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Ground settlement and tunnel response due to twin-curved shield tunnelling in soft ground with small clear distance 被引量:2
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作者 yao Hu Haoran Tang +4 位作者 Yinggang Xu Huayang Lei Peng Zeng kai yao Yabo Dong 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第8期3122-3135,共14页
Twin curved tunnels are often encountered in shield tunnelling,where significant complexities in densely exploited underground space are observed.In this study,the ground settlement and tunnel deformation due to twin-... Twin curved tunnels are often encountered in shield tunnelling,where significant complexities in densely exploited underground space are observed.In this study,the ground settlement and tunnel deformation due to twin-curved shield tunnelling in soft ground were investigated using numerical simulation and field monitoring.Different curvature radii of twin curved tunnels and subsequent effects of tunnel construction were considered to reveal the tunnelling effect on ground surface settlement and tunnel deformation.The results show that the settlement trough yields one offset towards inside of curved shield tunnelling.The location of settlement trough and maximum settlement were affected by curvature radius but except for the shape and width of settlement trough.Adjacent parallel twin-curved shield tunnelling could increase the offset of existing settlement trough and maximum settlement.Then,an empirical prediction of surface settlement trough due to twin-curved shield tunnelling with same tunnel diameters in soft clay was proposed,which was applicable to curvature radius less than 800 m.Finally,a minimum radius of 600 m of curvature tunnel was proposed in terms of allowable convergence deformation of tunnel.The result could provide guidance on safety evaluation for twin curved shield tunnelling construction. 展开更多
关键词 Shield tunnelling Curvature radius Ground settlement Tunnel deformation Numerical simulation
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Surface Patterning of Metal Zinc Electrode with an In‑Region Zincophilic Interface for High‑Rate and Long‑Cycle‑Life Zinc Metal Anode 被引量:2
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作者 Tian Wang Qiao Xi +8 位作者 kai yao Yuhang Liu Hao Fu Venkata Siva Kavarthapu Jun Kyu Lee Shaocong Tang Dina Fattakhova‑Rohlfing Wei Ai Jae Su Yu 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第6期192-209,共18页
The undesirable dendrite growth induced by non-planar zinc(Zn)deposition and low Coulombic efficiency resulting from severe side reactions have been long-standing challenges for metallic Zn anodes and substantially im... The undesirable dendrite growth induced by non-planar zinc(Zn)deposition and low Coulombic efficiency resulting from severe side reactions have been long-standing challenges for metallic Zn anodes and substantially impede the practical application of rechargeable aqueous Zn metal batteries(ZMBs).Herein,we present a strategy for achieving a high-rate and long-cycle-life Zn metal anode by patterning Zn foil surfaces and endowing a Zn-Indium(Zn-In)interface in the microchannels.The accumulation of electrons in the microchannel and the zincophilicity of the Zn-In interface promote preferential heteroepitaxial Zn deposition in the microchannel region and enhance the tolerance of the electrode at high current densities.Meanwhile,electron aggregation accelerates the dissolution of non-(002)plane Zn atoms on the array surface,thereby directing the subsequent homoepitaxial Zn deposition on the array surface.Consequently,the planar dendrite-free Zn deposition and long-term cycling stability are achieved(5,050 h at 10.0 mA cm^(−2) and 27,000 cycles at 20.0 mA cm^(−2)).Furthermore,a Zn/I_(2) full cell assembled by pairing with such an anode can maintain good stability for 3,500 cycles at 5.0 C,demonstrating the application potential of the as-prepared ZnIn anode for high-performance aqueous ZMBs. 展开更多
关键词 Zn metal anode Surface patterning Directional Zn deposition Aqueous Zn-I_(2)batteries
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Correction: Surface Patterning of Metal ZincElectrode with an In-Region Zincophilic Interfacefor High-Rate and Long-Cycle-Life Zinc MetalAnode
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作者 Tian Wang Qiao Xi +8 位作者 kai yao Yuhang Liu Hao Fu Venkata Siva Kavarthapu Jun Kyu Lee Shaocong Tang Dina Fattakhova-Rohlfing Wei Ai Jae Su Yu 《Nano-Micro Letters》 SCIE EI CAS CSCD 2024年第7期456-457,共2页
