) symptoms of esophageal dysfunction;and(3) exclusion of other causes of esophageal eosinophilia.Gastroesophageal reflux disease was excluded by proton pump inhibitor treatment prior to endoscopy.The presence of ≥ 20 eosinophils/hpf in esophageal biopsies in patients that did not fulfil the criteria of EoE was defined as esophageal hypereosinophilia.RESULTS:A SR was diagnosed in 171(3.3%;128 males,43 females,mean age 66 ± 12.9 years) of the 5163 patients that underwent upper gastrointestinalendoscopy.Twenty of the 116 patients(17%) from whom esophageal biopsies were obtained showed histological hypereosinophilia(≥ 20 eosinophils/hpf).Nine of these patients(8 males,1 female,mean age 49 ± 10 years) did not fulfill all diagnostic criteria of EoE,whereas in 11(9%) patients with ≥ 20 eosinophils/hpf,a definite diagnosis of EoE was made.Three of the 11 patients(27%) with definite EoE had no suspicious endoscopic features of EoE.In contrast,in the 25 patients in whom EoE was suspected by endoscopic features,EoE was only confirmed in 7(28%) patients.Patients with EoE were younger(mean age 41.5 ± 6.5 vs 50.5 ± 11.5 years,P = 0.012),were more likely to have a history of allergies(73% vs 29%,P = 0.007) and complained more often of dysphagia(91% vs 34%,P = 0.004) and food impaction(36% vs 6%,P = 0.007) than patients without EoE.Endoscopically,additional webs were found significantly more often in patients with EoE than in patients without EoE(36% vs 11%,P = 0.04).Furthermore,the SR had a tendency to be narrower in patients with EoE than in those without EoE(36% vs 18%,P = 0.22).The percentage of males(73% vs 72%,P = 1.0) and frequency of heartburn(27% vs 27%,P = 1.0) were not significantly different in both groups.The 9 patients with esophageal hypereosinophilia that did not fulfil the diagnostic criteria of EoE were younger(mean age 49 ± 10 years vs 58 ± 6 years,P = 0.0008) and were more likely to have a history of allergies(78% vs 24%,P = 0.003) than patients with < 20 eosinophils/hpf.Predictors of EoE were younger age,presence of dysphagia or food impaction and a history of allergies.CONCLUSION:A significant proportion of patients with SRs also have EoE,which may not always be suspected according to other endoscopic features.
基金Supported by The Swedish Energy Agency, Region Sk ne and Kock’s Foundation in Trelleborg
文摘AIM： To estimate the incidence of collagenous colitis （CC） in southern Sweden during 2001-2010. METHODS： Cases were identified by searching for CC in the diagnostic registers at the Pathology Departments in the county of Skane. The catchment area comprised the south-west part of the county （394 307 inhabitants in 2010） and is a mixed urban and rural type with limited migration. CC patients that had under- gone colonoscopy during the defined period and were living in this area were included in the study regardless of where in Skane they had been diagnosed. Medical records were scrutinized and uncertain cases were re- assessed to ensure that only newly diagnosed CC cases were included. The diagnosis of CC was based on both clinical and histopathological criteria. The clinical crite-rion was non-bloody watery diarrhoea. The histopatho- logical criteria were a chronic inflammatory infiltrate in the lamina propria, a thickened subepithelial collagen layer ≥10 micrometers （um） and epithelial damage such as flattening and detachment. RESULTS： During the ten year period from 2001-2010, 198 CC patients in the south-west part of the county of Skane in southern Sweden were newly diagnosed. Of these, 146 were women and 52 were men, i.e., a female： male ratio of 2.8：1. The median age at diag- nosis was 71 years （range 28-95/inter-quartile range 59-81）, for women median age was 71 （range 28-95） years and was 73 （range 48-92） years for men. The mean annual incidence was 5.4/105 inhabitants. During the time periods 2001-2005 and 2006-2010, the mean annual incidence rates were 5.4/105 for both periods [95% confidence interval （CI）： 4.3-6.5 in 2001-2005 and 4.4-6.4 in 2006-2010, respectively, and 4.7-6.2 for the whole period]. Although the incidence varied over the years （minimum 3.7 to maximum 6.7/105） no increase or decrease in the incidence could be identi- fied. The odds ratio （OR） for CC in women compared to men was estimated to be 2.8 （95% CI： 2.0-3.7）. The OR for women 65 years of age or above compared to below 65 years of age was 6.9 （95% CI：5.0-9.7）, and for women 65 years of age or above compared to the whole group the OR was 4.7 （95% CI： 3.6-6.0）. The OR for age in general, i.e., above or 65 years of age compared to those younger than 65 was 8.3 （95% CI： 6.2-11.1）. During the last decade incidence figures for CC have also been reported from Calgary, Canada dur- ing 2002-2004 （4.6/105） and from Terrassa, Spain dur- ing 2004-2008 （2.6/105）. Our incidence figures from southern Sweden during 2001-2010 （5.4/10s） as well as the incidence figures presented in the studies during the 1990s （Terrassa, Spain during 1993-1997 （2.3/10s）, OI- msted, United States during 1985-2001 （3.1/10s）, Orebro, Sweden during 1993-1998 （4.9/10s）, and Iceland during 1995-1999 （5.2/10s） are all in line with a north- south gradient, something that has been suggested be- fore both for CC and inflammatory bowel disease.CONCLUSION： The observed incidence of CC is com- parable with previous reports from northern Europe and America. The incidence is stable but the female： male ratio seems to be decreasing.
