Prediction of displacement demand to assess seismic performance of structures is a necessary step where nonlinear static procedures are followed.While such predictions have been well established in literature for fixe...Prediction of displacement demand to assess seismic performance of structures is a necessary step where nonlinear static procedures are followed.While such predictions have been well established in literature for fixed-base structures,fewer bodies of researches have been carried out on the effect of rocking and uplifting of shallow foundations supported by soil,on such prediction.This paper aimed to investigate the effect of soil structure interaction on displacement amplification factor C1 using the beam on nonlinear Winkler foundation concept.A practical range of natural period,force reduction factors,and wide range of anticipated behavior from rocking,uplifting and hinging are considered and using thousands nonlinear time history analysis,displacement amplification factors are evaluated.The results indicate that the suggested equations in current rehabilitation documents underestimate displacement demands in the presence of foundation rocking and uplift.Finally,using regression analyses,new equations are proposed to estimate mean values of C1.展开更多
It is well-known that the responses of a structure are different when subjected to a static load or a sudden step load.The dynamic amplification factor(DAF),which is defined as the ratio of the amplitude of the vibrat...It is well-known that the responses of a structure are different when subjected to a static load or a sudden step load.The dynamic amplification factor(DAF),which is defined as the ratio of the amplitude of the vibratory response to the static response,is normally used to depict the dynamic effect.For a single-degree-of-freedom system(SDOF)subjected to a sudden dynamic load,the maximum value of DAF is 2.Many design guidelines therefore use 2 as an upper bound to consider the dynamic effect.For a civil engineering structure,which is normally a multiple-degrees-of-freedom(MDOF)system,the DAF may exceed 2 in certain circumstances.The adoption of 2 as the upper bond as suggested by the design guidelines therefore may lead to unsafe structural design.Very limited studies systematically investigate the DAF of a MDOF sysCorrespondence to:Bi Kaiming,Centre for Infrastructure Monitoring and Protection,School of Civil and Mechanical Engineering,Curtin University,Kent Street,Bentley WA 6102,Australia Tel:(+61)892665139 E-mail:kaiming.bi@curtin.edu.autem.This study theoretically investigates the DAF of a MDOF system when it is subjected to a step load based on the fundamental theory of structural dynamics.The condition on which the DAF may exceed 2 is defined.Two numerical examples and one experimental study of a cable-stayed bridge subjected to sudden cable loss are presented to illustrate the problem.展开更多
Different values have been assigned to the ratio of the defl ection amplifi cation factor(Cd) to the response modifi cation factor(R) for a specifi ed force-resisting system in the seismic design provisions while the ...Different values have been assigned to the ratio of the defl ection amplifi cation factor(Cd) to the response modifi cation factor(R) for a specifi ed force-resisting system in the seismic design provisions while the same application is defi ned for it. An analytical study of the seismic responses of several reinforced concrete frames subjected to a suite of earthquake records performed in this research indicate that the stories’ overstrength and stiffness distribution along the structural height can affect local defl ections more than global ones. Therefore, the Cd/R ratio is calculated based on the ratio of both maximum inelastic to maximum elastic displacements and interstory drifts. Due to damage concentration in some specifi c stories, the defl ection amplifi cation factor calculated based on inelastic interstory drifts was larger than that of the inelastic displacements. Consequently, a minimum value of 1.0 is recommended for the Cd/R ratio in order to estimate maximum inelastic drifts. The ratio of inelastic to elastic displacement was generally found to increase slightly along the structural height for the studied RC models. In addition, it was detected that the story damage indices of the studied RC frames decrease when the inverted value of inelastic interstory drift ratios are increased through a(negative) power form.展开更多
Blasting operations,which are crucial to open-pit mine production due to their simplicity and efficiency,require precise control through accurate vibration velocity calculations.The conventional Sadowski formula mainl...Blasting operations,which are crucial to open-pit mine production due to their simplicity and efficiency,require precise control through accurate vibration velocity calculations.The conventional Sadowski formula mainly focuses on blast center distance but neglects the amplification effect of blasting vibration waves by terraced terrain,from which the calculated blasting vibration velocities are smaller than the actual values,affecting the safety of the project.To address this issue,our model introduces the influences of slope and time into Sadowski formula to measure safety through blast vibration displacement.In the northern section of the open-pit quartz mine in Jinchang City,Gansu Province,China,the data of a continuous blasting slope project are referred to.Our findings reveal a noticeable vibration amplification effect during blasting when a multi-stage slope platform undergoes a sudden cross-sectional change near the upper overhanging surface.The amplification vibration coefficient increases with height,while vibration waves within rocks decrease from bottom to top.Conversely,platforms without distinct crosssectional changes exhibit no pronounced amplification during blasting.In addition,the vibration intensity decreases with distance as the rock height difference change propagates.The results obtained by the proposed blast vibration displacement equation incorporating slope shape influence closely agree with real-world scenarios.According to Pearson correlation coefficient(PPMCC)analysis,the average accuracy rate of our model is 88.84%,which exceeds the conventional Sadowski formula(46.92%).展开更多
AIM: To determine allelic imbalance on chromosomal region 21q22-qter including trefoil factor family genes (TFF) in cholangiocarcinoma (CCA) patients and analyze the correlation between allelic imbalances and cli...AIM: To determine allelic imbalance on chromosomal region 21q22-qter including trefoil factor family genes (TFF) in cholangiocarcinoma (CCA) patients and analyze the correlation between allelic imbalances and clinicopathological parameters. METHODS: Quantitative PCR amplification was performed on four microsatellite markers and trefoil factor family genes (TFF1, TFF2, and TFF3) using a standard curve and SYBR Green I dye method. The relative copy number was determined by DNA copy number of tested locus to reference locus. The relative copy number was interpreted as deletion or amplification by comparison with normal reference range. Associations between allelic imbalance and clinicopathological parameters of CCA patients were evaluated by χ^2-tests. Kaplan-Meier method was used to analyze survival. RESULTS: The frequencies of amplification at D21S1890, D21S1893, and TFF3 were 32.5%, 30.0%, and 28.7%, respectively. Patients who had amplification at regions covering D21S1893, D21S1890, and TFF showed poor prognosis, whereas patients who had deletion showed favorable prognosis (mean: 51.7 wk vs 124.82 wk, P = 0.012). Multivariate Cox regression analysis revealed that amplification of D21S1893, D21S1890 and TFF, blood vessel invasion, and staging were associated with poor prognosis. CONCLUSION: D21S1893-D21S1890 region may harbor candidate genes especially TFF and serine protease family, which might be involved in tumor invasion and metastasis contributing to poor survival. The amplification in this region may be used as a prognostic marker in the treatment of CCA patients.展开更多
