基于主动探测的域名解析数据和从公开来源获取的有效数据,通过分析域名(Domain Name)、IP与自治系统号码(Autonomous System Number,ASN)之间的全局关联关系,提出一种基于图数据路径分析的不良网络应用快速发现优化算法。在域名之间建...基于主动探测的域名解析数据和从公开来源获取的有效数据,通过分析域名(Domain Name)、IP与自治系统号码(Autonomous System Number,ASN)之间的全局关联关系,提出一种基于图数据路径分析的不良网络应用快速发现优化算法。在域名之间建立反映其关联强度的关系图谱,并通过调整不同参数配置计算真阳率和假阳率来评估算法的实用性和有效性。实验证明,该算法在保持较低假阳率的同时可以获得较高的真阳率,同时利用少量的已知不良种子域名可以快速发现大量的潜在不良域名,从而具有较好的大规模工程化应用前景。展开更多
他汀类药物是羟甲基戊二酰辅酶 A 还原酶抑制剂还原酶抑制剂,是目前最经典和有效的降脂药物,不仅从多个方面对冠心病和动脉粥样硬化起到预防和治疗作用,还以其生物多效性,巳广泛应用于心脑血管疾病的预防和治疗。长期服用他汀类药物治...他汀类药物是羟甲基戊二酰辅酶 A 还原酶抑制剂还原酶抑制剂,是目前最经典和有效的降脂药物,不仅从多个方面对冠心病和动脉粥样硬化起到预防和治疗作用,还以其生物多效性,巳广泛应用于心脑血管疾病的预防和治疗。长期服用他汀类药物治疗可能增加脑出血的风险,特别是即往有过脑出血病史或者己经明确有较为严重的血管淀粉样变性的患者的大脑半球的出血几率。医务工作者应该在平时的临床实践中掌握它的治疗作用,更要注意它的安全性问题,减少不良反应的发生。展开更多
Objective： The aim of this study was to evaluate the anti-tumor activity and safety of Gemcitabine （GEM） combined with Vinorelbine （NVB） in patients with advanced TNABC after chemotherapy. Methods： Thirty-seven ...Objective： The aim of this study was to evaluate the anti-tumor activity and safety of Gemcitabine （GEM） combined with Vinorelbine （NVB） in patients with advanced TNABC after chemotherapy. Methods： Thirty-seven patients with immunohistochemical proved TNABC were enrolled. The patients received 21-day cycles of NVB 25mg/m^2 i.v. with GEM 1000 mg/m^2 i.v. on days 1 and 8. Results： A total of 136 cycles were given to 37 patients（median 4 cycles, ranged 2-6 cycles）. The treatment response was evaluable in all patients. Of the 37 patients, 1 received complete remission （CR）, 8 received partial remission （PR）, 20 had stable disease （SD）, 9 had progressive disease （PD）. Overall objective response （CR＋ PR） were 24.3 %. The median time to progress （TTP） was 6 months （95% CI, 4-6 months）. The median overall survival was 24 months （95% CI, 11-37 months）. The median 1-year survival rate was （66.24±8.43）%. The median 3-year survival rate was （28.77±11.96）%. The major adverse events were grade Ⅰ-Ⅱ myelosuppression, peripheral neurologic toxicities, nausea and vomiting. Some patients had rash and hepatic dysfunction. A total of 40% of patients experienced flu-like symptoms. Alopecia and diarrhea were rare. Conclusion： The combination of GEM and NVB is an effective and well tolerated regimen for the patients with TNABC.展开更多
Objective:Prostate cancer is a form of cancer that develops in the prostate,a gland in the male reproductive system.Prostate cancer tends to develop in men over the age of fifty;it is one of the most prevalent types o...Objective:Prostate cancer is a form of cancer that develops in the prostate,a gland in the male reproductive system.Prostate cancer tends to develop in men over the age of fifty;it is one of the most prevalent types of cancer in men.This article introduced a new method of prostate cancer treatment with the combination of three dimensional conformal radiation therapy (3D-CRT) and high-intensity focused ultrasound (HIFU),its efficacy was evaluated.Methods:From January 2004 to December 2009,95 patients were diagnosed with prostate cancer,among them,48 patients were received combined therapy with total irradiation of TD 60 Gy/30 Fx and 5 fractions of HIFU treatment,while 47 patients were received with pure 3D-CRT with total irradiation of TD (66-72) Gy/(33-36) Fx.Various indicators were evaluated,such as the local control rate and distant metastasis rate,the changes in blood PSA and fPSA,changes in T-lymphocyte subsets and NK cells,as well as acute adverse reaction of normal tissue.Results:The local response rate difference between the two groups had statistical significance (P < 0.05);the changes in blood PSA and fPSA were significant (P < 0.05);CD3+,CD4+,CD8+,CD4+/CD8+ and NK cells of the combined group increased obviously (P < 0.01),while the latter group had no increase (P > 0.05);the combined group had lower blood cells reduction and II-level acute adverse reaction of rectum,bladder and caput humeri than the pure group,but the II-level acute adverse reaction of urogenital canal in the combined group was higher (P < 0.05).Conclusion:The combined therapy with 3D-CRT and HIFU is a good way for the treatment of aged-related prostate cancer.It can ease the symptoms,control the disease and lengthen the survival time.展开更多
