Comparison of first-line treatment with CHOP versus ICED in patients with peripheral T-cell lymphoma eligible for upfront autologous stem cell transplantation

IntroductionUpfront autologous stem cell transplantation (ASCT) has been recommended for patients who are newly diagnosed with peripheral T-cell lymphoma (PTCL), and CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone), an anthracycline-based chemotherapy has been the frontline chemotherapy for PTCL. However, it is not clear whether anthracycline-based chemotherapies such as CHOP could be standard induction therapy for PTCL.MethodsWe conducted a randomized phase II study to compare CHOP with fractionated ifosfamide, carboplatin, etoposide, and dexamethasone (ICED) for patients eligible for ASCT. The primary endpoint was progression-free survival (PFS) and secondary endpoints included objective response rate, overall survival (OS), and safety profiles.ResultsPatients were randomized into either CHOP (n = 69) or ICED (n = 66), and the characteristics of both arms were not different. PTCL-not otherwise specified (NOS, n = 60) and angioimmunoblastic T-cell lymphoma (AITL, n = 53) were dominant. The objective response rate was not different between CHOP (59.4%) and ICED (56.1%), and the 3-year PFS was not different between CHOP (36.7%) and ICED (33.1%). In AITL patients, CHOP was favored over ICED whereas ICED was associated with more cytopenia and reduced dose intensity. Patients who received upfront ASCT after achieving complete response to CHOP or ICED showed 80% of 3-year OS.DiscussionIn summary, our study showed no therapeutic difference between CHOP and ICED in terms of response and PFS. Thus, CHOP might remain the reference regimen especially for AITL based on its better outcome in AITL, and upfront ASCT could be recommended as a consolidation of complete response in patients with PTCL

A dynamic general equilibrium analysis on fostering a hydrogen economy in Korea

Hydrogen is anticipated to become one of the major alternative energy technologies for a sustainable energy system. This study analyzes the dynamic economic impacts of building a hydrogen economy in Korea employing a dynamic Computable General Equilibrium (CGE) model. As a frontier technology, hydrogen is featured as having a slow diffusion rate due to option value, positive externality, resistance of old technology, and complementary vintages. Without government intervention, hydrogen-derived energy will supply up to 6.5% of final energy demand by 2040. Simulation outcomes show that as price subsidy rates increase by 10%, 20%, and 30%, hydrogen demand will increase by 9.2%, 15.2%, and 37.7%, respectively, of final energy demand by 2040. The output of the transportation sector will increase significantly, while demands for oil and electricity will decline. Demands for coal and LNG will experience little change. Household consumption will decline because of the increase of income taxes. Overall GDP will increase because of the increase in exports and investments. CO2 emission will decline for medium and high subsidy rate cases, but increase for low subsidy cases. Ultimately, subsidy policy on hydrogen will not be an effective measure for mitigating CO2 emission in Korea when considering dynamic general equilibrium effects.Hydrogen Dynamic computable general equilibrium model Slow diffusion Learning-by-using Complementary vintages

Gluteal Compartment Syndrome and Rhabdomyolysis after Prolonged Laparoscopic Nephroureterectomy and Treatment Strategies Including Rehabilitation: A Case Report

Background: Rhabdomyolysis is a clinical symptom caused by the rapid release of intracellular components such as myoglobin, lactate dehydrogenase, and creatine kinase into the blood circulation. It is commonly caused by muscular injury including compartment syndrome, infection, drugs, etc. Although it rarely occurs during surgery, the incidence may increase if risk factors such as long operation time, improper posture, and condition of being overweight exist. Case Presentation: A 46-year-old male patient complained of pain and weakness in the right hip area and several abnormal findings were observed in the blood sample, reflecting muscle injury and decreased renal function after prolonged urological surgery. He was confirmed as having rhabdomyolysis, which was caused by compartment syndrome of the right gluteal muscle. After the diagnosis, conservative cares were performed in the acute phase and rehabilitation treatments were performed in the chronic phase. After conservative treatment and rehabilitation, blood sample values returned to almost normal ranges and both level of pain and muscle strength were significantly improved. In addition, about 25 days after discharge, he almost recovered to pre-operative condition. Conclusion: Careful attention is required to prevent intraoperative compartment syndrome. It also suggests that not only medical treatment but also early patient-specific rehabilitation is important in patients with rhabdomyolysis after prolonged surgery

