Objective:To analyze the efficacy of whole-course local simultaneous integrated boost intensity-modulated radiotherapy(SIB-IMRT)on patients with locally advanced esophageal squamous cell carcinoma(ESCC).Methods:88 pat...Objective:To analyze the efficacy of whole-course local simultaneous integrated boost intensity-modulated radiotherapy(SIB-IMRT)on patients with locally advanced esophageal squamous cell carcinoma(ESCC).Methods:88 patients with ESCC admitted to the hospital between October 2022 and October 2024 were selected and randomly divided into two groups using a random number table.The experimental group received SIB-IMRT treatment,while the control group received conventional intensity-modulated radiotherapy(C-IMRT).The objective remission rate,immune function,tumor markers,and adverse reaction rate were compared between the two groups.Results:The objective remission rate in the experimental group was higher than that in the control group(P<0.05).Before treatment,there was no difference in immune function levels and tumor marker levels between the two groups(P>0.05).After treatment,the immune function levels in the experimental group were better than those in the control group,and the tumor marker levels were lower than those in the control group(P<0.05).The adverse reaction rate in the experimental group was lower than that in the control group(P<0.05).Conclusion:SIB-IMRT can improve the objective remission rate of patients with ESCC,protect their immune function,down-regulate tumor marker levels,and prevent side effects after treatment.展开更多
An effective shape signature namely multi-level included angle functions MIAFs is proposed to describe the hierarchy information ranging from global information to local variations of shape.Invariance to rotation tran...An effective shape signature namely multi-level included angle functions MIAFs is proposed to describe the hierarchy information ranging from global information to local variations of shape.Invariance to rotation translation and scaling are the intrinsic properties of the MIAFs.For each contour point the multi-level included angles are obtained based on the paired line segments derived from unequal-arc-length partitions of contour.And a Fourier descriptor derived from multi-level included angle functions MIAFD is presented for efficient shape retrieval.The proposed descriptor is evaluated with the standard performance evaluation method on three shape image databases the MPEG-7 database the Kimia-99 database and the Swedish leaf database. The experimental results of shape retrieval indicate that the MIAFD outperforms the existing Fourier descriptors and has low computational complexity.And the comparison of the MIAFD with other shape description methods also shows that the proposed descriptor has the highest precision at the same recall value which verifies its effectiveness.展开更多
Based on the generalization and summary of the research on the functional constituents of chickpea at home and abroad in recent years,the research advances in some rich functional constituents including isoflavones,pr...Based on the generalization and summary of the research on the functional constituents of chickpea at home and abroad in recent years,the research advances in some rich functional constituents including isoflavones,proteins and peptides,carbohydrates,saponins and trace elements in chickpeas was reviewed in this paper. It provides a basis for the research,development and utilization of the functional constituents of chickpea in the future.展开更多
The nonlinear stability of sandwich cylindrical shells comprising porous functionally graded material(FGM) and carbon nanotube reinforced composite(CNTRC)layers subjected to uniform temperature rise is investigated. T...The nonlinear stability of sandwich cylindrical shells comprising porous functionally graded material(FGM) and carbon nanotube reinforced composite(CNTRC)layers subjected to uniform temperature rise is investigated. Two sandwich models corresponding to CNTRC and FGM face sheets are proposed. Carbon nanotubes(CNTs) in the CNTRC layer are embedded into a matrix according to functionally graded distributions. The effects of porosity in the FGM and the temperature dependence of properties of all constituent materials are considered. The effective properties of the porous FGM and CNTRC are determined by using the modified and extended versions of a linear mixture rule, respectively. The basic equations governing the stability problem of thin sandwich cylindrical shells are established within the framework of the Donnell shell theory including the von K’arm’an-Donnell nonlinearity. These equations are solved by using the multi-term analytical solutions and the Galerkin method for simply supported shells.The critical buckling temperatures and postbuckling paths are determined through an iteration procedure. The study reveals that the sandwich shell model with a CNTRC core layer and relatively thin porous FGM face sheets can have the best capacity of thermal load carrying. In addition, unlike the cases of mechanical loads, porosities have beneficial effects on the nonlinear stability of sandwich shells under the thermal load. It is suggested that an appropriate combination of advantages of FGM and CNTRC can result in optimal efficiency for advanced sandwich structures.展开更多
Objective:To study the effect of Xiao Chaihu Tang combined with intravenous chemotherapy on tumor markers and immune function in patients with advanced breast cancer.Methods: 76 patients with advanced breast cancer tr...Objective:To study the effect of Xiao Chaihu Tang combined with intravenous chemotherapy on tumor markers and immune function in patients with advanced breast cancer.Methods: 76 patients with advanced breast cancer treated in our hospital between May 2012 and November 2015 were collected and divided into the combined treatment group (n=34) who accepted Xiao Chaihu Tang combined with intravenous chemotherapy and the control group (n=42) who accepted intravenous chemotherapy alone according to different treatment, and the treatment cycle was 3 months for both groups. Before treatment and 3 months after treatment, ELISA method was used to detect serum levels of broad-spectrum tumor markers and breast cancer-specific tumor markers;flow cytometer was used to detect cellular immune function index levels, and turbidimetric immunoassay was used to detect humoral immune function index levels in peripheral blood.Results: Before treatment, differences in serum tumor marker levels as well as cellular immunity and humoral immunity index levels in peripheral blood were not statistically significant between two groups of patients (P>0.05);after 3 months of treatment, broad-spectrum tumor markers carcinoembryonic antigen (CEA), carbohydrate antigen 153 (CA153) and carbohydrate antigen 125 (CA125) levels in serum of combined treatment group were lower than those of control group, and breast cancer-specific tumor markers insulin-like growth factor-1 (IGF-1), midkine (MK), soluble E-cadherin (sEC) and thymidine kinase 1 (TK1) levels were lower than those of control group (P<0.05);CD3+ and CD4+ T lymphocyte levels as well as CD4+/CD8+ ratio in peripheral blood of combined treatment group were higher than those of control group while CD8+ T lymphocyte level was lower than that of control group, and immunoglobulin G (IgG), immunoglobulin A (IgA) and immunoglobulin M (IgM) levels in peripheral blood were higher than those of control group (P<0.05).Conclusions:Xiao Chaihu Tang combined with intravenous chemotherapy can decrease the severity of advanced breast cancer and optimize the body's immune function.展开更多