Correction to:Nano-Micro Letters(2024)16:112 https://doi.org/10.1007/s40820-024-01327-2 In the supplementary information the following corrections have been carried out:1.Institute of Energy and Climate Research,Mater... Correction to:Nano-Micro Letters(2024)16:112 https://doi.org/10.1007/s40820-024-01327-2 In the supplementary information the following corrections have been carried out:1.Institute of Energy and Climate Research,Materials Synthesis and Processing,Forschungszentrum Jülich GmbH,52425 Jülich,Germany.Corrected:Institute of Energy and Climate Research:Materials Synthesis and Processing(IEK-1),Forschungszentrum Jülich GmbH,52425 Jülich,Germany. 展开更多
关键词 CORRECTION ZINC ELECTRODE
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Rock-soil slope stability analysis by two-phase random media and finite elements 被引量:9
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作者 Yong Liu Huawen Xiao +2 位作者 kai yao Jun Hu Hong Wei 《Geoscience Frontiers》 SCIE CAS CSCD 2018年第6期1649-1655,共7页
To investigate the strong random nature of the geometric interfaces between soil and rock, a rock-soil slope is considered as a two-phase random medium. A nonlinear translation of a Gaussian field is utilized to simul... To investigate the strong random nature of the geometric interfaces between soil and rock, a rock-soil slope is considered as a two-phase random medium. A nonlinear translation of a Gaussian field is utilized to simulate the two-phase random media, such that the soil(or rock) volume fraction and the inclination of the soil layer can be examined. The finite element method with random media incorporated as the material properties is used to determine the factor of safety of the rock-soil slope. Monte-Carlo simulations are used to estimate the statistical characteristics of the factor of safety. The failure mode of the rock-soil slope is examined by observing the maximum principal plastic strain at incipient slope failure. It is found that the critical surface of a rock-soil slope is fairly irregular, and it significantly differs from that of a pure soil slope. The factor of safety is sensitive to the soil volume faction, but it is predictable. The average factor of safety could be well predicted by the weighted harmonic average between the strength of soil and rock; the prediction model is practical and simple. Parametric studies on the inclination of the soil layer demonstrate that the most instable scenario occurs when the slope angle is consistent with the inclination of the soil layer. 展开更多
关键词 SLOPES stability Numerical computation STATISTICAL analysis FINITE-ELEMENT modelling Random FIELDS Monte-Carlo simulations
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Retroperitoneal schwannoma mimicking metastatic seminoma: case report and literature review 被引量:4
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作者 Shi-Qiang Zhang Song Wu +5 位作者 kai yao Pei Dong Yong-Hong Li Zhi-Ling Zhang Xian-Xin Li Fang-Jian Zhou 《Chinese Journal of Cancer》 SCIE CAS CSCD 2013年第3期149-152,共4页
If a testicular cancer pat ient has a mass in the retroperitoneum, a metastasis is often the first suspicion, probably leading to improper diagnosis and overtreatment. Here we report a case of retroperitoneal schwanno... If a testicular cancer pat ient has a mass in the retroperitoneum, a metastasis is often the first suspicion, probably leading to improper diagnosis and overtreatment. Here we report a case of retroperitoneal schwannoma mimicking metastatic seminoma. A 29-year-old man, who had a history of seminoma, presented with a single retroperitoneal mass suspected to be a metastasis. Because the patient refused radiotherapy, 3 cycles of cisplatin, etoposide, and bleomycin were offered. Post-chemotherapy computed tomography scan revealed persistence of the retroperitoneal mass, with no change in tumor size or characteristics. Subsequently, retroperitoneal lymph node dissection was performed. The dissected tissue contained negative lymph nodes but a single mass in the attached fat. Pathology revealed retroperitoneal schwannoma, which was confirmed by immunohistochemistry. Thus, clinicians should be aware of retroperitoneal schwannoma and its distinction from metastatic seminoma to avoid misdiagnosis and ensure proper treatment. 展开更多
关键词 精原细胞 转移性 腹膜 神经 文献综述 病例报告 模仿 质量转移
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Oncological outcome of surgical treatment in 336 patients with renal cell carcinoma 被引量:4
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作者 Zhi-Ling Zhang Yong-Hong Li +7 位作者 Yong-Hong Xiong Guo-Liang Hou kai yao Pei Dong Zhuo-Wei Liu Hui Han Zi-Ke Qin Fang-Jian Zhou 《Chinese Journal of Cancer》 SCIE CAS CSCD 北大核心 2010年第12期995-999,共5页
