Postoperative radiotherapy (PRT) is widely advocated for patients with squamous cell carcinomas of the head and neck that are considered to be at high risk of recurrence after surgical resection. The aims of this stud...Postoperative radiotherapy (PRT) is widely advocated for patients with squamous cell carcinomas of the head and neck that are considered to be at high risk of recurrence after surgical resection. The aims of this study were to evaluate the treatment outcomes of PRT for patients with laryngeal carcinoma and to identify the value of several prognostic factors. We reviewed the records of 256 patients treated for laryngeal squamous cell carcinoma between January 1993 and December 2005. Disease-free survival (DFS) and overall survival (OS) were estimated using the Kaplan-Meier method. Log-rank test was employed to identify significant prognostic factors for DFS and OS. The Cox proportional hazards model was applied to identify covariates significantly associated with the aforementioned endpoints. Our results showed the 3-, 5-, and 10-year DFS for all patients were 69.9%, 59.5%, and 34.9%, respectively. The 3-, 5-, and 10-year OS rates were 80.8%, 68.6%, and 38.8%, respectively. Significant prognostic factors for both DFS and OS on univariate analysis were grade, primary site, T stage, N stage, overall stage, lymph node metastasis, overall treatment times of radiation, the interval between surgery and radiotherapy, and radiotherapy equipment. Favorable prognostic factors for both DFS and OS on multivariate analysis were lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment. In conclusion, our data suggest that lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment are favorable prognostic factors for DFS and OS and that reducing the overall treatment times of radiation to 6 weeks or less and the interval between surgery and radiotherapy to less than 3 weeks are simple measures to remarkably improve treatment outcome.展开更多
New samples returned by China Chang’e-5(CE-5)mission offer an opportunity for studying the lunar geologic longevity,space weathering,and regolith evolution.The age determination of the CE-5 samples was among the firs...New samples returned by China Chang’e-5(CE-5)mission offer an opportunity for studying the lunar geologic longevity,space weathering,and regolith evolution.The age determination of the CE-5 samples was among the first scientific questions to be answered.However,the precious samples,most in the micrometer size range,challenge many traditional analyses on large single crystals of zircon developed for massive bulk samples.Here,we developed a non-destructive rapid screening of individual zirconium-containing particle for isotope geochronology based on a Micro X-ray fluorescence analysis(μXRF).The selected particles were verified via scanning electron microscopy(SEM),3D X-ray microscopy(XRM),and focused ion beam scanning electron microscopy(FIB-SEM)techniques,which showed that zirconium-bearing minerals with several microns were precisely positioned and readily suitable for site-specific isotopic dating by second ion mass spectrometry(SIMS).Such protocol could be also appli-cable in non-destructively screening other types of particles for different scientific purposes.We there-fore proposed a correlative workflow for comprehensively studying the CE-5 lunar samples from single particles on nanometer to atomic scales.Linking various microscopic and spectromicroscopic instru-ments together,this workflow consists of six steps:(1)single-particle selection with non-destructive μXRF technique,(2)2D/3D morphological and structural characterization with a correlative submicron 3D XRM and nanoscale resolution FIB-SEM imaging methods,(3)SEM analysis of the surface morphology and chemistry of the selected particle,(4)a series of microscopic and microbeam analyses(e.g.,SEM,electron probe microanalysis,and SIMS)on the cross-section of the selected particle to obtain structural,mineralogical,chemical,and isotopic features from the micron to nanometer scale,(5)advanced 2D/3D characterization and site-specific sample preparation of thin foil/tip specimens on a microregion of inter-est in the selected particle with FIB-SEM technique,and(6)comprehensive analyses on the FIB-milled specimens at nanometer to atomic scale with synchrotron-based scanning transmission X-ray micro-scopy,analytic transmission electron microscopy,and atom probe tomography.Following this technical roadmap,one can integrate multiple modalities into a uniform frame of multimodal and multiscale cor-related datasets to acquire high-throughput information on the limited or precious terrestrial and extraterrestrial samples.展开更多