Humans have relied on biomass for survival and development since the Stone Age. All aspects of human needs for materials are covered by tools, fuel, and buildings. Nowadays, metals and petroleum-based materials are wi...Humans have relied on biomass for survival and development since the Stone Age. All aspects of human needs for materials are covered by tools, fuel, and buildings. Nowadays, metals and petroleum-based materials are widely used in highly developed industries. Unfortunately, environmental contamination and the loss of natural resources have led to the reemergence of biomass resources as efficient and sustainable energy sources. Notably, simple and direct applications can no longer meet the demand for functionalization, high performance of materials and construction materials. Therefore, it is imperative to modify biomass and combine its utilisation to produce functionalization and high performance materials. For example, construction materials with superior mechanical properties and water resistance can be produced by reinforcing fibres to facilitate crosslinking. Water-oil separation or adsorption effects of hydrogels and aerogels are determined by the porosity and lightness of biomass, biocomposite conductor is prepared by chimaeric conductive material. Here, we review the approaches that have been taken to devise an environmentally friendly yet fully recyclable and sustainable functionalised biocomposites from biomass and its potential directions for future research.展开更多
Objective To observe the therapeutic effect of the combination of Xiaoaiping injection and chemotherapy on advanced esophageal cancer and coagulation function.Methods 100 patients with advanced esophageal carcer were ...Objective To observe the therapeutic effect of the combination of Xiaoaiping injection and chemotherapy on advanced esophageal cancer and coagulation function.Methods 100 patients with advanced esophageal carcer were randomly divided into control group and observation group,and each group had 50 cases.The control group was treated with TP chemotherapy,and the observation group,on the basis of the control group’s treatment,was treated with the Xiaoaiping injection,and treatment effects,Karnofsky,adverse drug reactions and INR changes before and after the treatment of the two groups were observed.Results After 2 periods of treatment,the local control rate of solid tumor,Karnofsky score,and stability in the observation group were significantly higher than those in the control group(p<0.05);and the plasma prothrombin time(PT),activated partial coagulation activity time(APTT)and thrombin time(TT)were significantly lower in the observation group than in the control group(p<0.05),and Fibrinogen(FIB)was significantly higher than the control group(p<0.05);and there was no statistically significant difference in the incidence of adverse reactions between the two groups(p>0.05).Conclusion:The therapeutic effect of the combination of Xiaoaiping Injection and chemotherapy on advanced esophageal cancer is obvious,and it can effectively improve the coagulation function,improve the quality of life,and be safe and reliable,so it's worth popularizing and application.展开更多
Objective:To explore the influence on liver function of hepatic artery interventional chemoembolization combined reduced glutathione therapy for elderly patients with advanced liver cancer.Methods:A total of 120 cases...Objective:To explore the influence on liver function of hepatic artery interventional chemoembolization combined reduced glutathione therapy for elderly patients with advanced liver cancer.Methods:A total of 120 cases of elderly patients with advanced liver cancer from digestive surgery in-patient department of our hospital during the period of January 2014 and January 2016 were selected as the research object, the patients were divided into two groups by using the random number table method,each for 60 cases.The control group were given conventional drugs chemotherapy, the study group were given hepatic artery interventional chemoembolization combined reduced glutathione therapy, serum liver function indexes of Direct Bilirubin(DBil), Total Bilirubin(TBil), Aspartate Transaminase(AST) and Alanineamino Transferase (ALT)were detected by using automatic biochemical analyzer. Results: The clinical remission rate of study group was significantly higher than the control group, the recurrence rate was obviously lower than the control group,compared between the two groups with statistically significant differences. The average survival time of study group (29.36±6.25) months, was significantly longer than the control group (18.02±4.16) months .Before the treatment, serum DBil, TBil, AST and ALT levels compared between the two groups with no statistically significant differences,after the treatment,the indexes of study group was significantly lower than the control group. The indexes levels compared between pre-therapy and post-therapy in study group with no statistically significant differences, while the indexes levels of post-therapy in the control group were significantly higher than those pre-therapy. Before the treatment, the life quality score compared between the two groups with no statistically significant differences, after treatment,the score of all patients were significantly higher than those pre-therapywhich the score of study group was significantly higher than the control group.The incidence rate of drug adverse reactions compared between the two groups with no statistically significant differences.Conclusion: The clinical efficacy of hepatic artery interventional chemoembolization combined reduced glutathione therapy for elderly patients with advanced liver cancer is satisfying, and helps to significantly improve liver function, improve life quality, it is worth popularization and application in the clinical practice.展开更多
