We conducted a prospective study to assess the non-inferiority of adjuvant chemotherapy alone versus adjuvant concurrent chemoradiotherapy (CCRT) as an alternative strategy for patients with early-stage (FIGO 2009 sta...We conducted a prospective study to assess the non-inferiority of adjuvant chemotherapy alone versus adjuvant concurrent chemoradiotherapy (CCRT) as an alternative strategy for patients with early-stage (FIGO 2009 stage IB–IIA) cervical cancer having risk factors after surgery. The condition was assessed in terms of prognosis, adverse effects, and quality of life. This randomized trial involved nine centers across China. Eligible patients were randomized to receive adjuvant chemotherapy or CCRT after surgery. The primary end-point was progression-free survival (PFS). From December 2012 to December 2014, 337 patients were subjected to randomization. Final analysis included 329 patients, including 165 in the adjuvant chemotherapy group and 164 in the adjuvant CCRT group. The median follow-up was 72.1 months. The three-year PFS rates were both 91.9%, and the five-year OS was 90.6% versus 90.0% in adjuvant chemotherapy and CCRT groups, respectively. No significant differences were observed in the PFS or OS between groups. The adjusted HR for PFS was 0.854 (95% confidence interval 0.415–1.757;P = 0.667) favoring adjuvant chemotherapy, excluding the predefined non-inferiority boundary of 1.9. The chemotherapy group showed a tendency toward good quality of life. In comparison with post-operative adjuvant CCRT, adjuvant chemotherapy treatment showed non-inferior efficacy in patients with early-stage cervical cancer having pathological risk factors. Adjuvant chemotherapy alone is a favorable alternative post-operative treatment.展开更多
The design and fabrication of rare earth ions incorporated into the inorganic/organic hybrid materials have attracted growing attention for seeking improved optical properties and photofunctional performances.In this ...The design and fabrication of rare earth ions incorporated into the inorganic/organic hybrid materials have attracted growing attention for seeking improved optical properties and photofunctional performances.In this paper,a novel hybrid composite based on the layered rare earth hydroxides was successfully prepared by the ion-exchange and intercalation chemical process.The rare earth elements in the composite contain gadolinium(Gd)and europium(Eu)and the molar ratio of Gd to Eu is kept constant at 1.9:0.1.Organic sodium dodecyl sulfonate and dye coumarin-3-carboxyllc acid are simultaneously incorporated into the layered rare earth hydroxides as supporting agent and light-harvesting antenna,respectively.The resulting hybrid layered rare earth hydroxides exhibit the enlarged interlayer distance with about 2.60 nm,and the chemical composition was confirmed through X-ray diffraction,carbon,hydrogen and nitrogen(CHN)elemental analysis,infrared spectroscopy,and thermogravimetric analysis.The layered solid compound shows the characteristic red emission corresponding to the^(5)D_(0)→^(7)F_(2)transition of Eu^(3+)ion,and the luminescence intensity of the optimized compound is greatly enhanced as compared to its corresponding nitrate and the hybrid composite without the introduction of dye molecule.The hybrid layered rare earth hydroxides can be exfoliated into bright colloidal solution,which show superior recognition capability to Cu^(2+)ion with the distinct luminescence quenching.The large quenching constant(1.4×10^(4)L/mol)and low detection limit(0.35μmol/L)are achieved for Cu^(2+)ion,implying a"turn-off"fluorescent sensor for Cu^(2+)detection.Moreover,a transparent film was prepared based on the colloidal solution and displays the typical red emission in folded shape.The new hybrid compound with enhanced luminescence and excellent photofunctional performances is expected to be applied in the fields of fluorescent sensing and flexible optical devices.展开更多
Three solvent-dependent chiral copper（II） compounds, {[Cu2（bzgluO）2（HzO）2]-4HzO}n （1）, {[Cu2（bzgluO）2-（DMSO）2].H2O}, （2） and [Cuz（bzgluO）2（DMF）2], （3） （H2bzgluO=N-benzoyl-L-glutamic acid） have be...Three solvent-dependent chiral copper（II） compounds, {[Cu2（bzgluO）2（HzO）2]-4HzO}n （1）, {[Cu2（bzgluO）2-（DMSO）2].H2O}, （2） and [Cuz（bzgluO）2（DMF）2], （3） （H2bzgluO=N-benzoyl-L-glutamic acid） have been synthe-sized under ambient temperature conditions and characterized by elemental analysis, IR spectra, UV spectra, ther- mogravimetric analysis, powder X-ray diffraction （PXRD） and single-crystal X-ray diffraction. Compounds 1 and 2 both crystallize in the orthorhombic space group P212121. Compound 3 crystallizes in the tetragonal space group P43. Compound 1 exhibits a ladder-like 1D chain structure, which is extended by hydrogen-bonding interactions to form a 3D supramolecular network. Compounds 2 and 3 both give a diamond-like 3D structure. Besides, there are hydrogen-bonding interactions in 2. The structural difference indicates that the solvent system plays a crucial role in modulating structures of coordination compounds. Circular dichroism （CD） and the magnetic properties of the compounds have also been investigated.展开更多
基金National Natural Science Foundation of China (Nos. 81630060, 81230038, 81372805, and 81472444)National Key Research & Development Program of China (No. 2016YFC0902900)Bristol-Myers Squibb CA139-702 and the National Science-technology Supporting Plan Projects (No.2015BAI13B05).
