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维奈克拉方案治疗复发/难治性急性髓系白血病的临床研究 被引量:5
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作者 雷芳 费小明 +3 位作者 杨元林 季艳萍 余先球 汤郁 《中国肿瘤临床》 CAS CSCD 北大核心 2024年第7期348-353,共6页
目的:评价维奈克拉(venetoclax,VEN)快速剂量递增、最长治疗时间为14天,联合低剂量阿糖胞苷(low-dose cytarabine,LDAC)方案挽救治疗复发/难治性急性髓系白血病(relapsed/refractory acute myeloid leukemia,R/RAML)的安全性和有效性。... 目的:评价维奈克拉(venetoclax,VEN)快速剂量递增、最长治疗时间为14天,联合低剂量阿糖胞苷(low-dose cytarabine,LDAC)方案挽救治疗复发/难治性急性髓系白血病(relapsed/refractory acute myeloid leukemia,R/RAML)的安全性和有效性。方法:回顾性分析2018年10月至2023年11月于江苏大学附属医院接受VEN+LDAC方案挽救治疗的16例R/R AML患者,所有患者既往均未接受过含VEN方案治疗。该方案VEN的剂量第1天为200 mg,其后均为400 mg固定剂量;LDAC 20 mg/m^(2)/d皮下注射。患者在治疗第8天复查骨髓,根据骨髓增生情况决定总疗程为10天还是14天。所有患者均不给予VEN单药治疗。有治疗反应的患者采用相同方案维持直到疾病进展或移植。结果:本研究纳入的R/R AML患者,中位随诊时间为27.5个月。治疗期间未发生有临床表现的肿瘤溶解综合症(tumor lysis syndrome,TLS)。治疗后总反应率(overall response rate,ORR)为68.75%,其中4例达完全缓解(complete response,CR),1例达血液学未恢复的完全缓解(CR with incomplete hematologic recovery,CRi),6例达部分缓解(partial response,PR)。达最佳疗效的治疗周期中位数为1个周期。中位总生存期(overall survival,OS)为5.8(0.5~47.2)个月,中位无进展生存期(progression-free survival,PFS)为22.2(7.3~42.9)个月。发生的不良反应主要为3~4级的血液学不良事件和感染。结论:本研究根据治疗第8天骨髓复查结果调整用药天数的VEN+LDAC方案,对于既往没有接受过含VEN方案治疗的R/R AML患者有较好的安全性和有效率。即使14天的VEN+LDAC治疗也是安全的。 展开更多
关键词 维奈克拉 低剂量 阿糖胞苷 复发/难治性急性髓系白血病
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High sensitivity SPR sensor for liquid phase sample with Ag/PbS/Graphene hybrid nanostructure 被引量:2
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作者 Kexiu Dong yanping ji +4 位作者 jiajia Mi Xiaotong Zhao Bin Wu Wangxia Huang jianping Shi 《光电工程》 CAS CSCD 北大核心 2017年第2期198-201,共4页
A surface plasmon resonance(SPR)sensor with Ag/PbS/GR hybrid nanostructure has been proposed for the diagnostics of liquid phase samples.Here Ag/PbS/GR hybrid nanostructure is designed as an asymmetric MIM waveguide f... A surface plasmon resonance(SPR)sensor with Ag/PbS/GR hybrid nanostructure has been proposed for the diagnostics of liquid phase samples.Here Ag/PbS/GR hybrid nanostructure is designed as an asymmetric MIM waveguide for surface plasmon.Due to the guided wave SPR(GWSPR)modes,the index of the liquid phase samples can be measured more accurately than the conventional SPR sensors.Numerical simulation results show that the sensitivity of the sensor is about 5 times higher than the conventional SPR sensors.The origin of the enhancement mechanism is the combination of GWSPR in the Ag/PbS/GR hybrid nanostructure which enables the surface plasmon to spread along the PbS layer.In Ag/PbS/GR hybrid nanostructure,the electric field is concentrated mostly in the PbS layer,and the enhancement of the field intensity is nearly30%. 展开更多
关键词 surface plasmon resonance surface plasmon waveguide SPR sensor sensitivity
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Effects of eggshell addition on calcium-deficient acid soils contaminated with heavy metals 被引量:1
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作者 Weiqi Luo yanping ji +6 位作者 Lu Qu Zhi Dang Yingying Xie Chengfang Yang Xueqin Tao jianmin Zhou Guining Lu 《Frontiers of Environmental Science & Engineering》 SCIE EI CAS CSCD 2018年第3期69-78,共10页
In this study, effects of water conditions (flooded, wet, or dry) and eggshell dosages (0, 0.1, 1.0, and 10.0 g/kg soil, respectively) on pH variation, content of unavailable state of heavy metals, form of heavy m... In this study, effects of water conditions (flooded, wet, or dry) and eggshell dosages (0, 0.1, 1.0, and 10.0 g/kg soil, respectively) on pH variation, content of unavailable state of heavy metals, form of heavy metals, and available nutritious element calcium (Ca) in acid soils contaminated with heavy metals were investigated, respectively. The soil samples were continuously cultivated indoors and analyzed by toxicity characteristic leaching procedure and community bureau of reference (BCR) sequential extraction procedure. The results showed that the addition of eggshell could effectively improve the pH of acid soil and increase it to neutral level. Moreover, the contents of unavailable state of heavy metals Cu, Zn, and Cd increased significantly. Furthermore, when the soil was cultivated under the flooded condition with 1.0 g/kg eggshell, the unavailable state ofCu, Zn, and Cd increased the most, and these heavy metals were transformed into residual state. On the other hand, the amount of available state of Ca increased to 432.19 from 73.34 mg/kg with the addition of 1.0 g/kg eggshell, which indicated that the addition of eggshell dramatically improved the available state of Ca. Therefore, eggshell could ameliorate the soil environment as it led to the decrease of available heavy metals and improvement of fertilization effectively. In a word, this study indicates that the addition of eggshell would be a new potential method for remediation of acid field soils contaminated with heavy metals. 展开更多
关键词 Heavy metals Eggshell Acid soil remediation BCR sequential extraction
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