2型糖尿病合并代谢综合征患者血清25（OH）D、γ-GGT、SUA/SCr比值与肥胖体表测量指标、糖脂代谢和胰岛素抵抗的相关性

摘要 目的：探讨2型糖尿病（T2DM）合并代谢综合征（MS）患者血清25-羟维生素D[25（OH）D]、γ-谷氨酰转肽酶（γ-GGT）、尿酸/肌酐（SUA/SCr）比值与肥胖体表测量指标、糖脂代谢和胰岛素抵抗的相关性。方法：选取2017年1月～2021年12月我院收治的110例T2DM患者,根据是否合并MS分为MS组（n=49）和非MS组（n=61）,检测两组血清25（OH）D、γ-GGT、SUA/SCr、肥胖体表测量指标、糖脂代谢和胰岛素抵抗指标并作组间对比,采用Pearson相关系数分析血清25（OH）D、γ-GGT、SUA/SCr与肥胖体表测量指标、糖脂代谢和胰岛素抵抗的相关性。结果：MS组的血清25（OH）D水平低于非MS组,而血清γ-GGT水平、SUA/SCr比值高于非MS组（P<0.05）。MS组的体质量指数（BMI）、腰围（WC）、腰臀比（WHR）均高于非MS组（P<0.05）。MS组的甘油三酯（TG）、空腹血糖（FBG）、胰岛素抵抗指数（HOMA-IR）、空腹胰岛素（FINS）水平均高于非MS组,而高密度脂蛋白胆固醇（HDL-C）水平低于非MS组,组间对比差异有统计学意义（P<0.05）;两组间总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）水平差异无统计学意义（P>0.05）。Pearson相关性分析结果显示：T2DM合并MS患者的血清25（OH）D水平与BMI、WC、WHR、TG、FBG、FINS、HOMA-IR水平均呈负相关,而与HDL-C呈正相关（P<0.05）;血清γ-GGT、SUA/SCr水平与BMI、WC、WHR、TG、FBG、FINS、HOMA-IR水平均呈正相关,而与HDL-C呈负相关（P<0.05）。结论：T2DM合并MS患者血清25（OH）D水平异常降低,γ-GGT、SUA/SCr水平异常升高,且与患者肥胖程度、糖脂代谢及胰岛素抵抗密切相关。     

Analysis of physical parameters and determination of inflection point for Flattening Filter Free beams in medical linear accelerator

Background

Medical Linear accelerators manufactured without flattening filters are increasing popular in recent days. The removal of flattening filter results in increased dose rate, reduced mean energy, reduction in head leakage and lateral scattering, which have shown advantageous when used for special treatment procedures.

Aim

This study aims to analyze physical parameters of FFF beams and to determine the inflection point for standardizing the beam flatness and penumbra.

Materials and methods

The beam profiles and depth dose patterns were measured using Radiation Field Analyzer (RFA) with 0.13 cc cylindrical ion chamber. The beam energy characteristics, head scatter factor (Sc) were obtained for 6FFF and 10FFF beams and compared with 6 MV and 10 MV photons, respectively. The symmetry and stability of unflattened regions were also analyzed. In addition, the study proposes a simple physical concept for obtaining inflection point for FFF beams and results were compared using the Akima spline interpolation method. The inflection point was used to determine the field size and penumbra of FFF beams.

Results

The Sc varied from 0.922 to 1.044 for 6FFF and from 0.913 to 1.044 for 10FFF with field sizes from 3 cm × 3 cm to 40 cm × 40 cm which is much less than FF beams. The obtained value of field size and penumbra for both simple physical concept and Akima spline interpolation methods is within the ±1.0 mm for the field size and ±2 mm penumbra. The results indicate that FFF beams reduce Sc compared with FF beams due to the absence of a flattening filter.

Conclusion

The proposed simple method to find field size and penumbra using inflection point can be accepted as it is closely approximated to mathematical results. Stability of these parameters was ascertained by repeated measurements and the study indicates good stability for FFF beam similar to that of FF beams.     

Measurement of depth-dose of linear accelerator and simulation by use of Geant4 computer code

Radiation therapy is an established method of cancer treatment. New technologies in cancer radiotherapy need a more accurate computation of the dose delivered in the radiotherapy treatment plan. This study presents some results of a Geant4-based application for simulation of the absorbed dose distribution given by a medical linear accelerator (LINAC). The LINAC geometry is accurately described in the Monte Carlo code with use of the accelerator manufacturer''s specifications. The capability of the software for evaluating the dose distribution has been verified by comparisons with measurements in a water phantom; the comparisons were performed for percentage depth dose (PDD) and profiles for various field sizes and depths, for a 6-MV electron beam. Experimental and calculated dose values were in good agreement both in PDD and in transverse sections of the water phantom.     

Multiple-source models for electron beams of a medical linear accelerator using BEAMDP computer code

AimThe aim of this work was to develop multiple-source models for electron beams of the NEPTUN 10PC medical linear accelerator using the BEAMDP computer code.BackgroundOne of the most accurate techniques of radiotherapy dose calculation is the Monte Carlo (MC) simulation of radiation transport, which requires detailed information of the beam in the form of a phase-space file. The computing time required to simulate the beam data and obtain phase-space files from a clinical accelerator is significant. Calculation of dose distributions using multiple-source models is an alternative method to phase-space data as direct input to the dose calculation system.Materials and methodsMonte Carlo simulation of accelerator head was done in which a record was kept of the particle phase-space regarding the details of the particle history. Multiple-source models were built from the phase-space files of Monte Carlo simulations. These simplified beam models were used to generate Monte Carlo dose calculations and to compare those calculations with phase-space data for electron beams.ResultsComparison of the measured and calculated dose distributions using the phase-space files and multiple-source models for three electron beam energies showed that the measured and calculated values match well each other throughout the curves.ConclusionIt was found that dose distributions calculated using both the multiple-source models and the phase-space data agree within 1.3%, demonstrating that the models can be used for dosimetry research purposes and dose calculations in radiotherapy.     

