VideoAssisted Thoracic Medical procedures Esophagectomy

The aim of this study was to examine the trend of average frequency of toothbrushing per day according to the sociodemographic characteristics using the 5th, 6th, and 7th Korean National Health and Nutrition Examination Survey (KNHANES) data for 9 years; from 2010 to 2018. It intends to understand the state of toothbrushing practices in South Korea, and to provide basic data for promoting toothbrushing practices. Data from the 5th, 6th, and 7th KNHANESs conducted by the Korean Disease Control and Prevention Agency each year was analyzed using IBM SPSS version 26.0 (IBM Co., Armonk, NY, USA). Tableau version 2020.1 was used for the graphs and geographic information system (GIS). The significance level of α was set at 0.05 for testing. In all analyses, the complex sampling analysis method with stratification variables, cluster variables, and weights was applied, and the complex sample linear regression analysis. The average frequency of toothbrushing per day was higher in women for all the years; these women belonged to the age group under 65 and the employed group. The average frequency of toothbrushing per day was lower in the married, elementary school graduate, part-time job, and low-income groups for all years. The demographic and social factors affecting the number of toothbrushing practices per day were gender, education level, income level, and work type. After analyzing the average frequency of toothbrushing per day in each of the cities and provinces, Gangwon-do and Jeonbuk showed the highest increase in the frequency of toothbrushing in 2018 compared to 2010, whereas Incheon showed the lowest increase. From the above results, the average frequency of toothbrushing per day was lower in males, those with a low education level, the unemployed, and those in the rural area for a period of 9 years. Therefore, in-depth oral health promotion projects and national benefit policies should be considered for effective toothbrushing education by identifying individuals who do not brush their teeth.
For patients with esophageal squamous cell carcinoma, preoperative chemoradiotherapy followed by planned esophagectomy is used as a curative treatment modality. However, the impact of radiotherapy dose remains undefined.
A total of 141 patients with stage III esophageal squamous cell carcinoma (ESCC; as defined by the 7th American Joint Committee on Cancer), receiving preoperative chemoradiotherapy followed by esophagectomy between 2000 and 2015 at Kaohsiung Chang Gung Memorial Hospital, Taiwan, were retrospectively reviewed. The radiotherapy dose of preoperative chemoradiotherapy (36 Gy before 2009 and 50-50.4 Gy after 2009) and other clinicopathological parameters were collected and correlated with the response to chemoradiotherapy and treatment outcome.
Of these 141 patients, the radiotherapy dose was 36 Gy in 59 (42%) patients and 50 Gy in 82 (58%) patients. A complete pathological response was noted in 12 (20%) of 59 patients receiving 36 Gy radiotherapy, and 37 (45%) of 82 patients receiving 50 Gyapy doses led to increased pathologic complete response rates and improved survival.Since the first report that Stxbp6, a brain-enriched protein, regulates the assembly of soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) complexes, little has been discovered about its functions over the past two decades. To determine the effects of Stxbp6 loss on nervous-system-associated phenotypes and underlying mechanisms, we constructed a global Stxbp6-knockout mouse. We found that Stxbp6-null mice survive normally, with normal behavior, but gained less weight relative to age- and sex-matched wildtype mice. RNA-seq analysis of the cerebral cortex of Stxbp6-null mice relative to wildtype controls identified 126 differentially expressed genes. Of these, 57 were upregulated and 69 were downregulated. Moreover, Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis showed that the most significant enriched KEGG term was "complement and coagulation cascades". Our results suggest some potential regulatory pathways of Stxbp6 in the central nervous system, providing a remarkable new resource for understanding Stxbp6 function at the organism level.With a dismally low median survival of less than two years after diagnosis, Glioblastoma (GBM) is the most lethal type of brain cancer. The standard-of-care of surgical resection, followed by DNA-damaging chemo-/radiotherapy, is often non-curative. In part, this is because individual cells close to the resection border remain alive and eventually undergo renewed proliferation. These residual, therapy-resistant cells lead to rapid recurrence, against which no effective treatment exists to date. Selleckchem Myrcludex B Thus, new experimental approaches need to be developed against residual disease to prevent GBM survival and recurrence. Cellular senescence is an attractive area for the development of such new approaches. Senescence can occur in healthy cells when they are irreparably damaged. Senescent cells develop a chronic secretory phenotype that is generally considered pro-tumorigenic and pro-migratory. Age is a negative prognostic factor for GBM stage, and, with age, senescence steadily increases. Moreover, chemo-/radiotherapy can provide an additional increase in senescence close to the tumor. In light of this, we will review the importance of senescence in the tumor-supportive brain parenchyma, focusing on the invasion and growth of GBM in residual disease. We will propose a future direction on the application of anti-senescence therapies against recurrent GBM.Endometriosis is an inflammatory condition manifested by the presence of endometrial-like tissue outside of the uterine cavity. The most common clinical presentations of endometriosis are dysmenorrhea, infertility, and severe pelvic pain. Few hypotheses attempt to explain the pathogenesis of endometriosis; however, none of the theories have been fully confirmed or considered universal. We examined somatic mutations in eutopic endometrium samples, deep endometriotic nodules and peripheral blood from 13 women with deep endometriosis of the rectovaginal space. Somatic variants were identified in laser microdissected samples using next-generation sequencing. A custom panel of 1296 cancer-related genes was employed, and selected genes representing cancer drivers and non-drivers for endometrial and ovarian cancer were thoroughly investigated. All 59 detected somatic variants were of low mutated allele frequency ( less then 10%). In deep ectopic lesions, detected variants were significantly more often located in cancer driver genes, whereas in eutopic endometrium, there was no such distribution.