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Salidroside (SAL), an antioxidant derived from Rhodiola rosea, exerts neuroprotective effects in cerebral ischemia/reperfusion (I/R) injury; however, the mechanisms have not been fully elucidated. The present study established a rat model of middle cerebral artery occlusion/reperfusion (MCAO/R) and a cellular model of oxygen-glucose deprivation/reoxygenation (OGD/R) to explore the roles and mechanisms of SAL in cerebral I/R injury. The rat model of MCAO/R was established and rats were treated with different doses of SAL. The Zea-Longa scoring system and 2,3,5-triphenyltetrazolium chloride (TTC) staining showed that SAL reduced neurological deficit scores and cerebral infarct volumes in MCAO/R rats. The results of Morris water maze (MWM) test showed that SAL reduced memory impairment in MCAO/R rats. In addition, SAL significantly reduced oxidative stress and suppressed inflammatory response. Next, the OGD/R model was established with PC12 cells and treated with SAL. The results of flow cytometry and 3-(4, 5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium bromide (MTT) assays showed that SAL reduced apoptosis, enhanced cell viability and protected neuronal cells from damage by decreasing lactate dehydrogenase (LDH) activity. SAL increased the expression of TSC complex subunit 2 (TSC2), and activated the 5'-AMP-activated protein kinase (AMPK) and inhibited the mammalian target of rapamycin (mTOR) signaling pathways. It was verified that SAL alleviated cerebral I/R injury by regulating the AMPK/TSC2/mTOR pathway to induce autophagy. In conclusion, SAL reduces the inflammatory response and oxidative stress in a concentration-dependent manner, and protects against cerebral I/R injury by modulating TSC2-induced autophagy. These findings suggest SAL may prove to be a potential therapeutic agent for ischemic stroke.

Objective Population-based epidemiological data on left common iliac vein (LCIV) compression is scarce. This study aimed to investigate the prevalence of LCIV compression in an asymptomatic population and patients with left iliofemoral deep vein thrombosis (IF-DVT). Materials and Methods Nonprobability sampling method was used in this multicenter cross-sectional study. The minimum diameter of LCIV and right common iliac vein minimum were measured. The percentage of LCIV compression (LCIV-CP) was calculated. Compression severity (CS) was classified as mild (CP ≤ 50%), moderate (50% < CP ≤ 70%), and severe (CP > 70%). Results In all, 896 subjects constituted the asymptomatic population and 93 patients constituted the IF-DVT population. In the asymptomatic population, LCIV-CP ranged from 1.1% to 89.9% (mean 44.0%), and people with mild, moderate, and severe CS accounted for 62.3%, 28.2%, and 9.5%, respectively. In the IF-DVT population, the mean LCIV-CP was 71.1% (range 42.2%–95.2%), and patients with severe CS accounted for 75.3%. Gender and age differences in LCIV-CP and CS distribution were observed in the asymptomatic population. Females, the young- and middle-aged group had higher LCIV-CPs. In the population with moderate-severe CS, the middle-aged group accounted for a larger proportion. Middle-aged females comprised the highest percentage of patients with moderate or severe CS. Sex and age affected the LCIV-CP and CS distribution. No gender and age differences were observed in the IF-DVT population. Conclusions LCIV compression is common in population. Middle-aged females are the predominant population with moderate-severe compression. Overlapping of LCIV-CP in the asymptomatic and IF-DVT population is significant and other risk factors should be integrated into the consideration when assessing the risk of IF-DVT secondary to LCIV compression.

