A [P. Rajakumar, A.M.A. Rasheed, Tetrahedron 61（22） （2005） 5351] para-cyclophane derivative was synthesized via intramolecular esterification of a dipeptide surrogate containing asparagine to form tetrahydropyrimi...A [P. Rajakumar, A.M.A. Rasheed, Tetrahedron 61（22） （2005） 5351] para-cyclophane derivative was synthesized via intramolecular esterification of a dipeptide surrogate containing asparagine to form tetrahydropyrimidinone ring. The structures of the product and intermediates were characterized by 1H NMR, 13C NMR and mass spectrum.展开更多
The orientational order of two liquid crystals , namely, 6 [4 (4 nitrophenylazo)phenyloxy] hexyl diethanolamines(C6) and 10 1 bromo[4 (nitrophenylazo)phenyloxy] alkane(B10) was studied by means of 2H...The orientational order of two liquid crystals , namely, 6 [4 (4 nitrophenylazo)phenyloxy] hexyl diethanolamines(C6) and 10 1 bromo[4 (nitrophenylazo)phenyloxy] alkane(B10) was studied by means of 2H NMR spectroscopy with hexamethylbenzene d 18 as the probe molecule. The results show that the directors in the smectic A phase of C6 and the nematic phase of B10 could be aligned, which was parallel to the magnetic field. The orientational order parameter of the solute molecules in C6 was about 0.2, while it is only 0.1 in B10, which is expected because the more ordered smectic phase tends to align solute molecules to a high level. Compared to the orientational order parameter of the solute in the SmC phase of 4[3,4,5 tris(4 dodecyloxybenzyloxy) benzoyloxy] 4 (4′ dodecyloxybenzoyloxy)biphenyl (Ⅰ) ( P 2=0.14 ), it is larger in SmA phase of C6. The relatively higher orientational order parameter of the solute in C6 is attributed to the formation of intermolecular H bonds in the SmA phase of C6.展开更多
5.1% of sodium hypochlorite (NaOCl) mixed with 2% of chlorhexidine (CHX) forms a brown precipitate that corresponds to para-chloroaniline (PCA), whether PCA is formed after the combination of NaOCl, CHX, and ethylened...5.1% of sodium hypochlorite (NaOCl) mixed with 2% of chlorhexidine (CHX) forms a brown precipitate that corresponds to para-chloroaniline (PCA), whether PCA is formed after the combination of NaOCl, CHX, and ethylenediaminetetraacetic acid (EDTA) by means of electron impact (high resolution and interlaced scanning) and ionization by fast atom bombardment (FAB), was analyzed. The brown precipitate, showed signals 127 and 153 Da, corresponding to p-chloroaniline and p-chlorophenyl isocyanate, respectively. These results were analyzed and compared with signals from the interlaced scanning program and confirmed with high resolution mass spectrometry analysis and compared with the NIST database. The mass spectra of this precipitated after different days confirmed the evolution of byproducts with the presence of a peak m/z = 127, due to the decrease of the fragment m/z = 153, which disappeared after 180 days. A blue and a white precipitate were observed by the addition of CHX (2%) with or without polyethylene glycol, respectively, EDTA (17%) and NaOCl (5.1%) precipitates contain chlorhexidine (m/z = 505), but no PCA was detected. We confirmed that PCA is not formed directly as a byproduct of CHX oxidation, but through the formation of the para-chlorophenyl isocyanate intermediate, which degrades slowly to PCA.展开更多
BACKGROUND Owing to the technical difficulty of pathological diagnosis, imaging is still the most commonly used method for clinical diagnosis of para-aortic lymph node metastasis(PALM) and evaluation of therapeutic ef...BACKGROUND Owing to the technical difficulty of pathological diagnosis, imaging is still the most commonly used method for clinical diagnosis of para-aortic lymph node metastasis(PALM) and evaluation of therapeutic effects in gastric cancer, which leads to inevitable false-positive findings in imaging. Patients with clinical PALM may have entirely different pathological stages(stage IV or not), which require completely different treatment strategies. There is no consensus on whether surgical intervention should be implemented for this group of patients. In particular, the value of D2 gastrectomy in a multidisciplinary treatment(MDT)approach for advanced gastric cancer with clinical PALM remains unknown.AIM To investigate the value of D2 gastrectomy in a MDT approach for gastric cancer patients with clinical PALM.METHODS In this real-world study, clinico-pathological data of all gastric cancer patients treated at the Cancer Hospital, Chinese Academy of Medical Sciences between 