OBJECTIVE To observe the curative effects and complications of californium-252 （^252Cf） neutron intraluminal brachytherapy （IBT） combined with external irradiation （El） for treatment of cervical carcinoma.METHOD...OBJECTIVE To observe the curative effects and complications of californium-252 （^252Cf） neutron intraluminal brachytherapy （IBT） combined with external irradiation （El） for treatment of cervical carcinoma.METHODS From December 2000 to December 2004, 128 cases of cer vical carcinoma staged into IIA-IIIB according to the International Federation of Gynecology and Obstetrics （FIGO） standards were treated with ^252Cf neutron IBT using 8-10 Gy per fraction, once a week. The total dose at reference A point was 36-40 Gy in 4-5 fractions. From the second day after ^252Cf neutron IBT treatment, the whole pelvic cavity was treated with ^60Co y-ray El, applying 2 Gy per fraction, 4 times per week. After 20-25Gy of El, the center of the whole pelvic field was blocked with 4 cm of lead in width. The total dose of El was 45-50 Gy.RESULTS The short-term therapeutic effects were CR 95.3% and PR 4.7%. The 3 and 5-year local control rates were 93.5% and 87.9%. The overall 3-year survival rate was 87.5% and for Stages Ⅱ and Ⅲ , 90.9% and 81.5% respectively; the overall 5-year survival rate was 70% and for Stages II and III, 76.2% and 61% respectively. The rate of radiation complications was 4.7% for radiation cystitis, 7.8% for radiation proctitis, 6.3% for vagina contracture and adhesion and 5.5% for protracted radiation proctitis.CONCLUSION An combination of ^252Cf neutron IBT with El for treatment of cervical carcinoma can be well-tolerated by cervical carcinoma patients. The rate of local tumor control is high and radiation complications are few.展开更多
Descending branch of the lateral circumflex femoral artery （LCFA） is commonly used pedicle for anterolateral thigh （ALT） flap. Oblique branch of LCFA is an alternative pedicle that can be used in microvascular sur...Descending branch of the lateral circumflex femoral artery （LCFA） is commonly used pedicle for anterolateral thigh （ALT） flap. Oblique branch of LCFA is an alternative pedicle that can be used in microvascular surgery. According to review of literature and to the best of our knowledge we could not find the use of oblique branch of LCFA as a pedicle of the ALT flap in regional soft tissue reconstruction. Here we presented a case of a 55-year-old man sustaining soft tissue injury and wound over the left trochanteric and gluteal region following a road traffic accident, who was treated by the use of extended ALT pedicle flap with oblique branch of LCFA as the pedicle for reconstruction of soft tissue defect in trochanteric and gluteal regions with successful outcome.展开更多
The locally optimal block preconditioned 4-d conjugate gradient method(LOBP4dC G) for the linear response eigenvalue problem was proposed by Bai and Li(2013) and later was extended to the generalized linear response e...The locally optimal block preconditioned 4-d conjugate gradient method(LOBP4dC G) for the linear response eigenvalue problem was proposed by Bai and Li(2013) and later was extended to the generalized linear response eigenvalue problem by Bai and Li(2014). We put forward two improvements to the method: A shifting deflation technique and an idea of extending the search subspace. The deflation technique is able to deflate away converged eigenpairs from future computation, and the idea of extending the search subspace increases convergence rate per iterative step. The resulting algorithm is called the extended LOBP4 dC G(ELOBP4dC G).Numerical results of the ELOBP4 dC G strongly demonstrate the capability of deflation technique and effectiveness the search space extension for solving linear response eigenvalue problems arising from linear response analysis of two molecule systems.展开更多
文摘OBJECTIVE To observe the curative effects and complications of californium-252 （^252Cf） neutron intraluminal brachytherapy （IBT） combined with external irradiation （El） for treatment of cervical carcinoma.METHODS From December 2000 to December 2004, 128 cases of cer vical carcinoma staged into IIA-IIIB according to the International Federation of Gynecology and Obstetrics （FIGO） standards were treated with ^252Cf neutron IBT using 8-10 Gy per fraction, once a week. The total dose at reference A point was 36-40 Gy in 4-5 fractions. From the second day after ^252Cf neutron IBT treatment, the whole pelvic cavity was treated with ^60Co y-ray El, applying 2 Gy per fraction, 4 times per week. After 20-25Gy of El, the center of the whole pelvic field was blocked with 4 cm of lead in width. The total dose of El was 45-50 Gy.RESULTS The short-term therapeutic effects were CR 95.3% and PR 4.7%. The 3 and 5-year local control rates were 93.5% and 87.9%. The overall 3-year survival rate was 87.5% and for Stages Ⅱ and Ⅲ , 90.9% and 81.5% respectively; the overall 5-year survival rate was 70% and for Stages II and III, 76.2% and 61% respectively. The rate of radiation complications was 4.7% for radiation cystitis, 7.8% for radiation proctitis, 6.3% for vagina contracture and adhesion and 5.5% for protracted radiation proctitis.CONCLUSION An combination of ^252Cf neutron IBT with El for treatment of cervical carcinoma can be well-tolerated by cervical carcinoma patients. The rate of local tumor control is high and radiation complications are few.
文摘Descending branch of the lateral circumflex femoral artery （LCFA） is commonly used pedicle for anterolateral thigh （ALT） flap. Oblique branch of LCFA is an alternative pedicle that can be used in microvascular surgery. According to review of literature and to the best of our knowledge we could not find the use of oblique branch of LCFA as a pedicle of the ALT flap in regional soft tissue reconstruction. Here we presented a case of a 55-year-old man sustaining soft tissue injury and wound over the left trochanteric and gluteal region following a road traffic accident, who was treated by the use of extended ALT pedicle flap with oblique branch of LCFA as the pedicle for reconstruction of soft tissue defect in trochanteric and gluteal regions with successful outcome.
基金supported by National Science Foundation of USA(Grant Nos.DMS1522697,CCF-1527091,DMS-1317330 and CCF-1527091)National Natural Science Foundation of China(Grant No.11428104)
文摘The locally optimal block preconditioned 4-d conjugate gradient method(LOBP4dC G) for the linear response eigenvalue problem was proposed by Bai and Li(2013) and later was extended to the generalized linear response eigenvalue problem by Bai and Li(2014). We put forward two improvements to the method: A shifting deflation technique and an idea of extending the search subspace. The deflation technique is able to deflate away converged eigenpairs from future computation, and the idea of extending the search subspace increases convergence rate per iterative step. The resulting algorithm is called the extended LOBP4 dC G(ELOBP4dC G).Numerical results of the ELOBP4 dC G strongly demonstrate the capability of deflation technique and effectiveness the search space extension for solving linear response eigenvalue problems arising from linear response analysis of two molecule systems.
