The purpose of this study is to verify the physiological effect and describe the intensity of training in response to internal and external loads,through Session Rate of Perceived Exertion and Speed High Intensity Dis...The purpose of this study is to verify the physiological effect and describe the intensity of training in response to internal and external loads,through Session Rate of Perceived Exertion and Speed High Intensity Distance in Meters reports,on professional soccer players engaged in weekly training(199 Sessions,43 weeks)and league games(32 official matches).Twenty-two male professional soccer players(n=22)of the Italian national championship under-19 are involved in this study during the season 2014-2015.Daily,Weekly and Monthly RPE(perceived exertion)Session(Borg CR-10 Scale)is a good indicator of the amount of work done:training time multiplied by perceived effort(TL=Training Time×RPE).With Arbitrary units(a.u.)produced by the individual and used for team-based data analysis,we analyze the intensity produced by workout depending on the working time.Furthermore,by means of global positioning system technology(K-Sport,Montelabbate PU,Italy 10 Hz),we statistically established the existing relationship with high intensity speed distance(>16 km/h)and session rate of perceived exertion to describe how the internal(represented by the sum of the stresses that the body undergoes an external load;is strictly subjective)and external loads(the objective quantification of the means used in training km routes,running speed,slope,type of recovery),are correlated(r=0.87,p<0.01,95%CI).The statistical analysis highlights how these methods are suitable to quantifying the high-intensity work done by the soccer player during the workout and the game.展开更多
Objective This study aimed to compare and analyze the clinical efficacy and safety of late-course and simultaneous integrated dose-increasing intensity-modulated radiation therapy(IMRT) for cervical cancer complicated...Objective This study aimed to compare and analyze the clinical efficacy and safety of late-course and simultaneous integrated dose-increasing intensity-modulated radiation therapy(IMRT) for cervical cancer complicated with pelvic lymph node metastasis. Methods Sixty patients with cervical cancer complicated with pelvic lymph node metastasis who were admitted to our hospital from January 2013 to January 2015 were enrolled. The patients were randomly divided into the late-course dose-increasing IMRT group and the simultaneous integrated dose-increasing IMRT group, with 30 cases included in each group, respectively. All patients were concurrently treated with cisplatin. After treatment, the clinical outcomes of the two groups were compared. Results The remission rate of symptoms in the simultaneous integrated dose-increasing IMRT group was significantly higher than that in the late-course dose-increasing IMRT group(P < 0.05). The follow-up results showed that the overall survival time, progression-free survival time, and distant metastasis time of patients in the simultaneous integrated dose-increasing IMRT group were significantly longer than those in the late-course dose-increasing IMRT group(P < 0.05). The recurrent rate of lymph nodes in the radiation field in the simultaneous integrated dose-increasing IMRT group was significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group. There was no significant difference in the incidence of cervical and vaginal recurrence and distant metastasis between the two groups(P > 0.05). The radiation doses of Dmax in the small intestine, D1 cc(the minimum dose to the 1 cc receiving the highest dose) in the bladder, and Dmax in the rectum in the simultaneous integrated dose-increasing IMRT group were significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group. There was no significant difference in intestinal D2 cc(the minimum dose to the 2 cc receiving the highest dose) between the two groups(P > 0.05). The incidence of bone marrow suppression in the simultaneous integrated dose-increasing IMRT group was significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group.Conclusion The application of simultaneous integrated dose-increasing IMRT in the treatment of cervical cancer patients complicated with pelvic lymph node metastasis can significantly control tumor progression, improve the long-term survival time, and postpone distant metastasis time with high safety.展开更多
Aerobic capacity, which is expressed as peak oxygen consumption (VO2peak), is well-known to be an independent predictor of all-cause mortality and cardiovascular prognosis. This is true even for people with various co...Aerobic capacity, which is expressed as peak oxygen consumption (VO2peak), is well-known to be an independent predictor of all-cause mortality and cardiovascular prognosis. This is true even for people with various coronary risk factors and cardiovascular diseases. Although exercise training is the best method to improve VO2peak, the guidelines of most academic societies recommend 150 or 75 min of moderate- or vigorous- intensity physical activities, respectively, every week to gain health benefits. For general health and primary and secondary cardiovascular prevention, high-intensity interval training (HIIT) has been recognized as an efficient exercise protocol with short exercise sessions. Given the availability of the numerous HIIT protocols, which can be classified into aerobic HIIT and anaerobic HIIT [usually called sprint interval training (SIT)], professionals in health-related fields, including primary physicians and cardiologists, may find it confusing when trying to select an appropriate protocol for their patients. This review describes the classifications of aerobic HIIT and SIT, and their differences in terms of effects, target subjects, adaptability, working mechanisms, and safety. Understanding the HIIT protocols and adopting the correct type for each subject would lead to better improvements in VO2peak with higher adherence and less risk.展开更多
Ground-motion Intensity Measures(IMs)are used to quantify the strength of ground motions and evaluate the response of structures.IMs act as a link between seismic demand and seismic hazard analysis and therefore,have ...Ground-motion Intensity Measures(IMs)are used to quantify the strength of ground motions and evaluate the response of structures.IMs act as a link between seismic demand and seismic hazard analysis and therefore,have a key role in performance-based earthquake engineering.Many studies have been carried out on the determination of suitable IMs in terms of effi ciency,suffi ciency and scaling robustness.The majority of these investigations focused on ordinary structures such as buildings and bridges,and only a few were about buried pipelines.In the current study,the optimal IMs for predicting the seismic demand of continuous buried steel pipelines under near-fi eld pulse-like ground motion records is investigated.Incremental dynamic analysis is performed using twenty ground motion records.Using the results of the regression analysis,the optimality of 23 potential IMs are studied.It is concluded that specifi c energy density(SED)followed by VSI[ω1(PGD+RMSd)]are the optimal IMs based on effi ciency,suffi ciency and scaling robustness for seismic response evaluation of buried pipelines under near-fi eld ground motions.展开更多