Many magnetohydrodynamic stability analyses require generation of a set of equilibria with a fixed safety factor q-profile while varying other plasma parameters.A neural network(NN)-based approach is investigated that...Many magnetohydrodynamic stability analyses require generation of a set of equilibria with a fixed safety factor q-profile while varying other plasma parameters.A neural network(NN)-based approach is investigated that facilitates such a process.Both multilayer perceptron(MLP)-based NN and convolutional neural network(CNN)models are trained to map the q-profile to the plasma current density J-profile,and vice versa,while satisfying the Grad–Shafranov radial force balance constraint.When the initial target models are trained,using a database of semianalytically constructed numerical equilibria,an initial CNN with one convolutional layer is found to perform better than an initial MLP model.In particular,a trained initial CNN model can also predict the q-or J-profile for experimental tokamak equilibria.The performance of both initial target models is further improved by fine-tuning the training database,i.e.by adding realistic experimental equilibria with Gaussian noise.The fine-tuned target models,referred to as fine-tuned MLP and fine-tuned CNN,well reproduce the target q-or J-profile across multiple tokamak devices.As an important application,these NN-based equilibrium profile convertors can be utilized to provide a good initial guess for iterative equilibrium solvers,where the desired input quantity is the safety factor instead of the plasma current density.展开更多
Retaining walls have been used in many construction projects such as for road and inclined surfaces protection. The damage caused by an earthquake depends on the fundamental frequency, amplitude and the duration of th...Retaining walls have been used in many construction projects such as for road and inclined surfaces protection. The damage caused by an earthquake depends on the fundamental frequency, amplitude and the duration of the seismic motion. These parameters strongly depend on the seismic properties of the layers that are near the surface. In the study of retaining walls, in addition to the infl uence of soil, the infl uence of topography is also important. In the present study, site response analysis is performed by using fi nite element software PLAXIS to obtain the eff ect of various factors such as embedded length of the sheet pile, underground water table, length and angle of the nail, shear wave velocity of soil on site eff ect and dynamic response. Moreover, for better understanding of the eff ect of the above parameters, the stability analysis was performed by using shear reduction method. The results show that an increase in the embedded length of the sheet pile and the length of nailing causes an increase in the amplifi cation factor. Moreover, for shear-wave velocity in the range of 200- 600 m/s, the amplifi cation factor increases with increase of the shear-wave velocity due to the decrease of nonlinear behavior.展开更多
A new method is proposed to determine the amplification factor for 2-hydroxy ethylperoxy radicals (HOC2H4O2·) in chemical amplifier. The radical source comes from the reaction of excess ethene with HO· rad...A new method is proposed to determine the amplification factor for 2-hydroxy ethylperoxy radicals (HOC2H4O2·) in chemical amplifier. The radical source comes from the reaction of excess ethene with HO· radicals generated in the photolysis of water vapor at the wave length of 185 nm in air in a flow tube. This produces a radical source which contains equal amount of HO2·and HOC2H4O2·. The amplification factor is derived from the slopes of the lines between produced NO2 in chemical amplifier and total initial radical concentrations measured for the source of HO2· and that of the same amount of HO2· and HOC2H4O2· respectively. The amplification factor of HOC2H4O2· was similar to that of HO2·, indicating that HOC2H4O2· can be measured with the same sensitivity as HO2· by chemical amplifier.展开更多
Structural characteristic of surface soil ground has great effect on the ground motion amplitude when earthquake happens. Recent studies in Japan on seismic zonings use a database that covers entire Japan with 1 km me...Structural characteristic of surface soil ground has great effect on the ground motion amplitude when earthquake happens. Recent studies in Japan on seismic zonings use a database that covers entire Japan with 1 km mesh size, which is useful for prefecture scale researches. However, it is hard, even with 500 m or 250 m mesh sizes to consider a city, a county or award as scale studies. Kanagawa Prefecture is highly urbanized and vulnerable to seismic disaster. The prefecture suffered a wide spread damage during the 1923 Kanto earthquake. In this paper, we deploy a very fine mesh 50 × 50 m mesh to develop a general seismic intensity map useful for micro scale disaster management for local governments and educational information for earthquake preparedness promotion. In this paper, first we prepared two detailed databases for 50 × 50 m mesh size over entire Kanagawa Prefecture. One was for geologic formations and the other the geomorphologic condition. Then these databases were used for preparation of high-resolution digital soil classification maps for 15 categories of micro landforms of prefecture. The later database was used for mapping the site amplification factors for 50 × 50 m mesh by applying the empirical relations for AVS30. We could create a GIS platform with sufficient accuracy to consider potential risk analysis.展开更多
The available models for eff ective periods of site and structure are reviewed in context of frequency tuning in the inelastic seismic response of soil-structure system. The eff ect of seismic intensity and ductility ...The available models for eff ective periods of site and structure are reviewed in context of frequency tuning in the inelastic seismic response of soil-structure system. The eff ect of seismic intensity and ductility demand, on the eff ective periods, is investigated, and inelastic site amplifi cation is shown to be strongly correlated to the normalized eff ective period. Two non-dimensional parameters, analogous to the conventional site amplifi cation factors in codes, are defi ned to quantify the inelastic site amplifi cation. It is shown that the inelastic site amplifi cation factor (i.e. ratio of constant ductility spectral ordinates at soil site to those at rock outcrop) is able to represent the site eff ects more clearly, as compared to the inelastic site amplifi cation ratio (i.e. ratio of inelastic spectral ordinates at soil site to the corresponding elastic spectral ordinates at rock outcrop). Further, the peak in the amplifi cation factor corresponding to the eff ective site period diminishes rapidly with increasing ductility demand.展开更多
A new type of high power LED drivers is proposed by adopting an improved two-stages non-isolated configuration. In order to improve power factor and achieve accurate average current control under universal input volta...A new type of high power LED drivers is proposed by adopting an improved two-stages non-isolated configuration. In order to improve power factor and achieve accurate average current control under universal input voltages ranging from 100 Vrms to 240 Vrms, the power factor correction and average current mode control methods operating in continuous current conduction mode are designed and implemented. With the LUMILEDS emitter type LEDs, a laboratory prototype is built and measured. And from the measured results, it could be concluded that the proposed driver has many better performances such as high power factor, low current harmonic, accurate average current control and switch protection.展开更多
