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Yuan-Yuan Liu Chang-Ping Li Ming-Sheng Huai Xiao-Meng Fu Zhuang Cui Lin-Lin Fan Shu Zhang Yuan Liu Jun Ma Guang Li Zhong-Yang Shen 《PloS one》2015,10(3)
The different choices of immunosuppression (IS) regimens influenced the outcomes of liver transplantation. Steroid was applied as a standard IS to prevent and treat rejections. However, steroid-related complications were increasingly prominent. This study compared the efficacy and safety of standard IS regimens with the efficacy and safety of steroid-free IS regimen and induction IS regimen in Chinese liver transplantation recipients for hepatocellular carcinoma (HCC). A total of 329 patients who underwent liver transplantation from January 2008 to December 2012 were retrospectively reviewed. Three different groups of patients received standard triple-drug IS regimen of steroid, tacrolimus (TAC) and mycophenolate mofetil (MMF) (triple-drug regimen group; n=57), induction-contained IS regimen of basiliximab, steroid, TAC and MMF (BS group; n=241), and induction-contained and steroid-free regimen of basiliximab, TAC and MMF (SF group; n=31), respectively. There were no significant differences in terms of patient, tumor-free and graft survival rates. The acute rejection rate and rejection time were equivalent in different groups. But compared with BS group, higher incidences of biliary complications (11.52% vs. 30.77%, p=0.013) and graft dysfunction (0.48% vs. 13.64%, p=0.003) were observed in SF group. Furthermore, compared with the two groups, incidence of pleural effusion was also higher in SF group (15.79%, 11.96% vs. 45.45%, respectively, both p<0.01). And a trend towards less proportion of De novo diabetes was revealed in SF group. Although it was found that patient, tumor-free and graft survival rates were equivalent among three IS regimens, higher incidences of complications were demonstrated in steroid-free regimen in patients for HCC. These findings suggested that steroid-free IS regimen has no clear advantages in comparison with standard IS regimens for liver transplant recipients with HCC and the postoperative complications should be treated with concentrated attention. 相似文献
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Background and objective
Cigarette smoking may increase the risk of developing pancreatic cancer, although its impact on pancreatitis has only been discerned in recent years. However, the results of previous studies differ. We performed a meta-analysis to provide a quantitative pooled risk estimate of the association of cigarette smoking with pancreatitis.Method
A literature search of the MEDLINE and Embase databases was conducted, and studies were selected that investigated the association of cigarette smoking with pancreatitis. Summary relative risks (RRs) with 95% confidence intervals (CIs) were pooled using a random-effects model.Results
Twenty-two studies were included. The summary RRs (95% CI) associated with ever, current and former smokers for acute and chronic pancreatitis (AP/CP) were as follows: 1.51 (1.10, 2.07)/3.00 (1.46, 6.17), 1.42 (1.08, 1.87)/2.72 (1.74, 4.24), and 1.22 (0.99, 1.52)/1.27 (1.00, 1.62), respectively. Moreover, studies that analyzed both AP and CP were also summarized: 1.73 (1.18, 2.54) for ever smokers, 1.67 (1.03, 2.68) for current smokers and 1.56 (1.16, 2.11) for former smokers, respectively. There was no evidence of publication bias across the studies.Conclusion
The evidence suggests a positive association of cigarette smoking with the development of pancreatitis. It is possible that smoking cessation may be a useful strategy for the management of pancreatitis. 相似文献6.
海南尖峰岭热带山地雨林60ha动态监测样地群落结构特征 总被引:2,自引:0,他引:2
热带山地雨林是海南岛最占优势的植被类型,以往对热带山地雨林的研究通常基于小尺度,缺乏大尺度上的长期固定样地监测。作者基于海南岛尖峰岭地区60 ha(1,000 m×600 m)植被动态监测大样地,详细描述了该样地所属典型热带山地雨林的群落结构特征,以期为更深入地揭示我国热带雨林地区的物种多样性及其维持机制提供背景资料。尖峰岭大样地20 m×20 m样方水平上海拔和坡度分别在866.3–1,016.7 m和1.7°–49.3°间变化。大样地内共记录到439,676株存活的胸径≥1.0 cm的乔灌木植株,除61个植株未确定种名外,其他分属于62科155属290种。单位面积植株密度为0.7328株/m2(含萌条和分枝),20 m×20 m尺度上单位面积物种数量为32–120种,平均80种。植物属区系成分以热带性质为主,共有136属,占总属数的88.3%;另有鼠李科鼠李属(Rhamnus)为世界分布,木兰科拟单性木兰属(Parakmeria)为中国特有分布。按物种重要值排序,大样地内最具优势(重要值大于2.0)的6个种分别为:大叶蒲葵(Livistona saribus)、白颜树(Gironniera subaequalis)、厚壳桂(Cryptocarya chinensis)、油丹(Alseodaphne hainanensis)、四蕊三角瓣花(Prismatomeris tetrandra)和海南韶子(Nephelium topengii)。优势科为樟科、壳斗科、茜草科和棕榈科,重要值均超过了5.0。取样面积达到7.5 ha或取样数量达到2万株时,计数到的物种数量达到261种,占总物种数量的90.0%。大样地内稀有种和偶见种各占所有物种的20.7%和37.6%。样地内所有个体平均胸径5.22 cm,植株径级分布呈明显的倒"J"形。本文为后续尖峰岭大样地的研究提供了背景资料,尖峰岭大样地的建立也为热带地区生物多样性长期变化监测提供了一个基础平台。 相似文献
