Function-preserving gastrectomy for gastric cancer in Japan

Surgery used to be the only therapy for gastric cancer, and since its ability to cure gastric cancer was the focus of attention, less attention was paid to functionpreserving surgery in gastric cancer, though it was studied for gastroduodenal ulcer. Maki et al developed pylorus-preserving gastrectomy for gastric ulcer in 1967. At the same time, the definition of early gastric cancer(EGC) was being considered, histopathological investigations of EGC were carried out, and the validity of modified surgery was sustained. After the development of H2-blockers, the number of operations for gastroduodenal ulcers decreased, and the number of EGC patients increased simultaneously. As a result, the indications for pylorus-preserving gastrectomy for EGC in the middle third of the stomach extended, and various alterations were added. Since then, many kinds of function-preserving gastrectomies have been performed and studied in other fields of gastric cancer, and proximal gastrectomy, jejunal pouch interposition, segmental gastrectomy, and local resection have been performed. On the other hand, from the overall perspective, it can be said that endoscopic resection, which was launched at almost the same time, is the ultimate function-preserving surgery under the current circumstances. The current function-preserving gastrectomies that are often performed and studied are pylorus-preserving gastrectomy and proximal gastrectomy. The reasons for this are that these procedures that can be performed with systemic lymph node dissection, and they include three important elements:(1) reduction of the extent of gastrectomy;(2) preservation of the pylorus; and(3) preservation of the vagal nerve. In addition, these operations are more likely to be performed with a laparoscopic approach as minimally invasive surgery. Of the above-mentioned three elements, reduction of the extent of gastrectomy is the most important in our view. Therefore, we should try to reduce the extent of gastrectomy if curability of the gastric cancer can still be achieved. However, if we preserve a wider residual stomach in functionpreserving gastrectomy, we should pay attention to the development of metachronous gastric cancer.

Why are There Indica Type and Japonica Type in Rice?——History of the Studies and a View for Origin of Two Types

On the bases of archaeological discoveries, the earliest domestication of rice has been confirmed in the middle and lower Changjiang River basin, while in the region wild rice populations are found in shallow swamps under a climate with freezing winter cold. These findings lead us to-examine the past ideas about domestication and differentiation of rice. Historically, in 1930s two sub-species, indica and japonica, were proposed on the basis of sterility in F1 hybrids between them. Soon after that, the two types were classified by the associations of a number of genetically independent traits. The characteristic associations of traits have been explained by the hybrid sterility or reproductive barriers which were assumed to comprise a set of duplicate recessive lethal genes and to be an inner genetic mechanism to lead to the varietal differentiations In 1980s, the hybrid sterility between Indica and Japonica types was analyzed, and Indica, Japonica, and wide-compatibility type which gives fertile hybrids when cross to Indica and Japonica types, are proved to contain an allele, S5＇, S5＇ and S5^n, respectively at a locus on chromosome 6. And those gametes having Sj allele are found to be partially aborted in the hybrid genotypes of S5＇/S5＇ while no gamete abortion occurs in S5＇/S5^n and S5＇/S5^n genotypes. Since then, the gene S5^n has been used in hybrid rice breeding to obtain fertile and vigorous hybrids between subspecies, and the long-disputed problem of hybrid sterility has been solved. Also in such studies the characteristic association of traits found in each of vadetal groups is better explained by founder effects. On the other hand, a large number of native cultivars of rice were surveyed with enzyme polymorphism in 1980s and later with molecular markers. As a result, profound genetic diversity is found in cultivated rice as well as in wild rice. These findings seem to lead us to the idea of multiple independent domestications of rice. However, before reaching such a conclusion, at least two factors, i.e., long-distance-dissemination of some genotypes and the possibilities of introgression by local wild rice to primitive cultivars need to be examined. Taking the two factors as well as the historical events into consideration, it is considered here that the perennial japonica cultivars which are close to wild rice in the Changjiang River basin were disseminated to East India through Assam or along the Bengal Bay, where they were transformed under the introgressions of local wild rice and formed a secondary center, from which some genotypes seem to be disseminated to colonies in Southeast Asia under the influence of Hinduism. Later some of the genotypes were introduced into China and constituted so called Indica type. This may be a reasonable picture for the varietal differentiation.

