Background: The TNM staging system is far from perfect in predicting the survival of individual cancer patients because only the gross anatomy is considered. The survival rates of the patients who have the same TNM st...Background: The TNM staging system is far from perfect in predicting the survival of individual cancer patients because only the gross anatomy is considered. The survival rates of the patients who have the same TNM stage disease vary across a wide spectrum. This study aimed to develop a nomogram that incorporates other clinicopathologic factors for predicting the overall survival(OS) of non-metastatic nasopharyngeal carcinoma(NPC) patients after curative treatments.Methods: We retrospectively collected the clinical data of 1520 NPC patients who were diagnosed histologically between November 2000 and September 2003. The clinical data of a separate cohort of 464 patients who received intensity-modulated radiation therapy(IMRT) between 2001 and 2010 were also retrieved to examine the extensibility of the model. Cox regression analysis was used to identify the prognostic factors for building the nomogram. The predictive accuracy and discriminative ability were measured using the concordance index(c-index).Results: We identiied and incorporated 12 independent clinical factors into the nomogram. The calibration curves showed that the prediction of OS was in good agreement with the actual observation in the internal validation set and IMRT cohort. The c-index of the nomogram was statistically higher than that of the 7th edition TNM staging system for predicting the survival in both the primary cohort(0.69 vs. 0.62) and the IMRT cohort(0.67 vs. 0.63).Conclusion: We developed and validated a novel nomogram that outperformed the TNM staging system in predicting the OS of non-metastatic NPC patients who underwent curative therapy.展开更多
Toxic epidermal necrolysis(TEN) is a rare acute life-threatening mucocutaneous disorder that is mostly drug-related(80%-95%). It is clinically characterized as a widespread sloughing of the skin and mucosa. AP regimen...Toxic epidermal necrolysis(TEN) is a rare acute life-threatening mucocutaneous disorder that is mostly drug-related(80%-95%). It is clinically characterized as a widespread sloughing of the skin and mucosa. AP regimen(pemetrexed plus cisplatin) has been the preferred first-line chemotherapy for metastatic non-squamous non-small cell lung cancer(NSCLC). Gefitinib, a small-molecule epidermal growth factor receptor(EGFR) tyrosine kinase inhibitor(TKI), has already been recommended as a first-line treatment in EGFR-mutant metastatic NSCLC. We report rare presentation of TEN involving adverse effects of AP and gefitinib combination treatment in a 42-year-old woman diagnosed with metastatic NSCLC harboring an EGFR mutation. On the 21 st day after administration of the first cycle of AP regimen and the 8th day after the initiation of gefitinib treatment, she developed an acne-like rash, oral ulcer, and conjunctivitis, which later became blisters and ultimately denuded. The characteristic clinical courses were decisive for the diagnosis of TEN. Treatment with systemic steroids and immunoglobulin as well as supportive treatment led to an improvement of her general condition and a remarkable recovery.展开更多
Novel advances in the field of brain imaging have enabled the unprecedented clinical application of various imaging modalities to facilitate disease diagnosis and treatment. Electrical impedance tomography(EIT) is a f...Novel advances in the field of brain imaging have enabled the unprecedented clinical application of various imaging modalities to facilitate disease diagnosis and treatment. Electrical impedance tomography(EIT) is a functional imaging technique that measures the transfer impedances between electrodes on the body surface to estimate the spatial distribution of electrical properties of tissues. EIT offers many advantages over other neuroimaging technologies,which has led to its potential clinical use. This qualitative review provides an overview of the basic principles,algorithms, and system composition of EIT. Recent advances in the field of EIT are discussed in the context of epilepsy,stroke, brain injuries and edema, and other brain diseases. Further, we summarize factors limiting the development of brain EIT and highlight prospects for the field. In epilepsy imaging, there have been advances in EIT imaging depth,from cortical to subcortical regions. In stroke research, a bedside EIT stroke monitoring system has been developed for clinical practice, and data support the role of EIT in multi-modal imaging for diagnosing stroke. Additionally, EIT has been applied to monitor the changes in brain water content associated with cerebral edema, enabling the early identification of brain edema and the evaluation of mannitol dehydration. However, anatomically realistic geometry,inhomogeneity, cranium completeness, anisotropy and skull type, etc., must be considered to improve the accuracy of EIT modeling. Thus, the further establishment of EIT as a mature and routine diagnostic technique will necessitate the accumulation of more supporting evidence.展开更多
