Abstract Background Gastric cancer is one of most common malignancies in the world. Currently the prognostic prediction is entirely based on the TNM staging system. In this study, we evaluated ...whether metastatic lymph node ratio (rN) at the time of surgery would improve the prognostic prediction in conjunction with the TNM staging system. Methods This retrospective study includes 745 patients, who had been referred for surgery due to gastric cancer between 1995 and 2007 and had at least 15 lymph nodes examined at the time of surgery without preoperative treatment. Clinicopathologic features and overall survival were analyzed using univariate and multivariate modes to identify the risk factors for overall survival. Results Median overall survival of all patients analyzed is 57.8 months and 5-year overall survival is 49.5%. Tumor site, macroscopic type, pTNM stage, and rN stage are identified as independent prognostic factors. Increased positive lymph node ratio correlates with shorter survival in all patients and in each T and N stage. In stage III gastric cancer patients, rN stage shows additional prognostic value on overall survival ( p < 0.001). Conclusions rN stage is a simple and promising prognostic factor of gastric cancer after surgery in addition to the TNM stage system especially in stage III patients. But the independent prognostic value of rN stage in stage I, II and IV gastric cancer is yet to be determined.
We report a study of the processes of e^{+}e^{-}→K^{+}D_{s}^{-}D^{*0} and K^{+}D_{s}^{*-}D^{0} based on e^{+}e^{-} annihilation samples collected with the BESIII detector operating at BEPCII at five ...center-of-mass energies ranging from 4.628 to 4.698 GeV with a total integrated luminosity of 3.7 fb^{-1}. An excess of events over the known contributions of the conventional charmed mesons is observed near the D_{s}^{-}D^{*0} and D_{s}^{*-}D^{0} mass thresholds in the K^{+} recoil-mass spectrum for events collected at sqrts=4.681 GeV. The structure matches a mass-dependent-width Breit-Wigner line shape, whose pole mass and width are determined as (3982.5_{-2.6}^{+1.8}±2.1) MeV/c^{2} and (12.8_{-4.4}^{+5.3}±3.0) MeV, respectively. The first uncertainties are statistical and the second are systematic. The significance of the resonance hypothesis is estimated to be 5.3 σ over the contributions only from the conventional charmed mesons. This is the first candidate for a charged hidden-charm tetraquark with strangeness, decaying into D_{s}^{-}D^{*0} and D_{s}^{*-}D^{0}. However, the properties of the excess need further exploration with more statistics.
Biomaterials have the fascinating self-healing property, and improve their mechanical behaviors through a hierarchical architecture. For example, collagen fibrils, as the major constituent of fibrous ...biological materials (e.g., tendon and bone), are structured in a hierarchical bundle. In this paper, in the light of the Weibull distribution and Daniels’ theory, the constitutive relation of fiber bundle material is first established. Based on the Weibull distribution, the self-healing effect is studied for fiber bundle materials, and the constitutive relation of self-healing fiber bundle materials is then developed. Together with Daniels’ theory, the hierarchical effect is also studied for fiber bundle materials, and the constitutive relation of hierarchical fiber bundle material is therefore founded. Finally, typical mechanical properties such as strength, rigidity and toughness are evaluated for consecutively hierarchical fiber bundle materials, which are in good agreement with the references if available. Our results show that there exist the thresholds of healing rate pertaining to strength and toughness, only greater than which the corresponding mechanical properties benefit from the hierarchical architecture while rigidity is insensitive to the self-healing effect. The current work indicates that, knowing the constitutive relation of other biomaterials, the disparate mechanical properties can be studied in a same manner as those for self-healing hierarchical fiber bundle materials.
The impact of impurity ions on a pedestal has been investigated in the HL-2A Tokamak, at the Southwestern Institute of Physics, Chengdu, China. Experimental results have clearly shown that during the ...H-mode phase, an electromagnetic turbulence was excited in the edge plasma region, where the impurity ions exhibited a peaked profile. It has been found that double impurity critical gradients are responsible for triggering the turbulence. Strong stiffness of the impurity profile has been observed during cyclic transitions between the I-phase and H-mode regime. The results suggest that the underlying physics of the self-regulated edge impurity profile offers the possibility for an active control of the pedestal dynamics via pedestal turbulence.
