AIM: To investigate oxaliplatin-induced severe anaphylactic reactions (SAR) in metastatic colorectal cancer in a retrospective case series analysis and to conduct a systemic literature review. METHODS: During a 6-year...AIM: To investigate oxaliplatin-induced severe anaphylactic reactions (SAR) in metastatic colorectal cancer in a retrospective case series analysis and to conduct a systemic literature review. METHODS: During a 6-year period from 2006 to 2011 at Kaohsiung Veterans General Hospital, a total of 412 patients exposed to oxaliplatin-related chemotherapy were retrospectively reviewed. Relevant Englishlanguage studies regarding life-threatening SAR following oxaliplatin were also reviewed in MEDLINE and PubMed search. RESULTS: Eight patients (1.9%, 8 of 412 cases) were identified. Seven patients were successful resuscitated without any sequelae and one patient expired. We changed the chemotherapy regimen in five patients and rechallenged oxaliplatin use in patient 3. Twenty-three relevant English-language studies with 66 patients were reported. Patients received a median of 10 cycles of oxaliplatin (range, 2 to 29). Most common symptoms were respiratory distress (60%), fever (55%), and hypotension (54%). Three fatal events were reported (4.5%). Eleven patients (16%) of the 66 cases were rechallenged by oxaliplatin. CONCLUSION: SAR must be considered in patients receiving oxaliplatin-related chemotherapy, especially in heavily pretreated patients. Further studies on the mechanism, predictors, preventive methods and management of oxaliplatin-related SAR are recommended.展开更多
One of the main challenges in the design and operation of catalytic reactors for reactions with multiple paths/steps is the occurrence of undesirable reactions and products. In these cases, two main factors need to be...One of the main challenges in the design and operation of catalytic reactors for reactions with multiple paths/steps is the occurrence of undesirable reactions and products. In these cases, two main factors need to be considered in the reactor performance: the “conversion” of the feed and the “selectivity” of the process, which is the conversion split between the desired and the undesired products. In this work, a comprehensive model is developed and used to assess the impact of pore-size distribution (PSD) on both conversion and selectivity in series catalytic reactions. In particular, the evaluation considers the effects of various combinations of micro- and macro-porosity, the potential advantages of radial variation of the porosity in the catalyst pellets, and the effect of pellet size. Results show that, for series reactions, when the formation of the desired product is followed by an undesirable degradation reaction, higher porosity in pellets, particularly in the micro-range, gives higher overall conversion, but lowers selectivity towards the formation of the desired product. Selectivity in these pellets can be improved by using a non-uniform PSD that provides a radial gradient of effective diffusivity in pellets increasing from the center to the outer pellet surface. The pellet size also has a significant effect, and larger pellets show lower selectivity in most cases. In general, conversion and selectivity trends move in opposite directions with changes in PSD and the pore structural properties of pellets. Therefore, finding the optimum design of pellets is an optimization process that requires process modeling. Consequently, selecting the best catalyst properties involves optimization, and the needed tool is a comprehensive mathematical model that takes into account the details of mass transport and reaction kinetics in the catalyst pellets. Our primary objective has been the development of a flexible mathematical model that would be applicable to a wide range of conditions and can be used as a design tool and an optimization platform.展开更多
The estimation of chemical particles reactivity and the determination of chemical reactions direction are the actual theme in new scientific trend-Chemical Mesoscopics.Paper includes the proposal about the using the t...The estimation of chemical particles reactivity and the determination of chemical reactions direction are the actual theme in new scientific trend-Chemical Mesoscopics.Paper includes the proposal about the using the theory of free energy linear dependence from physical organic chemistry and their applications for prognosis of reactions flowing.The semi-empiric constants is given according to mesoscopic physics definitions as well as the transformed Kolmogorov-Avrami equation is discussed.It is the development of Chemical Mesoscopics for organic reactivity estimation including nanostructures reactivity.展开更多
文摘AIM: To investigate oxaliplatin-induced severe anaphylactic reactions (SAR) in metastatic colorectal cancer in a retrospective case series analysis and to conduct a systemic literature review. METHODS: During a 6-year period from 2006 to 2011 at Kaohsiung Veterans General Hospital, a total of 412 patients exposed to oxaliplatin-related chemotherapy were retrospectively reviewed. Relevant Englishlanguage studies regarding life-threatening SAR following oxaliplatin were also reviewed in MEDLINE and PubMed search. RESULTS: Eight patients (1.9%, 8 of 412 cases) were identified. Seven patients were successful resuscitated without any sequelae and one patient expired. We changed the chemotherapy regimen in five patients and rechallenged oxaliplatin use in patient 3. Twenty-three relevant English-language studies with 66 patients were reported. Patients received a median of 10 cycles of oxaliplatin (range, 2 to 29). Most common symptoms were respiratory distress (60%), fever (55%), and hypotension (54%). Three fatal events were reported (4.5%). Eleven patients (16%) of the 66 cases were rechallenged by oxaliplatin. CONCLUSION: SAR must be considered in patients receiving oxaliplatin-related chemotherapy, especially in heavily pretreated patients. Further studies on the mechanism, predictors, preventive methods and management of oxaliplatin-related SAR are recommended.
文摘One of the main challenges in the design and operation of catalytic reactors for reactions with multiple paths/steps is the occurrence of undesirable reactions and products. In these cases, two main factors need to be considered in the reactor performance: the “conversion” of the feed and the “selectivity” of the process, which is the conversion split between the desired and the undesired products. In this work, a comprehensive model is developed and used to assess the impact of pore-size distribution (PSD) on both conversion and selectivity in series catalytic reactions. In particular, the evaluation considers the effects of various combinations of micro- and macro-porosity, the potential advantages of radial variation of the porosity in the catalyst pellets, and the effect of pellet size. Results show that, for series reactions, when the formation of the desired product is followed by an undesirable degradation reaction, higher porosity in pellets, particularly in the micro-range, gives higher overall conversion, but lowers selectivity towards the formation of the desired product. Selectivity in these pellets can be improved by using a non-uniform PSD that provides a radial gradient of effective diffusivity in pellets increasing from the center to the outer pellet surface. The pellet size also has a significant effect, and larger pellets show lower selectivity in most cases. In general, conversion and selectivity trends move in opposite directions with changes in PSD and the pore structural properties of pellets. Therefore, finding the optimum design of pellets is an optimization process that requires process modeling. Consequently, selecting the best catalyst properties involves optimization, and the needed tool is a comprehensive mathematical model that takes into account the details of mass transport and reaction kinetics in the catalyst pellets. Our primary objective has been the development of a flexible mathematical model that would be applicable to a wide range of conditions and can be used as a design tool and an optimization platform.
文摘The estimation of chemical particles reactivity and the determination of chemical reactions direction are the actual theme in new scientific trend-Chemical Mesoscopics.Paper includes the proposal about the using the theory of free energy linear dependence from physical organic chemistry and their applications for prognosis of reactions flowing.The semi-empiric constants is given according to mesoscopic physics definitions as well as the transformed Kolmogorov-Avrami equation is discussed.It is the development of Chemical Mesoscopics for organic reactivity estimation including nanostructures reactivity.
