123 research outputs found

    Upfront Cranial Radiotherapy vs. EGFR Tyrosine Kinase Inhibitors Alone for the Treatment of Brain Metastases From Non-small-cell Lung Cancer: A Meta-Analysis of 1465 Patients

    Get PDF
    Background: Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) is revolutionizing the management of brain metastases (BMs). This study was to explore the value of upfront cranial radiotherapy (RT) in EGFR-mutated non-small cell lung cancer (NSCLC) with BMs compared with EGFR-TKIs alone.Methods: We searched all topic-related comparative articles in public databases (MEDLINE, EMBASE, Cochrane Library, and Web of Science) and conference proceedings. Outcomes of interest were intracranial objective response rate (ORR), overall survival (OS), and intracranial progression-free survival (PFS). Statistical analyses were calculated using Review Manager 5.3 software.Results: Thirteen comparative studies that included a total of 1,456 patients were eligible. Upfront brain RT had significantly higher OS (HR = 0.78, 95% CI = 0.65–0.93, P = 0.005) than EGFR-TKI alone. Upfront RT plus TKI had superior OS (HR = 0.71, 95% CI = 0.58–0.86, P = 0.0005) and intracranial PFS (HR = 0.69, 95% CI = 0.49–0.99, P = 0.04). The pooled data favored upfront whole brain RT (WBRT) plus TKI in terms of intracranial PFS (HR = 0.64, 95% CI = 0.48–0.85, P = 0.002) and OS (HR = 0.75, 95% CI = 0.57–1, P = 0.05). Upfront stereotactic radiosurgery (SRS) was associated with better OS (HR = 0.37, 95% CI = 0.26–0.54, P < 0.00001). Similar results were observed when analysis was restricted to the use of erlotinib or geftinib.Conclusions: The upfront use of brain RT seemed critical, especially for SRS. Upfront administration of upfront WBRT plus EGFR-TKI had better survival outcomes and seemed superior to EGFR-TKI alone

    Red Aesthetics, Intermediality and the Use of Posters in Chinese Cinema after 1949

    Get PDF
    Abstract: This article focuses on the aesthetic and affective techniques of saturation through which posters legitimated the Party-State in Mao’s China by closing the gap between everyday experience and political ideology. Propaganda posters were designed to put into practice the principle of unity, as conceptua- lised by Mao Zedong. The argument posits that while the “poster” is normally a printed edition of a painting or design intended for mass distribution in this way, the term may fairly be deployed to capture other cultural objects that function as “posters”, in that they provide public, political information that expresses or con- structs a political self in aesthetic form. This approach requires a metonymic understanding of a visual field in which cultural objects are interrelated and mutually reinforcing. The essay draws on recent in-depth interviews with poster artists of the 1960s and 1970s

    Catalysing sustainable fuel and chemical synthesis

    Get PDF
    Concerns over the economics of proven fossil fuel reserves, in concert with government and public acceptance of the anthropogenic origin of rising CO2 emissions and associated climate change from such combustible carbon, are driving academic and commercial research into new sustainable routes to fuel and chemicals. The quest for such sustainable resources to meet the demands of a rapidly rising global population represents one of this century’s grand challenges. Here, we discuss catalytic solutions to the clean synthesis of biodiesel, the most readily implemented and low cost, alternative source of transportation fuels, and oxygenated organic molecules for the manufacture of fine and speciality chemicals to meet future societal demands

    Impact of low-molecular weight organic acids on selenite immobilization by goethite: Understanding a competitive-synergistic coupling effect and speciation transformation

    No full text
    © 2019 Elsevier B.V. The interactions between low-molecular weight organic acids (LMWOAs)and selenium (Se)on mineral/water interfaces affect the release, immobilization and bioavailability of Se in nature. Herein, the effects of three environmentally relevant LMWOAs (i.e., oxalic (Oxa), succinic (Suc)and citric (Cit)acids)on Se(IV)adsorption to goethite under oxic conditions were investigated using batch experiments, speciation fractionation, and ATR-FTIR and XPS analyses. The LMWOAs exhibited a competitive-synergistic coupling effect on Se(IV)adsorption to goethite, which inhibited the adsorption rate of Se(IV)by 14.1, 13.3 and 8.0 times. However, immobilization of Se(IV)was simultaneously enhanced by 39.1%, 34.6% and 14.1% in the following order Oxa > Suc > Cit. The results obtained by fractionation of the adsorbed Se(IV)revealed that the enhancement was due to surface binding as well as speciation transformation from ligand-exchangeable Se(IV)into residual fractions, which increased by approximately 18% in the presence of the LMWOAs. The dissolution of goethite significantly improved due to the LMWOAs and decreased to different degrees as the concentration of Se(IV)increased. The monodentate mononuclear complexes (58.2%)and Lewis base sites bonded Se (41.8%)were the predominant surface species of Se(IV)in goethite-Se(IV)system. The ATR-FTIR and high-resolution XPS analyses demonstrated that the formation of ≡FeO(SeO)O-CO surface complexes (22.8–27.0%)occurred in the presence of LMWOAs, which could be closely correlated with the interface-mediated reduction of Se(IV). In addition, the predominant mechanism for the formation of residual Se is LMWOA specific, in which ferric selenite-like precipitation was dominant for Suc (10.6%)and Cit (11.6%)and reduction was dominant for Oxa (17.5%). Overall, LMWOAs play an important role in Se(IV)immobilization and speciation transformation and may facilitate understanding the Se bioavailability in rhizosphere soils under oxic conditions

