两种不同术式对老年股骨颈骨折治疗对比

目的：探讨全髋关节置换术与股骨头置换术治疗对比。方法：回顾性的分析对2007年1月-2008年12月年我院接收的70例60岁以上的老年股骨颈骨折的进行股骨头置换和全髋关节置换两组不同手术方式的临床资料。结果：两组股骨颈骨折治疗的手术时间、住院时间及术后并发症及治疗效果无明显统计学差异,两组术后半年到一年半的Harris评分较术前评分有显著的统计学意义。结论：人工股骨头置换术和髋关节置换是治疗老年股骨颈骨折的有效方法,可根据患者的自身情况、疾病特点等选择不同术式。     

The molecular markers of cancer stem cells in head and neck tumors

Head and neck cancer (HNC) is the six most common malignancy worldwide leading to more than 350,000 deaths annually. Despite recent advances in treatment modalities for these patients, there has been only a slight improvement of prognosis. As cancer stem cells (CSCs) have been implicated in tumor cell survival, progression, and response to therapy, the identification of this tumor subpopulation would have important therapeutic and prognostic implications. In this structured appraisal of the literature, Embase, PubMed, and Ovid were searched for publications that investigated CSC markers of HNC in humans. The search was conducted under the PRISMA guidelines with clear inclusion and exclusion criteria for articles published in the last two decades. The review process resulted in the identification of some key CSC-associated molecules such as CD44, ALDH1, CD133, Oct3/4, Nanog, and Sox2, although a single common CSC sorting marker could not be found. These biomarkers were identified in a range of HNCs but the most common one was squamous cell carcinoma (SCC), predominantly oral SCC. Patient cohorts were of variable size (3–195 individuals) and the most common technique used for detection was immunohistochemistry. Some of the molecules were associated with poor prognosis and may be able to inform the choice of appropriate treatment for these patients.     

Genetic alterations associated with 18F-fluorodeoxyglucose positron emission tomography/computed tomography in head and neck squamous cell carcinoma

BackgroundWe investigated the relationship between genetic alterations and ¹⁸F-FDG PET/CT findings in head and neck squamous cell carcinoma (HNSC).MethodsUsing mRNA-sequences of HNSC samples (480 patients) from the Cancer Genome Atlas (TCGA) portal, gene coexpression networks were constructed via a weighted correlation network analysis (WGCNA) algorithm, and their association with the tumor-to-blood signal ratio on ¹⁸F-FDG PET/CT data (21 patients) was explored. An elastic-net regression model was developed to estimate the PET tumor-to-blood ratio from the gene networks and to derive an FDG signature score (FDG_SS). The FDG_SS was evaluated with regard to clinical variables and general mutational profiles, as well as alterations to oncogenic signaling pathways.FindingsThe FDG_SS values differed across clinical stages (p = 0.027), HPV-status (p< 0.001), and molecular subtypes of HNSC (p< 0.001). Multivariate Cox regression demonstrated that FDG_SS was an independent predictor for overall (p = 0.019) and progression-free survival (p = 0.024). FDG_SS positively correlated with total mutation rate (p = 0.016), aneuploidy (p < 0.001), and somatic copy number alteration scores (p < 0.001). CDKN2A in the cell cycle pathway (q = 0.014) and the TP53 gene in the TP53 pathway (q = 0.005) showed significant differences between high and low FDG_SS patients.ConclusionFDG_SS based on the gene coexpression network was associated with the mutational landscape of HNSC. ¹⁸F-FDG PET/CT is therefore a valuable tool for the in vivo imaging of these cancers, being able to visualize the glucose metabolism of the tumor and allow inferences to be made on the underlying genetic alterations in the tumor.     

The S1 split signal of photosystem II; a tyrosine-manganese coupled interaction

Detailed optical and EPR analyses of states induced in dark-adapted PS II membranes by cryogenic illumination permit characterization and quantification of all pigment derived donors and acceptors, as well as optically silent (in the visible, near infrared) species which are EPR active. Near complete turnover formation of Q_A⁻ is seen in all centers, but with variable efficiency, depending on the donor species. In minimally detergent-exposed PS II membranes, negligible (< 5%) oxidation of chlorophyll or carotenoid centers occurs for illumination temperatures 5-20 K. An optically silent electron donor to P680⁺ is observed with the same decay kinetics as the S₁ split signal. Cryogenic donors to P680⁺ seen are: (i) transient (t_1/2 ∼ 150 s) tyrosine related species, including ‘split signals’ (∼ 15% total centers), (ii) reduced cytochrome b₅₅₉ (∼ 30-50% centers), and (iii) an organic donor, possibly an amino acid side chain, (∼ 30% centers).     