Recent advances in basic and clinical aspects of inflammatory bowel disease: Which steps in the mucosal inflammation should we block for the treatment of inflammatory bowel disease?

There are four steps in the interaction between intestinal microbes and mucosal inflammation in genetically predisposed individuals from the viewpoints of basic and clinical aspects of inflammatory bowel disease （IBD）. The first step is an interaction between intestinal microbes or their components and intestinal epithelial cells via receptors, the second step an interaction between macrophages and dendritic cells and mucosal lymphocytes, the third step an interaction between lymphocytes and vascular endothelial cells, and the fourth step an interaction between lymphocytes and granulocytes producing proinflammatory cytokines or free radicals and mucosal damage and repair. Recent therapeutic approaches for IBD aim to block these four steps in the intestinal inflammation of patients with IBD.

Predictors of multiple injuries in individual distance runners:A retrospective study of 75,401 entrants in 4 annual races-SAFER XX

Background There are limited data on factors that predict an increased risk of multiple injuries among distance runners.The objective of this study was to determine risk factors that are predictive of individual runners with a high annual multiple injury risk(MIR).Methods A retrospective,cross-sectional study at 4 annual(2012-2015)Two Oceans 21.1 km and 56.0 km races in South Africa with 75,401 consenting race entrants.Running-related injury data were collected retrospectively through an online pre-race medical screening questionnaire.The average number of injuries for each runner every year was calculated by taking a runner's race entry history and injury history into account and categorizing entrants into 4 MIR categories(high,intermediate,low,and very low(reference)).Multiple logistic regression modeling(odds ratios)was used to determine whether the following factors were predictive of a high MIR(average>1 injury/year):demographics,training and racing,chronic-disease history(composite chronic disease score(CCDS)),and history of allergies.Results Of all entrants,9.2%reported at least 1 injury,and 0.4%of entrants were in the high MIR category;the incidence rate was 2.5 injuries per 10 runner-years(95%confidence interval(95%CI):2.4-2.7).Significant factors predictive of runners in the high MIR category were:running for>20 years:OR=2.0(95%CI:1.3-3.1;p=0.0010);a higher CCDS:OR=2.2(95%CI:2.0-2.4;p<0.0001);and a history of allergies:OR=2.8(95%CI:2.0-3.8;p<0.0001).Conclusion Runners who have been running recreationally for>20 years and those with multiple chronic diseases or a history of allergies were at higher risk of multiple running-related injuries.This high-risk group can be targeted for further study and possible injury-prevention interventions.

Medicinal Mushroom Products:Nutriceuticals and/or Pharmaceuticals?

