早期乳腺癌保乳手术与改良根治手术的临床效果比较

目的：比较早期乳腺癌保乳手术与改良根治手术的临床效果,探讨治疗早期乳腺癌的最佳手术方案。方法：选择早期乳腺癌患者138例,根据自愿的原则,分为保乳组（Bcs）和根治组（MRS）,保乳组采取保乳手术方案,根治组采用改良根治手术方案,比较两组患者手术时间、术中出血量、切口长度、住院时间、术后并发症、美容效果满意率及患者预后情况。结果：两组患者手术时间、术中出血量、切口长度、住院时间、术后并发症、美容效果满意率比较,差异具有（高度）统计学意义（P〈0．01,P〈0．05）;术后12个月、18个月和24个月复发或死亡例数比较,差异无统计学意义（P〉0．05）。结论：早期乳腺癌患者外科手术治疗时,应首选保乳手术方式治疗。     

改良手术方法在腮腺肿瘤手术中的运用

目的:改良腮腺肿瘤手术方法,以期最大程度恢复术后患者美容及功能。方法:采用以下改良术式:①采用隐蔽的面部除皱切口,避免了常规术式的颈部切口;②采用总干法解剖面神经,减少了面神经周围支损伤的机率;③保留耳大神经,避免术后耳垂麻木;④采用口腔修复膜,减少了术后Frey综合征的发生;⑤采用蒂在上方的胸锁乳突肌肌瓣填塞腮腺切除后的凹陷区,避免了常规术式后的面部畸形。结果:采用该方法对36例患者行腮腺切除术,术后随访6月～4年,患者面部疤痕不明显,外形恢复良好,无面瘫,无Frey综合征出现。结论:改良的腮腺切除术克服了传统术式的缺陷,值得进一步推广和普及。     

Estimation of Heritability in Heteroscedastic One‐Way Unbalanced Random Model

A modified estimator of heritability is proposed under heteroscedastic one way unbalanced random model. The distribution, moments and probability of permissible values (PPV) for conventional and modified estimators are derived. The behaviour of two estimators has been investigated, numerically, to devise a suitable estimator of heritability under variance heterogeneity. The numerical results reveal that under balanced case the heteroscedasticity affects the bias, MSE and PPV of conventional estimator, marginally. In case of unbalanced situations, the conventional estimator underestimates the parameter when more variable group has more observations and overestimates when more variable group has less observations, MSE of the conventional estimator decreases when more variable group has more observations and increases when more variable group has less observations and PPV is marginally decreased. The MSE and PPV are comparable for two estimators while the bias of modified estimator is less than the conventional estimator particularly for small and medium values of the parameter. These results suggest the use of modified estimator with equal or more observations for more variable group in presence of variance heterogeneity.     

Two sequential phosphates 3' adjacent to the 8-oxoguanosine are crucial for lesion excision by E. coli Fpg protein and human 8-oxoguanine-DNA glycosylase

Escherichia coli formamidopyrimidine-DNA glycosylase (Fpg) and human 8-oxoguanine-DNA glycosylase (hOGG1) are base excision repair enzymes involved in the 8-oxoguanine (oxoG) repair pathway. Specific contacts between these enzymes and DNA phosphate groups play a significant role in DNA-protein interactions. To reveal the phosphates crucial for lesion excision by Fpg and hOGG1, modified DNA duplexes containing pyrophosphate and OEt-substituted pyrophosphate internucleotide (SPI) groups near the oxoG were tested as substrate analogues for both proteins. We have shown that Fpg and hOGG1 recognize and specifically bind the DNA duplexes tested. We have found that both enzymes were not able to excise the oxoG residue from DNA containing modified phosphates immediately 3' to the 8-oxoguanosine (oxodG) and one nucleotide 3' away from it. In contrast, they efficiently incised DNA duplexes bearing the same phosphate modifications 5' to the oxodG and two nucleotides 3' away from the lesion. The effect of these phosphate modifications on the substrate properties of oxoG-containing DNA duplexes is discussed. Non-cleavable oxoG-containing DNA duplexes bearing pyrophosphate or SPI groups immediately 3' to the oxodG or one nucleotide 3' away from it are specific inhibitors for both 8-oxoguanine-DNA glycosylases and can be used for structural studies of complexes comprising a wild-type enzymes bound to oxoG-containing DNA.     