On September 8, 2018, an M_S 5.9 earthquake struck Mojiang, a county in Yunnan Province, China. We collect near-field seismic recordings(epicentral distances less than 200 km) to relocate the mainshock and the aftersh...On September 8, 2018, an M_S 5.9 earthquake struck Mojiang, a county in Yunnan Province, China. We collect near-field seismic recordings(epicentral distances less than 200 km) to relocate the mainshock and the aftershocks within the first 60 hours to determine the focal mechanism solutions of the mainshock and some of the aftershocks and to invert for the finite-fault model of the mainshock.The focal mechanism solution of the mainshock and the relocation results of the aftershocks constrain the mainshock on a nearly vertical fault plane striking northeast and dipping to the southeast. The inversion of the finite-fault model reveals only a single slip asperity on the fault plane. The major slip is distributed above the initiation point, ～14 km wide along the down-dip direction and ～14 km long along the strike direction, with a maximal slip of ～22 cm at a depth of ～6 km. The focal mechanism solutions of the aftershocks show that most of the aftershocks are of the strike-slip type, a number of them are of the normal-slip type, and only a few of them are of the thrust-slip type.On average, strike-slip is dominant on the fault plane of the mainshock, as the focal mechanism solution of the mainshock suggests, but when examined in detail, slight thrust-slip appears on the southwest of the fault plane while an obvious part of normal-slip appears on the northeast, which is consistent with what the focal mechanism solutions of the aftershocks display. The multiple types of aftershock focal mechanism solutions and the slip details of the mainshock both suggest a complex tectonic setting, stress setting, or both. The intensity contours predicted exhibit a longer axis trending from northeast to southwest and a maximal intensity of Ⅷ around the epicenter and in the northwest.展开更多
An increase in crop intensity could improve crop yield but may also lead to a series of environmental problems, such as depletion of ground water and increased soil salinity. The generation of high resolution(30 m) cr...An increase in crop intensity could improve crop yield but may also lead to a series of environmental problems, such as depletion of ground water and increased soil salinity. The generation of high resolution(30 m) crop intensity maps is an important method used to monitor these changes, but this is challenging because the temporal resolution of the 30-m image time series is low due to the long satellite revisit period and high cloud coverage. The recently launched Sentinel-2 satellite could provide optical images at 10–60 m resolution and thus improve the temporal resolution of the 30-m image time series. This study used harmonized Landsat Sentinel-2(HLS) data to identify crop intensity. The sixth polynomial function was used to fit the normalized difference vegetation index(NDVI) and enhanced vegetation index(EVI) curves. Then, 15-day NDVI and EVI time series were then generated from the fitted curves and used to generate the extent of croplands. Lastly, the first derivative of the fitted VI curves were used to calculate the VI peaks;spurious peaks were removed using artificially defined thresholds and crop intensity was generated by counting the number of remaining VI peaks. The proposed methods were tested in four study regions, with results showing that 15-day time series generated from the fitted curves could accurately identify cropland extent. Overall accuracy of cropland identification was higher than 95%. In addition, both the harmonized NDVI and EVI time series identified crop intensity accurately as the overall accuracies, producer’s accuracies and user’s accuracies of non-cropland, single crop cycle and double crop cycle were higher than 85%. NDVI outperformed EVI as identifying double crop cycle fields more accurately.展开更多
Purpose: We performed both, dosimetric and positional accuracy verification of dynamic tumor tracking (DTT) intensity modulated radiation therapy (IMRT), with the Vero4DRT system using a moving phantom (QUASAR respira...Purpose: We performed both, dosimetric and positional accuracy verification of dynamic tumor tracking (DTT) intensity modulated radiation therapy (IMRT), with the Vero4DRT system using a moving phantom (QUASAR respiratory motion platform;QUASAR phantom) and system log files. Methods: The QUASAR phantom was placed on a treatment couch. Measurement of the point dose and dose distribution was performed for conventional IMRT, with the QUASAR phantom static and moving;for DTT IMRT, this was performed with the phantom moving for pyramid shaped, prostate, paranasal sinus, and pancreas targets. The QUASAR phantom was driven by a sinusoidal signal in the superior-inferior direction. Furthermore, predicted positional errors induced by the Vero4DRT system and mechanical positional errors of the gimbal head, were calculated using the system log files. Results and Conclusion: For DTT IMRT, the dose at the evaluation point was within 3% compared with the verification plan, and the dose distribution in the passing rates of γ was 97.9%, with the criteria of 3% dose and 3 mm distance to agreement. The position error calculated from the log files was within 2 mm, suggesting the feasibility of employing DTT IMRT with high accuracy using the Vero4DRT system.展开更多
Background: Little is known about the nature of metaistasis to small cervical lymph nodes(SCLNS) in the patients with nasopharyngeal carcinoma(NPC)examined by using 18-fluoro-2-deoxy-glucose(^(18)F-FDG) positron emiss...Background: Little is known about the nature of metaistasis to small cervical lymph nodes(SCLNS) in the patients with nasopharyngeal carcinoma(NPC)examined by using 18-fluoro-2-deoxy-glucose(^(18)F-FDG) positron emission tomography/computed tomography(PET/CT).The present study aimed to evaluate the diagnostic values of PET/CT in identifying metastasis in SCLNs in NPC patients.Methods: Magnetic resonance images(MRI) and PET/CT scans for 470 patients with newly diagnosed, non-distant metastatic NPC were analyzed. Metastatic rates of SCLNs were defined by the positive number of SCLNs on PET/CT scans and total number of SCLNs on MRI scans. Receiver operating characteristic curve was applied to compare PET/CT-determined stage with MRI-determined stage.Results: In total, 2082 SCLNs were identified, with 808(38.8%) ≥ 5 and < 6 mm in diameter(group A), 526(25.3%)≥ 6 and < 7 mm in diameter(group B),374(18.0%)≥ 7 and < 8 mm in diameter(group C), 237(11.4%) ≥8 and<9 mm in diameter(group D),and 137(6.5%) ≥ 9 and <10 mm in diameter(group E).The overall metastatic rates examined by using PET/CT for groups A, B,C,D, and E were 3.5%, 8.0%, 31.3%, 60.0%, and 83.9%, respectively(P< 0.001). In level IV/Vb, the metastatic rate for nodes ≥ 8 mm was 84.6%. PET/CT examination resulted in modification of N category and overall stage for 135(28.7%) and 46(9.8%) patients, respectively. The areas under curve of MRIdetermined and PET/CT-determined overall stage were 0.659 and 0.704 for predicting overall survival, 0.661 and 0.711 for predicting distant metastasis-free survival, and 0.636 and 0.663 for predicting disease-free survival.Conclusions: PET/CT was more effective than MRI in identifying metastatic SCLNs, and the radiologic diagnostic criteria for metastatic lymph nodes in level IV/Vb should be re-defined.展开更多
Purpose:The aim of this study was to examine systemic responses of oxidant/antioxidant status following 2 training sessions of different intensity in amateur rhythmic gymnasts.Methods:Before the experimental training,...Purpose:The aim of this study was to examine systemic responses of oxidant/antioxidant status following 2 training sessions of different intensity in amateur rhythmic gymnasts.Methods:Before the experimental training,10 female gymnasts performed a gradually increased exercise test to assess maximal heart rate,maximal oxygen consumption,and anaerobic threshold.They executed 2 intermittent training sessions separated by 48 h of recovery(48 h-post R):the first was performed at low-moderate intensity(LMI)and the second at high intensity(HI).Blood samples were collected immediately preand post-training and 48 h-post R.Hydroperoxide level(OxL)and total antioxidant capacity(TAC)were photometrically measured.Results:OxL was significantly higher in post-training and 48 h-post R following HI than the same conditions after an LMI session(HI vs.LMI post-training:381.10±46.17(mean±SD)vs.344.18±27.94 Units Carratelli(U.CARR);48 h-post R:412.21±26.61 vs.373.80±36.08 U.CARR).There was no change in TAC between the 2 training sessions investigated.In LMI training,OxL significantly decreased in post-training and increased to reach the baseline at 48 h-post R,whereas TAC increased only at 48 h-post R.In HI training,OxL significantly increased to reach a high oxidative stress 48 h-post R,whereas TAC was lower in post-training than pre-training.Conclusion:The pattern of OxL and TAC levels implies different regulation mechanisms by HI and LMI training sessions.High oxidative stress induced by an HI protocol might be associated with both insufficient TAC and recovery time at 48 h necessary to restore redox balance.展开更多
