The ambiguity function of Chinese standard Digital Television Terrestrial Broadcasting (DTTB) signals for passive radar contains one main peak and many side peaks. The side peaks may cause the false alarms. The relati...The ambiguity function of Chinese standard Digital Television Terrestrial Broadcasting (DTTB) signals for passive radar contains one main peak and many side peaks. The side peaks may cause the false alarms. The relative positions and the reasons for the side peaks are analyzed and a new algorithm for side peaks suppression is proposed in this paper. The algorithm, in consideration of the characteristics of the structure of the frame, can eliminate the side peaks completely in the valid Doppler observation interval by setting the reference signals to zero at equal intervals. Both the simulative and experimental results show that this algorithm can improve the performance of target detection of the passive radar based on DTTB signal.展开更多
Torque ripple is an inherent property of switched reluctance motor(SRM),which seriously affects the control performance and application of the motor.This paper proposes two torque ripple suppression control strategies...Torque ripple is an inherent property of switched reluctance motor(SRM),which seriously affects the control performance and application of the motor.This paper proposes two torque ripple suppression control strategies based on torque-sharing function(TSF).According to the symmetry characteristics of the flux linkage and rotor position curve family,a fourth-order Fourier series is used to fit the SRM flux linkage analytical model.The coefficient of each harmonic term of the flux linkage model is a function related to current,expressed by a sixth-order polynomial.The torque analytical formula can be derived from the flux linkage model.The torque error is calculated via the identified torque model and is compensated through TSF controller in order to reduce torque ripple.The torque model can also be used to establish the torque loop to achieve accurate tracking of the TSF reference torque to reduce torque ripple.Digital simulation was conducted,followed by the implementation on a SRM test bench using a 28335DSP as the master control chip.The experimental results are consistent with the simulation results,and indicate the effectiveness of the proposed schemes.展开更多
Objective:To investigate the efficacy and immune function of thyroid stimulating hormone(TSH)suppression therapy in postoperative thyroid cancer patients.Methods:Sixty thyroid cancer patients admitted from July 2020–...Objective:To investigate the efficacy and immune function of thyroid stimulating hormone(TSH)suppression therapy in postoperative thyroid cancer patients.Methods:Sixty thyroid cancer patients admitted from July 2020–July 2022 were recruited and randomly divided into two groups.The control group(30 patients)received hormone replacement therapy,while the study group(30 patients)received TSH suppression therapy.The thyroid function,clinical efficacy,immune function,and tumor markers of the two groups were compared.Results:After treatment,the levels of free triiodothyronine(FT3)and thyroxine(FT4)in both groups increased significantly,while TSH levels decreased significantly.Moreover,the magnitude of change in the study group was greater than that in the control group(P<0.05).The total effective rate in the study group was significantly higher as compared to the control group(P<0.05).After treatment,the levels of CD3+and CD4+cells in both groups of patients increased significantly,with the study group showing significantly higher levels than the control group,whereas the level of CD8+cells decreased significantly,with the study group having lower levels than the control group(P<0.05).After treatment,the levels of Tg and CEA in both groups were significantly lowered as compared to before treatment,and the levels of Tg and CEA in the study group were significantly lower than the control group(P<0.05).Conclusion:TSH suppression therapy in postoperative thyroid cancer patients can improve thyroid function,suppress the levels of tumor markers,and enhance immune function,thereby achieving good clinical outcomes.展开更多