Effects of head shape variation on growth, metamorphosis and survivorship in larval salamanders (Hynobius retardatus)

The effects of head shape variation on growth and metamorphosis in larval salamander (Hynobius retardatus) were examined by a laboratory experiment and a field experiment. In the laboratory experiment, each larva was fed equal amounts and was prevented from accessing others in both the solitary and group treatments, although chemical cues could be transmitted through water in the group treatment. The relative head width of larvae became larger in the group treatment during the early periods but having a large head width did not finally influence growth rate and days for metamorphosis. In the field experiment, larvae were allowed to contact each other directly in two density conditions. The enlarged relative head width was linked to high growth rate in the high-density treatment but not in the low-density treatment. The larval body size distribution in the high-density condition tended to be smaller, and there was a small proportion of large-sized individuals with a broad head width. Moreover, the small number of large larvae metamorphosed much earlier than the others. The mortality of larvae in high-density conditions was much higher than that in the low-density treatments. This would be a consequence of cannibalism in the high-density condition. From the experimental results obtained, it is argued that for the larvae of H. retardatus having a large head is an adaptive tactic that maximizes fitness, particularly in temporary ponds with an unpredictable environment and in crowded conditions.     

Insights into the role of components of the tumor microenvironment in oral carcinoma call for new therapeutic approaches

The research on oral cancer has focused mainly on the cancer cells, their genetic changes and consequent phenotypic modifications. However, it is increasingly clear that the tumor microenvironment (TME) has been shown to be in a dynamic state of inter-relations with the cancer cells. The TME contains a variety of components including the non-cancerous cells (i.e., immune cells, resident fibroblasts and angiogenic vascular cells) and the ECM milieu [including fibers (mainly collagen and fibronectin) and soluble factors (i.e., enzymes, growth factors, cytokines and chemokines)]. Thus, it is currently assumed that TME is considered a part of the cancerous tissue and the functionality of its key components constitutes the setting on which the hallmarks of the cancer cells can evolve. Therefore, in terms of controlling a malignancy, one should control the growth, invasion and spread of the cancer cells through modifications in the TME components. This mini review focuses on the TME as a diagnostic approach and reports the recent insights into the role of different TME key components [such as carcinoma-associated fibroblasts (CAFs) and inflammation (CAI) cells, angiogenesis, stromal matrix molecules and proteases] in the molecular biology of oral carcinoma. Furthermore, the impact of TME components on clinical outcomes and the concomitant need for development of new therapeutic approaches will be discussed.     

Quantification of plantar soft tissue changes due to aging in various metatarsophalangeal joint angles with realistic tissue deformation

The nonlinearity of plantar soft tissue is seldom examined because of the small extent of deformation induced during indentation for measurement purposes. Furthermore, in most indentation experiments, the metatarsophalangeal joint (MTPJ) angle is not well controlled, although it has been proven to have a significant stiffening effect on sub-metatarsal head (MTH) pads. Hence, the study aims to quantify changes in the mechanical properties of plantar soft tissue due to aging under an experimental condition which is similar to walking. This is done by subjecting the tissue to an appropriate level of deformation at various MTPJ angles. A custom-made in vivo tissue indenter was used to measure directly the force-indentation response of the plantar tissue of two healthy groups: “Young” (n=25, mean age 22) and “Elderly” (n=25, mean age 67) subjects. Tests were performed on the 2nd sub-MTH pad at angles of 0°, 20°, 40° MTPJ dorsiflexion, as well as at the hallux and heel pad at 0° MTPJ angle. At all three plantar sites tested, elderly subjects showed significantly higher tissue stiffness than the young (p<0.05). However, the stiffening effect of MTPJ angle was not notably influenced by aging. In this work, tissue stiffness is quantified in stiffness constant (K) based on the proposed indentation technique. It is hypothesized that the increase in stiffness with age observed is probably due to compositional change in the plantar soft tissue.     

Under pressure: morphological and ecological correlates of bite force in the rock‐dwelling lizards Ouroborus cataphractus and Karusasaurus polyzonus (Squamata: Cordylidae)

Rock‐dwelling lizards are hypothesized to be highly constrained in the evolution of head morphology and, consequently, bite force. Because the ability to generate a high bite force might be advantageous for a species' dietary ecology, morphological changes in head configuration that allow individuals to maintain or improve their bite force under the constraint of crevice‐dwelling behaviour are to be expected. The present study addressed this issue by examining head morphology, bite force, and a number of dietary traits in the rock‐dwelling cordylid lizards Ouroborus cataphractus and Karusasaurus polyzonus. The results obtained show that O. cataphractus has a larger head and higher bite force than K. polyzonus. In K. polyzonus, head width, lower jaw length, and jaw closing‐in lever are the best predictors of bite force, whereas head height is the main determinant of bite force in O. cataphractus. Although the observed difference in bite force between the species does not appear to be related to dietary patterns or prey handling, the prey spectrum available for intake was greater in O. cataphractus compared to K. polyzonus. We discuss the influence of interspecific differences in anti‐predator morphology on head morphology and bite force in these rock‐dwelling species. © 2014 The Linnean Society of London, Biological Journal of the Linnean Society, 2014, 111, 823–833.