BOLERO-5: a phase II study of everolimus and exemestane combination in Chinese post-menopausal women with ER + /HER2- advanced breast cancer.

Background: The global BOLERO-2 trial established the efficacy and safety of combination everolimus (EVE) and exemestane (EXE) in the treatment of estrogen receptor positive (ER +), HER2-, advanced breast cancer (ABC). BOLERO-5 investigated this combination in a Chinese population (NCT03312738).

Methods: BOLERO-5 is a randomized, double-blind, multicenter, placebo controlled, phase II trial comparing EVE (10 mg/day) or placebo (PBO) in combination with EXE (25 mg/day).

Spatio-temporal variation in soil thermal conductivity during the freeze-thaw period in the permafrost of the Qinghai-Tibet Plateau in 1980-2020.

The Qinghai-Tibet Plateau (QTP) has the largest amount of permafrost in the low and middle latitudes, making it highly susceptible to the effects of global warming. In particular, the degradation of permafrost can be intensified by anomalous amplified warming. To accurately model the hydrothermal dynamics of permafrost and its future trends, the accumulation of high-precision, long-term data for the soil thermal conductivity (STC) in the active layer is crucial.

Analysis of the Relationship Between Periampullary Diverticulum and Recurrent Bile Duct Stones After Endoscopy on Magnetic Resonance Imaging of Magnetic Nanoparticles.

The objective of this work was to investigate the effect of magnetic resonance cholangiopancreatography (MRCP) based on super-paramagnetic iron oxide nanoparticles (SPIONs) on the recurrence diagnosis of periampullary diverticulum (PAD) and bile duct stone (BDS), so as to provide a scientific research basis for the recidivation factors of bile duct stones in clinic. Patients with PAD diagnosed in hospital from July 2019 to March 2021 (who had undergone endoscopic gallstone surgery) were selected for study in this work. They were rolled into two groups, the parapapillary group (123 cases) and the cholangiopancreatic duct directly opening in the diverticulum group (97 cases), according to the clinical classification.

High methane emissions from thermokarst lakes on the Tibetan Plateau are largely attributed to ebullition fluxes.

Ebullition has been shown to be an important pathway for methane (CH) emissions from inland waters. However, the CH fluxes and their magnitudes in thermokarst lakes remain unclear due to limited research data, especially on the Tibetan Plateau (TP). The magnitude and regulation of two CH pathways, ebullition and diffusion, were investigated in 32 thermokarst lakes on the TP during the summer of 2020.

Risk assessment of potential thaw settlement hazard in the permafrost regions of Qinghai-Tibet Plateau.

Climate warming could exacerbate the occurrence of thaw settlement hazard in the permafrost regions of the Qinghai-Tibet Plateau (QTP), which would threaten the stability of engineering infrastructure in cold regions. The risk associated with permafrost settlement, valuable for the regional sustainable development, remains poorly assessed or understood on the QTP. In this study, three common Geo-hazard indices were used to assess the settlement risks in the permafrost regions of the QTP, including the settlement index, the risk zonation index, and the allowable bearing capacity index.

Spatiotemporal characteristics of hydrothermal processes of the active layer on the central and northern Qinghai-Tibet plateau.

The spatial and temporal variations of the seasonal freeze-thaw cycles are important in understanding the ecological and hydrological processes and biogeochemical cycle associated with permafrost degradation caused by climate change, although observational data on the soil hydrothermal dynamics within the active layer of the permafrost region at the central and northern Qinghai-Tibet Plateau (QTP) are extremely scarce. In this study, soil temperature and moisture date from 11 observational sites along the Qinghai-Tibet Highway from 2010 to 2014 were used to analyze the freeze-thaw cycles of the active layer. The results revealed that mean annual ground surface temperature (MAGST) and mean annual temperature at the top of permafrost (TTOP) were the most closely related to the onset dates of soil freezing and thawing.

Cloning, characterization and expression analysis of glutathione S-transferase from the Antarctic yeast Rhodotorula mucilaginosa AN5.

The gene for glutathione S-transferase (GST) in Antarctic sea-ice yeast Rhodotorula mucilaginosa AN5 was cloned and expressed in Escherichia coli and named RmGST. Sequence analysis showed that the RmGST gene contained a 843 bp open reading frame, which encoded 280 amino acid residues with a calculated molecular mass of 30.4 kDa and isoelectric point of 5.

Cloning and functional characterization of a novel metallothionein gene in Antarctic sea-ice yeast (Rhodotorula mucilaginosa).

Metallothionein (MT) is a low-molecular-weight protein with a high metal binding capacity and plays a key role in organism adaptation to heavy metals. In this study, a metallothionein gene was successfully cloned and sequenced from Antarctic sea-ice yeast Rhodotorula mucilaginosa AN5. Nucleotide sequencing and analysis revealed that the gene had four exons interrupted by three introns.

Spatial variations and controlling factors of ground ice isotopes in permafrost areas of the central Qinghai-Tibet Plateau.

Ground ice is a distinctive feature of permafrost, and its thawing under climate change can alter the regional hydrological and biogeochemical cycles. Spatial variations and determinants of ground ice isotopes are critical to understand subsurface water cycling during freeze-thaw process in the context of climate change, while they are not well known in permafrost region due to lack of field investigation. We examined spatial distributions and controlling factors of ground ice isotopes using data of 8 soil profiles surveyed in permafrost areas of the Qinghai-Tibet Plateau (QTP).

Purification and characterization of a novel wild-type α-amylase from Antarctic sea ice bacterium Pseudoalteromonas sp. M175.

A novel wild-type α-amylase named wtAmy175 from Pseudoalteromonas sp. M175 strain was purified through ammonium sulphate precipitation, DEAE cellulose, and Sephadex G-75 sequentially (25.83-fold, 7.

Exploring the contribution of precipitation to water within the active layer during the thawing period in the permafrost regions of central Qinghai-Tibet Plateau by stable isotopic tracing.

Stable isotopic tracing has proven to be a useful tool for assessing surface water source dynamics and hydrological connectivity in permafrost regions. This study has investigated the contribution of precipitation to water within the active layer at three long-term observation sites, including Fenghuoshan (FHS), Hoh Xil (KKXL) and Wudaoliang (WDL), by using isotopic tracer technique and two-component mixing model. The results showed that precipitation was the predominant source for water within the active layer, permafrost and ground ice near permafrost table at the three sites.

Hydrochemical characteristics of ground ice in permafrost regions of the Qinghai-Tibet Plateau.

Ground ice is a distinctive feature of permafrost terrain. The vertical distribution and factors controlling the hydrochemistry of ground ice are important for studying soil moisture and salt migration during the freeze-thaw process in soil. These factors are also important components of hydrological cycles in cold regions.

[Operative treatment and curative effects of the deltoid ligament injuries of the ankle joint].

Objective: To explore the operative methods and curative effects of the deltoid ligament injuries.

Methods: From 2002 to 2008, all 61 patients with ankle fractures complicated with deltoid ligament injuries were treated with open reduction and firm internal fixation. Among the patients, 39 patients were male and 22 patients were female, ranging in age from 14 to 71 years, with an average of 41 years.

One-stage reconstruction of complicated thumb injury with combination of microsurgical transplantations.

Complicated thumb loss of the hand still remains a great challenge to hand and microsurgeons. In this article, we report our technique and outcomes in 10 cases using one-stage microsurgical procedures. In each case, three tissue transplants in combination with a sequential vascular anastomoses was performed, i.