In this paper, the amplification factor (ks ) of peek ground motion with different exceedance probability in class Ⅱ and Ⅲ sites over Shandong Province was estimated by analyzing the seismic response data of soil ...In this paper, the amplification factor (ks ) of peek ground motion with different exceedance probability in class Ⅱ and Ⅲ sites over Shandong Province was estimated by analyzing the seismic response data of soil layers collected from 358 boreholes of class Ⅱ sites and 140 boreholes of class Ⅲ site. From the results, one can conclude that: (1) The scatter plot of ks generally obeys a normal distribution ; (2) ks decreases with the increase of the strength of input ground motion, which is more apparent in Class Ⅲ site than in class lI site; (3) for class Ⅱ site, with the increase of depth of the bedrock interface where ground motion inputs, ks increases gradually until to a stable value when the depth reaches up to approximately 20 meters or larger. Yet, for class Ⅲ site, ks is insensitive to the depth; (4) the average of ks for class Ⅱ site is 1.47, slightly larger than that used in the Seismic Ground Motion Parameters Zonation Map of China ( GB 18306-2001 ). Also, ks in class Ⅱ and Ⅲ sites at different levels of peak ground acceleration over Shandong Province is preliminarily discussed in the paper.展开更多
Aims T-type Ca<sup>2+</sup> current(I<sub>CaT</sub>)plays an important role in the pathogenesis of atrial fibrillation(AF).The present study sought to investigate the role of Macrophage migra...Aims T-type Ca<sup>2+</sup> current(I<sub>CaT</sub>)plays an important role in the pathogenesis of atrial fibrillation(AF).The present study sought to investigate the role of Macrophage migration inhibitory factor(MIF),a pleiotropic cytokine,in the regulation of T-type Ca<sup>2+</sup> channel in atrium myocytes.Methods We used whole-cell voltage-clamp technique and biochemical assays to study the regulation and expression of I<sub>Ca</sub>,T in mouse atrium myocytes(HL-1 cells).Results Serum MIF concentrations was slightly increased in patients with AF compared to sinus rhythm(SR) controls.In cultured HL-1 cells, significant amounts of MIF were produced in response to hydrogen peroxide(H<sub>2</sub>O<sub>2</sub>),but not AngiotensinⅡ(AngⅡ). Mouse recombinant MIF(rMIF)(20 or 40 nM,24 h) suppressed peak ICa,T by-38%and-60%in a concentration-dependent manner,impaired the voltage-dependent activation of I<sub>Ca</sub>,T,and down-regulated of TCC alG mRNA.Src inhibitors genistein and PPl significantly enhanced ICaT.The depression of ICa,T induced by rMIF could be reversed by genistein and PP1.Conclusions MIFis involved in the pathogenesis of AF,probably by decreasing ICa,T through impairment of the channel function and activation of c-Src kinases in atrium myocytes.展开更多
Herein,a physical and mathematical model of the voltage−current characteristics of a p−n heterostructure with quantum wells(QWs)is prepared using the Sah−Noyce−Shockley(SNS)recombination mechanism to show the SNS reco...Herein,a physical and mathematical model of the voltage−current characteristics of a p−n heterostructure with quantum wells(QWs)is prepared using the Sah−Noyce−Shockley(SNS)recombination mechanism to show the SNS recombination rate of the correction function of the distribution of QWs in the space charge region of diode configuration.A comparison of the model voltage−current characteristics(VCCs)with the experimental ones reveals their adequacy.The technological parameters of the structure of the VCC model are determined experimentally using a nondestructive capacitive approach for determining the impurity distribution profile in the active region of the diode structure with a profile depth resolution of up to 10Å.The correction function in the expression of the recombination rate shows the possibility of determining the derivative of the VCCs of structures with QWs with a nonideality factor of up to 4.展开更多
By adding a suitable LC filter to the input of a Buck converter, a high-power-factor buck converter is proposed. The converter can operate in the discontinuous-output-current mode operation. A Buck converter in this o...By adding a suitable LC filter to the input of a Buck converter, a high-power-factor buck converter is proposed. The converter can operate in the discontinuous-output-current mode operation. A Buck converter in this operation mode features simple control as the constant duty cycle PWM used. The operation condition of the converter is studied. The validity of analysis is verified by Simulation and Experimental results.展开更多
More than 1.9 million new colorectal cancer(CRC)cases and 935000 deaths were estimated to occur worldwide in 2020,representing about one in ten cancer cases and deaths.Overall,colorectal ranks third in incidence,but s...More than 1.9 million new colorectal cancer(CRC)cases and 935000 deaths were estimated to occur worldwide in 2020,representing about one in ten cancer cases and deaths.Overall,colorectal ranks third in incidence,but second in mortality.More than half of the patients are in advanced stages at diagnosis.Treatment options are complex because of the heterogeneity of the patient population,including different molecular subtypes.Treatments have included conventional fluorouracil-based chemotherapy,targeted therapy,immunotherapy,etc.In recent years,with the development of genetic testing technology,more and more targeted drugs have been applied to the treatment of CRC,which has further prolonged the survival of metastatic CRC patients.展开更多
Voltage source converter based high voltage direct current(VSC-HVDC)can participate in voltage regulation by flexible control to help maintain the voltage stability of the power grid.In order to quantitatively evaluat...Voltage source converter based high voltage direct current(VSC-HVDC)can participate in voltage regulation by flexible control to help maintain the voltage stability of the power grid.In order to quantitatively evaluate its influence on the voltage interaction between VSC-HVDC and line commutated converter based high voltage direct current(LCC-HVDC),this paper proposes a hybrid multi-infeed interaction factor(HMIIF)calculation method considering the voltage regulation control characteristics of VSC-HVDC.Firstly,for a hybrid multi-infeed high voltage direct current system,an additional equivalent operating admittance matrix is constructed to characterize HVDC equipment characteristics under small disturbance.Secondly,based on the characteristic curve between the reactive power and the voltage of a certain VSC-HVDC project,the additional equivalent operating admittance of VSC-HVDC is derived.The additional equivalent operating admittance matrix calculation method is proposed.Thirdly,the equivalent bus impedance matrix is obtained by modifying the alternating current(AC)system admittance matrix with the additional equivalent operating admittance matrix.On this basis,the HMIIF calculation method based on the equivalent bus impedance ratio is proposed.Finally,the effectiveness of the proposed method is verified in a hybrid dual-infeed high voltage direct current system constructed in Power Systems Computer Aided Design(PSCAD),and the influence of voltage regulation control on HMIIF is analyzed.展开更多