In this article, a formulation for a hollow cylinder reinforced with an electroelastic layer is investigated. The hollow cylinder and its electro-elastic coating are under the Saint-Venant torsional loading. First, th...In this article, a formulation for a hollow cylinder reinforced with an electroelastic layer is investigated. The hollow cylinder and its electro-elastic coating are under the Saint-Venant torsional loading. First, the solution to the problem containing a Volterra-type screw dislocation is obtained by using the Fourier transform. The problem is then reduced to a set of Cauchy singular integral equations by the distributed dislocation method. Finally, several examples are presented to show the effect of the electro-elastic coating on the reduction of the stress intensity factors at the crack tips.展开更多
A bunch arrival-time monitor(BAM) based on an electro-optical intensity modulation scheme is currently under development at Shanghai Soft X-ray Free-Electron Laser to meet the high-resolution requirements for bunch st...A bunch arrival-time monitor(BAM) based on an electro-optical intensity modulation scheme is currently under development at Shanghai Soft X-ray Free-Electron Laser to meet the high-resolution requirements for bunch stability. The BAM uses a radio frequency signal generated by a pickup cavity to modulate the reference laser pulses in an electro-optical intensity modulator(EOM), and the bunch arrival-time information is derived from the amplitude change of the laser pulse after laser pulse modulation.EOM is a key optical component in the BAM system.Through the basic principle analysis of BAM, many parameters of the EOM are observed to affect the measurement resolution of the BAM system. Therefore, a systematic analysis of the EOM is crucial. In this paper, we present two schemes to compare and analyze an EOM and provide a reference for selecting a new version of the EOM.展开更多
The aim of this study is to propose an estimation approach to non-life insurance claim counts related to the insurance claim counting process, including the non-homogeneous Poisson process (NHPP) with a bell-shaped in...The aim of this study is to propose an estimation approach to non-life insurance claim counts related to the insurance claim counting process, including the non-homogeneous Poisson process (NHPP) with a bell-shaped intensity and a beta-shaped intensity. The estimating function, such as the zero mean martingale (ZMM), is used as a procedure for parameter estimation of the insurance claim counting process, and the parameters of model claim intensity are estimated by the Bayesian method. Then,Λ(t), the compensator of N(t) is proposed for the number of claims in a time interval (0,t]. Given the process over the time interval (0,t]., the situations are presented through a simulation study and some examples of these situations are also depicted by a sample path relating N(t) to its compensatorΛ(t).展开更多
AIM: To investigate low intensity laser irradiation phototherapy(LILIP) on the proliferation, mineralization and degradation of dental pulp constructs.METHODS: Stem cells from human exfoliated deciduous teeth(SHED) we...AIM: To investigate low intensity laser irradiation phototherapy(LILIP) on the proliferation, mineralization and degradation of dental pulp constructs.METHODS: Stem cells from human exfoliated deciduous teeth(SHED) were grown to confluence and seeded on collagen scaffolds to create dental pulp constructs. LILIP was delivered to the dental pulp constructs using an 830 nm GaA IAs laser at an output power of 20 m W. The LILIP energy density was 0.4, 0.8, 1.2, and 2.4 J/cm2. After 8 d, the cell proliferation and degradation within the dental pulp constructs were measured using histologic criteria. After 28 d, the effect of LILIP on SHED mineralization was assessed by von Kossa staining.RESULTS: SHED proliferation within the dental pulp constructs varied after exposure to the 0.4, 0.8, 1.2,and 2.4 J/cm2 LILIP energy densities(P < 0.05). The maximum proliferation of SHED in nutrient deficient media was 218% after exposure to a 1.2 J/cm2 LILIP energy density. SHED grown in nutrient deficient media after exposure to a 0.4, 0.8, and 1.2 J/cm2 LILIP energy density, proliferated by 167-218% compared to the untreated(non-LILIP) control group(P < 0.05).SHED exposed to a 0.4, 0.8, and 1.2 J/cm2 LILIP energy density, and grown in optimal nutritional conditions and proliferated by 147%-164% compared to the untreated(non-LILIP) control group(P < 0.05). The exposure of SHED to the highest LILIP energy density(2.4 J/cm2) caused a reduction of the cell proliferation of up to 73% of the untreated(non-LILIP) control(P < 0.05). The amount of mineral produced by SHED increased over time up to 28 d(P < 0.05). The 0.8 and 1.2J/cm2 LILIP energy densities were the most effective at stimulating the increased the mineralization of the SHED from 150%-700% compared to untreated(nonLILIP) control over 28 d(P < 0.05). The degradation of dental pulp constructs was affected by LILIP(P <0.05). The dental pulp constructs grown in optimal nutritional conditions exposed to a 0.8 J/cm2 or 1.2 J/cm2 LILIP energy density had 13% to 16% more degradation than the untreated(non-LILIP) control groups(P < 0.05). The other LILIP energy densities caused a 1%degradation of dental pulp constructs in optimal nutritional conditions(P > 0.05).CONCLUSION: LILIP can enhance or reduce SHED proliferation, degradation and mineralization within dental pulp constructs. LILIP could promote the healing and regeneration of dental tissues.展开更多
The electric field intensity (EFI) is important characteristic quantity for evaluating the internal insulation state of cable joints. Based on finite element method, this paper proposes two EFI research methods, field...The electric field intensity (EFI) is important characteristic quantity for evaluating the internal insulation state of cable joints. Based on finite element method, this paper proposes two EFI research methods, field-circuit coupling method and equivalent circuit method. The average EFI of the inner surface of the outer semi-conducting shield can be calculated from the current in the measuring circuit. The relative error between these two methods is about 15%, which roughly proves the consistency of the two methods. Further practical application research enables online monitoring of cable joints.展开更多
