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Steroid 5α-reductase type 2 deficiency (5α-RD2) and androgen insensitivity syndrome (AIS) are difficult to distinguish clinically and biochemically, and adrenal-derived androgens have not been investigated in these conditions using modern methods. The objective of the study was to compare Chinese patients with 5α-RD2, AIS, and healthy men. Sixteen patients with 5α-RD2, 10 patients with AIS, and 39 healthy men were included. Serum androgen profiles were compared in these subjects using liquid chromatography/tandem mass spectrometry (LC-MS/MS). Based on clinical features and laboratory tests, 5α-RD2 and AIS were diagnosed and confirmed by genotyping. Dihydrotestosterone (DHT) and testosterone (T) were both significantly lower in patients with 5α-RD2 than AIS (p < 0.0001). The T/DHT ratio was higher in 5α-RD2 (4.5-88.6) than AIS (13.4-26.7) or healthy men (7.6-40.5). Using LC-MS/MS, a cutoff T/DHT value of 27.3 correctly diagnosed 5α-RD2 versus AIS with sensitivity 93.8% and specificity 100%. Among the adrenal-derived 11-oxygenated androgens, 11β-hydroxyandrostenedione (11OHA4) and 11-ketoandrostenedione (11KA4) were also lower in patients with 5α-RD2 than those of patients with AIS. In contrast, 11β-hydroxytestosterone (11OHT) was higher in 5α-RD2 than AIS. Furthermore, a 11OHT/11OHA4 cutoff value of 0.048 could also distinguish 5α-RD2 from AIS. Thus, both elevated T/DHT values above 27.3 and the unexpected 11-oxygenated androgen profile, with a 11OHT/11OHA4 ratio greater than 0.048, distinguished 5α-RD2 from AIS. These data suggest that the metabolism of both gonadal and adrenal-derived androgens is altered in 5α-RD2.

Context The gonads are the major source of sex steroids during reproductive ages. The gonadal function declines abruptly in women and gradually in men. The adrenals produce 11-oxygenated androgens (11-oxyandrogens), which start rising during adrenarche. Following menopause, 11-oxyandrogens levels remain similar to reproductive ages. Objective To compare the circulating 11-oxyandrogen concentrations in men and women across adult ages. Methods We used mass spectrometry to measure testosterone (T), androstenedione (A4), 11β-hydroxytestosterone (11OHT), 11-ketotestosterone (11KT), 11β-hydroxyandrostenedione (11OHA4), 11-ketoandrostenedione (11KA4), cortisol, and cortisone in morning sera obtained from adults in outpatient setting. We performed double immunofluorescence of 3β-hydroxysteroid dehydrogenase type 2 and cytochrome b5 in adrenal tissue from 19 men, age 23–78 years. Results We included 590 patients (319 men), aged 18 to 97 years, and 84% white. 11KT and 11KA4 were stable across ages in women, but they declined in men (0.21 and 0.06 ng/dL/year, respectively; P < 0.05). 11OHA4 and 11OHT increased modestly with age in women (0.6 and 0.09 ng/dL/year, respectively; P < 0.01), and both remained stable across ages in men. As body mass index (BMI) increased, 11KA4 decreased in women, and 11KT increased in men, both suggesting higher 17β-hydroxysteroid dehydrogenase activity in obese individuals. A4 and T declined with age and A4 with BMI in both sexes; T declined with BMI in men. Adrenal androgenic enzyme expressions in aging men were similar to those observed in women. Conclusions In contrast with traditional androgens, the production of 11OHA4 and 11OHT is sustained with aging in both sexes. The bioactive androgen 11KT declines in aging men but not in women.

The development of the pallet rental industry is moving at a rapid pace. However, there is no literature on the performance evaluation of pallet rental companies except our previous study. This paper contributes to extending our previous super-efficiency integer-valued DEA (data envelope analysis) model to a group of integer-valued DEA models with generalized reference sets (G-IDEA). According to the proposed approach, the reference sets for decision-making units (DMUs) are composed of proper efficient sample units instead of efficient DMUs. These sample units, which may or may not be the same as DMUs, can be selected by decision-makers according to their demand. The advantages of the G-IDEA models are as follows: (1) they can be applied to find the projections of pallet rental companies with real-valued and integer-valued variables on the efficient frontier; (2) they are able to help the decision-makers in inefficient pallet rental companies make a step by step efficiency improvement scheme. Particularly, we develop a non-oriented integer-valued DEA model with generalized reference sets (NG-IDEA). The NG-IDEA model can be used to figure out how to improve the performance of inefficient pallet rental companies by simultaneously decreasing inputs and increasing outputs. The proposed models are applied to the performance evaluation of ten pallet rental companies. The results of the case study prove the effectiveness of our models. Furthermore, some valuable suggestions on how to improve the efficiency of inefficient pallet rental companies are presented based on the results.

Advanced efficient energy conversion technology using clean alternative fuel contributes to the alleviation of the energy crisis and environmental deterioration. In this situation, a novel methanol utilization technology for power generation based on hybrid fuel cell system is proposed in this work. The hybrid system consists of a solid oxide fuel cell (SOFC), a gas processing unit (GP) and a proton exchange membrane fuel cell (PEMFC). Thermodynamic analysis of the system shows that the energy conversion efficiency and exergy efficiency are both higher than the previously reported standalone or hybrid energy systems using methanol as fuel, which are 66.2% and 54.2% respectively. Besides, no recirculation ratio of anode off-gas and moderate fuel utilization of about 0.5 are suggested for the SOFC component to balance the power distribution and improve the efficiency. Afterwards, this hybrid fuel cell system is also investigated from thermo-economic and techno-economic perspectives. Take Northwest China as a case, the 1 MWe methanol-fed power plant has a specific electric energy cost of 0.5594 CNY/kWh, much lower than the methanol steam reforming-PEMFC power plant (2.4 CNY/kWh). At the same time, the sensitivity analyses reveal that the cost of the hybrid power system is not sensitive to the market price fluctuation. With financial subsidies for existing renewable power plants, the payback period can be shortened to 1.4 year and the annual return on investment is about 3.58%. These results reveal that this two-stage fuel cell hybrid system is a kind of efficient and economically methanol to power conversion technology, especially for small power scale. © 2021 Elsevier Ltd

Thermal energy storage system is of great significance for the concentrated solar power system to keep the balance between power generation and demand. Metal hydride based thermal energy storage system is regarded as a promising method due to its good reversibility, low cost, and no by-product. Multi-phase heat exchange has much higher heat transfer coefficient than single-phase fluid heat exchange, thus facilitating the steam generation. In this study, a two-dimensional model of the metal hydride reactor using multi-phase heat exchange is proposed to estimate the performance and its feasibility of application in the concentrated solar power system. The results show that the velocity of the heat transfer fluid should match well with the thermal conductivity of the metal hydride bed to maintain the heat flux at a relatively constant value. The match of thermal conductivity of 3 or 5 W/(m·K) and fluid velocity of 0.0050 m/s results in the heat flux up to about 19 kW/m2, which is increased by 3 orders of magnitude than single-phase heat exchange. In the thermal energy storage system, the reheating cycle is recommended to improve the utilization of the thermal energy. The efficiency of the system could be improved from 18.4% to 30.8% using the reheating cycle. The increased efficiency is comparable to the previously reported efficiency of 39.2%. Besides, the operation strategy of raising the steam temperature by increasing the hydrogen pressure or the superheater temperature is suggested for the system to obtain higher efficiency.

