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Long noncoding RNA (lncRNA) differentiation antagonizing noncoding RNA (DANCR) is overexpressed in human triple-negative breast cancer (TNBC) and promotes cell migration and proliferation. TNBC is limited in treatment options relative to hormone-receptor-positive breast cancer and is commonly treated with chemotherapy, which is often compromised by acquired resistance. DANCR has been implicated in the development of chemoresistance across multiple cancer types. Here, we applied magnetic resonance molecular imaging (MRMI) with a targeted contrast agent, MT218, specific to extradomain-B fibronectin (EDB-FN), a marker for epithelial-to-mesenchymal transition, to assess the therapeutic efficacy of the combination of paclitaxel and ZD2-PEG-ECO/siDANCR nanoparticles (ZD2-siDANCR-ELNP) to treat TNBC. The treatment of orthotopic MDA-MB-231 TNBC in mice with paclitaxel significantly suppressed tumor growth but with a significant increase of EDB-FN in the tumor, as revealed by MRMI and immunohistochemistry. Combining ZD2-siDANCR-ELNP with paclitaxel further reduced tumor sizes, along with reduced EDB-FN expression. Interestingly, MT218-MRMI revealed a lower reduction of tumor signal enhancement with the combination treatment than that with the siDANCR treatment alone, which was supported by higher cell density in the tumors treated with the combination therapy, as shown by histochemical analysis. MT218-MRMI clearly revealed the changes of the tumor microenvironment in response to various therapies and is effective to noninvasively assess the response of TNBC tumors to the therapies. Regulating oncogenic lncRNA DANCR is an effective strategy for improving the outcomes of chemotherapy in TNBC.
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RNA Longo não Codificante , Neoplasias de Mama Triplo Negativas , Humanos , Animais , Camundongos , Neoplasias de Mama Triplo Negativas/diagnóstico por imagem , Neoplasias de Mama Triplo Negativas/tratamento farmacológico , RNA Longo não Codificante/genética , Interferência de RNA , Linhagem Celular Tumoral , Paclitaxel/uso terapêutico , Espectroscopia de Ressonância Magnética , Imagem Molecular/métodos , Proliferação de Células , Microambiente TumoralRESUMO
Pacific Biosciences (PacBio) HiFi sequencing technology generates long reads (>10 kbp) with very high accuracy (<0.01% sequencing error). Although several de novo assembly tools are available for HiFi reads, there are no comprehensive studies on the evaluation of these assemblers. We evaluated the performance of 11 de novo HiFi assemblers on (1) real data for three eukaryotic genomes; (2) 34 synthetic data sets with different ploidy, sequencing coverage levels, heterozygosity rates, and sequencing error rates; (3) one real metagenomic data set; and (4) five synthetic metagenomic data sets with different composition abundance and heterozygosity rates. The 11 assemblers were evaluated using quality assessment tool (QUAST) and benchmarking universal single-copy ortholog (BUSCO). We also used several additional criteria, namely, completion rate, single-copy completion rate, duplicated completion rate, average proportion of largest category, average distance difference, quality value, run-time, and memory utilization. Results show that hifiasm and hifiasm-meta should be the first choice for assembling eukaryotic genomes and metagenomes with HiFi data. We performed a comprehensive benchmarking study of commonly used assemblers on complex eukaryotic genomes and metagenomes. Our study will help the research community to choose the most appropriate assembler for their data and identify possible improvements in assembly algorithms.
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Metagenoma , Software , Análise de Sequência de DNA/métodos , Algoritmos , Metagenômica/métodos , Sequenciamento de Nucleotídeos em Larga Escala/métodosRESUMO
The presence of contaminants in the environment has increased in recent years, and studies have demonstrated that these contaminants have the ability to penetrate the blood-retinal barrier and directly affect the visual systems of organisms. Zebrafish are recognized as an ideal model for human eye diseases due to their anatomical and functional similarities to the human eye, making them an efficient and versatile organism for studying ocular toxicity caused by environmental contaminants in the field of environmental toxicology. Meanwhile, zebrafish exhibit a diverse repertoire of visually mediated behaviors, and their visual system undergoes complex changes in behavioral responses when exposed to environmental contaminants, enabling rapid assessment of the ocular toxicity induced by such pollutants. Therefore, this review aimed to highlight the effectiveness of zebrafish as a model for examining the effects of environmental contaminants on ocular development. Special attention is given to the visually mediated behavior of zebrafish, which allows for a rapid assessment of ocular toxicity resulting from exposure to environmental contaminants. Additionally, the potential mechanisms by which environmental contaminants may induce ocular toxicity are briefly outlined.
