目的:探究腹腔镜辅助远端胃癌D2根治术治疗进展期胃癌对血清胃蛋白酶原(pepsinogen,PG)、胃泌素-17(gastrin-17,G-17)、低氧诱导因子-1α(hypoxia-inducible factor-1α,HIF-1α)及结肠癌转移相关基因1(metastasis-associated in colon ...目的:探究腹腔镜辅助远端胃癌D2根治术治疗进展期胃癌对血清胃蛋白酶原(pepsinogen,PG)、胃泌素-17(gastrin-17,G-17)、低氧诱导因子-1α(hypoxia-inducible factor-1α,HIF-1α)及结肠癌转移相关基因1(metastasis-associated in colon cancer-1,MACC1)水平的影响。方法:选取2017年10月至2021年11月在中部战区总医院进行远端胃癌D2根治术治疗的患者110例进行临床及随访研究,根据治疗方法的不同分为腹腔镜组及开腹组,每组55例。比较2组患者围手术期情况,血清PG、G-17、HIF-1α及MACC1水平,以及生存情况差异。结果:腹腔镜组切口长度、术中出血量、排气时间、进食时间、首次下床时间、住院时间均明显低于开腹组,差异有统计学意义(P<0.05)。术后7 d,腹腔镜组患者血清PGⅠ水平明显高于开腹组(P<0.05),G-17、HIF-1α及MACC1水平低于开腹组(P<0.05)。术后早期,腹腔镜组患者的并发症总发生率低于开腹组(5.45%vs.20.00%)(P<0.05)。腹腔镜组术后1、2、3年的生存率分别为90.91%、80.00%、78.18%,开腹组术后1、2、3年的生存率分别为87.27%、74.55%、70.91%,死亡率均无统计学意义(P>0.05)。log-rank检验腹腔镜组及开腹组治疗的患者生存状态比较差异无统计学意义(P>0.05)。结论:腹腔镜辅助远端胃癌D2根治术治疗进展期胃癌的效果及安全性较好,可促进患者术后早期康复,改善患者PG、G-17、HIF-1α及MACC1水平。展开更多
The objective of these studies were to identify ruminal yeast in varying ratios of roughage to concentrate in TMR diets in order to explore yeast diversity by using molecular technique with similarity of rDNA sequence...The objective of these studies were to identify ruminal yeast in varying ratios of roughage to concentrate in TMR diets in order to explore yeast diversity by using molecular technique with similarity of rDNA sequence. The experiment was assigned to four 98.6% of cross bred Holstein Friesian heifers with 2 levels and two replicates of roughage to concentrate ratios as： 10：90 （T1） and 50：50 （T2）. The experimental period was 14 days. Rumen fluid sample was collected by stomach tube for total DNA extraction by using silica gel method, and analysis of quantity and quality of DNA by Nanovue and agarose gel electrophoresis. The divergent DI/D2 domain of 26S rDNA was amplified by primers NL-1（5＇-GCA TAT CAA TAA GCG GAG GAA AAG-Y） and NL4 （5＇-GGT CCG TGT TTCAAG ACG G-3＇） by polymerase chain reaction （PCR）. The nucleotide sequences of D l/D2 domain of 26S rDNA were determined using PCR products. Generated sequences were aligned with related species by using the CLUSTAL W. The result showed that an average dry matter intake of TI was 7.00 kg/d and T2 was 6.99 kg/d. DNA concentrate from TIRI, TIR2, T2RI and T2R2 were 106, 131.5, 84 and 182.5 ng//aL, respectively. The purity of DNA was 1.57, 1.76, 1.78 and 1.86, respectively. The divergent D1/D2 domain of 26S rDNA of treatment could be amplified for T1R1 and T2R1 but could not for T1R2 and T2R2. The sequences of D1/D2 domain of 26S rDNA were compared with nucleotide database by BLAST programs （http：//www.ncbi.nlrn.nih.gov/BLAST）, the T2RI yeast-strain was closest to Yarrowia lipolytica. However, yeast strain in T1R1 could not be specifically identified because D 1/132 domain of 26S rDNA seem to represent variable region with number of nucleotide sequence showing 2-3 substitution from known species. The phylogenetic tree based on the sequences of the DI/D2 domain of 26S rDNA showed that TIR! was related to Pichia and Candida （96%） and T2R1 was related to Yarrowia lypolytica （100%）. This study indicated that ruminal yeast strains could be found varying in different ratio of roughage to concentrate.展开更多
The German Postal Reform I in 1989 introduced competition in the mobile cellular market. German cellular operators, DeTeMobil, Mannesmann, E-Plus and VIAG Interkom, built D1-, D2-, E1-and E2-Netze based on GSM standar...The German Postal Reform I in 1989 introduced competition in the mobile cellular market. German cellular operators, DeTeMobil, Mannesmann, E-Plus and VIAG Interkom, built D1-, D2-, E1-and E2-Netze based on GSM standards made in Europe. China Unicom was created in 1994 and China Telecom was separated from MPT in 1995. China Telecom and China Unicom competed in a duopoly from the mid-1990s onwards and the cellular services provided by them also rely on GSM standards. China Telecom additionally deployed XLT technology (PHS) from the