BACKGROUND Endocardial fibroelastosis(EFE)is a diffuse endocardial collagen and elastin hyperplasia disease of unknown etiology,which may be accompanied by myocardial degenerative changes leading to acute or chronic h...BACKGROUND Endocardial fibroelastosis(EFE)is a diffuse endocardial collagen and elastin hyperplasia disease of unknown etiology,which may be accompanied by myocardial degenerative changes leading to acute or chronic heart failure.However,acute heart failure(AHF)without obvious associated triggers is rare.Prior to the report of endomyocardial biopsy,the diagnosis and treatment of EFE are highly susceptible to being confounded with other primary cardiomyopathies.Here,we report a case of pediatric AHF caused by EFE mimicking dilated cardiomyopathy(DCM),with the aim of providing a valuable reference for clinicians to early identify and diagnose EFE-induced AHF.CASE SUMMARY A 13-mo-old female child was admitted to hospital with retching.Chest X-ray demonstrated enhanced texture in both lungs and an enlarged heart shadow.Color doppler echocardiography showed an enlarged left heart with ventricular wall hypokinesis and decreased left heart function.Abdominal color ultrasonography revealed a markedly enlarged liver.Pending the result of the endomyocardial biopsy report,the child was treated with a variety of resuscitative measures including nasal cannula for oxygen,intramuscular sedation with chlorpromazine and promethazine,cedilanid for cardiac contractility enhancement,and diuretic treatment with furosemide.Subsequently,the child’s endomyocardial biopsy report result was confirmed as EFE.After the above early interventions,the child’s condition gradually stabilized and improved.One week later,the child was discharged.During a 9-mo follow-up period,the child took intermittent low-dose oral digoxin with no signs of recurrence or exacerbation of the heart failure.CONCLUSION Our report suggests that EFE-induced pediatric AHF may present in children over 1 year of age without any apparent precipitants,and that the associated clinical presentations are grossly similar to that of pediatric DCM.Nonetheless,it is still possible to be diagnosed effectively on the basis of the comprehensive analysis of auxiliary inspection findings before the result of the endomyocardial biopsy is reported.展开更多
Major breakthroughs in modem Earth Science research largely depend on innovations in observation and analytical techniques. Over the last two decades, there have been great advances in modem microbeam analytical tech-...Major breakthroughs in modem Earth Science research largely depend on innovations in observation and analytical techniques. Over the last two decades, there have been great advances in modem microbeam analytical tech- niques, which are widely used in various subject areas in the broad field of Earth Sciences. Remarkable enhancements to observation and analysis techniques at the micro- scale have significantly improved our understanding of the Earth＇s history and its many geological processes.展开更多
Lunar basalts offer key insights into the magmatic and thermal evolution of the Moon.Geochronologic constraints deduced from the Apollo and Luna mission samples,as well as lunar meteorites,had previously suggested tha...Lunar basalts offer key insights into the magmatic and thermal evolution of the Moon.Geochronologic constraints deduced from the Apollo and Luna mission samples,as well as lunar meteorites,had previously suggested that lunar volcanism occurred as early as ca.≥4.37 billion years ago(Ga)[1]and ceased around 2.9-2.8 Ga[2],with two major pulses occurring in 3.95-3.58 and 3.38-3.08 Ga[3].But analysis of lunar basaltic samples recently returned by the Chang’e-5 mission reveals 2-billion-year-old volcanism on the Moon,representing the youngest lunar basalts reported to date[4,5].One of the most popular hypotheses for the cause of longlived volcanism on the Moon is that the source region for young lunar volcanism was enriched in radioactive heat-producing elements[2,6].Lunar samples from 3.5 to 3.0 Ga exhibit a gradual increase in the potassium,rare-earth elements,and phosphorus(KREEP)-like component contribution[3],consistent with the radioactive heat-producing elements hypothesis.However,the demonstrably non-KREEP origin for the 2-billion-year-old Chang’e-5 basalts implies a possible transition in lunar volcanism away from a KREEP-like component contribution occurred between 3.0 and 2.03 Ga[7].Therefore,studying the characteristics and origin of magmatic activity during the period from 3.0 to2.03 Ga is essential to address the timing of the possible transition and to thus extend our understanding of sustaining long-lived volcanism on the Moon.However,this goal is currently hampered by limited available lunar materials.展开更多
The red blood cell distribution width(RDW)is a measure of red blood cell(RBC)size heterogeneity,which is easily calculated by dividing the SD of erythrocyte volumes for the mean corpuscular volume.Recent reporter sugg...The red blood cell distribution width(RDW)is a measure of red blood cell(RBC)size heterogeneity,which is easily calculated by dividing the SD of erythrocyte volumes for the mean corpuscular volume.Recent reporter suggested that,besides haematological diseases and anaemia,many human disorders may be closely associated with the elevated RDW.A literature review has revealed the RDW may be closely related to the development of ischaemic stroke,carotid artery atherosclerosis and cerebral embolism.Higher RDW could independently predict adverse outcomes in patients in these conditions.展开更多