Empirical Formula to Predict the NOx Emissions from Coal Power Plant using Lab-Scale and Real-Scale Operating Data

The use of fossil fuels has drastically increased throughout the world as the demand for energy increases. Accordingly, it has become critical that we reduce the oxides of nitrogen (NOx) and oxides of sulfur pollutants. Therefore, studies related to these activities have increased. This study was aimed at helping take pre-emptive action on NOx emissions by developing a formula that would predict NOx generation using factors related to the combustion characteristics and basic material properties of coal. In this study, the experiments were conducted using a drop tube furnace, and the correlation between coal’s major characteristics and NOx generation was analyzed and measured. Our results showed that the major factors affecting NOx generation are moisture, fixed carbon, and fuel ratio. Moisture tended to decrease NOx generation by delaying the ignition of coal and fixed carbon exhibited a tendency to be directly proportional to NOx generation. The R2 value for NOx of moisture and fixed carbon were derived as 0.7659 and 0.7063, respectively. Our results also showed that the fuel ratio had an exponential relation with the conversion of fuel-N to NOx. Based on the results of our analyses, we used moisture, fixed carbon, and fuel ratio as the major factors for creating an experimental formula. Through these results, we confirmed that the prediction formula reflects the actual amount of NOx emitted from the powerplants

Thiolated DNA-Based Chemistry and Control in the Structure and Optical Properties of Plasmonic Nanoparticles with Ultrasmall Interior Nanogap

The design, synthesis and control of plasmonic nanostructures, especially with ultrasmall plasmonically coupled nanogap (similar to 1 nm or smaller), are of significant interest and importance in chemistry, nanoscience, materials science, optics and nanobiotechnology. Here, we studied and established the thiolated DNA-based synthetic principles and methods in forming and controlling Au core-nanogap-Au shell structures [Au-nanobridged nanogap particles (Au-NNPs)] with various interior nanogap and Au shell structures. We found that differences in the binding affinities and modes among four different bases to Au core, DNA sequence, DNA grafting density and chemical reagents alter Au shell growth mechanism and interior nanogap-forming process on thiolated DNA-modified Au core. Importantly, poly A or poly C sequence creates a wider interior nanogap with a smoother Au shell, while poly T sequence results in a narrower interstitial interior gap with rougher Au shell, and on the basis of the electromagnetic field calculation and experimental results, we unraveled the relationships between the width of the interior plasmonic nanogap, Au shell structure, electromagnetic field and surface-enhanced Raman scattering. These principles and findings shown in this paper offer the fundamental basis for the thiolated DNA-based chemistry in forming and controlling metal nanostructures with similar to 1 nm plasmonic gap and insight in the optical properties of the plasmonic NNPs, and these plasmonic nanogap structures are useful as strong and controllable optical signal-generating nanoprobes

The hazardous interactions of copper-dyed patient gowns with MRI: Two cases of superficial abdominal burns

Magnetic resonance imaging is a commonly used imaging modality in medical procedures. Despite its prevalent use, unexpected adverse events such as burns can occur during an MRI procedure. The majority of the transmitted Radio Frequency power can be converted into heat within the patient's tissue due to resistive losses, leading to such incidents. In this study, we present an intriguing case of a patient who experienced an MRI-induced burn, presumably caused by the copper dye in the patient's gown. Notably, we observed frequent distortion of the MR image due to the patient's gown. The awareness and understanding of such potential adverse events are critical for clinicians and technicians to prevent future occurrences. Through this study, we aim to contribute to this critical area of patient safety during MRI procedures

Electrophysiologic Patterns of Symptomatic Vincristine-Induced Peripheral Neuropathy in Children with Acute Lymphocytic Leukemia