2011 and 2016 were reviewed to identify those with clinically enlarged PALM. All the clinico-pathological data were prospectively documented in the patient medical record. For all the gastric cancer patients with advanced stage disease,especially those with suspicious distant metastasis, the treatment methods were determined by a multidisciplinary team.RESULTS In total, 48 of 7077 primary gastric cancer patients were diagnosed as having clinical PALM without other distant metastases. All 48 patients received chemotherapy as the initial treatment. Complete or partial response was observed in 39.6%(19/48) of patients in overall and 52.1%(25/48) of patients in the primary tumor. Complete response of PALM was observed in 50.0%(24/48)of patients. After chemotherapy, 45.8%(22/48) of patients received D2 gastrectomy, and 12.5%(6/48) of patients received additional radiotherapy. The postoperative major complication rate and mortality were 27.3%(6/22) and 4.5%(1/22), respectively. The median overall survival and progression-free survival of all the patients were 18.9 and 12.1 mo, respectively. The median overall survival of patients who underwent surgical resection or not was 50.7 and 12.8 mo,respectively. The 3-year and 5-year survival rates were 56.8% and 47.3%,respectively, for patients who underwent D2 resection. Limited PALM and complete response of PALM after chemotherapy were identified as favorable factors for D2 gastrectomy.CONCLUSION For gastric cancer patients with radiologically suspicious PALM that responds well to chemotherapy, D2 gastrectomy could be a safe and effective treatment and should be adopted in a MDT approach for gastric cancer with clinical PALM.展开更多
AIM:To study the diagnostic value of controlled attenuation parameter(CAP),evaluated by transient elastography,for liver steatosis in patients with chronic hepatitis B(CHB).METHODS:Eighty-eight patients with CHB were ...AIM:To study the diagnostic value of controlled attenuation parameter(CAP),evaluated by transient elastography,for liver steatosis in patients with chronic hepatitis B(CHB).METHODS:Eighty-eight patients with CHB were enrolled in this study.All of the patients were subjected to transient elastography to determine CAP.These patients also underwent liver biopsy in the same period.Using liver biopsy as a reference,we determined receiver operating characteristic(ROC)curves for different endpoints.Areas under the ROC curves(AUCs)were used to evaluate the diagnostic importance of CAP for liver steatosis in patients with CHB.RESULTS:A positive correlation was observed between the AUCs of CAP and liver pathological stage(r=0.582,P<0.05).CAP was not correlated with inflammation degree and fibrosis degree(r=-0.025,P>0.05;r=0.068,P>0.05).The mean CAP value at S0 was 209.59±41.25 dB/m,223.84±35.28 dB/m at S1,274.17±43.69 dB/m at S2,and 312.50±25.44dB/m at S3.CAP values among S0,S1,S2,and S3were significantly different(F=17.79,P<0.01).The AUC values for CAP were 0.711(0.592-0.870),0.868(0.748-0.989),and 0.974(0.922-1.026)for S1,S2,and S3,respectively.The optimal cut-off values were219.5,230.0,and 283.5 dB/m.CONCLUSION:CAP is a novel tool that can be used to assess the degree of steatosis.展开更多
Background: In general, para-aortic lymph node(LN16) metastasis has been considered as a contraindication for pancreatic resection. However, some pancreatic cancer patients with LN16 metastasis have been reported to s...Background: In general, para-aortic lymph node(LN16) metastasis has been considered as a contraindication for pancreatic resection. However, some pancreatic cancer patients with LN16 metastasis have been reported to survive for longer than expected after pancreatectomy. The purpose of this study was to determine whether pancreatic cancer patients with LN16 metastasis might benefit from surgery.Methods: We retrospectively reviewed 201 consecutive patients with invasive pancreatic ductal adenocarcinoma who underwent surgery at Osaka National Hospital between April 2003 and December 2012.These patients included 22 patients with LN16 metastasis who underwent an extended lymphadenectomy and 25 patients who underwent a palliative surgical biliary and gastric bypass. The clinicopathological data and outcomes were evaluated using univariate and multivariate analyses.Results: The overall survival of the patients with LN16 metastasis was poorer than that of the LN16-negative patients(P = 0.0014). An overall survival analysis of the LN16-positive patients stratified according