[Technical essentials and safety analysis of "rolling carpet" cytoreduction surgery in stage â ¢c epithelial ovarian cancer].

Objective: To introduce the technical essentials of cytoreduction surgery (CRS) with extensive peritonectomy （"rolling carpet" surgery） in stage Ⅲc epithelial ovarian cancer (EOC) and evaluate the feasibility and safety of the operation by analyzing the incidence of surgical complications and perioperative mortality. Methods: From December 2017 to December 2019, 30 patients with stage IIIc EOC who underwent "rolled carpet" CRS and 30 patients who underwent traditional CRS at the same period in Sichuan Cancer Hospital were collected. To summarize the key points of "rolled carpet" CRS operation technology, i.e. the extraperitoneal space was the cut path of ovarian cancer operation, and the tumor in the pelvic cavity was dissociated from the extraperitoneal space of the pelvic cavity. The tumor in the pelvic cavity and all the implants or potential metastases on the parietal peritoneum were removed completely. The clinical and pathological characteristics between the two groups were analyzed retrospectively, and the feasibility and safety of "rolling carpet" CRS were evaluated by comparing the operation related indexes and the occurrence of surgical complications between the two groups. Results: (1) Clinicopathological features: the age of patients in "rolling carpet" CRS group and traditional CRS group were respectively (55.4±9.6) and (54.6±9.5) years, and the median peritoneal cancer index (PCI) was 12 (range, 4-24) and 10 (range, 5-18), respectively. There were no statistical significance between the two groups (all P>0.05). (2) Operation related indexes: in the "rolled carpet" CRS group, all patients （100%, 30/30） were performed optimal CRS, reaching completeness of cytoreduction score （CC score）, named CC-0 score, and there was no visible residual lesion after operation. While, in the traditional CRS group, 23 patients （77%, 23/30） reached CC-0 score, 5 cases （17%, 6/30） reached CC-1 score, 2 cases （7%, 2/30） reached CC-2 score, and there were statistical significance between the two groups (P=0.011). The median surgical time was 315 minutes (range, 252-446 minutes) vs 268 minutes (range, 215-372 minutes), the median intraoperative blood loss was 589 ml (range, 300-900 ml) vs 450 ml (range, 250-800 ml), the median ICU hospital stay time was 2 days (range, 1-7 days) vs 1 day (range, 0-5 days), the median total hospital stay time was 14 days (range, 9-17 days) vs 12 days (range, 7-15 days). There were no statistical significance between the two groups (all P>0.05). (3) Surgical complications: there were respectively 5 cases (17%, 5/30) and 3 cases (10%, 3/30) complications with Clavien-Dindo grading Ⅰ-Ⅱ, which was significant no difference between the "rolled carpet" CRS group and the traditional CRS groups (P>0.05). No re-operations were needed and the operative mortality was 0. Conclusion: It is safe and feasible to perform "rolled carpet" CRS in patients with advanced stage Ⅲc EOC with peritoneum implantation and metastasis, which could achieve optimal CRS, and has an acceptable incidence of perioperative complications, no perioperative death.

[Association between dietary supplementation during pregnancy and low birth weight: a prospective study].

Objective: To explore the association between dietary supplementation during pregnancy and low birth weight. Methods: 11 311 pregnant women who had regularly visited outpatient gynecology clinic of Wuhan Women and Children Medical Center with intention to delivery in the hospital were recruited in the cohort between September 2012 and October 2014. Social-demographic characteristics of pregnant women and spouses, dietary supplementation during pregnancy, pre-pregnancy body mass index (BMI), exercise in the third trimester, work during pregnancy, pregnancy complications and related pregnancy information were collected through self-designed questionnaires, maternal health manuals and medical records. Birth weight of the newborns was measured. Non-conditional multivariate logistic regression analysis was used to determine the correlation between dietary supplementation and low birth weight. Results: 11 311 pregnant women were (28.21±3.70) years old, and they gave birth to 477 low birth weight newborns (4.2%). Iron supplementation during the whole period of pregnancy (OR (95%CI): 0.60 (0.43-0.63)) and folic acid supplementation during the early pregnancy (OR (95%CI): 0.74 (0.60-0.90)) were negatively associated with low birth weight. Conclusion: Supplementation of iron during the whole period of pregnancy and folic acid during the early pregnancy would reduce the risk of low birth weight.

