Symptom clusters and quality of life in China patients with lung cancer undergoing chemotherapy

Objective: To explore the symptom clusters and quality of life in patients with lung cancer undergoing chemotherapy. Methods: A cross-sectional survey was completed with 183 patients from three public hospitals in Xi’an, China. Patients completed a demographic questionnaire, the Functional Assessment of Cancer Therapy-Lung Cancer (FACT-L) and the M. D. Anderson Symptom Inventory (MDASI-C). Factor analysis was used to identify symptom clusters based on the severity of patients’ symptom experiences. The resulting clusters were correlated with quality-of-life measures. Results: The QOL scores of lung cancer patients on the functioning subscale were the lowest (9.70±5.30), while those of the family subscale were the highest (19.28±3.24). Three symptom clusters were identified: gastrointestinal, emotional and fatigue–related symptoms. There was a negative relationship between the symptom clusters and multiple dimensions of quality of life (r -0.178～-0.805, p< 0. 05). Females, especially those women with low education level /chronic diseases, were experienced greater symptom distress than others. Conclusions: The clusters had a negative relationship with QOL. Identifying symptom clusters helped clarify possible inter-relationships which may lead to the establishment of more effective symptom management interventions for patients with lung cancer in order to improve the quality of life.Keywords: symptom clusters, lung cancer, factor analysis, symptom management, quality of lifeAfrican Health sciences Vol 14 No. 1 March 201

Effects of congestion charging and subsidy policy on vehicle flow and revenue with user heterogeneity

Traffic congestion is a major issue in urban traffic networks. Both congestion charging and subsidy policy can solve traffic congestion to some extent, but which one is better? Based on this, this paper constructs a typical transit network consisting of three travel tools in four common travel modes. Travelers' values of time affect their choice of transportation in the congestion network, thus a stochastic user equilibrium model is established by considering travelers' heterogenous values of time to evaluate the effects of different combinations of congestion charging and subsidy policies on vehicle flow and revenue. Numerical results indicate that the effectiveness of congestion charging and subsidy policy in alleviating traffic congestion depends on the object of charging or subsidizing. Congestion charging for private cars can reduce traffic flow and alleviate traffic congestion, but charging for ridesharing cars does not reduce traffic flow and may even cause traffic congestion. Subsidizing public buses does not reduce traffic flow, but it can ease congestion by coordinating traffic flow on both edges of the dual-modal transport. The combination of no subsidy for public buses and charging for both private cars and ridesharing cars can obtain the greatest revenue, but it does not alleviate traffic congestion. Although the combination of charging for private cars and subsidizing public buses does not bring the most benefits, it can reduce traffic flow, and its revenue is also considerable. This study can provide quantitative decision support for the government to ease traffic congestion and improve government revenue

3-(2-Nitro­phen­oxy)phthalonitrile

In the title compound, C14H7N3O3, the dihedral angle between the two arene units is 62.57 (12)°

Quality of life in rectal cancer patients with permanent colostomy in Xi’an

Purposes: The aim of this study was to observe the quality of life (QOL) in rectal cancer patients with permanent colostomy in different periods after operation. Methods: A 1-,3-,6-month prospective study of QOL in 51 rectal cancer patients with permanent colostomy and 50 ones without permanent colostomy was assessed by using European Organization for Research and Treatment of Cancer (EORTC) QOL-30 and CR38 questionnaires. Results: The variation of QOL in different periods was “v” type. In the 1st postoperative month, these patients had the lowest quality of life scores, accompanied significantly varied functions and severe symptoms. Almost of all indexes of these patients had improved consistently in postoperative periods. The scores of global QOL even better than pre-operative level at 6th months post-operation, but the social function, body image, chemotherapy side effects and financial difficulties had not restored to the baseline level. Patients without permanent colostomy had a better score in most of categories of QOL-30 and CR38. Conclusions: The 1st postoperative month was crucial for patients’ recovery, in which we should pay great attention to these problems which relate to the recovery of rectal cancer patients with permanent colostomy.Keywords: Quality of life, Rectal cancer, Permanent colostomy, EORTC QOL-30 and CR38 questionnairesAfrican Health sciences Vol 14 No. 1 March 201

