Clinical study on high-risk factors for contralateral lymph node metastasis in unilateral papillary thyroid carcinoma

Background and purpose: The occurrence of lymph node metastasis in papillary thyroid cancer (PTC) can have adverse effects on the prognosis of patients. This study aimed to investigate risk factors related to the occurrence of contralateral central lymph node metastases (CLNM) and contralateral lateral lymph node metastases (LLNM) when imaging suspected ipsilateral LLNM in unilateral PTC. Methods: We retrospectively analyzed the clinical data of 526 patients who received surgical treatment in the same treatment group of Jiangsu Cancer Hospital Head and Neck Surgery Department from January 2011 to December 2021. They were initially treated with total thyroidectomy and bilateral central lymph node dissection (CLND) ± lateral lymph node dissection, and their postoperative pathology was uni-PTC. This study analyzed the relevant high-risk factors of contralateral lymph node metastasis. Results: Among the 526 patients, 295 had CLNM, including 272 ipsilateral CLNM, 129 contralateral CLNM and 106 of both sides CLNM; 165 patients had LLNM including 129 ipsilateral LLNM, 18 contralateral LLNM, and 18 of both ipsilateral and contralateral LLNM. Contralateral CLNM occurred in 65 (17.8%) of 365 patients who underwent preventive CLND, and contralateral CLNM was found in 68 (42.2%) of 161 patients with therapeutic CLND. Univariate and multivariate regression analyses showed that contralateral CLNM was associated with maximum diameter of tumor ≥2 cm, multiple foci, no Hashimoto's thyroiditis, tumor invasion, number of CLNM≥6 and age <55 years (P<0.05). Maximum diameter of tumor ≥2 cm was related to contralateral LLNM (P<0.05), while lymph extracapsular extension and lymph node metastasis at tumor side were independent risk factors for contralateral CLNM and contralateral LLNM (P<0.05). Follow-up showed that 5-year overall survival (OS) rate was 97.9% and 5-year disease-free survival (DFS) rate was 97.5%. Conclusion: Contralateral CLNM is more likely to occur in patients with maximum diameter of tumor ≥2 cm, multiple foci, no Hashimoto's thyroiditis, number of CLNM ≥6, age <55 years, tumor and lymph extracapsular extension and lymph node metastasis at the cancer side. In clinical practice, bilateral CLND should be considered for patients with high-risk factors to reduce the residual recurrence of the tumor. Since metastatic rate of contralateral LLNM is relatively low, preventive contralateral lateral lymph node dissection should not be performed routinely when there are no high-risk factors mentioned above

Effect of Exercise Intervention on Social Ability of ADHD Children

The incidence rate of attention deficit hyperactivity disorder (ADHD) is 7.25% in China. The main symptoms are attention deficit laxation, behavior impulsivity, social disorder and so on. Children aged 3-6 are in the golden age of social ability development. Therefore, if ADHD children at this age do not get correct and effective interventions, it will have a far-reaching impact on their social ability. In order to explore new intervention measures for ADHD children and improve their social ability, this study will intervene ADHD children through sports intervention, so as to provide theoretical and experimental basis for improving their social ability. A total of 12 hyperactivity prone children aged 3-6 years were recruited in this study. The subjects were intervened through engaging in KDL sports game, parent-child homework and parent-child carnival for four months. We used Achenbach children\u27s behavior scale (CBCL) to evaluate children\u27s social ability from activity ability, social ability and learning. In order to reduce the experimental error, before using the CBCL scale, the researchers have been trained in learning and understanding the specific rules and scoring methods of the CBCL scale to ensure that evaluated data have good reliability and validity. After data collection, SPSS 23.0 was used to conduct statistical analysis on the data. The results showed that after the intervention, the ADHD children significantly improved their social ability from the baseline to the post-test (Tsocial = -1.39, psocial = 0.01 \u3c 0.05). However, the results showed that there was no significant difference in children\u27s activity ability and learning over time (Tactivity = 0.42, pactivity = 0.533 \u3e 0.05; Tlearning = -0.12, plearning = 0.756 \u3e 0.05). Exercise intervention can effectively improve the social ability of ADHD children, which is more harmonious with their peers and more able to communicate with their families. We suggest to carry out exercise intervention for more children with ADHD and to integrate behavioral therapy with multi-directional intervention

Dual-Polarized On-Chip Antenna for 300 GHz Full-Duplex Communication System

This paper presents a novel design of compact orthogonally polarized on-chip antenna to realize 300 GHz full-duplex communication system with high isolation. It consists of a dipole antenna for horizontal polarization and a disk-loaded monopole antenna for vertical polarization. They are in good cross-polarization state with more than 90 dB of self-interference suppression and then can be used to achieve good isolation between transmitting and receiving antennas. In addition, two dual-polarized antennas have been adopted in two separated transceivers to study their isolation performance. Furthermore, this compact antenna only occupies an active area of 390 μm × 300 μm × 78 μm and can be used for multiple-input multiple-output application as well