The Upper Paleozoic in the north part of Tianhuan depression in the Ordos Basin,NW China has lower hydrocarbon generation intensity and complex gas-water relationship,the main factors controlling the formation of tigh...The Upper Paleozoic in the north part of Tianhuan depression in the Ordos Basin,NW China has lower hydrocarbon generation intensity and complex gas-water relationship,the main factors controlling the formation of tight sandstone gas and the distribution of tight sandstone gas in the low hydrocarbon generation intensity area are studied.Through two-dimensional physical simulation experiment of hydrocarbon accumulation,analysis of reservoir micro-pore-throat hydrocarbon system and dissection of typical gas reservoirs,the evaluation models of gas injection pressure,reservoir physical property,and gas generation threshold were established to determine the features of tight gas reservoirs in low hydrocarbon intensity area:(1)at the burial depth of less than 3 000 m,the hydrocarbon generation intensity ofis high enough to maintain effective charging;(2)tight sandstone in large scale occurrence is conducive to accumulation of tight gas;(3)differences in reservoir physical property control the distribution of gas pool,for the channel sandstone reservoirs,ones with better physical properties generally concentrate in the middle of sandstone zone and local structural highs;ones with poor physical properties have low gas content generally.Based on the dissection of the gas reservoir in the north Tianhuan depression,the formation of tight gas reservoirs in low hydrocarbon generating intensity area are characterized by"long term continuous charging under hydrocarbon generation pressure,gas accumulation in large scale tight sandstone,pool control by difference in reservoir physical property,and local sweet spot",and the tight gas pools are distributed in discontinuous"sheets"on the plane.This understanding has been proved by expanding exploration of tight sandstone gas in the north Tianhuan depression.展开更多
Experimental validation of laser intensity is particularly important for the study of fundamental physics at extremely high intensities.However,reliable diagnosis of the focal spot and peak intensity faces huge challe...Experimental validation of laser intensity is particularly important for the study of fundamental physics at extremely high intensities.However,reliable diagnosis of the focal spot and peak intensity faces huge challenges.In this work,we demonstrate for the firs time that the coherent radiation farfiel patterns from laser–foil interactions can serve as an in situ,real-time,and easy-to-implement diagnostic for an ultraintense laser focus.The laser-driven electron sheets,curved by the spatially varying laser fiel and leaving the targets at nearly the speed of light,produce doughnut-shaped patterns depending on the shapes of the focal spot and the absolute laser intensities.Assisted by particle-in-cell simulations,we can achieve measurements of the intensity and the focal spot,and provide immediate feedback to optimize the focal spots for extremely high intensity.展开更多
The 6061-T651 aluminium alloy is one of the most common aluminium alloys for marine components and general structures. The stress intensity factor (SIF) is an important parameter for estimating the life of the cracked...The 6061-T651 aluminium alloy is one of the most common aluminium alloys for marine components and general structures. The stress intensity factor (SIF) is an important parameter for estimating the life of the cracked structure. In this paper, the stress intensity factors of a slant-cracked plate, which is made of 6061-T651 aluminum, have been calculated using extended finite element method (XFEM) and finite element method (FEM) in ABAQUS software and the results were compared with theoretical values. Numerical values obtained from these two methods were close to the theoretical values. In simulations of crack growth at different crack angles, the crack propagation angle values were closer to the theoretical values in XFEM method. Also, the accuracy and validity of fatigue crack growth curve were much closer to the theoretical graph in XFEM than the FEM. Therefore, in this paper the capabilities of XFEM were realized in analyzing issues such as cracks.展开更多
Recent advances in high intensity focused ultrasound(HIFU),which was developed in the 1940s as a viable thermal tissue ablation approach,have increased its popularity.In clinics,HIFU has been applied to treat a variet...Recent advances in high intensity focused ultrasound(HIFU),which was developed in the 1940s as a viable thermal tissue ablation approach,have increased its popularity.In clinics,HIFU has been applied to treat a variety of solid malignant tumors in a well-defined volume,including the pancreas,liver,prostate,breast,uterine fibroids,and soft-tissue sarcomas.In comparison to conventional tumor/cancer treatment modalities,such as open surgery,radio-and chemo-therapy,HIFU has the advantages of non-invasion,non-ionization,and fewer complications after treatment.Over 100 000 cases have been treated throughout the world with great success.The fundamental principles of HIFU ablation are coagulative thermal necrosis due to the absorption of ultrasound energy during transmission in tissue and the induced cavitation damage.This paper reviews the clinical outcomes of HIFU ablation for applicable cancers,and then summarizes the recommendations for a satisfactory HIFU treatment according to clinical experience.In addition,the current challenges in HIFU for engineers and physicians are also included.More recent horizons have broadened the application of HIFU in tumor treatment,such as HIFU-mediated drug delivery,vessel occlusion,and soft tissue erosion(“histotripsy”).In summary,HIFU is likely to play a significant role in the future oncology practice.展开更多
Objective: To discuss the effect of intensity modulated radiation therapy combined with paclitaxel + endostar chemotherapy on serum malignant molecule levels in patients with locally advanced non-small cell lung cance...Objective: To discuss the effect of intensity modulated radiation therapy combined with paclitaxel + endostar chemotherapy on serum malignant molecule levels in patients with locally advanced non-small cell lung cancer. Methods: Patients with locally advanced NSCLC who were treated in the hospital between February 2015 and January 2017 were collected and divided into control group (n=59) and research group (n=59) by random number table. Control group received the routine paclitaxel + endostar chemotherapy after the operation, and research group underwent intensity modulated radiation therapy combined with paclitaxel +endostar chemotherapy after the operation. The differences in serum levels of NSCLC-related tumor markers and angiogenesis indexes were compared between the two groups before and after treatment. Results: Before treatment, the differences in serum levels of NSCLC-related tumor markers and angiogenesis indexes were not statistically significant between the two groups. After treatment, serum TK1, CYFRA21-1, Pro-GRP, CEA, CA125 and SCC-Ag levels of research group were lower than those of control group;serum EGFR, COX-2, VEGF, HIF-1 and MMP-2 levels of research group were lower than those of control group. Conclusion:Postoperative intensity modulated radiation therapy combined with paclitaxel + endostar chemotherapy can effectively reduce the serum malignant molecule levels and optimize the illness in patients with local advanced NSCLC.展开更多