基金Supported by Research Project for Traditional Chinese Medicine of Shaanxi Administration of Traditional Chinese Medicine (jc87)Program for Changjiang Scholars and Innovative Research Team in University (PCSIRT: 1171)
文摘Objective: To retrospectively analyze the clinical data of 275 cases of cervical cancer (CC) in our hospital, and investigate the clinicopathological parameters of cervical cancer based on the expression of p16INK4A proteins. Methods: The clinical information of 275 patients with cervical cancer were retrospectively analyzed between 2006 and 2011, including the patients' age, clinical FIGO stage, differentiation, histologic grade, infiltration depth, treatment, pathological diagnosis after surgery, and results of following-up.Immunohistochemistry was also done on sections of confirmed cancer specimens without prior chemotherapy/radiotherapy. Results: Among various clinicopathological parameters, the median age was 48 years old. The grade was significantly associated with histological type, HPV infection and with lymph node invasion. FIGO stage was strongly correlated to the infiltration depth and lymph node metastasis. P16INK4A expression was significantly correlated with histologic grade. However, there were no differences between p16INK4A staining and patient's age, histopathology and lymph node metastases. Conclusion: The incidence of cervical cancer becomes increasingly younger. Additionally, p16INK4A can function as a diagnostic marker of cervical carcinomas.
文摘Objective： The aim of the research was to study the clinical and epidemiological characteristics of incidence of colorectal cancer in North China. Methods： Analysis and summary were made for 704 colorectal cancer patients diagnosed from 2004 to 2008 in North China. Results： （1） Of 704 colorectal cancer patients, the median age was 56 years old, and the mean age was 58.2. There was no statistic difference in age between male and female cases, P 〉 0.05. （2） The male-female ratio was 1.62：1. （3） The proportion of rectal cancer was 62.92%, and incidence of the left colon cancer was higher than that of right colon cancer, P 〈 0.05. （4） Of 712 lesions, 658 cases were adenocarcinoma accounting for 92.4%, 34 were malignant adenoma accounting for 4.8%, and 20 carcinoid accounting for 2.8%. （5） The 48.9% of patients belonged to stages 0 to 11B. Conclusion： The cases of colorectal cancer in North China is mainly rectal cancers, and the incidence of left colon cancer is higher than that of right colon cancer. The histopathological classification is mainly adenocarcinoma, and the ratio of early stage is high.
文摘Knowledge of the changes in cattle pelvic symphysis during gestation and obstetrics gives valuable information about the age of optimal primary calving of cows. The aim of the study was to investigate the histological changes of pelvic symphysis in Estonian Holstein-Frisian＇s （EHF） of different ages. Eight EHF cows up to five years of their age were divided into three age groups： calved, in-calved and after calved bovines. Material for histological and histochemical investigation was taken from four places： （1） cranial part ofpubic bone; （2） pubo-ischiadic junction; （3） symphyseal eminence; （4） body of the interischiadic bone. In all study-groups, the cranial part of pubic bone consisted of cartilage. In pubo-ischiadic junction of calves connective tissue proper, fibrous and hyaline cartilage were noted. In in-calved cattle with gestation of 4-5 months and in after calved cattle group hyaline cartilage and bone tissue were noted, however in in-calved cattle with gestation of 7.5 months fibrous cartilage and connective tissue proper prevalated. In sympyseal eminence of calves connective cartilage osseous tissue was present. The region of interischiadic tissue proper and cartilage were noted; in other groups besides bone of calves consisted of connective tissue proper and fibrous cartilage, meanwhile in in-calved and after calved EHF＇s in the region hyaline cartilage and osseous tissue prevalated. These preliminary results demonstrate that the main changes in the pelvic symphysis histology, retardation of ossification, of EHF kines occur during the second-half of gestation in the pubo-ischiadic junction.
