Ernstsenfoss3911
The benefits of neoadjuvant therapy for patients with locally advanced gastric cancer (GC) are increasingly recognized. The 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual first proposed ypTNM staging, but its accuracy is controversial. This study aims to develop a modified ypTNM staging.
Clinicopathological data of 1,791 patients who underwent curative-intent gastrectomy after neoadjuvant therapy in the Surveillance, Epidemiology, and End Results database, as the development cohort, were retrospectively analyzed. Modified ypTNM staging was established based on overall survival (OS). We compared the prognostic performance of the AJCC 8th edition ypTNM staging and the modified staging for patients after neoadjuvant therapy.
In the development cohort, the 5-year OS for AJCC stages I, II, and III was 58.8%, 39.1%, and 21.6%, respectively, compared with 69.9%, 54.4%, 34.4%, 24.1%, and 13.6% for modified ypTNM stages IA, IB, II, IIIA, and IIIB. The modified staging had better disc on multi-institutional data, this study developed a modified ypTNM staging, which is superior to the AJCC 8th edition ypTNM staging, allowing more accurate assessment of the prognosis of patients with gastric cancer after neoadjuvant therapy.
The 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual first proposed ypTNM staging, but its accuracy is controversial. Based on multi-institutional data, this study developed a modified ypTNM staging, which is superior to the AJCC 8th edition ypTNM staging, allowing more accurate assessment of the prognosis of patients with gastric cancer after neoadjuvant therapy.Metabolic pathways in cancer cells typically become reprogrammed to support unconstrained proliferation. These abnormal metabolic states are often accompanied by accumulation of high concentrations of ATP in the cytosol, a phenomenon known as the Warburg Effect. However, how high concentrations of ATP relate to the functional state of proteins is poorly understood. Here, we comprehensively studied the influence of ATP levels on the functional state of the human enzyme, uridine phosphorylase I (hUP1), which is responsible for activating the chemotherapeutic pro-drug, 5-fluorouracil. We found that elevated levels of ATP decrease the stability of hUP1, leading to the loss of its proper folding and function. We further showed that the concentration of hUP1 exerts a critical influence on this ATP-induced destabilizing effect. In addition, we found that ATP interacts with hUP1 through a partially unfolded state and accelerates the rate of hUP1 unfolding. Interestingly, some structurally similar metabolites showed similar destabilization effects on hUP1. Our findings suggest that metabolites can alter the folding and function of a human protein, hUP1, through protein destabilization. This phenomenon may be relevant in studying the functions of proteins that exist in the specific metabolic environment of a cancer cell.
Fear of cancer recurrence (FCR) is an important psychological trauma associated with reduction in the quality of life, disruptions in the level of adjustment, emotional distress and anxiety. The purpose of the study was to evaluate the impact of patient-physician relationship on FCR.
The study was designed as a multicentre survey study. The cancer survivors, who were under remission, were evaluated with structured questionnaires. Patient-physician relationship (PPR) scale in which higher scores indicate better relationship and FCR inventory was used.
Between January and April 2019, 1,580 patients were evaluated. The median age was 57.0 (19-88), and 66% were female. There was high level of FCR scores in 51% of participants. selleck compound There was a negative correlation between PPR and FCR scores (r=-.134, p<.001). In multivariate analysis, young age, female gender, history of metastasectomy and worse PPR were associated with high levels of FCR.
It is the first data showing the adverse impact of worse PPR on FCR. The strategies to improve the PPR should be practised. In addition, the cancer survivors, who are under the risk of FCR, should be evaluated and managed.
It is the first data showing the adverse impact of worse PPR on FCR. The strategies to improve the PPR should be practised. In addition, the cancer survivors, who are under the risk of FCR, should be evaluated and managed.
Conspiracy theories about the origins of COVID-19 are widespread and have even been propagated by highly ranked state officials and politicians in the US. Health authorities have cautioned that such theories, although not questioning the existence of the pandemic, may increase the spread of the virus by reducing people's efforts to socially distance.
We test this proposition empirically using longitudinal survey data collected at five timepoints during the early outbreak of the virus in the US (N=403).
Multivariate growth curve analyses showed that, although conspiracy beliefs decreased and social distancing increased over time, people holding more conspiracy beliefs at the beginning of the pandemic showed the lowest increase in social distancing. Moreover, cross-lagged analyses demonstrated that people who reported more conspiracy beliefs at any wave tended to report less social distancing at the following wave.
Our findings show that COVID-19 conspiracy theories pose a significant threat to public health as they may reduce adherence to social distancing measures.
Our findings show that COVID-19 conspiracy theories pose a significant threat to public health as they may reduce adherence to social distancing measures.
Stroke etiology is undetermined in approximately one-sixth to one-third of patients. The presence of aortic flow reversal and plaques in the descending aorta (DAo) has been identified as a potential retrograde embolic mechanism.
To assess the relationships between aortic stiffness, wall thickness, and flow reversal in patients with cryptogenic stroke and healthy controls.
Prospective.