Quantitative assessment of the responses of biofilm structure to external hydrodynamics is critical for understanding biofilm detachment mechanisms. This study used multidimensional imaging and numerical simulation approaches to elucidate the complex relationships between biofilm detachment and hydrodynamics with Shewanella oneidensis MR-1. By integrating real-time confocal laser scanning microscopy (CLSM) images with image analysis tools, the three-dimensional structural changes occurring in thin MR-1 biofilms (

Interfacial reactions between iron (Fe) (hydr)oxide surfaces and the activity of bacteria during dissimilatory Fe reduction affect extracellular electron transfer. The presence of organic matter (OM) and exposed facets of Fe (hydr)oxides influence this process. However, the underlying interfacial mechanism of facet-dependent hematite and its toxicity toward microbes during bioreduction in the presence of OM remains unknown. Herein, humic acid (HA), as typical OM, was selected to investigate its effect on the bioreduction of hematite {100} and {001}. When HA concentration was increased from 0 to 500 mg L

Iron (Fe) oxides and fulvic acid (FA) are the key components affecting the fate of cadmium (Cd) in soil. The presence of FA influences Fe mineral transformation, and FA may complicate phase transformation and dynamic behavior of Cd. How varying Fe minerals and FA affect Cd immobilization during the ferrihydrite transformation induced by various Fe(II) concentrations, however, is still lack of quantitative understanding. In this study, we built a model for Cd species quantification during phase transformation based on mechanistic insights obtained from batch experiments. Spectroscopic analysis showed that Fe(II) concentrations affected secondary Fe minerals formation under the condition of co-existence of Cd and FA, and ultimately changed the distribution of Cd and FA. Microscopic analysis revealed that besides surface adsorption, part of Cd was sequestrated by magnetite, whereas FA was able to diffuse into lepidocrocite defects. The model revealed that adsorbed Cd was mainly controlled by FA and ferrihydrite, and direct complexation of Cd by FA had a strong impact on the continuous change in Cd at lower Fe(II) concentration. The results contribute to an in-depth understanding of the mobility of Cd in the environment and provide a method for quantifying the dynamic behavior of heavy metals in multi-reactant systems.

Lingge Yang,1,2,* Huiyan Zhu,1,2,* Peng Luo,1,2 Shiqi Chen,1,2 Yu Xu,1,2 Chunmeng Wang1,2 1Department of Bone and Soft Tissue Sarcomas, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China; 2Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China *These authors contributed equally to this work Background: Observing and studying clinical efficacy and safety of apatinib mesylate tablet in the treatment of advanced malignant melanoma (MM). Methods: Retrospectively analyzing the clinical data of 22 patients with metastatic MM who had failed conventional chemotherapy from June 2016 to January 2018. All patients took 500mg of apatinib mesylate tablets per day. The efficacy should be evaluated according to RECIST 1.1 criteria. Adverse events (AEs) should be graded according to NCI-CTCAE 4.0. Results: There were two cases of partial remission (PR), 11 of stable disease (SD) and nine of progressive disease (PD) in the 22 patients with advanced MM, where the objective remission rate (ORR) was 9.1% and the disease control rate (DCR) was 59.1%. The median progression-free survival (PFS) was 7.5 months, and the 6-month progression-free survival rate (PFR) was 54.7%. Six patients died and the overall survival (OS) was not reached. AEs were controllable and all were in Grade 1–3. Conclusion: Apatinib mesylate tablets have a certain curative effect on patients with malignant melanomas of Stage IV who failed conventional chemotherapy. Apatinib mesylate tablets at a daily dose of 500 mg are well tolerated by most patients. Keywords: apatinib, malignant melanoma, targeted therapy, adverse reaction, efficacy

Lingge Yang,1,2 Yu Xu,1,2 Peng Luo,1,2 Shiqi Chen,1,2 Huiyan Zhu,1,2 Chunmeng Wang1,21Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China; 2Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of ChinaBackground: The clinical efficacy and safety of Endostar combined with chemotherapy in the treatment of metastatic malignant melanoma (MM) were analyzed and the indicators capable of predicting the efficacy of the regimen were identified to guide clinical practice.Patients and methods: The clinical data of 55 patients with metastatic MM without gene mutations who were treated with Endostar combined with dacarbazine and cisplatin were retrospectively analyzed. Efficacy was assessed using RECIST 1.1, and adverse events (AEs) were graded according to NCI-CTCAE 4.0. The log-rank test was used to compare the survival curves of patients in different subgroups, and stepwise multivariate Cox regression analysis was used to determine significant prognostic factors. Differences were considered statistically significant at P