Background and Objective: The most effective therapy against renal cell carcinoma (RCC) is surgical treatment; however, there have been few large-scale studies that focused on the oncological outcome of this disease i... Background and Objective: The most effective therapy against renal cell carcinoma (RCC) is surgical treatment; however, there have been few large-scale studies that focused on the oncological outcome of this disease in China. The aim of the current study was to report the clinicopathological results and cancer-specific survival (CSS) rate in RCC patients after surgical treatment in our center. Methods: We retrospectively analyzed the clinicopathological data of 336 RCC patients who underwent radical or partial nephrectomy between 1999 and 2006. Of the 336 patients, 226 were male and 110 were female; the median age was 51 years. Univariate and multivariate analyses were conducted to identify the independent prognostic predictors for this cohort of RCC patients. Results: During follow-up, the overall 5-year CSS rate was 81.4%. The 5-year CSS rates for patients with stage-I, -II, -III, and -IV RCC were 94.7%, 88.9%, 68.8%, and 19.3%, respectively. The patients with T1N0M0 (T1) and T2N0M0 (T2) tumors had similar survival curves. For patients with T1 category tumor, the survival rate did not differ significantly between the radical nephrectomy and nephron-sparing surgery groups. For the 21 patients with metastasis confined to the local lymph nodes, the 5-year survival rate was 31.6% after radical nephrectomy and lymph node dissection. For the 15 patients with vena caval tumor thrombus, the 5-year survival rate was 52.5% after radical nephrectomy and tumor thrombus extirpation. Multivariate Cox regression showed that stage was an independent predictor for CSS (hazard ratio, 3.359; P < 0.001). Conclusions: For localized RCC, the oncological outcome of this cohort is comparable to that reported in the Western literature. For some patients with locally advanced RCC, aggressive surgical treatment can lead to better long-term survival. However, the prognosis of the patients with metastasis still needs to be improved. 展开更多
关键词 肿瘤患者 外科治疗 肾细胞 癌症 手术治疗 临床病理 危险因素 碾压混凝土
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Complications of radical nephrectomy for renal cell carcinoma: a retrospective study comparing transperitoneal and retroperitoneal approaches using a standardized reporting methodology in two Chinese centers 被引量:3
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作者 Zhi-Ling Zhang Yong-Hong Li +7 位作者 Jun-Hang Luo Zhuo-Wei Liu kai yao Pei Dong Hui Han Zi-Ke Qin Wei Chen Fang-Jian Zhou 《Chinese Journal of Cancer》 SCIE CAS CSCD 2013年第8期461-468,共8页
The reporting of complications following transperitoneal and retroperitoneal open radical nephrectomy (RN) is nonstandardized. This study aimed to compare early complications between the two approaches using a standar... The reporting of complications following transperitoneal and retroperitoneal open radical nephrectomy (RN) is nonstandardized. This study aimed to compare early complications between the two approaches using a standardized reporting methodology in a large contemporary cohort. Between 1996 and 2009, 558 patients underwent open RN for renal cell carcinoma (RCC) in our two centers (424 from Sun Yat-sen University Cancer Center and 134 from the First Affiliated Hospital of Sun Yat-sen University). Records were reviewed for clinicopathologic features and complications. Complications were graded using the Clavien system based on the severity of impact. One hundred and five patients (18.8%) had one or more early complications (168 complications overall). The overall rates of grades I to V complications were 5.6%, 10.8%, 2.2%, 0.4%, and 0.2%, respectively. Patients who underwent transperitoneal RN did not experience more overall or procedure-related complications than those who underwent retroperitoneal RN (P=0.911 and P=0.851, respectively). On subgroup analysis, neither grade I/II nor grades III-V complications were significantly different between the transperitonal RN and retroperitoneal RN groups. Multivariate analysis showed that for any grade of complication, age (P=0.016) and estimated blood loss (P=0.001) were significant predictors. We concluded that open RN is a safe procedure associated with low rates of serious morbidity and mortality. Compared with retroperitoneal RN, transperitoneal RN was not associated with more complications. Older patient and more blood loss at surgery were independent predictors for higher early postoperative complication rates. 展开更多
关键词 并发症 肾细胞 切除术 标准化 腹膜 癌症 中国 中山大学
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Loss of NEIL3 activates radiotherapy resistance in the progression of prostate cancer 被引量:3
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作者 Qiong Wang Zean Li +10 位作者 Jin Yang Shirong Peng Qianghua Zhou kai yao Wenli Cai Zhongqiu Xie Fujun Qin Hui Li Xu Chen kaiwen Li Hai Huang 《Cancer Biology & Medicine》 SCIE CAS CSCD 2022年第8期1193-1210,共18页