Photoinduced coupled twisted intramolecular charge transfer and excited-state proton transfer via intermolecular hydrogen bonding: a DFT/TD-DFT study

We discuss theoretically the geometric and electronic structure properties of the thiazolidinedione derivative A and its hydrogen-bonded complex in dimethylformamide (DMF) solution in the S0 and S1 states. To gain insight into the photoinduced coupled excited-state proton transfer (ESPT) and twisted intramolecular charge transfer (TICT) associated with intermolecular hydrogen bonding, the potential energy profiles are provided along the Osingle bondH bond and the twisted angle. It is predicted that TICT in S1 can facilitate ESPT initiated by intermolecular hydrogen-bond strengthening in the S1 state. The coupling of ESPT and TICT is energetically preferable

Risk of hepatitis B virus reactivation and its effect on survival in advanced hepatocellular carcinoma patients treated with hepatic arterial infusion chemotherapy and lenvatinib plus programmed death receptor-1 inhibitors

BackgroundHepatitis B virus (HBV) reactivation is a common complication in hepatocellular carcinoma (HCC) patients treated with chemotherapy or immunotherapy. This study aimed to evaluate the risk of HBV reactivation and its effect on survival in HCC patients treated with HAIC and lenvatinib plus PD1s.MethodsWe retrospectively collected the data of 213 HBV-related HCC patients who underwent HAIC and lenvatinib plus PD1s treatment between June 2019 to June 2022 at Sun Yat-sen University, China. The primary outcome was the risk of HBV reactivation. The secondary outcomes were overall survival (OS), progression−free survival (PFS), and treatment−related adverse events.ResultsSixteen patients (7.5%) occurred HBV reactivation in our study. The incidence of HBV reactivation was 5% in patients with antiviral prophylaxis and 21.9% in patients without antiviral prophylaxis, respectively. The logistic regression model indicated that for HBV reactivation, lack of antiviral prophylaxis (P=0.003) and tumor diameter (P=0.036) were independent risk factors. The OS and PFS were significantly shorter in the HBV reactivation group than the non-reactivation group (P=0.0023 and P=0.00073, respectively). The number of AEs was more in HBV reactivation group than the non-reactivation group, especially hepatic AEs.ConclusionHBV reactivation may occur in HCC patients treated with HAIC and lenvatinib plus PD1s. Patients with HBV reactivation had shorter survival time compared with non-reactivation. Therefore, HBV-related HCC patients should undergo antiviral therapy and HBV-DNA monitoring before and during the combination treatment

Identification and characterization of class E genes involved in floral organ development in Dianthus chinensis

The SEPALLATA (SEP) gene, as a 'glue' for the 'floral quartets model', plays an important role in floral organ development by forming tetramers with class A-, B-, and C- genes. The functional differentiation of class E genes has been reported in different species. Carnation (Dianthus spp.) is a world-famous economic flower that has been extensively used in landscaping, but the roles of SEP genes in carnation are unclear. Here, we found that the class E genes of D. chinensis cultivar 'L' showed different expression patterns during floral organ primordium development by transcriptome analysis. Combined with quantitative real-time PCR, its tissue and specific stage expression patterns were also different in different subclades. In addition, a yeast two-hybrid experiment was carried out to explore the interaction patterns of class E genes with other class A-, B-, and C- genes. Only DcSEP3s and DcSEP4s proteins interacted with all three classes of A-, B-, and C- proteins, and interestingly, is that DcSEP3-1 only interacted with the DcAP1 protein of class A, while the DcSEP3-2 protein only interacted with DcFUL1. Transgenic experiments showed that overexpression of DcSEP3-2 genes in Arabidopsis resulted in early flowering, smaller rosettes, dwarfism and abnormal floral organs. The transgenic line overexpressing of DcSEP3-1 only showed an early flowering phenotype. All these results indicated that the two DcSEP3s of class E genes in D. chinensis may undergo sub-functionalization. These findings advance our understanding of the molecular mechanisms of flower development in carnation