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Concurrent chemoradiotherapy combined with enteral nutrition support:a radical treatment strategy for esophageal squamous cell carcinoma patients with malignant istulae 被引量:20
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作者 Li Ma Guang-Yu Luo +12 位作者 Yu-Feng Ren Bo Qiu Hong Yang Chun-Xia Xie Song-Ran Liu Shi-Liang Liu Zhao-Lin Chen Qun Li Jian-hua Fu Meng-Zhong Liu yong-hong hu Wen-Feng Ye hui Liu 《Chinese Journal of Cancer》 SCIE CAS CSCD 2017年第1期26-33,共8页
Background: Concurrent chemoradiotherapy(CCRT) significantly increases the survival rate of esophageal squa?mous cell carcinoma(ESCC) patients with malignant fistulae. Recent clinical evidence has shown the benefits o... Background: Concurrent chemoradiotherapy(CCRT) significantly increases the survival rate of esophageal squa?mous cell carcinoma(ESCC) patients with malignant fistulae. Recent clinical evidence has shown the benefits of enteral nutrition for malnourished cancer patients. In this study, we aimed to validate that, with the support of enteral nutrition, ESCC patients who develop malignant fistulae might be able to complete CCRT and achieve long?term survival.Methods: We reviewed the medical records of 652 patients with ESCC who received definitive CCRT at Sun Yat?sen University Cancer Center between January 2010 and December 2012. Treatment outcome and toxicity were ret?rospectively evaluated in 40 ESCC patients with malignant fistulae. All the 40 patients were treated with CCRT and evaluated by clinical nutritionists using nutrition risk screening(NRS) before, during, and after treatment. Twenty?two patients received a nasogastric tube, and 18 underwent percutaneous endoscopic gastrostomy feeding. The median energy intake was 2166 kcal/day. Treatment response was evaluated at 3 months after the completion of CCRT.Results: With a median follow?up of 18 months(range, 3–39 months), patients' 1?year overall survival(OS) rate was 62.5%, and the estimated OS time was 25.5 months. Univariate analysis showed that the NRS score(P n NRS score(P se to treatment(P < 0.001) were sig= 0.003), increase i= 0.024), fistula closure(P = 0.011), and responnifi?cantly associated with OS. Multivariate analysis showed that tumor response(P = 0.044) and increase in NRS score(P = 0.044) were independent predictors of OS. Grade 3 vomiting was observed in 8 patients(20.0%), grade 3 neutro?penia was observed in 11 patients(27.5%), and grade 3 cough was observed in 13 patients(32.5%); 2 patients(5.0%) died of massive bleeding during treatment.Conclusions: CCRT combined with enteral nutrition support is effective for ESCC patients with malignant fistulae. Patients have an increased potential to be cured, especially those who experience complete response and have an increase in NRS score. Careful observation and nutrition support are required for patients with advanced T?category ESCC who undergo CCRT. 展开更多
关键词 Esophageal squamous cell carcinoma Malignant istula RADIOTHERAPY Concurrent chemotherapy Enteral nutrition support
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Effect of magnetic field distribution on ECR ion source discharge 被引量:1
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作者 Yu-Guo Liu Jian-Lin Ke +3 位作者 Guang-Yi Zhao Ben-Chao Lou yong-hong hu Rong Liu 《Nuclear Science and Techniques》 SCIE CAS CSCD 2018年第9期157-164,共8页
An electron cyclotron resonance ion source model that uses a coaxial antenna to inject the RF power was simulated, and the corresponding hydrogen plasma densities of the ion source were calculated at different magneti... An electron cyclotron resonance ion source model that uses a coaxial antenna to inject the RF power was simulated, and the corresponding hydrogen plasma densities of the ion source were calculated at different magnetic field distributions via a fluid model. The results show that most of the microwave power is absorbed around the resonance surface near the antenna when the plasma density is below the cutoff density of 7.4 × 10^(16) m^(-3) for 2.45 GHz microwaves, and the simulation results also show that the plasma density is strongly influenced by the position and shape of the resonance surface, where a larger resonance surface would improve the plasma density. 展开更多