AIM： To study the effect of proton pump inhibitor （PPI） treatment on patients with reflux esophagitis and its in vivo effect on apoptosis, p53- and epidermal growth factor receptor （EGFR） expression. METHODS： Af...AIM： To study the effect of proton pump inhibitor （PPI） treatment on patients with reflux esophagitis and its in vivo effect on apoptosis, p53- and epidermal growth factor receptor （EGFR） expression. METHODS： After informed consent was obtained, gastric biopsies of the antrum were taken from patients with reflux oesophagitis prior to and after 6 mo of 20 mg omeprazole （n = 24） or 40 mg esomeprazole （n = 22） therapy. Patients did not take any other medications known to affect the gastric mucosa. All patients were Helicobacter pylori negative as confirmed by rapid urease test and histology, respectively. Cell proliferation, apoptosis, EGFR, and p53 expression were measured by immunohistochemical techniques. At least 600 glandular epithelial cells were encountered and results were expressed as percentage of total cells counted. Was considered statistically significant. RESULTS： Although there was a trend towards increase of cell proliferation and EGFR expression both in omeprazole and esomeprazole treated group, the difference was not statistically significant. Neither apoptosis nor p53 expression was affected. CONCLUSION： Long-term PPI treatment does not significantly increase gastric epithelial cell proliferation and EGFR expression and has no effect on apoptosis and p53 expression.展开更多
Without cooperative behaviors, our society or organization falls into social dilemma situations where every member selects uncooperative （defective） behaviors, and the situation gets worse and worse. Such a situatio...Without cooperative behaviors, our society or organization falls into social dilemma situations where every member selects uncooperative （defective） behaviors, and the situation gets worse and worse. Such a situation in a society or an organization leads to violation of social or organizational rules, and at the worst case it suffers from serious accidents or scandals. Therefore, it is important for us to make efforts and take measures to elicit cooperative behaviors. It was demonstrated theoretically that altruism strategy and adaptive prediction and ascertainment strategy are in some cases better than rational strategy under the situation of social dilemma. We built up a mathematical model in order to examine how the probability of correctly predicting and ascertaining the behavior （cooperation or defection） of opponents and the mixture of （a） altruism （all cooperation） strategy, （b） individualism （all defection） strategy, and （c） adaptive prediction and ascertainment strategy affected the expected profit. Simulation results showed that the tit-for-tat strategy was better than the rational （individualism） strategy when the probability of correctly predicting and ascertaining defection of the opponent was considerably higher. As an application of the basic study above, it was explored, using a simulation method, how such a system as opening reputation or peer review in public could work satisfactorily to prevent defective behaviors in auction dealing. The result showed that the information on the handle name and the reputation effectively worked to prevent defective behaviors.展开更多
PhV （pharmacovigilance） knowledge has the outcome of being inadequate in particular due to the lack of instruction. Pediatricians have to face the realization that over-the-counter medicines increments the peril of ...PhV （pharmacovigilance） knowledge has the outcome of being inadequate in particular due to the lack of instruction. Pediatricians have to face the realization that over-the-counter medicines increments the peril of ADRs （adverse drug reactions） has become a public health concern. The purpose of this article is to disseminate knowledge of the PhV and to highlight the cultural and organizational difficulties for its implementation. The objectives of promoting the organization of specific training courses and research projects aimed at： （1） to foster the culture of iatrogenic disease in pediatrics; （2） to improve the appropriateness of prescribing drugs in children; （3） to enco.urage spontaneous reporting of ADRs in children; （4） to involve Pediatricians in PASS （post-authorization safety studies） according to GCP, GVP and ENCEPP Code of Conduct. An up to date proposal of PhV, a procedure of preparation improves the productivity of creating novel informative reports which can be utilized for a benefit/risk scrutiny making strides in medicine prescription. In this context, FP-MCRN （family paediatficians-medicines for children research network） established with the aim of developing competence, infrastructure and education for paediatric clinical trials, plays a crucial role in paediatric PhV, through an improvement of PhV training, a correct research