Jujube(Ziziphus jujube Mill.)is a traditional economic forest crop and is widely cultivated in hilly areas of the Loess Plateau,China.However,soil desiccation was discovered in jujube plantations.Pruning is recognized...Jujube(Ziziphus jujube Mill.)is a traditional economic forest crop and is widely cultivated in hilly areas of the Loess Plateau,China.However,soil desiccation was discovered in jujube plantations.Pruning is recognized as a water-saving method that can reduces soil water consumption.In this study,we monitored the jujube plots with control(CK),light(C1),medium(C2)and high(C3)pruning intensities during the jujube growing period of 2012-2015 to explore the effect of pruning intensity on soil moisture and water use efficiency(WUE)of jujube plantations in the hilly Loess Plateau Region.The results showed that pruning is an effective method for soil water conservation in jujube plantations.Soil moisture increased with increasing pruning intensity during the jujube growing period of 2012-2015.C1,C2 and C3 pruning intensities increased soil water storage by 6.1-18.3,14.4-40.0 and 24.3-63.3 mm,respectively,compared to CK pruning intensity.Pruning promoted soil moisture infiltration to deeper soil layer.Soil moisture infiltrated to soil depths of 240,280 and>300 cm under C3 pruning intensity,220,260 and 260 cm under C2 pruning intensity,200,240 and 220 cm under C1 pruning intensity,and 180,200 and 160 cm under CK pruning intensity in 2013,2014 and 2015,respectively.Soil water deficit was alleviated by higher pruning intensity.In 2013-2015,soil water change was positive under C2(6.4 mm)and C3(26.8 mm)pruning intensities but negative under C1(-20.5 mm)and CK(-40.6 mm)pruning intensities.Moreover,pruning significantly improved fresh fruit yield and WUE of jujube plants.Fresh fruit yields were highest under C1 pruning intensity with the values of 6897.1-13,059.3 kg/hm^2,which were 2758.4-4712.8,385.7-1432.1 and 802.8-2331.5 kg/hm2 higher than those under CK,C2,and C3 pruning intensities during the jujube growing period of 2012-2015,respectively.However,C3 pruning intensity had the highest WUE values of 2.92-3.13 kg/m3,which were 1.6-2.0,1.1-1.2 and 1.0-1.1 times greater than those under CK,C1 and C2 pruning intensities,respectively.Therefore,C3 pruning intensity is recommended to jujube plantations for its economic and ecological benefits.These results provide an alternative strategy to mitigate soil desiccation in jujube plantations in the hilly Loess Plateau Region,which is critical for sustainable cultivation of economic forest trees in this region.展开更多
文摘The purpose of this study is to verify the physiological effect and describe the intensity of training in response to internal and external loads,through Session Rate of Perceived Exertion and Speed High Intensity Distance in Meters reports,on professional soccer players engaged in weekly training(199 Sessions,43 weeks)and league games(32 official matches).Twenty-two male professional soccer players(n=22)of the Italian national championship under-19 are involved in this study during the season 2014-2015.Daily,Weekly and Monthly RPE(perceived exertion)Session(Borg CR-10 Scale)is a good indicator of the amount of work done:training time multiplied by perceived effort(TL=Training Time×RPE).With Arbitrary units(a.u.)produced by the individual and used for team-based data analysis,we analyze the intensity produced by workout depending on the working time.Furthermore,by means of global positioning system technology(K-Sport,Montelabbate PU,Italy 10 Hz),we statistically established the existing relationship with high intensity speed distance(>16 km/h)and session rate of perceived exertion to describe how the internal(represented by the sum of the stresses that the body undergoes an external load;is strictly subjective)and external loads(the objective quantification of the means used in training km routes,running speed,slope,type of recovery),are correlated(r=0.87,p<0.01,95%CI).The statistical analysis highlights how these methods are suitable to quantifying the high-intensity work done by the soccer player during the workout and the game.
文摘Objective This study aimed to compare and analyze the clinical efficacy and safety of late-course and simultaneous integrated dose-increasing intensity-modulated radiation therapy(IMRT) for cervical cancer complicated with pelvic lymph node metastasis. Methods Sixty patients with cervical cancer complicated with pelvic lymph node metastasis who were admitted to our hospital from January 2013 to January 2015 were enrolled. The patients were randomly divided into the late-course dose-increasing IMRT group and the simultaneous integrated dose-increasing IMRT group, with 30 cases included in each group, respectively. All patients were concurrently treated with cisplatin. After treatment, the clinical outcomes of the two groups were compared. Results The remission rate of symptoms in the simultaneous integrated dose-increasing IMRT group was significantly higher than that in the late-course dose-increasing IMRT group(P < 0.05). The follow-up results showed that the overall survival time, progression-free survival time, and distant metastasis time of patients in the simultaneous integrated dose-increasing IMRT group were significantly longer than those in the late-course dose-increasing IMRT group(P < 0.05). The recurrent rate of lymph nodes in the radiation field in the simultaneous integrated dose-increasing IMRT group was significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group. There was no significant difference in the incidence of cervical and vaginal recurrence and distant metastasis between the two groups(P > 0.05). The radiation doses of Dmax in the small intestine, D1 cc(the minimum dose to the 1 cc receiving the highest dose) in the bladder, and Dmax in the rectum in the simultaneous integrated dose-increasing IMRT group were significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group. There was no significant difference in intestinal D2 cc(the minimum dose to the 2 cc receiving the highest dose) between the two groups(P > 0.05). The incidence of bone marrow suppression in the simultaneous integrated dose-increasing IMRT group was significantly lower(P < 0.05) than in the late-course dose-increasing IMRT group.Conclusion The application of simultaneous integrated dose-increasing IMRT in the treatment of cervical cancer patients complicated with pelvic lymph node metastasis can significantly control tumor progression, improve the long-term survival time, and postpone distant metastasis time with high safety.
文摘Aerobic capacity, which is expressed as peak oxygen consumption (VO2peak), is well-known to be an independent predictor of all-cause mortality and cardiovascular prognosis. This is true even for people with various coronary risk factors and cardiovascular diseases. Although exercise training is the best method to improve VO2peak, the guidelines of most academic societies recommend 150 or 75 min of moderate- or vigorous- intensity physical activities, respectively, every week to gain health benefits. For general health and primary and secondary cardiovascular prevention, high-intensity interval training (HIIT) has been recognized as an efficient exercise protocol with short exercise sessions. Given the availability of the numerous HIIT protocols, which can be classified into aerobic HIIT and anaerobic HIIT [usually called sprint interval training (SIT)], professionals in health-related fields, including primary physicians and cardiologists, may find it confusing when trying to select an appropriate protocol for their patients. This review describes the classifications of aerobic HIIT and SIT, and their differences in terms of effects, target subjects, adaptability, working mechanisms, and safety. Understanding the HIIT protocols and adopting the correct type for each subject would lead to better improvements in VO2peak with higher adherence and less risk.
文摘Ground-motion Intensity Measures(IMs)are used to quantify the strength of ground motions and evaluate the response of structures.IMs act as a link between seismic demand and seismic hazard analysis and therefore,have a key role in performance-based earthquake engineering.Many studies have been carried out on the determination of suitable IMs in terms of effi ciency,suffi ciency and scaling robustness.The majority of these investigations focused on ordinary structures such as buildings and bridges,and only a few were about buried pipelines.In the current study,the optimal IMs for predicting the seismic demand of continuous buried steel pipelines under near-fi eld pulse-like ground motion records is investigated.Incremental dynamic analysis is performed using twenty ground motion records.Using the results of the regression analysis,the optimality of 23 potential IMs are studied.It is concluded that specifi c energy density(SED)followed by VSI[ω1(PGD+RMSd)]are the optimal IMs based on effi ciency,suffi ciency and scaling robustness for seismic response evaluation of buried pipelines under near-fi eld ground motions.
