Platelet Count is Associated with the Rate of Lymph Node Metastasis in Lung Adenocarcinoma.

PURPOSE: Emerging studies have revealed that platelets are involved in tumor metastasis in lung adenocarcinoma (ADC). The solid pathological subtype of lung ADC is associated with metastasis, recurrence, and poor prognosis. However, there is no study exploring the relationship between platelets and different lung pathological subtypes. PATIENTS AND METHODS: The association between platelet counts and lymph node metastasis was analyzed in 852 patients with lung ADC who underwent surgery and lymph node dissection. Multivariate logistic analysis was conducted to identify the risk factors of lymph node metastasis. Then, lymph node metastasis and other factors were analyzed to determine their correlation with platelet count and histological subtype. RESULTS: We found that the platelet count was associated with lymph node metastasis (P = 0.01) in multivariable analysis, independent of tumor size, predominant subtype, visceral pleural invasion, and microvessel invasion. In patients with a platelet count ≥300 × 109/L, the rate of lymph node metastasis was 38.5%, almost twice as high as that in patients with a platelet count <300 × 109/L (23.2%). Additionally, elevated platelet counts, even those within the normal range, were significantly associated with a higher rate of lymph node metastasis. The mean platelet count in patients with solid-predominant histology (269.70 ± 69.38 × 109/L) was significantly higher than that in patients with other histologies (P < 0.001). CONCLUSION: Elevated platelet counts are significantly associated with a higher rate of lymph node metastasis, even if the platelet counts are within the reference range. Platelet counts were significantly higher in patients with solid-predominant histology than in patients with other histologies. In addition, VEGF-C may play an important role in lymphatic metastasis in patients with lung ADC. We hypothesize that antiplatelet therapy may reduce lymph node metastasis in lung ADC patients.

[Experimental research of small-incision Descemet's stripping endothelial keratoplasty].

OBJECTIVE: To investigate the surgical procedure, clinical efficacy, complications, density of endothelial cells and histological changes after Descemet's stripping endothelial keratoplasty (DSEK) surgery. METHODS: It was a experimental study. Twenty four New Zealand rabbits were divided into 3 groups, 8 rabbits per group. Donor grafts were dissected from 16 New Zealand rabbit eyes. Group A was experimental group, a 5 mm limbal tunnel incision was made. Descemet's membrane was striped off at 10 mm diameter, then the same diameter donor cornea (including Descemet's membrane and endothelium with a little of posterior stroma) was inserted into the recipient's anterior chamber. Air was injected into the anterior chamber to press the graft up against the recipient cornea. Group B was the control group, only striped the Descemet's membrane at the recipient cornea. Group C was the experiment control group, the procedure was similar to the group A, but the donor graft was without endothelial cells. RESULTS: All corneas of group A were transparent, and the mean density of the endothelial cells was (2195 +/- 77)/mm2 (t = 12.455, P < 0.001). Endothelial grafts attached to the recipients well and no scar formation between them under histological observation. The corneas were severe edema in groups B and C one month after surgery. CONCLUSIONS: DSEK is a safe surgery, can be recovered rapidly with little damages, and without interface scar formation after surgery. DSEK may be the first choice for the treatment of bullous keratopathy.

Exploration of relationships between phytoplankton biomass and related environmental variables using multivariate statistic analysis in a eutrophic shallow lake: a 5-year study.

Understanding the process of the changing phytoplankton patterns can be particularly useful in water quality improvement and management decisions. However, it is generally not easy to illustrate the interactions between phytoplankton biomass and related environmental variables given their high spatial and temporal heterogeneity. To elucidate relationships between them, in a eutrophic shallow lake, Taihu Lake, relative long-term data set of biotic and abiotic parameters of water quality in the lake were conducted using multivariate statistical analysis within seasonal periodicity. The results indicate that water temperature and total phosphorus (TP) played governing roles in phytoplankton dynamics in most seasons (i.e. temperature in winter, spring and summer; TP in spring, summer and autumn); COD (chemical oxygen demand) and BOD (biological oxygen demand) presented significant positive relationships with phytoplankton biomass in spring, summer and autumn. However, a complex interplay was found between phytoplankton biomass and nitrogen considering significant positive relationships occurring between them in spring and autumn, and conversely negative ones in summer. As the predatory factor, zooplankton presented significant grazing-pressure on phytoplankton biomass during summer in view of negative relationship between them in the season. Significant feedback effects of phytoplankton development were identified in summer and autumn in view that significant relationships were observed between phytoplankton biomass and pH, Trans (transparency of water) and DO. The results indicate that interactions between phytoplankton biomass and related environmental variables are highly sensitive to seasonal periodicity, which improves understanding of different roles of biotic and abiotic variables upon phytoplankton variability, and hence, advances management methods for eutrophic lakes.