Pallets play an important role in logistics. It is well known that pallet rental is beneficial to both pallet users and society, and the pallet rental industry is very large nowadays. A non-oriented super-efficiency integer-valued DEA (data envelopment analysis) model for the performance evaluation of pallet rental companies is presented. The method differs from traditional models in that (1) it can be used to accurately estimate the performance of efficient pallet rental companies with integer-valued and real-valued variables; (2) it is an alternative approach to providing numerical super-efficiency scores for efficient pallet rental companies when input-oriented or output-oriented VRS (variable returns to scale) super-efficiency models are infeasible for them. A case study of nine pallet rental companies proves the advantages of the proposed model, and it shows that the efficiency gap among pallet rental companies is very large. Based on the results, some suggestions on the development of the pallet rental industry are proposed. The methodology and results would provide valuable contributions to the decision-making processes of both pallet rental companies and their customers.

BackgroundLack of accurate and effective assessment tools of fluid status is one of the major challenges to reach proper dry weight (DW) in chronic hemodialysis (HD) population. The aim of this randomized study was to evaluate the effect of bioimpedance guided DW assessment on long-term outcomes in Chinese HD patients. Eligible patients were randomly assigned (1:1) to two groups in each center, the control group and body composition monitor (BCM) group. In the BCM group, DW has been evaluated by bioimpedance technic every 2 months during follow-up. The primary composite endpoint consisted of death, acute myocardial infarction, cerebral infarction, cerebral hemorrhage, and peripheral vascular disease.MethodsA total of 445 patients were recruited from 11 hemodialysis centers from Beijing, Tianjin and Shijiazhuang cities from Jan 1, 2013 to Dec 31, 2014. They were randomized into either BCM group or control group. All patients have been followed up for 1 year or until Dec 31, 2014 or censoring.ResultsAt baseline, there were no significant differences between two groups in terms of demographic parameters, dialysis vintage, percentage of vascular access, and comorbid conditions. At the end of the study, 18 (4.04%) patients had died (11 in control group and 7 in BCM group). Kaplan-Meier survival analysis showed no significant difference in survival rates between two groups (log-rank testP = 0.07). However, there was an increasing trend of survival rates in BCM group compared to the control group. In the multivariable Cox analysis, there was a nonsignificant trend toward less primary composite end points in the BCM group in the adjusted analysis, the hazard ratio was impressive (0.487, 95% CI 0.217–1.091,P = 0.08).ConclusionBioimpedance technic has been applied to assess fluid status for decades and has been proved to be a promising tool for clinical practice. Although short-term outcomes were not improved in the randomized, controlled trial, the ascending trend in survival has been observed. Further studies are needed to investigate the survival benefit of bioimpedance method in DW assessment in a larger sample with longer follow-up period.Trial registrationClinicalTrials.org,NCT01509937. Registered 13 January 2012

The performance evaluation on water splitting electrodes is usually conducted in laboratory at current density range of 10–100 mA cm−2, and this is far from satisfactory for the industrial practices that require the operating current density larger than 400 mA cm−2. In this work, an efficient hybrid electrode is developed by firstly electro-etching the nickel mesh (E-NM) in actual seawater and then in-situ depositing nickel nanowires (NWs) onto E-NM substrate under the externally applied magnetic field. The results show that NWs are integrated into the defective E-NM structure. The assembled NWs/E-NM hybrid electrode achieves a high current density of 800 mA cm−2 at 2.0–2.1 V, which outperforms the commercial NM electrode. Moreover, the current density does not decay after 100 h stability test at 500 mA cm−2.

This clinical trial developed a personalized dosing model for reducing prostaglandin E2 (PGE2) in colonic mucosa using ω-3 fatty acid supplementation. The model utilized serum eicosapentaenoic acid (EPA, ω-3):arachidonic acid (AA, ω-6) ratios as biomarkers of colonic mucosal PGE2 concentration. Normal human volunteers were given low and high ω-3 fatty acid test doses for 2 weeks. This established a slope and intercept of the line for dose versus serum EPA:AA ratio in each individual. The slope and intercept was utilized to calculate a personalized target dose that was given for 12 weeks. This target dose was calculated on the basis of a model, initially derived from lean rodents, showing a log-linear relationship between serum EPA:AA ratios and colonic mucosal PGE2 reduction. Bayesian methods allowed addition of human data to the rodent model as the trial progressed. The dosing model aimed to achieve a serum EPA:AA ratio that is associated with a 50% reduction in colonic PGE2. Mean colonic mucosal PGE2 concentrations were 6.55 ng/mg protein (SD, 5.78) before any supplementation and 3.59 ng/mg protein (SD, 3.29) after 12 weeks of target dosing. In secondary analyses, the decreases in PGE2 were significantly attenuated in overweight and obese participants. This occurred despite a higher target dose for the obese versus normal weight participants, as generated by the pharmacodynamic predictive model. Large decreases also were observed in 12-hydroxyicosatetraenoic acids, and PGE3 increased substantially. Future biomarker-driven dosing models for cancer prevention therefore should consider energy balance as well as overall eicosanoid homeostasis in normal tissue. Cancer Prev Res; 10(12); 729–37. ©2017 AACR.

// Zongwei Lin 1,* , Shao Qian 3,* , Yan Gong 2,* , Jianwei Ren 6 , Lixia Zhao 4 , Dongxiao Wang 5 , Xiaowei Wang 1 , Yun Zhang 1 , Zhe Wang 2 and Qunye Zhang 1 1 The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Health, and The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Qilu Hospital of Shandong University, Jinan, China 2 Division of Endocrinology and Metabolism, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China 3 Department of Women Health Care, Jinan Maternity and Child Care Hospital, Jinan, China 4 Pharmacy Department of Shandong Medical College, Jinan, China 5 Department of Pharmacy, Chinese PLA General Hospital, Beijing, China 6 Health Division of Guard Bureau, General Staff Department of Chinese PLA, Beijing, China * These authors have equally contributed to this study Correspondence to: Qunye Zhang, email: // Zhe Wang, email: // Keywords : T cell receptor β, atherosclerosis, immune repertoire, next-generation DNA sequencing, complement determining region 3, Immunology and Microbiology Section, Immune response, Immunity Received : April 12, 2017 Accepted : June 18, 2017 Published : August 03, 2017 Abstract The T cell receptor (TCR) β repertoire directly reflects the status of T cell function. Meanwhile, the immune/inflammatory responses regulated by T cells are the critical determinants of atherosclerosis development. However, due to technical limitations, the composition and molecular characteristics of the TCR repertoire in atherosclerotic patients have not been fully elucidated. In the present study, we use powerful immune repertoire sequencing technology to study this issue. Results show that the utilization of V and/or J genes and the diversity of TCRβ repertoire in atherosclerotic plaques are significantly reduced compared to those in the peripheral blood of normal subjects and atherosclerotic patients. The frequencies of the common T cell clones with certain lengths of the complement determining region 3 regions are notably different among all groups. The high-frequency common clones are also increased in the atherosclerotic plaques compared to that in the other two groups. The expansion of several T cell clonotypes (V29-1J2-1, V20-1J1-6, V6-3J2-7 and V11-2J2-2) is validated in atherosclerotic patients. In short, this study reveals that the diversity of TCR β repertoire significantly decreases in atherosclerotic plaques, probably because of the reduced utilization of VJ genes and marked expansion of some T cell subclones. It provides the basis for understanding the roles of T lymphocytes in the pathogenesis of atherosclerosis.