to the preoperative CA19-9 level showed a significant difference between patients with a low preoperative CA19-9 level(≤360 U/mL) and those with a high preoperative CA19-9 level(>360 U/mL)(P = 0.0301). No significant difference in overall survival of patients was observed between those with LN16 positivity and those who underwent bypass surgery. However, the overall survival of the LN16-positive patients with a CA19-9 level ≤360 U/mL(n = 11) was significantly higher than that of those who underwent bypass surgery(P = 0.0452).Conclusion: Surgical resection and extended lymphadenectomy remains an option for pancreatic cancer patients with LN16-positivity whose CA19-9 level is ≤360 U/mL.展开更多
Based on the analysis of the piano wire’s vibration characteristics, the authors estab lished the mechanical model of piano wire proba bility screen , obtained the analytic so lution of thestable forced vibration...Based on the analysis of the piano wire’s vibration characteristics, the authors estab lished the mechanical model of piano wire proba bility screen , obtained the analytic so lution of thestable forced vibration of screen wires , and developed the para meter designfor m ula of the piano wire screen . The para meter design form ula has been used in coalpreparation industry .展开更多
AIM:To evaluate the feasibility and therapeutic effects of para-aortic nodal dissection (PAND) for advanced gastric cancer.METHODS:Randomized controlled trials (RCTs) and non-randomized studies comparing D2 + PAND wit...AIM:To evaluate the feasibility and therapeutic effects of para-aortic nodal dissection (PAND) for advanced gastric cancer.METHODS:Randomized controlled trials (RCTs) and non-randomized studies comparing D2 + PAND with D2 lymphadenectomy were identified using a predefined search strategy.Five-year overall survival rate,post-operative mortality,and wound degree of surgery between the two operations were compared by using the methods provided by the Cochrane Handbook for Systematic Reviews of Interventions.RESULTS:Four RCTs (1120 patients) and 4 nonrandomized studies (901 patients) were identif ied.Metaanalysis showed that there was no signif icant difference between these two groups in 5-year overall survival rate [risk ratio (RR) 1.04 (95% CI:0.93-1.16) for RCTs and 0.96 (95% CI:0.83-1.10) for non-randomized studies] and post-operative mortality [RR 0.99 (95% CI:0.44-2.24) for RCTs and 2.06 (95% CI:0.69-6.15) for non-randomized studies].There was a significant difference between these two groups in wound degree of surgery,operation time was significantly longer [weighted mean difference (WMD) 195.32 min (95% CI:114.59-276.05) for RCTs and 126.07 min (95% CI:22.09-230.04) for non-randomized studies] and blood loss was signif icantly greater [WMD 301 mL (95% CI:151.55-450.45) for RCTs and 302.86 mL (95% CI:127.89-477.84) for non-randomized studies] in D2 + PAND.CONCLUSION:D2 + PAND can be performed as safely as standard D2 resection without increasing post-operative mortality but fail to benefit overall survival in patients with advanced gastric cancer.展开更多
This paper investigates the effect of Lorentz local field correction （LFC） on the propagation of ultrashort laser pulses in a para-nitroaniline molecular medium under resonant and nonresonant conditions by solving n...This paper investigates the effect of Lorentz local field correction （LFC） on the propagation of ultrashort laser pulses in a para-nitroaniline molecular medium under resonant and nonresonant conditions by solving numerically the full-wave Maxwell-Bloch equations beyond slowly-varying envelope approximation and rotating-wave approximation. The effect of the LFC is considerably obvious when pulses with large areas propagate in the dense molecular medium. In the case of resonance, the group velocity of the sub-pulses split from the incident pulse along propagation is severely decreased by the LFC, especially for the latest sub-pulse. However, in the case of nonresonance, the influence of the LFC on the temporal evolution of the pulse is less obvious and lacks homogeneity with an increase in incident pulse area, propagation distance and molecular density.展开更多
文摘A [P. Rajakumar, A.M.A. Rasheed, Tetrahedron 61（22） （2005） 5351] para-cyclophane derivative was synthesized via intramolecular esterification of a dipeptide surrogate containing asparagine to form tetrahydropyrimidinone ring. The structures of the product and intermediates were characterized by 1H NMR, 13C NMR and mass spectrum.
