BACKGROUND Endoscopic submucosal dissection(ESD)and surgical resection are the standard of care for cT1N0M0 esophageal cancer(EC),whereas definitive chemoradiotherapy(d-CRT)is a treatment option.Nevertheless,the compa...BACKGROUND Endoscopic submucosal dissection(ESD)and surgical resection are the standard of care for cT1N0M0 esophageal cancer(EC),whereas definitive chemoradiotherapy(d-CRT)is a treatment option.Nevertheless,the comparative efficiency and safety of ESD,surgery and d-CRT for cT1N0M0 EC remain unclear.AIM To compare the efficiency and safety of ESD,surgery and d-CRT for cT1N0M0 EC.METHODS We retrospectively analyzed the hospitalized data of a total of 472 consecutive patients with cT1N0M0 EC treated at Sun Yat-sen University Cancer center between 2017-2019 and followed up until October 30th,2022.We analyzed demographic,medical recorded,histopathologic characteristics,imaging and endoscopic,and follow-up data.The Kaplan-Meier method and Cox proportional hazards modeling were used to analyze the difference of survival outcome by treatments.Inverse probability of treatment weighting(IPTW)was used to minimize potential confounding factors.RESULTS We retrospectively analyzed patients who underwent ESD(n=99)or surgery(n=220)or d-CRT(n=16)at the Sun Yat-sen University Cancer Center from 2017 to 2019.The median follow-up time for the ESD group,the surgery group,and the d-CRT group was 42.0 mo(95%CI:35.0-60.2),45.0 mo(95%CI:34.0-61.75)and 32.5 mo(95%CI:28.3-40.0),respectively.After adjusting for background factors using IPTW,the highest 3-year overall survival(OS)rate and 3-year recurrence-free survival(RFS)rate were observed in the ESD group(3-year OS:99.7% and 94.7% and 79.1%;and 3-year RFS:98.3%,87.4% and 79.1%,in the ESD,surgical,and d-CRT groups,respectively).There was no difference of severe complications occurring between the three groups(P≥0.05).Multivariate analysis showed that treatment method,histology and depth of infiltration were independently associated with OS and RFS.CONCLUSION For cT1N0M0 EC,ESD had better long-term survival and lower hospitalization costs than those who underwent d-CRT and surgery,with a similar rate of severe complications occurring.展开更多
研究了不同烧结温度及恒温保持时间对富锂锰基正极材料Li1＋x[Ni0.35Mn0.65]O2＋y形貌、结构及电化学性能的影响。XRD及SEM研究结果表明：所合成的Li1＋x[Ni0.35Mn0.65]O2＋y正极材料为层状α-NaFeO2结构,类球形,单颗粒大小均匀。扣式...研究了不同烧结温度及恒温保持时间对富锂锰基正极材料Li1＋x[Ni0.35Mn0.65]O2＋y形貌、结构及电化学性能的影响。XRD及SEM研究结果表明：所合成的Li1＋x[Ni0.35Mn0.65]O2＋y正极材料为层状α-NaFeO2结构,类球形,单颗粒大小均匀。扣式电池测试结果表明：当电流密度为12.5 m A/g,测试电压在2.04.8 V时,Li1＋x[Ni0.35Mn0.65]O2＋y材料最高初始放电比容量为213.3 m A·h/g,首次放电效率为71.0%。扣电进行EIS测试,结果表明材料具有较小的电荷转移阻抗。展开更多
用密度泛函理论(Density Function Theory,DFT)的杂化密度泛函B3LYP方法在6-311+g基组水平上对MgxNiy(x=1,2;y=1～5)团簇各种可能的构型进行几何结构优化,预测了各团簇的基态结构,并对其振动频率、光谱和极化率等性质进行了理论研究.研...用密度泛函理论(Density Function Theory,DFT)的杂化密度泛函B3LYP方法在6-311+g基组水平上对MgxNiy(x=1,2;y=1～5)团簇各种可能的构型进行几何结构优化,预测了各团簇的基态结构,并对其振动频率、光谱和极化率等性质进行了理论研究.研究结果表明:MgNiy和Mg2Niy团簇的稳定结构可在相应的MgNiy-1和Mg2Niy-1团簇的基础上加一个Ni原子得到;从光学性质分析,在MgNiy(y=1～5)团簇中,原子间的成键相互作用随y的增加而加强,MgNi2团簇的电子结构相对不稳定;在Mg2Niy(y=1～5)团簇中,电子结构随y的增加而越来越稳定,即结构更加紧凑,Mg2Ni2团簇中原子间的成键相互作用较弱.展开更多
Since 2012, the MOOCs, the massive open online courses, have brought big influences on the higher education in the world. How to use MOOCs to help universities rather than bother them to improve their education level ...Since 2012, the MOOCs, the massive open online courses, have brought big influences on the higher education in the world. How to use MOOCs to help universities rather than bother them to improve their education level and quality becomes an important issue. In China, many universities have explored the new modes and approaches for MOOC/SPOC-based teaching and learning. Especially, the China MOOC Association on Computing Education(CMOOC association), established in 2014, has done a set of successful practice and achieved fruitful experiences on MOOC courses development and computer education reform. Based on the practical experiences, a MOOC/SPOC based "1+M+N" multi-university collaborative teaching and learning mode is presented, which is adapted to the real situation of Chinese university education. In the paper, the practices and experiences of CMOOC association are introduced, the MOOC/SPOC based "1+M+N" multi-university collaborative teaching and learning mode and its approaches are described. Finally, the suggestions for MOOCs development and applications are also presented.展开更多