文摘We conducted a prospective study to assess the non-inferiority of adjuvant chemotherapy alone versus adjuvant concurrent chemoradiotherapy (CCRT) as an alternative strategy for patients with early-stage (FIGO 2009 stage IB–IIA) cervical cancer having risk factors after surgery. The condition was assessed in terms of prognosis, adverse effects, and quality of life. This randomized trial involved nine centers across China. Eligible patients were randomized to receive adjuvant chemotherapy or CCRT after surgery. The primary end-point was progression-free survival (PFS). From December 2012 to December 2014, 337 patients were subjected to randomization. Final analysis included 329 patients, including 165 in the adjuvant chemotherapy group and 164 in the adjuvant CCRT group. The median follow-up was 72.1 months. The three-year PFS rates were both 91.9%, and the five-year OS was 90.6% versus 90.0% in adjuvant chemotherapy and CCRT groups, respectively. No significant differences were observed in the PFS or OS between groups. The adjusted HR for PFS was 0.854 (95% confidence interval 0.415–1.757;P = 0.667) favoring adjuvant chemotherapy, excluding the predefined non-inferiority boundary of 1.9. The chemotherapy group showed a tendency toward good quality of life. In comparison with post-operative adjuvant CCRT, adjuvant chemotherapy treatment showed non-inferior efficacy in patients with early-stage cervical cancer having pathological risk factors. Adjuvant chemotherapy alone is a favorable alternative post-operative treatment.
基金Project supported by the National Natural Science Foundation of China(51972097)。
文摘The design and fabrication of rare earth ions incorporated into the inorganic/organic hybrid materials have attracted growing attention for seeking improved optical properties and photofunctional performances.In this paper,a novel hybrid composite based on the layered rare earth hydroxides was successfully prepared by the ion-exchange and intercalation chemical process.The rare earth elements in the composite contain gadolinium(Gd)and europium(Eu)and the molar ratio of Gd to Eu is kept constant at 1.9:0.1.Organic sodium dodecyl sulfonate and dye coumarin-3-carboxyllc acid are simultaneously incorporated into the layered rare earth hydroxides as supporting agent and light-harvesting antenna,respectively.The resulting hybrid layered rare earth hydroxides exhibit the enlarged interlayer distance with about 2.60 nm,and the chemical composition was confirmed through X-ray diffraction,carbon,hydrogen and nitrogen(CHN)elemental analysis,infrared spectroscopy,and thermogravimetric analysis.The layered solid compound shows the characteristic red emission corresponding to the^(5)D_(0)→^(7)F_(2)transition of Eu^(3+)ion,and the luminescence intensity of the optimized compound is greatly enhanced as compared to its corresponding nitrate and the hybrid composite without the introduction of dye molecule.The hybrid layered rare earth hydroxides can be exfoliated into bright colloidal solution,which show superior recognition capability to Cu^(2+)ion with the distinct luminescence quenching.The large quenching constant(1.4×10^(4)L/mol)and low detection limit(0.35μmol/L)are achieved for Cu^(2+)ion,implying a"turn-off"fluorescent sensor for Cu^(2+)detection.Moreover,a transparent film was prepared based on the colloidal solution and displays the typical red emission in folded shape.The new hybrid compound with enhanced luminescence and excellent photofunctional performances is expected to be applied in the fields of fluorescent sensing and flexible optical devices.
文摘Three solvent-dependent chiral copper（II） compounds, {[Cu2（bzgluO）2（HzO）2]-4HzO}n （1）, {[Cu2（bzgluO）2-（DMSO）2].H2O}, （2） and [Cuz（bzgluO）2（DMF）2], （3） （H2bzgluO=N-benzoyl-L-glutamic acid） have been synthe-sized under ambient temperature conditions and characterized by elemental analysis, IR spectra, UV spectra, ther- mogravimetric analysis, powder X-ray diffraction （PXRD） and single-crystal X-ray diffraction. Compounds 1 and 2 both crystallize in the orthorhombic space group P212121. Compound 3 crystallizes in the tetragonal space group P43. Compound 1 exhibits a ladder-like 1D chain structure, which is extended by hydrogen-bonding interactions to form a 3D supramolecular network. Compounds 2 and 3 both give a diamond-like 3D structure. Besides, there are hydrogen-bonding interactions in 2. The structural difference indicates that the solvent system plays a crucial role in modulating structures of coordination compounds. Circular dichroism （CD） and the magnetic properties of the compounds have also been investigated.