The tuned mass damper(TMD) has been successfully applied to the vibration control in machining, while the most widely adopted tuning is equal peaks, which splits the magnitude of the frequency response function(FRF...The tuned mass damper(TMD) has been successfully applied to the vibration control in machining, while the most widely adopted tuning is equal peaks, which splits the magnitude of the frequency response function(FRF) into equal peaks. However, chatter is a special self-excited problem and a chatter-flee machining is determined by FRF at the cutting zone. A TMD tuning aiming at achieving the maximum chatter stability is studied, and it is formulated as an optimization problem of maximizing the minimum negative real part of FRF. By employing the steepest descend method, the optimum frequency and damping ratio of TMD are obtained, and they are compared against the equal peaks tuning. The advantage of the proposed tuning is demonstrated numerically by comparing the minimum point of the negative real part, and is further verified by damping a flexible mode from the fixture of a turning machine. A TMD is designed and placed on the fixture along the vibration of the target mode after performing modal analysis and mode shape visualization. Both of the above two ttmings are applied to modify the tool point FRF by tuning TMD respectively. Chatter stability chart of the turning shows that the proposed tuning can increase the critical depth of cut 37% more than the equal peaks. Cutting tests with an increasing depth of cut are conducted on the turning machine in order to distinguish the stability limit. The tool vibrations during the machining are compared to validate the simulation results. The proposed damping design and optimization routine are able to further increase the chatter suppression effect.展开更多
The Group II chaperonin from Thermoplasma acidophilum was added to the in vitro amyloid fibrillation reaction of yeast Sup35NM protein to assess its effects. By measuring the formation of Sup35NM fibrils in real time ...The Group II chaperonin from Thermoplasma acidophilum was added to the in vitro amyloid fibrillation reaction of yeast Sup35NM protein to assess its effects. By measuring the formation of Sup35NM fibrils in real time using the fluorescent dye Thioflavin T, we found that the addition of T. acidophilum-cpn α16, α1, and β1 proteins suppressed fibril formation. Addition of a 0.1 molar-equivalent T. acidophilum-cpn α16 relative to Sup35NM prolonged the initial lag-time of fibril formation and decreased the rate of fibril extension. Addition of 1 or 3 molar-equivalents of T. acidophilum-cpn monomers also produced a similar effect. Delayed addition of these chaperonins after the initial lag phase did not suppress fibril formation. Interestingly, these effects were also observed upon adding only the apical domain segments of α and β-subunits, and we also found that deletion of the helical protrusion in the apical domain of these segments led to an abolishment of the suppression effects. A synthetic peptide whose sequence corresponded to the helical protrusion also displayed a suppression effect, which indicated that archaeal group II chaperonin binds to Sup35NM through the helical protrusion of the apical domain. These findings suggest that group II chaperonin might be actively involved in suppressing amyloid fibril formation, in addition to acting as a protein folding assistant.展开更多