采用溶胶-凝胶法制备低钴三元正极材料Li NiXCoYMn1-X-YO2(X=0.2,0.3,0.4,0.5,0.6;Y=0.1,0.2),通过X射线衍射(XRD)、扫描电镜(SEM)和电化学性能测试对样品的结构和性能进行了表征。结果表明,Li Ni0.4Co0.2Mn0.4O2层状结构良好,颗粒粒径...采用溶胶-凝胶法制备低钴三元正极材料Li NiXCoYMn1-X-YO2(X=0.2,0.3,0.4,0.5,0.6;Y=0.1,0.2),通过X射线衍射(XRD)、扫描电镜(SEM)和电化学性能测试对样品的结构和性能进行了表征。结果表明,Li Ni0.4Co0.2Mn0.4O2层状结构良好,颗粒粒径较小且分布均匀,该样品具有最好的电化学性能,首次放电比容量可达146.2 m Ah/g,循环20次后放电比容量可达111.7 m Ah/g。展开更多
Two series of perovskite-type oxides with composition (La_(1-x))Sr_xFeO_3(x≤0.8)and La_(1-x)Sr_xFe_(1-y)Co_yO_3(x=0.2; y=0.2, 0.4)powder productions were synthesized by EDTA complexing sol-gel method. The products we...Two series of perovskite-type oxides with composition (La_(1-x))Sr_xFeO_3(x≤0.8)and La_(1-x)Sr_xFe_(1-y)Co_yO_3(x=0.2; y=0.2, 0.4)powder productions were synthesized by EDTA complexing sol-gel method. The products were characterized by XRD, TEM, SEM, BET method(N_2 adsorption)and laser granularity analysis for different synthesis conditions to obtain the optimum conditions for the preparation process. Single-phased, uniform perovskite-type oxides with small particle size were obtained by EDTA sol-gel process with high stability and repeatability, and the process temperature is much lower than that of solid state reaction method.展开更多
基金Supported by the Guangdong Esophageal Cancer Institute Science and Technology Program,No.M202013Guangdong Medical Research Foundation,No.A2021369.
文摘BACKGROUND Endoscopic submucosal dissection(ESD)and surgical resection are the standard of care for cT1N0M0 esophageal cancer(EC),whereas definitive chemoradiotherapy(d-CRT)is a treatment option.Nevertheless,the comparative efficiency and safety of ESD,surgery and d-CRT for cT1N0M0 EC remain unclear.AIM To compare the efficiency and safety of ESD,surgery and d-CRT for cT1N0M0 EC.METHODS We retrospectively analyzed the hospitalized data of a total of 472 consecutive patients with cT1N0M0 EC treated at Sun Yat-sen University Cancer center between 2017-2019 and followed up until October 30th,2022.We analyzed demographic,medical recorded,histopathologic characteristics,imaging and endoscopic,and follow-up data.The Kaplan-Meier method and Cox proportional hazards modeling were used to analyze the difference of survival outcome by treatments.Inverse probability of treatment weighting(IPTW)was used to minimize potential confounding factors.RESULTS We retrospectively analyzed patients who underwent ESD(n=99)or surgery(n=220)or d-CRT(n=16)at the Sun Yat-sen University Cancer Center from 2017 to 2019.The median follow-up time for the ESD group,the surgery group,and the d-CRT group was 42.0 mo(95%CI:35.0-60.2),45.0 mo(95%CI:34.0-61.75)and 32.5 mo(95%CI:28.3-40.0),respectively.After adjusting for background factors using IPTW,the highest 3-year overall survival(OS)rate and 3-year recurrence-free survival(RFS)rate were observed in the ESD group(3-year OS:99.7% and 94.7% and 79.1%;and 3-year RFS:98.3%,87.4% and 79.1%,in the ESD,surgical,and d-CRT groups,respectively).There was no difference of severe complications occurring between the three groups(P≥0.05).Multivariate analysis showed that treatment method,histology and depth of infiltration were independently associated with OS and RFS.CONCLUSION For cT1N0M0 EC,ESD had better long-term survival and lower hospitalization costs than those who underwent d-CRT and surgery,with a similar rate of severe complications occurring.