文摘Background It is known that the brain structure changes with normal aging. The objective of this study was to quantify the anisotropy and average diffusion coefficient (DCavg) of the brain in normal adults to demonstrate the microstructure changes of brain with aging.Methods One hundred and six normal adults were examined with diffusion tensor imaging (DTI). The fractional anisotropy (FA), 1-volume ratio (1-VR), relative anisotropy (RA) and average diffusion coefficient (DCavg) of different anatomic sites of brain were measured, correlated with age and compared among three broad age groups.Results Except in lentiform nucleus, the anisotropy increased and DCavg decreased with aging. Both anisotropy and DCavg of lentiform nucleus increased with aging. The normal reference values of DTI parameters of normal Chinese adult in major anatomic sites were acquired. Conclusions DTI data obtained noninvasively can reflect the microstructural changes with aging. The normal reference values acquired can serve as reference standards in differentiation of brain white matter diseases.
文摘Objective： To assess the clinical curative effect of different treatment methods for large area avulsion injury in the lower limb. Methods： Between January 2010 and December 2013, 54 patients with large area avulsion injury in the lower limb were treated in the trauma center of our hospital, including 34 males and 20 females with a mean age of 35.7 years （range, 16-65 years）. The injury mechanism was traffic accident in 44 cases, hitting by heawj objects in 8 cases, and fall from height in 2 cases, involving 31 thighs, 19 legs and 4 feet involved. The sizes of the avulsed wounds ranged from 10 cm × 15 cm to 50 crn × 30 cm. There were 16 cases combined with hemorrhagic shock, 5 with femoral fractures, and 7 with tibiofibula fractures. Averagely the patients were sent to our hospital within 3.5 h （range, 1.5-10 h） after injury. For the 54 patients, three different surgical strategies were performed based on the wound area and condition of the avulsed skin： in Group A, 24 patients were treated by debridement and preservation of subcutaneous vascular network ＋ vertical mattress suture of full thickness skin flap ＋ tube drainage; in Group B, 25 patients were treated by split-thickness skin flap meshing and grafting ＋ vacuum sealing drainage （VSD）; and in Group C, the other 5 patients were treated by debridement and VSD at stage I ＋ reattachment of autologous reserved frozen split-thickness skin graft at stage II. Results： All the 54 patients recovered and were discharged eventually, without any deaths or amputees. In each group, there were no statistical differences （all p 〉 0.05） among different injury sites in terms of survival rate and length of hospital stay, except for the infection rate, which was much higher （p - 0.000） at the leg area than that at the thigh （32.54%± 2.97% vs. 2.32% ±2.34% in Group A and 50.00%±0.00% vs. 0 in Group C） or the foot （50.00% ±0.00% vs. 0 in Group C）. Moreover comparison of the three surgical methods showed a significant different （all p 〈 0.05） between each other for all the three assessed parameters, i.e. flap survival rate, length of hospital stay, and infection rate. Conclusion： Treatment choices for skin avulsion on the lower limb should be based on the viability of the avulsed skin flap and the location of the wound. Proper choice can not only reduce the economic burden caused by using VSD, but also shorten the long hospital stay due to repeated wound dressing change or second stage surgery.
文摘In this paper, a susceptible-vazcinated-exposed-infectious-recovered epidemic model with waning immunity and continuous age structures in vaccinated, exposed and infectious classes has been formulated. By using the Fluctuation lemma and the approach of Lyapunov functionals, we establish a threshold dynamics completely determined by the basic reproduction number. When the basic reproduction number is less than one, the disease-free steady state is globally asymptotically stable, and otherwise the endemic steady state is globally asymptotically stable.
基金We are very grateful and thank the handling editor and the referees for their helpful comments which led to important improvements in our original paper. Research of the author Yu Yang was supported by National Natural Science Foundation of China （No. 11501519）.
文摘In this paper, we propose an age-structured viral infection model with general incidence function that takes account of the loss of viral particles due to their absorption into susceptible cells. The proposed model is described by partial differential and ordinary differential equations. We first show that the model is mathematically and biologically well-posed. Furthermore, the uniform persistence and the global behavior of the model are investigated. Moreover, the age-structured models and results presented in many previous studies are improved and generalized.
