This study was performed to characterize hydrochemical properties of springs based on their geological origins in Taiwan. Stepwise discriminant analysis (DA) was used to establish a linear ...classification model of springs using hydrochemical parameters. Two hydrochemical datasets—ion concentrations and relative proportions of equivalents per liter of major ions—were included to perform prediction of the geological origins of springs. Analyzed results reveal that DA using relative proportions of equivalents per liter of major ions yields a 95.6% right assignation, which is superior to DA using ion concentrations. This result indicates that relative proportions of equivalents of major hydrochemical parameters in spring water are more highly associated with the geological origins than ion concentrations do. Low percentages of Na
+
equivalents are common properties of springs emerging from acid-sulfate and neutral-sulfate igneous rock. Springs emerging from metamorphic rock show low percentages of Cl
−
equivalents and high percentages of HCO
equivalents, and springs emerging from sedimentary rock exhibit high Cl
−
/SO
ratios.
Chemerin was shown to play a role in the colocalization of natural killer (NK) cells, which have an antitumor role. We aimed to determine the expression of chemerin and the relationship of chemerin ...expression with prognosis in patients with non-small cell lung cancer (NSCLC). We examined chemerin expression and the infiltration number of NK cells in NSCLC patients using immunohistochemistry. The association of chemerin expression with clinicopathologic characteristics and prognosis was analyzed. Of the NSCLC patients, 51.85% exhibited lower expression levels of chemerin protein. The chemerin expression was significantly correlated with histological grade and the infiltration of NK cells. Non-small cell lung cancer patients with a lower chemerin expression had poorer survival rates than those with a higher expression. Multi-variable Cox regression analysis revealed that the chemerin expression level was an independent factor for prognosis. A greater expression of chemerin is an independent predictor of a better prognosis for patients with NSCLC.
To compare the efficacy of nasal synchronized intermittent mandatory ventilation (nSIMV) and nasal continuous positive airway pressure (nCPAP) in preterm infants with respiratory distress syndrome ...(RDS).
Fifty preterm infants with RDS who received pulmonary surfactant were randomized to nSIMV and nCPAP groups after extubation. Clinical signs, symptoms and blood gas results following nSIMV or nCPAP were compared in the two groups.
Compared with the nCPAP group, the nSIMV group had a lower incidence of failure respiratory support (24% vs 60%; P<0.05), a lower incidence of hypercarbonia (12% vs 40%; P<0.05) and a lower incidence of hypoxia (24% vs 36%; P<0.05).
nSIMV is more effective in respiratory support in preterm infants with RDS.
A viscoelastic model is developed to simulate the groundwater level changes in the Cho‐Shui River alluvial fan in Taiwan after the Chi‐Chi earthquake. An analytical solution is derived with the ...assumption that no leakage occurred in confined aquifers during the coseismic period. The solution is used to analyze the data collected from a high‐density network of hydrologic monitoring wells in the Cho‐Shui River alluvial fan. The simulated groundwater level changes agree with the observations. The viscosity coefficient of the model was found to correlate with the hydraulic conductivity of the aquifer. The field observations and the simulations reveal the influence of geological structures and heterogeneity on the groundwater changes and locations of sediment liquefactions in the alluvial fan during the Chi‐Chi earthquake. Possible applications to imaging subsurface hydraulic heterogeneity are discussed using information about groundwater level changes induced by earthquakes.