Objective:To investigate the effect of Kanglaite injection combined with docetaxel in advanced esophageal cancer on tumor markers, angiogenesis and immune function in elderly patients.Method:A total of 130 patients wi...Objective:To investigate the effect of Kanglaite injection combined with docetaxel in advanced esophageal cancer on tumor markers, angiogenesis and immune function in elderly patients.Method:A total of 130 patients with advanced esophageal cancer admitted in our hospital from October 2014 to July 2017were selected and divided into two groups according to the time of admission, 65 cases in each group, set as observation group and control group, all patients were treated with conventional radiotherapy (cisplatin combined with 5-fluorouracil), the observation group was given Kanglaite injection combined with docetaxel on the basis of this, while the control group only was given docetaxel treatment, the treatment period was 6 weeks, tumor markers, VEGF and immune function of both group after treatment were compared.Result: After treatment, the levels of carbohydrate antigen 125 (CA125), carbohydrate antigen 19-9 (CA19-9) and carcino-embryonic antigen (CEA) in the observation group were lower than those in the control group, the difference was statistically significant;VEGF level in the observation group after treatment was lower than the control group, the difference was statistically significant;After treatment, the levels of CD3+, CD4+ and CD4+/CD8+ in the observation group were higher than those in the control group, while the levels of CD8+ in the observation group was lower than those in the control group, the difference was statistically significant.Conclusion: Kanglaite injection combined with docetaxel in the treatment of elderly patients with advanced esophageal cancer is better, effectively reducing the level of tumor markers and vascular endothelial growth factor, improve immune function, it isworthy of clinical application.展开更多
Objective: To investigate the effects of Yiqi Gu decoction combined with DC chemotherapy on serum tumor markers, inflammatory factors and immune function in patients with locally advanced non-small cell lung cancer. M...Objective: To investigate the effects of Yiqi Gu decoction combined with DC chemotherapy on serum tumor markers, inflammatory factors and immune function in patients with locally advanced non-small cell lung cancer. Methods: A total of 95 patients with locally advanced non-small cell lung cancer were selected as the research objects, according to the random data table they were divided into control group (n=48) and observation group (n=47), patients in the control group were given DC chemotherapy, On the basis of this treatment, the patients in the observation group were given Yiqi Gu decoction treatment, Comparison of the levels of serum tumor markers [antigen (CEA) and carbohydrate antigen 19-9 (CA19-9)], inflammatory factor [C reactive protein (CRP) and tumor necrosis factor-α (TNF-α)] and immune function (CD3+, CD4+, CD8+, CD4+/CD8+)Results: Before treatment, there were no significant difference in the levels of CEA, CA19-9, CRP, TNF-α, CD3+, CD4+, CD8+, CD4+/CD8+ between the two groups;After treatment, the CEA, CA19-9, CRP, TNF-α, CD8+ levels of two groups were significantly lower than those in the same group before treatment, and the decreased range in observation group was significantly higher than the control group, moreover the levels after treatment were obviously lower than control group;After treatment, the levels of CD3+, CD4+, CD4+/CD8+ in the observation group were (64.72±5.25)% , (39.51±5.14)% and (1.35±0.27), which were significantly higher than the same group before treatment, and significantly higher than the control group [(58.57±5.09)%, (31.34±5.06)%, (1.14±0.33)], differences were statistically significant. Conclusion: DC chemotherapy combined with Yiqi Guben Decoction in the treatment of locally advanced non-small cell lung cancer, can effectively reduce the serum tumor marker levels, decrease inflammatory stress, improve immune function, has an important clinical value.展开更多
Objective: To study the effect of immunotherapy combined with intravenous chemotherapy on the tumor load, immune function and cancer cell proliferation activity in patients with advanced colon cancer. Methods: A total...Objective: To study the effect of immunotherapy combined with intravenous chemotherapy on the tumor load, immune function and cancer cell proliferation activity in patients with advanced colon cancer. Methods: A total of 90 patients with advanced colon cancer who were treated in Second People's Hospital of Yibin between December 2014 and January 2017 were collected and divided into control group (n=45) and observation group (n=45) by random number table. Control group received routine intravenous chemotherapy, and the observation group received immunotherapy combined with intravenous chemotherapy. The levels of specific tumor markers and Th17/Treg cytokines in serum as well as proliferation gene expression in the lesion tissue were determined. Results: Before treatment, the differences in levels of specific tumor markers and Th17/Treg cytokines in serum as well as proliferation gene expression in lesion tissue were not statistically significant between the two groups. After treatment, PTN, CCSA-1, IL-17 and IL-23 levels in serum as well as GTPBP4 and PIK3CB mRNA expression in lesion tissue of both groups of patients were lower than those before treatment while IL-10 and IL-35 levels in serum as well as FAM96B, MS4A12 and FRAT1 mRNA expression in lesion tissue were higher than those before treatment, and PTN, CCSA-1, IL-17 and IL-23 levels in serum as well as GTPBP4 and PIK3CB mRNA expression in lesion tissue of observation group were lower than those of control group while IL-10 and IL-35 levels in serum as well as FAM96B, MS4A12 and FRAT1 mRNA expression in lesion tissue were higher than those of control group. Conclusion: Immunotherapy combined with intravenous chemotherapy can effectively reduce the tumor load, optimize cellular immune function and inhibit tumor cell proliferation in patients with advanced colon cancer.展开更多
Benign esophageal stricture is characterized by the narrowing of the digestivetract lumen due to multiple factors. Endoscopic treatment is the first treatmentchoice and includes endoscopic dilatation, drug injection, ...Benign esophageal stricture is characterized by the narrowing of the digestivetract lumen due to multiple factors. Endoscopic treatment is the first treatmentchoice and includes endoscopic dilatation, drug injection, stenosis incision, stentimplantation, stem cell flap transplantation, etc. However, there are currently nospecific clinical standards or guidelines to quantify a series of specific parametersin the treatment of benign esophageal stricture, such as the frequency of drugadministration, dosage, dilation inner diameter, and number of treatments. Thisleads to operator bias in clinical practice and inconsistent treatment outcomesamong patients. Therefore, this article reviews the current advances and existingchallenges in the endoscopic treatment of benign esophageal stricture, with theaim of exploring the possibility of achieving precision and standardization in theendoscopic treatment of this disease.展开更多
The cochlea is one of the most complex organs in the human body,exhibiting a complex interplay of characteristics in acoustic,mechanical,electrical,and biological functions.Functional cochlea models are an essential p...The cochlea is one of the most complex organs in the human body,exhibiting a complex interplay of characteristics in acoustic,mechanical,electrical,and biological functions.Functional cochlea models are an essential platform for studying hearing mechanics and are crucial for developing next-generation auditory prostheses and artificial hearing systems for sensorineural hearing restoration.Recent advances in additive manufacturing,organ-on-a-chip models,drug delivery platforms,and artificial intelligence have provided valuable insights into how to manufacture artificial cochlea models that more accurately replicate the complex anatomy and physiology of the inner ear.This paper reviews recent advancements in the applications of advanced manufacturing techniques in reproducing the physical,biological,and intelligent functions of the cochlea.It also outlines the current challenges to developing mechanically,electrically,and anatomically accurate functional models of the inner ear.Finally,this review identifies the major requirements and outlook for impactful research in this field going forward.Through interdisciplinary collaboration and innovation,these functional cochlea models are poised to drive significant advancements in hearing treatments,and ultimately enhance the quality of life for individuals with hearing loss.展开更多
