BACKGROUND Colorectal cancer is a common malignant tumor in China,and its incidence in the elderly is increasing annually.Inflammatory bowel disease is a group of chronic non-specific intestinal inflammatory diseases,...BACKGROUND Colorectal cancer is a common malignant tumor in China,and its incidence in the elderly is increasing annually.Inflammatory bowel disease is a group of chronic non-specific intestinal inflammatory diseases,including ulcerative colitis and Crohn’s disease.We included the clinicopathological and follow-up data of patients with colorectal cancer who underwent laparoscopic colectomy or open colectomy at our Gastrointestinal Department between January 2019 and December 2022.Surgical indicators,oncological indicators,and survival rates were compared between the groups.The results of 104 patients who met the above criteria were extracted from the database(laparoscopic colectomy group=63,open colectomy group=41),and there were no statistically significant differences in the baseline data or follow-up time between the two groups.RESULTS Intraoperative blood loss,time to first ambulation,and time to first fluid intake were significantly lower in the laparoscopic colectomy group than in the open colectomy group.The differences in overall mortality,tumor-related mortality,and recurrence rates between the two groups were not statistically significant,and survival analysis showed that the differences in the cumulative overall survival,tumor-related survival,and cumulative recurrence-free rates between the two groups were not statistically significant.CONCLUSION In elderly patients with colorectal cancer,laparoscopic colectomy has better short-term outcomes than open colectomy,and laparoscopic colectomy has superior long-term survival outcomes compared with open colectomy.展开更多
The Hashan area,neighboring the Mahu Sag that is rich in the shale oil resources,showed commercial oil flow in the corresponding lacustrine shales of the Lower Permian Fengcheng Formation(P)with reserve scale approxim...The Hashan area,neighboring the Mahu Sag that is rich in the shale oil resources,showed commercial oil flow in the corresponding lacustrine shales of the Lower Permian Fengcheng Formation(P)with reserve scale approximately 789 million tons,presenting great potential for oil exploration.Despite their geographical proximity,the hydrocarbon occurrence and oil-bearing capacity of shale in the Hashan area and Mahu Sag greatly differ owing to the complex tectonic evolution.Therefore,understanding the occurrence state and oil content of the Pif in the Hashan area is crucial for ongoing shale oil exploration activities and the development of the northwestern margin of the Junggar Basin.In this study,an in-tegrated investigation,including petrological observations,scanning electron microscopy(SEM)obser-vation,analysis of nuclear magnetic resonance(NMR)Ti-T2 spectra,and conventional and multistage Rock-Eval pyrolysis methods were conducted to evaluate the occurrence state and oil content of the Pif shale in the Hashan area.The results indicate that plagioclase(average 30.7%)and quartz(24.1%)dominate the mineral compositions of the Pf shale samples.A method involving quartz-plagioclase-carbonate minerals is proposed to conduct lithofacies classification.In the Hashan area,the organic matter abundance in the Pf shale is scaled in fair to good range,the thermal maturity ranges from immature to early mature stage,and the primary organic matter types are Types I and Ilj.Intergranular and dissolution pores are the two most common pore types.The free oil is mostly found in the pores and microfractures of the mineral matrix,whereas the adsorbed oil is mostly adsorbed on the surfaces of kerogen and clay minerals.The high organic matter abundance,quartz content,and porosity account for substantial increase in the oil content,the area rich in shale oil resources coincides with that rich in free oil.The most favorable lithofacies in the Hashan area is the calcareous mudstone/shale,which hosts the highest free oil content(average 2.49 mg),total oil content(15.02 mg/g),organic matter abundance CTOC:1.88% and S_(1)+S_(2)=20.54mg/g and orositv(5.97%)展开更多