Although the effectiveness of mushroom products(mushroom derivatives) has been confirmed repeatedly by numerous laboratory experiments and,in some cases,human trials,precisely how these products work is still a matter of conjecture.Studies on the effectiveness of mushroom products fall into two general categories.One approach has been to isolate and determine the bioactivity of individual mushroom components within a particular class of compounds(e.g.polysaccharides,lectins,triterpenoids,fungal immunomodulatory proteins).The active principal component is then sold in refined or purified form,e.g.the polysaccharide lentinan from the edible/medicinal mushroom Lentinula edodes.Such an approach is certainly valid if the objective is to focus on a single mushroom-derived substance for the treatment of specific disease conditions,e.g.cancers or strokes.In such cases,the products might be(and have been) developed and marketed as prescription drugs.However,an alternative approach is not to focus on a single component within a class of compounds but on groups of compounds that improve overall health and the general quality of life.These composite formulae,in which several different compounds together contribute to the beneficial effect of the mushroom,could then be used collectively as a dietary supplement(nutriceutical).Thus,the medicinal effects afforded by medicinal mushroom products may be attributable to several quite different types of compounds present in the mushrooms,e.g.polysaccharides,lectins,triterpenoids and fungal immunomodulatory proteins.These compounds,and possibly others yet to be identified,appear to act in concert in contributing to the documented anticancer,antitumour,antiviral,antibacterial and immunomodulating properties of the mushroom.Therefore,mushroom nutriceuticals may be deemed to have multifunctional values,the essence of which depends on the integrated effects of the various compounds.Certainly,the overwhelming majority of mushroom-based products currently available are not single components but combinations of several groups of compounds("crude extracts") that together contribute to the overall medicinal effect of the product.Therefore,it is important that future development of mushroom nutriceuticals places emphasis on investigating the functionality and interaction of the groups of compounds found in mushrooms.In some cases,it may be more desirable to consider the total medicinal effect(s) of mushroom "crude extracts"(comprising groups of compounds) and then to ascertain the contributions made to the overall activity by individual components.The consistency of the "crude extracts",both in terms of the overall chemical composition and in the actual levels of active components,between different batches could be standardized on the basis of one or two of the main components.This is essential for ensuring some degree of uniformity in prescribed dosages.Thus,while the minimum dosage of an active component required to bring about the desired therapeutic effect is often known for similar products,e.g.hypericin in extracts of St.John's Wort,this is generally not the case where mushroom "crude extracts" are concerned.This is an area where scientific validation can increase knowledge of the products themselves as well as contributing to product quality control.

Animal Nutrition and Feed Science

1.引言动物营养和饲料科学学科可简单地分为以下两类:(1)研究动物对特定吸收物质的数量和平衡的生理需求(即营养需求);(2)天然植物和动物产品或合成物质提供全部或部分营养物质的能力(即饲料组成和营养成分利用率)。为了平衡饲料供应以满足动物的需求。

Synthesis of a New Family of Green Light Emitting Material Containing Both Hole and Electron Transporting Units

Two new molecules containing oxadiazoles and triphenylamine-stilbene moiety were synthesized. Their luminescent properties were determined, which indicated that they had strong green fluorescent properties. All the two molecules can be used as green organic electroluminescence materials.

研究结果的解释和报告

科学研究的目标是创造和传播知识。这得通过对系统收集以及报告信息的批判性分析来完成。批判性分析始于一个简单的步骤,即在运用复杂统计学分析方法进行比较之前对所收集的数据进行深入检查。根据所收集的数据类型按照标准化方式进行统计学分析。在为解决研究问题而需采用合理、标准化步骤进行比较时,新知识就产生了,同时要避免错误的结论。在对数据进行仔细检查和分析之后,为了保证结论的正确性,再对数据进行一次批判性评论是非常重要的补充步骤。在科学文献中发表研究成果过程中涉及的同行评价对于传播新知识并保证其质量方面是一个非常重要的步骤。如果没有将研究成果发表供同行参考,这项研究就不算完整。