The rapid development of portable electronics,wearable technologies,and healthcare monitoring systems necessitates the innovation of flexible energy storage systems.Considering environmental pollution and the depletio...The rapid development of portable electronics,wearable technologies,and healthcare monitoring systems necessitates the innovation of flexible energy storage systems.Considering environmental pollution and the depletion of fossil resources,the utilization of renewable resources to engineer advanced flexible materials has become especially crucial.Cellulose,the most abundant natural polymer,has emerged as a promising precursor for advanced functional materials due to its unique structure and properties.Typically,the easy processability,tunable chemical structure,self-assembly behavior,mechanical strength,and reinforcing capability enable its utilization as binder,substrate,hybrid electrode,separator,and electrolyte reservoir for flexible energy storage devices.This review comprehensively summarizes the design,fabrication,and mechanical and electrochemical performances of cellulose-based materials.The structure and unique properties of cellulose are first briefly introduced.Then,the construction of cellulose-based materials in the forms of 1D fibers/filaments,2D films/membranes,3D hydrogels and aerogels is discussed,and the merits of cellulose in these materials are emphasized.After that,the various advanced applications in supercapacitors,lithium-ion batteries,lithium-sulfur batteries,sodium-ion batteries,metal-air batteries,and Zn-ion batteries are presented in detail.Finally,an outlook of the potential challenges and future perspectives in advanced cellulose-based materials for flexible energy storage systems is discussed.展开更多
The publisher regrets to inform that in the article of Advanced Powder Materials 4(2025)100261,the published Figs.3 and 5 belong to the initially submitted version,which should be replaced by the final version.The dif...The publisher regrets to inform that in the article of Advanced Powder Materials 4(2025)100261,the published Figs.3 and 5 belong to the initially submitted version,which should be replaced by the final version.The differences between the initial and final versions of these figures are described below.展开更多
BACKGROUND Advanced chronic liver disease is a progressive condition associated with high mor-bidity and mortality,leading to complications such as decompensation and hepatocellular carcinoma.Although prognostic score...BACKGROUND Advanced chronic liver disease is a progressive condition associated with high mor-bidity and mortality,leading to complications such as decompensation and hepatocellular carcinoma.Although prognostic scores such as the Child-Pugh score(which combines clinical assessment and laboratory parameters)and laboratory-based models,including Model for End-Stage Liver Disease(MELD)3.0,albumin-bilirubin(ALBI)grade,and fibrosis-4(FIB-4),are often used,their accuracy is limited by subjective assessments and variability in laboratory results.The Functional Liver Imaging Score(FLIS),a semi-quantitative magnetic resonance imaging(MRI)measure of liver function,may also be influenced by observer variability.This emphasizes the need for objective,reproducible tools to improve risk stratification and support treatment decision-making.AIM To evaluate the prognostic value of hepatic enhancement(HE)and signal intensity measured by gadoxetate disodium-enhanced MRI.METHODS In this retrospective cohort study,100 patients with advanced chronic liver disease underwent gadoxetateenhanced MRI.HE and signal intensity were measured quantitatively in liver segments III,VI,VIII,and the caudate lobe,and global values were calculated by averaging segmental measurements.Correlations were assessed with FLIS,Child-Pugh,MELD 3.0,ALBI,FIB-4,liver stiffness(FibroScan),and hepatic venous pressure gradient.Cox regression and receiver operating characteristic analysis were used to evaluate associations with hepatic decompensation,mortality,and hepatocellular carcinoma(HCC)occurrence during follow-up.RESULTS Global HE showed a significant correlation with FLIS(r=0.797),Child-Pugh(r=-0.589),MELD 3.0(r=-0.658),ALBI(r=-0.599),FIB-4(r=-0.308),liver stiffness(r=-0.470),and hepatic venous pressure gradient(r=-0.340).Lower HE was significantly associated with a higher risk of decompensation and mortality in univariate Cox regression.After adjustment for MELD 3.0,etiology,and prior HCC,segment VI HE remained independently predictive of mortality.At 12 months,HE improved risk stratification for mortality and reduced unnecessary interventions by 11 per 100 patients at a 10%threshold in the decision curve analysis.HE had an area under the receiver operating characteristic curve of 0.74 for predicting decompensation and 0.74 for predicting mortality.HE was higher in patients who developed or experienced recurrence of HCC during follow-up,but this was not statistically significant(P=0.1).CONCLUSION Lower HE in segment VI improved prognostic classification of high-risk patients.These patients align with Baveno VII criteria for intensified management,supporting the potential role of HE in risk-adapted surveillance.展开更多
文摘Objective:To analyze the efficacy of whole-course local simultaneous integrated boost intensity-modulated radiotherapy(SIB-IMRT)on patients with locally advanced esophageal squamous cell carcinoma(ESCC).Methods:88 patients with ESCC admitted to the hospital between October 2022 and October 2024 were selected and randomly divided into two groups using a random number table.The experimental group received SIB-IMRT treatment,while the control group received conventional intensity-modulated radiotherapy(C-IMRT).The objective remission rate,immune function,tumor markers,and adverse reaction rate were compared between the two groups.Results:The objective remission rate in the experimental group was higher than that in the control group(P<0.05).Before treatment,there was no difference in immune function levels and tumor marker levels between the two groups(P>0.05).After treatment,the immune function levels in the experimental group were better than those in the control group,and the tumor marker levels were lower than those in the control group(P<0.05).The adverse reaction rate in the experimental group was lower than that in the control group(P<0.05).Conclusion:SIB-IMRT can improve the objective remission rate of patients with ESCC,protect their immune function,down-regulate tumor marker levels,and prevent side effects after treatment.