AIM:To investigate human epidermal growth factor receptor 2(HER2) gene amplification and protein expression in Chinese patients with resectable gastric cancer and the association with clinicopathological characteristi...AIM:To investigate human epidermal growth factor receptor 2(HER2) gene amplification and protein expression in Chinese patients with resectable gastric cancer and the association with clinicopathological characteristics and survival.METHODS:One hundred and ninety-seven gastric cancer patients who underwent curative surgery procedures were enrolled into this study.HER2 gene amplification and protein expression were examined using fluorescence in-situ hybridization(FISH) and immunohistochemistry(IHC) analysis on formalin-fixed paraffinembedded gastric cancer samples from all patients.For scoring,Hofmann's HER2 gastric cancer scoring system was adopted.All cases showing IHC3+ or FISH positiv-ity were defined as HER2 positive.Patient clinicopathological data and survival information were collected.Finally,χ 2 statistical analysis was performed to analyze the HER2 positivity rate amongst the subgroups with different clinicopathological characteristics including;gender,age,tumor location,Lauren classification,differentiation,TNM staging,depth of invasion,lymph node metastases and distant metastasis.The probability of survival for different subgroups with different clinicopathological characteristics was calculated using the Kaplan-Meier method and survival curves plotted using log rank inspection.RESULTS:According to Hofmann's HER2 gastric cancer scoring criteria,31 cases(15.74%) were identified as HER2 gene amplified and 19 cases(9.64%) were scored as strongly positive for HER2 membrane staining(3+),25 cases(12.69%) were moderately positive(2+) and 153 cases(77.66%) were HER2 negative(0/1+).The concordance rate between IHC and FISH analyses was 88.83%(175/197).Thirty-six cases were defined as positive for HER2 gene amplification and/or protein expression,with 24 of these cases being eligible for Herceptin treatment according to United States recommendations,and 29 of these cases eligible according to EU recommendations.Highly consistent results were detected between IHC3+,IHC0/1 and FISH(73.68% and 95.42%),but low consistency was observed between IHC2+ and FISH(40.00%).The positivity rates in intestinal type and well-differentiated gastric cancer were higher than those in diffuse/mixed type and poorly-differentiated gastric cancer respectively(28.57% vs 13.43%,P = 0.0103;37.25% vs 11.64%,P < 0.0001),but were not correlated with gender,age,tumor location or TNM stage,depth of invasion,lymph node metastases and distant metastasis.In poorly-differentiated gastric cancer patients,those without lymph node metastasis showed a higher HER2 positivity rate than those with lymph node metastasis(26.47% vs 7.14%,P = 0.0021).This association was not present in thosepatients with well-differentiated gastric cancer(28.57% vs 43.33%,P = 0.2832).Within our patient cohort,26 cases were lost to follow-up.The median survival time for the remaining 171 patients was 18 mo.The median survival times of the HER2 positive and negative groups were 17 and 18.5 mo respectively.Overall survival was not significantly different between HER2-positive and negative groups(χ 2 = 0.9157,P = 0.3386),but in patients presenting well-differentiated tumors,the overall survival of the HER2-positive group was significantly worse than that of the HER2-negative group(P = 0.0123).In contrast,patients with poorly differentiated and diffuse/mixed subtype gastric cancers showed no significant differences in overall survival associated with HER2.Furthermore,the median survival time of the HER2 positive group did not show any statistically significant differences when compared to the subgroups of gender,age,tumor location,TNM classification,lymph node metastases and distant metastasis.CONCLUSION:Patients with intestinal type gastric cancer(GC),well-differentiated GC and poorly-differentiated GC without lymph node metastasis,may all represent suitable candidates for targeted therapy using Herceptin.展开更多
Aim: To investigate human epidermal growth factor receptor type 2 (HER2) protein expression and gene amplification in Chinese metastatic prostate cancer patients and their potential value as prognostic factors. Met...Aim: To investigate human epidermal growth factor receptor type 2 (HER2) protein expression and gene amplification in Chinese metastatic prostate cancer patients and their potential value as prognostic factors. Methods: Immunohistochemistry (IHC) was performed to investigate HER2 protein expression in prostate biopsy specimens from 104 Chinese metastatic prostate cancer patients. After 3-11 months of hormonal therapy, 12 patients underwent transurethral resection of the prostate (TURP). HER2 protein expression of TURP specimens was compared with that of the original biopsy specimens. Of these, 10 biopsy and 4 TURP specimens with HER2 IHC staining scores ≥ 2+ were investigated for HER2 gene amplification status by fluorescent in situ hybridization (FISH). Results: Of the 104 prostate biopsy specimens, HER2 protein expression was 0, 1+, 2+ and 3+ in 49 (47.1%), 45 (43.3%), 8 (7.7%) and 2 (1.9%) cases, respectively. There was a significant association between HER2 expression and Gleason score (P = 0.026). HER2 protein expression of prostate cancer tissues increased in 33.3% of patients after hormonal therapy. None of the 14 specimens with HER2 IHC scores 〉 2+ showed HER2 gene amplification. Patients with HER2 scores 〉 2+ had a significantly higher chance of dying from prostate cancer than those with HER2 scores of 0 (P = 0.004) and 1+ (P = 0.034). Multivariate Cox regression analysis showed that HER2 protein expression intensity was an independent predictor of cancer-related death (P = 0.039). Conclusion: An HER2 IHC score 〉 2+ should be defined as HER2 protein overexpression in prostate cancer. Overexpression of HER2 protein in cancer tissue might suggest an increased risk of dying from prostate cancer. HER2 protein expression increases in some individual patients after hormonal therapy.展开更多
Background: Epidermal growth factor receptor(EGFR) mutation is the key predictor of EGFR tyrosine kinase inhibitors(TKIs) efficacy in non-small cell lung cancer(NSCLC). We conducted this study to verify the fea...Background: Epidermal growth factor receptor(EGFR) mutation is the key predictor of EGFR tyrosine kinase inhibitors(TKIs) efficacy in non-small cell lung cancer(NSCLC). We conducted this study to verify the feasibility of EGFR mutation analysis in cytological specimens and investigate the responsiveness to gefitinib treatment in patients carrying EGFR mutations.Methods: A total of 210 cytological specimens were collected for EGFR mutation detection by both direct sequencing and amplification refractory mutation system(ARMS). We analyzed EGFR mutation status by both methods and evaluated the responsiveness to gefitinib treatment in patients harboring EGFR mutations by overall response rate(ORR), disease control rate(DCR) and progression free survival(PFS).Results: Of all patients, EGFR mutation rate was 28.6%(60/210) by direct sequencing and 45.2%(95/210) by ARMS(P〈0.001) respectively. Among the EGFR wild type patients tested by direct sequencing, 26.7% of them were positive by ARMS. For the 72 EGFR mutation positive patients treated with gefitinib, the ORR, DCR and median PFS were 69.4%, 90.2% and 9.3 months respectively. The patients whose EGFR mutation status was negative by direct sequencing but positive by ARMS had lower ORR(48.0% vs. 80.9%, P=0.004) and shorter median PFS(7.4 vs. 10.5 months, P=0.009) as compared with that of EGFR mutation positive patients by both detection methods. Conclusions: Our study verified the feasibility of EGFR analysis in cytological specimens in advanced NSCLC. ARMS is more sensitive than direct sequencing in EGFR mutation detection. EGFR Mutation status tested on cytological samples is applicable for predicting the response to gefitinib. Abundance of EGFR mutations might have an influence on TKIs efficacy.展开更多
文摘Prediction of displacement demand to assess seismic performance of structures is a necessary step where nonlinear static procedures are followed.While such predictions have been well established in literature for fixed-base structures,fewer bodies of researches have been carried out on the effect of rocking and uplifting of shallow foundations supported by soil,on such prediction.This paper aimed to investigate the effect of soil structure interaction on displacement amplification factor C1 using the beam on nonlinear Winkler foundation concept.A practical range of natural period,force reduction factors,and wide range of anticipated behavior from rocking,uplifting and hinging are considered and using thousands nonlinear time history analysis,displacement amplification factors are evaluated.The results indicate that the suggested equations in current rehabilitation documents underestimate displacement demands in the presence of foundation rocking and uplift.Finally,using regression analyses,new equations are proposed to estimate mean values of C1.
