A population-based predictive model to identify patients with signet ring cell carcinoma of the stomach who are most suitable for primary tumor resection.

BACKGROUND: Though the survival benefit of primary tumor operation for patients with signet ring cell carcinoma of the stomach is known, the specific characteristics of those patients who would profit from the operation are yet to be determined. To this end, a predictive model was developed to identify the conjecture that the survival profit from primary tumor operation would only be obtained by patients. METHOD: The clinical data of the patients with signet ring cell carcinoma of the stomach were obtained from the Surveillance, Epidemiology, and End Results database, and then divided into operation and no-operation groups based on whether the patients underwent the primary tumor operation. To remove the confounding factors, propensity score matching was employed, and it was hypothesized that the patients who had been operated on and lived a longer life than the median cancer-specific survival time of those who hadn't must have profited from the surgery. To discuss the independent factors of cancer-specific survival time in the beneficial group and the non-beneficial group, the Cox model was used, and based on the various vital predictive factors, a nomogram was drawn using logistic regression. RESULT: The number of eligible patients was 12,484, with 43.9% (5483) of them having received surgery. After employing propensity score matching, the cancer-specific survival time of the operation group was found to be apparently longer (median: 21 vs. 5 months; p < 0.001) than the no-operation group. In the operation group, 4757 (86.7%) of the patients lived longer than five months (beneficial group). The six indexes (beneficial and non-beneficial group) included gender, age, Tumor Node Metastasis stage, histologic type, differentiation grade, and tumor position, and were used as predictors to draw the nomogram. The nomogram was used to divide the patients who had taken operations into two groups: the beneficial operation group and the non-beneficial operation group. The beneficial operation group, it was found, survived longer than the non-beneficial operation group (median cancer-specific survival time: 28 vs. 3 months, p < 0.001). Moreover, there was we could tell little difference in survival between the two groups (median cancer-specific survival time: 3 vs. 5 months). CONCLUSIONS: The predictive model created to select suitable candidates for surgical treatment from patients with signet ring carcinoma of the stomach could be adopted to identify certain patients benefiting from the primary tumor operation.

Light and scanning electron microscopy observations on morphological diversity of Rosaceae stigma and its taxonomic significance.

The stigma morphology can provide a reference for exploring plant systematics and pollination biology. In this study, we observed the stigma morphological characteristics of Rosaceae in Beijing urban area in detail using light microscopy and scanning electron microscopy. The stigma of Rosaceae is entire or bilobed and mostly baculate, crateriform, cristate, discoid, or flattened. The stigma surface may have irregular, strongly raised ridges; or flat without papillae; or composed of densely or loosely arranged papillary cells. Surface ornamentation includes fossulate, psilate, psilate-striate, rugulate, scabrate, striate, and striate-rugulate. There are similarities in stigma morphology among genera and differences in stigma morphology among species within genera. The stigma shape supports the view of molecular systematic classification, that is, the former subfamilies Maloideae, Prunoideae, and Spiraeoideae are grouped into subfamily Amygdaloideae. RESEARCH HIGHLIGHTS: Scanning electron microscopy (SEM) was used to provide high-quality figures for observing stigma morphology. The data on the morphological diversity of stigma were provided to further explore the systematics and pollination biology of Rosaceae.

Effects of foliar application of micronutrients on concentration and bioavailability of zinc and iron in wheat landraces and cultivars.

Foliar application of micronutrient is a rapid and promising strategy to enhance the concentration and bioavailability of micronutrients in wheat grain. To explore the effects of foliar application of micronutrients on the concentration and bioavailability of zinc and iron in grain in wheat cultivars and landraces, field experiments were carried out using 65 wheat cultivars and 28 landraces to assess the effects of foliar application of zinc (iron) on phytic acid concentrations, zinc (iron) concentrations and their molar ratios. The results indicated that mean grain zinc concentration of landraces (44.83 mg kg-1) was 11.13% greater than that of cultivars (40.34 mg kg-1) on average across seasons, while grain iron concentration did not differ significantly between landraces (41.00 mg kg-1) and cultivars (39.43 mg kg-1). Foliar zinc application significantly improved the concentration and bioavailability of zinc in grains in both cultivars and landraces, while landraces had almost two-fold more increase in grain zinc and also greater improvement in zinc bioavailability compared to cultivars. While foliar iron application did not significantly affect iron concentration and bioavailability in grains in either cultivars or landraces. Our study showed that, with foliar application of zinc but not iron, wheat landraces had better performance than cultivars in terms of the increases in both concentration and bioavailability of micronutrient in grains.

Association of Parkinson's Disease With Microbes and Microbiological Therapy.

Parkinson's disease (PD) is the most common movement disorder in the world, affecting 1-2 per 1,000 of the population. The main pathological changes of PD are damage of dopaminergic neurons in substantia nigra of the central nervous system and formation of Lewy bodies. These pathological changes also occur in the intestinal tract and are strongly associated with changes in intestinal flora. By reviewing the research progress in PD and its association with intestinal flora in recent years, this review expounded the mechanism of action between intestinal flora and PD as well as the transmission mode of α - synuclein in neurons. In clinical studies, ß diversity of intestinal flora in PD patients was found to change significantly, with Lactobacillusaceae and Verrucomicrobiaceae being significantly increased and Lachnospiraceae and Prevotellaceae being significantly decreased. In addition, a longer PD course was associated with fewer bacteria and probiotics producing short chain fatty acids, but more pathogenic bacteria. Moreover, the motor symptoms of PD patients may be related to Enterobacteriaceae and bacteria. Most importantly, catechol-O-methyltransferase inhibitors and anticholinergic drugs could change the intestinal flora of PD patients and increase the harmful flora, whereas other anti-PD drugs such as levodopa, dopamine agonist, monoamine oxidase inhibitors, and amantadine did not have these effects. Probiotics, prebiotics, and synbiotics treatment had some potential values in improving the constipation of PD patients, promoting the growth of probiotics, and improving the level of intestinal inflammation. At present, there were only a few case studies and small sample studies which have found certain clinical efficacy of fecal microbiome transplants. Further studies are necessary to elaborate the relationship of PD with microbes.

Pollen morphology of Chinese Pseudostellaria (Caryophyllaceae) and its systematic significance.

Using light and scanning electron microscopy, we studied the pollen morphology of six species (one of which are endemic) of Chinese Pseudostellaria. All species were studied for the first time. Results of this study indicated that pollen grains of Pseudostellaria are spheroidal or spheroidal-polyhedral in shape and small or medium in size and pantoporate. Each pollen grain has 12-16 round pores. These pores are apart from each other by 5.77-7.73 µm and each has 7-13 granules in the operculum region. These features have important taxonomic significance. In addition, their pollen grains have thin exine with microechinate-punctate-perforate surface ornamentation. Pollen features do not support the traditional infrageneric classification of Pseudostellaria into two sections, but support that Pseudostellaria is closely related to other species of the Odontostemma clade.