// Jie Chen 1, * , Yu Xu 1, * , Ye Zhou 1 , Yanong Wang 1 , Huiyan Zhu 1 , Yingqiang Shi 1 1 Department of Gastric Cancer and Soft Tissue Sarcomas, Fudan University Shanghai Cancer Center, and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China * These authors contributed equally to this work Correspondence to: Yingqiang Shi, email: yingqiangshi_sh@163.com Huiyan Zhu, email: cj13111230005@163.com Keywords: melanoma, SLNB, SEER, survival analysis Received: February 28, 2016 Accepted: June 03, 2016 Published: June 17, 2016 ABSTRACT Sentinel lymph node biopsy (SLNB) is a sensitive operation for finding micro-metastasis in patients with cutaneous melanoma without evidence of clinically positive lymph node findings. However, until now, no clinical trials or retrospective studies with large samples have been performed to investigate the clinical role of SLNB for cutaneous melanoma patients. In this study, we used the data of cutaneous melanoma from the Surveillance, Epidemiology, and End Results (SEER) database to compare overall survival (OS) and melanoma-specific survival (MSS) outcomes with clinical lymph node and SLN status. In total, 56,285 eligible patients were identified in this study. Cutaneous melanoma patients with clinically-positive lymph nodes had significantly shorter OS (46.1% vs 78.6%, p = 0.000) and MSS (55.8% vs 90.5, p = 0.000) compared with clinically-negative lymph node patients. Patients who underwent SLNB had significantly longer 5-year rates for OS (84.3% vs 70.1, p = 0.000) and MSS (91.5% vs 90.3, p = 0.000) compared with patients who did not undergo SLNB (lymph node observation). Patients with a negative SLNB had a significantly longer 5-year rate for OS (86.5% vs 68.1% vs 46.1, p = 0.000) and MSS (93.7% vs 75.1% 55.8%, p = 0.000) than patients who were SLNB-positive or had clinically-positive lymph nodes. This present study showed that the status of SLN is a valuable prognostic factor in patients with Breslow thickness greater than 1 mm in clinically-negative lymph node cutaneous melanoma.

Circular RNAs (circRNAs) comprise a novel class of widespread non-coding RNAs that may regulate gene expression in eukaryotes. However, the characterization and function of circRNAs in human cancer remain elusive. Here we identified at least 5500 distinct circRNA candidates and a series of circRNAs that are differentially expressed in gastric cancer (GC) tissues compared with matched normal tissues. We further characterized one circRNA derived from the PVT1 gene and termed it as circPVT1. The expression of circPVT1 is often upregulated in GC tissues due to the amplification of its genomic locus. circPVT1 may promote cell proliferation by acting as a sponge for members of the miR-125 family. The level of circPVT1 was observed as an independent prognostic marker for overall survival and disease-free survival of patients with GC. Our findings suggest that circPVT1 is a novel proliferative factor and prognostic marker in GC.

To investigate the impact of age on the clinicopathological features and survival of patients with gastric cancer (GC), and hope to better define age-specific patterns of GC and possible associated risk factors. Using the surveillance, epidemiology, and end results (SEER) database to search the patients who diagnosed GC between 2007 and 2011 with a known age. The overall and 5-year gastric cancer specific survival (CSS) data were obtained using Kaplan–Meier plots. Multivariable Cox regression models were built for the analysis of long-term survival outcomes and risk factors. A total of 7762 GC patients treated with surgery during the 4-year study period were included in the final study cohort. We divided into five subgroups according to the different age ranges. The overall 5-year cause-specific survival (CSS) was 60.3% in Group 1 (below 45 years), 60.3% in the Group 2 (45–55 years), 61.2% in Group 3 (56–65 years), 59.2% in Group 4 (66–75 years), and 59.2% in Group 5 (older than 76 years). Kaplan–Meier plots showed that patients older than 76 years had the worst 5-year CSS of 56.0% rate in all the subgroups. Age, tumor size, primary site, histological type, and Tumor Node Metastasis stage were identified as significant risk factors for poor survival on univariate analysis (all P