基金National Science Foundation of China(NSFC)under Grant No.51508102,China Postdoctoral Science Foundation under Grant No.2018M631292the Beijing Postdoctoral Science Foundation under Grant No.2018-ZZ-032Financial support was also provided by the China Scholarship Council(CSC)under Grant No.201406655012。
文摘It is well-known that the responses of a structure are different when subjected to a static load or a sudden step load.The dynamic amplification factor(DAF),which is defined as the ratio of the amplitude of the vibratory response to the static response,is normally used to depict the dynamic effect.For a single-degree-of-freedom system(SDOF)subjected to a sudden dynamic load,the maximum value of DAF is 2.Many design guidelines therefore use 2 as an upper bound to consider the dynamic effect.For a civil engineering structure,which is normally a multiple-degrees-of-freedom(MDOF)system,the DAF may exceed 2 in certain circumstances.The adoption of 2 as the upper bond as suggested by the design guidelines therefore may lead to unsafe structural design.Very limited studies systematically investigate the DAF of a MDOF sysCorrespondence to:Bi Kaiming,Centre for Infrastructure Monitoring and Protection,School of Civil and Mechanical Engineering,Curtin University,Kent Street,Bentley WA 6102,Australia Tel:(+61)892665139 E-mail:kaiming.bi@curtin.edu.autem.This study theoretically investigates the DAF of a MDOF system when it is subjected to a step load based on the fundamental theory of structural dynamics.The condition on which the DAF may exceed 2 is defined.Two numerical examples and one experimental study of a cable-stayed bridge subjected to sudden cable loss are presented to illustrate the problem.
文摘Different values have been assigned to the ratio of the defl ection amplifi cation factor(Cd) to the response modifi cation factor(R) for a specifi ed force-resisting system in the seismic design provisions while the same application is defi ned for it. An analytical study of the seismic responses of several reinforced concrete frames subjected to a suite of earthquake records performed in this research indicate that the stories’ overstrength and stiffness distribution along the structural height can affect local defl ections more than global ones. Therefore, the Cd/R ratio is calculated based on the ratio of both maximum inelastic to maximum elastic displacements and interstory drifts. Due to damage concentration in some specifi c stories, the defl ection amplifi cation factor calculated based on inelastic interstory drifts was larger than that of the inelastic displacements. Consequently, a minimum value of 1.0 is recommended for the Cd/R ratio in order to estimate maximum inelastic drifts. The ratio of inelastic to elastic displacement was generally found to increase slightly along the structural height for the studied RC models. In addition, it was detected that the story damage indices of the studied RC frames decrease when the inverted value of inelastic interstory drift ratios are increased through a(negative) power form.
文摘Blasting operations,which are crucial to open-pit mine production due to their simplicity and efficiency,require precise control through accurate vibration velocity calculations.The conventional Sadowski formula mainly focuses on blast center distance but neglects the amplification effect of blasting vibration waves by terraced terrain,from which the calculated blasting vibration velocities are smaller than the actual values,affecting the safety of the project.To address this issue,our model introduces the influences of slope and time into Sadowski formula to measure safety through blast vibration displacement.In the northern section of the open-pit quartz mine in Jinchang City,Gansu Province,China,the data of a continuous blasting slope project are referred to.Our findings reveal a noticeable vibration amplification effect during blasting when a multi-stage slope platform undergoes a sudden cross-sectional change near the upper overhanging surface.The amplification vibration coefficient increases with height,while vibration waves within rocks decrease from bottom to top.Conversely,platforms without distinct crosssectional changes exhibit no pronounced amplification during blasting.In addition,the vibration intensity decreases with distance as the rock height difference change propagates.The results obtained by the proposed blast vibration displacement equation incorporating slope shape influence closely agree with real-world scenarios.According to Pearson correlation coefficient(PPMCC)analysis,the average accuracy rate of our model is 88.84%,which exceeds the conventional Sadowski formula(46.92%).
