Advances in circulating tumor cells for early detection, prognosis and metastasis reduction in lung cancer.

Globally, lung cancer stands as the leading type of cancer in terms of incidence and is the major source of mortality attributed to cancer. We have outlined the molecular biomarkers for lung cancer that are available clinically. Circulating tumor cells (CTCs) spread from the original location, circulate in the bloodstream, extravasate, and metastasize, forming secondary tumors by invading and establishing a favorable environment. CTC analysis is considered a common liquid biopsy method for lung cancer. We have enumerated both in vivo and ex vivo techniques for CTC separation and enrichment, examined the advantages and limitations of these methods, and also discussed the detection of CTCs in other bodily fluids. We have evaluated the value of CTCs, as well as CTCs in conjunction with other biomarkers, for their utility in the early detection and prognostic assessment of patients with lung cancer. CTCs engage with diverse cells of the metastatic process, interfering with the interaction between CTCs and various cells in metastasis, potentially halting metastasis and enhancing patient prognosis.

[Potential Ecological Risk Assessment and Source Analysis of Heavy Metals in Soil-crop System in Xiong'an New District].

In order to evaluate the distribution characteristics of fluorine geochemistry in the surface soil and human health risk in Xiong'an New District, GIS spatial analysis and correlation analysis were used to analyze the depleted and enriched features and influencing factors of soil fluoride and to carry out the soil fluoride health risk assessment. The uncertainty of the health risk assessment results was studied based on the Monte Carlo stochastic simulation. The results showed that the average content of fluorine was 641 mg·kg-1, which was 1.34 times the background value of the national A-layer soil. The excess fluorine and high-grade samples accounted for more than 85%, and the overall soil fluorine content was relatively high. The average content of fluoride of the irrigation water samples was 0.85 mg·L-1, the spatial distribution characteristics of which were affected by the hydrochemical type and flow direction of shallow groundwater. The vertical spatial variation of soil fluoride, mainly affected by the vertical distribution of soil physicochemical properties such as soil organic carbon and texture, was not obvious. The depletion and enrichment of topsoil fluorine was mainly controlled by the geological background, and its spatial distribution was affected by external inputs, such as human factors (agricultural irrigation water, fertilization, and atmospheric dry and wet deposition). The soil fluoride content was significantly correlated with the iconic indicators of the geomorphological environment, including the content of Al2O3, Fe2O3, MgO, K2O, soil organic carbon (Corg.), cation exchange capacity (CEC), clay, and silt (P<0.01). The results of human health risk assessment showed that oral intake was the main exposure risk route of soil fluoride. The non-carcinogenic health risk index HQ of adults was less than 1, and the harm could be ignored. The probability of non-carcinogenic health risk exceeding the threshold for adults and children was 34.3% and 27.6%, respectively, and daily soil intake was the most sensitive parameter.

[Geochemical Survey Method of Land Quality in Land Parcel Scale City: A Case Study of the Initial Area of the Xiong'an New District].

In order to evaluate the land quality geochemical survey achievement in the service of the accurate management of urban land resources, the initial area of the Xiong'an New District as urbanization pathfinder in China is chosen as the research subject. The sample points were set by differential classification, and the spatial interpolation accuracy of the soil elements at a plot scale and a quantitative assessment of the consistency of the land plot (pattern spot) prediction evaluation were studied under the conditions of different sampling densities. The regional geochemical variation values randomly distributed on the plane can be reflected quantitatively by differential classification sampling, which can meet the basic demand of the quality attribute of a single plot (map spot) by the accurate management of urban land resources. The spatial variability of soil elements is mostly middle to moderate, and Cd, Cu, Pb, Hg, Se, N, P, and other elements of high spatial variability are affected by human industrial and agricultural production activities. Under the same sampling density, the larger the element variation coefficient, the worse the spatial interpolation accuracy. Although the interpolation accuracy of the same element index is affected by the sampling density, the increase in the sampling density could not identify the continuous component on the structure of the soil element content. The soil environment is clean, and the heavy metal content is lower than the GB15618-2018 standard. The interpolation results are basically consistent with the grading results of the measured values, while the contents of N, P, and K of the nutrient indices vary greatly, and the predicted and measured geochemical grades of the plots (map spot) differ substantially under the influence of factors such as human disturbance and spatial variability. The quantitative evaluation of the six different sampling densities indicates that the 16 points·km-2 sampling density adopted in the geochemical survey and evaluation of urban land quality can satisfy the needs of an accurate control of urban land resources in the study area and similar areas. The research can provide key technologies to support and serve the accurate management of urban land resources for geochemical surveys and the evaluation of land quality in land parcel scale cities.

