Cohort study on the treatment of BRAF V600E mutant metastatic colorectal cancer with integrated Chinese and western medicine

BACKGROUND Patients with BRAF V600E mutant metastatic colorectal cancer(mCRC)have a low incidence rate,poor biological activity,suboptimal response to conventional treatments,and a poor prognosis.In the previous cohort study on mCRC conducted by our team,it was observed that integrated Chinese and Western medicine treatment could significantly prolong the overall survival(OS)of patients with colorectal cancer.Therefore,we further explored the survival benefits in the population with BRAF V600E mutant mCRC.AIM To evaluate the efficacy of integrated Chinese and Western medicine in the treatment of BRAF V600E mutant metastatic colorectal cancer.METHODS A cohort study was conducted on patients with BRAF V600E mutant metastatic colorectal cancer admitted to Xiyuan Hospital of China Academy of Chinese Medical Sciences and Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from January 2016 to December 2022.The patients were divided into two cohorts.RESULTS A total of 34 cases were included,with 23 in Chinese-Western medicine cohort(cohort A)and 11 in Western medicine cohort(cohort B).The median overall survival was 19.9 months in cohort A and 14.2 months in cohort B,with a statistically significant difference(P=0.038,hazard ratio=0.46).The 1-3-year survival rates were 95.65%(22/23),39.13%(9/23),and 26.09%(6/23)in cohort A,and 63.64%(7/11),18.18%(2/11),and 9.09%(1/11)in cohort B,respectively.Subgroup analysis showed statistically significant differences in median OS between the two cohorts in the right colon,liver metastasis,chemotherapy,and first-line treatment subgroups(P<0.05).CONCLUSION Integrated Chinese and Western medicine can prolong the survival and reduce the risk of death in patients with BRAF V600E mutant metastatic colorectal cancer,with more pronounced benefits observed in patients with right colon involvement,liver metastasis,combined chemotherapy,and first-line treatment.

Geochemistry of the Yutangba Se Deposit in Western Hubei, China

The Yutangba Se deposit is a rare high-Se deposit in the world and it is well known for its high contents of Se, which reach 8590×10+{-6} . The ore-hosted rocks are dominated by cherts that have been well developed. Enrichment of selenium in Se-rich ores is obviously controlled by stratigraphic position and lithological character. The closer the rocks are to the Maokou Formation cherts, the more they contain selenium, but in case the stratigraphic horizons are close to one another, the enrichment of selenium would be controlled by lithological character. In the Se ores and abandoned stone coal pile at the Yutangba Se deposit there have been found large amounts of independent Se minerals, for instance, achavalite and a variety of forms of native selenium. Native selenium minerals present in the abandoned stone coal pile are the outcome of a combination of natural factors and anthropologic activities. For example, lime making will create a closed environment favoring the growth of native selenium, and the reduction of selenium will lead to its secondary enrichment. Starting with the study of ore-forming fluids. Systematic studies have been conducted on fluid inclusions separated from the main ore veins in the mining district for their homogenization temperatures, salinities and density, and the results show that fluid inclusions contained in ores from the Yutangba Se deposit are large in number and diverse in form, dominated by primary ones. The homogenization temperatures of two types of fluid inclusions are within the range of {173.2}-{247.5℃}, individually up to 300℃ or even higher; the salinities of fluids in fluid inclusions in quartz and calcite are {5.9%}-{10.1%} and {3.9%}-{4.5%}, respectively; their densities vary from {0.79}-{0.93} g/cm+3. Extensive discovery of Se minerals due to secondary enrichment of selenium in the stone coal provides important clues to the improvements on the metallurgical and recovery technologies for selenium in the black shale series of China, and also is of great significance in expanding selenium reserves and relax the situation of lacking selenium resources on a global scale.