In this paper we propose a new discrete bidirectional associative memory (DBAM) which is derived from our previous continuous linear bidirectional associative memory (LBAM). The DBAM performs bidirectionally the opti...In this paper we propose a new discrete bidirectional associative memory (DBAM) which is derived from our previous continuous linear bidirectional associative memory (LBAM). The DBAM performs bidirectionally the optimal associative mapping proposed by Kohonen. Like LBAM and NBAM proposed by one of the present authors,the present BAM ensures the guaranteed recall of all stored patterns,and possesses far higher capacity compared with other existing BAMs,and like NBAM, has the strong ability to suppress the noise occurring in the output patterns and therefore reduce largely the spurious patterns. The derivation of DBAM is given and the stability of DBAM is proved. We also derive a learning algorithm for DBAM,which has iterative form and make the network learn new patterns easily. Compared with NBAM the present BAM can be easily implemented by software.展开更多
Rotating Space Slender Flexible Structures(RSSFS)are extensively utilized in space operations because of their light weight,mobility,and low energy consumption.To realize the accurate space operation of the RSSFS,it i...Rotating Space Slender Flexible Structures(RSSFS)are extensively utilized in space operations because of their light weight,mobility,and low energy consumption.To realize the accurate space operation of the RSSFS,it is necessary to establish a precise mechanical model and develop a control algorithm with high precision.However,with the application of traditional control strategies,the RSSFS often suffers from the chattering phenomenon,which will aggravate structure vibration.In this paper,novel deformation description is put forward to balance modeling accuracy and computational efficiency of the RSSFS,which is better appropriate for real-time control.Besides,the Neural Network Sliding Mode Control(NNSMC)strategy modified by the hyperbolic tangent(tanh)function is put forward to compensate for modeling errors and reduce the chattering phenomenon,thereby improving the trajectory tracking accuracy of the RSSFS.Firstly,a mathematical model for the RSSFS is developed according to the novel deformation description and the vibration theory of flexible structure.Comparison of the deformation accuracy between different models proves that the novel modeling method proposed has high modeling accuracy.Next,the universal approximation property of the Radial Basis Function(RBF)neural network is put forward to determine and compensate for modeling errors,which consist of higher-order modes and the uncertainties of external disturbances.In addition,the tanh function is proposed as the reaching law in the conventional NNSMC strategy to suppress driving torque oscillation.The control law of modified NNSMC strategy and the adaptive law of weight coefficients are developed according to the Lyapunov theorem to guarantee the RSSFS stability.Finally,the simulation and physical experimental tests of the RSSFS with different control strategies are conducted.Experimental results show that the control law according to the novel deformation description and the modified NNSMC strategy can obtain accurate tracking of the rotation and reduce the vibration of the RSSFS simultaneously.展开更多
Prostate cancer (PCa) is the most common visceral malignancy in men with androgen deprivation therapy (ADT) the preferred therapy to suppress testosterone production and hence tumor growth. Despite its effectivene...Prostate cancer (PCa) is the most common visceral malignancy in men with androgen deprivation therapy (ADT) the preferred therapy to suppress testosterone production and hence tumor growth. Despite its effectiveness in lowering testosterone, ADT is associated with side effects including loss of muscle mass, diminished muscle strength, decrements in physical performance, earlier fatigue and declining quality of life. This review reports a survey of the literature with a focus on changes in muscle strength, physical function and body composition, due to short-term and long-term ADT. Studies in these areas are sparse, especially well-controlled, prospective randomized trials. Cross-sectional and longitudinal data (up to 2 years) for men with PCa treated with ADT as well