Pancreatic cancer is a highly lethal malignancy characterized by rapid progression and increasing global incidence and mortality rates.Although surgery remains the only potentially curative treatment,most patients are...Pancreatic cancer is a highly lethal malignancy characterized by rapid progression and increasing global incidence and mortality rates.Although surgery remains the only potentially curative treatment,most patients are ineligible for surgical intervention at diagnosis.For those with unresectable pancreatic cancer,palliative therapies such as radiotherapy and systemic treatments are the primary options.In recent decades,interventional therapies have emerged as promising alternatives in the treatment landscape of pancreatic cancer,including transcatheter arterial infusion,ablation techniques,stent placement,and brachytherapy.Thesemethods are recognized for their effectiveness in improving both survival outcomes and patients'quality of life.This review explores the historical development,current applications,and future potential of interventional therapies for pancreatic cancer.展开更多
BACKGROUND Gastric signet ring cell carcinoma(GSRC)is a distinctive type of gastric cancer.It is a mucus-secreting adenocarcinoma that may progress to distant metastasis at an early stage.Because of poor differentiati...BACKGROUND Gastric signet ring cell carcinoma(GSRC)is a distinctive type of gastric cancer.It is a mucus-secreting adenocarcinoma that may progress to distant metastasis at an early stage.Because of poor differentiation,aggressive invasion,rapid progre-ssion,and other high-risk characteristics,early surgical intervention should be prioritized.AIM To explore the clinical efficacy of fluorouracil(5-FU)combined with paclitaxel and oxaliplatin for the treatment of advanced GSRC.METHODS A total of 85 patients with advanced GSRC were selected between January 2020 and June 2021 and randomly divided into a control group(n=42,receiving standard chemotherapy)and a treatment group(n=43,receiving monotherapy with oxaliplatin,5-FU,and paclitaxel).Patients in the treatment group received a 135 mg/m2 infusion of paclitaxel for 3 hours,a 400 mg/m2 infusion of calcium folate(or 200 mg/m2 of levocalcium folate)for 2 hours,and an 85 mg/m2 infusion of oxaliplatin for 2 hours.This was followed by a continuous intravenous infusion of 2200-2400 mg/m25-FU for 46 hours using a portable pump.RESULTS The treatment group showed a median survival time of 11.7 months and an objective response rate(ORR)of 32.5%,significantly higher than the control group(P<0.05).Serum carcinoembryonic antigen(CEA),carbohydrate antigen 19-9(CA19-9),and albumin levels were correlated with treatment effectiveness in advanced GSRC(P<0.01),but total serum protein was not correlated(P>0.05).Safety and survival were assessed in all patients.Short-term efficacy was evaluated in 66 patients,with a disease control rate of 89.4%and an ORR of 48.5%.Median progression-free survival was 7.0 months(95%confidence interval[CI]:6.85-7.15),and median overall survival was 10.6 months(95%CI:9.86-11.3).Primary grade III/IV adverse events included neutropenia(22.1%)and peripheral neurotoxicity(10.3%).CONCLUSION This treatment regimen is more effective for patients with advanced GSRC.Serum levels of CEA,CA19-9,and albumin predicted chemotherapy efficacy,while total protein concentration correlated minimally and insigni-ficantly.展开更多
To address the global energy shortage,hydrogen production as a green energy source has become one of the most prominent research topics over the past decade.Novel and promising ferroelectric materials,exhibiting uniqu...To address the global energy shortage,hydrogen production as a green energy source has become one of the most prominent research topics over the past decade.Novel and promising ferroelectric materials,exhibiting unique spontaneous polarization capabilities,have shown great potential in the field of photocatalytic hydrogen evolution.Among these materials,perovskites represent a significant group of ferroelectrics,possessing both excellent ferroelectric properties and photocatalytic performance.By focusing on perovskites,we analyze the advantages of their built-in electric field for photocatalytic hydrogen evolution,integrating the domain wall structures of ferroelectrics.Furthermore,we summarize how to fully exploit the unique characteristics of ferroelectrics and highlight recent advancements in their application to photocatalytic hydrogen evolution.展开更多
Low-frequency structural vibrations caused by poor rigidity are one of the main obstacles limiting the machining efficiency of robotic milling.Existing vibration suppression strategies primarily focus on passive vibra...Low-frequency structural vibrations caused by poor rigidity are one of the main obstacles limiting the machining efficiency of robotic milling.Existing vibration suppression strategies primarily focus on passive vibration absorption at the robotic end and feedback control at the joint motor.Although these strategies have a certain vibration suppression effect,the limitations of robotic flexibility and the extremely limited applicable speed range remain to be overcome.In this study,a Magnetorheological Joint Damper(MRJD)is developed.The joint-mounted feature ensures machining flexibility of the robot,and the millisecond response time of the Magnetorheological Fluid(MRF)ensures a large effective spindle speed range.More importantly,the evolution law of the damping performance of MRJD was revealed based on a low-frequency chatter mechanism,which guarantees the application of MRJD in robotic milling machining.To analyze the influence of the robotic joint angle on the suppression effect of the MRJD,the joint braking coefficient and end braking coefficient were proposed.Parallel coordinate plots were used to visualize the joint range with the optimal vibration suppression effect.Finally,a combination of different postures and cutting parameters was used to verify the vibration suppression effect and feasibility of the joint angle optimization.The experimental results show that the MRJD,which directly improves the joint vibration resistance,can effectively suppress the low-frequency vibration of robotic milling under a variety of cutting conditions.展开更多
基金supported by National Natural Science Foundation of China(No.82130060)Jiangsu Provincial Basic Research Program Natural Science Foundation-Frontier Leading Technology Basic Research Project(No.BK20232008)Jiangsu Provincial Special ProgramofMedical Science(No.BE2022855).
