Endoscopic and pathohistologic features of early gastric signet ring cell carcinoma presented as elevated type: A case report

BackgroundAlmost all early gastric signet ring cell carcinomas (SRCCs) are the flat or depressed type, and the elevated type is rare. Here, we report the endoscopic and pathohistologic features of a rare case of SRCCs presented as the elevated type.Case presentationA 54-year-old man underwent esophagogastroduodenoscopy in our hospital because of intermittent upper abdominal pain for 6 years. White light endoscopy revealed an elevated lesion that is smooth and reddish and covered with normal mucosa and looked like a polyp. Magnifying endoscopy with narrow-band imaging showed broadened intervening parts, an elongated pit, and a dense microvascular network with focal irregularity. The lesion was considered as early gastric cancer and completely resected with endoscopic submucosal dissection. Pathohistological examination confirmed that the lesion was pure early SRCC that was limited within the mucosal lamina propria (T1a).ConclusionElevated pure gastric SRCC is rare. This is a report of early pure gastric SRCC presented as the elevated type and the description of its endoscopic and pathohistologic features, which will contribute to the early detection of gastric SRCC

A modified endoscopic submucosal dissection for a superficial hypopharyngeal cancer: a case report and technical discussion

Abstract Background Adequate working space and a clear view for the dissected lesion are crucial for endoscopic submucosal dissection (ESD). Pharyngeal ESD requires that an otorhinolaryngologist creates working space by lifting the larynx with a curved laryngoscope. However, many countries do not have this kind of curved laryngoscope, and the devices could interfere with endoscope because of the narrow space of the pharynx. To overcome these issues, we used a transparent hood (Elastic Touch, slit and hole type, M (long), Top company, Tokyo Japan) instead of the curved laryngoscope to create adequate working space by pushing the larynx, and pharyngeal ESD could be done by gastroenterologists. Case presentation A 64-year-old male patient was admitted to our hospital because of chronic persistent swallowing dysfunction for 2 years. Oesophagogastroduodenoscopy showed a superficial hypopharyngeal cancer in the right pyriform sinus. We used a transparent hood (Elastic Touch, slit and hole type, M (long), Top company, Tokyo Japan) instead of the curved laryngoscope to create adequate working space by pushing the larynx, and dental floss tied to a haemoclip was applied to create counter traction during ESD. The lesion was pathologically confirmed as superficial squamous cell carcinoma and resected completely. Conclusions This is the first report of modified ESD for a superficial hypopharyngeal cancer. The modified ESD enables early pharyngeal superficial cancer to be removed completely under endoscope by gastroenterologist

Combination of multigrid with constraint data for inverse problem of nonlinear diffusion equation

This paper delves into a rapid and accurate numerical solution for the inverse problem of the nonlinear diffusion equation in the context of multiphase porous media flow. For the realization of this, the combination of the multigrid method with constraint data is utilized and investigated. Additionally, to address the ill-posedness of the inverse problem, the Tikhonov regularization is incorporated. Numerical results demonstrate the computational performance of this method. The proposed combination strategy displays remarkable capabilities in reducing noise, avoiding local minima, and accelerating convergence. Moreover, this combination method performs better than any one method used alone.Published versionThis research was funded by the Natural Science Foundation of Hebei Province of China (A2020501007), the Fundamental Research Funds for the Central Universities (N2123015), the Open Fund Project of Marine Ecological Restoration and Smart Ocean Engineering Research Center of Hebei Province (HBMESO2321), and the Technical Service Project of Eighth Geological Brigade of Hebei Bureau of Geology and Mineral Resources Exploration (KJ2022-021)

Additional file 1: of A modified endoscopic submucosal dissection for a superficial hypopharyngeal cancer: a case report and technical discussion

A novel method-Lianjun Di video of ESD procedure, this is video of ESD procedure for the patient. (MP4 88400 kb