Identification of anthropogenic influences on water quality of rivers in Taihu watershed.

Surface water bodies are progressively subjected to stress as a result of anthropogenic activities. This study assessed and examined the impact of human activities on spatial variation in the water quality of 19 rivers in the Taihu watershed. Concentrations of physicochemical parameters of surface water quality were determined at the mouth of each river during the period of 2000-2004. Multivariate statistical techniques were applied to identify characteristics of the water quality in the studied rivers. The results showed that rivers strongly influenced by household wastewater have the highest concentrations of nutrients (TN and TP). Moreover, rivers in the vicinity of a metropolis presented low dissolved oxygen (DO) levels. However, organic-chemical pollution (petroleum and volatile phenolics) was identified with high localization. Two rivers influenced by sewage from industry and ships were distinguished from other rivers with high values of petroleum. The Taige channel, a river located in Changzhou City that is strongly influenced by wastewater from industry, was characterized with an extraordinarily high value of volatile phenolics. Rivers passing through countries, especially through hilly countries were characterized with high DO contents and low nutrient and organic-chemical pollution, suggesting that agriculture puts less pressure on water quality in adjacent rivers. Therefore, more effort should be made in controlling point pollution to restore water quality in rivers adjacent to cities.

Modeling the transport of TiO2 nanoparticle aggregates in saturated and unsaturated granular media: effects of ionic strength and pH.

This study aims to explore the mechanisms governing the transport and retention kinetics of TiO(2) nanoparticle aggregates (NPAs) in flow-through columns of packed sand, particularly under unsaturated conditions. The study was carried out at different pHs (2.6, 7.1, and 9.6) and ionic strengths (ISs) (1.0, 10, and 50 mM). A two-site kinetic attachment model was used to describe transport behaviors of TiO(2) NPAs. At low ISs (i.e., 1.0 and 10 mM) and in neutral/alkaline conditions, high mobility of TiO(2) NPAs was observed in both saturated and unsaturated conditions. However, the retention of TiO(2) NPAs was substantially enhanced at the high IS (50 mM) and in extremely acidity condition (pH = 2.6), because of increased aggregation and straining of TiO(2) NPAs during their transport course. The breakthrough curves (BTCs) of TiO(2) NPAs under unsaturated and saturated conditions almost overlapped, suggesting that decreasing the water saturation did not enhance the retention of TiO(2) NPAs in sand columns. This was probably due to the repulsive interactions existed between negatively charged air-water and TiO(2) NPAs systems that resulted in unfavorable attachment conditions. The two-site kinetic attachment model provided a good description for the BTCs of TiO(2) NPAs both in saturated and unsaturated conditions. The fitted parameters could successfully explain the transport behaviors of TiO(2) NPAs under various solution chemistries.

Impact of Cr(VI) on P removal performance in enhanced biological phosphorus removal (EBPR) system based on the anaerobic and aerobic metabolism.

Influence of Cr(VI) on P removal in enhanced biological phosphorus removal (EBPR) system was investigated with respect to the composition of poly-phosphate-accumulating organisms (PAOs) and glycogen accumulating organisms (GAOs), the transformation of poly-ß-hydroxyalkanoates (PHA) and glycogen, enzymes' activities, and the intracellular Cr. Whether EBPR system could revive after Cr(VI) shock was also explored. Results showed P removal performance was completely inhibited by Cr(VI) with the concentration more than 5 mg L(-1). PAOs were more sensitive to Cr(VI) than GAOs and the other bacteria were. PHA consumption, glycogen synthesis and adenylate kinase's activity had been inhibited by 5 mg L(-1) Cr(VI). Both adenylate kinase's activity and P removal efficiency were negatively correlated with the intracellular Cr. Recovery experiments revealed that P removal performance with 5 mg L(-1) Cr(VI) shock could revive after a 2-day recovery treatment, while systems with high level Cr(VI) (20 and 60 mg L(-1)) shock could not.