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This article studies group-wise point set registration and makes the following contributions: "FuzzyGReg", which is a new fuzzy cluster-based method to register multiple point sets jointly, and "FuzzyQA", which is the associated quality assessment to check registration accuracy automatically. Given a group of point sets, FuzzyGReg creates a model of fuzzy clusters and equally treats all the point sets as the elements of the fuzzy clusters. Then, the group-wise registration is turned into a fuzzy clustering problem. To resolve this problem, FuzzyGReg applies a fuzzy clustering algorithm to identify the parameters of the fuzzy clusters while jointly transforming all the point sets to achieve an alignment. Next, based on the identified fuzzy clusters, FuzzyQA calculates the spatial properties of the transformed point sets and then checks the alignment accuracy by comparing the similarity degrees of the spatial properties of the point sets. When a local misalignment is detected, a local re-alignment is performed to improve accuracy. The proposed method is cost-efficient and convenient to be implemented. In addition, it provides reliable quality assessments in the absence of ground truth and user intervention. In the experiments, different point sets are used to test the proposed method and make comparisons with state-of-the-art registration techniques. The experimental results demonstrate the effectiveness of our method. The code is available at https://gitsvn-nt.oru.se/qianfang.liao/FuzzyGRegWithQA.
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In this study, ultrasound either as a pretreatment technique or as an integrated technique was employed to enhance fluidized bed drying of Ascophyllum nodosum, and drying kinetics and dried product quality were assessed. In order to compare technology efficiency and dried product qualities, oven drying and fluidized bed drying (FBD) were employed. The novel drying methods included airborne ultrasound-assisted fluidized bed drying (AUA), ultrasound pre-treatment followed by FBD (USP), and hot water blanching pre-treatment followed byFBD (HWB). Six drying kinetics models were used to describe the drying curves, among which the Page model was the best in fitting USP and AUA. Model by Millidi et al. was employed to describe HWB. Airborne ultrasound in AUA did not reduce energy consumption or drying time, but retained total phenolic content (TPC) as well as colour, and exhibited the highest yield among the novel drying methods. USP and HWB showed lower energy consumption and drying time considerably, but the TPC was the lowest among the studied methods. At the same time, USP dried product exhibited the lowest aw, followed by HWB and then AUA. This studyalso demonstrated that FBD could be a very practical drying method on Irish brown seaweed, and ultrasound-assisted drying methods may have potential developments in Irish brown seaweed drying process.
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Ascophyllum/química , Dessecação/métodos , Sonicação , Contagem de Colônia Microbiana , Cinética , Microscopia Eletrônica de Varredura , Modelos Teóricos , ÁguaRESUMO
Cooling and freezing are two widely used methods for food preservation. Conventional cooling and freezing techniques are usually with low efficiency and prone to damage foodstuffs. In order to increase cooling and freezing efficiencies and ensure better food quality, many efforts have been performed. As effective solutions, pressure-related techniques such as vacuum cooling (VC), vacuum film cooling (VFC), vacuum spray cooling (VSC), pressure shift freezing (PSF) and isochoric freezing (ICF) have attracted a lot of interests. The current review intends to provide an overview of pressure-related cooling and freezing techniques for the food industry. In the review, the fundamentals including principles, experimental systems, thermodynamic and kinetic mechanisms and their relevant mathematical models are presented, latest applications of these techniques in the food industry are summarized, and future trends concerning technological development and industrialization are highlighted. Pressure plays an important role in improving the cooling and freezing processes and ensuring food qualities, and mathematical modeling is an effective tool for understanding the thermodynamic and kinetic mechanisms of these processes. However, the latest researches showed that despite many merits of these pressure-related processes, limitations still exist in applying some of the techniques in the food industry. For achieving technological development and industrialization of the pressure-related processes, further researches should focus on improving model performance, integrating multiple technologies, and cost control.