Objective:To explore the genetic changes in the progression of castration-resistant prostate cancer(CRPC)and neuroendocrine prostate cancer(NEPC)and the reason why these cancers resist existing therapies.Methods:We em... Objective:To explore the genetic changes in the progression of castration-resistant prostate cancer(CRPC)and neuroendocrine prostate cancer(NEPC)and the reason why these cancers resist existing therapies.Methods:We employed our CRPC cell line microarray and other CRPC or NEPC datasets to screen the target gene NEIL3.Lentiviral transfection and RNA interference were used to construct overexpression and knockdown cell lines.Cell and animal models of radiotherapy were established by using a medical electron linear accelerator.Flow cytometry was used to detect apoptosis or cell cycle progression.Western blot and qPCR were used to detect changes in the protein and RNA levels.Results:TCGA and clinical patient datasets indicated that NEIL3 was downregulated in CRPC and NEPC cell lines,and NEIL3 was correlated with a high Gleason score but a good prognosis.Further functional studies demonstrated that NEIL3 had no effect on the proliferation and migration of PCa cells.However,cell and animal radiotherapy models revealed that NEIL3 could facilitate the radiotherapy sensitivity of PCa cells,while loss of NEIL3 activated radiotherapy resistance.Mechanistically,we found that NEIL3 negatively regulated the expression of ATR,and higher NEIL3 expression repressed the ATR/CHK1 pathway,thus regulating the cell cycle.Conclusions:We demonstrated that NEIL3 may serve as a diagnostic or therapeutic target for therapy-resistant patients. 展开更多
关键词 CRPC NEIL3 NEPC prostate cancer radiotherapy resistance
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Radical cystectomy for bladder cancer: oncologic outcome in 271 Chinese patients 被引量:2
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作者 Zhi-Ling Zhang Pei Dong +5 位作者 Yong-Hong Li Zhuo-Wei Liu kai yao Hui Han Zi-Ke Qin Fang-Jian Zhou 《Chinese Journal of Cancer》 SCIE CAS CSCD 2014年第3期165-171,共7页
Few large scale studies have reported the oncologic outcome of radical cystectomy for treating bladder cancer in China; hence, we lack long-term prognostic information. The aim of the current study was to determine th... Few large scale studies have reported the oncologic outcome of radical cystectomy for treating bladder cancer in China; hence, we lack long-term prognostic information. The aim of the current study was to determine the survival rate and prognostic factors of patients who underwent radical cystectomy for bladder cancer in a Chinese medical center. We retrospectively analyzed clinicopathologic data from 271 bladder cancer patients who underwent radical cystectomy between 2000 and 2011. Univariate and multivariate analyses were conducted to identify independent prognostic predictors for this cohort. Median follow-up was 31.7 months(range, 0.2–139.1 months). Thirty-day mortality was(1.4%). The 5-year recurrence-free survival, cancer-specific survival(CSS), and overall survival rates were 61.6%, 72.9%, and 68.0%, respectively. The 5-year CSS rates of patients with T1–T4 disease were 90.7%, 85.0%, 51.0%, and 18.0%, respectively. Patients with organ-confined disease had a higher 5-year CSS rate than those with extravesical disease(81.4% vs. 34.9%, P < 0.001). For the 38 patients(14%) with lymph node involvement, the 5-year CSS rate was 27.7%—significantly lower than that of patients without lymph node metastasis(P < 0.001). The 5-year CSS rate was much higher in patients with low grade tumor than in those with high grade tumor(98.1% vs. 68.1%, P < 0.001). Multivariate Cox regression showed that patient age(hazard ratio, 2.045; P = 0.013) and T category(hazard ratio, 2.213; P < 0.001) were independent predictors for CSS. These results suggest that radical cystectomy is a safe and effective method for treating bladder cancer in Chinese patients. Old age and high T category were associated with poor prognosis in bladder cancer patients who underwent radical cystectomy. 展开更多
关键词 BLADDER CANCER RADICAL CYSTECTOMY PROGNOSIS
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Pressureless all-solid-state Na/S batteries with self-supporting Na_(5)YSi_(4)O_(12) scaffolds 被引量:2
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作者 Aikai Yang Ruijie Ye +8 位作者 Huimin Song Qiongqiong Lu Xingchao Wang Enkhtsetseg Dashjav kai yao Daniel Grüner Qianli Ma Frank Tietz Olivier Guillon 《Carbon Energy》 SCIE EI CAS CSCD 2023年第12期97-110,共14页