基金The National Natural Science Foundation of China(No.61170116,61375010,60973064)
文摘An effective shape signature namely multi-level included angle functions MIAFs is proposed to describe the hierarchy information ranging from global information to local variations of shape.Invariance to rotation translation and scaling are the intrinsic properties of the MIAFs.For each contour point the multi-level included angles are obtained based on the paired line segments derived from unequal-arc-length partitions of contour.And a Fourier descriptor derived from multi-level included angle functions MIAFD is presented for efficient shape retrieval.The proposed descriptor is evaluated with the standard performance evaluation method on three shape image databases the MPEG-7 database the Kimia-99 database and the Swedish leaf database. The experimental results of shape retrieval indicate that the MIAFD outperforms the existing Fourier descriptors and has low computational complexity.And the comparison of the MIAFD with other shape description methods also shows that the proposed descriptor has the highest precision at the same recall value which verifies its effectiveness.
基金Supported by Key New Product Development Project of Yunnan Provincial of Science and Technology(2016BB002)Identification,Cataloguing and Propagation of Chickpea and Lupine Resources into National Crop Genebank of China(2018NWB036-07-B)
文摘Based on the generalization and summary of the research on the functional constituents of chickpea at home and abroad in recent years,the research advances in some rich functional constituents including isoflavones,proteins and peptides,carbohydrates,saponins and trace elements in chickpeas was reviewed in this paper. It provides a basis for the research,development and utilization of the functional constituents of chickpea in the future.
基金the Vietnam National Foundation for Science and Technology Development(NAFOSTED)(No.107.02-2019.318)。
文摘The nonlinear stability of sandwich cylindrical shells comprising porous functionally graded material(FGM) and carbon nanotube reinforced composite(CNTRC)layers subjected to uniform temperature rise is investigated. Two sandwich models corresponding to CNTRC and FGM face sheets are proposed. Carbon nanotubes(CNTs) in the CNTRC layer are embedded into a matrix according to functionally graded distributions. The effects of porosity in the FGM and the temperature dependence of properties of all constituent materials are considered. The effective properties of the porous FGM and CNTRC are determined by using the modified and extended versions of a linear mixture rule, respectively. The basic equations governing the stability problem of thin sandwich cylindrical shells are established within the framework of the Donnell shell theory including the von K’arm’an-Donnell nonlinearity. These equations are solved by using the multi-term analytical solutions and the Galerkin method for simply supported shells.The critical buckling temperatures and postbuckling paths are determined through an iteration procedure. The study reveals that the sandwich shell model with a CNTRC core layer and relatively thin porous FGM face sheets can have the best capacity of thermal load carrying. In addition, unlike the cases of mechanical loads, porosities have beneficial effects on the nonlinear stability of sandwich shells under the thermal load. It is suggested that an appropriate combination of advantages of FGM and CNTRC can result in optimal efficiency for advanced sandwich structures.
文摘Objective:To study the effect of Xiao Chaihu Tang combined with intravenous chemotherapy on tumor markers and immune function in patients with advanced breast cancer.Methods: 76 patients with advanced breast cancer treated in our hospital between May 2012 and November 2015 were collected and divided into the combined treatment group (n=34) who accepted Xiao Chaihu Tang combined with intravenous chemotherapy and the control group (n=42) who accepted intravenous chemotherapy alone according to different treatment, and the treatment cycle was 3 months for both groups. Before treatment and 3 months after treatment, ELISA method was used to detect serum levels of broad-spectrum tumor markers and breast cancer-specific tumor markers;flow cytometer was used to detect cellular immune function index levels, and turbidimetric immunoassay was used to detect humoral immune function index levels in peripheral blood.Results: Before treatment, differences in serum tumor marker levels as well as cellular immunity and humoral immunity index levels in peripheral blood were not statistically significant between two groups of patients (P>0.05);after 3 months of treatment, broad-spectrum tumor markers carcinoembryonic antigen (CEA), carbohydrate antigen 153 (CA153) and carbohydrate antigen 125 (CA125) levels in serum of combined treatment group were lower than those of control group, and breast cancer-specific tumor markers insulin-like growth factor-1 (IGF-1), midkine (MK), soluble E-cadherin (sEC) and thymidine kinase 1 (TK1) levels were lower than those of control group (P<0.05);CD3+ and CD4+ T lymphocyte levels as well as CD4+/CD8+ ratio in peripheral blood of combined treatment group were higher than those of control group while CD8+ T lymphocyte level was lower than that of control group, and immunoglobulin G (IgG), immunoglobulin A (IgA) and immunoglobulin M (IgM) levels in peripheral blood were higher than those of control group (P<0.05).Conclusions:Xiao Chaihu Tang combined with intravenous chemotherapy can decrease the severity of advanced breast cancer and optimize the body's immune function.