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Conservação de Alimentos , Qualidade dos Alimentos , Congelamento , Transição de Fase , TermodinâmicaRESUMO
OBJECTIVES: To fully assess the quality of the guidelines for the management of malignant pleural effusions (MPE) and ascites and reveal the heterogeneity of recommendations and possible reasons among guidelines. METHODS: A systematic search was performed in the database to obtain guidelines for the management of MPE and ascites. The AGREE IIGtool was used to assess the quality of these guidelines. The Measurement Scale of Rate of Agreement (MSRA) was introduced to assess the scientific agreement of formulated recommendations for the management of MPE and ascites among guidelines, and evidence supporting these recommendations was extracted and analyzed. RESULTS: Nine guidelines were identified. Only 4 guidelines scored more than 60% and are worth recommending. Recommendations were also heterogeneous among guidelines for the management of MPE, and the main reasons were the different emphases of the recommendations for the treatment of MPE, the contradictions in recommendations, and the unreasonably cited evidence for MPE. CONCLUSIONS: The quality of the management guidelines for patients with MPE and malignant ascites was highly variable. Specific improvement of the factors leading to the heterogeneity of recommendations will be a reasonable and effective way for developers to upgrade the recommendations in the guidelines for MPE.
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Derrame Pleural Maligno , Ascite/etiologia , Ascite/terapia , Humanos , Derrame Pleural Maligno/diagnóstico , Derrame Pleural Maligno/terapia , PrognósticoRESUMO
BACKGROUND & AIMS: Early oral nutrition (EON) has been shown to improve recovery of gastrointestinal function, length of stay and mortality after abdominal surgery; however, early oral nutrition often fails during the first week after surgery. Here, a multi-modal early oral nutrition program is introduced to promote recovery of gastrointestinal function and tolerance of oral nutrition. METHODS: Consecutive patients scheduled for abdominal surgery were randomized to the multimodal EON group or a group receiving conventional care. The primary endpoint was the time of first defecation. The secondary endpoints were outcomes and the cost-effectiveness ratio in treating infectious complications. The rate of infectious-free patients was regarded as the index of effectiveness. RESULTS: One hundred seven patients were randomly assigned to groups. Baseline characteristics were similar for both groups. In intention-to-treat analysis, the success rate of oral nutrition during the first week after surgery in the multimodal EON group was 44 (83.0%) versus 31 (57.4%) in the conventional care group (P = 0.004). Time to first defecation, time to flatus, recovery time of bowel sounds, and prolonged postoperative ileus were all less in the multimodal EON group (P < 0.05). The median postoperative length of stay in the multimodal EON group was 8 days (6, 12) versus 10 days (7, 18) in the conventional care group (P < 0.001). The total cost of treatment and nutritional support were also less in the multi-modal early oral nutrition group (P < 0.001). The effectiveness was 84.9 and 79.9% in the multimodal EON and conventional care group, respectively (P = 0.475). However, the cost-effectiveness ratio was USD 537.6 (506.1, 589.3) and USD 637.8 (593.9, 710.3), respectively (P < 0.001). CONCLUSION: The multi-modal early oral nutrition program was an effective way to improve tolerance of oral nutrition during the first week after surgery, decrease the length of stay and improve cost-effectiveness after abdominal surgery. TRIAL REGISTRATION: Registration number: ChiCTR-TRC-14004395 . Registered 15 March 2014.
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Abdome/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório , Apoio Nutricional , Cuidados Pós-Operatórios/métodos , Idoso , Colectomia , Análise Custo-Benefício , Defecação/fisiologia , Determinação de Ponto Final , Feminino , Gastrectomia , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Estado Nutricional , Complicações Pós-Operatórias/prevenção & controle , Estudos Prospectivos , Tamanho da Amostra , Método Simples-CegoRESUMO
Nowadays, people have increasingly realized the importance of acquiring high quality and nutritional values of fish and fish products in their daily diet. Quality evaluation and assessment are always expected and conducted by using rapid and nondestructive methods in order to satisfy both producers and consumers. During the past two decades, spectroscopic and imaging techniques have been developed to nondestructively estimate and measure quality attributes of fish and fish products. Among these noninvasive methods, visible/near-infrared (VIS/NIR) spectroscopy, computer/machine vision, and hyperspectral imaging have been regarded as powerful and effective analytical tools for fish quality analysis and control. VIS/NIR spectroscopy has been widely applied to determine intrinsic quality characteristics of fish samples, such as moisture, protein, fat, and salt. Computer/machine vision on the other hand mainly focuses on the estimation of external features like color, weight, size, and surface defects. Recently, by incorporating both spectroscopy and imaging techniques in one system, hyperspectral imaging cannot only measure the contents of different quality attributes simultaneously, but also obtain the spatial distribution of such attributes when the quality of fish samples are evaluated and measured. This paper systematically reviews the research advances of these three nondestructive optical techniques in the application of fish quality evaluation and determination and discuss future trends in the developments of nondestructive technologies for further quality characterization in fish and fish products.