The effects of the calcination temperature on the oxygen content and magnetic properties of the nano- crystalline perovskite manganite Lao.75Sro.25MnO3±δ pre- pared by the sol-gel method were investigated. The h...The effects of the calcination temperature on the oxygen content and magnetic properties of the nano- crystalline perovskite manganite Lao.75Sro.25MnO3±δ pre- pared by the sol-gel method were investigated. The highest temperatures at which the samples were calcined were 973, 1073, 1273, and 1473 K. The X-ray diffraction （XRD） analyses indicate that all the samples have only a single phase with the R3c perovskite structure. As the calcination temperature and calcination time increase, the oxygen content in the samples increases from being deficient to being in excess of that in the stoichiometric formula. The crystallite size also increases from 23 to 283 nm. Magnetic measurements indicate that the sample calcined at 1073 K has the highest Curie temperature. This is owing to the fact that the crystallite cores of this sample have stoichiometric oxygen content. The dependence of the Curie temperature and the saturation magnetization on the calcination tem- perature are successfully explained.展开更多
An effective procedure has been developed to synthesize the functionalized graphene oxide grafted by maleic anhydride grafted liquid polybutadiene（MLPB-GO）. Fourier transform spectroscopy and X-ray photoelectron spe...An effective procedure has been developed to synthesize the functionalized graphene oxide grafted by maleic anhydride grafted liquid polybutadiene（MLPB-GO）. Fourier transform spectroscopy and X-ray photoelectron spectroscopy indicate the successful functionalization of GO. The NR/MLPB-GO composites were then prepared by the co-coagulation process. The results show that the mechanical properties of NR/MLPB-GO composites are obviously superior to those of NR/GO composites and neat NR. Compared with neat NR, the tensile strength, modulus at 300% strain and tear strength of NR composite containing 2.12 phr MLPB-GO are significantly increased by 40.5%, 109.1% and 85.0%, respectively. Dynamic mechanical analysis results show that 84% increase in storage modulus and 2.9 K enhancement in the glass transition temperature of the composite have been achieved with the incorporation of 2.12 phr MLPB-GO into NR. The good dispersion of GO and the strong interface interaction in the composites are responsible for the unprecedented reinforcing efficiency of MLPB-GO towards NR.展开更多
基金supported by the National High Technology Research and Development Program of China (Grant No.2012AA02A501 and 2012AA02A502)Sun Yat-sen University Clinical Medical Research Project 5010 (Grant No.20130008)
文摘Background: The TNM staging system is far from perfect in predicting the survival of individual cancer patients because only the gross anatomy is considered. The survival rates of the patients who have the same TNM stage disease vary across a wide spectrum. This study aimed to develop a nomogram that incorporates other clinicopathologic factors for predicting the overall survival(OS) of non-metastatic nasopharyngeal carcinoma(NPC) patients after curative treatments.Methods: We retrospectively collected the clinical data of 1520 NPC patients who were diagnosed histologically between November 2000 and September 2003. The clinical data of a separate cohort of 464 patients who received intensity-modulated radiation therapy(IMRT) between 2001 and 2010 were also retrieved to examine the extensibility of the model. Cox regression analysis was used to identify the prognostic factors for building the nomogram. The predictive accuracy and discriminative ability were measured using the concordance index(c-index).Results: We identiied and incorporated 12 independent clinical factors into the nomogram. The calibration curves showed that the prediction of OS was in good agreement with the actual observation in the internal validation set and IMRT cohort. The c-index of the nomogram was statistically higher than that of the 7th edition TNM staging system for predicting the survival in both the primary cohort(0.69 vs. 0.62) and the IMRT cohort(0.67 vs. 0.63).Conclusion: We developed and validated a novel nomogram that outperformed the TNM staging system in predicting the OS of non-metastatic NPC patients who underwent curative therapy.
文摘Toxic epidermal necrolysis(TEN) is a rare acute life-threatening mucocutaneous disorder that is mostly drug-related(80%-95%). It is clinically characterized as a widespread sloughing of the skin and mucosa. AP regimen(pemetrexed plus cisplatin) has been the preferred first-line chemotherapy for metastatic non-squamous non-small cell lung cancer(NSCLC). Gefitinib, a small-molecule epidermal growth factor receptor(EGFR) tyrosine kinase inhibitor(TKI), has already been recommended as a first-line treatment in EGFR-mutant metastatic NSCLC. We report rare presentation of TEN involving adverse effects of AP and gefitinib combination treatment in a 42-year-old woman diagnosed with metastatic NSCLC harboring an EGFR mutation. On the 21 st day after administration of the first cycle of AP regimen and the 8th day after the initiation of gefitinib treatment, she developed an acne-like rash, oral ulcer, and conjunctivitis, which later became blisters and ultimately denuded. The characteristic clinical courses were decisive for the diagnosis of TEN. Treatment with systemic steroids and immunoglobulin as well as supportive treatment led to an improvement of her general condition and a remarkable recovery.