Research of optimization to solve nonlinear equation based on granular computing

In this article,a real number is defined as a granulation and the real space is transformed into real granular space[1].In the entironment,solution of nonlinear equation is denoted by granulation in real granular space.Hence,the research of whole optimization to solve nonlinear equation based on granular computing is proposed[2].In classical case,we solve usually accurate solution of problems.If can't get accurate solution,also finding out an approximate solution to close to accurate solution.But in real space,approximate solution to close to accurate solution is very vague concept.In real granular space,all of the approximate solutions to close to accurate solution are constructed a set,it is a granulation in real granular space.Hence,this granulation is an accurate solution to solve problem in some sense,such,we avoid to say vaguely "approximate solution to close to accurate solution".We introduce the concept of granulation in one dimension real space.Any positive real number a together with moving infinite small distance ε will be constructed an interval [a-ε,a+ε],we call it as granulation in real granular space,denoted by ε(a)or [a].We will discuss related properties and operations[3] of the granulations.Let one dimension real space be R,where each real number a will be generated a granulation,hence we get a granular space R based on real space R.Obviously,R∈R.Infinite small number in real space R is only 0,and there are three infinite small granulations in real number granular space R:[0],[ε] and [-ε].As the graph in Fig.1 shows.In Fig.1,[-ε] is a negative infinite small granulation,[ε] is a positive infinite small granulation,[0] is a infinite small granulation.[a] is a granulation of real number a generating,it could be denoted by interval [a-ε,a+ε] in real space [3-5].Fig.1 Real granulations [0] and [a] Let f(x)=0 be a nonlinear equation,its graph in interval [-3,10] is showed in Fig.2.Where-3≤x≤10 Relation ρ(f| |,ε)is defined as follows:(x1,x2)∈ρ(f| |,ε)iff |f(x1)-f(x2)| < ε Where ε is any given small real number.We have five approximate solution sets on the nonlinear equation f(x)=0 by ρ(f| |,ε)∧|f(x)|[a,b]max,to denote by granulations [(xi1+xi2)/2],[(xi3+xi4)/2],[(xi5+xi6)/2],[(xi7+xi8)/2] and [(xi9+xi10)/2] respectively,where |f(x)|[a,b]max denotes local maximum on x∈[a,b].This is whole optimum on nonlinear equation in interval [-3,10].We will get best optimization solution on nonlinear equation via computing f(x)to use the five solutions denoted by granulation in one dimension real granular space[2,5].

Development of Novel Water-extraction System with Thermoelectric Module Using Solar and Wind Power in Arid Land

This study aimed to develop a water-extraction system which could produce the fresh water from the air in arid regions and which used renewable energies as the electric power source. In this paper, the experiments for water extraction from the air were carried out by using the novel multi-stage water-extraction device with Peltier deices for two cases of temperature and related humidity of the air. One was the case where the temperature and the related humidity of the air were constant, and the other was the case where they were simulated the variation of the temperature and related humidity of the air in a day of summer and spring in Loess Plateau, China. The effects of the temperature and related humidity of the atmospheric air and supply the electric power to Peltier devices on performance of water production of the device were investigated and reported.

How much has the Sun influenced Northern Hemisphere temperature trends?An ongoing debate

In order to evaluate how much Total Solar Irradiance(TSI)has influenced Northern Hemisphere surface air temperature trends,it is important to have reliable estimates of both quantities.Sixteen different estimates of the changes in TSI since at least the 19th century were compiled from the literature.Half of these estimates are"low variability"and half are"high variability".Meanwhile,five largely-independent methods for estimating Northern Hemisphere temperature trends were evaluated using:1)only rural weather stations;2)all available stations whether urban or rural(the standard approach);3)only sea surface temperatures;4)tree-ring widths as temperature proxies;5)glacier length records as temperature proxies.The standard estimates which use urban as well as rural stations were somewhat anomalous as they implied a much greater warming in recent decades than the other estimates,suggesting that urbanization bias might still be a problem in current global temperature datasets-despite the conclusions of some earlier studies.Nonetheless,all five estimates confirm that it is currently warmer than the late 19th century,i.e.,there has been some"global warming"since the 19th century.For each of the five estimates of Northern Hemisphere temperatures,the contribution from direct solar forcing for all sixteen estimates of TSI was evaluated using simple linear least-squares fitting.The role of human activity on recent warming was then calculated by fitting the residuals to the UN IPCC’s recommended"anthropogenic forcings"time series.For all five Northern Hemisphere temperature series,different TSI estimates suggest everything from no role for the Sun in recent decades(implying that recent global warming is mostly human-caused)to most of the recent global warming being due to changes in solar activity(that is,that recent global warming is mostly natural).It appears that previous studies(including the most recent IPCC reports)which had prematurely concluded the former,had done so because they failed to adequately consider all the relevant estimates of TSI and/or to satisfactorily address the uncertainties still associated with Northern Hemisphere temperature trend estimates.Therefore,several recommendations on how the scientific community can more satisfactorily resolve these issues are provided.