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Produtos Pesqueiros/análise , Qualidade dos Alimentos , Valor Nutritivo , Controle de Qualidade , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Análise Espectral/métodos , Animais , PeixesRESUMO
The purpose of this study was to develop and test a hyperspectral imaging system (900-1700 nm) to predict instrumental and sensory tenderness of lamb meat. Warner-Bratzler shear force (WBSF) values and sensory scores by trained panellists were collected as the indicator of instrumental and sensory tenderness, respectively. Partial least squares regression models were developed for predicting instrumental and sensory tenderness with reasonable accuracy (Rcv=0.84 for WBSF and 0.69 for sensory tenderness). Overall, the results confirmed that the spectral data could become an interesting screening tool to quickly categorise lamb steaks in good (i.e. tender) and bad (i.e. tough) based on WBSF values and sensory scores with overall accuracy of about 94.51% and 91%, respectively. Successive projections algorithm (SPA) was used to select the most important wavelengths for WBSF prediction. Additionally, textural features from Gray Level Co-occurrence Matrix (GLCM) were extracted to determine the correlation between textural features and WBSF values.
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Carne/análise , Músculo Esquelético/química , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Paladar , Animais , Culinária , Humanos , OvinosRESUMO
Many subjective assessment methods for fresh meat quality are still widely used in the meat industry, making the development of an objective and non-destructive technique for assessing meat quality traits a vital need. In this study, a hyperspectral imaging technique was investigated for objective determination of pork quality attributes. Hyperspectral images in the near infrared region (900-1700 nm) were acquired for pork samples from the longissimus dorsi muscle, and the representative spectral information was extracted from the loin eye area. Several mathematical pre-treatments including first and second derivatives, standard normal variate (SNV) and multiplicative scatter correction (MSC) were applied to examine the influence of spectral variations in predicting pork quality characteristics. Spectral information was used for predicting color features (L, a, b, chroma and hue angle), drip loss, pH and sensory characteristics by partial least-squares regression (PLS-R) models. Independent sets of feature-related wavelengths were selected for predicting each quality attribute. The results showed that color reflectance (L), pH and drip loss of pork meat could be predicted with determination coefficients (R(CV)(2)) of 0.93, 0.87 and 0.83, respectively. The regression coefficients from the PLS-R models at the selected optimal wavelengths were applied in a pixel-wise manner to convert spectral images to prediction maps that display the distribution of attributes within the sample. Results indicated that this technique is a potential tool for rapid assessment of pork quality.
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Carne/análise , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Animais , Cor , Análise dos Mínimos Quadrados , Controle de Qualidade , Espectroscopia de Luz Próxima ao Infravermelho/economia , SuínosRESUMO
BACKGROUND: Central neurocytoma accounts for 0.1% of primary brain tumor that often occurs in young adults. Surgery is the main treatment for central neurocytoma and the rate of 5-year survival reaches up to over 90%. This study aimed to assess the effect of transcortical frontal approach to surgical resection of central neurocytoma on emotion and cognitive function 5 years after surgery. METHODS: Telephone following-up visits were used in this study. By means of neuropsychological testing, assayed emotion, memory and abstract thinking ability of 18 patients undergoing central neurocytoma resection by transcortical frontal approach for 5 years or more, with another 21 normal cases as control group were enrolled. The data were analyzed statistically by paired t test with SPSS11.5. RESULTS: Patients whose central neurocytoma was removed by transcortical frontal approach were not affected on calculating ability 5 years after operation while ability of memory declined sharply (P = 0.000), the older, the more sharply (P = 0.036). Ability of abstract thinking was significantly reduced (P = 0.000), the older, the more significantly as well (P = 0.012); additionally, anxiety and depression occurred in patients rather more than those of control group (P = 0.000), especially cognitive impairment. CONCLUSIONS: Transcortical frontal approach for surgical resection of central neurocytoma has certain long-term influence on patients' life quality, vulnerable to anxiety, depression and cognitive impairment, the severity of which was correlated to age. Therefore, improving surgical approach will be of value for better long-term life quality of patients.