基金the National Natural Science Foundation of China (No.32201491)China Postdoctoral Science Foundation (No.2021M690847)+5 种基金Natural Science Foundation of Jiangsu Province (No.BK20200775)Natural Science Foundation of the Jiangsu Higher Education Institutions of China (No.21KJB220011)Science and Technology Innovation Program of Hunan Province (No.2021RC2106)Deputy General Project of Science and Technology of Jiangsu Province (No.FZ20211507)Hunan Province Biomass-based Materials Green and Low-carbon Intelligent Manufacturing Engineering Technology Research centre (No.2022TP2033)Technology centre of Hunan Hongsen Novel Material Technology Co., Ltd. (No.HNJSZX2022290)。
文摘Humans have relied on biomass for survival and development since the Stone Age. All aspects of human needs for materials are covered by tools, fuel, and buildings. Nowadays, metals and petroleum-based materials are widely used in highly developed industries. Unfortunately, environmental contamination and the loss of natural resources have led to the reemergence of biomass resources as efficient and sustainable energy sources. Notably, simple and direct applications can no longer meet the demand for functionalization, high performance of materials and construction materials. Therefore, it is imperative to modify biomass and combine its utilisation to produce functionalization and high performance materials. For example, construction materials with superior mechanical properties and water resistance can be produced by reinforcing fibres to facilitate crosslinking. Water-oil separation or adsorption effects of hydrogels and aerogels are determined by the porosity and lightness of biomass, biocomposite conductor is prepared by chimaeric conductive material. Here, we review the approaches that have been taken to devise an environmentally friendly yet fully recyclable and sustainable functionalised biocomposites from biomass and its potential directions for future research.
文摘Objective To observe the therapeutic effect of the combination of Xiaoaiping injection and chemotherapy on advanced esophageal cancer and coagulation function.Methods 100 patients with advanced esophageal carcer were randomly divided into control group and observation group,and each group had 50 cases.The control group was treated with TP chemotherapy,and the observation group,on the basis of the control group’s treatment,was treated with the Xiaoaiping injection,and treatment effects,Karnofsky,adverse drug reactions and INR changes before and after the treatment of the two groups were observed.Results After 2 periods of treatment,the local control rate of solid tumor,Karnofsky score,and stability in the observation group were significantly higher than those in the control group(p<0.05);and the plasma prothrombin time(PT),activated partial coagulation activity time(APTT)and thrombin time(TT)were significantly lower in the observation group than in the control group(p<0.05),and Fibrinogen(FIB)was significantly higher than the control group(p<0.05);and there was no statistically significant difference in the incidence of adverse reactions between the two groups(p>0.05).Conclusion:The therapeutic effect of the combination of Xiaoaiping Injection and chemotherapy on advanced esophageal cancer is obvious,and it can effectively improve the coagulation function,improve the quality of life,and be safe and reliable,so it's worth popularizing and application.
文摘Objective:To explore the influence on liver function of hepatic artery interventional chemoembolization combined reduced glutathione therapy for elderly patients with advanced liver cancer.Methods:A total of 120 cases of elderly patients with advanced liver cancer from digestive surgery in-patient department of our hospital during the period of January 2014 and January 2016 were selected as the research object, the patients were divided into two groups by using the random number table method,each for 60 cases.The control group were given conventional drugs chemotherapy, the study group were given hepatic artery interventional chemoembolization combined reduced glutathione therapy, serum liver function indexes of Direct Bilirubin(DBil), Total Bilirubin(TBil), Aspartate Transaminase(AST) and Alanineamino Transferase (ALT)were detected by using automatic biochemical analyzer. Results: The clinical remission rate of study group was significantly higher than the control group, the recurrence rate was obviously lower than the control group,compared between the two groups with statistically significant differences. The average survival time of study group (29.36±6.25) months, was significantly longer than the control group (18.02±4.16) months .Before the treatment, serum DBil, TBil, AST and ALT levels compared between the two groups with no statistically significant differences,after the treatment,the indexes of study group was significantly lower than the control group. The indexes levels compared between pre-therapy and post-therapy in study group with no statistically significant differences, while the indexes levels of post-therapy in the control group were significantly higher than those pre-therapy. Before the treatment, the life quality score compared between the two groups with no statistically significant differences, after treatment,the score of all patients were significantly higher than those pre-therapywhich the score of study group was significantly higher than the control group.The incidence rate of drug adverse reactions compared between the two groups with no statistically significant differences.Conclusion: The clinical efficacy of hepatic artery interventional chemoembolization combined reduced glutathione therapy for elderly patients with advanced liver cancer is satisfying, and helps to significantly improve liver function, improve life quality, it is worth popularization and application in the clinical practice.
