简介:Primarymalignanttumorsofthesmallintestinearerare,comprisinglessthan2%ofallgastrointestinaltumors.An85-year-oldwomanwasadmittedwithfeverof40℃andmarkedabdominaldistension.Hermedicalhistorywasunremarkable,butbloodexaminationshowedelevatedinflammatorymarkers.Abdominalcomputedtomographyshowedagianttumorwithcentralnecrosis,extendingfromtheepigastriumtothepelviccavity.Giantgastrointestinalstromaltumorofthesmallintestinecommunicatingwiththegastrointestinaltractorwithsuperimposedinfectionwassuspected.Becausenoimprovementoccurredinresponsetoantibiotics,surgerywasperformed.Laparotomyrevealedgianthemorrhagictumoradherenttothesmallintestineandoccupyingtheperitonealcavity.Thegianttumorwasasolidtumorweighing3490g,measuring24cm×17.5cm×18cmandshowingmarkednecrosis.Histologically,thetumorcomprisedspindle-shapedcellswithanaplasticlargenuclei.Immunohistochemicalstudiesshowedtumorcellspositiveforvimentin,CD31,andfactorⅧ-relatedantigen,butnegativeforc-kitandCD34.Angiosarcomawasdiagnosed.Althoughnopostoperativecomplicationsoccurred,thepatientexperiencedenlargementofmultiplemetastatictumorsintheabdominalcavityanddied42dpostoperatively.Theprognosisofsmallintestinalangiosarcomaisverypoor,evenaftervolume-reducingpalliativesurgery.
简介:Tworecentstudieshavediscoveredasurprisinglinkbetweenthreeseeminglydifferentclinicaldiseases:onethatdestroysbonemarrow,anotherthatpreventssundamagefrombeingrepaired,andathirdwhichcauseschildrentoshowsignsofagingextremelyearly.Ithasbeenfoundthatallthreediseasesarecausedbymutationsinthesamegene.Mutationscomeinanumberofdifferentflavors,
简介:Thispaperproposesaconstitutivelawandamethodforcharacterizinghighlypreloadedviscoelasticmaterialssubjectedtolinear(small-amplitude)vibrations.Amultiplicativenon-separablevariableslawhasbeensuggestedtomodelthebehaviorthatdependsonbothstretchandtime/frequency.Thisapproachallowssplittingtheintricatecombinedtestperformedsimultaneouslyonbothstretchandfrequency,generallyinalimitedexperimentaldomainupto100Hz,intotwoindependenttests.Thus,ononehand,thedynamiccomplexmodulusdependentonfrequencyaloneisevaluatedonthebasisofvibrationtestsinalargeexperimentaldomainupto100kHz.Ontheotherhand,energeticparametersaredeterminedfromaquasi-statichyperelastictensiletest.Thecomplexmodulus,dependentonbothstretchandfrequency,isthendeducedfromtheresultsacquiredfromuncoupledinvestigations.Thisworkshowsthat,inextension,theelasticmodulusincreaseswithincreasingstretch,andthelossfactordecreaseswithincreasingstretch;while,incompression,aroundthematerialundeformedstate,themodulusincreasesasthestretchincreasestillacertainvalueofcompressionstretch(upturnpointdependingonmaterialcharacteristics),andthenthemodulusdecreasesasthestretchincreases.Globally,preloadrigidifiesmaterialsbutreducestheirdampingproperty.Theseresultscloselymatchawell-knownobservationinsolidmechanics.
简介:SmallRNAhasrecentlydrawnmoreandmoreattention.Inthispaper,weconcentrateontheinfluenceofnoisesongenenetworkregulatedbysmallRNAusingchemicalLangevinequation.Itshowsthatthenoisecancauseoscillationwhentheoscillatedoesnotoccurinthecorrespondingdeterministicsystem.Thecoherenceofthenoiseinducedoscillationreachesamaximumforanoptimalintensityofnoise,andthecoherenceresonanceappearsaccordingly.Thefindingsimplyprobablyomnipresentimportanceofnoiseinthefunctioningprocessoflivingorganism.