基金supported by a grant from the Natural Science Foundation of Guangdong Province, P. R. China (No. 9151008901000223)
文摘Postoperative radiotherapy (PRT) is widely advocated for patients with squamous cell carcinomas of the head and neck that are considered to be at high risk of recurrence after surgical resection. The aims of this study were to evaluate the treatment outcomes of PRT for patients with laryngeal carcinoma and to identify the value of several prognostic factors. We reviewed the records of 256 patients treated for laryngeal squamous cell carcinoma between January 1993 and December 2005. Disease-free survival (DFS) and overall survival (OS) were estimated using the Kaplan-Meier method. Log-rank test was employed to identify significant prognostic factors for DFS and OS. The Cox proportional hazards model was applied to identify covariates significantly associated with the aforementioned endpoints. Our results showed the 3-, 5-, and 10-year DFS for all patients were 69.9%, 59.5%, and 34.9%, respectively. The 3-, 5-, and 10-year OS rates were 80.8%, 68.6%, and 38.8%, respectively. Significant prognostic factors for both DFS and OS on univariate analysis were grade, primary site, T stage, N stage, overall stage, lymph node metastasis, overall treatment times of radiation, the interval between surgery and radiotherapy, and radiotherapy equipment. Favorable prognostic factors for both DFS and OS on multivariate analysis were lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment. In conclusion, our data suggest that lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment are favorable prognostic factors for DFS and OS and that reducing the overall treatment times of radiation to 6 weeks or less and the interval between surgery and radiotherapy to less than 3 weeks are simple measures to remarkably improve treatment outcome.
基金the National Key R&D Program of China(2018YFA0702600)the Key Research program of Chinese Academy of Sciences(ZDBS-SSW-JSC007-13)+1 种基金the institute of Geology and Geophysics,Chinese Academy of Sciences(IGGCAS-202101)the National Natural Science Foundation of China(grants no.41890843,41920104009)。
文摘New samples returned by China Chang’e-5(CE-5)mission offer an opportunity for studying the lunar geologic longevity,space weathering,and regolith evolution.The age determination of the CE-5 samples was among the first scientific questions to be answered.However,the precious samples,most in the micrometer size range,challenge many traditional analyses on large single crystals of zircon developed for massive bulk samples.Here,we developed a non-destructive rapid screening of individual zirconium-containing particle for isotope geochronology based on a Micro X-ray fluorescence analysis(μXRF).The selected particles were verified via scanning electron microscopy(SEM),3D X-ray microscopy(XRM),and focused ion beam scanning electron microscopy(FIB-SEM)techniques,which showed that zirconium-bearing minerals with several microns were precisely positioned and readily suitable for site-specific isotopic dating by second ion mass spectrometry(SIMS).Such protocol could be also appli-cable in non-destructively screening other types of particles for different scientific purposes.We there-fore proposed a correlative workflow for comprehensively studying the CE-5 lunar samples from single particles on nanometer to atomic scales.Linking various microscopic and spectromicroscopic instru-ments together,this workflow consists of six steps:(1)single-particle selection with non-destructive μXRF technique,(2)2D/3D morphological and structural characterization with a correlative submicron 3D XRM and nanoscale resolution FIB-SEM imaging methods,(3)SEM analysis of the surface morphology and chemistry of the selected particle,(4)a series of microscopic and microbeam analyses(e.g.,SEM,electron probe microanalysis,and SIMS)on the cross-section of the selected particle to obtain structural,mineralogical,chemical,and isotopic features from the micron to nanometer scale,(5)advanced 2D/3D characterization and site-specific sample preparation of thin foil/tip specimens on a microregion of inter-est in the selected particle with FIB-SEM technique,and(6)comprehensive analyses on the FIB-milled specimens at nanometer to atomic scale with synchrotron-based scanning transmission X-ray micro-scopy,analytic transmission electron microscopy,and atom probe tomography.Following this technical roadmap,one can integrate multiple modalities into a uniform frame of multimodal and multiscale cor-related datasets to acquire high-throughput information on the limited or precious terrestrial and extraterrestrial samples.