基金Supported by the Research Grants from Khon Kaen University, No. 48-03-1-01-03 the Center for Research and Development in Medical Diagnostic Laboratories, Faculty of Associated Medical Sciences, No 06-01
文摘AIM: To determine allelic imbalance on chromosomal region 21q22-qter including trefoil factor family genes (TFF) in cholangiocarcinoma (CCA) patients and analyze the correlation between allelic imbalances and clinicopathological parameters. METHODS: Quantitative PCR amplification was performed on four microsatellite markers and trefoil factor family genes (TFF1, TFF2, and TFF3) using a standard curve and SYBR Green I dye method. The relative copy number was determined by DNA copy number of tested locus to reference locus. The relative copy number was interpreted as deletion or amplification by comparison with normal reference range. Associations between allelic imbalance and clinicopathological parameters of CCA patients were evaluated by χ^2-tests. Kaplan-Meier method was used to analyze survival. RESULTS: The frequencies of amplification at D21S1890, D21S1893, and TFF3 were 32.5%, 30.0%, and 28.7%, respectively. Patients who had amplification at regions covering D21S1893, D21S1890, and TFF showed poor prognosis, whereas patients who had deletion showed favorable prognosis (mean: 51.7 wk vs 124.82 wk, P = 0.012). Multivariate Cox regression analysis revealed that amplification of D21S1893, D21S1890 and TFF, blood vessel invasion, and staging were associated with poor prognosis. CONCLUSION: D21S1893-D21S1890 region may harbor candidate genes especially TFF and serine protease family, which might be involved in tumor invasion and metastasis contributing to poor survival. The amplification in this region may be used as a prognostic marker in the treatment of CCA patients.
基金supported by National Natural Science Foundation of China (Nos. 12205033, 12105317, 11905022 and 11975062)Dalian Youth Science and Technology Project (No. 2022RQ039)+1 种基金the Fundamental Research Funds for the Central Universities (No. 3132023192)the Young Scientists Fund of the Natural Science Foundation of Sichuan Province (No. 2023NSFSC1291)
文摘Many magnetohydrodynamic stability analyses require generation of a set of equilibria with a fixed safety factor q-profile while varying other plasma parameters.A neural network(NN)-based approach is investigated that facilitates such a process.Both multilayer perceptron(MLP)-based NN and convolutional neural network(CNN)models are trained to map the q-profile to the plasma current density J-profile,and vice versa,while satisfying the Grad–Shafranov radial force balance constraint.When the initial target models are trained,using a database of semianalytically constructed numerical equilibria,an initial CNN with one convolutional layer is found to perform better than an initial MLP model.In particular,a trained initial CNN model can also predict the q-or J-profile for experimental tokamak equilibria.The performance of both initial target models is further improved by fine-tuning the training database,i.e.by adding realistic experimental equilibria with Gaussian noise.The fine-tuned target models,referred to as fine-tuned MLP and fine-tuned CNN,well reproduce the target q-or J-profile across multiple tokamak devices.As an important application,these NN-based equilibrium profile convertors can be utilized to provide a good initial guess for iterative equilibrium solvers,where the desired input quantity is the safety factor instead of the plasma current density.
文摘Retaining walls have been used in many construction projects such as for road and inclined surfaces protection. The damage caused by an earthquake depends on the fundamental frequency, amplitude and the duration of the seismic motion. These parameters strongly depend on the seismic properties of the layers that are near the surface. In the study of retaining walls, in addition to the infl uence of soil, the infl uence of topography is also important. In the present study, site response analysis is performed by using fi nite element software PLAXIS to obtain the eff ect of various factors such as embedded length of the sheet pile, underground water table, length and angle of the nail, shear wave velocity of soil on site eff ect and dynamic response. Moreover, for better understanding of the eff ect of the above parameters, the stability analysis was performed by using shear reduction method. The results show that an increase in the embedded length of the sheet pile and the length of nailing causes an increase in the amplifi cation factor. Moreover, for shear-wave velocity in the range of 200- 600 m/s, the amplifi cation factor increases with increase of the shear-wave velocity due to the decrease of nonlinear behavior.
文摘A new method is proposed to determine the amplification factor for 2-hydroxy ethylperoxy radicals (HOC2H4O2·) in chemical amplifier. The radical source comes from the reaction of excess ethene with HO· radicals generated in the photolysis of water vapor at the wave length of 185 nm in air in a flow tube. This produces a radical source which contains equal amount of HO2·and HOC2H4O2·. The amplification factor is derived from the slopes of the lines between produced NO2 in chemical amplifier and total initial radical concentrations measured for the source of HO2· and that of the same amount of HO2· and HOC2H4O2· respectively. The amplification factor of HOC2H4O2· was similar to that of HO2·, indicating that HOC2H4O2· can be measured with the same sensitivity as HO2· by chemical amplifier.
文摘Structural characteristic of surface soil ground has great effect on the ground motion amplitude when earthquake happens. Recent studies in Japan on seismic zonings use a database that covers entire Japan with 1 km mesh size, which is useful for prefecture scale researches. However, it is hard, even with 500 m or 250 m mesh sizes to consider a city, a county or award as scale studies. Kanagawa Prefecture is highly urbanized and vulnerable to seismic disaster. The prefecture suffered a wide spread damage during the 1923 Kanto earthquake. In this paper, we deploy a very fine mesh 50 × 50 m mesh to develop a general seismic intensity map useful for micro scale disaster management for local governments and educational information for earthquake preparedness promotion. In this paper, first we prepared two detailed databases for 50 × 50 m mesh size over entire Kanagawa Prefecture. One was for geologic formations and the other the geomorphologic condition. Then these databases were used for preparation of high-resolution digital soil classification maps for 15 categories of micro landforms of prefecture. The later database was used for mapping the site amplification factors for 50 × 50 m mesh by applying the empirical relations for AVS30. We could create a GIS platform with sufficient accuracy to consider potential risk analysis.
文摘The available models for eff ective periods of site and structure are reviewed in context of frequency tuning in the inelastic seismic response of soil-structure system. The eff ect of seismic intensity and ductility demand, on the eff ective periods, is investigated, and inelastic site amplifi cation is shown to be strongly correlated to the normalized eff ective period. Two non-dimensional parameters, analogous to the conventional site amplifi cation factors in codes, are defi ned to quantify the inelastic site amplifi cation. It is shown that the inelastic site amplifi cation factor (i.e. ratio of constant ductility spectral ordinates at soil site to those at rock outcrop) is able to represent the site eff ects more clearly, as compared to the inelastic site amplifi cation ratio (i.e. ratio of inelastic spectral ordinates at soil site to the corresponding elastic spectral ordinates at rock outcrop). Further, the peak in the amplifi cation factor corresponding to the eff ective site period diminishes rapidly with increasing ductility demand.
文摘A new type of high power LED drivers is proposed by adopting an improved two-stages non-isolated configuration. In order to improve power factor and achieve accurate average current control under universal input voltages ranging from 100 Vrms to 240 Vrms, the power factor correction and average current mode control methods operating in continuous current conduction mode are designed and implemented. With the LUMILEDS emitter type LEDs, a laboratory prototype is built and measured. And from the measured results, it could be concluded that the proposed driver has many better performances such as high power factor, low current harmonic, accurate average current control and switch protection.
