非小细胞肺癌术后并发乳糜胸对患者生活质量影响的研究

目的:探讨非小细胞肺癌术后并发乳糜胸对患者生活质量的影响。方法:采用生活质量测定量表(QLQ-C30)回顾性分析第四军医大学唐都医院胸外科自2013年至2016年中收治的1015例肺癌手术患者的生活质量,发生乳糜胸组记为A组,未发生乳糜胸组记为B组。对比术前和术后1、3、6和12个月的生活质量有无统计学差异。结果:(1)术后1月时,除了社会功能、便秘、腹泻以外,两组生活质量指标评分均显著低于术前,且B组均显著低于A组,有统计学差异(表3,P0.05)。在手术后3月及以后逐渐恢复,至12月时,各组指标与术前基本相同(表3,P0.05);(2)两组术后生活质量相比较,术后1、3月,除社会功能、便秘、腹泻以外,其余生活质量功能指标B组均显著优于A组,有统计学差异(表3,P0.05)。在手术后6月及以后,B组所有指标与A组无统计学差异(表3,P0.05)。结论:肺癌根治术后发生乳糜胸患者生活质量显著低于未发生乳糜胸患者,因此应合理选择手术方式,注意术中操作,降低乳糜胸发生率,提高肺癌患者术后的生活质量。     

Assessing regional sustainable development through an integration of nonlinear principal component analysis and Gram Schmidt orthogonalization

The regional sustainable development level (SDL), sustainability of regional development (SRD) and system coordination (SC) make up the triangular truss of regional sustainable development assessment, but it is debated how should traditional practice best weight and calculate the whole sustainable development system level. The Bohai Rim, covering three provinces and two municipalities in China, lies in a region that is sensitive to profound conflict between socioeconomic development and environment pollution in the process of sustainable development. Considering the defects of traditional models and the multidimensionality of regional sustainability issues, we proposed an integrated model of nonlinear principal component analysis and Gram Schmidt orthogonalization and presented a novel regional sustainable development assessment method and framework from three perspectives for the society–economy–environment system of the Bohai Rim region. The results show that: (a) the integration of nonlinear principal component analysis and Gram Schmidt orthogonalization can well remedy the defects of traditional methods and provide a more objective conceptual framework; (b) the sustainability of regional development and system coordination models graphically demonstrate the essence and connotation of a dynamic sustainable development system; (c) the empirical study demonstrated that the Bohai Rim region has experienced a distinct development period in which the SRD experienced a steady decline and the SDL and SC generally increased; (d) the coordination ability can be improved by a decline in the environmental sustainability, which reveals the importance of environment subsystem optimization; and (e) the weight distribution of variables demonstrates that the most significant factors affecting sustainable development are the indicators from the dimensions of people's standard of living, economic structure and environmental pollution. This study enriches the sustainable development assessment theory and methodology, and lays the foundation for further sustainable development research in the Bohai Rim region.     

Physical and chemical variability in sugarcane fields infested with the red-striped soft scale insect,Pulvinaria Tenuivalvata (Newstead)

The red-striped soft scale insect Pulvinaria tenuivalvata (Newstead) (Hemiptera: Coccidae) started to infest sugarcane plants (Saccharum officinarum L.) in different districts in Egypt during the last decade. The percentage of infestation was recorded in El-Wakf area, Qena Governorate (Naghhamadi mill zone) Upper Egypt in some fields. There are three levels of infestation, low, intermediate and high. From these fields, samples were selected for physical and chemical studies. The results obtained show that the stalks of infested plants decreased in weight, the sugar content (glucose and sucrose) drastically reduced and as the percentage of infestation increased the percentage of glucose and sucrose content significantly decreased. The primary and secondary humidity and the cellulose content also increased in the healthy plants compared to the infested ones. All the physical character of the infested plants was significantly affected in comparison with the healthy ones.     