China still has more than 30,000 patients of advanced schistosomiasis while new cases being reported consistently. D-dimer is a fibrin degradation product. As ascites being the dominating symptom in advanced schistosomiasis, the present study aimed to explore a prediction model of ascites with D-dimer and other clinical easy-achievable indicators. A case-control study nested in a prospective cohort was conducted in schistosomiasis-endemic area of southern China. A total of 291 patients of advanced schistosomiasis were first investigated in 2013 and further followed in 2014. Information on clinical history, physical examination, and abdominal ultrasonography, including the symptom of ascites was repeatedly collected. Result showed 44 patients having ascites. Most of the patients' ascites were confined in the kidney area with median area of 20 mm2. The level of plasma D-dimer and pertinent liver function indicators were measured at the initial investigation in 2013. Compared with those without ascites, cases with ascites had significantly higher levels of D-dimer (0.71±2.44 μg/L vs 0.48±2.12 μg/L, P=0.005), as well ALB (44.5 vs 46.2, g/L) and Type IV collagen (50.04 vs 44.50 μg/L). Receiver operating characteristic curve analyses indicated a moderate predictive value of D-dimer by its own area under curve (AUC) of 0.64 (95% CI: 0.54-0.73) and the cutoff value as 0.81 μg/L. Dichotomized by the cutoff level, D-dimer along with other categorical variables generated a prediction model with AUC of 0.76 (95% CI: 0.68-0.89). Risks of patients with specific characteristics in the prediction model were summarized. Our study suggests that the plasma D-dimer level is a reliable predictor for incident ascites in advanced schistosomiasis japonica patients.

Pallets are the most common equipment for transporting and storing goods. More and more companies are willing to rent pallets. Pallet rental companies need to transport pallets from their pallet rental service stations to customers and take these pallets back when they are unloaded. Hence, managers should scientifically configure vehicles for their pallet rental service stations. The fleet size, which indicates the amount and types of vehicles, can significantly affect the efficiency and costs of empty pallet allocation. Therefore, an optimization model for fleet sizing and empty pallet allocation is proposed using the methods of mixed-integer programming and stochastic programming. The objectives of this model are to maximize the profits of pallet rental companies and minimize carbon dioxide (CO2) emissions from vehicles. A particle swarm optimization algorithm with inertia weight (IPSO) is developed to solve the proposed model because IPSO can avoid becoming trapped in local optima and is able to find a globally optimal solution within a reasonable number of iterations. A numerical example proves the effectiveness of the proposed model and IPSO. The results of numerical tests show that the amount of CO2 emissions from vehicles can affect the decision on fleet sizing and empty pallet allocation. However, if the price, rental fees, or idle costs of the vehicles with low CO2 emissions are too high, managers would not choose them.

Adrenal vein sampling (AVS) is required to distinguish unilateral from bilateral aldosterone sources in primary aldosteronism (PA), and cortisol is used for AVS data interpretation, but cortisol has several pitfalls. In this study, we present the utility of several other steroids in PA subtyping, both during AVS, as well as in peripheral serum. We included patients with PA who underwent AVS at University of Michigan between 2012 and 2018. We used mass spectrometry to simultaneously quantify 17 steroids in adrenal veins (AV) and periphery, both at baseline and after cosyntropin administration. PA was classified as unilateral or bilateral based on a lateralization index ≥ or P

Pallet is a very important innovation in logistics industry. Pallets are so widely used that we can find them in nearly every logistical operation scenario. In order to manage pallets efficiently, researchers have developed several pallet management strategies (PMS). The most common and widely accepted PMS includes extensive management of pallets (EMP), transfer of pallet’s ownership (TPO), and pallet rent (PR). This paper addresses mainly on how to help pallet managers choose a certain kind of PMS from the perspective of supply chain cost. Firstly, cost models of three kinds of PMS are presented. Secondly, all parameters involved in the models are valued based on data that is collected from industry survey. The results show that the cost of PR is constantly lower than EMP, and also lower than TPO when the operation period is no more than 37 months. Finally, the effect of several important parameters on the cost is studied by sensitivity analysis. The selection strategies of PMS are proposed based on the results.

In order to develop clean and efficient energy conversion technology, a novel combined cooling, heating and power (CCHP) system using biomass as fuel is proposed in this work. The proposed CCHP system consists of biomass gasification unit, solid oxide fuel cell (SOFC), engine power generation unit and absorption refrigeration unit. Thermodynamic model of the CCHP system is developed for the parametric and exergy analyses to evaluate the performance. The parametric analysis shows that increasing the steam to biomass ratio or the SOFC fuel utilization factor helps to improve the electrical efficiency, while the increase of air equivalent ratio has a negative effect. The exergy analysis shows that the two units of biomass gasification and engine power generation have the largest exergy destruction ratio, which is 46.9% and 16.8% under the biomass flux of 500 kg·h−1. This is because these two units involve in high-temperature thermochemical reaction process, resulting in relatively large exergy destruction. Besides, the tradeoff between maximum exergy efficiency, CCHP efficiency and minimum total annual cost is conducted by multi-objective optimization. Through optimization, the system could reach the high CCHP efficiency of 75% and net electrical efficiency of 52%, as well as the low total annual cost of 410 k$ simultaneously. This work could provide the basic design idea, and high-efficiency and low-cost operation strategy for the practical application of the proposed novel biomass-fueled CCHP poly-generation system.

Metal-organic frameworks (MOFs) materials have been thought to be magic powers with unlimited applications. However, their powdered condition presents difficulty in utilizing them widely in practices. Depending on the envisioned applications, MOFs will be desired to integrate as an application-oriented forms for example thin films into a microelectronic device to achieve the desired performance. In the last decades, atomic layer deposition (ALD) as a truly enabling technology has become the method of choice for films deposition with good quality-control. In this regard, ALD promises to deposit MOFs films onto the target substrates and assist the visibility of MOFs technologies by facilitating MOFs devices integration. This review will collect together the published work that addresses the past ALD research efforts towards MOFs devices integration. Meanwhile, some beneficial concepts from other technological matrix are also pulled in to sparkle the thinking. We aim to provide an understanding on how the ALD technique is currently assisting the visibility of MOFs technologies.