late 1990s onwards. While DeTeMobil and Mannesmann conquered approximately 80%-90% of the market throughout the 1990s and were the two dominant market players in Germany, China's cellular market was mainly controlled by China Mobile. In Germany, prices related to cellular technology continued the downwards trend as a major result of the process of deregulation, liberalisation and competition. In China, price wars had led to significant price reductions in the cellular market. Although network operators in both countries strived to deliver differentiated cellular services, the two national markets in the 1990s were visibly shaped by product homogeneity.展开更多
文摘The objective of these studies were to identify ruminal yeast in varying ratios of roughage to concentrate in TMR diets in order to explore yeast diversity by using molecular technique with similarity of rDNA sequence. The experiment was assigned to four 98.6% of cross bred Holstein Friesian heifers with 2 levels and two replicates of roughage to concentrate ratios as： 10：90 （T1） and 50：50 （T2）. The experimental period was 14 days. Rumen fluid sample was collected by stomach tube for total DNA extraction by using silica gel method, and analysis of quantity and quality of DNA by Nanovue and agarose gel electrophoresis. The divergent DI/D2 domain of 26S rDNA was amplified by primers NL-1（5＇-GCA TAT CAA TAA GCG GAG GAA AAG-Y） and NL4 （5＇-GGT CCG TGT TTCAAG ACG G-3＇） by polymerase chain reaction （PCR）. The nucleotide sequences of D l/D2 domain of 26S rDNA were determined using PCR products. Generated sequences were aligned with related species by using the CLUSTAL W. The result showed that an average dry matter intake of TI was 7.00 kg/d and T2 was 6.99 kg/d. DNA concentrate from TIRI, TIR2, T2RI and T2R2 were 106, 131.5, 84 and 182.5 ng//aL, respectively. The purity of DNA was 1.57, 1.76, 1.78 and 1.86, respectively. The divergent D1/D2 domain of 26S rDNA of treatment could be amplified for T1R1 and T2R1 but could not for T1R2 and T2R2. The sequences of D1/D2 domain of 26S rDNA were compared with nucleotide database by BLAST programs （http：//www.ncbi.nlrn.nih.gov/BLAST）, the T2RI yeast-strain was closest to Yarrowia lipolytica. However, yeast strain in T1R1 could not be specifically identified because D 1/132 domain of 26S rDNA seem to represent variable region with number of nucleotide sequence showing 2-3 substitution from known species. The phylogenetic tree based on the sequences of the DI/D2 domain of 26S rDNA showed that TIR! was related to Pichia and Candida （96%） and T2R1 was related to Yarrowia lypolytica （100%）. This study indicated that ruminal yeast strains could be found varying in different ratio of roughage to concentrate.
文摘The German Postal Reform I in 1989 introduced competition in the mobile cellular market. German cellular operators, DeTeMobil, Mannesmann, E-Plus and VIAG Interkom, built D1-, D2-, E1-and E2-Netze based on GSM standards made in Europe. China Unicom was created in 1994 and China Telecom was separated from MPT in 1995. China Telecom and China Unicom competed in a duopoly from the mid-1990s onwards and the cellular services provided by them also rely on GSM standards. China Telecom additionally deployed XLT technology (PHS) from the late 1990s onwards. While DeTeMobil and Mannesmann conquered approximately 80%-90% of the market throughout the 1990s and were the two dominant market players in Germany, China's cellular market was mainly controlled by China Mobile. In Germany, prices related to cellular technology continued the downwards trend as a major result of the process of deregulation, liberalisation and competition. In China, price wars had led to significant price reductions in the cellular market. Although network operators in both countries strived to deliver differentiated cellular services, the two national markets in the 1990s were visibly shaped by product homogeneity.