as patients with PCa not receiving ADT and age-matched healthy men are presented when available. Based on limited longitudinal data, the adverse effects of ADT on muscle function, physical performance and body composition occur shortly after the onset of ADT and tend to persist and worsen over time. Exercise training is a safe and effective intervention for mitigating these changes and initial guidelines for exercise program design for men with PCa have been published by the American College of Sports Medicine. Disparities in study duration, types of studies and other patient-specific variables such as time since diagnosis, cancer stage and comorbidities may all affect an understanding of the influence of ADT on health, physical performance and mortality.展开更多
Purpose: To identify possible factors that influence sexual function in men undergoing maximal androgen deprivation therapy (ADT). Patients and Methods: A descriptive exploration was performed looking at characteristi...Purpose: To identify possible factors that influence sexual function in men undergoing maximal androgen deprivation therapy (ADT). Patients and Methods: A descriptive exploration was performed looking at characteristics of twenty-two men reporting sexual activity after nine months of maximal ADT. This previously published Phase II study, involved 250 prostate cancer patients undergoing intermittent ADT. An analysis between this cohort and the group that did not maintain sexual function was performed to ascertain if age, testosterone level, functional status or maintenance of quadriceps strength had an impact upon sexual function. Results: There was no difference in age, testosterone level or ECOG performance status between the sexually active and non-sexually active groups. Over the course of 9 months of ADT, the sexually active group appeared to maintain quadriceps muscle strength as measured with physical stands, and maintained overall health as measured by quality of life questionaries, compared to the non-sexually active group. Conclusions: This retrospective study suggests that exercise during ADT may reduce the impact of ADT on sexual function. This warrants further testing, and could be the focus of future randomised controlled trials.展开更多
中国乳腺癌患者发病年龄较轻,60%的女性患者在诊断时为绝经前。与绝经后相比,未绝经女性卵巢功能旺盛,可持续大量分泌雌激素、促进乳腺癌细胞增殖。卵巢功能抑制(ovarian function suppression,OFS)已用于乳腺癌临床治疗数十年,大量循...中国乳腺癌患者发病年龄较轻,60%的女性患者在诊断时为绝经前。与绝经后相比,未绝经女性卵巢功能旺盛,可持续大量分泌雌激素、促进乳腺癌细胞增殖。卵巢功能抑制(ovarian function suppression,OFS)已用于乳腺癌临床治疗数十年,大量循证证据表明,单用OFS和加用OFS均可降低未绝经女性乳腺癌的复发风险并改善生存。部分OFS研究的长期随访数据(SOFT/TEXT研究12和13年随访、STO-5研究20年随访、亚裔人群的ASTRRA研究8年随访)近期陆续公布,进一步证实对于早期乳腺癌患者加用OFS可显著降低10年以上的复发风险,提高治愈可能。monarchE和NATALEE研究显示,部分CDK4/6抑制剂叠加在绝经前早期乳腺癌患者含有药物去势[促性腺激素释放激素类似物(gonadotropin releasing hormone analog,GnRHa)]的辅助内分泌治疗方案时仍可进一步增加生存获益。中国抗癌协会乳腺癌专业委员会召集了国内乳腺癌治疗领域的临床专家,在2021年版的基础上共同商讨编制了《中国早期乳腺癌卵巢功能抑制临床应用专家共识(2024年版)》。本共识建议,GnRHa仍作为绝经前激素受体阳性早期乳腺癌OFS方式的首选。GnRHa联合内分泌治疗基础上添加特定CDK4/6抑制剂的激素受体阳性绝经前乳腺癌获益人群包括:淋巴结阳性,淋巴结阴性且满足任一条件[G3,G2伴Ki-67增殖指数≥20%,G2伴多基因检测(21基因评分、Prosigna PAM50、MammaPrint、EndoPredict)高危]。本共识也认可将2023年St.Gallen共识中有化疗指征的风险因素作为OFS适用判定标准之一。GnRHa用药推荐根据激素受体阳性乳腺癌患者化疗前的卵巢功能状态进行决策。如果考虑卵巢保护,推荐GnRHa同步化疗,不影响患者生存获益;如果不考虑卵巢保护,GnRHa同步化疗和GnRHa在化疗结束后序贯使用均被认可,后者更为推荐。围绝经期患者的内分泌治疗建议参照绝经前方案。GnRHa辅助内分泌治疗的时长建议为5年。中高危患者完成5年联合GnRHa的内分泌治疗后,如果未绝经且耐受性良好,可考虑继续2~5年联合GnRHa的内分泌治疗或单用2~5年选择性雌激素受体调节剂(selective estrogen receptor modulator,SERM)治疗。辅助治疗方案中添加GnRHa安全可耐受,推荐应用前和患者充分沟通药物的使用方法和可能的不良事件,安全性管理有助于提高患者的依从性。对于接受药物去势的患者,在去势过程中不推荐常规监测雌激素水平,如怀疑不完全的OFS(包括改变用法如注射人员缺乏该药物熟练注射经验、更换剂型或出现某些可能提示卵巢功能恢复的生理变化如月经恢复或更年期症状的周期性波动时),可进行雌激素水平测定以辅助决策。绝经前乳腺癌患者如有需求,无论激素受体阳性或阴性,均可使用GnRHa保护卵巢功能,降低卵巢功能早衰的发生风险,减少生育能力损害,推荐化疗前至少1周开始使用GnRHa,每28 d 1次,直至化疗结束后2周给予最后1剂。针对激素受体阳性乳腺癌患者开展的临床试验,不推荐仅纳入绝经后人群,也应当探索GnRHa应用条件下的绝经前人群,以明确试验药物对这类患者的实际效应。另外本共识还新增了早期/局部晚期乳腺癌患者OFS药物应用的全程管理路径,以期进一步助力临床决策。展开更多