Background The rules and mechanisms of seasonal changes in plasma lipid levels, which may be related to annual rhythmicity of incidence and mortality of cardiovascular diseases, are still controversial. Objective The objectives of this study were to study the effects of climatic factors on plasma lipid levels and to preliminarily reveal mechanisms of annual rhythmicity of plasma lipid levels. Methods A longitudinal study was performed using health examination data of 5 consecutive years (47,270 subjects) in Jinan, China. The climate in Jinan is typical temperate continental monsoon climate with huge temperature difference between winter and summer (>30°C). Results After considering and adjusting those classical lipid-associated risk factors, such as age, gender, diet, exercise, blood pressure, body weight, change of body weight, body mass index, glycemia, alanine aminotransferase, and creatinine, only air temperature could still significantly affect plasma lipid levels among the main climatic factors (humidity, precipitation, and so forth). For men, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol was decreased significantly 0.35, 0.18, and 0.06 mmol/L, respectively, whereas triglyceride was increased significantly 0.12 mmol/L for every 10°C increase in air temperature. For women, total cholesterol and high-density lipoprotein cholesterol were decreased notably 0.73 and 0.32 mmol/L, and low-density lipoprotein cholesterol was increased significantly 0.26 mmol/L for every 10°C increase in air temperature, whereas triglyceride was not significantly affected by air temperature. Conclusion Air temperature is an independent risk factor for plasma lipid levels besides those classical lipid-associated risk factors. The annual air temperature fluctuations might be an important mechanism of the seasonal changes of lipids.

The role of HIF-2α in hepatocellular carcinoma (HCC) is unclear. The aim of the present study was to investigate the expression pattern and role of HIF-2α in HCC patients. Immunohistochemical staining and western blotting analyses were applied to detect the protein level of HIF-2α in 206 paired HCC and peritumoral tissues. Kaplan-Meier survival and Cox proportional hazard regression analyses were performed to identify risk factors for overall survival and recurrence-free survival in these patients. The function of HIF-2α was studied in HCC cells and in vivo models. We found that the protein levels of HIF-2α in HCC tissues were lower than in peritumoral tissues, and were negatively correlated with tumor size (P < 0.05). Kaplan-Meier survival and univariate analysis revealed that HCC patients with high HIF-2α protein levels had longer overall survival (P < 0.05). Over-expression of HIF-2α induced apoptosis in HCC cells and increased the levels of pro-apoptotic proteins, Bak, ZBP-89 and PDCD4, whereas the inhibition of HIF-2α expression achieved opposite results. The findings were confirmed in a mouse HCC xenograft model. In conclusion, our study revealed that HIF-2α was decreased and played an anti-tumorigenic role in HCC.

Background While the majority of studies report that a raised serum α-fetoprotein (AFP) level before operation is associated with a high risk of recurrence and death in patients who undergo hepatectomy for hepatocellular carcinoma (HCC), results are conflicting. The aim of this study was to assess the prognostic value of AFP. Methods Serum AFP levels were measured in patients with hepatitis-associated HCC who underwent hepatectomy between 1995 and 2012. Kaplan–Meier and multivariable analyses were performed to identify risk factors for overall and disease-free survival. Univariable and multivariable Cox proportional hazards regression was used to evaluate the predictive value of AFP. Receiver operating characteristic (ROC) curves were generated to identify the AFP level that had the highest accuracy in discriminating between survivors and non-survivors. Results Some 376 patients with hepatitis B virus (HBV)-associated HCC were included in the study. The overall survival rate was 58·8 per cent in patients with an AFP level of 400 ng/ml or less compared with 40·4 per cent for those with a level exceeding 400 ng/ml (P = 0·001). AFP concentration above 400 ng/ml was an independent risk factor for shorter disease-free and overall survival after surgery. ROC analysis indicated that the optimal cut-off values for AFP varied for different subtypes of HCC. The sensitivity and specificity were lower with areas under the ROC curve of less than 0·600. An AFP level greater than 400 ng/ml was not sensitive enough to predict the prognosis in patients with an HCC diameter smaller than 3 cm. Conclusion A serum AFP level above 400 ng/ml predicts poor overall and recurrence-free survival after hepatectomy in patients with HBV-associated HCC. AFP is not a strong prognostic marker given its poor discriminatory power, with low sensitivity and specificity.

A novel hybrid system using biomass as fuel for both power and heat generation, which consists of biomass gasification unit, solid oxide fuel cell, homogeneous charge compression ignition engine and waste heat recovery unit, is proposed in this work. Based on the modeling, the system is comprehensively evaluated by multiple approaches including energy, exergy, exergoeconomic and environmental analyses. It is found that the overall energy efficiency and exergy efficiency of the hybrid system could reach up to 68% and 51%, both of which are comparable to those of other reported hybrid fuel cell systems. The exergy destruction of the gasifier is the largest whose relative exergy destruction is up to 21.5%. The component of fuel cell contributes to 71% of the total power but with small relative exergy destruction. On the contrary, the HCCI engine contributes to less power but has larger exergy destruction compared to SOFC. The exergoeconomic analysis showed that the fuel cell component has a high exergoeconomic factor of 98.09% due to the large capital investment cost. By comparison, the component engine has much lower exergoeconomic factors of 5.41%. The cost of exergetic product of the hybrid system is 9.7 $/GJ. Besides, the proposed hybrid system presents a low carbon dioxide emission of about 0.119 to 0.139 t/GJ, which indicates few environmental impacts for the system. These results reveal that the proposed biomass-fueled hybrid system is high-efficiency, low-cost and clean for both power and heat generation, which could be promising candidate as advanced energy conversion technology in practical applications.

CONTEXT: The ovaries and adrenals are sources of androgens in women. Although dehydroepiandrosterone (DHEA), DHEA sulfate (DHEAS), and testosterone (T) all decline with age, these C(19) steroids correlate poorly with parameters of androgen action in postmenopausal women. OBJECTIVE: To comprehensively compare the androgen profiles of pre- and postmenopausal women. METHODS: We quantified 19 steroids—including DHEA; DHEAS; T; androstenedione (A4); and the following adrenal-specific 11-oxygenated C(19) steroids (11oxyandrogens): 11β-hydroxytestosterone (11OHT), 11-ketotestosterone (11KT), 11β-hydroxyandrostenedione (11OHA4), and 11-ketoandrostenedione (11KA4)—using liquid chromatography–tandem mass spectrometry in morning serum obtained from 100 premenopausal (age 20 to 40 years) and 100 postmenopausal (age ≥ 60 years) women. Double immunofluorescence of 3β-hydroxysteroid dehydrogenase type 2 (HSD3B2) with cytochrome b(5) (CYB5A) or sulfotransferase 2A1 (SULT2A1) was performed in normal adrenal glands obtained from eight premenopausal and eight postmenopausal women. RESULTS: DHEA, DHEAS, A4, and T were significantly higher in pre- than in postmenopausal women (2.9, 2.8, 2.9, and 1.6-fold, respectively; P < 0.0001). In contrast, the 11-oxyandrogens did not decrease with aging, and the 11OHT/T and 11OHA4/A4 ratios showed strong positive correlations with age (r = 0.5 and 0.8, respectively; P < 0.0001). Double immunofluorescence analysis showed that with the involution of the zona reticularis in the old adrenals, the sharp zonal segregation of HSD3B2 and CYB5A becomes less distinct, and areas of HSD3B2 and CYB5A overlap are observed. CONCLUSIONS: Unlike DHEA, DHEAS, A4, and T, the 11oxyandrogens do not decline in aging women. Structural changes within the adrenal cortex might explain the evolution of androgen profiles in aging women.