简介:Becauseoftheradioactivityandtoxicnatureofnuclearmaterials,theircontainmentwithinoxidematrices,encasedinsealedcontainers,hasbeenproposedasasuitablemeansforstorageandtransportation.However,containerfailuresbecauseofcracksorsmallorificespresentamajorleakageriskfornuclearmaterials,consequentlyposingasignificanthazardtotheenvironmentandhumanbeings.Inthisstudy,terbiumoxidepowderwasusedasanuclearmaterialrepresentativetoexaminetheleakageofnuclearmaterialpowderthroughorificeslocatedatthebaseofapressurecontainer.Thedependenceoftheorificediameter,thepowderlayerthickness,andtheinternalpressureofthecontainerontheleakagemechanismandamountwasexamined.Asimplifiedmodelcorrelatingthedependenceoftheabove-mentionedparameterstodeterminetheutmostleakageamountwasalsodevelopedbasedonthepresentresults.Theleakageofthenuclearmaterialpowderwasassessedbymeasuringitsconcentrationusinganopticalparticlecounter.Thediameteroftheorificedeterminedthepowderleakagemechanism,whichinturninfluencedtheamountofleakageproduced.Comparisonstudiesshowedthatunlikethechangesinthedifferentialpressure,thevolumeofthecontainerhaslittleeffectontheleakageamount.Undersufficientlyhighinternalpressures,theoxidepowdercanbereleasedasafineaerosol.Theworkisnotonlycrucialfromthenuclearsafetyaspect,butisalsobeneficialforthesafeapplicationofpowderandnanoparticles.
简介:ThefollowingcoupledSchrdingersystemwithasmallperturbationuxx+u-u3+βuv2+f(,u,ux,v,vx)=0inR,vxx-v+v3+βu2v+g(,u,ux,v,vx)=0inRisconsidered,whereβandaresmallparameters.ThewholesystemhasaperiodicsolutionwiththeaidofaFourierseriesexpansiontechnique,anditsdominantsystemhasaheteroclinicsolution.Thenadjustingsomeappropriateconstantsandapplyingthefixedpointtheoremandtheperturbationmethodyieldthatthisheteroclinicsolutiondeformstoaheteroclinicsolutionexponentiallyapproachingtheobtainedperiodicsolution(calledthegeneralizedheteroclinicsolutionthereafter).
简介:在脾缺乏老鼠的空肠纸巾在肠的推进率,浆液D木糖的内容,腺苷triphosphate(ATP)的内容和腺苷triphosphatases(ATPase)的活动上观察艾灸的效果的目的,并且在ATP的生产和膜蛋白质的活动上探索艾灸的效果,为在增强脾胃分析艾灸的机制。四十只健康SpragueDawley老鼠随机被划分成四个组,也就是组织A(空白的控制组),组织B(模型控制组),组织C(艾灸组)并且组织D(植物组)的方法。脾缺乏的动物模型被intragastric管理与黄达(根值et根茎Rhei)一起建立注入。在组C的老鼠收到了艾灸在Zusanli(圣36),Zhongwan(CV12),Guanyuan(CV4),Pishu(BL20)和Weishu(BL21)。在组D的老鼠与Si6月Zi煎收到了intragastric管理。肠的推进被墨粉方法测量,并且在浆液的D木糖的内容被phloroglucinol方法检测。比色法方法被用来在空肠纸巾检测ATP的内容和Na+-K+-ATPase和Ca2+-Mg2+-ATPase的活动。与组A相比结果,肠的推进率,在浆液的D木糖的内容,ATP的内容,在空肠纸巾的Na+-K+-ATPase和Ca2+-Mg2+-ATP的活动在组B显著地减少了(P<0.05或P<0.01)。与组B相比,肠的推进率,在浆液的D木糖的内容,ATP的内容,在空肠纸巾的Na+-K+-ATPase和Ca2+-Mg2+-ATPase的活动在组C和D显著地增加了(P<0.05或P<0.01),当组C和组D之间没有重要差别时。结论艾灸能增加肠的推进率,在浆液的D木糖和在空肠纸巾的ATP的内容,以及Na+-K+-ATPase的活动和脾缺乏老鼠的Ca2+-Mg2+-ATPase,它建议那艾灸能由在肠的上皮的房间支持ATP的生产提高小肠的活动性和吸收功能,增加膜蛋白质的内容,并且改进transmembrane运输。
简介:倾斜地,事件水波浪在二层的液体由在小底部波动形式的一张不平的隧道床散布在三维的线性水波浪理论的框架工作以内被调查。上面的液体被假定被一个僵硬的盖上面跳,当更低的被有小变丑的底部表面下面围住,隧道在水平方向是无界的时。假定无旋的运动,不安技术被采用计算一阶的修正到在由使用Fourier的二液体的潜力近似,并且也转变以包含代表底部变丑的形状功能的积分计算思考和传播系数的速度。正弦曲线涟漪的一个补丁的考虑证明思考系数是比率的摆动的功能两次沿着X轴和涟漪波浪的波浪数字的部件数字。当这比率接近一个时,理论预言在床和接口之间的一个反响的相互作用,并且思考系数变得一涟漪的数字多重。如果这个数字大,事件波浪精力的高思考发生。