Acute lymphocytic leukemia is one of the most common cancers in children. Multi-drug chemotherapy is used for treatment, and the representative drug is vincristine. Although various side effects may occur due to vincristine, the association with peripheral neuropathy is high compared to that of other drugs. This study focused on children under the age of 18 years of age with ALL who received chemotherapy containing vincristine. We retrospectively analyzed the results of a nerve conduction study and a cumulative dose of vincristine in 30 children diagnosed with peripheral neuropathy. The average cumulative dose until diagnosis of vincristine-induced peripheral neuropathy was 14.99 ± 1.21 mg/m2, and motor nerves were predominantly involved. Additionally, a marked decrease in average amplitude was also observed in motor nerves. In addition, when the relationship between the incidence of peripheral neuropathy and the cumulative dose was analyzed through the survival curve, about 50% of children developed peripheral neuropathy at a dose of 15.5 ± 1.77 mg/m2. Based on the electrophysiological characteristics of pediatric vincristine-induced peripheral neuropathy, as well as the relationship between the incidence rate and the cumulative dose, it is possible to observe more closely the vincristine-induced peripheral neuropathy occurrence in children with ALL at an appropriate time

Can Corticomuscular Coherence Differentiate between REM Sleep Behavior Disorder with or without Parkinsonism?

REM sleep behavior disorder (RBD) could be a predictor of Parkinsonism even before development of typical motor symptoms. This study aims to characterize clinical features and corticomuscular and corticocortical coherence (CMC and CCC, respectively) during sleep in RBD patients with or without Parkinsonism. We enrolled a total of 105 subjects, including 20 controls, 54 iRBD, and 31 RBD+P patients, patients who were diagnosed as idiopathic RBD (iRBD) and RBD with Parkinsonism (RBD+P) in our neurology department. We analyzed muscle atonia index (MAI) and CMC between EEG and chin/limb muscle electromyography (EMG) and CCC during different sleep stages. Although differences in the CMC of iRBD group were observed only during REM sleep, MAI differences between groups were noted during both REM and NREM N2 stage sleep. During REM sleep, CMC was higher and MAI was reduced in iRBD patients compared to controls (p = 0.001, p < 0.001, respectively). Interestingly, MAI was more reduced in RBD+P compared to iRBD patients. In comparison, CCC was higher in iRBD patients compared to controls whereas CCC was lower in RBD+P groups compared to control and iRBD groups in various frequency bands during both NREM N2 and REM sleep stages. Among them, increased CMC during REM sleep revealed correlation between clinical severities of RBD symptoms. Our findings indicate that MAI, CMC, and CCC showed distinctive features in iRBD and RBD+P patients compared to controls, suggesting potential usefulness to understand possible links between these diseases

Transformative Heterointerface Evolution and Plasmonic Tuning of Anisotropic Trimetallic Nanoparticles

Multicomponent nanoparticles that incorporate multiple nanocrystal domains into a single particle represent an important class of material with highly tailorable structures and properties. The controlled synthesis of multicomponent NPs with 3 or more components in the desired structure, particularly anisotropic structure, and property is, however, challenging. Here, we developed a polymer and galvanic replacement reaction-based transformative heterointerface evolution (THE) method to form and tune gold–copper–silver multimetallic anisotropic nanoparticles (MAPs) with well-defined configurations, including structural order, particle and junction geometry, giving rise to extraordinarily high tunability in the structural design, synthesis and optical property of trimetallic plasmonic nanoantenna structures. MAPs can easily, flexibly integrate multiple surface plasmon resonance (SPR) peaks and incorporate various plasmonic field localization and enhancement within one structure. Importantly, a heteronanojunction in these MAPs can be finely controlled and hence tune the SPR properties of these structures, widely covering UV, visible and near-infrared range. The development of the THE method and new findings in synthesis and property tuning of multicomponent nanostructures pave ways to the fabrication of highly tailored multicomponent nanohybrids and realization of their applications in optics, energy, catalysis and biotechnology