BACKGROUND Serum amyloid A(SAA)is an acute phase protein mainly synthesized by the liver.SAA induces inflammatory phenotype and promotes cell proliferation in activated hepatic stellate cells,the major scar forming ce...BACKGROUND Serum amyloid A(SAA)is an acute phase protein mainly synthesized by the liver.SAA induces inflammatory phenotype and promotes cell proliferation in activated hepatic stellate cells,the major scar forming cells in the liver.However,few studies have reported on the serum levels of SAA in human liver disease and its clinical significance in various liver diseases.AIM To investigate the serum levels of SAA in patients with different liver diseases and analyze the factors associated with the alteration of SAA levels in chronic hepatitis B(CHB)patients.METHODS Two hundred and seventy-eight patients with different liver diseases and 117 healthy controls were included in this study.The patients included 205 with CHB,22 with active autoimmune liver disease(AILD),21 with nonalcoholic steatohepatitis(NASH),14 with drug-induced liver injury(DILI),and 16 with pyogenic liver abscess.Serum levels of SAA and other clinical parameters were collected for the analysis of the factors associated with SAA level.Mann-Whitney U test was used to compare the serum SAA levels of patients with various liver diseases with those of healthy controls.Bonferroni test was applied for post hoc comparisons to control the probability of type 1 error(alpha=0.05/6=0.008).For statistical tests of other variables,P<0.05 was considered statistically significant.Statistically significant factors determined by single factor analysis were further analyzed by binary multivariate logistic regression analysis.RESULTS All patients with active liver diseases had higher serum SAA levels than healthy controls and the inactive CHB patients,with the highest SAA level found in patients with pyogenic liver abscess(398.4±246.8 mg/L).Patients with active AILD(19.73±24.81 mg/L)or DILI(8.036±5.685 mg/L)showed higher SAA levels than those with active CHB(6.621±6.776 mg/L)and NASH(6.624±4.891 mg/L).Single(P<0.001)and multivariate logistic regression analyses(P=0.039)for the CHB patients suggested that patients with active CHB were associated with an SAA serum level higher than 6.4 mg/L.Serum levels of SAA and CRP(C-reactive protein)were positively correlated in patients with CHB(P<0.001),pyogenic liver abscess(P=0.045),and active AILD(P=0.02).Serum levels of SAA(0.80-871.0 mg/L)had a broader fluctuation range than CRP(0.30-271.3 mg/L).CONCLUSION Serum level of SAA is a sensitive biomarker for inflammatory activity of pyogenic liver abscess.It may also be a weak marker reflecting milder inflammatory status in the liver of patients with CHB and other active liver diseases.展开更多
基金Science and Technology Plan of Jiangxi Provincial Health Commission,No.202311202 and No.SKJP220219076the Science and Technology Support Plan Project of Nanchang,Jiangxi Province,No.2020-133-5.
文摘BACKGROUND Colorectal cancer is a common malignant tumor in China,and its incidence in the elderly is increasing annually.Inflammatory bowel disease is a group of chronic non-specific intestinal inflammatory diseases,including ulcerative colitis and Crohn’s disease.We included the clinicopathological and follow-up data of patients with colorectal cancer who underwent laparoscopic colectomy or open colectomy at our Gastrointestinal Department between January 2019 and December 2022.Surgical indicators,oncological indicators,and survival rates were compared between the groups.The results of 104 patients who met the above criteria were extracted from the database(laparoscopic colectomy group=63,open colectomy group=41),and there were no statistically significant differences in the baseline data or follow-up time between the two groups.RESULTS Intraoperative blood loss,time to first ambulation,and time to first fluid intake were significantly lower in the laparoscopic colectomy group than in the open colectomy group.The differences in overall mortality,tumor-related mortality,and recurrence rates between the two groups were not statistically significant,and survival analysis showed that the differences in the cumulative overall survival,tumor-related survival,and cumulative recurrence-free rates between the two groups were not statistically significant.CONCLUSION In elderly patients with colorectal cancer,laparoscopic colectomy has better short-term outcomes than open colectomy,and laparoscopic colectomy has superior long-term survival outcomes compared with open colectomy.
基金co-funded by the National Natural Science Foundation of China(Grant No.42072172,41772120)Shandong Province Natural Science Fund for Distinguished Young Scholars(Grant No.JQ201311)the Graduate Scientific and Technological Innovation Project Financially Supported by Shandong University of Science and Technology(Grant No.YC20210825).
