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Transformation of marginal zone lymphoma into high-grade B-cell lymphoma expressing terminal deoxynucleotidyl transferase:A case report
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作者 Zhi-Min Fan Dao-Lei Wu +4 位作者 Neng-Wen Xu Li Ye li-ping yan Lin-Jie Li Jun-Yu Zhang 《World Journal of Clinical Cases》 SCIE 2024年第15期2655-2663,共9页
BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and... BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and HGBL-not otherwise specific(HGBL-NOS),which are morphologically characteristic of HGBL but lack MYC,BCL-2,or BCL-6 rearrangements.HGBL is partially transformed by follicular lymphoma and other indolent lymphoma,with few cases of marginal zone lymphoma(MZL)transformation.HGBL often has a poor prognosis and intensive therapy is currently mainly advocated,but there is no good treatment for these patients who cannot tolerate chemotherapy.CASE SUMMARY We reported a case of MZL transformed into HGBL-NOS with TP53 mutation and terminal deoxynucleotidyl transferase expression.Gene analysis revealed the gene expression profile was identical in the pre-and post-transformed tissues,suggesting that the two diseases are homologous,not secondary tumors.The chemotherapy was ineffective and the side effect was severe,so we tried combination therapy including venetoclax and obinutuzumab.The patient tolerated treatment well,and reached partial response.The patient had recurrence of hepatocellular carcinoma and died of multifunctional organ failure.He survived for 12 months after diagnosis.CONCLUSION Venetoclax combined with obinutuzumab might improve the survival in some HGBL patients,who are unsuitable for chemotherapy. 展开更多
关键词 Marginal zone lymphoma High-grade B-cell lymphoma Terminal deoxynucleotidyl transferase Venetoclax TP53 mutation Case report
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从约翰·霍普金斯医院看美国医疗纠纷的防范 被引量:1
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作者 胡艳军 刘小明 +1 位作者 刘小白 li-ping yan 《当代护士(中旬刊)》 2009年第7期102-104,共3页
从美国约翰·霍普金斯医院(Johns Hopkins Hospital)的管理中发现:建立高质、高效的病人意见建议处理部门,合理的安全措施建议,药物的安全使用,医患共议医疗护理计划,院内感染的预防以及意外摔伤的预防,医院均诚恳邀请病人... 从美国约翰·霍普金斯医院(Johns Hopkins Hospital)的管理中发现:建立高质、高效的病人意见建议处理部门,合理的安全措施建议,药物的安全使用,医患共议医疗护理计划,院内感染的预防以及意外摔伤的预防,医院均诚恳邀请病人积极参与,并实施相应的宣教措施。这5大方面的全面实施对医疗纠纷的防范起到了不可忽视的作用。 展开更多
关键词 医疗机构 医疗纠纷 管理
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Recent Progress in Networked Control Systems——A Survey 被引量:7
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作者 Yuan-Qing Xia Yu-Long Gao +1 位作者 li-ping yan Meng-Yin Fu 《International Journal of Automation and computing》 EI CSCD 2015年第4期343-367,共25页
For the past decades,networked control systems(NCSs),as an interdisciplinary subject,have been one of the main research highlights and many fruitful results from different aspects have been achieved.With these growing... For the past decades,networked control systems(NCSs),as an interdisciplinary subject,have been one of the main research highlights and many fruitful results from different aspects have been achieved.With these growing research trends,it is significant to consolidate the latest knowledge and information to keep up with the research needs.In this paper,the results of different aspects of NCSs,such as quantization,estimation,fault detection and networked predictive control,are summarized.In addition,with the development of cloud technique,cloud control systems are proposed for the further development of NCSs. 展开更多
关键词 Networked control systems QUANTIZATION filter data fusion fault detection networked predictive control cloud control systems.
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