AIM: To investigate the clinical epidemiological characteristics of gastric cancer in the Hehuang valley, China, to provide a reference for treatment and prevention of regional gastric cancer.
Objective： The aim of our studywas to discuss changes in the clinicopathological characteristics of gastric cancer in Hehuang Valley of China in recent 10 years. Methods： A retrospective case-control study was perfo...Objective： The aim of our studywas to discuss changes in the clinicopathological characteristics of gastric cancer in Hehuang Valley of China in recent 10 years. Methods： A retrospective case-control study was performed on 2379 newly-diagnosed gastric cancer patients. All of them came from Hehuang Valley. The patients were divided into two groups [recent 5 years （R5Y） and late 5 years （L5Y）] from February 2003 to February 2013, and the clinicopathological data were surveyed retrospectively. Results： The constituent ratio of upper 1/3 gastric cancer in R5Y and L5Y was 33.5% and 20.7%, respectively, and it showed a significant difference between the two groups （X2 = 21.28, P = 0.00）, The constituent ratio of squamous carcinoma/adenosquamous carcinoma was 2.7% and 1.6%, respectively, and it also showed a significant differ- ence between two groups （X2 = 50.91, P = 0.00）. The constituent ratio of moderately-poorly differentiated/poorly differentiated gastric carcinoma was 84.2% and 50.2%, respectively, and it showed statistically significant difference （X2 = 30.28, P = 0.00）. The detection rate of early gastric cancer （EGC） was 1.47% （35/2379）. The constituent ratio of the types of Borrmann II and Borrmann IV of advanced gastric cancer （AGC） among 2379 cases was 47.6% and 40.8%, respectively, and that still showed statistically significant difference （X2 = 18,80, P = 0.00）. The constituent ratio of diffuse-type of gastric cancer in R5Y and L5Y was 36.2% and 30.8%, respectively, even there was a significant difference （X2 = 7.49, P = 0.01）. Furthermore, there were also significant differences in regional lymph nodes metastasis, perineural infiltration and vascular invasion （P 〈 0.05）. The positive detection rate of HER2, ER and PR was 14.88%, 17.23% and 15.93%, respectively. The constituent ratio of HP in two groups was 43.8% and 36.2% respectively, and it also showed a significant difference （~2 = 13.51, P = 0.00）. Conclusion： The pathogenic sites in gastric cancer change to the upper stomach in Hehuang Valley in recent 10 years, and the detection rate of squamous carcinoma/adenosquamous carcinoma reveals a sharp rise. Borrmann III is still one of the main types of advanced gastric cancer, but the detection rates of Borrmann II and IV are increasing. The main type of gastric cancer is the intestinal- type, but the ratio of diffuse-type is also increasing in recent 10 years. The HP detection rate is 40.65% （967/2379）, and it has a slight rise in recent 10 years. The detection rate of poorly differentiated adenocarcinoma is increasing despite the fact that the moderately/moderately-poorly differentiated adenocarcinoma is the main histologic types. High detection rates of lymph nodes metastasis, perineural infiltration and vascular invasion indicate poor prognosis in patients with gastric cancer. There is no change in HER2 positive rate, on the contrary, there are a little increase in ER and PR expression in Hehuang Valley.展开更多
The Tu nationality （also called ＂Tu people＂ or ＂Tus＂ in the paper）, one of the multiple ethnic minorities in the Hehuang Region （河湟地区） between Gansu （甘肃） and Qinghai （青海） Provinces in the northwest...The Tu nationality （also called ＂Tu people＂ or ＂Tus＂ in the paper）, one of the multiple ethnic minorities in the Hehuang Region （河湟地区） between Gansu （甘肃） and Qinghai （青海） Provinces in the northwest China, has no written language of their own, but has already created the abundant and varied colorful literary genres. Since the 1980s, folktales, as the main literary product popular in the region, have received literary criticisms and reviews from scholars and researchers in China, based on the socialist realism dominant in China in the 20th century that emphasized more on contents, motifs and even ideological significance. So far, no breakthroughs have been made in their studies even if some young scholars have tried from the formalist viewpoints. Therefore, this paper attempts to make a morphological analysis of the Tus＇ folktales by adopting Propp＇s theories, trying to find out the morphological narrative model beneath the language level of the folktales. Through the studies, we can see that collective awareness bonded by kinship is more emphasized in Tus＇ culture, and almost all tales end with good defeating evil. Therefore, the studies of these folktales will help us deep understand Tus＇ psychological conditions and positive cultural life.展开更多