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Cognição/fisiologia , Emoções/fisiologia , Neurocitoma/fisiopatologia , Neurocitoma/psicologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neurocitoma/mortalidade , Neurocitoma/cirurgia , Período Pós-Operatório , Adulto JovemRESUMO
INTRODUCTION: To evaluate clinical value of a new self-sequential longitudinal reference intervals of thyroid function during pregnancy. MATERIAL AND METHODS: WE ESTABLISHED TWO DIFFERENT SERIES OF REFERENCE INTERVALS: self-sequential longitudinal reference intervals (SLRI) and general gestation-specific reference intervals (GSRI). For SLRI, the serum of 301 cases were collected five times in every case throughout the gestation. For GSRI, A total of 1455 subjects included in the study. We collected the serum respectively at various trimesters. We used TSH of both reference intervals to screen 1744 pregnant women, and compared the percentage of potential misclassification. RESULTS: Both SLRI and GSRI differed substantially from that for non-pregnant women (p < 0.05). There are similar fluctuations of serum TSH, FT4 and TPO-Ab during normal pregnancy. Although there were no significant differences in most reference intervals between SLRI and GSRI. But the IQR of SLRI were usually smaller than GSRI , especially in 1(st) trimester. Two hundred and fifty two women (14.4%) at various trimesters whose serum TSH concentration was within SLRI would be misclassified, while 23 women (1.3%) with a TSH concentration outside limit would not be identified. 0.11-3.84% women would got thyroid diseases during pregnancy. Subclinical hypothyroidism is most common maternal thyroid disorders. CONCLUSIONS: The SLRI can reflected the changes of thyroid function realistically, and can be used to decrease the percentage of potential misclassification of thyroid dysfunction during pregnancy. Screening for thyroid dysfunction of pregnant women is recommended and important.
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A new study was conducted to apply computer vision methods successfully developed using trained sensory panel palatability data to new samples with consumer panel palatability data. The computer vision methodology utilized the traditional approach of using beef muscle colour, marbling and surface texture as palatability indicators. These features were linked to corresponding consumer panel palatability data with the traditional approach of partial least squares regression (PLSR). Best subsets were selected by genetic algorithms. Results indicate that accurate modelling of likeability with regression models was possible (r(2)=0.86). Modelling of other important palatability attributes proved encouraging (tenderness r(2)=0.76, juiciness r(2)=0.69, flavour r(2)=0.78). Therefore, the current study provides a basis for further expanding computer vision methodology to correlate with consumer panel palatability data.
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Comportamento do Consumidor , Gorduras na Dieta , Processamento de Imagem Assistida por Computador/métodos , Carne/análise , Sensação , Paladar , Algoritmos , Animais , Bovinos , Cor , Humanos , Análise dos Mínimos Quadrados , Carne/normas , Modelos EstatísticosAssuntos
Testes Respiratórios/métodos , Isótopos de Carbono , Doença Hepática Induzida por Substâncias e Drogas/fisiopatologia , Testes de Função Hepática/métodos , Fenilalanina , Animais , Tetracloreto de Carbono , Intoxicação por Tetracloreto de Carbono , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Masculino , Ratos , Ratos Sprague-DawleyRESUMO
OBJECTIVE: To evaluate the effects of total abdominal hysterectomy (TAH), laparoscopic hysterectomy (LH) and transvaginal hysterectomy (TVH) on quality of life, cost and health care utilization. METHODS: A study of women who underwent elective hysterectomy was performed to assess the effect of operations on quality of life using WHO quality of life-bref before operation, at the 4th, 14th and 28th day after operation, respectively. The data of total cost and health care utilization were also analyzed. RESULTS: The score of quality of life at the 4th day after operation in TVH patients was significantly higher than that in TAH patients (93 +/- 6 vs 81 +/- 11, P < 0.01). There was no significant difference in this score between TVH and LH, and between LH and TAH patients. However, at the 14th and 28th after operation, the scores in both TVH and LH patients were significantly higher than that in TAH patients (95 +/- 7 and 96 +/- 7 vs 85 +/- 9, P < 0.001 and 0.001; 96 +/- 10 and 98 +/- 7 vs 87 +/- 10, P < 0.01). There was no significant difference in the total costs among three groups. The better health care utilization was in LH and TVH patients, and the worse in TAH patients. CONCLUSIONS: The effect of LH and TVH on quality of life and health economics is similar, and appears to be superior than that of TAH.