The development of reliable and affordable all-solid-state sodium metal batteries(ASS-SMBs)requires suitable solid-state electrolytes with cost-efficient processing and stabilized electrode/electrolyte interfaces.Here... The development of reliable and affordable all-solid-state sodium metal batteries(ASS-SMBs)requires suitable solid-state electrolytes with cost-efficient processing and stabilized electrode/electrolyte interfaces.Here,an integrated porous/dense/porous Na_(5)YSi_(4)O_(12)(NYS)trilayered scaffold is designed and fabricated by tape casting using aqueous slurries.In this template-based NYS scaffold,the dense layer in the middle serves as a separator and the porous layers on both sides accommodate the active materials with their volume changes during the charge/discharge processes,increasing the contact area and thus enhancing the utilization rate and homogenizing the current distribution.The Na/NYS/Na symmetric cells with the Pb-coated NYS scaffold exhibit significantly reduced interfacial impedance and superior critical current density of up to 3.0 mA cm^(-2)against Na metal owing to enhanced wettability.Furthermore,the assembled Na/NYS/S full cells operated without external pressure at room temperature showed a high initial discharge capacity of 970 mAh g^(-1)and good cycling stability with a capacity of 600 mAh g^(-1)after 150 cycles(based on the mass of sulfur).This approach paves the way for the realization of economical and practical ASS-SMBs from the perspective of ceramic manufacturing. 展开更多
关键词 Na/S batteries Na_(5)YSi_(4)O_(12) scaffold solid-state electrolytes tape casting
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Geometric Characteristics of Tropical Cyclone Eyes before Landfall in South China Based on Ground-Based Radar Observations 被引量:2
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作者 Xiaotong ZHU Qingqing LI +2 位作者 Jinhua YU Dan WU kai yao 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2018年第5期592-603,共12页
The geometric characteristics of tropical cyclone(TC) eyes before landfall in South China are examined using groundbased radar reflectivity. It is found that the median and mean eye area decrease with TC intensity, ... The geometric characteristics of tropical cyclone(TC) eyes before landfall in South China are examined using groundbased radar reflectivity. It is found that the median and mean eye area decrease with TC intensity, except for the severe typhoon category, and the eye size increases with height. The increasing rate of eye size is relatively greater in upper layers.Moreover, the ratio of eye size change in the vertical direction does not correlate with TC intensity. No relationship is presented between the ratio of eye size change in the vertical direction and the vertical wind shear. No relationship between the vertical change in eye size and the eye size at a certain level is found, inconsistent with other studies. No relationship exists between the vertical change in eye size and the intensity tendency. The eye roundness values range mainly from 0.5 to 0.7, and more intense TCs generally have eyes that are more circular. 展开更多
关键词 tropical cyclone eye geometric characteristics pre-landfall
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Intraarterial chemotherapy with gemcitabine and cisplatin in locally advanced or recurrent penile squamous cell carcinoma 被引量:1
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作者 Jian-Ye Liu Yong-Hong Li +6 位作者 Zhuo-Wei Liu Zhi-Ling Zhang Yun-Lin Ye kai yao Hui Han Zi-Ke Qin Fang-Jian Zhou 《Chinese Journal of Cancer》 SCIE CAS CSCD 2013年第11期619-623,共5页
The prognosis of locally advanced or recurrent squamous cell carcinoma(SCC) of the penis after conventional treatment is dismal. This study aimed to evaluate the therapeutic effects of intraarterial chemotherapy with ... The prognosis of locally advanced or recurrent squamous cell carcinoma(SCC) of the penis after conventional treatment is dismal. This study aimed to evaluate the therapeutic effects of intraarterial chemotherapy with gemcitabine and cisplatin on locally advanced or recurrent SCC of the penis. Between April 1999 and May 2011, we treated 5 patients with locally advanced penile SCC and 7 patients with recurrent disease with intraarterial chemotherapy. The response rate and toxicity data were analyzed, and survival rates were calculated. After 2 to 6 cycles of intraarterial chemotherapy with gemcitabine and cisplatin, 1 patients with locoregionally advanced disease achieved a complete response, and 4 achieved partial response. Of the 7 patients with recurrent disease, 2 achieved complete response, 3 achieved partial response, 3 had stable disease, and 1 developed progressive disease. An objective tumor response was therefore achieved in 10 of the 12 patients. The median overall survival for the patients was 24 months(range, 10-50 months). Three out of 10 patients who responded were long-term survivors after intraarterial chemotherapy. Intraarterial chemotherapy with gemcitabine and cisplatin may be effective and potentially curative in locoregionally advanced or recurrent penile SCC. The contribution of this therapy in the primary management of advanced or recurrent penile SCC should be prospectively investigated. 展开更多
关键词 鳞状细胞癌 治疗效果 复发 阴茎 晚期 化疗 动脉 灌注