内分泌治疗在激素受体阳性乳腺癌中扮演着至关重要的角色,并与患者的绝经状态密切相关。本文旨在深入探讨关于乳腺癌患者绝经状态判断的两个关键问题。第一,针对绝经前患者添加卵巢功能抑制(ovarian function suppression,OFS)治疗后,...内分泌治疗在激素受体阳性乳腺癌中扮演着至关重要的角色,并与患者的绝经状态密切相关。本文旨在深入探讨关于乳腺癌患者绝经状态判断的两个关键问题。第一,针对绝经前患者添加卵巢功能抑制(ovarian function suppression,OFS)治疗后,雌二醇(estradiol,E2)数值仍超标,可能存在“真性”超标和“假性”超标两种情况,氟维司群、阿贝西利、依西美坦及他莫昔芬等内分泌治疗药物可能干扰E2测定结果,需要警惕检测性“假性”超标的可能性。第二,在判断OFS治疗下患者是否已进入生理性绝经状态时,需考虑化疗对绝经状态的影响、围绝经期内分泌变化的复杂性等因素。建议根据患者年龄及内分泌治疗方案,考虑转换治疗并定期监测血清E2和卵泡刺激素(follicle-stimulating hormone,FSH)水平,针对疑难情况可综合抗缪勒管激素(anti-Mullerian hormone,AMH)、抑制素B(inhibin B,INHB)和雄激素等指标进行评估。展开更多
文摘The ambiguity function of Chinese standard Digital Television Terrestrial Broadcasting (DTTB) signals for passive radar contains one main peak and many side peaks. The side peaks may cause the false alarms. The relative positions and the reasons for the side peaks are analyzed and a new algorithm for side peaks suppression is proposed in this paper. The algorithm, in consideration of the characteristics of the structure of the frame, can eliminate the side peaks completely in the valid Doppler observation interval by setting the reference signals to zero at equal intervals. Both the simulative and experimental results show that this algorithm can improve the performance of target detection of the passive radar based on DTTB signal.
基金This work was supported in part by National Natural Science Foundation of China under Grant 51977040.
文摘Torque ripple is an inherent property of switched reluctance motor(SRM),which seriously affects the control performance and application of the motor.This paper proposes two torque ripple suppression control strategies based on torque-sharing function(TSF).According to the symmetry characteristics of the flux linkage and rotor position curve family,a fourth-order Fourier series is used to fit the SRM flux linkage analytical model.The coefficient of each harmonic term of the flux linkage model is a function related to current,expressed by a sixth-order polynomial.The torque analytical formula can be derived from the flux linkage model.The torque error is calculated via the identified torque model and is compensated through TSF controller in order to reduce torque ripple.The torque model can also be used to establish the torque loop to achieve accurate tracking of the TSF reference torque to reduce torque ripple.Digital simulation was conducted,followed by the implementation on a SRM test bench using a 28335DSP as the master control chip.The experimental results are consistent with the simulation results,and indicate the effectiveness of the proposed schemes.
文摘Objective:To investigate the efficacy and immune function of thyroid stimulating hormone(TSH)suppression therapy in postoperative thyroid cancer patients.Methods:Sixty thyroid cancer patients admitted from July 2020–July 2022 were recruited and randomly divided into two groups.The control group(30 patients)received hormone replacement therapy,while the study group(30 patients)received TSH suppression therapy.The thyroid function,clinical efficacy,immune function,and tumor markers of the two groups were compared.Results:After treatment,the levels of free triiodothyronine(FT3)and thyroxine(FT4)in both groups increased significantly,while TSH levels decreased significantly.Moreover,the magnitude of change in the study group was greater than that in the control group(P<0.05).The total effective rate in the study group was significantly higher as compared to the control group(P<0.05).After treatment,the levels of CD3+and CD4+cells in both groups of patients increased significantly,with the study group showing significantly higher levels than the control group,whereas the level of CD8+cells decreased significantly,with the study group having lower levels than the control group(P<0.05).After treatment,the levels of Tg and CEA in both groups were significantly lowered as compared to before treatment,and the levels of Tg and CEA in the study group were significantly lower than the control group(P<0.05).Conclusion:TSH suppression therapy in postoperative thyroid cancer patients can improve thyroid function,suppress the levels of tumor markers,and enhance immune function,thereby achieving good clinical outcomes.