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Procedimentos Cirúrgicos em Ginecologia/economia , Histerectomia/métodos , Laparoscopia , Qualidade de Vida , Adulto , Feminino , Humanos , Histerectomia/economia , Histerectomia Vaginal/economia , Histerectomia Vaginal/métodos , Laparoscopia/economia , Laparoscopia/métodos , Leiomioma/cirurgia , Pessoa de Meia-Idade , Resultado do Tratamento , Neoplasias Uterinas/cirurgia , Prolapso Uterino/cirurgiaRESUMO
OBJECTIVE: To evaluate the effects of hyperbaric oxygen (HBO) therapy on patients with postbrain injury neural status. METHODS: Two to 4 courses of HBO therapy and/or medications were used to treat 320 patients who were randomly divided into two groups. Assessment was made with (99m)Tc-ethyl cysteinate dimer ( (99m)Tc-ECD) single photon emission computed tomography (SPECT) before and after treatment. RESULTS: There was a significant difference between the HBO therapy group and the non-HBO therapy group. HBO therapy was superior to medication treatment alone in the recovery of clinical symptoms, control of epilepsy, and resolution of hydrocephalus (P<0.01). CONCLUSIONS: HBO therapy has specific curative effects on patients with postbrain injury neural status, and (99m)Tc-ECD SPECT could play an important role in diagnosing postbrain injury neural status and monitoring the therapeutic effects of HBO.
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Lesões Encefálicas/diagnóstico por imagem , Lesões Encefálicas/terapia , Encéfalo/diagnóstico por imagem , Circulação Cerebrovascular/fisiologia , Cisteína/análogos & derivados , Oxigenoterapia Hiperbárica/métodos , Adolescente , Adulto , Idoso , Encéfalo/fisiopatologia , Distribuição de Qui-Quadrado , Criança , Feminino , Seguimentos , Humanos , Escala de Gravidade do Ferimento , Masculino , Pessoa de Meia-Idade , Compostos de Organotecnécio , Probabilidade , Valores de Referência , Medição de Risco , Sensibilidade e Especificidade , Tomografia Computadorizada de Emissão de Fóton Único , Resultado do TratamentoRESUMO
OBJECTIVE: To examine the operative approaches, major indications, and medical economic parameters of the hysterectomy. METHODS: Data on hysterectomy performed due to benign gynecological disorders in Peking Union Medical College Hospital (PUMCH) from 1996 to 2001 were reviewed. The cases were classified into three groups according to the operative approaches: total abdominal hysterectomy (TAH), vaginal hysterectomy (VH), and laparoscopic assisted vaginal hysterectomy (LAVH). The major indications, length of hospital stay, operative cost, and total medical cost were analyzed. RESULTS: Records of 4,180 women who had hysterectomies in PUMCH were examined. Operations included TAH (78.4%), LAVH (13.0%), and VH (8.6%). The use of LAVH increased from 2.4% in 1996 to 17.3% in 2001. The common indications for surgery included uterine leiomyoma (56.2%), adenomyosis (12.2%), benign ovarian tumor (9.2%), genital prolapse (7.7%), endometriosis (6.9%), atypical endometrial hyperplasia (3.0%), and cervical intraepithelial neoplasm (2.0%). The most common indications for TAH and LAVH were uterine leiomyomas and adenomyosis, whereas the most common indication for VH was genital prolapse, followed by uterine leiomyoma. The lengths of hospital stay in TAH, VH, and LAVH were (11.0 +/- 4.9) d, (10.9 +/- 3.9) d, and (8.9 +/- 3.7) d respectively. The total medical cost was (5,666.6 +/- 1,709.4) RMB Yuan for TAH, (5,027.6 +/- 1,067.0) RMB Yuan for VH, and (7,473.8 +/- 1,464.8) RMB Yuan for LAVH. CONCLUSIONS: The use of LAVH has been increasing. Although the direct medical cost for LAVH is higher than that for TAH, its indirect benefit appeares superior to TAH. The major indications for LAVH and TAH are similar, whereas the indications for VH are different from those for TAH and LAVH.