    Application of multigene panel detection in breast cancer

    No full text
    Precision medicine will be the direction of future medical development, especially in cancer diagnosis and treatment. With the deepening of breast cancer-related research, new factors related to diagnosis, treatment and prognosis are constantly being discovered. Researchers combine different factors to form a multigene panel testing, guiding clinicians' decision-making. The application scope of multigene panel detection is constantly expanding. At present, it has been tried in the prognosis evaluation of lymph node-positive and human epidermal growth factor receptor 2-positive breast cancer patients and the early screening of breast cancer. With continuous technological advancement, there will be broader application prospects in the future. The current narrative review was planned to evaluate the recent advances in applying multigene panel testing in breast cancer cases. Key Words: Multigene panel testing, Breast cancer, Oncotype Dx, MammaPrint, Endopredict, PAM50, BCI, CancerSeek

    Reconfigurable Metalens with Phase-Change Switching between Beam Acceleration and Rotation for 3D Depth Imaging

    No full text
    Depth imaging is very important for many emerging technologies, such as artificial intelligence, driverless vehicles and facial recognition. However, all these applications demand compact and low-power systems that are beyond the capabilities of most state-of-art depth cameras. Recently, metasurface-based depth imaging that exploits point spread function (PSF) engineering has been demonstrated to be miniaturized and single shot without requiring active illumination or multiple viewpoint exposures. A pair of spatially adjacent metalenses with an extended depth-of-field (EDOF) PSF and a depth-sensitive double-helix PSF (DH-PSF) were used, using the former metalens to reconstruct clear images of each depth and the latter to accurately estimate depth. However, due to these two metalenses being non-coaxial, parallax in capturing scenes is inevitable, which would limit the depth precision and field of view. In this work, a bifunctional reconfigurable metalens for 3D depth imaging was proposed by dynamically switching between EDOF-PSF and DH-PSF. Specifically, a polarization-independent metalens working at 1550 nm with a compact 1 mm2 aperture was realized, which can generate a focused accelerating beam and a focused rotating beam at the phase transition of crystalline and amorphous Ge2Sb2Te5 (GST), respectively. Combined with the deconvolution algorithm, we demonstrated the good capabilities of scene reconstruction and depth imaging using a theoretical simulation and achieved a depth measurement error of only 3.42%

    Reconfigurable Metalens with Phase-Change Switching between Beam Acceleration and Rotation for 3D Depth Imaging

    No full text
    Depth imaging is very important for many emerging technologies, such as artificial intelligence, driverless vehicles and facial recognition. However, all these applications demand compact and low-power systems that are beyond the capabilities of most state-of-art depth cameras. Recently, metasurface-based depth imaging that exploits point spread function (PSF) engineering has been demonstrated to be miniaturized and single shot without requiring active illumination or multiple viewpoint exposures. A pair of spatially adjacent metalenses with an extended depth-of-field (EDOF) PSF and a depth-sensitive double-helix PSF (DH-PSF) were used, using the former metalens to reconstruct clear images of each depth and the latter to accurately estimate depth. However, due to these two metalenses being non-coaxial, parallax in capturing scenes is inevitable, which would limit the depth precision and field of view. In this work, a bifunctional reconfigurable metalens for 3D depth imaging was proposed by dynamically switching between EDOF-PSF and DH-PSF. Specifically, a polarization-independent metalens working at 1550 nm with a compact 1 mm2 aperture was realized, which can generate a focused accelerating beam and a focused rotating beam at the phase transition of crystalline and amorphous Ge2Sb2Te5 (GST), respectively. Combined with the deconvolution algorithm, we demonstrated the good capabilities of scene reconstruction and depth imaging using a theoretical simulation and achieved a depth measurement error of only 3.42%

    Visualization 1: Ultra-high resolution coded wavefront sensor

    No full text
    Video of system in action Originally published in Optics Express on 12 June 2017 (oe-25-12-13736
    • …
    corecore