Comparison of dose distribution in IMRT and RapidArc technique in prostate radiotherapy

AimThe aim was to provide a dosimetric comparison between IMRT and RapidArc treatment plans with RPI index with simultaneous comparison of the treatment delivery time.BackgroundIMRT and RapidArc provide highly conformal dose distribution with good sparing of normal tissues. However, a complex spatial dosimetry of IMRT and RapidArc plans hampers the evaluation and comparison between plans calculated for the two modalities. RPI was used in this paper for treatment plan comparisons. The duration of the therapeutic session in RapidArc is reported to be shorter in comparison to therapeutic time of the other dynamic techniques. For this reasons, total treatment delivery time in both techniques was compared and discussed.Materials and methods15 patients with prostate carcinoma were randomly selected for the analysis. Two competitive treatment plans using respectively the IMRT and RapidArc techniques were computed for each patient in Eclipse planning system v. 8.6.15. RPIwin^® application was used for RPI calculations for each treatment plan.Additionally, total treatment time was compared between IMRT and RapidArc plans. Total treatment time was a sum of monitor units (MU) for each treated field.ResultsThe mean values of the RPI indices were insignificantly higher for IMRT plans in comparison to rotational therapy. Comparison of the mean numbers of monitor units confirmed that the use of rotational technique instead of conventional static field IMRT can significantly reduce the treatment time.ConclusionAnalysis presented in this paper, demonstrated that RapidArc can compete with the IMRT technique in the field of treatment plan dosimetry reducing the time required for dose delivery.     

Proteomic analysis of microvesicles from plasma of healthy donors reveals high individual variability

Healthy blood plasma is required for several therapeutic procedures. To maximize successful therapeutic outcomes it is critical to control the quality of blood plasma. Clearly initiatives to improve the safety of blood transfusions will have a high economical and social impact. A detailed knowledge of the composition of healthy blood plasma is essential to facilitate such improvements. Apart from free proteins, lipids and metabolites, blood plasma also contains cell-derived microvesicles, including exosomes and microparticles from several different cellular origins. In this study, we have purified microvesicles smaller than 220nm from plasma of healthy donors and performed proteomic, ultra-structural, biochemical and functional analyses. We have detected 161 microvesicle-associated proteins, including many associated with the complement and coagulation signal-transduction cascades. Several proteases and protease inhibitors associated with acute phase responses were present, indicating that these microvesicles may be involved in these processes. There was a remarkably high variability in the protein content of plasma from different donors. In addition, we report that this variability could be relevant for their interaction with cellular systems. This work provides valuable information on plasma microvesicles and a foundation to understand microvesicle biology and clinical implications.     

云南茶树地方品种农艺性状与品质性状遗传多样性分析

为发掘具有优异农艺性状与品质性状的茶树品种资源,对51份云南茶树地方品种进行农艺和品质性状遗传多样性分析。结果表明,云南茶树地方品种农艺和品质性状存在丰富的遗传变异,农艺性状变异系数平均为25.84%,多样性指数平均为1.94;生化成分变异系数平均为16.53%,多样性指数平均为1.88;茶叶感官审评红茶品质总分达87.5分～94.2分,绿茶品质总分达78.8分～91.5分,茶树品种红、绿茶适制性的多样性指数平均为0.92和0.94;聚类分析将供试材料分为3类：第Ⅰ类品种主要适合制作红茶,第Ⅱ类品种主要适合制作绿茶,第Ⅲ类为生化成分特异性品种。并从中筛选出18份优异品种资源,为今后的生产和育种提供利用。     

纤维肌痛综合征患者的生存质量及其影响因素研究

目的:探讨纤维肌痛综合征患者生存质量及其影响因素。方法:选择2014年2月至2015年2月在哈医大一院风湿免疫科门诊就诊的纤维综合征患者共40例,采用医师与患者沟通以及问卷调查的方法收集患者的性别、年龄、病程以及并发症情况,并对患者疼痛、疲劳、焦虑抑郁、睡眠情况以及生存质量进行评估。同时随机选取一般正常人群40例作为对照组。应用SPSS l7.0统计软件进行统计学分析。结果:纤维肌痛综合征患者生存质量显著低于对照组(P0.05);疲劳程度、焦虑抑郁为影响生存质量的主要因素,呈负相关(P0.05);疼痛与生存质量中活力维度呈负相关(P0.05),疲劳程度与生理职能、一般健康状况、社会功能以及情感职能4个维度呈负相关(P0.05),焦虑抑郁程度以及睡眠质量与躯体功能、躯体疼痛以及社会功能3个维度呈负相关(P0.05)。结论:影响纤维肌痛综合征患者生存质量的因素是多方面的,要想提高患者的生存质量,不仅要缓解疼痛及其相关症状,更要同时改善如疲劳、抑郁焦虑等症状。     