In this paper, we consider a HIV infection model with CTL-response delay and analyze the effect of time delay on stability of equilibria. We obtain the global stability of the infection-free equilibrium and give sufficient conditions for the local stability of the CTL-absent equilibrium and CTL-present equilibrium. By choosing the CTL-response delay τ as a bifurcation parameter, we prove that the CTL-present equilibrium is locally asymptotically stable in a range of delays and a Hopf bifurcation occurs as τ crosses a critical value. Numerical simulations are given to support the theoretical results.

In this paper, we revisit Sherratt’s avascular tumor growth system modeled in terms of the continuum densities of proliferating, quiescent and necrotic cells, together with the consideration of the generic nutrient supply from underlying tissue and cell movement of contact inhibition. By adopting a perturbation method combined with the Banach fixed point theorem, we theoretically justify the existence of the traveling wavefronts for this model.

To compare the effect on survival of anatomic resection (AR) versus nonanatomic resection (NAR) in patients with hepatocellular carcinoma (HCC) from all published comparative studies in the literature.Databases, including Pubmed, Embase, the Cochrane Library, Ovid, and Web of Science, were searched to identify studies comparing AR with NAR for HCC. In this meta-analysis, primary end points were the overall survival and disease-free survival; the secondary end point was local recurrence rate. The meta-analysis was performed by use of RevMan 4.2.Nine comparative studies comprising 1,503 patients (833 AR and 670 NAR) were identified. In the combined results, disease-free survival was significantly higher in the AR group than in the NAR group (OR 1.78, 95% CI 1.22-2.59, P = 0.003; heterogeneity P = 0.08). Overall survival (OR 1.31, 95% CI 0.92-1.85, P = 0.13; heterogeneity P = 0.04) did not suggest any significant difference between AR and NAR. No statistically significant difference was found for local recurrence rate between the two resection methods (OR 0.55, 95% CI 0.25-1.23, P = 0.15; heterogeneity P = 0.010).Anatomic resection is associated with better disease-free survival than nonanatomic resection. Because heterogeneity was detected, caution is needed in interpretation of the results. Better designed, adequately powered studies are required to address this issue.

The optimal timing of surgical resection for synchronous colorectal liver metastases (SCLMs) remains controversial. The aim of this metaanalysis was to compare outcomes between simultaneous resection and staged resection from all published comparative studies in the literature.Databases, including PubMed, Embase, Cochrane Library, Ovid, and Web of Science, were searched to identify studies comparing outcomes following simultaneous resection with staged resection for SCLM. The metaanalysis was performed by RevMan 4.2.Fourteen comparative studies comprising 2,204 patients were identified. Patients undergoing simultaneous resection were found to have similar operative time (weighted mean difference [WMD], -34.19; 95% confidence interval [CI], -81.32-12.95, P = .16) and intraoperative blood loss (WMD, -161.33; 95% CI, -351.45-28.79, P = .10). Shorter hospital stay (WMD, -4.77; 95% CI, -7.26-2.28, P .01) and lower morbidity rate (odds ratio [OR], 0.71; 95% CI, 0.57-0.88, P = .002) were observed in simultaneous resection group. The survival rate in the simultaneous resection group did not statistically differ with that in the staged resection group at 1 year (OR, 0.77; 95% CI, 0.51-1.16, P = .21), 3 years (OR, 1.12; 95% CI, 0.85-1.47, P = .43), and 5 years (OR, 1.14; 95% CI, 0.86-1.50, P = .37) postresection, respectively.Simultaneous resection is safe and efficient in the treatment of patients with SCLM while avoiding a second major operation. In appropriately selected patients, simultaneous resection might be considered as the preferred treatment. Since heterogeneity was detected, caution is needed in interpretation of the results. Better designed, adequately powered studies are required for addressing this issue.