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Clinical outcomes in patients with stage non-seminomatous germ cell cancer 被引量:1
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作者 Zhao-Jie Lv Song Wu +6 位作者 Pei Dong kai yao Yin-Yin He yao-Ting Gui Fang-Jian Zhou Zhuo-Wei Liu Zhi-Ming Cai 《Asian Journal of Andrology》 SCIE CAS CSCD 2013年第4期558-563,I0011,共7页
This study assesses the long-term outcomes in Han Chinese patients with clinical stage I non-seminomatous germ cell testicular cancer (CSI NSGCT) treated with surveillance, retroperitoneal lymph node dissection (RP... This study assesses the long-term outcomes in Han Chinese patients with clinical stage I non-seminomatous germ cell testicular cancer (CSI NSGCT) treated with surveillance, retroperitoneal lymph node dissection (RPLND) and adjuvant chemotherapy. We retrospectively evaluated 89 patients with a mean age of 26.5 years. After orchiectomy, 37 patients were treated with surveillance, 34 underwent RPLND and 18 were managed with chemotherapy. The overall survival rate, the recurrence-free survival rate and the risk factors were evaluated. The median follow-up length was 92 months (range: 6-149 months). Thirteen of the 89 patients (14.6%) had relapses, and one died by the evaluation date. The overall survival rate was 98.9%. The cumulative 4-year recurrence-free rates were 80.2%, 92.0% and 100% for the surveillance, RPLND and chemotherapy groups, respectively. The disease-free period tended to be briefer in patients with a history of cryptorchidism and those with stage Is. Therefore, surveillance, RPLND and adjuvant chemotherapy might be reliable strategies in compliant patients with CSI NSGCT. Surveillance should be recommended for patients with the lowest recurrence rate, especially those without lymphovascular invasion. This study might aid the establishment of a standard therapy for CSI NSGCT in China. 展开更多
关键词 CHEMOTHERAPY clinical stage I non-seminomatous germ cell testicular cancer (CSI NSGCT) OUTCOME retroperitoneallymph node dissection (RPLND) surveillance treatment protocols
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一种用于治疗膀胱癌且并发症较少的改良回肠导管术
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作者 Zhiyong Li Zhuowei Liu +9 位作者 kai yao Zike Qin Hui Han Yonghong Li Pei Dong Yunlin Ye Yanjun Wang Zhiming Wu Zhiling Zhang Fangjian Zhou 《癌症》 SCIE CAS CSCD 2019年第10期463-472,共10页
背景与目的根治性膀胱切除术和尿流改道术仍然是肌层浸润性或高危或复发非肌层浸润性膀胱癌患者的标准外科治疗方法。尽管这种方法显著延长了患者的生存期,但仍存在与尿流改道相关的术后并发症。本研究旨在通过与传统回肠导管尿流改道... 背景与目的根治性膀胱切除术和尿流改道术仍然是肌层浸润性或高危或复发非肌层浸润性膀胱癌患者的标准外科治疗方法。尽管这种方法显著延长了患者的生存期,但仍存在与尿流改道相关的术后并发症。本研究旨在通过与传统回肠导管尿流改道术相比较,评价改良回肠导管术减少早期及晚期造口及输尿管回肠吻合术相关并发症的疗效。方法回顾分析2000年1月1日至2016年6月30日在中山大学肿瘤防治中心接受膀胱癌根治术及回肠导管尿流改道术的膀胱癌患者的临床资料,患者分别采用了传统或改良的回肠导管术。采用t检验和卡方检验,比较传统与改良回肠导管术组患者的临床病理学特征。采用多变量logistic回归分析和多变量Cox回归分析,确定两组发生造口和输尿管回肠吻合相关并发症的概率。结果接受改良与传统回肠导管术的患者分别为145例与100例。两组的临床病理学特征具有可比性。改良回肠导管术组与传统回肠导管术组相比,造口相关并发症发生率显著降低(0.7%vs.17.0%,P<0.001)。改良回肠导管术组未发现晚期造口相关并发症,但传统回肠导管术组有13(13.0%)例患者出现并发症。改良回肠导管术组与传统回肠导管术组相比,输尿管回肠吻合相关并发症发生率显著降低(4.8%vs.15.0%,P=0.001)。在多变量分析中,与传统回肠导管术组相比,改良回肠导管术组更不容易出现造口[比值比(odds ratio,OR)=0.024,95%置信区间(confidence interval,CI):0.003–0.235;P=0.001]或输尿管回肠吻合术相关并发症(OR=0.141,95%CI:0.042–0.476;P=0.002)。结论改良的回肠导管尿流改道可有效减少与造口及输尿管回肠吻合术相关的早期及晚期并发症。需要前瞻性随机临床试验来证实我们的结果。 展开更多
关键词 膀胱癌 膀胱切除术 尿流改道 回肠导管术 并发症 手术方法
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阴茎癌改良临床病理肿瘤分期预后意义分析
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作者 Zai-Shang Li Antonio Augusto Ornellas +25 位作者 Christian Schwentner Xiang Li Alcides Chaux Georges Netto Arthur L.Burnett Yong Tang Jiun Hung Geng kai yao Xiao-Feng Chen Bin Wang Hong Liao Nan Liu Peng Chen Yong-Hong Lei Qi-Wu Mi Hui-Lan Rao Ying-Ming Xiao Qi-Lin Wang Zi-Ke Qin Zhuo-Wei Liu Yong-Hong Li Zi-Jun Zou Jun-Hang Luo Hui Li Hui Han Fang-Jian Zhou 《癌症》 SCIE CAS CSCD 2019年第6期261-271,共11页
背景与目的第8版美国癌症联合会-TNM(American Joint Committee on Cancer tumor–node–metastasis,AJCC-TNM)分期基于的是一些回顾性单中心研究。本研究旨在分析分期的预后价值,并探讨加入脉管癌栓的改良的临床病理肿瘤分期能否提高... 背景与目的第8版美国癌症联合会-TNM(American Joint Committee on Cancer tumor–node–metastasis,AJCC-TNM)分期基于的是一些回顾性单中心研究。本研究旨在分析分期的预后价值,并探讨加入脉管癌栓的改良的临床病理肿瘤分期能否提高对T2–3期阴茎癌患者预后预测的准确性。方法根据第8版AJCC-TNM分期对2000年至2015年在中国和巴西2个中心接受治疗的411例患者所组成的训练队列进行分期。采用C-indexes一致性系数进行预测模型的评估,Bbootstrap再抽样法(1000次)进行模型验证。采用来自4个大洲15个中心接受治疗的436例患者的数据进行外部验证。结果根据第8版AJCC-TNM分期的T2和T3期患者有存活率重叠(P=0.587)。脉管癌栓是转移和生存的重要预后因素(均P <0.001)。多因素分析显示,仅脉管癌栓对癌症特异性生存(cancer-specific survival,CSS)有显著影响(风险比=1.587,95%置信区间=1.253–2.011;P=0.001)。发生脉管癌栓的T2和T3期患者的CSS显著短于无脉管癌栓的患者(P <0.001)。因此,我们提出一种改良的临床病理分期,将第8版AJCC-TNM分期的T2和T3期细分为如下2个新类别:T2期肿瘤侵犯尿道海绵体和/或阴茎海绵体和/或尿道且无淋巴管侵犯;T3期肿瘤侵犯尿道海绵体和/或阴茎海绵体和/或尿道并有淋巴管侵犯。加入脉管癌栓的改良的分期显示出预后分层改善,各组间CSS差异显著(均P <0.005),患者预后预测的准确性高于第8版AJCC-TNM分期(C-index,0.739 vs. 0.696)。以上结果在外部验证队列中得到了确认。结论 T2–3期阴茎癌是异质性的,加入脉管癌栓的改良临床病理分期比第8版AJCC-TNM分期对阴茎癌患者的预后预测能力更强。 展开更多
关键词 阴茎肿瘤 淋巴结转移 分期 淋巴结清扫 预后