[Potential Ecological Risk Assessment and Source Analysis of Heavy Metals in Soil-crop System in Xiong'an New District].

In order to evaluate the potential ecological risk of heavy metals in the soil-crop system in the Xiong'an New District, the heavy metal contents and forms in wheat seed and root soil samples are analyzed, and the comprehensive pollution index (IPIN), potential ecological risk index (RI), bio-enrichment coefficient (BFC), risk assessment code (RAC), principal component analysis, and correlation analysis are used to assess the potential ecological risk of heavy metals and analyze their sources. The results indicate that the average content of Cd, Cu, Pb, and Zn in the root soil is significantly higher than the soil background value in Hebei province. The IPIN ranges from 0.2 to 5.18, 94.83% of the soil samples are in the safe and pollution-free grade, and the potential ecological risks of heavy metal are slight and moderate, accounting for 64.66% and 30.17%, respectively. Cd has the greatest potential ecological harm, followed by Hg, Cr, Ni, and Zn. All the heavy metal elements besides Cd in the root soil are dominated by the residual form, which accounts for 60%, and the bioactive form (ion-exchange and water-soluble state) of Cd accounts for 33.43%, indicating relatively high bio-availability. The risk assessment code can be ranked as Cd > Ni > Hg > As > Cu > Cr > Zn > Pb, and the risk of Cd is moderate, while other elements are of low or no risk. The leading potential source of heavy metals is human activity combined with the geological background. The migration and enrichment capability of the wheat seeds is in order from strong to weak of Zn > Cu > Cd > Hg > As > Ni > Pb > Cr, and the biological effective components of As, Cd, Pb, and Zn plays an substantial role in promoting the absorption of heavy metals. The content of heavy metals in the wheat seeds has a negative correlation with the soil pH, and the physical and chemical indices, such as OM and CEC, has bi-directional influence on the biological effective state of the heavy metals.

[Selenium Threshold for the Delimitation of Natural Selenium-Enriched Land].

The nationwide Se-enriched threshold plays a key role in identifying China's selenium-enriched land resources and developing characteristic agricultural practices. In this study, we used the cooperative data of 10222 sets of crops and roots in China for the past 10 years with a systematic analysis of the selenium content characteristics of the soil and the status of selenium-enriched agricultural products. The preliminary estimates of the selenium-enriched threshold based on a bulk crop-soil linear model and population selenium-intake are presented. Finally, a collaborative analysis model of soil selenium-enrichment rate and crop selenium-enrichment rate is established, coming up with the nationwide Se-enriched threshold:total selenium ≥ 0.40 µg·g-1 in paddy soil, and total selenium ≥ 0.30 µg·g-1 in dryland soil. The threshold passed the feasibility test in 13 provinces, providing strong support for the China Geological Survey to formulate and promulgate this technical standard for the delimitation of the natural selenium-enriched land.

[Discussion on Key Issues of Geochemical Monitoring of Soil Heavy Metal in Xiong'an New District].

To build a soil environmental quality monitoring network and collect the systematic soil geochemical data of heavy metals before and after the construction of Xiong'an New District(XND), long-term variations in soil heavy metal levels during the XND construction were monitored based on the land quality geochemical survey monitoring data and the geochemical distribution of heavy metals. Parameters such as sampling density, sampling quantity, and sampling period were estimated to construct the geochemical monitoring network, which provides a reference for the future long-term monitoring of soil heavy metal geochemistry in XND. The results indicate that variations in the amount of heavy metals As, Cd, Cu, Hg, and Pb are greater than 36%, while the nugget coefficients of Cd, Cu, and Pb are greater than 75% because of the superposition of manmade sources on the high natural background levels. At the 95% and 90% confidence levels, while the allowable error Δ of the sample mean value is 5%, 10%, and 15% and heavy metals as As, Cd, Cu, Hg,Ni, Pb and Zn is monitored in soil environmental quality monitoring network, the proper numbers in the study area are 1077, 270, 120 and 767, 192, 86, respectively. The minimum detectable change(MDC)of each heavy metal species is between 0.0025 and 2.54 mg ·kg-1. Soil heavy metal monitoring requires different revisit intervals under different annual change rates, but in the study area, revisit intervals of soil monitoring are approximately two years under the current conditions of constant annual change rates.

