A homoharringtonine-based induction regimen for the treatment of elderly patients with acute myeloid leukemia: a single center experience from China

<p>Abstract</p> <p>Background and purpose</p> <p>The response to remission induction in elderly patients with acute myeloid leukemia (AML) remains poor. The purpose of this paper is to evaluate the efficacy and toxicity of a plant alkaloid, homoharringtonine, in combination with cytarabine as an induction therapy for AML in elderly patients (≥60 years).</p> <p>Results</p> <p>Twenty-three patients were treated with the HA regimen consisting of homoharringtonine (2 mg/m²/day for 7 days) and cytarabine (Ara-C, 100 mg/m²/day for 7 days). The overall response rate was 56.5% with complete remission (CR) rate of 39.1% and partial remission of 17.4%. There was no early death in this cohort of patients. The estimated median overall survival (OS) time of all patients was (12.0 ± 3.0) months. The estimated OS time of the CR patients was 15 months. The estimated one-year OS rate of all patients treated with HA protocol was (49.3 ± 13.5) %. The estimated one-year OS rate of the CR patients was (62.5 ± 17.1) %.</p> <p>Conclusion</p> <p>HA is a suitable induction regimen for elderly patients with AML, with relatively low toxicity and reasonable response rate.</p

Remote sensing and social sensing data reveal scale-dependent and system-specific strengths of urban heat island determinants

Urban natural surfaces and non-surface human activities are key factors determining the urban heat island (UHI), but their relative importance remains highly controversial and may vary at different spatial scales and focal urban systems. However, systematic studies on the scale-dependency system-specificity remain largely lacking. Here, we selected 32 major Chinese cities as cases and used Landsat 8 images to retrieve land surface temperature (LST) and quantify natural surface variables using point of interest (POI) data as a measure of the human activity variable and using multiple regression and relative weight analysis to study the contribution and relative importance of these factors to LST at a range of grain sizes (0.25&ndash;5 km) and spatial extents (20&ndash;60 km). We revealed that the contributions and relative importance of natural surfaces and human activities are largely scale-dependent and system-specific. Natural surfaces, especially vegetation cover, are often the most important UHI determinants for a majority of scales, but the importance of non-surface human activities is increasingly pronounced at a coarser spatial scale with respect to both grain and spatial extent. The scaling relations of the UHI determinants and their relative importance were mostly linear-like at the city-collective level, but highly diverse across individual cities, so reducing non-surface heat emissions could be the most effective measure in particular cases, especially at relatively large spatial scales. This study advances the understanding of UHI formation mechanisms and highlights the complexity of the scale issue underpinning the UHI effect

Soil N-oxide emissions decrease from intensive greenhouse vegetable fields by substituting synthetic N fertilizer with organic and bio-organic fertilizers

In order to reduce soil and environmental quality degradation associated with the use of synthetic nitrogen (N), substituting chemical fertilizer with organic or bio-organic fertilizer has become an increasingly popular option. However, components of this fertilizer strategy related to mitigation of soil N-oxide emissions and maintenance of crop yield remain uncertain. Here, we evaluated the effects of three different fertilizer strategies, with equal amounts of N, on nitrous oxide (N2O) and nitric oxide (NO) emissions, vegetable yield, and yield-scaled N2O and NO emissions under three consecutive cucumber growing seasons. The three treatments were chemical fertilizer (NPK, urea), organic fertilizer (O, composted cattle manure), and bio-organic fertilizer (O + T, O combined with Trichoderma.spp). Results showed that the NPK plot had the highest area-scaled emissions of N2O (13.1 ± 0.48 kg N ha−1 yr−1) and NO (5.01 ± 0.34 kg N ha−1 yr−1), which were 1.3–1.4 and 3.1–3.7 times greater than the O and O + T plots, respectively. The annual direct emission factors for N2O and NO were 2.08% and 0.92% for the NPK plot, which declined to 1.34% and 0.09% in the O plot, and 1.12% and 0.03% in the O + T plot, respectively. The annual vegetable yield was 117 ± 2.9 t ha−1 for NPK plot and 122 ± 2.0 t ha−1 for O + T plot, which was higher than 111 ± 1.7 t ha−1 for O plot. The yield-scaled N2O + NO emissions differed significantly with fertilization treatment, with the lowest value observed in the O + T plot. We attributed the lower soil N-oxide emissions following organic fertilizer application to the slow release of available N and enhanced denitrification caused by the increase of soil dissolved organic carbon and pH. Compared with the use of organic fertilizer alone, the addition of Trichoderma.spp significantly increased the potential denitrification rate but decreased N2O emissions, which may have promoted the reduction of N2O to N2. Therefore, our results suggest that adopting composted organic fertilizer mixtures with microbial inoculants could be a win-win practice to mitigate gaseous N losses and simultaneously improve crop yield in intensively managed vegetable cropping systems

Neurological Manifestation of Incretin-Based Therapies in Patients with Type 2 Diabetes: A Systematic Review and Network Meta-Analysis.

