Post-incident studies provide direct and valuable information to further the scientific understanding of Wildland-Urban Interface(WUI)fires.Most post-incident studies involve data collection in the field(i.e.a“resear...Post-incident studies provide direct and valuable information to further the scientific understanding of Wildland-Urban Interface(WUI)fires.Most post-incident studies involve data collection in the field(i.e.a“research field deployment”).In this review,technical reports of post-incident studies for WUI fire and other natural disasters were analyzed and professionals directly involved in WUI fire research field deployments were interviewed.The goal of this review is to provide a resource for future WUI studies regarding the development of safe and effective fieldwork procedures,the collection and integration of accurate and relevant data,and the establishment of practical lessons learned.Three main stages of WUI fire post-incident studies are identified and described in detail.Data collection methodologies,data attributes,logistical practices and lessons-learned were compiled from various past studies and are presented here in the context of application to WUI fire.展开更多
目的 评估乳腺癌术后放疗患者内乳淋巴引流区(IMC)非计划性照射剂量,明确乳腺癌手术方式对IMC非计划性受照剂量的影响。方法 回顾性分析2012-01-12-2017-01-26山东省肿瘤防治研究院210例保留乳房术(BCS)后及138例改良根治术(MRM)后接受...目的 评估乳腺癌术后放疗患者内乳淋巴引流区(IMC)非计划性照射剂量,明确乳腺癌手术方式对IMC非计划性受照剂量的影响。方法 回顾性分析2012-01-12-2017-01-26山东省肿瘤防治研究院210例保留乳房术(BCS)后及138例改良根治术(MRM)后接受乳腺(胸壁)±锁骨上淋巴引流区(SCF)放疗的患者,其中131例行患侧乳腺(胸壁)+SCF照射,217例仅行患侧乳腺(胸壁)照射,所有患者原治疗计划中均未接受IMC照射。依据肿瘤放射治疗协作组(RTOG)标准勾画患侧IMC,依据手术方式不同分为BCS及MRM组,比较2组患者间IMC非计划性受照剂量、第1~3肋间IMC受照剂量的差异性。结果 IMC非计划性受照剂量中位数为29.69 Gy, MRM组患者IMC及第1、2肋间IMC非计划性受照剂量高于BCS组(32.85 vs 27.10 Gy,Z=-3.327,P=0.001;26.60 vs 12.50 Gy,Z=-6.922,P<0.001;34.63 vs 30.42 Gy,Z=-2.777,P=0.005),而第3肋间2组差异无统计学意义(37.41 vs 36.24 Gy,Z=-1.103,P=0.270)。131例接受侧乳腺(胸壁)+SCF放疗患者IMC(32.87 vs 27.19 Gy)、第1(26.8 vs 13.09 Gy)和2(34.65 vs 30.46 Gy)肋间内乳区非计划性受照剂量高于单纯患侧乳腺(胸壁)放疗组。二分类logistic回归分析结果显示,手术方式及是否行SCF照射均与IMC非计划性受照剂量有关联(OR=1.034,95%CI:1.015~1.054,P=0.001;OR=1.034,95%CI:1.014~1.054,P=0.001)。结论 手术方式和SCF照射野的加入均会影响IMC非计划性受照剂量。相较于MRM患者,BCS患者IMC非计划性受照剂量更低,尤其是第1肋间。展开更多
文摘Post-incident studies provide direct and valuable information to further the scientific understanding of Wildland-Urban Interface(WUI)fires.Most post-incident studies involve data collection in the field(i.e.a“research field deployment”).In this review,technical reports of post-incident studies for WUI fire and other natural disasters were analyzed and professionals directly involved in WUI fire research field deployments were interviewed.The goal of this review is to provide a resource for future WUI studies regarding the development of safe and effective fieldwork procedures,the collection and integration of accurate and relevant data,and the establishment of practical lessons learned.Three main stages of WUI fire post-incident studies are identified and described in detail.Data collection methodologies,data attributes,logistical practices and lessons-learned were compiled from various past studies and are presented here in the context of application to WUI fire.
文摘目的 评估乳腺癌术后放疗患者内乳淋巴引流区(IMC)非计划性照射剂量,明确乳腺癌手术方式对IMC非计划性受照剂量的影响。方法 回顾性分析2012-01-12-2017-01-26山东省肿瘤防治研究院210例保留乳房术(BCS)后及138例改良根治术(MRM)后接受乳腺(胸壁)±锁骨上淋巴引流区(SCF)放疗的患者,其中131例行患侧乳腺(胸壁)+SCF照射,217例仅行患侧乳腺(胸壁)照射,所有患者原治疗计划中均未接受IMC照射。依据肿瘤放射治疗协作组(RTOG)标准勾画患侧IMC,依据手术方式不同分为BCS及MRM组,比较2组患者间IMC非计划性受照剂量、第1~3肋间IMC受照剂量的差异性。结果 IMC非计划性受照剂量中位数为29.69 Gy, MRM组患者IMC及第1、2肋间IMC非计划性受照剂量高于BCS组(32.85 vs 27.10 Gy,Z=-3.327,P=0.001;26.60 vs 12.50 Gy,Z=-6.922,P<0.001;34.63 vs 30.42 Gy,Z=-2.777,P=0.005),而第3肋间2组差异无统计学意义(37.41 vs 36.24 Gy,Z=-1.103,P=0.270)。131例接受侧乳腺(胸壁)+SCF放疗患者IMC(32.87 vs 27.19 Gy)、第1(26.8 vs 13.09 Gy)和2(34.65 vs 30.46 Gy)肋间内乳区非计划性受照剂量高于单纯患侧乳腺(胸壁)放疗组。二分类logistic回归分析结果显示,手术方式及是否行SCF照射均与IMC非计划性受照剂量有关联(OR=1.034,95%CI:1.015~1.054,P=0.001;OR=1.034,95%CI:1.014~1.054,P=0.001)。结论 手术方式和SCF照射野的加入均会影响IMC非计划性受照剂量。相较于MRM患者,BCS患者IMC非计划性受照剂量更低,尤其是第1肋间。