Post-translational heterogeneity of the human vitamin D-binding protein (group-specific component)

The vitamin D-binding protein in human serum (the group-specific component) is an alpha 2-globulin which is genetically polymorphic in all populations studied. Previous work (J. Svasti and B. H. Bowman (1978) J. Biol. Chem. 253, 5188-5194, and J. Svasti, A. Kurosky, A. Bennett, and B. H. Bowman (1979) Biochemistry 18, 1611-1617) has shown that the electrophoretic variations of the proteins controlled by two allelic genes, Gc1 and Gc2, are due to at least three amino acid substitutions between Gc1 and Gc2 (Svasti et al. (1979] and to heterogeneity in the Gc1 phenotype arising from carbohydrate dissimilarities. Gc1 migrates electrophoretically as two protein bands, while Gc2 migrates cathodally as a single band. This study demonstrates a post-translational glycosylation difference occurring in a single area of the Gc1 sequence which accounts for the heterogeneity observed previously. The glycosylation site, a threonine residue, appears to be in a sequence which differs between Gc1 and Gc2. The O-glycosidic bond, which is typical of mucins, is rare in plasma proteins. The cyanogen bromide fragment containing the galactosamine-containing carbohydrate in Gc1 was partially sequenced through 20 residues from the amino terminus. No detectable galactosamine could be found in the homologous cyanogen bromide fragment in Gc2. A new purification procedure for the vitamin D-binding protein in human plasma has been developed. Three chromatographic steps provide purified protein.     

A transient species of poly(A)+ RNA detected by a myosin heavy chain cDNA probe in muscle cell culture during terminal differentiation

Primary cell cultures were prepared from breast muscles of 11 day 4 hour-embryonic chicks. Cytoplasmic RNAs were isolated from the cultured cells at various time intervals from day 3 to day 8. A [P32] DNA probe complementary to messenger RNA of myosin heavy chain was used to hybridize with the RNAs after gel electrophoresis. A transient species of polyadenylated RNA with a decreased mobility in electrophoresis was detected during a period of time when contractions of syncytial fibers were first observed.     

Progesterone antagonism of androgen-dependent marking in gerbils

The role of progesterone (P) as an androgen antagonist in Mongolian gerbil territorial marking was assessed in the present investigation. Twenty-seven mature males were observed for two consecutive weeks in a marking apparatus. On the basis of the average of the two sessions, subjects were matched and assigned to one of three groups. All animals were orchidectomized and tested three weeks after surgery. Three days after a single postoperative session a schedule of hormonal replacement was initiated. Group 1 was administered 640 μg testosterone propionate (TP). Group 2 received 640 μg TP followed immediately by 3 mg P. A third group received 640 μg TP followed by a 1 mg injection of P. Subjects were tested for marking 24 hr after the injection for a cumulative period of 6 wk.Results indicated that (a) castration drastically reduced marking; (b) TP alone and TP + 1 mg P restored the behavior; (c) TP + 3 mg P inhibited its restoration; and (d) a significant interaction was present between hormonal therapy and the 6-wk testing interval. However, all three hormonal treatments restored sebaceous gland dimensions. Results are discussed in terms of a model of hormone-gene action.     

A semiautomated fluorometric determination of 5-hydroxyindoles in the nanogram range

Automated determinations of 5-hydroxytryptamine and its main metabolite, 5-hydroxyindoleacetic acid, have been described (Technicon autoanalyzer). The determinations are based on an extraction procedure from deproteinized tissue extracts or cerebrospinal fluid by means of butanolheptane mixtures. The indoles are transferred from the organic phase to a water phase and determined fluormetrically with the cysteine-o-phthaldialdehyde method. The method is highly sensitive: solutions containing 1 ng/ml can be reproducibly determined. Twenty samples per hour can be passed through the system. The determination of both 5-hydroxyindoles is performed with the same manifold.     

The structure of 180° supernumerary limbs and a hypothesis of their formation

The results of a detailed analysis of 100 supernumerary limbs generated by 180° ipsilateral rotation (on the same limb stump) of regeneration blastemas is presented. The limbs were analyzed in terms of their position of origin, frequency, cartilage structure by Victoria blue staining, and muscle structure by serial sections. Single, double, or triple supernumeraries can be produced at no unique position of origin, although the posterodorsal quadrant was preferred. Four classes of supernumerary limbs were generated by such operations—normal; double dorsal or double ventral; part normal/part mirror imaged; part normal/part inverted in approximately equal frequencies. After amputation of these supernumeraries the same muscle patterns are faithfully regenerated. A hypothesis to explain the production of these abnormal limbs is proposed based on the observed phenomenon of fusion of supernumerary blastemata, but their regenerative behaviour presents problems for current models of pattern formation. Similar results have been obtained with developing limb buds and the relation between development and regeneration is discussed.