Effects of selenium and methionine supplementation of breeder hen diets on selenium concentration and oxidative stability of lipids in the thigh muscles of progeny.

The effects of dietary supplementation to female chickens with selenium (Se) and methionine (Met) on the next generation were studied. Lang-shan breeding hens (450) were obtained at 52 wk of age and randomly allotted to 9 treatments; 5 replicates of each treatment were carried out. The breeders were fed a basal corn-soybean meal diet (0.13 mg Se/kg) supplemented with 0, 0.30, or 0.60 mg/kg Se from Sel-Plex and 0.32%, 0.40%, or 0.54% Met for the 30-d adapting period and 70-d experiment period. Se and glutathione (GSH) concentrations, glutathione peroxidase (GSH-Px) activity, and the oxidative stability of muscular lipids of 90-d progeny were determined by testing the TBARS values. When breeders received the highest levels of Met or Se, GSH-Px activity was decreased, the Se concentration and the oxidative stability of muscular lipids were increased with the supplementation of Se or Met. When breeder hens were given a Met-deficient diet, supplementing with Se decreased the Se deposition in progeny thigh. With regard to lipid oxidation, 0.3 mg/kg maternal dietary Se supplementation decreased the oxidative stability of muscle lipid and 0.6 mg/kg Se supplementation showed no difference from the control. When breeders were fed a Se-deficient diet, the GSH-Px activity was increased significantly and the oxidative stability of progeny muscles was decreased with the supplementation of Met. It was concluded that supplementation of the maternal diet with higher Se and Met can increase Se deposition in progeny muscle and lead to more effective protection against lipid oxidation in progeny thighs.

[Research on the effect of shen xian sheng mai ye on experimental sick sinus syndrome].

The effects of shen xian sheng mai ye (SXSMY) on experimental sick sinus syndrome (SSS) were observed. By applying 20% formaldehyde to the rabbits' sino-atrial node area, we got the acute animal model of SSS. By observing the rabbits' heart rate (HR), arrhythmia and cardioelectric physiologic index in different periods, the results were as follows: (1) Increasing heart rate: SXSMY could increase rabbits' HR 10-30 times per minute by observing electrocardiogram within 2 hours (P less than 0.05-0.001). (2) Correcting arrhythmia: SXSMY could reduce arrhythmia of sinus nodal arrest and nodal rhythm remarkably. (3) Improving sinus atrial node function: SXSMY could improve sinus node recovery time (SNRT) and sinus atrial conducting time (SACT) with the method of atrial pacing (AP) (P less than 0.01-0.001). But the above results did not appear in atropine and glucose groups.

[Superficial tongue blood volume and the tongue spectrophotometric determination on coronary heart disease with blood stasis syndrome].

The tongue bodies of coronary heart disease (CHD) patients with blood stasis syndrome were looking dull purple in different degree. The authors adopted two kinds of biophysics methods which are tongue spectrophotometer and DM-80-6 superficial tongue blood volume meter. 52 CHD patients with blood stasis syndrome, 50 normal individuals and 26 patients before and after the treatment according to promote blood circulation to remove the blood stasis, were examined. The results were as follows: The purple ray values of the tongue spectrum of the CHD patients with blood stasis syndrome were more than that of normal individuals. Statistics showed significant difference (P less than 0.01). So was the tongue blood volume (P less than 0.01). In the treatment group, the purple ray value of tongue spectrum reduced, and the red ray volume of tongue increased significantly, as well (P less than 0.01). The results suggested that both methods may be quantitative comparative parameters for diagnosis, differentiation of symptoms and signs, and evaluation of the therapeutic effectiveness.