PCCCL has a better prognosis and tends to recur later than HCC. Early and late recurrences of PCCCL are linked to different predictive factors. The time to recurrence and feasibility of curative treatment are the best determinants for the prognosis.
ObjectiveControversy still exists regarding using cemented or uncemented hemiarthroplasty for femoral neck fractures in elderly patients. The aim of this study is to compare the effectiveness and safety of the two surgical techniques in femoral neck fracture patients over 70 years old.MethodsWe searched PUBMED, EMBASE, Cochrane Library, CNKI and VIP Database from inception to December 2012 for relevant randomized controlled trials (RCTs). Outcomes of interest include postoperative hip function, residue pain, complication rates, mortality, reoperation rate, operation time and intraoperative blood loss. Odds ratios (OR) and weighted mean differences (WMD) from each trial were pooled using random-effects model or fixed-effects model given on the heterogeneity of the included studies.Results7 RCTs involving 1,125 patients (1,125 hips) were eligible for meta-analysis. Our results demonstrate that cemented hemiarthroplasty is associated with better postoperative hip function (OR = 0.48, 95% CI, 0.31–0.76; P = 0.002), lower residual pain (OR = 0.43, 95%CI, 0.29–0.64; P<0.0001), less implant-related complications (OR = 0.15, 95%CI, 0.09–0.26; P<0.00001) and longer operation time (WMD = 7.43 min, 95% CI, 5.37–9.49 min; P<0.00001). No significant difference was observed between the two groups in mortality, cardiovascular and cerebrovascular complications, local complications, general complications, reoperation rate and intraoperative blood loss.ConclusionsCompared with uncemented hemiarthroplasty, the existing evidence indicates that cemented hemiarthroplasty can achieve better hip function, lower residual pain and less implant-related complications with no increased risk of mortality, cardiovascular and cerebrovascular complications, general complications, local complications and reoperation rate in treating elderly patients with femoral neck fractures.
Contamination of agricultural soil has been a worldwide concern, and phytoremediation is a promising alternative to conventional soil clean-up technology as a low cost and environment-friendly technology. However, the field application of phytoremediation is still limited, because of its low efficiency and long-period needed. In this paper, with discussion of the characteristics, mechanisms and development of phytoremediation, we suggested a profitable phytoremediation strategy using biofuel crops for both utilization and remediation of contaminated soil. In this strategy, the owners of contaminated sites possibly cost nothing, but obtain income through selling the biofuel crop for factories produced biofuel, thus the practical application of phytoremediation can be effectively promoted. In order to test the feasibility of the suggested strategy, a hydroponic cultural experiment and a pot experiment were carried out to assess the phytoremediation potential of some biofuel crops. The hydroponic cultural experiment showed that the two biofuel plants, sunflower and maize, had a better or similar accumulation level of Pb, Cu and Cd than the two accumulator plants. The pot cultural experiment showed that wheat and barley with white-rot-fungus inoculation greatly promoted crop biomass, soil microbial population, and dioxins removal efficiency. These results indicate that phytoremediation using biofuel plants possibly works effectively for remediation of contaminated soils as well as provide economic benefits to the owners of contaminated sites. Therefore, biofuel crops would be a reasonable choice for phytoremediation of contaminated soils.
Abstract-Phytoremediation is an emerging and eco-friendly green engineering technology that utilizes the natural properties of plants to remediate contaminated soils, water and sediments. Soil contamination by various inorganic and organic compounds has been a worldwide concern, and phytoremediation has benn received increasing attention for remediation of these contaminants. However, the practical application of phytoremediation has been limited because of its low remediation efficiency. This paper addresses phytoremediation on its characteristics, research status, with emphasis on description of its practical application in management and remediation of soil contaminated sites.
An oncogene-centric molecular classification paradigm in non-small cell lung cancer (NSCLC) has been established. Of note, the heterogeneity within each oncogenic driver-defined subgroup may be captured by co-occurring mutations, which potentially impact response/resistance to immune checkpoint inhibitors (ICIs). We analyzed the data of 1745 NSCLCs and delineated the landscape of interaction effects of common co-mutations on ICI efficacy. Particularly in nonsquamous NSCLC, KRAS mutation remarkably interacted with its co-occurring mutations in TP53, STK11, PTPRD, RBM10, and ATM. Based on single mutation-based prediction models, adding interaction terms (referred to as inter-model) improved discriminative utilities in both training and validation sets. The scores of inter-models exhibited undifferentiated effectiveness regardless of tumor mutational burden and programmed death-ligand 1, and were identified as independent predictors for ICI benefit. Our work provides novel tools for patient selection and insights into NSCLC immunobiology, and highlights the advantage and necessity of considering interactions when developing prediction algorithms for cancer therapeutics.
Ten species of wild edible mushrooms (Boletus griseus, Boletus speciosus, Lactarius hygrophoroides, Leucopaxillus giganteus, Macrocybe gigantea, Melanoleuca arcuata, Morchella deliciosa, Mycena haematopus, Pulveroboletus ravenelii, and Tricholoma matsutake) collected from Yunnan province of China, were analyzed for ten mineral elements (calcium, chromium, cobalt, copper, iron, magnesium, manganese, potassium, sodium, and zinc) contents using ICP-AES. The minimum and maximum element contents of mushrooms were determined as milligrams per kilograms dry weight for Ca (38-470), Cr (0.45-6.3), Co (0.29-2.3), Cu (13-58), Fe (22-510), Mg (84-550), Mn (1.4-70), K (1,300-4,600), Na (190-670), and Zn (16-160). The mushrooms species with the highest levels of mineral elements were B. griseus for K and Na, P. ravenelii for Cu, M. deliciosa for Mn, L. giganteus for Cr and Fe, M. gigantea for Ca, Mg and Zn, T. matsutake for Co. These results demonstrate that the mineral element contents in mushrooms are considerably species dependent and affected by environmental factors.
This article presents the results of the study on accumulation, distribution, contamination and probable dietary intake of total mercury (THg) in fruiting bodies of several species of Fungi genus Xerocomus, which emerged in the circum-Pacific mercuriferous belt region in southwestern China in Yunnan and beyond of the mercuriferous belts in the region of Europe. The mushrooms X. puniceus (Boletus amygdalinus), X. spadiceus (Boletus ferrugineus) and X. versicolor (X. rubellus) were from the Yunnan land, and X. badius (Boletus badius) was from the region of Europe in Belarus and X. badius, X. chrysenteron, X. ferrugineus, X. versicolor (X. rubellus) and X. subtomentosus from Poland. The THg in the fungal and soil materials was determined using validated method by cold-vapour atomic absorption spectroscopy. Estimated was also probable dietary intake and health risk from THg in Xerocomus spp. examined by consumers. The data showed that THg content of Xerocomus spp. emerged in the European localizations in Poland and Belarus is at an order of magnitude lower level than determined in samples from the Yunnan Province. A reason for an elevated content of THg in mushrooms from Yunnan can be related to abundance of Hg in the geochemical background of soils there. The assessed doses showed that a single meal composed of 300 g of fresh fruiting bodies of X. spadiceus from the Wuding localization in Yunnan in China if consumed once a week will provide THg at dose close to the provisional tolerable weekly intake (PTWI) value set for THg, while doses will be lower for all other localizations in Yunnan and Europe. In the Wuding localization in Yunnan a frequent consumption of X. spadiceus in volume exceeding 300 g of fresh fruiting bodies per week will provide THg at a dose exceeding the value of PTWI.
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