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Train probe for beam diagnostics of the SC200 superconducting cyclotron
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作者 Le-Xing Hu kai-Zhong Ding +2 位作者 Yun-Tao Song Yu-Cheng Wu kai yao 《Nuclear Science and Techniques》 SCIE CAS CSCD 2020年第10期95-104,共10页
The SC200 proton therapy system commissioned by the Hefei CAS Ion Medical and Technical Devices Co.,Ltd.(HFCIM;Hefei,China)and the Joint Institute for Nuclear Research(JINR;Dubna,Russia)has made significant progress.A... The SC200 proton therapy system commissioned by the Hefei CAS Ion Medical and Technical Devices Co.,Ltd.(HFCIM;Hefei,China)and the Joint Institute for Nuclear Research(JINR;Dubna,Russia)has made significant progress.A main radial beam diagnostic system(MRBDS)equipped with a new type of train probe was developed to satisfy the requirements of beam diagnosis.In this paper,the detailed design of the mechanical structure and electronics system of the MRBDS is presented.The electronics system,which includes hardware and software components,was tested and calibrated.The results show that measurement errors can be significantly reduced by the designed calibration procedures.The repeatability of the mechanical structure was also verified,and the experimental results indicate that the unidirectional repeatability of the positioning is better than 0.3 mm.Finally,the MRBDS was used to measure the phase lag of the particles in the beam,and the results showed a high degree of agreement with theoretical calculations,which proved the applicability and high efficiency of the MRBDS. 展开更多
关键词 Train probe Beam diagnostic CYCLOTRON Measurement and calibration Commissioning
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Vocabulary Alignment in the Continuation Task of Translation
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作者 Qinghua LI kai yao Zengzheng GE 《Chinese Journal of Applied Linguistics》 2020年第4期455-468,525,526,共16页
Alignment effect in language research refers to the social cognition process in which people cooperate,adjust,and adapt to each other in interaction.Through empirical study,this paper explores alignment effect in the ... Alignment effect in language research refers to the social cognition process in which people cooperate,adjust,and adapt to each other in interaction.Through empirical study,this paper explores alignment effect in the continuation task of translation(CTOT)and its possible influence on learning of English as foreign languge(EFL).The study was carried out by means of a CTOT.Participants were chosen from non-English major freshmen of similar capacity from a university in Guangzhou.They were divided into two groups,the experimental group(EG)and the control group(CG),with 13 students each.The students in EG were asked to carefully read some English-Chinese bilingual material.Then,the 26 participants were tasked with translating the paragraphs,which followed from Chinese into English.After that,they were asked to write down the words and expressions which they found difficult.Some of the participants were interviewed one month later for a deeper understanding of their memories of the vocabulary and their opinions on the CTOT.The data were analyzed by direct comparison and non-parametric test.The results showed that vocabulary alignment does occur in CTOT.The EG members tended to take advantage of words that appeared in the bilingual reading text.If multiple words from the reading appeared,with the same contextual meaning,they tended to choose the repeated words.As for influence of vocabulary alignment on EFL learning,it seemed that CTOT could not improve the quality of the translation itself,but could assist short-term vocabulary learning though no significant help to long-term vocabulary learning was revealed.The findings of this study provide support and explanation for some features and effects of CTOT,an important form of CT.However,the nature of CTOT itself,and its role in EFL learning deserve further research. 展开更多
关键词 continuation task of translation ALIGNMENT translation teaching EFL learners
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Unified Control Strategy of PV Inverter Mixed Power Quality Control
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作者 Jie Zhang kai yao +1 位作者 Liang Li Wei Zhao 《Energy and Power Engineering》 2013年第4期226-229,共4页
Due to the restriction of light illumination condition, the effective utilization of PV grid-connected systems is very low. In view of this question, this paper presents a unified control strategy based on PV grid-con... Due to the restriction of light illumination condition, the effective utilization of PV grid-connected systems is very low. In view of this question, this paper presents a unified control strategy based on PV grid-connected and active power filter. The distributed small-capacity grid-connected inverter is chose to be the research object. It is preferential to eliminate the deviation between power qualities of the national standards according to the control of decision tables, and adjust the proportion of the compensation currents dynamically. Finally, the simulation results demonstrate the effectiveness of this unified control strategy. 展开更多