文摘Pancreatic cancer is a highly lethal malignancy characterized by rapid progression and increasing global incidence and mortality rates.Although surgery remains the only potentially curative treatment,most patients are ineligible for surgical intervention at diagnosis.For those with unresectable pancreatic cancer,palliative therapies such as radiotherapy and systemic treatments are the primary options.In recent decades,interventional therapies have emerged as promising alternatives in the treatment landscape of pancreatic cancer,including transcatheter arterial infusion,ablation techniques,stent placement,and brachytherapy.Thesemethods are recognized for their effectiveness in improving both survival outcomes and patients'quality of life.This review explores the historical development,current applications,and future potential of interventional therapies for pancreatic cancer.
文摘BACKGROUND Gastric signet ring cell carcinoma(GSRC)is a distinctive type of gastric cancer.It is a mucus-secreting adenocarcinoma that may progress to distant metastasis at an early stage.Because of poor differentiation,aggressive invasion,rapid progre-ssion,and other high-risk characteristics,early surgical intervention should be prioritized.AIM To explore the clinical efficacy of fluorouracil(5-FU)combined with paclitaxel and oxaliplatin for the treatment of advanced GSRC.METHODS A total of 85 patients with advanced GSRC were selected between January 2020 and June 2021 and randomly divided into a control group(n=42,receiving standard chemotherapy)and a treatment group(n=43,receiving monotherapy with oxaliplatin,5-FU,and paclitaxel).Patients in the treatment group received a 135 mg/m2 infusion of paclitaxel for 3 hours,a 400 mg/m2 infusion of calcium folate(or 200 mg/m2 of levocalcium folate)for 2 hours,and an 85 mg/m2 infusion of oxaliplatin for 2 hours.This was followed by a continuous intravenous infusion of 2200-2400 mg/m25-FU for 46 hours using a portable pump.RESULTS The treatment group showed a median survival time of 11.7 months and an objective response rate(ORR)of 32.5%,significantly higher than the control group(P<0.05).Serum carcinoembryonic antigen(CEA),carbohydrate antigen 19-9(CA19-9),and albumin levels were correlated with treatment effectiveness in advanced GSRC(P<0.01),but total serum protein was not correlated(P>0.05).Safety and survival were assessed in all patients.Short-term efficacy was evaluated in 66 patients,with a disease control rate of 89.4%and an ORR of 48.5%.Median progression-free survival was 7.0 months(95%confidence interval[CI]:6.85-7.15),and median overall survival was 10.6 months(95%CI:9.86-11.3).Primary grade III/IV adverse events included neutropenia(22.1%)and peripheral neurotoxicity(10.3%).CONCLUSION This treatment regimen is more effective for patients with advanced GSRC.Serum levels of CEA,CA19-9,and albumin predicted chemotherapy efficacy,while total protein concentration correlated minimally and insigni-ficantly.
基金supports from the Scientific Research Foundation of Hunan Provincial Education Department(21A0188,24C0149)the National Natural Science Foundation of China(52400202)+3 种基金Engineering and Technical Center Open Fund of Hunan Provincial Environmental Protection for River-Lake Dredging Pollution Control(EPD202104)Natural Science Foundation of Hunan Province(2023JJ40028,2024JJ6058)Natural Science Foundation of Changsha City(kq2208232)Natural Science Foundation of Hunan Province(2023JJ40033).
文摘To address the global energy shortage,hydrogen production as a green energy source has become one of the most prominent research topics over the past decade.Novel and promising ferroelectric materials,exhibiting unique spontaneous polarization capabilities,have shown great potential in the field of photocatalytic hydrogen evolution.Among these materials,perovskites represent a significant group of ferroelectrics,possessing both excellent ferroelectric properties and photocatalytic performance.By focusing on perovskites,we analyze the advantages of their built-in electric field for photocatalytic hydrogen evolution,integrating the domain wall structures of ferroelectrics.Furthermore,we summarize how to fully exploit the unique characteristics of ferroelectrics and highlight recent advancements in their application to photocatalytic hydrogen evolution.
基金supported by the National Natural Science Foundation of China(No.U20A20294)the National Natural Science Foundation of China(No.52322511)the National Natural Science Foundation of China(No.52188102).
文摘Low-frequency structural vibrations caused by poor rigidity are one of the main obstacles limiting the machining efficiency of robotic milling.Existing vibration suppression strategies primarily focus on passive vibration absorption at the robotic end and feedback control at the joint motor.Although these strategies have a certain vibration suppression effect,the limitations of robotic flexibility and the extremely limited applicable speed range remain to be overcome.In this study,a Magnetorheological Joint Damper(MRJD)is developed.The joint-mounted feature ensures machining flexibility of the robot,and the millisecond response time of the Magnetorheological Fluid(MRF)ensures a large effective spindle speed range.More importantly,the evolution law of the damping performance of MRJD was revealed based on a low-frequency chatter mechanism,which guarantees the application of MRJD in robotic milling machining.To analyze the influence of the robotic joint angle on the suppression effect of the MRJD,the joint braking coefficient and end braking coefficient were proposed.Parallel coordinate plots were used to visualize the joint range with the optimal vibration suppression effect.Finally,a combination of different postures and cutting parameters was used to verify the vibration suppression effect and feasibility of the joint angle optimization.The experimental results show that the MRJD,which directly improves the joint vibration resistance,can effectively suppress the low-frequency vibration of robotic milling under a variety of cutting conditions.