Fluid migration paths in the marine strata of typical structures in the western Hubei-eastern Chongqing area,China

The western Hubei-eastern Chongqing area is an important prospective zone for oil and gas exploration in the central Yangtze area. Three representative structures, the Xinchang structure, Longjuba gas-bearing structure and the Jiannan gas field, were selected to analyze biomarker parameters in marine strata and to examine various types of natural gas and hydrocarbon sources. Fluid inclusions; carbon, oxygen, and strontium isotopic characteristics; organic geochemical analysis and simulation of hydrocarbon generation and expulsion history of source rocks were used for tracing fluid migration paths in marine strata of the study area. The Carboniferous-Triassic reservoirs in three typical structures all experienced at least two stages of fluid accumulation. All marine strata above the early Permian were shown to have fluids originating in the Permian rocks, which differed from the late stage fluids. The fluids accumulated in the late Permian reservoirs of the Xinchang structure were Cambrian fluids, while those in the late Carboniferous reservoirs were sourced from a combination of Silurian and Cambrian fluids. A long-distance and large-scale cross-formational flow of fluids destroyed the preservation conditions of earlier accumulated hydrocarbons. A short-distance cross-formational accumulation of Silurian fluids was shown in the late Permian reservoirs of the Longjuba structure with favorable hydrocarbon preservation conditions. The fluid accumulation in the Carboniferous reservoirs of the Jiannan structure mainly originated from neighboring Silurian strata with a small amount from the Cambrian strata. As a result, the Jiannan structure was determined to have the best preservation conditions of the three. Comparative analysis of fluid migration paths in the three structures revealed that the zone with a weaker late tectonism and no superimposition and modification of the Upper and Lower Paleozoic fluids or the Upper Paleozoic zone with the fluid charging from the Lower Paleozoic in the western Hubei-easteru Chongqing area are important target areas for future exploration.

Effect analysis of borehole microseismic monitoring technology on shale gas fracturing in western Hubei

Hydraulic fracturing technology is an important means of shale gas development,and microseismic monitoring is the key technology of fracturing effect evaluation.In this study,hydraulic fracturing and microseismic monitoring were simultaneously conducted in the Eyangye 2HF well(hereinafter referred to as EYY2HF well).The target stratum of this well is the second member of the Doushantuo Formation of the Sinian System,which is the oldest stratum of horizontal shale gas wells in the world.A total of 4341 microseismic fracturing events were identified,and 23 fracturing stages of the well were defined.The fluctuation of the number of events showed a repeating“high-low”pattern,and the average energy of these events showed minimal differences.These findings indicate that the water pressure required for the reconstruction of the EYY2HF well is appropriate.The main body of the fracture network extended from northwest to southeast,consistent with the interpretation of regional geological and seismic data.The stimulated rock volumes showed a linear increase with the increase of the fracturing stage.Some technological measures,such as quick lift displacement,quick lift sand ratio,and pump stop for secondary sand addition,were adopted during fracturing to increase the complexity of the fracture network.Microseismic fracture monitoring of the well achieved expected eff ects and guided real-time fracturing operations and fracturing eff ect evaluation.

Giant Induan oolite:A case study from the Lower Triassic Daye Formation in the western Hubei Province,South China

Most Phanerozoic oolites are marked by ooids with a diameter less than 2 mm. Observations on a Neoproterozoic oolite have resulted in a change of concept. The term ＂pisolite＂ that traditionally referred to oolites with a grain size of more than 2 ram, is now restricted to those coated carbonate grains formed by meteoritic freshwater diagenesis; oolites with a grain size of more than 2 mm are now defined as ＂giant＂. Particular unusual giant oolites within a set of oolitic-bank limestones with thicknesses of more than 40 m in the top part of the Lower Triassic （Induan） Daye （Ruiping） Formation at the Lichuan section in the western part of Hubei Province in South China, represent an important sedimentological phenomenon in both the specific geological period and the geological setting that is related to the end-Permian biological mass extinction. Like the giant oolites of the Neoproterozoic that represent deposits where oolites formed in a vast low-angle carbonate ramp at that special geological period, the Triassic Daye Formation at the study section are significant because they provide a comparative example to help understand the evolving carbonate world reflected by oolites, the origin of which is still uncertain, and they give insight into the sedimentation pattern of the desolate sea floor, which resulted from the mass extinction at the turn of the Permian into the Triassic.