文摘研究了不同烧结温度及恒温保持时间对富锂锰基正极材料Li1＋x[Ni0.35Mn0.65]O2＋y形貌、结构及电化学性能的影响。XRD及SEM研究结果表明：所合成的Li1＋x[Ni0.35Mn0.65]O2＋y正极材料为层状α-NaFeO2结构,类球形,单颗粒大小均匀。扣式电池测试结果表明：当电流密度为12.5 m A/g,测试电压在2.04.8 V时,Li1＋x[Ni0.35Mn0.65]O2＋y材料最高初始放电比容量为213.3 m A·h/g,首次放电效率为71.0%。扣电进行EIS测试,结果表明材料具有较小的电荷转移阻抗。
文摘用密度泛函理论(Density Function Theory,DFT)的杂化密度泛函B3LYP方法在6-311+g基组水平上对MgxNiy(x=1,2;y=1～5)团簇各种可能的构型进行几何结构优化,预测了各团簇的基态结构,并对其振动频率、光谱和极化率等性质进行了理论研究.研究结果表明:MgNiy和Mg2Niy团簇的稳定结构可在相应的MgNiy-1和Mg2Niy-1团簇的基础上加一个Ni原子得到;从光学性质分析,在MgNiy(y=1～5)团簇中,原子间的成键相互作用随y的增加而加强,MgNi2团簇的电子结构相对不稳定;在Mg2Niy(y=1～5)团簇中,电子结构随y的增加而越来越稳定,即结构更加紧凑,Mg2Ni2团簇中原子间的成键相互作用较弱.
基金higher education department of the Ministry of Education“Exploration and application and promotion of the teaching model of higher education based on MOOC”research and practice project2016 Shandong province undergraduate universities teaching reform research project:Exploration and practice of teaching reform and innovation mode of higher education based on MOOC(No.B2016Z018),Research and application of blended teaching mode based on MOOC+SPOCs+flipped classroom(No.B2016Z020)
文摘Since 2012, the MOOCs, the massive open online courses, have brought big influences on the higher education in the world. How to use MOOCs to help universities rather than bother them to improve their education level and quality becomes an important issue. In China, many universities have explored the new modes and approaches for MOOC/SPOC-based teaching and learning. Especially, the China MOOC Association on Computing Education(CMOOC association), established in 2014, has done a set of successful practice and achieved fruitful experiences on MOOC courses development and computer education reform. Based on the practical experiences, a MOOC/SPOC based "1+M+N" multi-university collaborative teaching and learning mode is presented, which is adapted to the real situation of Chinese university education. In the paper, the practices and experiences of CMOOC association are introduced, the MOOC/SPOC based "1+M+N" multi-university collaborative teaching and learning mode and its approaches are described. Finally, the suggestions for MOOCs development and applications are also presented.
文摘采用溶胶-凝胶法制备低钴三元正极材料Li NiXCoYMn1-X-YO2(X=0.2,0.3,0.4,0.5,0.6;Y=0.1,0.2),通过X射线衍射(XRD)、扫描电镜(SEM)和电化学性能测试对样品的结构和性能进行了表征。结果表明,Li Ni0.4Co0.2Mn0.4O2层状结构良好,颗粒粒径较小且分布均匀,该样品具有最好的电化学性能,首次放电比容量可达146.2 m Ah/g,循环20次后放电比容量可达111.7 m Ah/g。
文摘Two series of perovskite-type oxides with composition (La_(1-x))Sr_xFeO_3(x≤0.8)and La_(1-x)Sr_xFe_(1-y)Co_yO_3(x=0.2; y=0.2, 0.4)powder productions were synthesized by EDTA complexing sol-gel method. The products were characterized by XRD, TEM, SEM, BET method(N_2 adsorption)and laser granularity analysis for different synthesis conditions to obtain the optimum conditions for the preparation process. Single-phased, uniform perovskite-type oxides with small particle size were obtained by EDTA sol-gel process with high stability and repeatability, and the process temperature is much lower than that of solid state reaction method.