文摘The orientational order of two liquid crystals , namely, 6 [4 (4 nitrophenylazo)phenyloxy] hexyl diethanolamines(C6) and 10 1 bromo[4 (nitrophenylazo)phenyloxy] alkane(B10) was studied by means of 2H NMR spectroscopy with hexamethylbenzene d 18 as the probe molecule. The results show that the directors in the smectic A phase of C6 and the nematic phase of B10 could be aligned, which was parallel to the magnetic field. The orientational order parameter of the solute molecules in C6 was about 0.2, while it is only 0.1 in B10, which is expected because the more ordered smectic phase tends to align solute molecules to a high level. Compared to the orientational order parameter of the solute in the SmC phase of 4[3,4,5 tris(4 dodecyloxybenzyloxy) benzoyloxy] 4 (4′ dodecyloxybenzoyloxy)biphenyl (Ⅰ) ( P 2=0.14 ), it is larger in SmA phase of C6. The relatively higher orientational order parameter of the solute in C6 is attributed to the formation of intermolecular H bonds in the SmA phase of C6.
文摘5.1% of sodium hypochlorite (NaOCl) mixed with 2% of chlorhexidine (CHX) forms a brown precipitate that corresponds to para-chloroaniline (PCA), whether PCA is formed after the combination of NaOCl, CHX, and ethylenediaminetetraacetic acid (EDTA) by means of electron impact (high resolution and interlaced scanning) and ionization by fast atom bombardment (FAB), was analyzed. The brown precipitate, showed signals 127 and 153 Da, corresponding to p-chloroaniline and p-chlorophenyl isocyanate, respectively. These results were analyzed and compared with signals from the interlaced scanning program and confirmed with high resolution mass spectrometry analysis and compared with the NIST database. The mass spectra of this precipitated after different days confirmed the evolution of byproducts with the presence of a peak m/z = 127, due to the decrease of the fragment m/z = 153, which disappeared after 180 days. A blue and a white precipitate were observed by the addition of CHX (2%) with or without polyethylene glycol, respectively, EDTA (17%) and NaOCl (5.1%) precipitates contain chlorhexidine (m/z = 505), but no PCA was detected. We confirmed that PCA is not formed directly as a byproduct of CHX oxidation, but through the formation of the para-chlorophenyl isocyanate intermediate, which degrades slowly to PCA.