Characteristics of source rocks and paleoenvironment of Lower Silurian Longmaxi Formation in western Hubei

Based on feild outcrop survey,lithology observation and systematic sampling,and with the scanning electron microscope,rock pyrolysis,biomarker compound test and analysis,this paper discussed source rock characteristics and paleoenvironment in western Hubei.The lithology at the bottom of Lower Silurian Longmaxi Formationn in this study area is mainly dark carbonaceous shale,the mineral composition is mostly clay minerals,quartz and feldspar,the content of illite and kaolinite is high,but also contains a minor amount of strawberry pyrite and graptolite fossils.The test and analysishow that the total organic carbon content(TOC)of the source rock is 0.8-6.32%,the average value is 3.42%,and the vitrinite reflectance(Ro)is 1.57-2.95%.The type of organic matter is mainly typeⅡ2.The overall abundance of organic matter is high,and the degree of thermal evolution has reached the stage of high maturity and over maturity.All these have become the good material basis and conditions for the formation of shale gas.The paleoenvironment of the source rocks indicates that the organic matter is a mixed source of planktonic algae and bacteria material.The large amount of hopane also indicates that the bacterial activity is strong during the deposition of organic matter;The water of the ancient lake is almost freshwater and brackishwater in some parts;The redox property of the water is in a strong reduction environment and with a stable stratification,which is also conducive to the preservation of organic matter.The above research results will provide the application of shale gas exploration in western Hubei.

Research on the Importance of Monetary Work to the Political Development of the Western Hunan and Hubei Base Areas

During the seven years revolution in the Western Hunan Hubei revolutionary base,currency experienced four stages of construction and development,and became the economic tool of revolutionary regime,and made considerable contribution;however,the importance of politics to financial work is obvious here.Due to the mistakes caused by the left leaning in the revolutionary work,the monetary work in the revolutionary base area in Western Hunan and Hubei has been seriously affected the final result of the influence is to withdraw from the circulation field with the transfer of the main body of the revolutionary team.

THE PETROLOGIC CHARACTERISTICS AND THE FORMATION ENVIRONMENT OF THE PALEOKARST BRECCIAS IN THE LOWER REACHES OF THE QINGJIANG RIVER,WESTERN HUBEI

In the Cambrian-Ordoviclan strata in the lower reaches of the Qingjiang River (western Hubei province), many well-consolidated paleokarst breccia bodies of different sizes and occurrences have been observed. By studying them in detail and by introducing new ideas of modern sedimentology into the study, the authors described and classified these paleokarst breccias. Their forming conditions and mechanisms are also explained on the basis of our research

A Physics-informed Deep-learning Intensity Prediction Scheme for Tropical Cyclones over the Western North Pacific

Accurate prediction of tropical cyclone(TC)intensity is challenging due to the complex physical processes involved.Here,we introduce a new TC intensity prediction scheme for the western North Pacific(WNP)based on a time-dependent theory of TC intensification,termed the energetically based dynamical system(EBDS)model,together with the use of a long short-term memory(LSTM)neural network.In time-dependent theory,TC intensity change is controlled by both the internal dynamics of the TC system and various environmental factors,expressed as environmental dynamical efficiency.The LSTM neural network is used to predict the environmental dynamical efficiency in the EBDS model trained using besttrack TC data and global reanalysis data during 1982–2017.The transfer learning and ensemble methods are used to retrain the scheme using the environmental factors predicted by the Global Forecast System(GFS)of the National Centers for Environmental Prediction during 2017–21.The predicted environmental dynamical efficiency is finally iterated into the EBDS equations to predict TC intensity.The new scheme is evaluated for TC intensity prediction using both reanalysis data and the GFS prediction data.The intensity prediction by the new scheme shows better skill than the official prediction from the China Meteorological Administration(CMA)and those by other state-of-art statistical and dynamical forecast systems,except for the 72-h forecast.Particularly at the longer lead times of 96 h and 120 h,the new scheme has smaller forecast errors,with a more than 30%improvement over the official forecasts.