文摘BACKGROUND Endocardial fibroelastosis(EFE)is a diffuse endocardial collagen and elastin hyperplasia disease of unknown etiology,which may be accompanied by myocardial degenerative changes leading to acute or chronic heart failure.However,acute heart failure(AHF)without obvious associated triggers is rare.Prior to the report of endomyocardial biopsy,the diagnosis and treatment of EFE are highly susceptible to being confounded with other primary cardiomyopathies.Here,we report a case of pediatric AHF caused by EFE mimicking dilated cardiomyopathy(DCM),with the aim of providing a valuable reference for clinicians to early identify and diagnose EFE-induced AHF.CASE SUMMARY A 13-mo-old female child was admitted to hospital with retching.Chest X-ray demonstrated enhanced texture in both lungs and an enlarged heart shadow.Color doppler echocardiography showed an enlarged left heart with ventricular wall hypokinesis and decreased left heart function.Abdominal color ultrasonography revealed a markedly enlarged liver.Pending the result of the endomyocardial biopsy report,the child was treated with a variety of resuscitative measures including nasal cannula for oxygen,intramuscular sedation with chlorpromazine and promethazine,cedilanid for cardiac contractility enhancement,and diuretic treatment with furosemide.Subsequently,the child’s endomyocardial biopsy report result was confirmed as EFE.After the above early interventions,the child’s condition gradually stabilized and improved.One week later,the child was discharged.During a 9-mo follow-up period,the child took intermittent low-dose oral digoxin with no signs of recurrence or exacerbation of the heart failure.CONCLUSION Our report suggests that EFE-induced pediatric AHF may present in children over 1 year of age without any apparent precipitants,and that the associated clinical presentations are grossly similar to that of pediatric DCM.Nonetheless,it is still possible to be diagnosed effectively on the basis of the comprehensive analysis of auxiliary inspection findings before the result of the endomyocardial biopsy is reported.
基金supported by National Natural Science Foundation of China (41521062)
文摘Major breakthroughs in modem Earth Science research largely depend on innovations in observation and analytical techniques. Over the last two decades, there have been great advances in modem microbeam analytical tech- niques, which are widely used in various subject areas in the broad field of Earth Sciences. Remarkable enhancements to observation and analysis techniques at the micro- scale have significantly improved our understanding of the Earth＇s history and its many geological processes.
基金supported by the National Natural Science Foundation of China(42225301,42103023,42241104,and 42241105)China Postdoctoral Science Foundation(2020M670447 and 2022T150643)+1 种基金the Key Research Program of the Institute of Geology and GeophysicsChinese Academy of Sciences(IGGCAS-202101)。
文摘Lunar basalts offer key insights into the magmatic and thermal evolution of the Moon.Geochronologic constraints deduced from the Apollo and Luna mission samples,as well as lunar meteorites,had previously suggested that lunar volcanism occurred as early as ca.≥4.37 billion years ago(Ga)[1]and ceased around 2.9-2.8 Ga[2],with two major pulses occurring in 3.95-3.58 and 3.38-3.08 Ga[3].But analysis of lunar basaltic samples recently returned by the Chang’e-5 mission reveals 2-billion-year-old volcanism on the Moon,representing the youngest lunar basalts reported to date[4,5].One of the most popular hypotheses for the cause of longlived volcanism on the Moon is that the source region for young lunar volcanism was enriched in radioactive heat-producing elements[2,6].Lunar samples from 3.5 to 3.0 Ga exhibit a gradual increase in the potassium,rare-earth elements,and phosphorus(KREEP)-like component contribution[3],consistent with the radioactive heat-producing elements hypothesis.However,the demonstrably non-KREEP origin for the 2-billion-year-old Chang’e-5 basalts implies a possible transition in lunar volcanism away from a KREEP-like component contribution occurred between 3.0 and 2.03 Ga[7].Therefore,studying the characteristics and origin of magmatic activity during the period from 3.0 to2.03 Ga is essential to address the timing of the possible transition and to thus extend our understanding of sustaining long-lived volcanism on the Moon.However,this goal is currently hampered by limited available lunar materials.
文摘The red blood cell distribution width(RDW)is a measure of red blood cell(RBC)size heterogeneity,which is easily calculated by dividing the SD of erythrocyte volumes for the mean corpuscular volume.Recent reporter suggested that,besides haematological diseases and anaemia,many human disorders may be closely associated with the elevated RDW.A literature review has revealed the RDW may be closely related to the development of ischaemic stroke,carotid artery atherosclerosis and cerebral embolism.Higher RDW could independently predict adverse outcomes in patients in these conditions.