methodology and very strong relationship with the families. The initial necessity is cultural, implementing culture of iatrogenic illnesses and a watchful evaluation of the importance of PASS by FPs （family pediatricians）. Participation in clinical trials that generates a precise database administered by FPs together with follow-up outcomes becomes relevant and vital for a scrupulous and accurate assessment of ADRs. PASS can foresee on one hand training and information regarding the proper use of drugs in children and possible iatrogenic pathologies caused by their improper use, the other to constitute a territorial survey in the prescriptive appropriateness and safety of pediatric drugs aimed at evaluating the risk-benefit balance on usage.展开更多
文摘基于主动探测的域名解析数据和从公开来源获取的有效数据,通过分析域名(Domain Name)、IP与自治系统号码(Autonomous System Number,ASN)之间的全局关联关系,提出一种基于图数据路径分析的不良网络应用快速发现优化算法。在域名之间建立反映其关联强度的关系图谱,并通过调整不同参数配置计算真阳率和假阳率来评估算法的实用性和有效性。实验证明,该算法在保持较低假阳率的同时可以获得较高的真阳率,同时利用少量的已知不良种子域名可以快速发现大量的潜在不良域名,从而具有较好的大规模工程化应用前景。
文摘他汀类药物是羟甲基戊二酰辅酶 A 还原酶抑制剂还原酶抑制剂,是目前最经典和有效的降脂药物,不仅从多个方面对冠心病和动脉粥样硬化起到预防和治疗作用,还以其生物多效性,巳广泛应用于心脑血管疾病的预防和治疗。长期服用他汀类药物治疗可能增加脑出血的风险,特别是即往有过脑出血病史或者己经明确有较为严重的血管淀粉样变性的患者的大脑半球的出血几率。医务工作者应该在平时的临床实践中掌握它的治疗作用,更要注意它的安全性问题,减少不良反应的发生。
基金Supported by a grant from the Comprehensive Prevention and Treat-ment Project for Chronic Diseases of Shanghai Municipal Hospitals (No. SHDC12007304)
文摘Objective： The aim of this study was to evaluate the anti-tumor activity and safety of Gemcitabine （GEM） combined with Vinorelbine （NVB） in patients with advanced TNABC after chemotherapy. Methods： Thirty-seven patients with immunohistochemical proved TNABC were enrolled. The patients received 21-day cycles of NVB 25mg/m^2 i.v. with GEM 1000 mg/m^2 i.v. on days 1 and 8. Results： A total of 136 cycles were given to 37 patients（median 4 cycles, ranged 2-6 cycles）. The treatment response was evaluable in all patients. Of the 37 patients, 1 received complete remission （CR）, 8 received partial remission （PR）, 20 had stable disease （SD）, 9 had progressive disease （PD）. Overall objective response （CR＋ PR） were 24.3 %. The median time to progress （TTP） was 6 months （95% CI, 4-6 months）. The median overall survival was 24 months （95% CI, 11-37 months）. The median 1-year survival rate was （66.24±8.43）%. The median 3-year survival rate was （28.77±11.96）%. The major adverse events were grade Ⅰ-Ⅱ myelosuppression, peripheral neurologic toxicities, nausea and vomiting. Some patients had rash and hepatic dysfunction. A total of 40% of patients experienced flu-like symptoms. Alopecia and diarrhea were rare. Conclusion： The combination of GEM and NVB is an effective and well tolerated regimen for the patients with TNABC.
基金Supported by agrant from the Network Researches of Tumor Precise Radiation Therapy of Ministry of Health of China(No.WKJ2005-3-006)
文摘Objective:Prostate cancer is a form of cancer that develops in the prostate,a gland in the male reproductive system.Prostate cancer tends to develop in men over the age of fifty;it is one of the most prevalent types of cancer in men.This article introduced a new method of prostate cancer treatment with the combination of three dimensional conformal radiation therapy (3D-CRT) and high-intensity focused ultrasound (HIFU),its efficacy was evaluated.Methods:From January 2004 to December 2009,95 patients were diagnosed with prostate cancer,among them,48 patients were received combined therapy with total irradiation of TD 60 Gy/30 Fx and 5 fractions of HIFU treatment,while 47 patients were received with pure 3D-CRT with total irradiation of TD (66-72) Gy/(33-36) Fx.Various indicators were evaluated,such as the local control rate and distant metastasis rate,the changes in blood PSA and fPSA,changes in T-lymphocyte subsets and NK cells,as well as acute adverse reaction of normal tissue.Results:The local response rate difference between the two groups had statistical significance (P < 0.05);the changes in blood PSA and fPSA were significant (P < 0.05);CD3+,CD4+,CD8+,CD4+/CD8+ and NK cells of the combined group increased obviously (P < 0.01),while the latter group had no increase (P > 0.05);the combined group had lower blood cells reduction and II-level acute adverse reaction of rectum,bladder and caput humeri than the pure group,but the II-level acute adverse reaction of urogenital canal in the combined group was higher (P < 0.05).Conclusion:The combined therapy with 3D-CRT and HIFU is a good way for the treatment of aged-related prostate cancer.It can ease the symptoms,control the disease and lengthen the survival time.