关键词 ECR ION SOURCE Magnetic field DISTRIBUTION PLASMA simulation
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同步放化疗联合肠内营养支持:食管鳞状细胞癌合并恶性瘘患者的根治策略 被引量:1
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作者 Li Ma Guang-Yu Luo +12 位作者 Yu-Feng Ren Bo Qiu Hong Yang Chun-Xia Xie Song-Ran Liu Shi-Liang Liu Zhao-Lin Chen Qun Li Jian-hua Fu Meng-Zhong Liu yong-hong hu Wen-Feng Ye hui Liu 《癌症》 SCIE CAS CSCD 2018年第9期413-420,共8页
背景与目的同步放化疗(concurrent chemoradiotherapy,CCRT)可显著提高食管鳞状细胞癌(esophageal squamous cell carcinoma,ESCC)合并恶性瘘患者的生存率。最近的临床证据已经表明营养不良患者可从肠内营养中获益。本研究旨在验证在肠... 背景与目的同步放化疗(concurrent chemoradiotherapy,CCRT)可显著提高食管鳞状细胞癌(esophageal squamous cell carcinoma,ESCC)合并恶性瘘患者的生存率。最近的临床证据已经表明营养不良患者可从肠内营养中获益。本研究旨在验证在肠内营养支持下,发生恶性瘘的ESCC患者可能完成CCRT,并获得长期生存。方法我们回顾了2010年1月至2012年12月在中山大学肿瘤防治中心接受根治性CCRT的652例ESCC患者的病历。回顾性评价了40例食管癌合并恶性瘘患者的治疗结局及毒副反应。40例患者均接受了CCRT治疗,治疗前、中、后由临床营养师进行营养风险筛查(nutrition risk screening,NRS)评价。22例患者接受鼻胃管,18例接受经皮内镜胃造瘘术营养支持。中位能量摄入量为2166 kcal/d。在CCRT完成后的第3个月进行治疗反应评估。结果中位随访时间为18个月(范围:3–39个月),患者1年总生存(overall survival,OS)率为62.5%,估计OS的时间为25.5个月。单因素分析显示,NRS评分(P=0.003)、NRS评分增加(P=0.024)、瘘闭合(P=0.011)、治疗反应(P <0.001)与OS显著相关。多因素分析显示肿瘤反应(P=0.044)和NRS评分增加(P=0.044)是OS的独立预后因素。观察到3级呕吐8例(20.0%),3级中性粒细胞减少症11例(27.5%),3级咳嗽13例(32.5%),治疗期间死于大出血2例(5.0%)。结论 CCRT联合肠内营养支持治疗ESCC合并恶性瘘患者是有效的;患者治愈机会增加,尤其是那些完全缓解并表现NRS评分增加的患者。需要对接受CCRT的T分期较晚ESCC患者仔细观察和营养支持。 展开更多
关键词 食管鳞状细胞癌 恶性瘘 放疗 同步化疗 肠内营养支持
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Density Functional Theory Study of Infrared and Ultraviolet Spectra of Urea L-Malic Acid
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作者 Yan-lan Zhang Hong-yan Wang +1 位作者 Dong-sheng Jiao yong-hong hu 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 北大核心 2008年第6期535-540,共6页
Urea L-malic acid, a new second order nonlinear optical crystal, was studied using density functional theory (DFT). PBEPBE/6-31+G(d,p) method, the optimal method for comparing the results from the several DFT met... Urea L-malic acid, a new second order nonlinear optical crystal, was studied using density functional theory (DFT). PBEPBE/6-31+G(d,p) method, the optimal method for comparing the results from the several DFT methods, was chosen to study the molecular structure. Infrared and ultraviolet-visible spectra were obtained and compared with experiments. The ultraviolet-visible spectrum was also analyzed by the molecular orbital population. The geometries, and the infrared and ultraviolet-visible spectra in water were studied using DFT methods in combination with the polarized continuum model to predict the perturbations by the solvent effect. 展开更多
关键词 Urea L-malic acid Density functional theory Molecular structure Infrared spectrum Ultraviolet-visible spectrum
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Multiomics analyses of two Leonurus species illuminate leonurine biosynthesis and its evolution 被引量:1
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作者 Peng Li Meng-Xiao Yan +15 位作者 Pan Liu Dan-Jie Yang Ze-Kun He Yun Gao Yan Jiang Yu Kong Xin Zhong Sheng Wu Jun Yang Hong-Xia Wang Yan-Bo huang Le Wang Xiao-Ya Chen yong-hong hu Qing Zhao Ping Xu 《Molecular Plant》 SCIE CSCD 2024年第1期158-177,共20页
The Lamiaceae family is renowned for its terpenoid-based medicinal components,but Leonurus,which has traditional medicinal uses,stands out for its alkaloid-rich composition.Leonurine,the principal active compound foun... The Lamiaceae family is renowned for its terpenoid-based medicinal components,but Leonurus,which has traditional medicinal uses,stands out for its alkaloid-rich composition.Leonurine,the principal active compound found in Leonurus,has demonstrated promising effects in reducing blood lipids and treating strokes.However,the biosynthetic pathway of leonurine remains largely unexplored.Here,we present the chromosome-level genome sequence assemblies of Leonurus japonicus,known for its high leonurine production,and Leonurus sibiricus,characterized by very limited leonurine production.By integrating genomics,RNA sequencing,metabolomics,and enzyme activity assay data,we constructed the leonurine biosynthesis pathway and identified the arginine decarboxylase(ADC),uridine diphosphate glucosyltransferase(UGT),and serine carboxypeptidase-like(SCPL)acyltransferase enzymes that catalyze key reactions in this pathway.Further analyses revealed that the UGT–SCPL gene cluster evolved by gene duplication in the ancestor of Leonurus and neofunctionalization of SCPL in L.japonicus,which contributed to the accumulation of leonurine specifically in L.japonicus.Collectively,our comprehensive study illuminates leonurine biosynthesis and its evolution in Leonurus. 展开更多