基金Supported by the CAMS Initiative for Innovative Medicine,No.2016-I2M-1-007
文摘BACKGROUND Owing to the technical difficulty of pathological diagnosis, imaging is still the most commonly used method for clinical diagnosis of para-aortic lymph node metastasis(PALM) and evaluation of therapeutic effects in gastric cancer, which leads to inevitable false-positive findings in imaging. Patients with clinical PALM may have entirely different pathological stages(stage IV or not), which require completely different treatment strategies. There is no consensus on whether surgical intervention should be implemented for this group of patients. In particular, the value of D2 gastrectomy in a multidisciplinary treatment(MDT)approach for advanced gastric cancer with clinical PALM remains unknown.AIM To investigate the value of D2 gastrectomy in a MDT approach for gastric cancer patients with clinical PALM.METHODS In this real-world study, clinico-pathological data of all gastric cancer patients treated at the Cancer Hospital, Chinese Academy of Medical Sciences between 2011 and 2016 were reviewed to identify those with clinically enlarged PALM. All the clinico-pathological data were prospectively documented in the patient medical record. For all the gastric cancer patients with advanced stage disease,especially those with suspicious distant metastasis, the treatment methods were determined by a multidisciplinary team.RESULTS In total, 48 of 7077 primary gastric cancer patients were diagnosed as having clinical PALM without other distant metastases. All 48 patients received chemotherapy as the initial treatment. Complete or partial response was observed in 39.6%(19/48) of patients in overall and 52.1%(25/48) of patients in the primary tumor. Complete response of PALM was observed in 50.0%(24/48)of patients. After chemotherapy, 45.8%(22/48) of patients received D2 gastrectomy, and 12.5%(6/48) of patients received additional radiotherapy. The postoperative major complication rate and mortality were 27.3%(6/22) and 4.5%(1/22), respectively. The median overall survival and progression-free survival of all the patients were 18.9 and 12.1 mo, respectively. The median overall survival of patients who underwent surgical resection or not was 50.7 and 12.8 mo,respectively. The 3-year and 5-year survival rates were 56.8% and 47.3%,respectively, for patients who underwent D2 resection. Limited PALM and complete response of PALM after chemotherapy were identified as favorable factors for D2 gastrectomy.CONCLUSION For gastric cancer patients with radiologically suspicious PALM that responds well to chemotherapy, D2 gastrectomy could be a safe and effective treatment and should be adopted in a MDT approach for gastric cancer with clinical PALM.
基金Supported by China Hepatitis Prevention and Treatment Foundation Wang Baoen Liver Fibrosis Research Fund,No.xjs20110402
文摘AIM:To study the diagnostic value of controlled attenuation parameter(CAP),evaluated by transient elastography,for liver steatosis in patients with chronic hepatitis B(CHB).METHODS:Eighty-eight patients with CHB were enrolled in this study.All of the patients were subjected to transient elastography to determine CAP.These patients also underwent liver biopsy in the same period.Using liver biopsy as a reference,we determined receiver operating characteristic(ROC)curves for different endpoints.Areas under the ROC curves(AUCs)were used to evaluate the diagnostic importance of CAP for liver steatosis in patients with CHB.RESULTS:A positive correlation was observed between the AUCs of CAP and liver pathological stage(r=0.582,P<0.05).CAP was not correlated with inflammation degree and fibrosis degree(r=-0.025,P>0.05;r=0.068,P>0.05).The mean CAP value at S0 was 209.59±41.25 dB/m,223.84±35.28 dB/m at S1,274.17±43.69 dB/m at S2,and 312.50±25.44dB/m at S3.CAP values among S0,S1,S2,and S3were significantly different(F=17.79,P<0.01).The AUC values for CAP were 0.711(0.592-0.870),0.868(0.748-0.989),and 0.974(0.922-1.026)for S1,S2,and S3,respectively.The optimal cut-off values were219.5,230.0,and 283.5 dB/m.CONCLUSION:CAP is a novel tool that can be used to assess the degree of steatosis.