Thyroid cancer is rapidly increasing in incidence worldwide. Although most thyroid cancer can be cured with surgery, radioactive iodine, and/or chemotherapy, thyroid cancers still recur and may become chemoresistant. Autophagy is a complex self-degradative process that plays a dual role in cancer development and progression. In this study, we found that miR-125b was downregulated in tissue samples of thyroid cancer as well as in thyroid cancer cell lines, and the expression of Foxp3 was upregulated. Further, we demonstrated that miR-125b could directly act on Foxp3 by binding to its 3′ UTR and inhibit the expression of Foxp3. A negative relationship between miR-125b and Foxp3 was thus revealed. Overexpression of miR-125b markedly sensitized thyroid cancer cells to cisplatin treatment by inducing autophagy through an Atg7 pathway in vitro and in vivo. Taken together, our findings demonstrate a novel mechanism by which miR-125b has the potential to negatively regulate Foxp3 to promote autophagy and enhance the efficacy of cisplatin in thyroid cancer. miR-125 may be of therapeutic significance in thyroid cancer.

Background The purpose of this study was to examine associations of pretreatment serum carotenoids, tocopherols, and quercetin with prognosis in 154 patients newly diagnosed with head and neck cancer. Methods Pretreatment blood and health surveys were collected. Serum micronutrients were measured by high performance liquid chromatography. Data on recurrence and death were collected annually. Cox proportional hazards models measured associations of serum nutrient concentrations with recurrence and overall survival. Results During a median follow-up time of 37 months, there were 32 recurrences and 27 deaths. After controlling for covariates, subjects with high versus low serum xanthophyll and total carotenoid concentrations had significantly longer recurrence-free time (p = .002 and p = .02, respectively). Overall survival time was significantly longer in patients with high versus low serum xanthophyll concentrations (p = .02). Conclusion Future research should evaluate the possible benefits of interventions to increase intakes of rich food sources of xanthophylls in this patient population. © 2015 Wiley Periodicals, Inc. Head Neck, 2015

Systemic exposures to intestinal bacteria may play a role in the etiology of the chronic, low-grade inflammation that is associated with western diets. Production of lipopolysaccharide-binding protein (LBP) is one biomarker of increased exposures to intestinal bacteria. This study evaluated whether changes in diet quality could affect serum LBP.This was a randomized, controlled trial of Mediterranean and Healthy Eating diets over 6 months in 120 healthy subjects at increased risk of colon cancer. Blood samples obtained before and after intervention were analyzed for LBP, branched-chain fatty acids characteristic of intestinal bacteria, micronutrients and cytokines. Data were analyzed for changes in LBP over time and for predictors of LBP.Serum concentrations of branched-chain bacterial fatty acids declined significantly in both diet groups. However, there was no significant change in mean serum LBP concentrations with either diet intervention. In serum, LBP was positively associated with CRP and negatively associated with carotenoids both before and after intervention. After intervention, LBP was predicted positively by both CRP and bacterial fatty acid concentrations in serum, and negatively by serum carotenoids and the ω3/ω6 fatty acid ratio. This model accounted for 30 % of the inter-individual variation in serum LBP after intervention.These results indicate that dietary intervention over 6 months was insufficient to alter serum LBP. The relationships with inflammation-related markers, however, indicate that anti-inflammatory strategies other than changes in diet quality, such as weight loss or improved fitness, may have more potential for reducing systemic markers of LPS exposures in well-nourished populations.

In a pallet pool, pallets would be delivered through a supply chain. The operation procedure that consists of at least five operation processes as distribution, reposition, recycling, purchase (or rent), and maintenance is quite complex. These pallets are likely to be damaged, lost, destroyed, and so on. So, it is necessary to monitor the pallets using radio-frequency identification technology. However, there is no literature on the management of a pallet pool with both radio-frequency identification–tagged pallets and non-tagged pallets being put into consideration. In our research, an optimization model is presented to manage such a pallet pool. The objective of the optimization model is to minimize the total operation cost of a pallet pool including distribution cost, reposition cost, recycling cost, purchase or rent cost, loss cost, maintenance cost, loading and unloading cost, storage cost, and punishment cost. A particle swarm optimization algorithm is developed in Microsoft Visual Basic. Our numerical example shows that the optimization model and particle swarm optimization algorithm are effective. It is proved that the model and algorithm also can be used to measure whether the investment of a radio-frequency identification system is valuable or not. We proposed some suggestions for the pallet pools management.

Background Relatively high serum carotenoid levels are associated with reduced risks of chronic diseases, but inter-individual variability in serum carotenoid concentrations is modestly explained by diet. The bacterial community in the colon could contribute to the bioaccessibility of carotenoids by completing digestion of plant cells walls and by modulating intestinal permeability. Objective To evaluate whether colonic bacterial composition is associated with serum and colon carotenoid concentrations. Design The study was a randomized dietary intervention trial in healthy individuals who were at increased risk of colon cancer. Colon mucosal biopsy samples were obtained before and after 6 months of intervention without prior preparation of the bowels. Participants/setting Participants were recruited from Ann Arbor, MI, and nearby areas from July 2007 to November 2010. Biopsy data were available from 88 participants at baseline and 82 participants after 6 months. Methods Study participants were randomized to counseling for either a Mediterranean diet or a Healthy Eating diet for 6 months. Results At baseline, bacterial communities in biopsy samples from study participants in the highest vs the lowest tertile of total serum carotenoid levels differed by several parameters. Linear discriminant analysis effect size identified 11 operational taxonomic units that were significantly associated with higher serum carotenoid levels. In linear regression analyses, three of these accounted for an additional 12% of the variance in serum total carotenoid concentrations after including body mass index, smoking, and dietary intakes in the model. These factors together explained 36% of the inter-individual variance in serum total carotenoid concentrations. The bacterial community in the colonic mucosa, however, was resistant to change after dietary intervention with either a Mediterranean diet or Healthy Eating diet, each of which doubled fruit and vegetable intakes. Conclusions The colonic mucosal bacterial community was associated with serum carotenoid concentrations at baseline but was not appreciably changed by dietary intervention.

It is disappointing that only a few patients with hepatocellular carcinoma (HCC) obtain a significant survival benefit from the sorafenib treatment, which is currently regarded as a first-line chemotherapeutic therapy in patients with advanced HCC. Most patients are highly refractory to this therapy. Therefore, it is necessary to identify resistant factors and explore potential protocols that can be used to overcome the resistance or substitute sorafenib once the resistance is formed. In fact, a growing body of studies has been focusing on the resistance mechanisms or the method to overcome it. The limitation of sorafenib efficacy has been partially but not fully elucidated. Moreover, some protocols have shown encouraging outcomes but still need to be further verified in clinical trials. In this review, we summarize the recent findings on the potential mechanisms that contribute to sorafenib resistance and discuss strategies that can be used to improve the treatment outcome.