文摘Objective:To investigate the effect of Kanglaite injection combined with docetaxel in advanced esophageal cancer on tumor markers, angiogenesis and immune function in elderly patients.Method:A total of 130 patients with advanced esophageal cancer admitted in our hospital from October 2014 to July 2017were selected and divided into two groups according to the time of admission, 65 cases in each group, set as observation group and control group, all patients were treated with conventional radiotherapy (cisplatin combined with 5-fluorouracil), the observation group was given Kanglaite injection combined with docetaxel on the basis of this, while the control group only was given docetaxel treatment, the treatment period was 6 weeks, tumor markers, VEGF and immune function of both group after treatment were compared.Result: After treatment, the levels of carbohydrate antigen 125 (CA125), carbohydrate antigen 19-9 (CA19-9) and carcino-embryonic antigen (CEA) in the observation group were lower than those in the control group, the difference was statistically significant;VEGF level in the observation group after treatment was lower than the control group, the difference was statistically significant;After treatment, the levels of CD3+, CD4+ and CD4+/CD8+ in the observation group were higher than those in the control group, while the levels of CD8+ in the observation group was lower than those in the control group, the difference was statistically significant.Conclusion: Kanglaite injection combined with docetaxel in the treatment of elderly patients with advanced esophageal cancer is better, effectively reducing the level of tumor markers and vascular endothelial growth factor, improve immune function, it isworthy of clinical application.
文摘Objective: To investigate the effects of Yiqi Gu decoction combined with DC chemotherapy on serum tumor markers, inflammatory factors and immune function in patients with locally advanced non-small cell lung cancer. Methods: A total of 95 patients with locally advanced non-small cell lung cancer were selected as the research objects, according to the random data table they were divided into control group (n=48) and observation group (n=47), patients in the control group were given DC chemotherapy, On the basis of this treatment, the patients in the observation group were given Yiqi Gu decoction treatment, Comparison of the levels of serum tumor markers [antigen (CEA) and carbohydrate antigen 19-9 (CA19-9)], inflammatory factor [C reactive protein (CRP) and tumor necrosis factor-α (TNF-α)] and immune function (CD3+, CD4+, CD8+, CD4+/CD8+)Results: Before treatment, there were no significant difference in the levels of CEA, CA19-9, CRP, TNF-α, CD3+, CD4+, CD8+, CD4+/CD8+ between the two groups;After treatment, the CEA, CA19-9, CRP, TNF-α, CD8+ levels of two groups were significantly lower than those in the same group before treatment, and the decreased range in observation group was significantly higher than the control group, moreover the levels after treatment were obviously lower than control group;After treatment, the levels of CD3+, CD4+, CD4+/CD8+ in the observation group were (64.72±5.25)% , (39.51±5.14)% and (1.35±0.27), which were significantly higher than the same group before treatment, and significantly higher than the control group [(58.57±5.09)%, (31.34±5.06)%, (1.14±0.33)], differences were statistically significant. Conclusion: DC chemotherapy combined with Yiqi Guben Decoction in the treatment of locally advanced non-small cell lung cancer, can effectively reduce the serum tumor marker levels, decrease inflammatory stress, improve immune function, has an important clinical value.
文摘Objective: To study the effect of immunotherapy combined with intravenous chemotherapy on the tumor load, immune function and cancer cell proliferation activity in patients with advanced colon cancer. Methods: A total of 90 patients with advanced colon cancer who were treated in Second People's Hospital of Yibin between December 2014 and January 2017 were collected and divided into control group (n=45) and observation group (n=45) by random number table. Control group received routine intravenous chemotherapy, and the observation group received immunotherapy combined with intravenous chemotherapy. The levels of specific tumor markers and Th17/Treg cytokines in serum as well as proliferation gene expression in the lesion tissue were determined. Results: Before treatment, the differences in levels of specific tumor markers and Th17/Treg cytokines in serum as well as proliferation gene expression in lesion tissue were not statistically significant between the two groups. After treatment, PTN, CCSA-1, IL-17 and IL-23 levels in serum as well as GTPBP4 and PIK3CB mRNA expression in lesion tissue of both groups of patients were lower than those before treatment while IL-10 and IL-35 levels in serum as well as FAM96B, MS4A12 and FRAT1 mRNA expression in lesion tissue were higher than those before treatment, and PTN, CCSA-1, IL-17 and IL-23 levels in serum as well as GTPBP4 and PIK3CB mRNA expression in lesion tissue of observation group were lower than those of control group while IL-10 and IL-35 levels in serum as well as FAM96B, MS4A12 and FRAT1 mRNA expression in lesion tissue were higher than those of control group. Conclusion: Immunotherapy combined with intravenous chemotherapy can effectively reduce the tumor load, optimize cellular immune function and inhibit tumor cell proliferation in patients with advanced colon cancer.
文摘Benign esophageal stricture is characterized by the narrowing of the digestivetract lumen due to multiple factors. Endoscopic treatment is the first treatmentchoice and includes endoscopic dilatation, drug injection, stenosis incision, stentimplantation, stem cell flap transplantation, etc. However, there are currently nospecific clinical standards or guidelines to quantify a series of specific parametersin the treatment of benign esophageal stricture, such as the frequency of drugadministration, dosage, dilation inner diameter, and number of treatments. Thisleads to operator bias in clinical practice and inconsistent treatment outcomesamong patients. Therefore, this article reviews the current advances and existingchallenges in the endoscopic treatment of benign esophageal stricture, with theaim of exploring the possibility of achieving precision and standardization in theendoscopic treatment of this disease.