关键词 Lamiaceae Leonurus japonicus Leonurus sibiricus genome sequence ALKALOIDS LEONURINE gene cluster biosynthetic pathway EVOLUTION
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Inhibition of TNF-alpha secretion from peripheral bloodmonocular cells by triptolid is associated with TNF-alpha-308gene polymorphisms in rheumatoid arthritis patients
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作者 Xiu-Liang TAO Sheng-Hao TU +1 位作者 Ri-Bo XIONG yong-hong hu 《Frontiers of Medicine》 SCIE CSCD 2010年第2期220-224,共5页
This study examined the inhibitory effect of triptolid(TP)on tumor necrosis factor-α(TNF-α)secreted from peripheral blood monocular cells(PBMCs)and the association of the inhibitory effect with TNF-α-308 gene polym... This study examined the inhibitory effect of triptolid(TP)on tumor necrosis factor-α(TNF-α)secreted from peripheral blood monocular cells(PBMCs)and the association of the inhibitory effect with TNF-α-308 gene polymorphisms in rheumatoid arthritis(RA)patients.Gene polymorphism at A-G site 308 in the promoter region of TNF-αgene was detected in 42 RA patients by using allele specific polymerase chain reaction(AS-PCR)assay.PBMCs were harvested from these patients and treatedfirst with lipopolysaccharides(LPS)and then with different doses of TP(1,5.4 and 15 ng/mL).The TNF-αlevel in the supernatants was measured by enzyme-linked immuno-sorbent assay(ELISA).The results showed that TNF-αlevel in the supernatants of TP(1 ng/mL)-treated PBMCs was decreased by 3.80%and 4.91%,respectively,in the patients with AA and AG genotypes,when compared with those treated with LPS alone(P>0.05).Moreover,the TNF-αlevel in the patients with GG genotype was reduced by 20.74%(P<0.05).When PBMCs were treated with TP at 5.4 ng/mL,TNF-αlevels in the patients with AA,AG,and GG genotypes were decreased by 20.42%,34.73%,and 41.69%,respectively(P<0.05).The TNF-αlevel was slightly higher in the PBMCs treated with 15 ng/mL of TP than those in the two TP groups in the patients carrying AA,AG,and GG genotypes(P>0.05).It was concluded that gene polymorphism at TNF-α-308 sites may relate to the secretion of TNF-αin RA patients.TP has different inhibitory effects on the secretion of TNF-αin the patients harboring different genotypes,which may be one of the reasons for individual variation in response to TP. 展开更多
关键词 arthritis rheumatoid molonuclear cells tumor necrosis factor gene polymorphisms triptolid
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THE QSAR RESEARCH ON AURONE INHIBITORS OF HEPATITIS C VIRUS RNA-DEPENDENT RNA POLYMERASE BY APPLYING MULTI-DIMENSIONAL SCALING METHOD
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作者 yong-hong hu BAO-huA ZHANG 《International Journal of Biomathematics》 2013年第1期23-39,共17页
In this paper, we take naturally occurring 2-benzylidenebenzofuran-3-ones (aurones) inhibitors of hepatitis C virus (HCV) RNA-dependent RNA polymerase (RdRp) as an example to study the Multi-dimensional scaling ... In this paper, we take naturally occurring 2-benzylidenebenzofuran-3-ones (aurones) inhibitors of hepatitis C virus (HCV) RNA-dependent RNA polymerase (RdRp) as an example to study the Multi-dimensional scaling (MDS) method for structure-activity relationship. By analyzing training set molecules, our MDS method combined with a PROXSCAL algorithm can predict inhibitory activity of most compounds correctly. Thus, a new sample's activity can be estimated and judged conveniently, and whether it should be synthesized can be known. The MDS method is applicable to optimize the structure for a compound and to provide suggestions for drug design. 展开更多
关键词 HCV inhibitor structure-activity relationship MDS method PROXSCAL algorithm.
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