The dynamic features of the low-intermediate-high-(L-I-H) confinement transitions on HL-2A tokamak are presented. Here we report the discovery of two types of limit cycles (dubbed type-Y and type-J), ...which show opposite temporal ordering between the radial electric field and turbulence intensity. In type-Y, which appears first after an L-I transition, the turbulence grows first, followed by the localized electric field. In contrast, the electric field leads type-J. The turbulence-induced zonal flow and pressure-gradient-induced drift play essential roles in the two types of limit cycles, respectively. The condition of transition between types-Y and -J is studied in terms of the normalized radial electric field. An I-H transition is demonstrated to occur only from type-J.
In order to improve the particle identification capability, the Beijing Spectrometer (BESIII) collaboration has upgraded the End-cap Time-Of-Flight detector (ETOF) based on Multi-gap Resistive Plate ...Chamber (MRPC) technology. In this paper, the design and engineering development of each part of the project are reported. There are 72 MRPC modules, forming 2 rings. Adjacent modules are staggered placed to avoid dead regions. Each MRPC module contains 12-layer thin gaps to get fast signals with high efficiency and 12 strips to readout the induced signals from two ends, effectively reducing the timing uncertainties from the scattering and positioning. Also, the analog–digital conversion is done near the MRPC and only the digital signals are transferred through thin coax cables, ensuring good signal-to-noise ratio. The complex electromagnetic noises in the BESIII colliding area are well shielded to protect the tiny signals from the MRPC. After careful correction and calibration, the total time resolution of upgraded ETOF system is 65ps.
It is well established that the tumor suppressor p53 plays major roles in regulating apoptosis and cell cycle progression. In addition, recent studies have demonstrated that p53 is actively involved ...in regulating cell differentiation in muscle, the circulatory system and various carcinoma tissues. We have recently shown that p53 also controls lens differentiation. Regarding the mechanism, we reveal that p53 directly regulates c-Maf and Prox1, two important transcription factors to control cell differentiation in the ocular lens. In the present study, we present further evidence to show that p53 can regulate lens differentiation by controlling expression of the differentiation genes coding for the lens crystallins. First, the αA and βA3/A1 gene promoters or introns all contain putative p53 binding sites. Second, gel mobility shifting assays revealed that the p53 protein in nuclear extracts from lens epithelial cells directly binds to the p53 binding sites found in these crystallin gene promoters or introns. Third, exogenous wild type p53 induces dose-dependent expression of the luciferase reporter gene driven by different crystallin gene promoters and the exogenous dominant negative mutant p53 causes dose-dependent inhibition of the same crystallin genes. Fourth, ChIP assays revealed that p53 binds to crystallin gene promoters in vivo. Finally, in the p53 knockout mouse lenses, expression levels of various crystallins were found down-regulated in comparison with those from the wild type mouse lenses. Together, our results reveal that p53 directly regulates expression of different sets of genes to control lens differentiation.
The processes X(3872) ... , and γD+D− are searched for in a 9.0 fb−1 data sample collected at center-of-mass energies between 4.178 and 4.278 GeV with the BESIII detector. We observe X(3872) ... . ...and find evidence for X (3872)→γJ/ψ with statistical significances of 7.4 σ and 3.5σ, respectively. No evident signals for X(3872)→γψ(2S) and γD+D− are found, and the upper limit on the relative branching ratio Rγψ ≡ {BX(3872)→γψ(2S)}/{BX(3872)→γJ/ψ} <0.59 is set at 90% confidence level. Measurements of branching ratios relative to decay X(3872)→π+π−J/ψ are also reported for decays ... .,γψ(2S), γJ/ψ, and γD+D−, as well as the non-... three-body decays ... .(ProQuest: ... denotes formulae omitted.)
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