关键词 PV INVERTER APF UNIFIED Control DECISION TABLE
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Influence of cutterhead opening ratio on soil arching effect and face stability during tunnelling through non-uniform soils 被引量:1
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作者 Xue-Jian Chen Pei-Pei Fang +3 位作者 Qiu-Nan Chen Jun Hu kai yao Yong Liu 《Underground Space》 SCIE EI CSCD 2024年第4期45-59,共15页
Tunnelling has increasingly become an essential tool in the exploration of underground space.A typical construction problem is the face instability during tunnelling,posing a great threat to associated infrastructures... Tunnelling has increasingly become an essential tool in the exploration of underground space.A typical construction problem is the face instability during tunnelling,posing a great threat to associated infrastructures.Tunnel face instability often occurs with the soil arching collapse.This study investigates the combined effect of cutterhead opening ratio and soil non-uniformity on soil arching effect and face stability,via conducting random finite-element analysis coupled with Monte–Carlo simulations.The results underscore that the face stability is strongly associated with the evolution of stress arch.The obtained stability factors in the uniform soils can serve as a reference for the design of support pressure in practical tunnelling engineering.In addition,non-uniform soils exhibit a lower stability factor than uniform soils,which implies that the latter likely yields an underestimated probability of face failure.The tunnel face is found to have a probability of failure more than 50%if the spatial non-uniformity of soil is ignored.In the end,a practical framework is established to determine factor of safety(FOS)corresponding to different levels of probability of face failure considering various opening ratios in non-uniform soils.The required FOS is 1.70 to limit the probability of face instability no more than 0.1%.Our findings can facilitate the prediction of probability of instability in the conventionally deterministic design of face pressure. 展开更多
关键词 TUNNEL Face stability Soil arching effect Cutterhead opening ratio Non-uniform soil Random field
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Flexible pressure sensors with ultrahigh stress tolerance enabled by periodic microslits 被引量:1
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作者 Song Wang Chenying Wang +9 位作者 Yifan Zhao Yujing Zhang Yaxin Zhang Xiangyue Xu Qijing Lin kai yao Yuheng Wang Feng Han Yu Sun Zhuangde Jiang 《Microsystems & Nanoengineering》 SCIE EI CSCD 2024年第1期301-311,共11页
Stress tolerance plays a vital role in ensuring the effectiveness of piezoresistive sensing films used in flexible pressure sensors.However,existing methods for enhancing stress tolerance employ dome-shaped,wrinkle-sh... Stress tolerance plays a vital role in ensuring the effectiveness of piezoresistive sensing films used in flexible pressure sensors.However,existing methods for enhancing stress tolerance employ dome-shaped,wrinkle-shaped,and pyramidal-shaped microstructures in intricate molding and demolding processes,which introduce significant fabrication challenges and limit the sensing performance.To address these shortcomings,this paper presents periodic microslits in a sensing film made of multiwalled carbon nanotubes and polydimethylsiloxane to realize ultrahigh stress tolerance with a theoretical maximum of 2.477 MPa and a sensitivity of 18.092 kPa−1.The periodic microslits permit extensive deformation under high pressure(e.g.,400 kPa)to widen the detection range.Moreover,the periodic microslits also enhance the sensitivity based on simultaneously exhibiting multiple synapses within the sensing interface and between the periodic sensing cells.The proposed solution is verified by experiments using sensors based on the microslit strategy for wind direction detection,robot movement sensing,and human health monitoring.In these experiments,vehicle load detection is achieved for ultrahigh pressure sensing under an ultrahigh pressure of over 400 kPa and a ratio of the contact area to the total area of 32.74%.The results indicate that the proposed microslit strategy can achieve ultrahigh stress tolerance while simplifying the fabrication complexity of preparing microstructure sensing films. 展开更多
关键词 ROBOT SHAPED STRESS
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