Objective:We aimed to compare the quality-adjusted time without symptoms or toxicity(Q-TWiST)in acute myeloid leukemia(AML)patients who received haploidentical-related donor(HID)and identical sibling donor(ISD)hematop...Objective:We aimed to compare the quality-adjusted time without symptoms or toxicity(Q-TWiST)in acute myeloid leukemia(AML)patients who received haploidentical-related donor(HID)and identical sibling donor(ISD)hematopoietic stem cell transplantation(HSCT).Methods:Five clinical health states were defined:toxicity(TOX),acute graft-versus-host disease(GVHD),chronic GVHD(cGVHD),time without symptoms and toxicity(TWiST)and relapse(REL).The equation used in this study was as follows:Q-TWiST=UTOX×TOX+UTWiST×TWiST+UREL×REL+UaGVHD×aGVHD+UcGVHD×cGVHD.Results:A total of 239 AML patients were enrolled.We established a mathematical model,i.e.,Q-TWiST HID HSCT>Q-TWiST ISD HSCT,to explore the range of utility coefficients satisfying the inequality.Based on the raw data,the utility coefficient is equivalent to the following inequality:10.57067UTOX-46.27733UREL+105.9374+3.388078UaGVHD-210.8198UcGVHD>0.The model showed that when UTOX,UREL,and UaGVHD were within the range of 0-1,as well as when UcGVHD was within the range of 0-0.569,the inequality Q-TWiST HID HSCT>Q-TWiST ISD HSCT was valid.According to the results of the ChiCTR1800016972 study,the median coefficients of TOX,acute GVHD(aGVHD),and cGVHD were 0.56(0.41-0.76),0.56(0.47-0.72),and 0.54(0.37-0.79),respectively.We selected a series of specific examples of the coefficients,i.e.,UTOX=0.5,UREL=0.05,UaGVHD-0.5,and UcGVHD-0.5.The Q-TWiST values of ISD and HID HSCT were 896 and 900 d,respectively(P=0.470).Conclusions:We first observed that Q-TWiST was comparable between AML patients receiving HID HSCT and those receiving ISD HSCT.展开更多
The construction of course-based ideological and political education is currently in its full swing.With both instrumentality and humanity,college English is the ideal carrier of ideological and political education.Co...The construction of course-based ideological and political education is currently in its full swing.With both instrumentality and humanity,college English is the ideal carrier of ideological and political education.College English education should keep pace with the era,integrate with ideological and political education based on traditional Chinese culture,and construct a teaching system with Chinese characteristics.It is necessary to strengthen ideological and political orientation,reasonably integrate the teaching content,comprehensively enhance the quality of teachers,and actively innovate the teaching method,so as to further improve the effect of course-based ideological and political practice as well as realize the fundamental task of cultivating students through moral cultivation in higher education.展开更多
Fuel economy is one of the most important properties of wheeled tractors.To improve the fuel economy,it is necessary to improve the engine fuel economy and the tractive efficiency of the driving mechanism.By analyzing...Fuel economy is one of the most important properties of wheeled tractors.To improve the fuel economy,it is necessary to improve the engine fuel economy and the tractive efficiency of the driving mechanism.By analyzing the fuel economy evaluation index of wheeled tractors,the correlation among the tractor specific fuel consumption,the engine effective specific fuel consumption and the tractive efficiency of the driving mechanism were clarified in this paper.A tractor with a new type of hydro-mechanical continuously variable transmission(HMCVT)was designed and its whole model was established too.On the basis of each module’s simulation model,the binary speed ratio matching simulation model of the gearbox-engine system was obtained by the control system reconstruction,and the fuel economy simulation analysis of the wheeled tractor with HMCVT was carried out under the two typical working conditions of plowing and sowing.Compared with the current national standard,the fuel economy of the newly designed wheeled tractors with the power of 130 kW was 380 g/(kW·h),specific fuel consumption was reduced by 21.1%.The results showed that the new tractor fuel economy was greatly improved.Further,automatic navigation technology can be combined with the self-adaptive tractors to adapt to different working conditions and achieve the optimal fuel economy,which can be applied in precision agriculture.展开更多