基金supported by the National Natural Science Foundation of China(project 41804088)the Special Fund of the Institute of Geophysics,China Earthquake Administration(project DQJB19B08)
文摘On September 8, 2018, an M_S 5.9 earthquake struck Mojiang, a county in Yunnan Province, China. We collect near-field seismic recordings(epicentral distances less than 200 km) to relocate the mainshock and the aftershocks within the first 60 hours to determine the focal mechanism solutions of the mainshock and some of the aftershocks and to invert for the finite-fault model of the mainshock.The focal mechanism solution of the mainshock and the relocation results of the aftershocks constrain the mainshock on a nearly vertical fault plane striking northeast and dipping to the southeast. The inversion of the finite-fault model reveals only a single slip asperity on the fault plane. The major slip is distributed above the initiation point, ～14 km wide along the down-dip direction and ～14 km long along the strike direction, with a maximal slip of ～22 cm at a depth of ～6 km. The focal mechanism solutions of the aftershocks show that most of the aftershocks are of the strike-slip type, a number of them are of the normal-slip type, and only a few of them are of the thrust-slip type.On average, strike-slip is dominant on the fault plane of the mainshock, as the focal mechanism solution of the mainshock suggests, but when examined in detail, slight thrust-slip appears on the southwest of the fault plane while an obvious part of normal-slip appears on the northeast, which is consistent with what the focal mechanism solutions of the aftershocks display. The multiple types of aftershock focal mechanism solutions and the slip details of the mainshock both suggest a complex tectonic setting, stress setting, or both. The intensity contours predicted exhibit a longer axis trending from northeast to southwest and a maximal intensity of Ⅷ around the epicenter and in the northwest.
基金supported by the China Postdoctoral Science Foundation (2017M620075 and BX201700286)the National Natural Science Foundation of China (NSFC-61661136006)
文摘An increase in crop intensity could improve crop yield but may also lead to a series of environmental problems, such as depletion of ground water and increased soil salinity. The generation of high resolution(30 m) crop intensity maps is an important method used to monitor these changes, but this is challenging because the temporal resolution of the 30-m image time series is low due to the long satellite revisit period and high cloud coverage. The recently launched Sentinel-2 satellite could provide optical images at 10–60 m resolution and thus improve the temporal resolution of the 30-m image time series. This study used harmonized Landsat Sentinel-2(HLS) data to identify crop intensity. The sixth polynomial function was used to fit the normalized difference vegetation index(NDVI) and enhanced vegetation index(EVI) curves. Then, 15-day NDVI and EVI time series were then generated from the fitted curves and used to generate the extent of croplands. Lastly, the first derivative of the fitted VI curves were used to calculate the VI peaks;spurious peaks were removed using artificially defined thresholds and crop intensity was generated by counting the number of remaining VI peaks. The proposed methods were tested in four study regions, with results showing that 15-day time series generated from the fitted curves could accurately identify cropland extent. Overall accuracy of cropland identification was higher than 95%. In addition, both the harmonized NDVI and EVI time series identified crop intensity accurately as the overall accuracies, producer’s accuracies and user’s accuracies of non-cropland, single crop cycle and double crop cycle were higher than 85%. NDVI outperformed EVI as identifying double crop cycle fields more accurately.
文摘Purpose: We performed both, dosimetric and positional accuracy verification of dynamic tumor tracking (DTT) intensity modulated radiation therapy (IMRT), with the Vero4DRT system using a moving phantom (QUASAR respiratory motion platform;QUASAR phantom) and system log files. Methods: The QUASAR phantom was placed on a treatment couch. Measurement of the point dose and dose distribution was performed for conventional IMRT, with the QUASAR phantom static and moving;for DTT IMRT, this was performed with the phantom moving for pyramid shaped, prostate, paranasal sinus, and pancreas targets. The QUASAR phantom was driven by a sinusoidal signal in the superior-inferior direction. Furthermore, predicted positional errors induced by the Vero4DRT system and mechanical positional errors of the gimbal head, were calculated using the system log files. Results and Conclusion: For DTT IMRT, the dose at the evaluation point was within 3% compared with the verification plan, and the dose distribution in the passing rates of γ was 97.9%, with the criteria of 3% dose and 3 mm distance to agreement. The position error calculated from the log files was within 2 mm, suggesting the feasibility of employing DTT IMRT with high accuracy using the Vero4DRT system.
基金supported by grants from the Science and Technology Project of Guangzhou City,China(No.14570006)the Planned Science and Technology Project of Guangdong Province,China(No.2013B020400004)
文摘Background: Little is known about the nature of metaistasis to small cervical lymph nodes(SCLNS) in the patients with nasopharyngeal carcinoma(NPC)examined by using 18-fluoro-2-deoxy-glucose(^(18)F-FDG) positron emission tomography/computed tomography(PET/CT).The present study aimed to evaluate the diagnostic values of PET/CT in identifying metastasis in SCLNs in NPC patients.Methods: Magnetic resonance images(MRI) and PET/CT scans for 470 patients with newly diagnosed, non-distant metastatic NPC were analyzed. Metastatic rates of SCLNs were defined by the positive number of SCLNs on PET/CT scans and total number of SCLNs on MRI scans. Receiver operating characteristic curve was applied to compare PET/CT-determined stage with MRI-determined stage.Results: In total, 2082 SCLNs were identified, with 808(38.8%) ≥ 5 and < 6 mm in diameter(group A), 526(25.3%)≥ 6 and < 7 mm in diameter(group B),374(18.0%)≥ 7 and < 8 mm in diameter(group C), 237(11.4%) ≥8 and<9 mm in diameter(group D),and 137(6.5%) ≥ 9 and <10 mm in diameter(group E).The overall metastatic rates examined by using PET/CT for groups A, B,C,D, and E were 3.5%, 8.0%, 31.3%, 60.0%, and 83.9%, respectively(P< 0.001). In level IV/Vb, the metastatic rate for nodes ≥ 8 mm was 84.6%. PET/CT examination resulted in modification of N category and overall stage for 135(28.7%) and 46(9.8%) patients, respectively. The areas under curve of MRIdetermined and PET/CT-determined overall stage were 0.659 and 0.704 for predicting overall survival, 0.661 and 0.711 for predicting distant metastasis-free survival, and 0.636 and 0.663 for predicting disease-free survival.Conclusions: PET/CT was more effective than MRI in identifying metastatic SCLNs, and the radiologic diagnostic criteria for metastatic lymph nodes in level IV/Vb should be re-defined.
基金supported by the University of Palermo (FFR 2012-13)
文摘Purpose:The aim of this study was to examine systemic responses of oxidant/antioxidant status following 2 training sessions of different intensity in amateur rhythmic gymnasts.Methods:Before the experimental training,10 female gymnasts performed a gradually increased exercise test to assess maximal heart rate,maximal oxygen consumption,and anaerobic threshold.They executed 2 intermittent training sessions separated by 48 h of recovery(48 h-post R):the first was performed at low-moderate intensity(LMI)and the second at high intensity(HI).Blood samples were collected immediately preand post-training and 48 h-post R.Hydroperoxide level(OxL)and total antioxidant capacity(TAC)were photometrically measured.Results:OxL was significantly higher in post-training and 48 h-post R following HI than the same conditions after an LMI session(HI vs.LMI post-training:381.10±46.17(mean±SD)vs.344.18±27.94 Units Carratelli(U.CARR);48 h-post R:412.21±26.61 vs.373.80±36.08 U.CARR).There was no change in TAC between the 2 training sessions investigated.In LMI training,OxL significantly decreased in post-training and increased to reach the baseline at 48 h-post R,whereas TAC increased only at 48 h-post R.In HI training,OxL significantly increased to reach a high oxidative stress 48 h-post R,whereas TAC was lower in post-training than pre-training.Conclusion:The pattern of OxL and TAC levels implies different regulation mechanisms by HI and LMI training sessions.High oxidative stress induced by an HI protocol might be associated with both insufficient TAC and recovery time at 48 h necessary to restore redox balance.