基金supported by National Technology Support Program of China (Grant No. 2006BAF01B09)Doctoral Foundation of Ministry of Education of China (Grant No. 200800060010)+1 种基金Beijing Municipal Key Laboratory Project of Chinasupport from the Manufacturing Automation Laboratory(MAL) of the University of British Columbia
文摘The tuned mass damper(TMD) has been successfully applied to the vibration control in machining, while the most widely adopted tuning is equal peaks, which splits the magnitude of the frequency response function(FRF) into equal peaks. However, chatter is a special self-excited problem and a chatter-flee machining is determined by FRF at the cutting zone. A TMD tuning aiming at achieving the maximum chatter stability is studied, and it is formulated as an optimization problem of maximizing the minimum negative real part of FRF. By employing the steepest descend method, the optimum frequency and damping ratio of TMD are obtained, and they are compared against the equal peaks tuning. The advantage of the proposed tuning is demonstrated numerically by comparing the minimum point of the negative real part, and is further verified by damping a flexible mode from the fixture of a turning machine. A TMD is designed and placed on the fixture along the vibration of the target mode after performing modal analysis and mode shape visualization. Both of the above two ttmings are applied to modify the tool point FRF by tuning TMD respectively. Chatter stability chart of the turning shows that the proposed tuning can increase the critical depth of cut 37% more than the equal peaks. Cutting tests with an increasing depth of cut are conducted on the turning machine in order to distinguish the stability limit. The tool vibrations during the machining are compared to validate the simulation results. The proposed damping design and optimization routine are able to further increase the chatter suppression effect.
文摘The Group II chaperonin from Thermoplasma acidophilum was added to the in vitro amyloid fibrillation reaction of yeast Sup35NM protein to assess its effects. By measuring the formation of Sup35NM fibrils in real time using the fluorescent dye Thioflavin T, we found that the addition of T. acidophilum-cpn α16, α1, and β1 proteins suppressed fibril formation. Addition of a 0.1 molar-equivalent T. acidophilum-cpn α16 relative to Sup35NM prolonged the initial lag-time of fibril formation and decreased the rate of fibril extension. Addition of 1 or 3 molar-equivalents of T. acidophilum-cpn monomers also produced a similar effect. Delayed addition of these chaperonins after the initial lag phase did not suppress fibril formation. Interestingly, these effects were also observed upon adding only the apical domain segments of α and β-subunits, and we also found that deletion of the helical protrusion in the apical domain of these segments led to an abolishment of the suppression effects. A synthetic peptide whose sequence corresponded to the helical protrusion also displayed a suppression effect, which indicated that archaeal group II chaperonin binds to Sup35NM through the helical protrusion of the apical domain. These findings suggest that group II chaperonin might be actively involved in suppressing amyloid fibril formation, in addition to acting as a protein folding assistant.
文摘In this paper we propose a new discrete bidirectional associative memory (DBAM) which is derived from our previous continuous linear bidirectional associative memory (LBAM). The DBAM performs bidirectionally the optimal associative mapping proposed by Kohonen. Like LBAM and NBAM proposed by one of the present authors,the present BAM ensures the guaranteed recall of all stored patterns,and possesses far higher capacity compared with other existing BAMs,and like NBAM, has the strong ability to suppress the noise occurring in the output patterns and therefore reduce largely the spurious patterns. The derivation of DBAM is given and the stability of DBAM is proved. We also derive a learning algorithm for DBAM,which has iterative form and make the network learn new patterns easily. Compared with NBAM the present BAM can be easily implemented by software.