耕作深度对蔗地土壤物理性状及甘蔗产量的影响

探讨蔗地机械化耕作深度对耕层土壤物理性状及甘蔗产量构成因子的影响,阐明深松作业的针对性土壤区位和障碍因子,可为甘蔗良好耕层的构建和土壤改良策略的制定提供科学依据.本研究设置3种深松作业深度(35、40和45 cm),以不深松为对照,对蔗地土壤物理性状(紧实度、容重、含水率、孔隙度、三相容积率)和甘蔗产量构成因素及蔗茎产量等指标进行研究.结果表明: 耕作作业深度与蔗地土壤结构特性及甘蔗产量的改善提升效应呈显著正相关.深松能够打破犁底层,显著降低土壤紧实度和容重,减小机械作业相应的贯入阻力和抗剪强度,尤其对20～30 cm土层的上述因子具有显著改善效应,对甘蔗高产意义重大.深松显著提高了30 cm以内土层的液相容积率,增大了土壤水分库容,使10～30 cm土层的水分指标显著改善.10～30 cm土层是深松对耕层土壤固相容积率改善效应最显著的区位.耕作深度的增加对甘蔗有效茎数、株高、蔗茎产量及蔗糖含量具有显著的促进效应.鉴于蔗区当前较普遍的机具装备水平,我国适宜蔗区实施机械化深松的作业深度标准应不小于40 cm.     

不同树种混交林及其纯林对土壤理化性质影响的研究

对针阔混交林土壤理化性质的研究表明,针阔混交林比针叶树纯林对土壤的改良作用要好,它使土壤总孔隙度增加２—１９％,水分含量增加６—３１％,枯枝落叶年凋落量增加２—２００％;土壤养分含量全Ｎ、ＮＨ４－Ｎ、代换性Ｃａ、代换性Ｍｇ和腐殖质含量分别增加４５—７５％、３３—８２％、５５—８５％、４４—８４％和３７—４６％．     

The molecular simulation of the miscibility,mechanical properties and physical cross-linking behavior of the poly(vinyl alcohol)/poly(acrylic acid) composited membranes

The miscibility and mechanical properties of poly vinyl alcohol (PVA) and poly acrylic acid (PAA)-composited membranes were studied with molecular simulation. The Flory–Huggins parameters (δ) were calculated to prove the good miscibility of PVA and PAA. The radial distribution functions of hydroxyl and carboxyl atoms and the average number of H-bonds were observed to indicate the degree of physical cross-linking between PVA and PAA. The influences of intermolecular physical cross-linking on the glass transition temperature and mechanical properties were estimated. The results revealed that the PVA/PAA membrane with a composition of 2:3 has the best plastic properties, which exhibits a good application value. All of the simulated results showed good agreement with the experimental data. It indicates that the method presented in this work has a promising application prospect.     

冻融作用对土壤理化性质及风水蚀影响研究进展

冻融侵蚀在我国分布范围广,是主要土壤侵蚀类型之一,而冻融作用与其他营力复合进行侵蚀的分布范围比单纯的冻融侵蚀更广,所造成的危害也更大.本文基于国内外已有研究成果,总结评述了冻融作用对土壤理化性质及风蚀和水蚀影响的相关研究进展.冻融条件下,土壤水分发生运移,结构被破坏,土壤孔隙度、容重、抗剪强度、团聚体稳定性和有机质等理化性质均发生变化,其变化趋势和幅度与土壤质地、冻融程度有关.冻融作用通过改变土壤理化性质,增加土壤可蚀性,从而影响土壤风蚀和水蚀发生及过程,导致侵蚀强度增大.目前,冻融研究以室内模拟为主,与野外实际冻融过程差异较大,且由于试验条件不同,得到的结论无法统一,甚至相反.因此,通过室内模拟与野外实测相结合,加强冻融条件下土壤侵蚀机理研究是下一步的重点,这对季节性冻融区解冻期侵蚀预报和防治具有重要意义.     

Commissioning and quality assurance of HalcyonTM 2.0 linear accelerator

BackgroundVarian Medical Systems has introduced a new medical linear accelerator called Halcyon^TM 2.0, which is based on the ring delivery system (RDS). It is a true IGRT machine having 6MV FFF photon energy. In addition to the planar and MV-CBCT imaging techniques it also has an option of ultra-fast kV-iCBCT which enhances the image reconstruction and improves the visualization of soft tissue. The field portals are shaped by a unique dual layer MLC with special stacked and staggered design which enables high modulation with low radiation leakage. Recently, we have commissioned our first Halcyon 2.0 machine. The aim of this work was to systematically investigate various parameters of a newly installed Halcyon^TM 2.0 linear accelerator.Materials and methodsDetailed measurements were conducted as per various guidelines. Also, the measurements were performed to fulfil the national regulatory requirements. Commissioning data of Halcyon 6 MV-FFF beam was performed in a water tank. For absolute measurements, a 0.6-cc waterproof Farmer chamber and electrometer were used. All relative measurements (PDDs, in-line, cross-line and angular profiles) were performed with 0.0125 cc point chamber.ResultsAll the tests were within the acceptable limit. Measured data were compared with factory data as well as the existing medical linear accelerator of the same category. The obtained results were quite satisfactory.ConclusionsThis study summarizes the commissioning experience with Halcyon linear accelerator. Evaluation of mechanical, radiation safety and dosimetric parameters were performed. The obtained parameters were well below the specified tolerance limits.