[Diagnosis and treatment of bilateral bronchial foreign body in children].

OBJECTIVE: To discuss the clinical characteristics of bilateral bronchial foreign body in children, increase the curative rate and reduce the complications. METHOD: The clinical data of 35 cases with bilateral bronchial foreign body in children were retrospectively analysed, including surgery, key surgery points, and postoperative combined therapy. RESULT: The foreign bodies of all cases were removed under intravenous general and tropical anesthesia without complications. CONCLUSION: The bilateral bronchial foreign body is a serious case, the timely and effective treatment can lower the mortality rate and postoperative complications. The children lack of oxygen for a long time before and in operation should be give comprehensive therapy, for example: sedation and hyperbaric oxygen.

Clinicopathological features and prognosis assessment of extranodal follicular dendritic cell sarcoma.

AIM: To establish a model for prognosis assessment of extranodal follicular dendritic cell (FDC) sarcoma. METHODS: Nine lesions were examined by routine and molecular approaches. Clinicopathological factors from the new cases and 97 reported cases were analyzed for their prognostic values. RESULTS: The current lesions were found in five male and four female patients, located mainly in the head and neck area and averaging 7.2 cm in size. Six patients had recurrence or metastasis and three remained free of disease. The 106 patients (male/female ratio, 1.1:1) were aged from 9 to 82 years (median, 44 years). The tumor sizes ranged from 1.5 to 21 cm (mean, 7.4 cm). Abdominal/pelvic region was affected most frequently (43%). Surgical resection was performed in 100 patients, followed by radiation and/or chemotherapy in 35 of them. Follow-up data were available in 91 cases, covering a period of 3-324 mo (mean, 27 mo; median, 19 mo). Of the informative cases, 38 (42%) had recurrence or metastasis, and 12 (13%) died of the disease. These tumors were classified histologically into low- and high-grade lesions. A size > or = 5 cm (P = 0.003), high-grade histology (P = 0.046) and a mitotic count > or = 5/10 HPF (P = 0.013) were associated with tumor recurrence. The lesions were defined as low-, intermediate- and high-risk tumors, and their recurrence rates were 16%, 46% and 73%, and their mortality rates 0%, 4% and 45%, respectively. CONCLUSION: Extranodal FDC tumors behave like soft tissue sarcomas. Their clinical outcomes are variable and can be evaluated according to their sizes and grades.

[Study on correlated factors and clinical features of fungal rhinosinusitis].

OBJECTIVE: To investigate the correlated factors and clinical features of fungal rhinosinusitis. METHODS: The clinical data of 110 patients with fungal rhinosinusitis treated by surgery and another group of 110 patients with chronic rhinosinusitis who were sampled randomly between January 1999 and June 2004 in our hospital were retrospectively compared. The correlated factors and the clinical features of fungal rhinosinusitis were investigated by using the multiple factor Logistic regression analysis and chi-square test. The pathological types of 110 fungal rhinosinusitis were classified by using Gomori methenamine silver staining which was special for fungi. RESULTS: The logistic regression predictive equation for fungal rhinosinusitis was : y = -8.713 + 0.496x1 + 4.575x2 + 1. 190x3 + 4.119x4 + 1.199x5 + 2. 698x6, P = exp (y)/[1 + exp(y)], in which the concomitant variables were course of the disease (x1), haem-nasal discharge (x2), headache (x3), calcified plaque in CT scan (x4), age (x5) and unilateral/bilateral sinus lesion (x6), respectively. The P value meant the probability of suffering fungal rhinosinusitis. Compared with chronic rhinosinusitis, the clinical features of fungal rhinosinusitis were female, over 40-year-old, course of disease < 3 years, headache, haem-nasal discharge, unilateral sinus lesion and calcified plaque in CT scan. Among the 110 patients with fungal rhinosinusitis, 34 cases were chronic invasive and 76 were non-invasive. CONCLUSIONS: The clinical features of fungal rhinosinusitis are significant for the diagnosis, and it can be predicted by using the suitable logistic predictable equation.