Twenty one patients with cryptogenic stroke and proven DAo plaques (69 ± 9 years, 43% female), 18 age-matched controls (age 65 ± 8 years, 61% female), and 14 younger controls (36 ± 9 years, 57% female).
1.5T; 4D flow MRI and 3D dark blood T
-weighted turbo spin echo MRI of the aorta.
Noncontrast aortic 4D flow MRI to measure 3D flow dynamics and 3D dark blood aortic wall MRI to assess wall thickness. 4D flow MRI analysis included automated quantification of aortic stiffness by pulse wave velocity (PWV) and voxelwise mapping of the flow reversal fraction (FRF).
Analysis of variance (ANOVA) or Kruskal-Wallis tests,sis that aortic stiffness is involved in this retrograde embolic mechanism.
2 TECHNICAL EFFICACY STAGE 1.
2 TECHNICAL EFFICACY STAGE 1.Three selected examples for the use of unusual wording to describe the organometallic chemistry of Group 4 metallocenes are explained and discussed. The term "tuck(ed)-in" concerns the behavior of decamethyltitanocene [(C5 Me5 )2 Ti] and similar complexes in which one or two methyl groups form the titanium hydride complex [(C5 Me5 )(C5 Me4 CH2 )TiH] or other hydride complexes by C-H activation. In the so-called "merry-go-round reaction" the rearrangement of C atoms bound to titanium in organometallic molecules is described which corresponds to the rotation of two C atoms along with a rotation of the six-membered ring in a dihydroindenyl moiety at titanium. In the third example "migration" or "tobogganing" concerns the "sliding" of titanocene along the chain of a linear polyyne by coordination to one or more triple bonds. In all these reactions changes of the coordination mode of the metal at Cp or substrate ligands by intramolecular dynamics occur.In this study, a novel cyclodextrin derivative, i.e., zwitterionic choline phosphate (CP)-functionalized β-cyclodextrin (CP-β-CD) is successfully synthesized by click chemistry reaction. CP-β-CD has excellent cell-membrane-targeted ability because of the CP group can bind to phosphate choline (PC) in the cell membrane and promote the cellular uptake. Due to the introduction of CP group on β-CD, it disrupts the hydrogen network between natural β-CD molecules. Meanwhile, the water solubility of CP-β-CD is improved dramatically to 816 mg mL-1 , which is 440 times as that of unmodified β-CD. Apatinib, a small molecular inhibitor, is used as a model of hydrophobic drug and loaded into CP-β-CD to study the solubilization effect and the anti-angiogenisis activity. In addition, the cytotoxicity of CP-β-CD is also studied, and it is demonstrated that CP-β-CD is nontoxic. These results indicate that the apatinib can be transported into cell interior and play an excellent anti-angiogenisis activity after being loaded into CP-β-CD drug delivery system. This work suggests that the water soluble CP-β-CD with excellent cell internalization efficiency has a potential application prospect in the field of drug delivery.
Adenoid cystic carcinoma (ACC) is a relatively uncommon tumor. The existing prediction model is limited to the head and neck. We aim to construct a prognostic nomogram combined with the clinical features and treatment options of ACC to predict the disease-specific survival (DSS) of patients diagnosed with ACC in different anatomic sites.
A novel predictive model was constructed using 1285 patients with ACC from the Surveillance, Epidemiology, and End Results (SEER) registry between 2010 and 2015. The performance of this model was externally validated using 118 patients with ACC in the West China Hospital, Sichuan University between 2010 and 2017.
The prognostic model demonstrated that age, primary site, lymph node metastasis, distant metastasis, radiotherapy and surgery were independent factors for DSS. The validation of the model using an external cohort proved its reliability.
The developed novel predictive model is shown to provide accurate and efficient predictive information for patients with ACC for different anatomic sites.
The developed novel predictive model is shown to provide accurate and efficient predictive information for patients with ACC for different anatomic sites.
Recent revision significantly changed the American Joint Committee on Cancer (AJCC) staging criteria for differentiated thyroid cancer (DTC). To quantitatively evaluate resulting changes in patient stage distribution and the associated disease-specific survival (DSS) incorporating diverse populations, we performed a meta-analysis of studies comparing the AJCC 7th edition (AJCC-7) with 8th edition (AJCC-8) staging for DTC.
After PROSPERO registration (#CRD42019123657), publications in English reporting DSS of DTC with AJCC-7 and AJCC-8 from inception to June 2019 were identified by search of MEDLINE and PubMed. Random-effects meta-analyses were conducted to compare differences in survival between AJCC-7 and AJCC-8. Pooled hazard ratios, 10-year DSS, and corresponding interval estimates were calculated for AJCC subgroups. Differences in survival between editions were assessed using subgroup analysis with nonoverlapping confidence intervals indicating statistical significance.
Final analysis included six sns and support improved stratification using the recently revised criteria.
This study provides updated estimates of disease-specific survival for patients with differentiated thyroid cancer determined by the American Joint Committee on Cancer staging system that are generalizable to broader populations and support improved stratification using the recently revised criteria.