Beryl Reference Materials for In Situ Oxygen Isotope Determination

The mineral beryl (Be3Al2(SiO3)6) has the most abundant phase with industrial value for extracting a critical metal—beryllium. Due to multi-stage, fluid-induced growth, individual beryl grains may yield complex geochemical records, revealing variations in the oxygen isotopes of the fluids from which they crystallize. Secondary ion mass spectrometry (SIMS) with high sensitivity and high spatial resolution represents a good tool for in situ isotopic analysis. SIMS oxygen analyses require matrix-matched reference materials to calibrate instrumental mass fractionations during measurement. In this work, the oxygen isotope homogeneities of six beryl samples with different compositions (BS1, BS2, BS3, BS4, BS5, and BS6) were documented by SIMS. These samples’ recommended oxygen isotope compositions were characterized by laser fluorination isotope ratio mass spectrometry (IRMS). This study suggests that there is no matrix effect related to composition variation in beryl SIMS oxygen isotope analysis. The recommended δ18O values of the four reference materials, BS1, BS2, BS4, and BS5, were 15.01 ± 0.34‰ (2 standard deviations, 2 SD), 7.53 ± 0.16‰ (2 SD), 2.38 ± 0.14‰ (2 SD), and 10.72 ± 0.44‰ (2 SD), respectively. Therefore, BS1, BS2, BS4, and BS5 are recommended as suitable reference materials for in situ mineral beryl oxygen isotope microanalysis

Carbon-Encapsulated Copper Sulfide Leading to Enhanced Thermoelectric Properties

Copper sulfide has been regarded as a promising thermoelectric material with relatively high thermoelectric performance and abundant resource. Large-scale synthesis and low-cost production of high-performance thermoelectric materials are keys to widespread application of thermoelectric technology. Here, Cu2-xS particles encapsulated in a thin carbon shell are fabricated by a scalable wet chemical method (19.7 g/batch). The synthesized particles go through the crystal-phase transition from orthorhombic to tetragonal during high-temperature annealing and sintering. After the phase transition, electrical conductivity of this composite (Cu2-xS@C) increases by approximately 50% compared to that of the pure Cu2-xS sample, and can be attibuted to an increase in carrier concentration. Phonon scattering interface formation and superionic phase of Cu2-xS@C results in very low lattice thermal conductivity of 0.22 W m-1 K-1, and maximum thermoelectric figure of merit (ZT) of 1.04 at 773 K, which is excellent for thermoelectric performance in pure-phase copper sulfide produced via chemical synthesis. This discovery sets the stage for the use of facile wet chemical synthesis methods for large-scale transition-metal chalcogenide thermoelectric material production.</p

Multi-disciplinary team for early gastric cancer diagnosis improves the detection rate of early gastric cancer

Abstract Background Gastric cancer is a frequent malignant tumor worldwide and its early detection is crucial for curing the disease and enhancing patients’ survival rate. This study aimed to assess whether the multi-disciplinary team (MDT) can improve the detection rate of early gastric cancer (EGC). Methods The detection rate of EGC at the Digestive Endoscopy Center, Affiliated Hospital, Zunyi Medical College, China between September 2013 and September 2015 was analyzed. MDT for the diagnosis of EGC in the hospital was established in September 2014. The study was divided into 2 time periods: September 1, 2013 to August 31, 2014 (period 1) and September 1, 2014 to September 1, 2015 (period 2). Results A total of 60,800 patients’ gastroscopies were performed during the two years. 61 of these patients (0.1%) were diagnosed as EGC, accounting for 16.44% (61/371) of total patients with gastric cancer. The EGC detection rate before MDT (period 1) was 0.05% (16/29403), accounting for 9.09% (16/176) of total patients with gastric cancer during this period. In comparison, the EGC detection rate during MDT (period 2) was 0.15% (45/31397), accounting for 23% (45/195) of total patients with gastric cancer during this period (P < 0.05). Univariate and multivariate logistic analyses showed that intensive gastroscopy for high risk patients of gastric cancer enhanced the detection rate of EGC in cooperation with Department of Pathology (OR = 10.1, 95% CI 2.39–43.3, P < 0.05). Conclusion MDT could improve the endoscopic detection rate of EGC