基金supported by the National Natural Science Foundation of China (81773353)Jilin Scientific and Technological Development Program (20200404148YY, 20200601005JC, 20210101317JC)+2 种基金Jilin Province Special Projec t of Medical and Health Talents (JLSCZD2019-032)the Research Funding Program of Norman Bethune Biomedical Engineering Center (BQEGCZX2019025)National College Students Innovation and Entrepreneurship Training Program (CN)(202010183691)。
文摘Novel advances in the field of brain imaging have enabled the unprecedented clinical application of various imaging modalities to facilitate disease diagnosis and treatment. Electrical impedance tomography(EIT) is a functional imaging technique that measures the transfer impedances between electrodes on the body surface to estimate the spatial distribution of electrical properties of tissues. EIT offers many advantages over other neuroimaging technologies,which has led to its potential clinical use. This qualitative review provides an overview of the basic principles,algorithms, and system composition of EIT. Recent advances in the field of EIT are discussed in the context of epilepsy,stroke, brain injuries and edema, and other brain diseases. Further, we summarize factors limiting the development of brain EIT and highlight prospects for the field. In epilepsy imaging, there have been advances in EIT imaging depth,from cortical to subcortical regions. In stroke research, a bedside EIT stroke monitoring system has been developed for clinical practice, and data support the role of EIT in multi-modal imaging for diagnosing stroke. Additionally, EIT has been applied to monitor the changes in brain water content associated with cerebral edema, enabling the early identification of brain edema and the evaluation of mannitol dehydration. However, anatomically realistic geometry,inhomogeneity, cranium completeness, anisotropy and skull type, etc., must be considered to improve the accuracy of EIT modeling. Thus, the further establishment of EIT as a mature and routine diagnostic technique will necessitate the accumulation of more supporting evidence.
基金financially supported by the National Natural Science Foundation of China(No.NSF-11174069)the Natural Science Foundation of Hebei Province(No.E2011205083)+1 种基金the Key Item Science Foundation of Hebei Province(No.10965125D)the Key Item Science Foundation of the Education Department of Hebei Province(No.ZD2010129)
文摘The effects of the calcination temperature on the oxygen content and magnetic properties of the nano- crystalline perovskite manganite Lao.75Sro.25MnO3±δ pre- pared by the sol-gel method were investigated. The highest temperatures at which the samples were calcined were 973, 1073, 1273, and 1473 K. The X-ray diffraction （XRD） analyses indicate that all the samples have only a single phase with the R3c perovskite structure. As the calcination temperature and calcination time increase, the oxygen content in the samples increases from being deficient to being in excess of that in the stoichiometric formula. The crystallite size also increases from 23 to 283 nm. Magnetic measurements indicate that the sample calcined at 1073 K has the highest Curie temperature. This is owing to the fact that the crystallite cores of this sample have stoichiometric oxygen content. The dependence of the Curie temperature and the saturation magnetization on the calcination tem- perature are successfully explained.
基金financially supported by the National Natural Science Foundation of China(No.51363006)Science and Technology innovation key project of Hainan province(No.ZDXM20120090)National Science and Technology support project(No.2013BAF08B02)
文摘An effective procedure has been developed to synthesize the functionalized graphene oxide grafted by maleic anhydride grafted liquid polybutadiene（MLPB-GO）. Fourier transform spectroscopy and X-ray photoelectron spectroscopy indicate the successful functionalization of GO. The NR/MLPB-GO composites were then prepared by the co-coagulation process. The results show that the mechanical properties of NR/MLPB-GO composites are obviously superior to those of NR/GO composites and neat NR. Compared with neat NR, the tensile strength, modulus at 300% strain and tear strength of NR composite containing 2.12 phr MLPB-GO are significantly increased by 40.5%, 109.1% and 85.0%, respectively. Dynamic mechanical analysis results show that 84% increase in storage modulus and 2.9 K enhancement in the glass transition temperature of the composite have been achieved with the incorporation of 2.12 phr MLPB-GO into NR. The good dispersion of GO and the strong interface interaction in the composites are responsible for the unprecedented reinforcing efficiency of MLPB-GO towards NR.