Quantitative effect of kerogen type on the hydrocarbon generation potential of Paleogene lacustrine source rocks,Liaohe Western Depression,China

Kerogen types exert a decisive effect on the onset and capacity of hydrocarbon generation of source rocks.Lacustrine source rocks in the Liaohe Western Depression are characterized by thick deposition,high total organic carbon(TOC)content,various kerogen types,and a wide range of thermal maturity.Consequently,their hydrocarbon generation potential and resource estimation can be misinterpreted.In this study,geochemical tests,numerical analysis,hydrocarbon generation kinetics,and basin modeling were integrated to investigate the differential effects of kerogen types on the hydrocarbon generation potential of lacustrine source rocks.Optimized hydrocarbon generation and expulsion(HGE)models of different kerogen types were established quantitatively upon abundant Rock-Eval/TOC/vitrinite reflectance(R_(o))datasets.Three sets of good-excellent source rocks deposited in the fourth(Es4),third(Es3),and first(Es1)members of Paleogene Shahejie Formation,are predominantly types I-II_(1),II_(1)-II_(2),and II-III,respectively.The activation energy of types I-II_(2)kerogen is concentrated(180-230 kcal/mol),whereas that of type III kerogen is widely distributed(150-280 kcal/mol).The original hydrocarbon generation potentials of types I,II_(1),II_(2),and III kerogens are 790,510,270,and 85 mg/g TOC,respectively.The Ro values of the hydrocarbon generation threshold for type I-III source rocks gradually increase from 0.42%to 0.74%,and Ro values of the hydrocarbon expulsion threshold increase from 0.49%to 0.87%.Types I and II_(1)source rocks are characterized by earlier hydrocarbon generation,more rapid hydrocarbon expulsion,and narrower hydrocarbon generation windows than types II_(2)and III source rocks.The kerogen types also affect the HGE history and resource potential.Three types(conventional,tight,and shale oil/gas)and three levels(realistic,expected,and prospective)of hydrocarbon resources of different members in the Liaohe Western Depression are evaluated.Findings suggest that the Es3 member has considerable conventional and unconventional hydrocarbon resources.This study can quantitatively characterize the hydrocarbon generation potential of source rocks with different kerogen types,and facilitate a quick and accurate assessment of hydrocarbon resources,providing strategies for future oil and gas exploration.

Natural gas exploration potential and favorable targets of Permian Fengcheng Formation in the western Central Depression of Junggar Basin,NW China

Based on the organic geochemical data and the molecular and stable carbon isotopic compositions of natural gas of the Lower Permian Fengcheng Formation in the western Central Depression of Junggar Basin,combined with sedimentary environment analysis and hydrocarbon-generating simulation,the gas-generating potential of the Fengcheng source rock is evaluated,the distribution of large-scale effective source kitchen is described,the genetic types of natural gas are clarified,and four types of favorable exploration targets are selected.The results show that:(1)The Fengcheng Formation is a set of oil-prone source rocks,and the retained liquid hydrocarbon is conducive to late cracking into gas,with characteristics of high gas-generating potential and late accumulation;(2)The maximum thickness of Fengcheng source rock reaches 900 m.The source rock has entered the main gas-generating stage in Penyijingxi and Shawan sags,and the area with gas-generating intensity greater than 20×10^(8) m^(3)/km^(2) is approximately 6500 km^(2).(3)Around the western Central Depression,highly mature oil-type gas with light carbon isotope composition was identified to be derived from the Fengcheng source rocks mainly,while the rest was coal-derived gas from the Carboniferous source rock;(4)Four types of favorable exploration targets with exploration potential were developed in the western Central Depression which are structural traps neighboring to the source,stratigraphic traps neighboring to the source,shale-gas type within the source,and structural traps within the source.Great attention should be paid to these targets.