基金supported by Shandong Institute of Earthquake Engineering(Natural Science Foundation of Shandong Province(Y2002E01)Shandong Science and Technology Development Project(2010GSF10806),China
文摘In this paper, the amplification factor (ks ) of peek ground motion with different exceedance probability in class Ⅱ and Ⅲ sites over Shandong Province was estimated by analyzing the seismic response data of soil layers collected from 358 boreholes of class Ⅱ sites and 140 boreholes of class Ⅲ site. From the results, one can conclude that: (1) The scatter plot of ks generally obeys a normal distribution ; (2) ks decreases with the increase of the strength of input ground motion, which is more apparent in Class Ⅲ site than in class lI site; (3) for class Ⅱ site, with the increase of depth of the bedrock interface where ground motion inputs, ks increases gradually until to a stable value when the depth reaches up to approximately 20 meters or larger. Yet, for class Ⅲ site, ks is insensitive to the depth; (4) the average of ks for class Ⅱ site is 1.47, slightly larger than that used in the Seismic Ground Motion Parameters Zonation Map of China ( GB 18306-2001 ). Also, ks in class Ⅱ and Ⅲ sites at different levels of peak ground acceleration over Shandong Province is preliminarily discussed in the paper.
文摘Aims T-type Ca<sup>2+</sup> current(I<sub>CaT</sub>)plays an important role in the pathogenesis of atrial fibrillation(AF).The present study sought to investigate the role of Macrophage migration inhibitory factor(MIF),a pleiotropic cytokine,in the regulation of T-type Ca<sup>2+</sup> channel in atrium myocytes.Methods We used whole-cell voltage-clamp technique and biochemical assays to study the regulation and expression of I<sub>Ca</sub>,T in mouse atrium myocytes(HL-1 cells).Results Serum MIF concentrations was slightly increased in patients with AF compared to sinus rhythm(SR) controls.In cultured HL-1 cells, significant amounts of MIF were produced in response to hydrogen peroxide(H<sub>2</sub>O<sub>2</sub>),but not AngiotensinⅡ(AngⅡ). Mouse recombinant MIF(rMIF)(20 or 40 nM,24 h) suppressed peak ICa,T by-38%and-60%in a concentration-dependent manner,impaired the voltage-dependent activation of I<sub>Ca</sub>,T,and down-regulated of TCC alG mRNA.Src inhibitors genistein and PPl significantly enhanced ICaT.The depression of ICa,T induced by rMIF could be reversed by genistein and PP1.Conclusions MIFis involved in the pathogenesis of AF,probably by decreasing ICa,T through impairment of the channel function and activation of c-Src kinases in atrium myocytes.
基金conducted within the state assignment of the Ministry of Science and Higher Education for universities(Project No.FZRR-2023-0009).
文摘Herein,a physical and mathematical model of the voltage−current characteristics of a p−n heterostructure with quantum wells(QWs)is prepared using the Sah−Noyce−Shockley(SNS)recombination mechanism to show the SNS recombination rate of the correction function of the distribution of QWs in the space charge region of diode configuration.A comparison of the model voltage−current characteristics(VCCs)with the experimental ones reveals their adequacy.The technological parameters of the structure of the VCC model are determined experimentally using a nondestructive capacitive approach for determining the impurity distribution profile in the active region of the diode structure with a profile depth resolution of up to 10Å.The correction function in the expression of the recombination rate shows the possibility of determining the derivative of the VCCs of structures with QWs with a nonideality factor of up to 4.
文摘By adding a suitable LC filter to the input of a Buck converter, a high-power-factor buck converter is proposed. The converter can operate in the discontinuous-output-current mode operation. A Buck converter in this operation mode features simple control as the constant duty cycle PWM used. The operation condition of the converter is studied. The validity of analysis is verified by Simulation and Experimental results.
文摘More than 1.9 million new colorectal cancer(CRC)cases and 935000 deaths were estimated to occur worldwide in 2020,representing about one in ten cancer cases and deaths.Overall,colorectal ranks third in incidence,but second in mortality.More than half of the patients are in advanced stages at diagnosis.Treatment options are complex because of the heterogeneity of the patient population,including different molecular subtypes.Treatments have included conventional fluorouracil-based chemotherapy,targeted therapy,immunotherapy,etc.In recent years,with the development of genetic testing technology,more and more targeted drugs have been applied to the treatment of CRC,which has further prolonged the survival of metastatic CRC patients.
基金supported by the Technology Project of the State Grid Corporation Headquarters Management(Contract No.5100-202158467A-0-0-00).
文摘Voltage source converter based high voltage direct current(VSC-HVDC)can participate in voltage regulation by flexible control to help maintain the voltage stability of the power grid.In order to quantitatively evaluate its influence on the voltage interaction between VSC-HVDC and line commutated converter based high voltage direct current(LCC-HVDC),this paper proposes a hybrid multi-infeed interaction factor(HMIIF)calculation method considering the voltage regulation control characteristics of VSC-HVDC.Firstly,for a hybrid multi-infeed high voltage direct current system,an additional equivalent operating admittance matrix is constructed to characterize HVDC equipment characteristics under small disturbance.Secondly,based on the characteristic curve between the reactive power and the voltage of a certain VSC-HVDC project,the additional equivalent operating admittance of VSC-HVDC is derived.The additional equivalent operating admittance matrix calculation method is proposed.Thirdly,the equivalent bus impedance matrix is obtained by modifying the alternating current(AC)system admittance matrix with the additional equivalent operating admittance matrix.On this basis,the HMIIF calculation method based on the equivalent bus impedance ratio is proposed.Finally,the effectiveness of the proposed method is verified in a hybrid dual-infeed high voltage direct current system constructed in Power Systems Computer Aided Design(PSCAD),and the influence of voltage regulation control on HMIIF is analyzed.