文摘In this article, a formulation for a hollow cylinder reinforced with an electroelastic layer is investigated. The hollow cylinder and its electro-elastic coating are under the Saint-Venant torsional loading. First, the solution to the problem containing a Volterra-type screw dislocation is obtained by using the Fourier transform. The problem is then reduced to a set of Cauchy singular integral equations by the distributed dislocation method. Finally, several examples are presented to show the effect of the electro-elastic coating on the reduction of the stress intensity factors at the crack tips.
基金supported by the National Key R&D Plan(No.2016YFA0401900)
文摘A bunch arrival-time monitor(BAM) based on an electro-optical intensity modulation scheme is currently under development at Shanghai Soft X-ray Free-Electron Laser to meet the high-resolution requirements for bunch stability. The BAM uses a radio frequency signal generated by a pickup cavity to modulate the reference laser pulses in an electro-optical intensity modulator(EOM), and the bunch arrival-time information is derived from the amplitude change of the laser pulse after laser pulse modulation.EOM is a key optical component in the BAM system.Through the basic principle analysis of BAM, many parameters of the EOM are observed to affect the measurement resolution of the BAM system. Therefore, a systematic analysis of the EOM is crucial. In this paper, we present two schemes to compare and analyze an EOM and provide a reference for selecting a new version of the EOM.
文摘The aim of this study is to propose an estimation approach to non-life insurance claim counts related to the insurance claim counting process, including the non-homogeneous Poisson process (NHPP) with a bell-shaped intensity and a beta-shaped intensity. The estimating function, such as the zero mean martingale (ZMM), is used as a procedure for parameter estimation of the insurance claim counting process, and the parameters of model claim intensity are estimated by the Bayesian method. Then,Λ(t), the compensator of N(t) is proposed for the number of claims in a time interval (0,t]. Given the process over the time interval (0,t]., the situations are presented through a simulation study and some examples of these situations are also depicted by a sample path relating N(t) to its compensatorΛ(t).
文摘AIM: To investigate low intensity laser irradiation phototherapy(LILIP) on the proliferation, mineralization and degradation of dental pulp constructs.METHODS: Stem cells from human exfoliated deciduous teeth(SHED) were grown to confluence and seeded on collagen scaffolds to create dental pulp constructs. LILIP was delivered to the dental pulp constructs using an 830 nm GaA IAs laser at an output power of 20 m W. The LILIP energy density was 0.4, 0.8, 1.2, and 2.4 J/cm2. After 8 d, the cell proliferation and degradation within the dental pulp constructs were measured using histologic criteria. After 28 d, the effect of LILIP on SHED mineralization was assessed by von Kossa staining.RESULTS: SHED proliferation within the dental pulp constructs varied after exposure to the 0.4, 0.8, 1.2,and 2.4 J/cm2 LILIP energy densities(P < 0.05). The maximum proliferation of SHED in nutrient deficient media was 218% after exposure to a 1.2 J/cm2 LILIP energy density. SHED grown in nutrient deficient media after exposure to a 0.4, 0.8, and 1.2 J/cm2 LILIP energy density, proliferated by 167-218% compared to the untreated(non-LILIP) control group(P < 0.05).SHED exposed to a 0.4, 0.8, and 1.2 J/cm2 LILIP energy density, and grown in optimal nutritional conditions and proliferated by 147%-164% compared to the untreated(non-LILIP) control group(P < 0.05). The exposure of SHED to the highest LILIP energy density(2.4 J/cm2) caused a reduction of the cell proliferation of up to 73% of the untreated(non-LILIP) control(P < 0.05). The amount of mineral produced by SHED increased over time up to 28 d(P < 0.05). The 0.8 and 1.2J/cm2 LILIP energy densities were the most effective at stimulating the increased the mineralization of the SHED from 150%-700% compared to untreated(nonLILIP) control over 28 d(P < 0.05). The degradation of dental pulp constructs was affected by LILIP(P <0.05). The dental pulp constructs grown in optimal nutritional conditions exposed to a 0.8 J/cm2 or 1.2 J/cm2 LILIP energy density had 13% to 16% more degradation than the untreated(non-LILIP) control groups(P < 0.05). The other LILIP energy densities caused a 1%degradation of dental pulp constructs in optimal nutritional conditions(P > 0.05).CONCLUSION: LILIP can enhance or reduce SHED proliferation, degradation and mineralization within dental pulp constructs. LILIP could promote the healing and regeneration of dental tissues.
文摘The electric field intensity (EFI) is important characteristic quantity for evaluating the internal insulation state of cable joints. Based on finite element method, this paper proposes two EFI research methods, field-circuit coupling method and equivalent circuit method. The average EFI of the inner surface of the outer semi-conducting shield can be calculated from the current in the measuring circuit. The relative error between these two methods is about 15%, which roughly proves the consistency of the two methods. Further practical application research enables online monitoring of cable joints.
基金Supported by the China National Science and Technology Major Project(2016ZX05047)
文摘The Upper Paleozoic in the north part of Tianhuan depression in the Ordos Basin,NW China has lower hydrocarbon generation intensity and complex gas-water relationship,the main factors controlling the formation of tight sandstone gas and the distribution of tight sandstone gas in the low hydrocarbon generation intensity area are studied.Through two-dimensional physical simulation experiment of hydrocarbon accumulation,analysis of reservoir micro-pore-throat hydrocarbon system and dissection of typical gas reservoirs,the evaluation models of gas injection pressure,reservoir physical property,and gas generation threshold were established to determine the features of tight gas reservoirs in low hydrocarbon intensity area:(1)at the burial depth of less than 3 000 m,the hydrocarbon generation intensity ofis high enough to maintain effective charging;(2)tight sandstone in large scale occurrence is conducive to accumulation of tight gas;(3)differences in reservoir physical property control the distribution of gas pool,for the channel sandstone reservoirs,ones with better physical properties generally concentrate in the middle of sandstone zone and local structural highs;ones with poor physical properties have low gas content generally.Based on the dissection of the gas reservoir in the north Tianhuan depression,the formation of tight gas reservoirs in low hydrocarbon generating intensity area are characterized by"long term continuous charging under hydrocarbon generation pressure,gas accumulation in large scale tight sandstone,pool control by difference in reservoir physical property,and local sweet spot",and the tight gas pools are distributed in discontinuous"sheets"on the plane.This understanding has been proved by expanding exploration of tight sandstone gas in the north Tianhuan depression.
