OBJECTIVE： Traditional Chinese medicine （TCM） is regarded as an important treatment for gastric cancer patients, especially for those in advanced stage. To evaluate the effects of TCM treatment on gastric cancer pa...OBJECTIVE： Traditional Chinese medicine （TCM） is regarded as an important treatment for gastric cancer patients, especially for those in advanced stage. To evaluate the effects of TCM treatment on gastric cancer patients, the authors performed a retrospective study to report the result of the integrated treatment of TCM with chemotherapy for stage IV non-surgical gastric cancer. METHODS： In this study, 182 patients with stage IV and non-surgical gastric cancer were retrospectively analyzed to evaluate the effects of TCM integrated with chemotherapy. Among the 182 cases, 88 cases received integrated therapy consisting of TCM and chemotherapy, while 94 cases received chemotherapy alone. The overall survival and Karnofsky performance status （KPS） score were measured as the main outcome. RESULTS： The median overall survival of the integrated therapy group and chemotherapy group were 16.9 and 10.5 months, respectively. The 1-, 3- and 5-year survival rates of integrated therapy group vs. chemotherapy group were 70% vs. 32%, 18% vs. 4%, and 11% vs. 0%, respectively. There was a significant difference between the two groups （x2 = 42.244, P 〈 0.001 ）. After six-month treatment, KPS scores of the integrated therapy group and the chemotherapy group were 75.00 ± 14.78 and 60.64 ± 21.39, respectively （P 〈 0.001）. The Cox regression analysis showed that TCM treatment is a protective factor for patients＇ overall survival. CONCLUSION： This study demonstrated that TCM integrated with chemotherapy may prolong overal survival and improve survival rate and life quality of patients with stage IV non-surgical gastric cancer展开更多
肾混合性上皮间质肿瘤(mixed epithelial and stromal tumor of the kidney,MESTK)是一种临床罕见的肾良性肿瘤,肿瘤成份由间质和上皮混合构成。MESTK的临床表现不典型,影像学上多表现为BosniakⅢ和Ⅳ级囊性病变,明确诊断依靠病理活检...肾混合性上皮间质肿瘤(mixed epithelial and stromal tumor of the kidney,MESTK)是一种临床罕见的肾良性肿瘤,肿瘤成份由间质和上皮混合构成。MESTK的临床表现不典型,影像学上多表现为BosniakⅢ和Ⅳ级囊性病变,明确诊断依靠病理活检及免疫组化,临床易误诊为肾癌囊性变或多房囊性肾肿瘤。本文回顾性分析总结了1例孤立肾合并MESTK患者的临床资料,并对该疾病诊疗进展作文献复习。展开更多
Dielectric laser accelerators(DLAs)are considered promising candidates for on-chip particle accelerators that can achieve high acceleration gradients.This study explores various combinations of dielectric materials an...Dielectric laser accelerators(DLAs)are considered promising candidates for on-chip particle accelerators that can achieve high acceleration gradients.This study explores various combinations of dielectric materials and accelerated structures based on the inverse Cherenkov effect.The designs utilize conventional processing methods and laser parameters currently in use.We optimize the structural model to enhance the gradient of acceleration and the electron energy gain.To achieve higher acceleration gradients and energy gains,the selection of materials and structures should be based on the initial electron energy.Furthermore,we observed that the variation of the acceleration gradient of the material is different at different initial electron energies.These findings suggest that on-chip accelerators are feasible with the help of these structures and materials.展开更多
基金supported by the Natural Science Foundation of Shanghai Science and Technology Commission (No. 17ZR1438800, for Dr. Xuan Liu)Traditional Chinese Medicine Guiding Project of Shanghai Science and Technology Commission (No . 13401907500 , for Zhi-feng Qin)+1 种基金Shanghai Municipal Commission of Health and Family Planning Program (No. ZY3-CCCX-3-3056, for Dr. Li-juan Xiu)National Natural Science Foundation Youth Program (No. 81603434, for Dr. Li-juan Xiu)
文摘OBJECTIVE： Traditional Chinese medicine （TCM） is regarded as an important treatment for gastric cancer patients, especially for those in advanced stage. To evaluate the effects of TCM treatment on gastric cancer patients, the authors performed a retrospective study to report the result of the integrated treatment of TCM with chemotherapy for stage IV non-surgical gastric cancer. METHODS： In this study, 182 patients with stage IV and non-surgical gastric cancer were retrospectively analyzed to evaluate the effects of TCM integrated with chemotherapy. Among the 182 cases, 88 cases received integrated therapy consisting of TCM and chemotherapy, while 94 cases received chemotherapy alone. The overall survival and Karnofsky performance status （KPS） score were measured as the main outcome. RESULTS： The median overall survival of the integrated therapy group and chemotherapy group were 16.9 and 10.5 months, respectively. The 1-, 3- and 5-year survival rates of integrated therapy group vs. chemotherapy group were 70% vs. 32%, 18% vs. 4%, and 11% vs. 0%, respectively. There was a significant difference between the two groups （x2 = 42.244, P 〈 0.001 ）. After six-month treatment, KPS scores of the integrated therapy group and the chemotherapy group were 75.00 ± 14.78 and 60.64 ± 21.39, respectively （P 〈 0.001）. The Cox regression analysis showed that TCM treatment is a protective factor for patients＇ overall survival. CONCLUSION： This study demonstrated that TCM integrated with chemotherapy may prolong overal survival and improve survival rate and life quality of patients with stage IV non-surgical gastric cancer
文摘肾混合性上皮间质肿瘤(mixed epithelial and stromal tumor of the kidney,MESTK)是一种临床罕见的肾良性肿瘤,肿瘤成份由间质和上皮混合构成。MESTK的临床表现不典型,影像学上多表现为BosniakⅢ和Ⅳ级囊性病变,明确诊断依靠病理活检及免疫组化,临床易误诊为肾癌囊性变或多房囊性肾肿瘤。本文回顾性分析总结了1例孤立肾合并MESTK患者的临床资料,并对该疾病诊疗进展作文献复习。
基金the National Natural Science Foundation of China(Grant No.11975214)。
文摘Dielectric laser accelerators(DLAs)are considered promising candidates for on-chip particle accelerators that can achieve high acceleration gradients.This study explores various combinations of dielectric materials and accelerated structures based on the inverse Cherenkov effect.The designs utilize conventional processing methods and laser parameters currently in use.We optimize the structural model to enhance the gradient of acceleration and the electron energy gain.To achieve higher acceleration gradients and energy gains,the selection of materials and structures should be based on the initial electron energy.Furthermore,we observed that the variation of the acceleration gradient of the material is different at different initial electron energies.These findings suggest that on-chip accelerators are feasible with the help of these structures and materials.