文摘Background: In general, para-aortic lymph node(LN16) metastasis has been considered as a contraindication for pancreatic resection. However, some pancreatic cancer patients with LN16 metastasis have been reported to survive for longer than expected after pancreatectomy. The purpose of this study was to determine whether pancreatic cancer patients with LN16 metastasis might benefit from surgery.Methods: We retrospectively reviewed 201 consecutive patients with invasive pancreatic ductal adenocarcinoma who underwent surgery at Osaka National Hospital between April 2003 and December 2012.These patients included 22 patients with LN16 metastasis who underwent an extended lymphadenectomy and 25 patients who underwent a palliative surgical biliary and gastric bypass. The clinicopathological data and outcomes were evaluated using univariate and multivariate analyses.Results: The overall survival of the patients with LN16 metastasis was poorer than that of the LN16-negative patients(P = 0.0014). An overall survival analysis of the LN16-positive patients stratified according to the preoperative CA19-9 level showed a significant difference between patients with a low preoperative CA19-9 level(≤360 U/mL) and those with a high preoperative CA19-9 level(>360 U/mL)(P = 0.0301). No significant difference in overall survival of patients was observed between those with LN16 positivity and those who underwent bypass surgery. However, the overall survival of the LN16-positive patients with a CA19-9 level ≤360 U/mL(n = 11) was significantly higher than that of those who underwent bypass surgery(P = 0.0452).Conclusion: Surgical resection and extended lymphadenectomy remains an option for pancreatic cancer patients with LN16-positivity whose CA19-9 level is ≤360 U/mL.
文摘Based on the analysis of the piano wire’s vibration characteristics, the authors estab lished the mechanical model of piano wire proba bility screen , obtained the analytic so lution of thestable forced vibration of screen wires , and developed the para meter designfor m ula of the piano wire screen . The para meter design form ula has been used in coalpreparation industry .
基金Supported by The National Natural Science Foundation of China,Grant No. 30560151
文摘AIM:To evaluate the feasibility and therapeutic effects of para-aortic nodal dissection (PAND) for advanced gastric cancer.METHODS:Randomized controlled trials (RCTs) and non-randomized studies comparing D2 + PAND with D2 lymphadenectomy were identified using a predefined search strategy.Five-year overall survival rate,post-operative mortality,and wound degree of surgery between the two operations were compared by using the methods provided by the Cochrane Handbook for Systematic Reviews of Interventions.RESULTS:Four RCTs (1120 patients) and 4 nonrandomized studies (901 patients) were identif ied.Metaanalysis showed that there was no signif icant difference between these two groups in 5-year overall survival rate [risk ratio (RR) 1.04 (95% CI:0.93-1.16) for RCTs and 0.96 (95% CI:0.83-1.10) for non-randomized studies] and post-operative mortality [RR 0.99 (95% CI:0.44-2.24) for RCTs and 2.06 (95% CI:0.69-6.15) for non-randomized studies].There was a significant difference between these two groups in wound degree of surgery,operation time was significantly longer [weighted mean difference (WMD) 195.32 min (95% CI:114.59-276.05) for RCTs and 126.07 min (95% CI:22.09-230.04) for non-randomized studies] and blood loss was signif icantly greater [WMD 301 mL (95% CI:151.55-450.45) for RCTs and 302.86 mL (95% CI:127.89-477.84) for non-randomized studies] in D2 + PAND.CONCLUSION:D2 + PAND can be performed as safely as standard D2 resection without increasing post-operative mortality but fail to benefit overall survival in patients with advanced gastric cancer.
基金supported by the National Natural Science Foundation of China (Grant No. 10974121)the National Basic Research Program of China (Grant No. 2006CB806000)the Open Fund of the State Key Laboratory of High Field Laser Physics(Shanghai Institute of Optics and Fine Mechanics)
文摘This paper investigates the effect of Lorentz local field correction （LFC） on the propagation of ultrashort laser pulses in a para-nitroaniline molecular medium under resonant and nonresonant conditions by solving numerically the full-wave Maxwell-Bloch equations beyond slowly-varying envelope approximation and rotating-wave approximation. The effect of the LFC is considerably obvious when pulses with large areas propagate in the dense molecular medium. In the case of resonance, the group velocity of the sub-pulses split from the incident pulse along propagation is severely decreased by the LFC, especially for the latest sub-pulse. However, in the case of nonresonance, the influence of the LFC on the temporal evolution of the pulse is less obvious and lacks homogeneity with an increase in incident pulse area, propagation distance and molecular density.
