Clinicopathological characteristics and prognosis of well-differentiated rectal neuroendocrine tumor / 中国内镜杂志

Objective To investigate the clinicopathological characteristics and prognosis of well-differentiated rectal neuroendocrine tumor(RNET).Methods A retrospective analysis was conducted using the clinical data from 83 patients with well-differentiated RNET from August 2017 to December 2021,including clinical manifestations,endoscopy,endoscopic treatment,postoperative complications,postoperative pathology,follow-up and prognosis.Pathological results according to the 2019 World Health Organization(WHO)Classification of digestive system tumors,83 patients were divided into G1 stage group(72 cases)and G2 stage group(11 cases);Based on the number of tumors in the patient,83 patients were divided into two groups:single RNET group(77 cases)and multiple RNET group(6 cases),the expressions of chromogranin A(CgA),synapsin(Syn)and CD56 were compared among different groups.Results Based on pathological findings in the group,G1 stage group CgA positive rate was significantly higher than that of G2 stage group,the difference was statistically significant(χ2 = 4.23,P = 0.040);Based on the number of tumors,multiple RNET group CgA positive rate was significantly higher than that of single RNET group,the difference was statistically significant(χ2 = 5.74,P = 0.017).It was no significant difference in Syn and CD56 between the two groups(P＞0.050).Conclusion Well-differentiated RNET has no specific clinical manifestations.It is mostly isolated in G1 stage and single RNET.ESD is safe and has a good prognosis,the positive rate of CgA is higher in G1 stage patients,and the positive rate of CgA is higher in patients with multiple RNET.

Effectiveness of Preferable Color Light on Psychosomatic State Evaluated by Emotional Parameters and Biochemical Parameters / 日本補完代替医療学会誌

<b>Objective</b>: To assess the effectiveness of preferred colored light on psychosomatic state.<br> <b>Methods</b>: Preferred color light and other colored light were projected on a screen and shown to experimental and control subjects. To determine the effect of such light, mood adjective scores as determined by the Multiple Mood Scale (MMS) were measured as an emotional parameter, and levels of salivary chromogranin A (CgA) and salivary immune globulin A were measured as biochemical parameters. This study was performed in a randomized, crossover design. These data were analyzed statistically and a<i> p </i>value less than 0.05 was considered significant.<br> <b>Results</b>: After being exposed to preferred colored lights, mean MMS scores indicating positive moods, such as well-being increased significantly (p = 0.025), and scores indicating negative moods, such as depression and boredom decreased significantly (p = 0.005, p = 0.041). Mean value of salivary CgA also decreased and was significantly different between experimental and control group (p < 0.001).<br> <b>Conclusion</b>: Preferred colored light may be effective in promoting a calm positive state.<br>

Effect of snack eating on sensitive salivary stress markers cortisol and chromogranin A

<p><b>OBJECTIVES</b>To investigate the effect of snack eating on salivary cortisol and chromogranin A (CgA).</p><p><b>METHODS</b>From 14∶00 to 18∶00, starting two hours after consumption of a midday meal, saliva samples were collected every 30 minutes from 15 healthy males, 7 of whom (snack group) ate a snack immediately after the sampling at 15∶00. Salivary cortisol and CgA levels were determined by ELISA. Samples were controlled according to salivary flow rates.</p><p><b>RESULTS</b>For the snack group, after snack consumption, salivary cortisol increased to exceed significance (p<0.05) at 15∶30 and rose even higher at 16∶00. In the control group, there was no such change. There was no significant change in salivary CgA in either the snack group or the control groups during the sampling period.</p><p><b>CONCLUSIONS</b>These findings suggest that no food should be consumed for at least 90 mins before saliva sampling for cortisol determination and that salivary CgA is probably not affected by snack eating.</p>

Effect of Snack Eating on Sensitive Salivary Stress Markers Cortisol and Chromogranin A

Objectives: To investigate the effect of snack eating on salivary cortisol and chromogranin A (CgA). Methods: From 14:00 to 18:00, starting two hours after consumption of a midday meal, saliva samples were collected every 30 minutes from 15 healthy males, 7 of whom (snack group) ate a snack immediately after the sampling at 15:00. Salivary cortisol and CgA levels were determined by ELISA. Samples were controlled according to salivary flow rates. Results: For the snack group, after snack consumption, salivary cortisol increased to exceed significance (p<0.05) at 15:30 and rose even higher at 16:00. In the control group, there was no such change. There was no significant change in salivary CgA in either the snack group or the control groups during the sampling period. Conclusions: These findings suggest that no food should be consumed for at least 90 mins before saliva sampling for cortisol determination and that salivary CgA is probably not affected by snack eating.