A non-iterative confidence interval estimating procedure for the intraclass kappa statistic with multinomial outcomes

We obtain the asymptotic sample variance of the intraclass kappa statistic for multinomial outcome data. A modified Wald type procedure based on this theory is then used for confidence interval construction. The results of a simulation study show that the proposed non-iterative approach performs very well in terms of confidence interval coverage and width for samples as small as 50. The procedure is illustrated with two examples from previously published medical studies.     

Electrochemical study of the interaction between cytochrome c and DNA at a modified gold electrode

The direct electron transfer of surface-confined horse heart cytochrome c (Cyt c) was achieved using COOH-terminated alkanethiolate-modified gold electrode. Later DNA was immobilized on the two-layer modified electrode. The quantitative determination of DNA was explored and the interaction between cytochrome c and DNA was studied. The binding site sizes were determined to be 15 bp per Cyt c molecule with double-stranded (ds) DNA and 30 nucleotides binding one Cyt c molecule with single-stranded (ss) DNA. At the dsDNA/Cyt c/MUA/Au electrode, the rate constant of oxidation electron transfer k(s,ox)=1.59x10(-3)cms-1 was obtained, at the ssDNA/Cyt c/MUA/Au electrode, the value was 2.43x10(-3)ms-1 when the scan rate was 1.0V/s. The different electrodes were characterized with electrochemical quartz crystal microbalance and atomic force microscope.     

Precise blood lead analysis using a combined internal standard and standard addition approach with disposable screen-printed electrodes

We report here a highly accurate and efficient method for blood lead analysis (BLA) through the use of a disposable electrode. A new type of mercury-plated preanodized screen-printed carbon electrode, together with a thallium(III) internal standard, simplifies calibration and gives easily quantifiable signals for accurate BLA. A preanodization procedure improves the preconcentration ability of the working electrode through the effect of lead (Pb) complexing with an electrogenerated surface functional group, mainly >C=O. Under optimized conditions, the ratio of the anodic stripping peak currents of Pb and Tl (i.e., i(Pb)/i(Tl)) is linear against [Pb] in the window of 1-300 ppb with a correlation coefficient and detection limit (signal-to-noise ratio=3) of 0.999 and 0.23 ppb, respectively. This approach was used to analyze blood samples (n=55) from workers at a local battery factory. The results are consistent with those obtained from graphite furnace atomic absorption spectroscopy and confirm the applicability of the proposed method.     

Salicylate poly(vinyl chloride) membrane electrode based on (2-[(E)-2-(4-nitrophenyl) hydrazono]-1-phenyl-2-(2-quinolyl)-1-ethanone) Cu(II)

A new salicylate-selective electrode based on the complex of (2-[(E)-2-(4-nitrophenyl)hydrazono]-1-phenyl-2-(2-quinolyl)-1-ethanone) Cu(II) as the membrane carrier was developed. The electrode exhibited a good Nernstian slope of -59.6+/-1.0 mV/decade and a linear range of 1.0 x 10(-6) to 1.0M for salicylate. The limit of detection was 5.0 x 10(-7) M. The electrode had a fast response time of 10 s and can be used for more than 3 months. The selective coefficients were determined by the fixed interference method and could be used in the pH range of 4.0 to 10.5. The electrode was employed as an indicator electrode for direct determination of salicylate in pharmaceutical and biological samples.     

Organolanthanide constrained geometry complexes modified for catalysis: synthesis, structure, and aminoalkene hydroamination properties of a pyrrolidine-substituted constrained geometry organolutetium complex

The reaction of the organolutetium complex (CGC′)LuCl₃Li₂(THF), (1; CGC′ = [Me₂Si(3-pyrrolidinyl-1-η⁵-indenyl)(^tBuN)]²⁻) with NaN(TMS)₂ provides a straightforward route to the halide-free organolutetium amido complex, (CGC′)LuN(TMS)₂(THF) (2). These new complexes were characterized by standard analytical methodology. The monomeric complex 2 crystallizes in the monoclinic space group P2₁/c with four molecules in a cell of dimensions a = 11.1566(6) Å, b = 14.9805(8) Å, c = 22.18007(12) Å, and β = 90.0620(10)°. Complex 2 is an active precatalyst for the intramolecular hydroamination/cyclization of representative aminoalkenes with turnover frequencies as high as 205 h⁻¹ at room temperature.     

Small-sample inference for the comparison of means of log-normal distributions

We propose a likelihood-based test for comparing the means of two or more log-normal distributions, with possibly unequal variances. A modification to the likelihood ratio test is needed when sample sizes are small. The performance of the proposed procedures is compared with the F-ratio test using Monte Carlo simulations.