基金Supported by the National Science Foundation (OTKA Grant No:T 034345)
文摘AIM： To study the effect of proton pump inhibitor （PPI） treatment on patients with reflux esophagitis and its in vivo effect on apoptosis, p53- and epidermal growth factor receptor （EGFR） expression. METHODS： After informed consent was obtained, gastric biopsies of the antrum were taken from patients with reflux oesophagitis prior to and after 6 mo of 20 mg omeprazole （n = 24） or 40 mg esomeprazole （n = 22） therapy. Patients did not take any other medications known to affect the gastric mucosa. All patients were Helicobacter pylori negative as confirmed by rapid urease test and histology, respectively. Cell proliferation, apoptosis, EGFR, and p53 expression were measured by immunohistochemical techniques. At least 600 glandular epithelial cells were encountered and results were expressed as percentage of total cells counted. Was considered statistically significant. RESULTS： Although there was a trend towards increase of cell proliferation and EGFR expression both in omeprazole and esomeprazole treated group, the difference was not statistically significant. Neither apoptosis nor p53 expression was affected. CONCLUSION： Long-term PPI treatment does not significantly increase gastric epithelial cell proliferation and EGFR expression and has no effect on apoptosis and p53 expression.
文摘Without cooperative behaviors, our society or organization falls into social dilemma situations where every member selects uncooperative （defective） behaviors, and the situation gets worse and worse. Such a situation in a society or an organization leads to violation of social or organizational rules, and at the worst case it suffers from serious accidents or scandals. Therefore, it is important for us to make efforts and take measures to elicit cooperative behaviors. It was demonstrated theoretically that altruism strategy and adaptive prediction and ascertainment strategy are in some cases better than rational strategy under the situation of social dilemma. We built up a mathematical model in order to examine how the probability of correctly predicting and ascertaining the behavior （cooperation or defection） of opponents and the mixture of （a） altruism （all cooperation） strategy, （b） individualism （all defection） strategy, and （c） adaptive prediction and ascertainment strategy affected the expected profit. Simulation results showed that the tit-for-tat strategy was better than the rational （individualism） strategy when the probability of correctly predicting and ascertaining defection of the opponent was considerably higher. As an application of the basic study above, it was explored, using a simulation method, how such a system as opening reputation or peer review in public could work satisfactorily to prevent defective behaviors in auction dealing. The result showed that the information on the handle name and the reputation effectively worked to prevent defective behaviors.
文摘PhV （pharmacovigilance） knowledge has the outcome of being inadequate in particular due to the lack of instruction. Pediatricians have to face the realization that over-the-counter medicines increments the peril of ADRs （adverse drug reactions） has become a public health concern. The purpose of this article is to disseminate knowledge of the PhV and to highlight the cultural and organizational difficulties for its implementation. The objectives of promoting the organization of specific training courses and research projects aimed at： （1） to foster the culture of iatrogenic disease in pediatrics; （2） to improve the appropriateness of prescribing drugs in children; （3） to enco.urage spontaneous reporting of ADRs in children; （4） to involve Pediatricians in PASS （post-authorization safety studies） according to GCP, GVP and ENCEPP Code of Conduct. An up to date proposal of PhV, a procedure of preparation improves the productivity of creating novel informative reports which can be utilized for a benefit/risk scrutiny making strides in medicine prescription. In this context, FP-MCRN （family paediatficians-medicines for children research network） established with the aim of developing competence, infrastructure and education for paediatric clinical trials, plays a crucial role in paediatric PhV, through an improvement of PhV training, a correct research methodology and very strong relationship with the families. The initial necessity is cultural, implementing culture of iatrogenic illnesses and a watchful evaluation of the importance of PASS by FPs （family pediatricians）. Participation in clinical trials that generates a precise database administered by FPs together with follow-up outcomes becomes relevant and vital for a scrupulous and accurate assessment of ADRs. PASS can foresee on one hand training and information regarding the proper use of drugs in children and possible iatrogenic pathologies caused by their improper use, the other to constitute a territorial survey in the prescriptive appropriateness and safety of pediatric drugs aimed at evaluating the risk-benefit balance on usage.