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Long‐term balanced fertilization increases the soil microbial functional diversity in a phosphorus‐limited paddy soil 下载免费PDF全文
Kai Xue Huai‐Ying Yao John Quensen Shi‐Jie Bai Wen‐Xue Wei Jin‐Shui Wu Jizhong Zhou James M. Tiedje Yong‐Guan Zhu 《Molecular ecology》2015,24(1):136-150
The influence of long‐term chemical fertilization on soil microbial communities has been one of the frontier topics of agricultural and environmental sciences and is critical for linking soil microbial flora with soil functions. In this study, 16S rRNA gene pyrosequencing and a functional gene array, geochip 4.0, were used to investigate the shifts in microbial composition and functional gene structure in paddy soils with different fertilization treatments over a 22‐year period. These included a control without fertilizers; chemical nitrogen fertilizer (N); N and phosphate (NP); N and potassium (NK); and N, P and K (NPK). Based on 16S rRNA gene data, both species evenness and key genera were affected by P fertilization. Functional gene array‐based analysis revealed that long‐term fertilization significantly changed the overall microbial functional structures. Chemical fertilization significantly increased the diversity and abundance of most genes involved in C, N, P and S cycling, especially for the treatments NK and NPK. Significant correlations were found among functional gene structure and abundance, related soil enzymatic activities and rice yield, suggesting that a fertilizer‐induced shift in the microbial community may accelerate the nutrient turnover in soil, which in turn influenced rice growth. The effect of N fertilization on soil microbial functional genes was mitigated by the addition of P fertilizer in this P‐limited paddy soil, suggesting that balanced chemical fertilization is beneficial to the soil microbial community and its functions. 相似文献
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Until the end of last century, scientists began to show their concern about greenhouse gas emission from reservoirs and questioned the “green credential” of hydroelectric dams since then. Through measurements along the channel of the TGR, an unexpectedly low CH4 emission rate was recently observed from the surface of the TGR, much lower than our assumed estimate before. Moreover, the rate from the TGR is lower than that from many hydroelectric reservoirs. One possible reason for such a low emission rate is that lack of substrates supplied by decomposed vegetation limits the CH4 production in the sediment of the TGR because of vegetation clearance since 2002 before impounding, whose primary purpose is to conserve the water quality. These results indicated that TGR is not a hotspot of CH4 emission. On a broader sense, it also indicated that removal of flooded vegetation would help to decrease CH4 emission from dam reservoirs before impounding, especially in the drawdown area. 相似文献
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京津水源区小流域土壤侵蚀空间模拟 总被引:3,自引:0,他引:3
针对京津水源区生态环境脆弱、水土流失空间分异大、突发性强等问题,以河北省平泉县东北沟典型小流域为例,采用GIS技术与CSLE模型对其土壤侵蚀进行二维空间模拟及侵蚀规律研究,并对模型模拟精度进行验证.结果表明:模型确定性系数>0.85,模拟结果可信度高;小流域侵蚀模数为2359.24t·km-2·a-1,属于轻度侵蚀,侵蚀主要源于15°以上坡面,占侵蚀总量的92.1%;土壤侵蚀模数随坡度先逐渐增加,当坡度>45°时,土壤侵蚀模数有减小的趋势;土壤侵蚀模数空间异质性显著,坡耕地侵蚀模数最大,为6112.90tkm-2·a-1;荒草地占总面积33.2%,侵蚀量却达总量的74.9% ;59.3%的侵蚀来自阳坡和半阳坡,而阴坡半阴坡仅占流域侵蚀量的16.2%.研究为利用CSLE模型对小流域土壤侵蚀进行空间模拟提供技术范例,为京津水源区土壤侵蚀规律研究及水土保持生态建设提供科学参考. 相似文献
10.
Until the end of last century, scientists began to show their concern about greenhouse gas emission from reservoirs and questioned the “green credential” of hydroelectric dams since then. Through measurements along the channel of the TGR, an unexpectedly low CH4 emission rate was recently observed from the surface of the TGR, much lower than our assumed estimate before. Moreover, the rate from the TGR is lower than that from many hydroelectric reservoirs. One possible reason for such a low emission rate is that lack of substrates supplied by decomposed vegetation limits the CH4 production in the sediment of the TGR because of vegetation clearance since 2002 before impounding, whose primary purpose is to conserve the water quality. These results indicated that TGR is not a hotspot of CH4 emission. On a broader sense, it also indicated that removal of flooded vegetation would help to decrease CH4 emission from dam reservoirs before impounding, especially in the drawdown area. 相似文献