The sugar composition of a xylo-oligosaccharide enzymolysis solution (XES) hydrolyzed from wheat bran and bread containing XES were studied. The effects of the XES on fermentation properties of dough and on bread crumb and crust color characteristics are reported. The composition of sugars was determined by high performance liquid chromatography (HPLC), and the fermentation properties of dough and bread color were determined by Rheofermentometer F3 and Chroma Meter CR-400, respectively. xylo-Oligosaccharides (XOS) (51.3%) and xylose (39.2%) were the major sugars in the XES. XOS remained in the XES-containing bread after breadmaking processes (xylotriose, xylotetraose, and xylopentaose, 21.1%), with xylopentaose accounting for 14.4%. Maximum dough height (Hm) was significantly increased by XES, while the maximum gaseous release height (Hm') was not affected. XES increased the brownness index of the crumb and crust of bread when compared to the that of control bread. Consumer acceptability scores of control and XES containing breads were similar.

The effect of amount of flour in the pre-fermented form (10%, 20%, and 30% flour in the pre-fermented form), fermentation time (12, 24, and 36 h), and amount of yeast (0.5%, 1.0%, and 1.5%) on acidity, specific volume, and crumb texture of Chinese Northern-style sourdough steamed breads were studied. Volatile compounds of the sourdough and non-sourdough steamed breads were also determined. The preferments were produced from spontaneous fermentation using all purpose (APF) and whole wheat flours (WWF). Specific volume was the highest at 20% preferment for APF sourdough steamed bread (ASSB) and 30% preferment for WWF sourdough steamed bread (WSSB). The softest texture was obtained with 20% preferment while at 30% preferment there was excessive gluten weakening due to high acidification. A total of 89 volatile compounds were identified in steamed breads with ethanol and 3-methyl-1-butanol being the most abundant compounds.

In this paper, we consider a mathematical model for HIV-1 infection with intracellular delay and cell-mediated immune response. A novel feature is that both cytotoxic T lymphocytes (CTLs) and the intracellular delay are incorporated into the model. We obtain a necessary and sufficient condition for the global stability of the infection-free equilibrium and give sufficient conditions for the local stability of the two infection equilibria: one without CTLs being activated and the other with. We also perform some numerical simulations which support the obtained theoretical results. These results show that larger intracellular delay may help eradicate the virus, while the activation of CTLs can only help reduce the virus load and increase the healthy CD$_4^+$ cells population in the long term sense.

Cancer is a disease characterized by abnormal division of cells combined with the malignant behaviour of these cells. Malignant cancer cells tend to spread, either by direct growth into adjacent tissue through invasion and dispersal or by implantation into distant sites by metastasis. In this paper, we will concentrate on the first type of tumour growth and consider a reaction–diffusion model for competition cells with nonlinear diffusion term modelling contact inhibition between normal and tumour cell populations for which wave propagation is usually observed in clinical data. Mathematically, based on a combination of perturbation methods, the Fredholm theory and the Banach fixed point theorem, we theoretically justify the existence of the travelling wave solution. Numerical simulations are finally illustrated to confirm our rigorous results.

We derive a class of delay difference equations with piecewise constant nonlinearity. The convergence of solutions and the existence of asymptotically stable periodic solutions are investigated, for such a class of difference equations.

In this paper, we consider a class of delay difference systems with piecewise constant nonlinearity, which includes the discrete version of an artificial neural network model of two neurons described by differential equations with piecewise constant arguments. Some interesting results are obtained for the periodicity and convergence of solutions of the systems.

This paper gives new conditions ensuring global asymptotic stability and global exponential stability for cellular neural networks with constant delay and variable delay, respectively. These conditions are derived by using the essence of piecewise linearity of the output function of cellular neural networks and by constructing Lyapunov functions and functionals. Furthermore, these conditions are significantly weaker than those given in existing literature.