Due to its three-dimensional tunnel structure, the spinel LiMn2O4 (LMO) cathode material is highly favourable for the migration of lithium ions. Thus, LMO has been used as a commercial cathode material for the electronic devices such as mobile phones and electric vehicles, owing to its special characteristics of low-cost, eco-friendly and non-toxic. However, the scarcity of lithium resources makes the system expensive. On the other hand, the tremendous and increasing usage of lithium ion batteries (LIBs) has undoubtedly generated a significant amount of spent LIBs, resulting in resource waste and environmental pollution. Therefore, in this work, we report on the recycling process of LMO from the spent LIBs and mainly devote to re-examine the electrochemical performances of the regenerated LMO cathode material, for the first time. It is noticed that, the renovated spinel LMO exhibits a better cycling stability up to 500 cycles, with the discharge capacity of 56 mAh g−1 and retained almost 100% of its initial capacity cycled at 1.0 C.

The available evidence indicates that γ-tocopherol has more potential for colon cancer prevention than α-tocopherol, but little is known about the effects of foods and supplements on tocopherol levels in human colon. This study randomized 120 subjects at increased colon cancer risk to either a Mediterranean or a Healthy Eating diet for six months. Supplement use was reported by 39% of the subjects, and vitamin E intake from supplements was 2-fold higher than that from foods. Serum α-tocopherol at baseline was positively predicted by dietary intakes of synthetic vitamin E in foods and supplements but not by natural α-tocopherol from foods. For serum γ-tocopherol, dietary γ-tocopherol was not a predictor, but dietary α-tocopherol was a negative predictor. Unlike with serum, the data supported a role for metabolic factors, and not a direct effect of diet, in governing concentrations of both α- and γ-tocopherol in colon. The Mediterranean intervention increased intakes of natural α-tocopherol, which is high in nuts, and decreased intakes of γ-tocopherol, which is low in olive oil. These dietary changes had no significant effects on colon tocopherols. The impact of diet on colon tocopherols therefore appears to be limited.

Prostaglandin E2 (PGE2) has been linked to a higher risk of colorectal cancer. PGE2 in colon tissue can be reduced by increasing dietary eicosapentaenoic acid (EPA). The dose-dependent relationships between dietary EPA, serum EPA:arachidonate (AA) ratio, urinary PGE2 metabolites, and colonic eicosanoids were evaluated to develop biomarkers for prediction of colonic PGE2. Male rats were fed diets containing EPA:ω6 fatty acid ratios of 0, 0.1, 0.2, 0.4, or 0.6 for 5 weeks. Increasing the dietary EPA:ω6 fatty acid ratio increased EPA:AA ratios in serum and in the proximal, transverse, and distal colon (P < 0.001). The urinary PGE2 metabolite was reduced (P = 0.006). EPA-rich diets reduced colonic tissue PGE2 concentrations by 58% to 66% and increased PGE3 by 19- to 28-fold. Other AA–derived eicosanoids were reduced by 35% to 83%. The changes were not linear, with the largest changes in eicosanoids observed with the lower doses. A mathematical model predicts colonic tissue eicosanoids from the EPA:AA ratio in serum and the EPA dose. Every 10% increase in serum EPA:AA was associated with a 2% decrease in the (geometric) mean of PGE2 in the distal colon. These mathematical relationships can now be applied to individualized EPA dosing in clinical trials. Cancer Prev Res; 7(10); 1011–22. ©2014 AACR.

SUMMARY Development of safe and effective hydrogen storage systems is critical for further implementation of hydrogen in fuel cell technologies. Amongst the various approaches to improve the performance of such systems, porous materials-based adsorptive hydrogen storage is envisaged as a long-term solution because of the excellent reversibility, good kinetics and the possibility to store hydrogen at low pressures. Metal–organic frameworks (MOFs) have attracted much attention as porous hydrogen storage materials in the transition from the laboratory to commercial applications. However, MOF materials are often obtained as loose powders with low packing densities and low thermal conductivities. Therefore, to facilitate this transition and enable the MOF materials to form part of a practical hydrogen storage system, knowledge of the ‘processing’ techniques to improve the properties of the powders is essential. However, the processing routes of MOF materials towards system integration are rarely reviewed in the literature although this is of great significance in their proper assessment and potential use for hydrogen storage on a commercial scale. In this review, we begin by introducing the general requirements of an MOF materials-based hydrogen storage system and present how these requirements translate into desired characteristics for further processing. Then, an overview of MOF materials processing towards system integration is provided with an emphasis on improving selected properties including (i) structural stability, (ii) thermal conductivity and (iii) hydrogen storage properties. Copyright © 2014 John Wiley & Sons, Ltd.

A structural equation model was used for verification with chronic schistosomiasis to investigate the coagulation–anticoagulation system imbalance and to deduce the mechanism of D-dimer (D-D) level elevation in patients with advanced schistosome hepatic disease. We detected the plasma levels of tissue-type fiber plasminogen activator (tPA), urokinase type plasminogen activator (uPA), plasmin-antiplasmin complex (PAP), plasminogen (PLG), antithrombin (AT), plasminogen activator inhibitor 1 (PAI1), D-D, factor VIII: C (FVIII:C), antithrombin-III (AT-III), PLG, protein S (PS), and protein C (PC) in the healthy people as control (69), patients with chronic schistosomiasis (150) or advanced chronic schistosomiasis (90). FVIII, PAP, D-D, tPA, and uPA plasma levels were significantly higher in the chronic group than in the control group and were also significantly higher in the advanced group. However, AT-III, PC, PS, AT, PLG, and PAI1 plasma levels in the advanced and chronic groups were significantly lower than those in the control group. With progression of disease in patients with schistosomiasis japonica, a hypercoagulable state is induced by the coagulation–anticoagulation imbalance, eventually leading to patients with high levels of D-D. Furthermore, we established a structural equation model path of a “chronic schistosomiasis disease stage–(coagulation–anticoagulation–fibrinolysis)–D-D.” By using analysis of moment structures (AMOS), it was shown that the chronic schistosomiasis stage was positively related to factor VIII and had negative correlation with AT-III; a good positive correlation with PAP, tPA, and uPA; and a good negative correlation with PLG and PAI1. In addition, our results show that the path coefficient of anticoagulation–fibrinolysis system to the chronic stage of schistosomiasis or D-D levels was significantly higher than that of the coagulation system. In conclusion, the coagulation and fibrinolysis imbalance in patients with chronic schistosomiasis, especially with advanced schistosomiasis, is due to the progression of disease stages.

Schistosomiasis is one of the most important zoonoses, threatening approximately 800 million people in 78 countries with a loss of 70 million disability-adjusted life years. Over the past six decades, China has made remarkable achievements in morbidity control, but disability and mortality control remains much to desire; thus, advanced schistosomiasis is a growing problem when on the road to schistosomiasis elimination. Since 2005, China has initiated a national treatment and assistance program to advanced patients, aiming to improve patients' symptoms and quality of life. Here, we conducted a two-phase study to evaluate the program's implementation and effect on advanced patients from 2009 to 2014 in Jiangxi Province, China. A total of 6425 advanced schistosomiasis cases were included in this study. For those having been treated and assisted (90.7 %), the cure or improvement rate was over 99.9 %, with 668 (11.5 %) cases having reached clinical cure and 5152 (88.4 %) cases' condition having improved, which can be partially reflected in the significant decline of the proportion of hepatomegaly (splenomegaly), the degree of liver fibrosis, ascites-related indicators (abdominal girth and frequency of shifting dullness), and portal hypertension-related indices (inner diameter of portal vein and frequency of subcutaneous varicose vein of abdominal wall). Besides, it was estimated to have saved 2004 years of life lost at total. Therefore, the government should continue support and increase input of treatment and assistance program so that this project can reach more patients, leading to consolidation of achievements of schistosomiasis control and contribution to schistosomiasis elimination.