Identification of key genes and pathways in human clear cell renal cell carcinoma (ccRCC) by co-expression analysis

Human clear cell renal cell carcinoma (ccRCC) is the most common solid lesion within kidney, and its prognostic is influenced by the progression covering a complex network of gene interactions. In our study, we screened differential expressed genes, and constructed protein-protein interaction (PPI) network and a weighted gene co-expression network to identify key genes and pathways associated with the progression of ccRCC (n = 56). Functional and pathway enrichment analysis demonstrated that upregulated differentially expressed genes (DEGs) were significantly enriched in response to wounding, positive regulation of immune system process, leukocyte activation, immune response and cell activation. Downregulated DEGs were significantly enriched in oxidation reduction, monovalent inorganic cation transport, ion transport, excretion and anion transport. In the PPI network, top 10 hub genes were identified (TOP2A, MYC, ALB, CDK1, VEGFA, MMP9, PTPRC, CASR, EGFR and PTGS2). In co-expression network, 6 ccRCC-related modules were identified. They were associated with immune response, metabolic process, cell cycle regulation, angiogenesis and ion transport. In conclusion, our study illustrated the hub genes and pathways involved in the progress of ccRCC, and further molecular biological experiments are needed to confirm the function of the candidate biomarkers in human ccRCC

Nocaviogua A and B: two lipolanthines from root-nodule-associated Nocardia sp.

Nocaviogua A (1) and B (2), two lipolanthines featuring a non-canonical avionin (Avi)-containing macrocycle and a long acyl chain, were identified from the mutualistic actinomycete Nocardia sp. XZ19_369, which was isolated from the nodules of sea buckthorn collected in Tibet. Their planar structures were elucidated via extensive analyses of 1D and 2D NMR, as well as HRMS data. The absolute configurations were fully elucidated by advanced Marfey’s analysis and GIAO NMR calculations, representing the first time that the configurations of this family of lipolanthines have been determined. Nocaviogua A (1) exhibited weak cytotoxicity against human chronic uveal melanoma cells (UM92-1), non-small cell lung cancer (NCI-H2170), and breast cancer (MDA-MB-231). Our work provides valuable information on this burgeoning class of lipolanthines for further investigations

Aberrant Functional Connectivity of the Orbitofrontal Cortex Is Associated With Excited Symptoms in First-Episode Drug-Naïve Patients With Schizophrenia

BackgroundSchizophrenia (SZ) is associated with the highest disability rate among serious mental disorders. Excited symptoms are the core symptoms of SZ, which appear in the early stage, followed by other stages of the disease subsequently. These symptoms are destructive and more prone to violent attacks, posing a serious economic burden to the society. Abnormal spontaneous activity in the orbitofrontal cortex had been reported to be associated with excited symptoms in patients with SZ. However, whether the abnormality appears in first-episode drug-naïve patients with SZ has still remained elusive.MethodsA total of 56 first-episode drug-naïve patients with SZ and 27 healthy controls underwent resting-state functional magnetic resonance imaging (rs-fMRI) and positive and negative syndrome scale (PANSS). First, differences in fractional amplitude of low-frequency fluctuations (fALFF) between first-episode drug-naïve patients with SZ and healthy controls were examined to identify cerebral regions exhibiting abnormal local spontaneous activity. Based on the fALFF results, the resting-state functional connectivity analysis was performed to determine changes in cerebral regions exhibiting abnormal local spontaneous activity. Finally, the correlation between abnormal functional connectivity and exciting symptoms was analyzed.ResultsCompared with the healthy controls, first-episode drug-naïve patients with SZ showed a significant decrease in intrinsic activity in the bilateral precentral gyrus, bilateral postcentral gyrus, and the left orbitofrontal cortex. In addition, first-episode drug-naïve patients with SZ had significantly reduced functional connectivity values between the left orbitofrontal cortex and several cerebral regions, which were mainly distributed in the bilateral postcentral gyrus, the right middle frontal gyrus, bilateral paracentral lobules, the left precentral gyrus, and the right median cingulate. Further analyses showed that the functional connectivity between the left orbitofrontal cortex and the left postcentral gyrus, as well as bilateral paracentral lobules, was negatively correlated with excited symptoms in first-episode drug-naïve patients with SZ.ConclusionOur results indicated the important role of the left orbitofrontal cortex in first-episode drug-naïve patients with SZ and suggested that the abnormal spontaneous activity of the orbitofrontal cortex may be valuable to predict the occurrence of excited symptoms. These results may provide a new direction to explore the excited symptoms of SZ