Application of multidisciplinary team-based integrated traditional Chinese medicine and Western medicine in rotator cuff injury patients undergoing arthroscopic surgery

BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to ensure therapeutic efficacy.AIM To investigate the effect of integrated traditional Chinese medicine and Western medicine(TCM-WM)under the multidisciplinary team(MDT)model on the postoperative recovery of patients undergoing arthroscopic surgery for RCIs.METHODS This study enrolled 100 patients who underwent arthroscopic rotator cuff repair for RCIs at the Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine between June 2021 and May 2024.They were divided into a control group(n=48)that received routine rehabilitation treatment and an experimental group(n=52)that received TCM-WM under the MDT model(e.g.,acupuncture,TCM traumatology and orthopedics,and rehabilitation).The results of the Constant–Murley Shoulder Score(CMS),Visual Analogue Scale(VAS),Shoulder Pain and Disability Index(SPADI),muscular strength evaluation,and shoulder range of motion(ROM)assessments were analyzed.RESULTS After treatment,the experimental group showed significantly higher CMS scores in terms of pain,functional activity,shoulder joint mobility,and muscular strength than the baseline and those of the control group.The experimental group also exhibited significantly lower VAS and SPADI scores than the baseline and those of the control group.In addition,the experimental group showed significantly enhanced muscular strength(forward flexor and external and internal rotator muscles)and shoulder ROM(forward flexion,abduction,and lateral abduction)after treatment compared with the control group.CONCLUSION TCM-WM under the MDT model improved shoulder joint function,relieved postoperative pain,promoted postoperative functional recovery,and facilitated the recovery of muscular strength and shoulder ROM in patients with RCIs who underwent arthroscopic rotator cuff repair.

CAFIU Hosts Civilisation Lecture in Xiaogan,Hubei Province

On April 18,the Chinese Association for International Understanding(CAFIU)held Civilisation Lecture at Huanglonghu(the Yellow Dragon Lake)Tea Culture Museum in Xiaogan,Hubei Province.

Geomorphic signatures and active tectonics in western Saurashtra,Gujarat,India

Active tectonics in an area includes ongoing or recent geologic events.This paper investigates the tectonic influence on the subsidence,uplift and tilt of western Saurashtra through morphotectonic analysis of ten watersheds along with characteristics of relief and drainage orientation.Watersheds 7-9 to the north(N)are tectonically active,which can be linked with the North Kathiawar Fault System(NKFS)and followed by watersheds 6,10,1,4 and 5.Stream-length gradient index and sinuosity index indicate the effect of tectonic events along the master streams in watersheds 6-9.Higher R^(2)values of the linear curve fit for watershed 7 indicate its master stream is much more tectonically active than the others.The R^(2)curve fitting model and earthquake magnitude/depth analysis confirm the region to be active.The reactivation of the NKFS most likely led to the vertical movement of western Saurashtra.

Geophysical and Crustal Movement Characteristic of Western Sichuan Basin

Analysis and research of large complex phenomena before and after the devastating earthquake to reduce the threat of natural disasters to human survival environment is of great significance.This paper analyzes the Wenchuan earthquake zone characteristics of gravity anomaly distributions,and then use edge detection and Euler deconvolution method to inverse Longmenshan gravity anomaly before earthquake.Fault distribution features and the general depth about the fault top of Longmenshan and its adjacent area before earthquake has been obtained.Morphology difference and possible earthquake formation have been analyzed through the Euler deconvolution result of gravity anomaly profile before and after the earthquake.

