AIM: To provide appropriate treatment, it is crucial to share the clinical status of pancreas head cancer among multidisciplinary treatment members.METHODS: A retrospective analysis of the medical records of 113 patie...AIM: To provide appropriate treatment, it is crucial to share the clinical status of pancreas head cancer among multidisciplinary treatment members.METHODS: A retrospective analysis of the medical records of 113 patients who underwent surgery for pancreas head cancer from January 2008 to December 2012 was performed. We developed preoperative defining system of pancreatic head cancer by describing “resectability - tumor location - vascular relationship - adjacent organ involvement - preoperative CA19-9 (initial bilirubin level) - vascular anomaly”. The oncologic correlations with this reporting system were evaluated.RESULTS: Among 113 patients, there were 75 patients (66.4%) with resectable, 34 patients (30.1%) with borderline resectable, and 4 patients (3.5%) with locally advanced pancreatic cancer. Mean disease-free survival was 24.8 mo (95%CI: 19.6-30.1) with a 5-year disease-free survival rate of 13.5%. Pretreatment tumor size ≥ 2.4 cm [Exp(B) = 3.608, 95%CI: 1.512-8.609, P = 0.044] and radiologic vascular invasion [Exp(B) = 5.553, 95%CI: 2.269-14.589, P = 0.002] were independent predictive factors for neoadjuvant treatment. Borderline resectability [Exp(B) = 0.222, P = 0.008], pancreatic head cancer involving the pancreatic neck [Exp(B) = 9.461, P = 0.001] and arterial invasion [Exp(B) = 6.208, P = 0.010], and adjusted CA19-9 ≥ 50 [Exp(B) = 1.972 P = 0.019] were identified as prognostic clinical factors to predict tumor recurrence.CONCLUSION: The suggested preoperative defining system can help with designing treatment plans and also predict oncologic outcomes.展开更多
As more and more Chinese students are trying to study abroad, IELTS becomes one of the most important tests all around China. After years’development, IELTS speaking teaching still meets certain difficulties. This pa...As more and more Chinese students are trying to study abroad, IELTS becomes one of the most important tests all around China. After years’development, IELTS speaking teaching still meets certain difficulties. This paper gives specific advice based on certain applied linguistics theory, i. e. Grammar-translation Method, Audiolingualism, and Natural Order Hypothesis, trying to provide enlightenment for future IELTS speaking teaching.展开更多
Cr-Ni-Mo-V steam-turbine rotors have been widely used as key components in power plants. In this study, a coupled thermomechano-metallurgical model was proposed to simulate the phase transformation and transformation-...Cr-Ni-Mo-V steam-turbine rotors have been widely used as key components in power plants. In this study, a coupled thermomechano-metallurgical model was proposed to simulate the phase transformation and transformation-induced plasticity (TRIP) of a 30Cr2Ni4MoV steam-turbine rotor during a water-quenching process, which was solved using a user defined material mechanical behavior (UMAT) subroutine in ABAQUS. The thermal dilation, heat generation from plastic work, transformation latent heat, phase transformation kinetics, and TRIP were considered in the model. The thermomechanical portion of the model was used to predict the evolution of temperature, strain, and residual stress in the rotor. The phase transformation that occurred during the quenching process was considered. Constitutive models of phase transformations (austenite to pearlite, austenite to bainite, and austenite to martensite) and TRIP were developed. Experimental data were adopted and compared with the predicted results to verify the accuracy of the model. This demonstrates that the model is reliable and accurate. Then, the model was utilized to predict the temperature variation, dimensional change, minimum austenitization time, residual stress, TRIP, and volume fractions of each phase. It is concluded that this model can be a useful computational tool in the design of heat-treatment routines of steam-turbine rotors.展开更多
文摘AIM: To provide appropriate treatment, it is crucial to share the clinical status of pancreas head cancer among multidisciplinary treatment members.METHODS: A retrospective analysis of the medical records of 113 patients who underwent surgery for pancreas head cancer from January 2008 to December 2012 was performed. We developed preoperative defining system of pancreatic head cancer by describing “resectability - tumor location - vascular relationship - adjacent organ involvement - preoperative CA19-9 (initial bilirubin level) - vascular anomaly”. The oncologic correlations with this reporting system were evaluated.RESULTS: Among 113 patients, there were 75 patients (66.4%) with resectable, 34 patients (30.1%) with borderline resectable, and 4 patients (3.5%) with locally advanced pancreatic cancer. Mean disease-free survival was 24.8 mo (95%CI: 19.6-30.1) with a 5-year disease-free survival rate of 13.5%. Pretreatment tumor size ≥ 2.4 cm [Exp(B) = 3.608, 95%CI: 1.512-8.609, P = 0.044] and radiologic vascular invasion [Exp(B) = 5.553, 95%CI: 2.269-14.589, P = 0.002] were independent predictive factors for neoadjuvant treatment. Borderline resectability [Exp(B) = 0.222, P = 0.008], pancreatic head cancer involving the pancreatic neck [Exp(B) = 9.461, P = 0.001] and arterial invasion [Exp(B) = 6.208, P = 0.010], and adjusted CA19-9 ≥ 50 [Exp(B) = 1.972 P = 0.019] were identified as prognostic clinical factors to predict tumor recurrence.CONCLUSION: The suggested preoperative defining system can help with designing treatment plans and also predict oncologic outcomes.
文摘As more and more Chinese students are trying to study abroad, IELTS becomes one of the most important tests all around China. After years’development, IELTS speaking teaching still meets certain difficulties. This paper gives specific advice based on certain applied linguistics theory, i. e. Grammar-translation Method, Audiolingualism, and Natural Order Hypothesis, trying to provide enlightenment for future IELTS speaking teaching.
文摘Cr-Ni-Mo-V steam-turbine rotors have been widely used as key components in power plants. In this study, a coupled thermomechano-metallurgical model was proposed to simulate the phase transformation and transformation-induced plasticity (TRIP) of a 30Cr2Ni4MoV steam-turbine rotor during a water-quenching process, which was solved using a user defined material mechanical behavior (UMAT) subroutine in ABAQUS. The thermal dilation, heat generation from plastic work, transformation latent heat, phase transformation kinetics, and TRIP were considered in the model. The thermomechanical portion of the model was used to predict the evolution of temperature, strain, and residual stress in the rotor. The phase transformation that occurred during the quenching process was considered. Constitutive models of phase transformations (austenite to pearlite, austenite to bainite, and austenite to martensite) and TRIP were developed. Experimental data were adopted and compared with the predicted results to verify the accuracy of the model. This demonstrates that the model is reliable and accurate. Then, the model was utilized to predict the temperature variation, dimensional change, minimum austenitization time, residual stress, TRIP, and volume fractions of each phase. It is concluded that this model can be a useful computational tool in the design of heat-treatment routines of steam-turbine rotors.