基金Supported by the Applied Basic Research Program of Liaoning Province,China(No.2023JH2/101300159)the National Natural Science Foundation of China(No.52275090).
文摘Rotating Space Slender Flexible Structures(RSSFS)are extensively utilized in space operations because of their light weight,mobility,and low energy consumption.To realize the accurate space operation of the RSSFS,it is necessary to establish a precise mechanical model and develop a control algorithm with high precision.However,with the application of traditional control strategies,the RSSFS often suffers from the chattering phenomenon,which will aggravate structure vibration.In this paper,novel deformation description is put forward to balance modeling accuracy and computational efficiency of the RSSFS,which is better appropriate for real-time control.Besides,the Neural Network Sliding Mode Control(NNSMC)strategy modified by the hyperbolic tangent(tanh)function is put forward to compensate for modeling errors and reduce the chattering phenomenon,thereby improving the trajectory tracking accuracy of the RSSFS.Firstly,a mathematical model for the RSSFS is developed according to the novel deformation description and the vibration theory of flexible structure.Comparison of the deformation accuracy between different models proves that the novel modeling method proposed has high modeling accuracy.Next,the universal approximation property of the Radial Basis Function(RBF)neural network is put forward to determine and compensate for modeling errors,which consist of higher-order modes and the uncertainties of external disturbances.In addition,the tanh function is proposed as the reaching law in the conventional NNSMC strategy to suppress driving torque oscillation.The control law of modified NNSMC strategy and the adaptive law of weight coefficients are developed according to the Lyapunov theorem to guarantee the RSSFS stability.Finally,the simulation and physical experimental tests of the RSSFS with different control strategies are conducted.Experimental results show that the control law according to the novel deformation description and the modified NNSMC strategy can obtain accurate tracking of the rotation and reduce the vibration of the RSSFS simultaneously.
文摘Prostate cancer (PCa) is the most common visceral malignancy in men with androgen deprivation therapy (ADT) the preferred therapy to suppress testosterone production and hence tumor growth. Despite its effectiveness in lowering testosterone, ADT is associated with side effects including loss of muscle mass, diminished muscle strength, decrements in physical performance, earlier fatigue and declining quality of life. This review reports a survey of the literature with a focus on changes in muscle strength, physical function and body composition, due to short-term and long-term ADT. Studies in these areas are sparse, especially well-controlled, prospective randomized trials. Cross-sectional and longitudinal data (up to 2 years) for men with PCa treated with ADT as well as patients with PCa not receiving ADT and age-matched healthy men are presented when available. Based on limited longitudinal data, the adverse effects of ADT on muscle function, physical performance and body composition occur shortly after the onset of ADT and tend to persist and worsen over time. Exercise training is a safe and effective intervention for mitigating these changes and initial guidelines for exercise program design for men with PCa have been published by the American College of Sports Medicine. Disparities in study duration, types of studies and other patient-specific variables such as time since diagnosis, cancer stage and comorbidities may all affect an understanding of the influence of ADT on health, physical performance and mortality.
文摘Purpose: To identify possible factors that influence sexual function in men undergoing maximal androgen deprivation therapy (ADT). Patients and Methods: A descriptive exploration was performed looking at characteristics of twenty-two men reporting sexual activity after nine months of maximal ADT. This previously published Phase II study, involved 250 prostate cancer patients undergoing intermittent ADT. An analysis between this cohort and the group that did not maintain sexual function was performed to ascertain if age, testosterone level, functional status or maintenance of quadriceps strength had an impact upon sexual function. Results: There was no difference in age, testosterone level or ECOG performance status between the sexually active and non-sexually active groups. Over the course of 9 months of ADT, the sexually active group appeared to maintain quadriceps muscle strength as measured with physical stands, and maintained overall health as measured by quality of life questionaries, compared to the non-sexually active group. Conclusions: This retrospective study suggests that exercise during ADT may reduce the impact of ADT on sexual function. This warrants further testing, and could be the focus of future randomised controlled trials.