基金supported by the Guangdong High Level Innovation Research Institute(Grant No.2021B0909050006)the National Grand Instrument Project(Grant No.2019YFF01014402)+1 种基金the National Natural Science Foundation of China(Grant No.12205008)support from the National Science Fund for Distinguished Young Scholars(Grant No.12225501)。
文摘Experimental validation of laser intensity is particularly important for the study of fundamental physics at extremely high intensities.However,reliable diagnosis of the focal spot and peak intensity faces huge challenges.In this work,we demonstrate for the firs time that the coherent radiation farfiel patterns from laser–foil interactions can serve as an in situ,real-time,and easy-to-implement diagnostic for an ultraintense laser focus.The laser-driven electron sheets,curved by the spatially varying laser fiel and leaving the targets at nearly the speed of light,produce doughnut-shaped patterns depending on the shapes of the focal spot and the absolute laser intensities.Assisted by particle-in-cell simulations,we can achieve measurements of the intensity and the focal spot,and provide immediate feedback to optimize the focal spots for extremely high intensity.
文摘The 6061-T651 aluminium alloy is one of the most common aluminium alloys for marine components and general structures. The stress intensity factor (SIF) is an important parameter for estimating the life of the cracked structure. In this paper, the stress intensity factors of a slant-cracked plate, which is made of 6061-T651 aluminum, have been calculated using extended finite element method (XFEM) and finite element method (FEM) in ABAQUS software and the results were compared with theoretical values. Numerical values obtained from these two methods were close to the theoretical values. In simulations of crack growth at different crack angles, the crack propagation angle values were closer to the theoretical values in XFEM method. Also, the accuracy and validity of fatigue crack growth curve were much closer to the theoretical graph in XFEM than the FEM. Therefore, in this paper the capabilities of XFEM were realized in analyzing issues such as cracks.
文摘Recent advances in high intensity focused ultrasound(HIFU),which was developed in the 1940s as a viable thermal tissue ablation approach,have increased its popularity.In clinics,HIFU has been applied to treat a variety of solid malignant tumors in a well-defined volume,including the pancreas,liver,prostate,breast,uterine fibroids,and soft-tissue sarcomas.In comparison to conventional tumor/cancer treatment modalities,such as open surgery,radio-and chemo-therapy,HIFU has the advantages of non-invasion,non-ionization,and fewer complications after treatment.Over 100 000 cases have been treated throughout the world with great success.The fundamental principles of HIFU ablation are coagulative thermal necrosis due to the absorption of ultrasound energy during transmission in tissue and the induced cavitation damage.This paper reviews the clinical outcomes of HIFU ablation for applicable cancers,and then summarizes the recommendations for a satisfactory HIFU treatment according to clinical experience.In addition,the current challenges in HIFU for engineers and physicians are also included.More recent horizons have broadened the application of HIFU in tumor treatment,such as HIFU-mediated drug delivery,vessel occlusion,and soft tissue erosion(“histotripsy”).In summary,HIFU is likely to play a significant role in the future oncology practice.
文摘Objective: To discuss the effect of intensity modulated radiation therapy combined with paclitaxel + endostar chemotherapy on serum malignant molecule levels in patients with locally advanced non-small cell lung cancer. Methods: Patients with locally advanced NSCLC who were treated in the hospital between February 2015 and January 2017 were collected and divided into control group (n=59) and research group (n=59) by random number table. Control group received the routine paclitaxel + endostar chemotherapy after the operation, and research group underwent intensity modulated radiation therapy combined with paclitaxel +endostar chemotherapy after the operation. The differences in serum levels of NSCLC-related tumor markers and angiogenesis indexes were compared between the two groups before and after treatment. Results: Before treatment, the differences in serum levels of NSCLC-related tumor markers and angiogenesis indexes were not statistically significant between the two groups. After treatment, serum TK1, CYFRA21-1, Pro-GRP, CEA, CA125 and SCC-Ag levels of research group were lower than those of control group;serum EGFR, COX-2, VEGF, HIF-1 and MMP-2 levels of research group were lower than those of control group. Conclusion:Postoperative intensity modulated radiation therapy combined with paclitaxel + endostar chemotherapy can effectively reduce the serum malignant molecule levels and optimize the illness in patients with local advanced NSCLC.
基金supported by the China National Support Program(2015BAC01B03)the Shaanxi Co-ordination Program(2016KTZDNY0105)the National Key Research and Development Program of China(2016YED0300201)
文摘Jujube(Ziziphus jujube Mill.)is a traditional economic forest crop and is widely cultivated in hilly areas of the Loess Plateau,China.However,soil desiccation was discovered in jujube plantations.Pruning is recognized as a water-saving method that can reduces soil water consumption.In this study,we monitored the jujube plots with control(CK),light(C1),medium(C2)and high(C3)pruning intensities during the jujube growing period of 2012-2015 to explore the effect of pruning intensity on soil moisture and water use efficiency(WUE)of jujube plantations in the hilly Loess Plateau Region.The results showed that pruning is an effective method for soil water conservation in jujube plantations.Soil moisture increased with increasing pruning intensity during the jujube growing period of 2012-2015.C1,C2 and C3 pruning intensities increased soil water storage by 6.1-18.3,14.4-40.0 and 24.3-63.3 mm,respectively,compared to CK pruning intensity.Pruning promoted soil moisture infiltration to deeper soil layer.Soil moisture infiltrated to soil depths of 240,280 and>300 cm under C3 pruning intensity,220,260 and 260 cm under C2 pruning intensity,200,240 and 220 cm under C1 pruning intensity,and 180,200 and 160 cm under CK pruning intensity in 2013,2014 and 2015,respectively.Soil water deficit was alleviated by higher pruning intensity.In 2013-2015,soil water change was positive under C2(6.4 mm)and C3(26.8 mm)pruning intensities but negative under C1(-20.5 mm)and CK(-40.6 mm)pruning intensities.Moreover,pruning significantly improved fresh fruit yield and WUE of jujube plants.Fresh fruit yields were highest under C1 pruning intensity with the values of 6897.1-13,059.3 kg/hm^2,which were 2758.4-4712.8,385.7-1432.1 and 802.8-2331.5 kg/hm2 higher than those under CK,C2,and C3 pruning intensities during the jujube growing period of 2012-2015,respectively.However,C3 pruning intensity had the highest WUE values of 2.92-3.13 kg/m3,which were 1.6-2.0,1.1-1.2 and 1.0-1.1 times greater than those under CK,C1 and C2 pruning intensities,respectively.Therefore,C3 pruning intensity is recommended to jujube plantations for its economic and ecological benefits.These results provide an alternative strategy to mitigate soil desiccation in jujube plantations in the hilly Loess Plateau Region,which is critical for sustainable cultivation of economic forest trees in this region.