The people of the Tibetan Plateau have received extensive attention from scholars because of their unique adaptability to the low temperature and anoxic environments. However, the Tibetan communities and their habitat...The people of the Tibetan Plateau have received extensive attention from scholars because of their unique adaptability to the low temperature and anoxic environments. However, the Tibetan communities and their habitats in the low-altitude regions of the plateau have rarely been studied in a scientific manner. Based on the extraction of geographic information of 197 towns in the Hehuang Valley and on variance analysis, this study examines the habitats and subsistence strategies of the Tibetans and other major ethnic groups in the low-latitude region of the Tibetan Plateau. Our statistical results show that the annual average temperature of Tibetan habitats in the Hehuang Valley is relatively high. The relatively warm environment of the valley allows the Tibetans in that area to cultivate wheat and barley and raise cattle and sheep—a subsistence strategy significantly different from that of other Tibetans in the high-altitude regions in the Tibetan Plateau. In addition, the Tibetan communities in the Hehuang Valley include similar agri-pastoral ethnic groups (including Hui and Salar), both of which adopt similar subsistence strategies. The agricultural ethnic groups (Han and Tu) live in a relatively cool and humid environment facilitating agricultural production, while the agri-pastoral ethnic groups (Tibetan, Hui, and Salar) inhabit relatively warm and arid environment in the valley. Due to the lack of agricultural activities, agri-pastoral groups must also engage in animal husbandry to supplement their diet. In the Ando Tibetan region, the subsistence strategies of the ethnic groups are closely related to their physical environment.Those ethnic groups communicate among themselves, integrate, and influence each other, resulting in a diversified culture. This study proves that the habitat variation at a regional scale corresponds significantly to the variation of subsistence strategies. Our findings may further refine knowledge about the human-environmental relationships of Tibetans and lead future research towards using quantitative methods to analyse the intersection of physical environment and ethnic groups' distribution.展开更多
基金Supported by Basic Research Foundation of Qinghai Province,No.2011-Z-730
文摘AIM: To investigate the clinical epidemiological characteristics of gastric cancer in the Hehuang valley, China, to provide a reference for treatment and prevention of regional gastric cancer.
基金Supported by a grant from the Basic Research Foundation of Qinghai Province(No.2011-Z-730)
文摘Objective： The aim of our studywas to discuss changes in the clinicopathological characteristics of gastric cancer in Hehuang Valley of China in recent 10 years. Methods： A retrospective case-control study was performed on 2379 newly-diagnosed gastric cancer patients. All of them came from Hehuang Valley. The patients were divided into two groups [recent 5 years （R5Y） and late 5 years （L5Y）] from February 2003 to February 2013, and the clinicopathological data were surveyed retrospectively. Results： The constituent ratio of upper 1/3 gastric cancer in R5Y and L5Y was 33.5% and 20.7%, respectively, and it showed a significant difference between the two groups （X2 = 21.28, P = 0.00）, The constituent ratio of squamous carcinoma/adenosquamous carcinoma was 2.7% and 1.6%, respectively, and it also showed a significant differ- ence between two groups （X2 = 50.91, P = 0.00）. The constituent ratio of moderately-poorly differentiated/poorly differentiated gastric carcinoma was 84.2% and 50.2%, respectively, and it showed statistically significant difference （X2 = 30.28, P = 0.00）. The detection rate of early gastric cancer （EGC） was 1.47% （35/2379）. The constituent ratio of the types of Borrmann II and Borrmann IV of advanced gastric cancer （AGC） among 2379 cases was 47.6% and 40.8%, respectively, and that still showed statistically significant difference （X2 = 18,80, P = 0.00）. The constituent ratio of diffuse-type of gastric cancer in R5Y and L5Y was 36.2% and 30.8%, respectively, even there was a significant difference （X2 = 7.49, P = 0.01）. Furthermore, there were also significant differences in regional lymph nodes metastasis, perineural infiltration and vascular invasion （P 〈 0.05）. The positive detection rate of HER2, ER and PR was 14.88%, 17.23% and 15.93%, respectively. The constituent ratio of HP in two groups was 43.8% and 36.2% respectively, and it also showed a significant difference （~2 = 13.51, P = 0.00）. Conclusion： The pathogenic sites in gastric cancer change to the upper stomach in Hehuang Valley in recent 10 years, and the detection rate of squamous carcinoma/adenosquamous carcinoma reveals a sharp rise. Borrmann III is still one of the main types of advanced gastric cancer, but the detection rates of Borrmann II and IV are increasing. The main type of gastric cancer is the intestinal- type, but the ratio of diffuse-type is also increasing in recent 10 years. The HP detection rate is 40.65% （967/2379）, and it has a slight rise in recent 10 years. The detection rate of poorly differentiated adenocarcinoma is increasing despite the fact that the moderately/moderately-poorly differentiated adenocarcinoma is the main histologic types. High detection rates of lymph nodes metastasis, perineural infiltration and vascular invasion indicate poor prognosis in patients with gastric cancer. There is no change in HER2 positive rate, on the contrary, there are a little increase in ER and PR expression in Hehuang Valley.