简介:Objective:Toassessifdiffusion-weightedmagneticresonance(MR)imagingwithoutapparentdiffusioncoefficient(ADC)valuesprovidesaddeddiagnosticvalueincombinationwithconventionalMRimaginginthedetectionandcharacterizationofsmallnodulesincirrhoticliver.Methods:Twoobserversretrospectivelyandindependentlyanalyzed86nodules(≤3cm)certifiedpathologicallyin33patientswithlivercirrhosis,including48hepatocellularcarcinoma(HCC)nodules,13high-gradedysplasticnodules(HDN),10low-gradedysplasticnodules(LDNs)and15otherbenignnodules.AllthesefocalnoduleswereevaluatedwithconventionalMRimages(T1-weighted,T2-weightedanddynamicgadolinium-enhancedimages)andbreath-holddiffusion-weightedimages(DWI)(b=500s/mm2).Thenoduleswereclassifiedbyusingascaleof1-3(1,notseen;3,wellseen)onDWIforqualitativeassessment.Thesesmallnoduleswerecharacterizedbytworadiologists.ADCvaluesweren’tmeasured.ThediagnosticperformanceofthecombinedDWI-conventionalimagesandtheconventionalimagesalonewasevaluatedusingreceiveroperatingcharacteristic(ROC)curves.Theareaunderthecurves(Az),sensitivityandspecificityvaluesforcharacterizingdifferentsmallnoduleswerealsocalculated.Results:Among48HCCnodules,33(68.8%)weregradedas3(wellseen),6(12.5%)weregradedas2(partiallyobscured),and9weren’tseenonDWI.Among13HDNs,therewere3(23.1%)and4(30.8%)gradedas3and2respectively.Five(50%)of10benignnoduleswerepartiallyobscuredandslightlyhyperintense.For86nodules,theaveragediagnosticaccuracyofcombinedDWI-conventionalimageswas82.56%,whichwasincreasedsignificantlycomparedwithconventionalMRimageswith76.17%.ForHCCandHDN,thediagnosticaccuracyofcombinedDWI-conventionalimagesincreasedfrom78.69%to86.07%.Conclusions:Diffusion-weightedMRimagingdoesprovideaddeddiagnosticvalueinthedetectionandcharacterizationofHDNandHCC,anditmaynotbehelpfulforLDNandregenerativenodule(RN)incirrhot
简介:Purpose:Anumberofdifferentclinicalcharacteristicshavebeenreportedtosinglycorrelatewiththerapeuticactivityofepidermalgrowthfactorreceptor(EGFR)tyrosinekinaseinhibitors(TKIs)inadvancednon-small-celllungcancer(NSCLC).Thisstudyaimedtoidentifypredictivefactorsassociatedwithprognosticbenefitsofgefitinib.Patientsandmethods:EGFRgenetypingin33advancedNSCLCpatientsreceivedgefitinib(250mg/day)wereanalyzedwithmutant-enrichedPCRassay.Gefitinibresponsewasevaluatedwithpotentialpredictivefactorsretrospectively.Results:Theoverallobjectiveresponserate(ORR)andmedianprogression-freesurvival(PFS)inthe33patientstreatedbygefitinibwere45.5%and3.0(2.0-4.0)months.TheORRandmedianPFSinEGFRgenemutationpatientsweresignificantlyhigher/longerthanthoseinEGFRgenewild-typepatients(P<0.01).Similarly,theORRandmedianPFSinnon-smokerpatientsweresignificantlyhigher/longerthanthoseinsmokerpatients(P<0.05,P<0.01,respectively).However,nodifferenceforORRandmedianPFSoccurredbetweenmaleandfemalepatients.LogisticmultivariateanalysisshowedthatonlyEGFRmutatedgenewassignificantlyassociatedwiththeORR(P<0.01).BothEGFRmutatedgeneandnon-smokerwerethemajorfactorsthatcontributedtoPFS(P<0.05).Conclusions:EGFRmutatedgeneandnon-smokerstatusarepotentialpredictorsforgefitinibresponseinNSCLCpatients.