Application of pylorus-preserving gastrectomy in surgical treatment for early gastric cancer and interpretation of guidelines and consensus

Endoscopic resection (ER) and laparoscopic surgery are the main methods for treatment of early gastric cancer (EGC). Radical gastrectomy(RG) and lymph node dissection are required for the patients who don’t meet the indications of ER, but it may cause postoperative stomach dysfunction and reduce quality of life (QOL). Pylorus-preserving gastrectomy (PPG) is one of the function-preserving gastrectomy for EGC. The short-term complications of PPG are equal to that of RG and it is also beneficial to long-term nutritional status and QOL. The 5-year survival rate of PPG is similar to that of distal subtotal gastrectomy (DSG) according to a retrospective study of the matched cohort. But delayed gastric emptying (DGE) is a common problem in the short and long term after PPG. The limited lymph node dissection of PPG makes its application not widely promoted. Sentinel node navigation surgery (SNNS) may provide more personalized and minimally invasive surgery, in order to preserve the gastric function to the maximum extent

Preparation and Photocatalytic Performance of Ti 3

Ti3C2/TiO2/CuO nanocomposites were synthesized via the decomposition of a mixture of Ti3C2 (a novel two-dimensional carbide) and cupric nitrate under an argon atmosphere. The morphology and structures of the obtained samples were characterized. X-ray diffraction and energy dispersive spectrometer analysis indicate that the sample is composed of Ti3C2, anatase-TiO2, and CuO. Scanning electron microscopy images show that CuO and TiO2 nanoparticles were evenly distributed on the surface of Ti3C2. The particles size increased with an increase in the cupric nitrate content. Photocatalytic degradation of methyl orange shows that the Ti3C2/TiO2/CuO nanocomposite has good photocatalytic degradation efficiency. A possible photocatalytic mechanism of the Ti3C2/TiO2/CuO nanocomposites was proposed. The data indicated that CuO and Ti3C2 effectively promote the separation of photoelectrons from vacancies

Mantle Flow Underneath the South China Sea Revealed by Seismic Anisotropy

It Has Long Been Established that Plastic Flow in the Asthenosphere Interacts Constantly with the overlying Lithosphere and Plays a Pivotal Role in Controlling the Occurrence of Geohazards Such as Earthquakes and Volcanic Eruptions. Unfortunately, Accurately Characterizing the Direction and Lateral Extents of the Mantle Flow Field is Notoriously Difficult, Especially in Oceanic Areas Where Deployment of Ocean Bottom Seismometers (OBSs) is Expensive and Thus Rare. in This Study, by Applying Shear Wave Splitting Analyses to a Dataset Recorded by an OBS Array that We Deployed between Mid-2019 and Mid-2020 in the South China Sea (SCS), We Show that the Dominant Mantle Flow Field Has a NNW-SSE Orientation, Which Can Be Attributed to Mantle Flow Extruded from the Tibetan Plateau by the Ongoing Indian-Eurasian Collision. in Addition, the Results Suggest that E-W Oriented Flow Fields Observed in South China and the Indochina Peninsula Do Not Extend to the Central SCS

Enhancing Higher Order Question of Student Through Problem Based Learning at Grade X MIA 6 of SMA N 4 Surakarta

The research aims to enhance the Higher Order Question of student through problem based learning in Biology at Grade X MIA 6 of SMA N 4 Surakarta. The research was a four-cycle action research conducted in academic year 2014/2015. All questions were analyzed based on revised Bloom Taxonomy. Data were validated using triangulation method. The result of the research showed that problem based learning effectively enhance student\u27s High Order Question (C4-C6). The percentage of each High Order Question (C4-C6) in pre cycle were 0%. The percentage of C4 type question at first cycle (73,14%), second cycle (52,13%), third cycle (56,05%), and fourth cycle (58,42%). The percentage of each High Order Question (C4-C6) in pre cycle were 0%. The percentage of C5 type question at first cycle (18,37%), second cycle (9,57%), third cycle (10,30%), and fourth cycle (58,42%). The percentage of each High Order Question (C4-C6) in pre cycle were 0%. The percentage of C6 type question at first cycle (8,16%), second cycle (38,30%), third cycle (41,18%) and fourth cycle (25,74%)

Challenges in quantifying changes in the global water cycle

Human influences have likely already impacted the large-scale water cycle but natural variability and observational uncertainty are substantial. It is essential to maintain and improve observational capabilities to better characterize changes. Understanding observed changes to the global water cycle is key to predicting future climate changes and their impacts. While many datasets document crucial variables such as precipitation, ocean salinity, runoff, and humidity, most are uncertain for determining long-term changes. In situ networks provide long time-series over land but are sparse in many regions, particularly the tropics. Satellite and reanalysis datasets provide global coverage, but their long-term stability is lacking. However, comparisons of changes among related variables can give insights into the robustness of observed changes. For example, ocean salinity, interpreted with an understanding of ocean processes, can help cross-validate precipitation. Observational evidence for human influences on the water cycle is emerging, but uncertainties resulting from internal variability and observational errors are too large to determine whether the observed and simulated changes are consistent. Improvements to the in situ and satellite observing networks that monitor the changing water cycle are required, yet continued data coverage is threatened by funding reductions. Uncertainty both in the role of anthropogenic aerosols, and due to large climate variability presently limits confidence in attribution of observed changes

Cytokine concentration in peripheral blood of patients with colorectal cancer

IntroductionThe role of tumour secretory cytokines and peripheral circulatory cytokines in tumour progression has received increasing attention; however, the role of tumour-related inflammatory cytokines in colorectal cancer (CRC) remains unclear. In this study, the concentrations of various cytokines in the peripheral blood of healthy controls and patients with CRC at different stages were compared.MethodsPeripheral blood samples from 4 healthy participants and 22 colorectal cancer patients were examined. Luminex beads were used to evaluate concentration levels of 40 inflammatory cytokines in peripheral blood samples.ResultsIn peripheral blood, compared with healthy controls and early stage (I + II) CRC patients, advanced CRC (III + IV) patients had increased concentrations of mononuclear/macrophage chemotactic-related proteins (CCL7, CCL8, CCL15, CCL2, and MIF), M2 polarization-related factors (IL-1β, IL-4), neutrophil chemotactic and N2 polarization-related cytokines (CXCL2, CXCL5, CXCL6, IL-8), dendritic cells (DCs) chemotactic-related proteins (CCL19, CCL20, and CCL21), Natural killer (NK) cell related cytokines (CXCL9, CXCL10), Th2 cell-related cytokines (CCL1, CCL11, CCL26), CXCL12, IL-2, CCL25, and CCL27, and decreased IFN-γ and CX3CL1 concentrations. The differential upregulation of cytokines in peripheral blood was mainly concentrated in CRC patients with distant metastasis and was related to the size of the primary tumour; however, there was no significant correlation between cytokine levels in peripheral blood and the propensity and mechanism of lymph node metastasis.DiscussionDifferent types of immune cells may share the same chemokine receptors and can co-localise in response to the same chemokines and exert synergistic pro-tumour or anti-tumour functions in the tumour microenvironment. Chemokines and cytokines affect tumour metastasis and prognosis and may be potential targets for treatment