Long chain n3 fatty acids appear to have beneficial effects in several domains of health relevant to breast cancer survivors. This study evaluated inter-individual differences in serum levels of n3 fatty acids in 40 breast cancer patients who were participating in a pilot study for prevention of weight gain. Significant predictors of baseline n3 fatty acid levels in serum were dietary intakes of n3 fatty acids, BMI, serum levels of carotenoids and TV hours watched/day, accounting for 43% of the variance. Counseling for prevention of weight gain also tended to increase n3 fatty acid blood levels over time during chemotherapy.

Objective This study examined the feasibility of eliciting dietary changes in subjects recruited from a diverse primary care setting in Michigan using a written, one-page plan, either alone or with telephone counseling. Methods A total of 96 subjects were enrolled from 9/28/06 to 5/7/07 (49% minorities). Subjects were randomized into three groups. Group 1 received written materials. Group 2 received written materials plus a one-page form that asked them to make a specific daily plan for substituting one less nutritious food with two servings of fruits and vegetables. Group 3 received the written materials, the one-page form and telephone counseling from a dietitian. Results Subject retention was 76% for the 12-week study. Subjects in Groups 1, 2 and 3 changed their mean intakes of fruit and vegetables by 0.4, −0.7 and 1.4 servings/day, respectively. Participants in Group 3 lost an average of 0.73 kg, increased their perception of the importance of eating fruits and vegetables, and 63% increased their serum levels of carotenoids by 20% or more. Conclusion Recruitment through a primary care clinic was effective. Formulation of a written plan combined with telephone counseling appears to be promising for improving fruit and vegetable intakes and warrants more definitive study.

The dwindling reserves of hydrocarbon fuel resources and the associated environmental impact of burning fossil fuels have led to the search for clean and sustainable energy technologies. Hydrogen is widely considered as a promising alternative to fossil-based fuels because it is clean, has high energy content, and it can potentially be derived from water, which is abundantly available. Fuel cells are a key component of the hydrogen energy value chain where their role is to convert the chemical energy of hydrogen into electrical energy. In the hydrogen energy value chain, hydrogen production and storage are critical enabling technologies for fuel cells. The future of the Hydrogen Economy faces significant challenges which must be overcome before its realisation. Therefore, considerable research is currently directed at finding efficient, safe and affordable materials for fuel cells and their enabling technologies. Metal-organic frameworks (MOFs), a class of organic-inorganic hybrid crystalline solids, are promising materials for these technologies due to their many distinct characteristics including a wide structural diversity, low weight, extraordinarily high surface areas, large free volumes, and tunable pore sizes and functionalities. This chapter presents an overview of MOFs as potential materials for fuel cell components i.e. polymer electrolyte membrane and electrocatalysts, and enabling technologies for fuel cells i.e. hydrogen production and storage. Although significant progress in research has been made there are still challenges to overcome for the practical use of MOFs in these technologies.

Pallet pooling is a basis for the operation of a city joint distribution system. Pallet allocation is a key problem for the success of a pallet pool. This article considers a multi-station, multi-period, and multi-type pallet allocation problem over a pallet pool in a city joint distribution system. First of all, we develop a deterministic model to optimally allocate pallets when managers have perfect knowledge of the information that will be available. By case studies, we show that this model can help managers to make scientific decisions. The influence of transportation capacity on decisions is shown by numerical simulation. And we propose managers should use both demand forecasting and leasing and renting tactics to minimization allocation cost. Then, we propose a multi-scenario model to optimally allocate pallets when some uncertain parameters cannot be estimated through historical data. The application of this multi-scenario model is also illustrated.

Background: A change in diet is known to affect micronutrient levels in blood but to what extent diet can affect micronutrient levels in the breast is not yet well established. Methods: Healthy, premenopausal women with a family history of breast cancer were randomized across four diet arms for 1 year in a 2 × 2 factorial design study: control, low-fat, high fruit-vegetable, and combination low-fat/high fruit-vegetable diets. Subjects were asked to collect breast nipple aspirate fluid (NAF) at 0, 6, and 12 months, and levels of micronutrients were measured in the fluid. Results: A total of 122 women were enrolled, 97 were retained for 12 months, and sufficient NAF for analysis was available from 59 women at baseline, 49 at 6 months, and 50 at 12 months. Repeated measures mixed-model ANOVA was used to model the data using cholesterol levels and lactation duration as covariates, where appropriate. The high fruit-vegetable intervention, regardless of fat intake, significantly increased total carotenoid levels in NAF. In the low-fat arm, levels of total carotenoids decreased over time relative to control. Levels of total tocopherols and retinol did not change significantly. Levels of 15-F2t-isoprostane, a marker of lipid peroxidation, also did not change significantly over time, although there was a decrease observed in the combination arm. Conclusions: These results indicate that total carotenoid levels in NAF can be significantly increased in the breast NAF with a high fruit-vegetable diet. A low-fat diet that was achieved with little increase in fruit and vegetable intake, however, decreased NAF carotenoid levels. (Cancer Epidemiol Biomarkers Prev 2007;16(7):1393–9)

Background The role of estrogen receptor alpha (ERa), estrogen receptor beta (ERb) and ERa36 signaling in hepatocellular carcinoma (HCC) is not fully addressed. Methods In this study, three cohorts were included: (i) primary HCC patients (N = 76, cohort P), (ii) colorectal liver metastasis (mCRC) (N = 32, cohort S), and (iii) HCC from The Cancer Genome Atlas (TCGA) (N = 121). The levels of ERa36 and wtER36 were measured and their correlation with clinicopathologic features was determined. Results WtERa was downregulated and that ERa36 was upregulated in tumor tissues in both cohort P and TCGA data set. ERa36 was downregulated in tumor tissues in cohort S. In cohort P, wtERa was differentially expressed in gender (P

Conflicting results have often been observed for the prognosis of hepatocellular carcinoma (HCC) patients, but few studies have attempted to explore the reasons for the conflicting results. We aimed to distinguish the prognosis of patients with HCC with cirrhosis (HCC-C) and that of patients with HCC without cirrhosis (HCC-NC). Patients with hepatitis B virus (HBV)-associated HCC treated by curative liver resection at a single institution between 1995 and 2013 were retrospectively evaluated. Kaplan–Meier and multivariate analyses were performed to identify risk factors, including tumor-related factors, hypoxia-inducible factor 1α expression, HBV X protein (HBx) expression, and HBx double mutations for overall survival and recurrence-free survival in these patients. The long-term prognosis of HCC-NC patients is better than that of HCC-C patients. Male sex, poor differentiation, preoperative serum alanine aminotransferase level greater than 80 IU/L, and α-fetoprotein level greater than 400 ng/mL were risk factors for overall survival among HCC-NC patients but not among HCC-C patients, and age greater than 50 years was associated with poor overall survival only in cirrhotic patients. HCC-C patients benefit more from antiviral therapy following curative hepatectomy than do HCC-NC patients. The clinical value of the biomarkers hypoxia-inducible factor 1α, HBx, and HBx double mutations for predicting HCC prognosis was significantly different between these two groups. There were differences in tumor-related prognostic factors, effectiveness of the antiviral therapy after hepatectomy, and biomarkers between HCC-C and HCC-NC patients, indicating that subgroup analysis of the prognostic factors may result in better management of HCC and that HCC patients, especially those with liver cirrhosis, should be given antiviral therapy.