Background Detection rate of retropharyngeal lymph node metastasis in patients with nasopharyngeal carcinoma （NPC） needs to be improved. The purpose of this study was to compare three magnetic ...resonance （MR） sequences for detecting lymph nodes in patients with NPC. Methods Between July 2007 and March 2008, MR staging of pre-treated tumor was conducted on 120 patients with pathologically confirmed NPC. The outcome of three different sequences for MR NPC staging were compared： coronal short T1 inversion recovery （STIR）, axial proton density fat-suppressed （PDWI fs）, and coronal contrast enhanced fast spin echo T1 weighted fat-suppressed （CE FSE TlWl fs）. Nodal classification method （1999） was applied to count the number of retropharyngeal and cervical lymph nodes discovered by each MR sequence. Paired t tests were used for statistical analysis. Results A total of 2575 lymph nodes were found using coronal STIR sequence; 1816 lymph nodes for coronal CE FSE TIWI fs sequence and 2638 lymph nodes for axial PDWl fs sequence. Significant differences existed in the number of lymph nodes detected by axial PDWI fs and coronal CE FSE T1WI fs sequence （paired t test, P 〈0.05）, with the former sequence getting higher numbers. Statistical differences also existed between coronal STIR and coronal CE FSE TlWl fs sequence （paired ttest, P 〈0.05）, with the former sequence getting higher numbers. No significant difference was found between coronal STIR sequence and axial PDWI fs sequence （paired ttest, P 〉0.05）. Conclusions For the detection of retropharyngeal and cervical lymph nodes, coronal STIR sequence and axial PDWI fs sequence have similar performance and both sequences showed better detection than CE FSE TIWI fs sequence. Furthermore, by combining coronal STIR sequence and axial PDWI fs sequence, we can improve the detection of lymph nodes in NPC N-staging before treatment, especially for lymph nodes located in the thoracic entrance.
Abstract Purpose To prospectively evaluate the feasibility of diffusion-weighted magnetic resonance imaging (DWI) for monitoring early treatment response to chemoradiotherapy (CRT) of nasopharyngeal ...carcinoma (NPC). Materials and methods Thirty-one patients with stage III and IV NPC were enrolled in this study from February 2012 to November 2012．T2-weighted and DWI sequences with diffusion factor of 0 and 800mm²/s were performed using a 3.0 T Philips Achieva TX scanner at baseline and 3 days, 20 days (after the first cycle of chemotherapy), 50 days (6 days after radiotherapy initiation) after neoadjuvant chemotherapy (NAC) initiation. The diameter of each primary lesion and target metastatic lymph node before and after the first cycle of NAC was measured and classified into stable disease (SD), partial response (PR) or completed response (CR) based on RECIST 1.1. The apparent diffusion coefficient (ADC) values and changes compared to baseline at each time point were compared between responders (CR and PR) and non-responders (SD). The rates of residual at the end of CRT were compared between these two groups. Results A significant increase in ADC was observed at each stage of therapy (P=.001) in lesions of primary and metastatic. The ADC values (ADC), ADC changes (ΔADC) and percentage ADC changes (Δ%ADC) of day 20 in responders were significantly higher than in non-responders for both primary lesions (p=.005, p=.006, p=.008, respectively) and metastatic lymph nodes (p=.002, p=.002, p=.003). Non-responders showed a higher rate of residual for both primary lesions (p=.008) and metastatic lymph nodes (p=.024) than responders. Conclusions DW MR imaging allows for detecting early treatment response of NPC. Patients with high ADC values and large ADC increase early after NAC initiation tended to respond better to CRT. Thus, accessing the curative effect of NAC in advanced NPC provides the opportunity to adjust following CRT regimen.
In Taiwan, earthquakes have long been recognized as a major cause oflandslides that are wide spread by floods brought by typhoons followed. Distinguishingbetween landslide spatial patterns in ...different disturbance regimes is fundamental fordisaster monitoring, management, and land-cover restoration. To circumscribe landslides,this study adopts the normalized difference vegetation index (NDVI), which can bedetermined by simply applying mathematical operations of near-infrared and visible-redspectral data immediately after remotely sensed data is acquired. In real-time disastermonitoring, the NDVI is more effective than using land-cover classifications generatedfrom remotely sensed data as land-cover classification tasks are extremely time consuming.Directional two-dimensional (2D) wavelet analysis has an advantage over traditionalspectrum analysis in that it determines localized variations along a specific direction whenidentifying dominant modes of change, and where those modes are located in multi-temporal remotely sensed images. Open geospatial techniques comprise a series ofsolutions developed based on Open Geospatial Consortium specifications that can beapplied to encode data for interoperability and develop an open geospatial service for sharing data. This study presents a novel approach and framework that uses directional 2Dwavelet analysis of real-time NDVI images to effectively identify landslide patterns andshare resulting patterns via open geospatial techniques. As a case study, this study analyzedNDVI images derived from SPOT HRV images before and after the ChiChi earthquake(7.3 on the Richter scale) that hit the Chenyulan basin in Taiwan, as well as images aftertwo large typhoons (Xangsane and Toraji) to delineate the spatial patterns of landslidescaused by major disturbances. Disturbed spatial patterns of landslides that followed theseevents were successfully delineated using 2D wavelet analysis, and results of patternrecognitions of landslides were distributed simultaneously to other agents using geographymarkup language. Real-time information allows successive platforms (agents) to work withlocal geospatial data for disaster management. Furthermore, the proposed is suitable fordetecting landslides in various regions on continental, regional, and local scales usingremotely sensed data in various resolutions derived from SPOT HRV, IKONOS, andQuickBird multispectral images.