As a new class of antidiabetic drug, incretin-based therapies, which include dipeptidyl peptidase-4 inhibitors (DPP-4Is) and glucagon-like peptide-1 receptor agonists (GLP-1 RAs), have raised concerns about symptoms of withdrawal in patients with type 2 diabetes mellitus (T2DM), such as dizziness and headache. To systematically evaluate whether incretin-based therapies may lead to dizziness and headache in patients with T2DM compared to other traditional antidiabetic drugs or placebo. We searched Medline, Embase, the Cochrane library, and clinicaltrials.gov from inception through June 23, 2017, to identify randomized controlled trials of the safety of DPP-4Is or GLP-1 RAs versus placebo or other antidiabetic drugs in T2DM patients. We used the network meta-analysis under the frequentist framework to compare the association between multiple antidiabetic drugs and dizziness and headache. A total of 233 clinical trials with nine treatments and 147,710 patients were included: two incretin-based therapies, one placebo, and six traditional antidiabetic drugs (metformin, insulin, sulfonylurea, thiazolidinediones, alpha-glucosidase inhibitor, and sodium-glucose co-transporter 2). Compared to insulin, thiazolidinediones, or placebo, GLP-1 RAs statistically significantly increased the risk of dizziness (odds ratios [ORs]: 1.92, 1.57, and 1.40, respectively) and headache (ORs: 1.34, 1.41, and 1.18, respectively). DPP-4Is increased the risk of headache (OR: 1.22, 95% confidence interval [CI]: 1.02 to 1.46; moderate quality) and dizziness (OR: 1.46, 95% CI: 1.05 to 2.03; moderate quality) compared to insulin. Of the incretin-based therapies, DPP-4Is had a lower risk of dizziness than GLP-1 RAs (OR: 0.76, 95% CI: 0.67 to 0.87; high quality). Ranking probability analysis indicated that GLP-1 RAs may have the greatest risk of both dizziness and headache among the nine treatments (22.5% and 23.4%, respectively), whereas DPP-4Is were in the middle (46.2% and 45.0%, respectively). Incretin-based therapies increase the risk of dizziness and headache compared to insulin, thiazolidinediones, and placebo

Low-Cost Flexible Nano-Sulfide/Carbon Composite Counter Electrode for Quantum-Dot-Sensitized Solar Cell

Cu2S nanocrystal particles were in situ deposited on graphite paper to prepare nano-sulfide/carbon composite counter electrode for CdS/CdSe quantum-dot-sensitized solar cell (QDSC). By optimization of deposition time, photovoltaic conversion efficiency up to 3.08% was obtained. In the meantime, this composite counter electrode was superior to the commonly used Pt, Au and carbon counter electrodes. Electrochemical impedance spectra further confirmed that low charge transfer resistance at counter electrode/electrolyte interface was responsible for this, implied the potential application of this composite counter electrode in high-efficiency QDSC

The cross correlation properties of composite systems

Abstract A new method is presented for characterizing cross correlations in composite systems described by a couple of time-dependent random variables. This method is based on (i) rescaling the time derivatives of the variables to make their variances unity and then (ii) recombining these rescaled variables into their sum and difference. This manipulation enables one to express the joint probability distribution function in a peculiar way. It is also found that the entropy of composite systems is not equal to the sum of entropy of each subsystem because of the cross correlations

Optimized design of engine intake manifold based on 3D scanner of reverse engineering

Abstract It is difficult to design the engine intake manifold in normal method because of the complex structure, and the real situation of fluid movement in the manifold cannot be obtained through the steady flow test, so the optimized design is proposed about the engine intake manifold based on reverse engineering. A3D model of the intake manifold is build according to the CATIA software; fluid mathematical is set up by computational fluid dynamics method. The 3D geometry model of the intake manifold is grid with the Gambit software and the divided grid data is imported into the Fluent. These are performed about the simulation of the fluid pressure field, velocity field, flow field, and local flow field in the manifold. Key parameters design of the intake manifold relies on the results. It proves that the reverse technology is reasonable for the intake manifold design through the theory and simulation analysis; it can ensure sufficient air intake and reduce the intake resistance and energy loss of the air, and can improve the air intake uniformity

Exploration and Practice of Pressure Relief by Slotting Coal Seams with a Diamond Wire Saw

To safely and economically eliminate the threat of high geostress in the coal mining process, based on the engineering case study of pressure relief by slotting residual coal pillars at a mine in the Kailuan mining area, a method of pressure relief by slotting coal seams with a wire saw was explored, and numerical simulation was carried out. The results show that the wire saw can cut coal seams in a large area, with a cutting efficiency and slotting depth greater than those of hydraulic slotting; a stress concentration zone forms in front of the wire saw coal cutting working face and a stress reduction zone and a stress recovery zone form behind. The pressure relief range varies, increasing at first and then decreasing. The exploration and practice of pressure relief by slotting coal seams with a diamond wire provides theoretical guidance and practical reference for pressure relief by slotting coal seams