基金support from the UCL GRS/ORS scholarshipUCL Fellowship Incubator Award+9 种基金supported by the NIHR Cambridge Biomedical Research Centre(NIHR203312)funded by the Royal National Institute for Deaf People(RNID,G100138)funded by the Rosetrees Trust Enterprise Fellowship(EF2020100099)RNID Flexigrant(F112)Wellcome Trust Developing Concept Fund(RG93172/BANCE/40181)by the Evelyn Trustfunded by the Woolf Fisher Trust,New Zealandthe Cambridge Commonwealth,European,&International Trustby Trinity CollegeUniversity of Cambridge。
文摘The cochlea is one of the most complex organs in the human body,exhibiting a complex interplay of characteristics in acoustic,mechanical,electrical,and biological functions.Functional cochlea models are an essential platform for studying hearing mechanics and are crucial for developing next-generation auditory prostheses and artificial hearing systems for sensorineural hearing restoration.Recent advances in additive manufacturing,organ-on-a-chip models,drug delivery platforms,and artificial intelligence have provided valuable insights into how to manufacture artificial cochlea models that more accurately replicate the complex anatomy and physiology of the inner ear.This paper reviews recent advancements in the applications of advanced manufacturing techniques in reproducing the physical,biological,and intelligent functions of the cochlea.It also outlines the current challenges to developing mechanically,electrically,and anatomically accurate functional models of the inner ear.Finally,this review identifies the major requirements and outlook for impactful research in this field going forward.Through interdisciplinary collaboration and innovation,these functional cochlea models are poised to drive significant advancements in hearing treatments,and ultimately enhance the quality of life for individuals with hearing loss.
基金supported by National Natural Science Foundation of China(Grant Nos.32201499,32222057,and 22478142)Guangdong Basic and Applied Basic Research Foundation(Grant Nos.2023A1515012519,2023A0505050114,and 2024B1515040004)+1 种基金National Key Research and Development Project(Grant No 2023YFE0109600)State Key Laboratory of Advanced Papermaking and Paper-based Materials(2024C02).
文摘The rapid development of portable electronics,wearable technologies,and healthcare monitoring systems necessitates the innovation of flexible energy storage systems.Considering environmental pollution and the depletion of fossil resources,the utilization of renewable resources to engineer advanced flexible materials has become especially crucial.Cellulose,the most abundant natural polymer,has emerged as a promising precursor for advanced functional materials due to its unique structure and properties.Typically,the easy processability,tunable chemical structure,self-assembly behavior,mechanical strength,and reinforcing capability enable its utilization as binder,substrate,hybrid electrode,separator,and electrolyte reservoir for flexible energy storage devices.This review comprehensively summarizes the design,fabrication,and mechanical and electrochemical performances of cellulose-based materials.The structure and unique properties of cellulose are first briefly introduced.Then,the construction of cellulose-based materials in the forms of 1D fibers/filaments,2D films/membranes,3D hydrogels and aerogels is discussed,and the merits of cellulose in these materials are emphasized.After that,the various advanced applications in supercapacitors,lithium-ion batteries,lithium-sulfur batteries,sodium-ion batteries,metal-air batteries,and Zn-ion batteries are presented in detail.Finally,an outlook of the potential challenges and future perspectives in advanced cellulose-based materials for flexible energy storage systems is discussed.
文摘The publisher regrets to inform that in the article of Advanced Powder Materials 4(2025)100261,the published Figs.3 and 5 belong to the initially submitted version,which should be replaced by the final version.The differences between the initial and final versions of these figures are described below.
文摘BACKGROUND Advanced chronic liver disease is a progressive condition associated with high mor-bidity and mortality,leading to complications such as decompensation and hepatocellular carcinoma.Although prognostic scores such as the Child-Pugh score(which combines clinical assessment and laboratory parameters)and laboratory-based models,including Model for End-Stage Liver Disease(MELD)3.0,albumin-bilirubin(ALBI)grade,and fibrosis-4(FIB-4),are often used,their accuracy is limited by subjective assessments and variability in laboratory results.The Functional Liver Imaging Score(FLIS),a semi-quantitative magnetic resonance imaging(MRI)measure of liver function,may also be influenced by observer variability.This emphasizes the need for objective,reproducible tools to improve risk stratification and support treatment decision-making.AIM To evaluate the prognostic value of hepatic enhancement(HE)and signal intensity measured by gadoxetate disodium-enhanced MRI.METHODS In this retrospective cohort study,100 patients with advanced chronic liver disease underwent gadoxetateenhanced MRI.HE and signal intensity were measured quantitatively in liver segments III,VI,VIII,and the caudate lobe,and global values were calculated by averaging segmental measurements.Correlations were assessed with FLIS,Child-Pugh,MELD 3.0,ALBI,FIB-4,liver stiffness(FibroScan),and hepatic venous pressure gradient.Cox regression and receiver operating characteristic analysis were used to evaluate associations with hepatic decompensation,mortality,and hepatocellular carcinoma(HCC)occurrence during follow-up.RESULTS Global HE showed a significant correlation with FLIS(r=0.797),Child-Pugh(r=-0.589),MELD 3.0(r=-0.658),ALBI(r=-0.599),FIB-4(r=-0.308),liver stiffness(r=-0.470),and hepatic venous pressure gradient(r=-0.340).Lower HE was significantly associated with a higher risk of decompensation and mortality in univariate Cox regression.After adjustment for MELD 3.0,etiology,and prior HCC,segment VI HE remained independently predictive of mortality.At 12 months,HE improved risk stratification for mortality and reduced unnecessary interventions by 11 per 100 patients at a 10%threshold in the decision curve analysis.HE had an area under the receiver operating characteristic curve of 0.74 for predicting decompensation and 0.74 for predicting mortality.HE was higher in patients who developed or experienced recurrence of HCC during follow-up,but this was not statistically significant(P=0.1).CONCLUSION Lower HE in segment VI improved prognostic classification of high-risk patients.These patients align with Baveno VII criteria for intensified management,supporting the potential role of HE in risk-adapted surveillance.