Food Hygiene and Safety Practices amongst Food Vendors in the Western Area, Sierra Leone

Food safety and hygiene practices require a multisectoral approach including food, water, sanitation, waste management, transport, education, trade, policies and programs that enable safe food preparation, storage and service. Unsafe food can cause illness keeping people from achieving their full potential and death. This was a descriptive study that uses a mixed method approach to derive insights into the characteristics of food vendors related to demography, knowledge, practices, infrastructure, compliance and recommendation for a policymaking framework. Using the Lemeshows’ sample size formula, 473 vendors from formal (restaurants) and informal (cookri-baffa/table top) sites were interviewed and observed. We found from discussions that respondents had a good understanding on how to keep food safe. However, observed practices were poor 93% handled food with their bare hands, 83% did not cover their hair, and 76% did not wear an apron whilst handling, preparing or serving food, 61% did not keep their finger nails clean or short and 57% did not wash their hand before preparing or serving food. Over half (51%) had access to a toilet but 32% reported their use required payment and emphasized their poor condition/inadequate management. Nearly half (47%) of the vending sites did not have a handwashing facility, with soap and water available. Only 7% reported having any authority oversight of food safety. Food safety and hygiene practices in most cookri shops and restaurants was ‘poor’ with very limited surveillance system in place by competent authorities for compliance of food operators. Hand washing, clean surroundings, and covered food were the most common and emphasized practices to mitigate the risks associated with unsafe food.

Climate warming is significantly influenced by rising summer maximum temperatures: insights from tree-ring evidence of the Western Tianshan Mountains, China

As one of the regions most affected by global cli-mate warming,the Tianshan mountains has experienced sev-eral ecological crises,including retreating glaciers and water deficits.Climate warming in these mountains is considered mainly to be caused by increases in minimum temperatures and winter temperatures,while the influence of maximum temperatures is unclear.In this study,a 300-year tree-ring chronology developed from the Western Tianshan Moun-tains was used to reconstruct the summer(June-August)maximum temperature(T_(max6-8))variations from 1718 to 2017.The reconstruction explained 53.1% of the variance in the observed T_(max6-8).Over the past 300 years,the T_(max6-8)reconstruction showed clear interannual and decadal vari-abilities.There was a significant warming trend(0.18°C/decade)after the 1950s,which was close to the increasing rates of the minimum and mean temperatures.The increase in maximum temperature was also present over the whole Tianshan mountains and its impact on climate warming has increased.The T_(max6-8) variations in the Western Tianshan mountains were influenced by frequent volcanic eruptions combined with the influence of solar activity and the sum-mer North Atlantic Oscillation.This study reveals that cli-mate warming is significantly influenced by the increase in maximum temperatures and clarifies possible driving mech-anisms of temperature variations in the Western Tianshan mountains which should aid climate predictions.

Climate warming is significantly influenced by rising summer maximum temperatures:insights from tree-ring evidence of the Western Tianshan Mountains,China

As one of the regions most affected by global climate warming,the Tianshan mountains has experienced several ecological crises,including retreating glaciers and water deficits.Climate warming in these mountains is considered mainly to be caused by increases in minimum temperatures and winter temperatures,while the influence of maximum temperatures is unclear.In this study,a 300-year tree-ring chronology developed from the Western Tianshan Mountains was used to reconstruct the summer(June-August)maximum temperature(Tmax6-8) variations from 1718 to2017.The reconstruction explained 53.1% of the variance in the observed Tmax6-8.Over the past 300 years,the Tmax6-8reconstruction showed clear interannual and decadal variabilities.There was a significant warming trend(0.18 ℃/decade) after the 1950s,which was close to the increasing rates of the minimum and mean temperatures.The increase in maximum temperature was also present over the whole Tianshan mountains and its impact on climate warming has increased.The Tmax6-8variations in the Western Tianshan mountains were influenced by frequent volcanic eruptions combined with the influence of solar activity and the summer North Atlantic Oscillation.This study reveals that climate warming is significantly influenced by the increase in maximum temperatures and clarifies possible driving mechanisms of temperature variations in the Western Tianshan mountains which should aid climate predictions.