文摘The Tu nationality （also called ＂Tu people＂ or ＂Tus＂ in the paper）, one of the multiple ethnic minorities in the Hehuang Region （河湟地区） between Gansu （甘肃） and Qinghai （青海） Provinces in the northwest China, has no written language of their own, but has already created the abundant and varied colorful literary genres. Since the 1980s, folktales, as the main literary product popular in the region, have received literary criticisms and reviews from scholars and researchers in China, based on the socialist realism dominant in China in the 20th century that emphasized more on contents, motifs and even ideological significance. So far, no breakthroughs have been made in their studies even if some young scholars have tried from the formalist viewpoints. Therefore, this paper attempts to make a morphological analysis of the Tus＇ folktales by adopting Propp＇s theories, trying to find out the morphological narrative model beneath the language level of the folktales. Through the studies, we can see that collective awareness bonded by kinship is more emphasized in Tus＇ culture, and almost all tales end with good defeating evil. Therefore, the studies of these folktales will help us deep understand Tus＇ psychological conditions and positive cultural life.
基金supported by the State Key R & D Project of China (Grant No. 2016YFA0600503)the National Natural Science Foundation of China (Grant No. 41771223)+3 种基金the China Postdoctoral Science Foundation (Grant No. 2016M601769)the Fundamental Research Funds for the Central Universities (Grant No. 020914380027)Sino-British Fellowship Trust, Hui Oi-Chow Trust Fund (Grant No. 201602172006)Research Grants Council of The Government of the Hong Kong Special Administrative Region of the People’s Republic of China (Grant No. HKU745113H)
文摘The people of the Tibetan Plateau have received extensive attention from scholars because of their unique adaptability to the low temperature and anoxic environments. However, the Tibetan communities and their habitats in the low-altitude regions of the plateau have rarely been studied in a scientific manner. Based on the extraction of geographic information of 197 towns in the Hehuang Valley and on variance analysis, this study examines the habitats and subsistence strategies of the Tibetans and other major ethnic groups in the low-latitude region of the Tibetan Plateau. Our statistical results show that the annual average temperature of Tibetan habitats in the Hehuang Valley is relatively high. The relatively warm environment of the valley allows the Tibetans in that area to cultivate wheat and barley and raise cattle and sheep—a subsistence strategy significantly different from that of other Tibetans in the high-altitude regions in the Tibetan Plateau. In addition, the Tibetan communities in the Hehuang Valley include similar agri-pastoral ethnic groups (including Hui and Salar), both of which adopt similar subsistence strategies. The agricultural ethnic groups (Han and Tu) live in a relatively cool and humid environment facilitating agricultural production, while the agri-pastoral ethnic groups (Tibetan, Hui, and Salar) inhabit relatively warm and arid environment in the valley. Due to the lack of agricultural activities, agri-pastoral groups must also engage in animal husbandry to supplement their diet. In the Ando Tibetan region, the subsistence strategies of the ethnic groups are closely related to their physical environment.Those ethnic groups communicate among themselves, integrate, and influence each other, resulting in a diversified culture. This study proves that the habitat variation at a regional scale corresponds significantly to the variation of subsistence strategies. Our findings may further refine knowledge about the human-environmental relationships of Tibetans and lead future research towards using quantitative methods to analyse the intersection of physical environment and ethnic groups' distribution.