文摘The Hashan area,neighboring the Mahu Sag that is rich in the shale oil resources,showed commercial oil flow in the corresponding lacustrine shales of the Lower Permian Fengcheng Formation(P)with reserve scale approximately 789 million tons,presenting great potential for oil exploration.Despite their geographical proximity,the hydrocarbon occurrence and oil-bearing capacity of shale in the Hashan area and Mahu Sag greatly differ owing to the complex tectonic evolution.Therefore,understanding the occurrence state and oil content of the Pif in the Hashan area is crucial for ongoing shale oil exploration activities and the development of the northwestern margin of the Junggar Basin.In this study,an in-tegrated investigation,including petrological observations,scanning electron microscopy(SEM)obser-vation,analysis of nuclear magnetic resonance(NMR)Ti-T2 spectra,and conventional and multistage Rock-Eval pyrolysis methods were conducted to evaluate the occurrence state and oil content of the Pif shale in the Hashan area.The results indicate that plagioclase(average 30.7%)and quartz(24.1%)dominate the mineral compositions of the Pf shale samples.A method involving quartz-plagioclase-carbonate minerals is proposed to conduct lithofacies classification.In the Hashan area,the organic matter abundance in the Pf shale is scaled in fair to good range,the thermal maturity ranges from immature to early mature stage,and the primary organic matter types are Types I and Ilj.Intergranular and dissolution pores are the two most common pore types.The free oil is mostly found in the pores and microfractures of the mineral matrix,whereas the adsorbed oil is mostly adsorbed on the surfaces of kerogen and clay minerals.The high organic matter abundance,quartz content,and porosity account for substantial increase in the oil content,the area rich in shale oil resources coincides with that rich in free oil.The most favorable lithofacies in the Hashan area is the calcareous mudstone/shale,which hosts the highest free oil content(average 2.49 mg),total oil content(15.02 mg/g),organic matter abundance CTOC:1.88% and S_(1)+S_(2)=20.54mg/g and orositv(5.97%)
基金the National Natural Science Foundation of China,No.91129705,No.81070340,and No.30570825Science and Technology Commission of Shanghai Municipality,Shanghai Pujiang Talent Program,No.09PJ1402600
文摘BACKGROUND Serum amyloid A(SAA)is an acute phase protein mainly synthesized by the liver.SAA induces inflammatory phenotype and promotes cell proliferation in activated hepatic stellate cells,the major scar forming cells in the liver.However,few studies have reported on the serum levels of SAA in human liver disease and its clinical significance in various liver diseases.AIM To investigate the serum levels of SAA in patients with different liver diseases and analyze the factors associated with the alteration of SAA levels in chronic hepatitis B(CHB)patients.METHODS Two hundred and seventy-eight patients with different liver diseases and 117 healthy controls were included in this study.The patients included 205 with CHB,22 with active autoimmune liver disease(AILD),21 with nonalcoholic steatohepatitis(NASH),14 with drug-induced liver injury(DILI),and 16 with pyogenic liver abscess.Serum levels of SAA and other clinical parameters were collected for the analysis of the factors associated with SAA level.Mann-Whitney U test was used to compare the serum SAA levels of patients with various liver diseases with those of healthy controls.Bonferroni test was applied for post hoc comparisons to control the probability of type 1 error(alpha=0.05/6=0.008).For statistical tests of other variables,P<0.05 was considered statistically significant.Statistically significant factors determined by single factor analysis were further analyzed by binary multivariate logistic regression analysis.RESULTS All patients with active liver diseases had higher serum SAA levels than healthy controls and the inactive CHB patients,with the highest SAA level found in patients with pyogenic liver abscess(398.4±246.8 mg/L).Patients with active AILD(19.73±24.81 mg/L)or DILI(8.036±5.685 mg/L)showed higher SAA levels than those with active CHB(6.621±6.776 mg/L)and NASH(6.624±4.891 mg/L).Single(P<0.001)and multivariate logistic regression analyses(P=0.039)for the CHB patients suggested that patients with active CHB were associated with an SAA serum level higher than 6.4 mg/L.Serum levels of SAA and CRP(C-reactive protein)were positively correlated in patients with CHB(P<0.001),pyogenic liver abscess(P=0.045),and active AILD(P=0.02).Serum levels of SAA(0.80-871.0 mg/L)had a broader fluctuation range than CRP(0.30-271.3 mg/L).CONCLUSION Serum level of SAA is a sensitive biomarker for inflammatory activity of pyogenic liver abscess.It may also be a weak marker reflecting milder inflammatory status in the liver of patients with CHB and other active liver diseases.
基金Project supported by the National Key Foundation for Exploring Scientific Instrument （No. 2013YQ03065102）, the National Basic Research Program （973） of China （No. 2012CB316503）, and the National Natural Science Foundation of China （Nos. 31327901, 61475010, 31361163004, and 61428501）