A Survey of Fodder Plants in Mid-altitude Himalayan Rangelands of Uttarakhand,India

Himalayan rangelands, the crucial but by and large the neglected ecosystems, are an integral part of mountain farming systems. The present investigation is based on the extensive survey and collection of mid-altitude range plants from Almora and Champawat districts of Kumaun division in the Uttarakhand Himalaya in India, from September 2003 to June 2007. The rangelands studied were oak types, chirpine types, grass types and mixed ones. Some 300 species of grasses, other herbaceous plants, trees and shrubs were found in the mid-altitude rangelands. A sizeable number of species belonged to the family of Poaceae. The grass-dominated rangelands especially harboured a variety of grass species of good fodder value. The diversity of fodder plants is a proportion of the enormous biodiversity occurring in the parts of the Himalaya. A panorama of the biodiversity emerged in this study, which is of both intangible value and direct value for the livestock- and rangeland- dependent mountain communities, suggests a very high scope of the utilization of this natural and uncultivated biodiversity for supporting livestock- based livelihoods of the region. This biodiversity also has enormous bearing on the cultivated area of the region.

A Multivariable, Two-Dimensional Plot of Electromagnetic, Electric Field and Seismic Information for the Characterization of Earthquake Precursors

Removal of the electrical shielding from a type of Fourier transform seismometer overlays seismic information with Extremely Low Frequency-range (ELF) electromagnetic signals between about 0.3 Hz and 36 Hz (the ITU-designated range of ELF is 3 to 30 Hz). The observed signals originate in the electric power grid, shown clearly by the fact that they are sum and difference heterodyne products with the power grid’s higher harmonics of 60 Hz, typically the 36th and 37th, because the seismometer’s chosen frequency modulation (FM) carrier frequency is roughly 2200 Hz. It is especially interesting that on 2017-03-19, prior to 14:25:12 UTC, the instrument recorded an 11 minute sequence of 20.3 Hz ELF outbursts that culminated intimately with a 3.2 magnitude earthquake located a few miles west of Bardwell KY. These ~20.3 Hz ELF signals, very near the third Schumann resonance frequency, have been recorded numerous times. They are distinctive and fairly strong, ranging 15 to 30 db or more above the noise floor, but definitely not an every-day event;months can pass without them. So far most of these ELF signals do not have an intimately associated earthquake, with the event of 2017-03-19 being one of only two exceptions recorded thus far. That quake’s location was more than one hundred miles from the instrument, in the New Madrid Seismic Zone (NMSZ). The second case, a quake in Kansas, was about three times farther from the instrument, and its ELF signals were correspondingly weaker. Those other, unassociated electromagnetic events might come from quakes too weak to detect, but it should be noted that stronger, easily detected quakes also rarely exhibit any ELF/seismic “connectivity”. This paper describes an instrument that overlays ELF, electric field and seismic signals. The instrument’s two-dimensional (2D) output has a time axis (horizontal) resolution of ~3 seconds and an ELF frequency (vertical) resolution of ~0.3 Hz.

The Origin of Gravity—An Attempt to Answer this Question with the Help of Existing Concepts

In this document an attempt is made to explain the origin of gravity. The basis for the analysis is a merger of Quantum theory and Relativity. Nowhere in the analysis there is any need to deviate from well proven and successful concepts of both theories and rules of calculation, and no exotic new particles will have to be introduced. By doing so it is demonstrated that, next to its local interactions of a multi-particle system, the Schr&oumldinger equation leads to pairs of two and only two members. This solution is used as the invariant term in the “Klein-Gordon” equation which finally leads to gravitational interactions between members of the pairs. With this particular solution for the quantum-mechanical wave function, it is found that gravity is a second order effect operating over a long range. In this document it is tried to give a complete and consistent account of all steps that have been taken in the derivation of the classical Newton’s law. Further, the document emphasizes precise justification of some of the basic assumptions made and how it works out on a cosmological scale. It is also found that the generator of gravity is contributing mass to particles that have gravitational interaction.