Malignant melanoma is one of the most common malignancies. Its incidence grows rapidly at an annual rate of 3−5%. Although the incidence of melanoma remains low in China, it has increased rapidly, with approximately 20,000 new cases reported each year. The mortality of melanoma also has been increasing rapidly; in contrast, although the incidence of melanoma is also increasing in western countries, its mortality basically remains unchanged and does not rise along with the escalation in prevalence. Thus, there is still a wide gap between China and Western countries in the diagnosis and treatment of melanoma. Melanoma has become one of the diseases that pose a major threat to health of Chinese people. However, compared with other common malignant tumors, there is still a far way to go to achieve the standardized diagnosis and treatment of melanoma. In May 2007, the Chinese Society of Clinical Oncology (CSCO) formally established the CSCO Melanoma Panel with an attempt to promote the development of clinical oncology, facilitate the multidisciplinary standardized treatment for melanoma, advocate the active learning and application of currently available scientific evidences at home and abroad, and explore the development of Chinese guidelines on the clinical practices on melanoma. After consultations with multidisciplinary experts, the first edition of the Chinese Consensus on the Diagnosis and Treatment of Melanoma was released in 2008; in 2009, 2011, and 2013, three revisions of this consensus document were published after many multidisciplinary seminars. The past 5 years have witnessed several breakthroughs in the clinical treatment of melanoma. Melanoma has become one of the malignant tumors whose treatment patterns have changed rapidly. To adapt to the fast advances in melanoma treatment and make the clinical management of melanoma in China more standardized and internationalized, the 2015 edition of the Chinese Guidelines on the Diagnosis and Treatment of Melanoma was finalized after repeated and wide consultations with multidisciplinary experts and updated and added with much new information, with an attempt to provide the up-todated and reliable instructions on clinical practices based recent scientific evidences.

A periodic pulse differential equation model of tumor immunotherapy is established by considering the periodic and transient behavior of infusing immune cells. Using comparison theorem and Floquet multiplier theory of the impulsive differential equation, the boundedness of the model solution, the existence and stability of the free-tumor periodic solution are given. Furthermore, the persistence of the system is analyzed. Numerical simulations are carried to confirm the main theorems.

We briefly introduced the main content of the Session Initiation Protocol (SIP), proposed a design of the SIP protocol stack based on Android. Combined with the characteristics of embedded system, we designed the software framework and the hierarchy of the SIP protocol stack, then introduce the function of each layers. Implemented using the java language, and tested in asterisk environment, it can successfully register to the server and display the call handling capacity.

Taking into account the fact that uneven video streams, instability of the network bandwidth , it's difficult to match the transmission bandwidth and video bit rate in video delivery procedure. Based on the SIP / SDP protocol, this paper presents an adaptive video streaming transmission control algorithm, customs a RTP / RTCP control strategy. Considering the current network status, receiver-side buffering capacity and video QoS (quality of service), it dynamically adjusts the H.264 encoding parameters so that the transmission bandwidth, video bit rate and QoS coordinates with each other to achieve an optimal video transfer status.

This paper presents a modified method of the new edge-directed image interpolation algorithm. The basic idea is to first estimate the properties of the pixels to be interpolated and then calculate the unknown values based on different interpolation formulas. The improvement is that we propose a sample-points-selection from a statistical standpoint before interpolation to solve the problem of covariance mismatch in high frequency regions, and a special interpolation scheme on edge pixels based on Canny detector to avoid edge blurring. Experimental results show that our algorithm performs higher objective quality when applied to high-contrast image.

Objective To investigate the different nature between hepatoid adenocarcinoma of the stomach (HAS) and common stomach cancer without the hepatoid differentiation areas (non-HAS). Methods From January 1996 to December 2007, 45 patients were diagnosed as HAS on the basis of the characteristic histologic features resembling hepatocellular carcinoma in Fudan University Shanghai Cancer Center. The clinicopathologic features and the relevant prognosis of these patients were evaluated. In addition, 225 stage-matched common stomach cancer patients were selected as controls. Results Histologically, the polygonal tumor cells were arranged in trabecular fashion or solid nests separated by narrow fibrous stroma composed of sinusoid-like capillaries. Immunohistochemically, the tumor cells were positive for α-fetoprotein. Under transmission electron microscope, numerous circular granules of dense electron were found in the cytoplasm. HAS showed a higher rate of vascular invasion, lymph node metastasis, and liver metastasis than non-HAS. The 5-years survival rates of HAS and non-HAS were 9% and 44%, respectively. The prognosis of HAS was poorer than that of non-HAS (P Conclusion HAS had different clinicopathologic features and prognosis from non-HAS.