This paper is focus on Loose Pallet Pool which could maximize the use of idle pallets scattered in various parts of the world. First of all, the concept, operation model and operation process of a loose pallet pool were briefly discussed. Then, a loose pallet pool information platform based on cloud computing is proposed, because the effective implementation of a loose pallet pool system needs an information platform to support. The architecture of a loose pallet pool information platform includes four layers from the bottom to the top, which are IaaS(Infrastructure as a Service) , PaaS (Platform as a service), SaaS (Software as a service), and interface. The way of how to establish a loose pallet pool information platform based on Google App Engine is proposed finally.

Hepatic adenomas are benign liver tumors found mostly in young women with a history of oral contraceptive usage. They commonly present with abdominal pain from the tumor mass effect, bleeding, or rupture. We report a case of a young woman with a giant hepatic adenoma presenting with chronic iron deficiency anemia, requiring repeated blood transfusion. The mass was an incidental finding with typical features of a hepatic adenoma. Resection was performed and the hemoglobin remained stable up to the present fourth year of follow-up. This is an unusual presentation for which an association is investigated here. There was no evidence of intra-tumoral bleed but reverse-transcribed real-time PCR revealed higher tumor hepcidin RNA expression. Chronic iron deficiency anemia can be an initial presenting problem in patients with hepatic adenomas. Its cause may be multifactorial but the role of hepcidin-mediated anemia needs further evaluation in future cases.

Background There has been little research published on the adaptation of diabetic exchange list diet approaches for the design of intervention diets in health research despite their clinical utility. The exchange list approach can provide clear and precise guidance on multiple dietary changes simultaneously. The present study aimed to develop exchange list diets for Mediterranean and Healthy Eating, and to evaluate adherence, dietary intakes and markers of health risks with each counselling approach in 120 subjects at increased risk for developing colon cancer. Methods A randomised clinical trial was implemented in the USA involving telephone counselling. The Mediterranean diet had 10 dietary goals targeting increases in mono-unsaturated fats, n-3 fats, whole grains and the amount and variety of fruits and vegetables. The Healthy Eating diet had five dietary goals that were based on the US Healthy People 2010 recommendations. Results Dietary compliance was similar in both diet arms, with 82–88% of goals being met at 6 months, although subjects took more time to achieve the Mediterranean goals than the Healthy Eating goals. The relatively modest fruit and vegetable goals in the Healthy Eating arm were exceeded, resulting in fruit and vegetable intakes of approximately eight servings per day in each arm after 6 months. A significant (P

How to model the power amplifier behavior accurately is the key to system-level simulation. BP neural network can be used to simulate random nonlinear system, but it easily falls into the local minimum points and has no enough precision. So, this article proposes two improved model based on BP neural network model, one is cascading model BP-RBF, and the other is PSO_BP neural network. Design amplifier circuit in ADS2009 utilizing the freescale semiconductor chip MRF6S21140, and then extract voltage data as the simulation data. Carry on the MATLAB fitting simulation by BP, BP-RBF as well as PSO_BP, compared with voltage RMS error (RMSE), epochs and convergence time. Eventually, the results show that the improved algorithm BP-RBF, PSO_BP models have better fitting function than BP model, and fit the characteristics of power amplifier accurately, then have the important application value to construct system simulation.

Weight gain is an important concern that impacts on breast cancer outcomes and general health in survivorship. This randomized, pilot study evaluated whether or not women could comply with a weight control program that is initiated at the beginning of chemotherapy for breast cancer. The program sought to prevent weight gain using a low-fat, high fruit-vegetable diet combined with moderate physical activity. The intervention was implemented using a telephone counseling approach that blended motivational interviewing with social cognitive theory. A total of 40 women were recruited over 9 months at the University of Michigan Comprehensive Cancer Center. This represents 55% of eligible women referred to the study and indicates that interest in a healthy lifestyle program at the initiation of chemotherapy for breast cancer was high. Subjects who dropped out had significantly lower fruit and vegetable intakes and lower blood carotenoids at baseline than subjects who completed the study. Statistically significant beneficial effects were observed on fruit and vegetable intakes, physical activity and breast cancer-specific well-being by the intervention. Mean body fat from dual energy X-ray absorptiometry increased in the written materials arm and decreased in the intervention arm. Of the enrolled women, 75% completed 12 months on study and satisfaction with study participation was high. These data indicate that lifestyle intervention during breast cancer treatment is feasible during treatment with chemotherapy for breast cancer and benefits women in several domains.

This paper deals with the operation model and information system of China pallet pool system. First of all, the operation model of China pallet pool system will be analyzed. We suggest that the management system of China pallet pool system should be a phased integration model. It means that China pallet pool system should be managed by a pallet pooling alliance which constitutes of a large number of enterprises at early stage. However, as the market becomes mature, the pallet pooling alliance would be instead of a few monopoly enterprises. Furthermore, we hold that the China pallet pool system organization model should include three layers, which are headquarter-center, branch-company and service-station. Moreover, the investment model of China pallet pool system that national government is the main investor while the other investors co-exist is proposed. Following which the China pallet pool information system is analyzed. The system consists of a public information system and a set of terminal information systems. Its architecture is based on SOA and could support distributed data storage and application of the “internet of things.”

With the railway logistics development strategy propulsion, the railway logistics industry has been in urgent need of an information platform. By taking advantage of feature FSB-CA methods and modeling methods for enterprises based on investigation of railway logistics business which refers to the CIM-OSA module, this paper constructed a railway logistics information platform reference model of functional requirements definition in general layer and part of general layer. It then analysed and probed the application of the model.

In order to study the automatic evolution mechanism of a logistics synergetic system, the theory of synergetics was applied to logistics. First of all, the theory of synergetics was introduced briefly, and then Logistics Synergetics was defined as a status of maximized overall revenue of a logistics synergetic system under the precondition of satisfaction of each individual enterprise in the system. Then the basic theorem of Logistics Synergetics was used to prove that the overall revenue of a logistics synergetic system was more than the gross revenue of all individual enterprises. Furthermore, Logistics Synergetics was analyzed in detail and the order-parameter and control parameter of a logistics synergetic system were identified. Finally, the order parameter equation and the potential function were established and analyzed by means of quantitative analysis, and some effective suggestions were given based on the result.