Ginsenoside compound K (CK) is a major intestinal bacterial metabolite of the protopanaxadiol-type ginsenoside family that can be absorbed in the systemic circulation. CK possesses diverse and ...important pharmacological properties. The low production and high cost of traditional manufacturing methods based on the extraction and biotransformation of total ginsenosides from ginseng have limited their medical application. However, considerable progress has been made in the area of de novo CK production via microbial cell factories using synthetic biology-based strategies. By introducing key enzymes responsible for CK biosynthesis into microbial cells, CK was produced via a series of in vivo enzymatic reactions that utilize the inherent precursors in microbial cells. After systematic optimization using various metabolic engineering strategies, the yield of CK increased significantly and exceeded the traditional plant extraction–biotransformation method, implying the commercial feasibility of this approach. This review summarizes recent novel advancements in the production of CK using microbial cell factories.
Cytokine-induced killer (CIK) cells have shown promising activity against gastric cancer in vitro and in vivo. Previous studies showed that cell signaling through MHC I-related Chain A (MICA)-Natural ...killer group 2, member D (NKG2D) results in CIK cell activation leading to cytolytic activities against tumor cells. In this study, we investigate the MICA status in patients with gastric carcinoma, and determine the potential relationship between MICA and clinical outcome of a CIK containing therapy. Two hundred and forty-three patients with gastric cancer who had received curative D2 gastrectomy were enrolled. The MICA expression of their tumors was determined by immunohistochemistry (IHC). Disease-free survival (DFS) and overall survival (OS) were evaluated. One hundred and forty-eight patients received adjuvant chemotherapy alone, and 95 patients received adjuvant chemotherapy combined with autologous CIK cell therapy. Patients who received adjuvant chemotherapy plus CIK had significantly longer DFS, 42.0 months vs. 32.0 months (P = 0.012), and OS, 45.0 months vs. 42.0 months (P = 0.039), by log-rank test. MICA high-expression, IHC scores of 5-7, was found in tumors from 89 of 243 patients (36.6%). The MICA expression was significantly correlated with the stage (P = 0.007) and there was a borderline association with histological grade (P = 0.054). In the adjuvant chemotherapy plus CIK group (n = 95), patients with high MICA expression had longer DFS, 46.0 months vs. 41.0 months (P = 0.027), and OS, 48.0 months vs. 42.0 months (P = 0.031). In the adjuvant chemotherapy alone group (n = 148), the median DFS and OS had no significant correlation with the MICA status. In a multivariate analysis stage, CIK therapy, and the interaction of MICA status and CIK therapy were independent prognostic factors for DFS and OS. Our study indicated that adjuvant chemotherapy plus CIK immunotherapy is a promising modality for treating gastric cancer patients after D2 gastrectomy. MICA status was associated with the outcome measures in CIK therapy, validation in prospective clinical trials is required to assess the value of this biomarker in the clinical decision-making process.
To investigate the expression of the activating and inhibitory receptors on the surface of NK cells of primary hepatocellular carcinoma and its adjacent tissues, and the relationship between these ...two receptors and occurrence and development of primary liver cancer was analyzed.
The number and activity of the NK cells, the expression of the activating and the inhibitory receptors on the surface of those cells were detected flow cytometry and immunohistochemistry, which were obtained from 52 cases of primary hepatocellular carcinoma and its adjacent tissues. The relative analysis was done between those results and clinical relative factors.
In the tissues of primary hepacellular carcinoma, the number of NK cells is lower than that in the adjacent tissues obviously (P<0.01); the expression of activating receptors, NKG2D and NKP44, is also lower than that in the adjacent tissues obviously (P<0.05); the expression of inhibitory receptors, CD158b and CD159a, is significantly higher than that in the adjacent tissue
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