UNIVERSAL CRIMINAL JURISDICTION:An option or a legal obligation for States?

I Universal criminal jurisdiction,which is exercised by domestic courts of States,is considered today by some scholars as a panacea for fighting against impunity of perpetrators of the most heinous international crimes worldwide.

A Statistical Evaluation of Uncoupling Protein 1 in the Limited Area of Brown Adipose Tissue by Immunoelectron Microscopy

Uncoupling protein 1 (UCP1) expressed by the brown adipose tissue (BAT) in the mitochondrial crista acts as a homeostatic thermogenerator of eutherians. The evaluation of UCP1 expression in the BAT offers significant scientific insight, especially in studies targeting limited areas such as the periarterial and pericardial regions of small experimental mammals. However, the negligible amount of this adipose tissue would render the general quantitative evaluation of the protein unreliable because of lipid contamination and low protein concentration. To address this problem, we quantitatively evaluated UCP1 expression in the mitochondrion of the mouse interscapular BAT using immunoelectron microscopy and immunohistochemical studies using a combination of primary and secondary antibodies in scheme A (rabbit anti-UCP1 IgG/gold particle-conjugated goat anti-rabbit IgG), B (rabbit IgG/gold particle-conjugated goat anti-rabbit IgG), C (rabbit anti-UCP1 IgG/gold particle-unconjugated goat anti-rabbit IgG), and D (rabbit IgG/gold particle-unconjugated goat anti-rabbit IgG). Scheme A shows the immunopositive reaction of obvious gold particles in the mitochondrial area, whereas other procedures revealed less distinctive reactions. The distinctive gold particle immunoreaction comprised electrical high-density spots with a mean diameter of >5 nm. However, in scheme B, the electrical high-density spots were scattered outside the mitochondrion and were significantly smaller than 4 nm;schemes C and D demonstrated few immunoreactions. Logistic regression analysis between schemes A and B showed that the threshold diameter of the electrical high-density spots measuring >5 nm indicated a true positive immunoreaction to anti-UCP1 antibody specifically in the mitochondrial area. Minor statistical difference was observed in the primary anti-UCP1 antibody between polyclonal IgG and monoclonal antibodies. Therefore, immunoelectron microscopy might be useful for evaluating negligible protein expression in some limited areas, such as UCP1 expression in the BAT of small experimental animals.

Emotional Support and Well-Being of Adults with Congenital Heart Disease (ACHD): Contributions of a Specialist Nursing Service

Living with a congenital heart condition can require a daunting and uncertain patient journey during which the support of a specialist nursing service is vital. A descriptive, cross-sectional evaluation completed over two years, utilised a postal questionnaire to investigate patient’s satisfaction with aspects of service. Qualitative responses to open questions on satisfaction with emotional support (n = 103) and contributions to well-being (n = 90) were analysed using a framework approach which identified eight themes. Professional knowledge and expertise, service accessibility, caring attributes, enabling patients to cope with anxiety, depression and meeting changing needs contributed positively to both patient well-being and emotional support. Family support was influential on emotional support alone, whilst mediating medical liaison exerted an impact on well-being by enhancing feelings of security. In conclusion, the specialist nursing service contributed positively to well-being and emotional support of patients and thereby to selective aspects of continuity of care.

Mean Difference of Truncated Normal Distribution

The purpose of this paper is to broaden the knowledge of mean difference and, in particular, of an important distribution model known as truncated normal distribution, which is widely used in applied sciences and economics. In this work, we obtained the general formula of mean difference, which is not yet reported in literature, for the aforementioned distribution model and also for particular truncated cases.