文摘AIM:To investigate human epidermal growth factor receptor 2(HER2) gene amplification and protein expression in Chinese patients with resectable gastric cancer and the association with clinicopathological characteristics and survival.METHODS:One hundred and ninety-seven gastric cancer patients who underwent curative surgery procedures were enrolled into this study.HER2 gene amplification and protein expression were examined using fluorescence in-situ hybridization(FISH) and immunohistochemistry(IHC) analysis on formalin-fixed paraffinembedded gastric cancer samples from all patients.For scoring,Hofmann's HER2 gastric cancer scoring system was adopted.All cases showing IHC3+ or FISH positiv-ity were defined as HER2 positive.Patient clinicopathological data and survival information were collected.Finally,χ 2 statistical analysis was performed to analyze the HER2 positivity rate amongst the subgroups with different clinicopathological characteristics including;gender,age,tumor location,Lauren classification,differentiation,TNM staging,depth of invasion,lymph node metastases and distant metastasis.The probability of survival for different subgroups with different clinicopathological characteristics was calculated using the Kaplan-Meier method and survival curves plotted using log rank inspection.RESULTS:According to Hofmann's HER2 gastric cancer scoring criteria,31 cases(15.74%) were identified as HER2 gene amplified and 19 cases(9.64%) were scored as strongly positive for HER2 membrane staining(3+),25 cases(12.69%) were moderately positive(2+) and 153 cases(77.66%) were HER2 negative(0/1+).The concordance rate between IHC and FISH analyses was 88.83%(175/197).Thirty-six cases were defined as positive for HER2 gene amplification and/or protein expression,with 24 of these cases being eligible for Herceptin treatment according to United States recommendations,and 29 of these cases eligible according to EU recommendations.Highly consistent results were detected between IHC3+,IHC0/1 and FISH(73.68% and 95.42%),but low consistency was observed between IHC2+ and FISH(40.00%).The positivity rates in intestinal type and well-differentiated gastric cancer were higher than those in diffuse/mixed type and poorly-differentiated gastric cancer respectively(28.57% vs 13.43%,P = 0.0103;37.25% vs 11.64%,P < 0.0001),but were not correlated with gender,age,tumor location or TNM stage,depth of invasion,lymph node metastases and distant metastasis.In poorly-differentiated gastric cancer patients,those without lymph node metastasis showed a higher HER2 positivity rate than those with lymph node metastasis(26.47% vs 7.14%,P = 0.0021).This association was not present in thosepatients with well-differentiated gastric cancer(28.57% vs 43.33%,P = 0.2832).Within our patient cohort,26 cases were lost to follow-up.The median survival time for the remaining 171 patients was 18 mo.The median survival times of the HER2 positive and negative groups were 17 and 18.5 mo respectively.Overall survival was not significantly different between HER2-positive and negative groups(χ 2 = 0.9157,P = 0.3386),but in patients presenting well-differentiated tumors,the overall survival of the HER2-positive group was significantly worse than that of the HER2-negative group(P = 0.0123).In contrast,patients with poorly differentiated and diffuse/mixed subtype gastric cancers showed no significant differences in overall survival associated with HER2.Furthermore,the median survival time of the HER2 positive group did not show any statistically significant differences when compared to the subgroups of gender,age,tumor location,TNM classification,lymph node metastases and distant metastasis.CONCLUSION:Patients with intestinal type gastric cancer(GC),well-differentiated GC and poorly-differentiated GC without lymph node metastasis,may all represent suitable candidates for targeted therapy using Herceptin.
基金This study was supported by grants from National Natural Science Foundation of China (No. 30772162).
文摘Aim: To investigate human epidermal growth factor receptor type 2 (HER2) protein expression and gene amplification in Chinese metastatic prostate cancer patients and their potential value as prognostic factors. Methods: Immunohistochemistry (IHC) was performed to investigate HER2 protein expression in prostate biopsy specimens from 104 Chinese metastatic prostate cancer patients. After 3-11 months of hormonal therapy, 12 patients underwent transurethral resection of the prostate (TURP). HER2 protein expression of TURP specimens was compared with that of the original biopsy specimens. Of these, 10 biopsy and 4 TURP specimens with HER2 IHC staining scores ≥ 2+ were investigated for HER2 gene amplification status by fluorescent in situ hybridization (FISH). Results: Of the 104 prostate biopsy specimens, HER2 protein expression was 0, 1+, 2+ and 3+ in 49 (47.1%), 45 (43.3%), 8 (7.7%) and 2 (1.9%) cases, respectively. There was a significant association between HER2 expression and Gleason score (P = 0.026). HER2 protein expression of prostate cancer tissues increased in 33.3% of patients after hormonal therapy. None of the 14 specimens with HER2 IHC scores 〉 2+ showed HER2 gene amplification. Patients with HER2 scores 〉 2+ had a significantly higher chance of dying from prostate cancer than those with HER2 scores of 0 (P = 0.004) and 1+ (P = 0.034). Multivariate Cox regression analysis showed that HER2 protein expression intensity was an independent predictor of cancer-related death (P = 0.039). Conclusion: An HER2 IHC score 〉 2+ should be defined as HER2 protein overexpression in prostate cancer. Overexpression of HER2 protein in cancer tissue might suggest an increased risk of dying from prostate cancer. HER2 protein expression increases in some individual patients after hormonal therapy.
文摘Background: Epidermal growth factor receptor(EGFR) mutation is the key predictor of EGFR tyrosine kinase inhibitors(TKIs) efficacy in non-small cell lung cancer(NSCLC). We conducted this study to verify the feasibility of EGFR mutation analysis in cytological specimens and investigate the responsiveness to gefitinib treatment in patients carrying EGFR mutations.Methods: A total of 210 cytological specimens were collected for EGFR mutation detection by both direct sequencing and amplification refractory mutation system(ARMS). We analyzed EGFR mutation status by both methods and evaluated the responsiveness to gefitinib treatment in patients harboring EGFR mutations by overall response rate(ORR), disease control rate(DCR) and progression free survival(PFS).Results: Of all patients, EGFR mutation rate was 28.6%(60/210) by direct sequencing and 45.2%(95/210) by ARMS(P〈0.001) respectively. Among the EGFR wild type patients tested by direct sequencing, 26.7% of them were positive by ARMS. For the 72 EGFR mutation positive patients treated with gefitinib, the ORR, DCR and median PFS were 69.4%, 90.2% and 9.3 months respectively. The patients whose EGFR mutation status was negative by direct sequencing but positive by ARMS had lower ORR(48.0% vs. 80.9%, P=0.004) and shorter median PFS(7.4 vs. 10.5 months, P=0.009) as compared with that of EGFR mutation positive patients by both detection methods. Conclusions: Our study verified the feasibility of EGFR analysis in cytological specimens in advanced NSCLC. ARMS is more sensitive than direct sequencing in EGFR mutation detection. EGFR Mutation status tested on cytological samples is applicable for predicting the response to gefitinib. Abundance of EGFR mutations might have an influence on TKIs efficacy.