Background and Objectives There were no comprehensive studies on the clinicopathologic features and prognosis of alpha-protein-producing gastric cancer. The aim of this study was to elucidate the clinicopathologic characteristics and prognostic factors of alpha-fetoprotein (AFP)-producing gastric cancer. Methods Among 4,426 gastric cancer patients receiving surgery in the Cancer Hospital of Fudan University from 1996 to 2007, there were 111 patients with elevated serum level of AFP preoperatively after excluding chronic hepatitis, hepatocirrhosis, and hepatocellular carcinoma. Primary lesions of 104 patients were stained positively for AFP. The clinicopathologic characteristics and prognostic factors of AFP-producing gastric cancer were analyzed. Additionally, 208 stage-matched AFP-negative gastric cancer patients were selected as control. Results There was a significantly higher incidence of vascular invasion, lymph node metastasis, and liver metastasis in AFP-positive group than in the negative group. The overall 5-year survival rates of AFP-positive and negative groups were 28% and 38%, respectively. The AFP-positive group had a significantly poorer survival in comparison to the stage-matched negative group. The independent prognostic factors of AFP-positive group included liver metastasis and pathological stage. Conclusions AFP-positive gastric cancer had more aggressive behavior than that of AFP-negative gastric cancer. In addition to surgery, multimodal therapy should be considered. J. Surg. Oncol. 2010;102:249–255. © 2010 Wiley-Liss, Inc.

Clinical significance of tumor size remains elusive in gastric cancer. The aim of this study was to evaluate the prognostic value of tumor size in T3 gastric cancer. A total of 273 patients with T3 gastric cancer who underwent curative D2 gastrectomy between 1996 and 2005 were evaluated. In terms of average value of tumor size, patients were divided into two groups according to tumor size: small-size group (SSG, tumor ≤6 cm) and large-size group (LSG, tumor >6 cm). The prognostic value of tumor size and the correlation between tumor size and other clinicopathologic factors were investigated. LSG accounted for 34.8% in all patients. Tumor size was correlated with histological type, lymphatic invasion, venous invasion, and resection type. The prognosis of LSG patients was worse than that of SSG patients. Multivariate analysis showed that type of resection, status of lymph nodes, metastatic lymph node ratio, and tumor size were defined as independent prognostic factors for patients with T3 gastric cancer. A comparison between LSG patients and SSG patients showed differences in the survival of those with stage IIIB and IV disease. Tumor size is a simple and reliable prognostic factor for patients with T3 gastric cancer; it might be a candidate for the gastric cancer staging system.

Analysed is a mathematical model for HIV-1 infection with two delays accounting, respectively, for (i) a latent period between the time target cells are contacted by the virus particles and the time the virions enter the cells and (ii) a virus production period for new virions to be produced within and released from the infected cells. For this model, the basic reproduction number is identified and its threshold property is discussed: the uninfected steady state is proved to be globally asymptotically stable if and unstable if . In the latter case, an infected steady state occurs and is proved to be locally asymptotically stable. The formula for shows that increasing either of the two delays will decrease . This may suggest a new direction for new drugs-drugs that can prolong the latent peri od and/or slow down the virus production process.

In this paper, a reaction–diffusion model describing temporal development of tumor tissue, normal tissue and excess H+ ion concentration is considered. Based on a combination of perturbation methods, the Fredholm theory and Banach fixed point theorem, we theoretically justify the existence of the traveling wave solution for this model.