基金supported by the Key Program of the National Natural Science Foundation of China(No.81930004)the National Natural Science Foundation of China(No.82170208)+2 种基金Tongzhou District Distinguished Young Scholars(No.JCQN2023009)Plan Project of Tongzhou Municipal Science and Technology(No.KJ2024CX045)Beijing Natural Science Foundation(No.Z230016)。
文摘Objective:We aimed to compare the quality-adjusted time without symptoms or toxicity(Q-TWiST)in acute myeloid leukemia(AML)patients who received haploidentical-related donor(HID)and identical sibling donor(ISD)hematopoietic stem cell transplantation(HSCT).Methods:Five clinical health states were defined:toxicity(TOX),acute graft-versus-host disease(GVHD),chronic GVHD(cGVHD),time without symptoms and toxicity(TWiST)and relapse(REL).The equation used in this study was as follows:Q-TWiST=UTOX×TOX+UTWiST×TWiST+UREL×REL+UaGVHD×aGVHD+UcGVHD×cGVHD.Results:A total of 239 AML patients were enrolled.We established a mathematical model,i.e.,Q-TWiST HID HSCT>Q-TWiST ISD HSCT,to explore the range of utility coefficients satisfying the inequality.Based on the raw data,the utility coefficient is equivalent to the following inequality:10.57067UTOX-46.27733UREL+105.9374+3.388078UaGVHD-210.8198UcGVHD>0.The model showed that when UTOX,UREL,and UaGVHD were within the range of 0-1,as well as when UcGVHD was within the range of 0-0.569,the inequality Q-TWiST HID HSCT>Q-TWiST ISD HSCT was valid.According to the results of the ChiCTR1800016972 study,the median coefficients of TOX,acute GVHD(aGVHD),and cGVHD were 0.56(0.41-0.76),0.56(0.47-0.72),and 0.54(0.37-0.79),respectively.We selected a series of specific examples of the coefficients,i.e.,UTOX=0.5,UREL=0.05,UaGVHD-0.5,and UcGVHD-0.5.The Q-TWiST values of ISD and HID HSCT were 896 and 900 d,respectively(P=0.470).Conclusions:We first observed that Q-TWiST was comparable between AML patients receiving HID HSCT and those receiving ISD HSCT.
基金2019 Key Topics of University-Level Teaching and Research Projects in Qilu Univerity of Technology(Shandong Academy of Science)“A Study on the Infiltration of Moral Education in College English Teaching in the New Era of Socialism with Chinese Characteristics,Taking Qilu Univerity of Technology as an Example”(Project Number:2019zd18).
文摘The construction of course-based ideological and political education is currently in its full swing.With both instrumentality and humanity,college English is the ideal carrier of ideological and political education.College English education should keep pace with the era,integrate with ideological and political education based on traditional Chinese culture,and construct a teaching system with Chinese characteristics.It is necessary to strengthen ideological and political orientation,reasonably integrate the teaching content,comprehensively enhance the quality of teachers,and actively innovate the teaching method,so as to further improve the effect of course-based ideological and political practice as well as realize the fundamental task of cultivating students through moral cultivation in higher education.
基金The research is funded partially by the National Key Research and Development Program of China(2016YFD0701103)Science and Technology Foundation of Outstanding Young Talents of Nanjing Agricultural University(YQ201605)the Fundamental Research Funds for the Central Universities fund(KYZ201760).
文摘Fuel economy is one of the most important properties of wheeled tractors.To improve the fuel economy,it is necessary to improve the engine fuel economy and the tractive efficiency of the driving mechanism.By analyzing the fuel economy evaluation index of wheeled tractors,the correlation among the tractor specific fuel consumption,the engine effective specific fuel consumption and the tractive efficiency of the driving mechanism were clarified in this paper.A tractor with a new type of hydro-mechanical continuously variable transmission(HMCVT)was designed and its whole model was established too.On the basis of each module’s simulation model,the binary speed ratio matching simulation model of the gearbox-engine system was obtained by the control system reconstruction,and the fuel economy simulation analysis of the wheeled tractor with HMCVT was carried out under the two typical working conditions of plowing and sowing.Compared with the current national standard,the fuel economy of the newly designed wheeled tractors with the power of 130 kW was 380 g/(kW·h),specific fuel consumption was reduced by 21.1%.The results showed that the new tractor fuel economy was greatly improved.Further,automatic navigation technology can be combined with the self-adaptive tractors to adapt to different working conditions and achieve the optimal fuel economy,which can be applied in precision agriculture.