独活寄生汤加减治疗对风寒湿痹型腰椎间盘突出症患者生活质量、自由基代谢及睡眠质量的影响

目的:探讨独活寄生汤加减治疗对风寒湿痹型腰椎间盘突出症(LIDP)患者生活质量、自由基代谢及睡眠质量的影响。方法:选取2012年1月～2017年12月期间海南省中医院骨一科收治的风寒湿痹型LIDP患者286例。采用随机数字表法将患者分为对照组(n=143)和研究组(n=143),对照组给予常规治疗,研究组在对照组基础上联合独活寄生汤加减治疗,比较两组临床疗效,比较两组治疗前、治疗30 d后生活质量、自由基代谢及睡眠质量情况,记录两组治疗期间不良反应情况。结果:研究组临床总有效率为93.71%,显著高于对照组的66.43%(P0.05)。治疗30 d后,两组患者超氧化物歧化酶(SOD)水平升高,且研究组高于对照组(P0.05),丙二醛(MDA)水平降低,且研究组低于对照组(P0.05)。两组患者治疗前、治疗30d后活力(VT)、社会功能(SF)评分比较无差异(P0.05),两组患者治疗30d后躯体功能(PF)、躯体疼痛(BP)、躯体角色(RP)、心理健康(MH)、总体健康(GH)以及情感角色(RE)评分均较治疗前升高,且研究组较对照组升高(P0.05)。两组患者治疗30 d后匹兹堡睡眠质量指数(PSQI)评分均较治疗前降低,且研究组低于对照组(P0.05)。两组患者治疗期间不良反应发生率比较无统计学差异(P0.05)。结论:独活寄生汤加减治疗风寒湿痹型LIDP患者疗效确切,其可有效改善患者生活质量、自由基代谢及睡眠质量,且安全性较好,具有一定的临床应用价值。     

扁穗牛鞭草草地高效饲草生产系统研究

秋季在'广益'扁穗牛鞭草(Hemarthia compressa'Guangyi')草地上分别补播'中饲828'小黑麦、'冬牧70'黑麦、'长江2号'多花黑麦草等冷季型牧草,对补播系统牧草产量、质量进行比较研究.结果表明:补播'中饲828'小黑麦、'长江2号'多花黑麦草均能显著增加'广益'扁穗牛鞭草草地牧草产量和质量,其中补播'长江2号'多花黑麦草的处理干物质和粗蛋白(CP)产量比不补播分别提高12.3%、15.6%;补播'中饲828'小黑麦的处理分别提高11.3%、10.4%;但补播'冬牧70'黑麦的处理增效作用不明显.'长江2号'多花黑麦草的补播效果最好,是较优的冬季补播草种.     

南方主要鲜食葡萄生长结实特性与温度关系的研究

对南方鲜食葡萄品种生长结实特性与温度关系的研究表明,各品种春梢生长与气温,尤其是有效积温的关系符合Y=aX³+bX²+cX三次方程.依据拟合方程得:生长速率最快的是巨峰,当有效积温达190.68℃时,温度每增加10℃新梢生长0.43433cm;生长速率最慢且对温度不敏感的是蜜香宝,有效积温高达367.19℃时,新梢生长速率仅为0.17150cm.对果实经济性状综合评价和品种优良特性的模糊评判表明,值得推广的品种有巨峰、京亚、藤稔、蜜香宝、龙宝;限制发展的品种有紫珍香;淘汰早生高墨、黑丰.     

Impacto del ejercicio físico en variables relacionadas con el bienestar emocional y funcional en adultos mayores

Background and aimThe benefits of the physical exercise in aging, and specially in frailty, have been associated with reduced risk of mortality, chronic disease, and cognitive and functional impairments. Multi-component training, which combines strength, endurance, balance, and gait training, represents the most beneficial kind of physical exercise in older adults.MethodsGiven the effectiveness of the multi-component training, a physical exercise program «Actívate» (based on the methodology Vivifrail), with the focus on «active aging», was conducted in the present study. Forty-nine older adults over 60 years participated in this program.ResultsThe physical exercise intervention led to a reduction in diastolic blood pressure, pain threshold and sleep disturbances (e. g. hypersomnia) (t ≥ 2.72, p < 0.01), as well as an increase of walking speed (t = 7.84, p ≤ 0.001). Further, quality of life factors (GENCAT scale), like emotional well-being, personal development, physical well-being, self-determination, and social inclusion, were greater after intervention (t ≥ ?2.06, p < 0.05).ConclusionsThese findings underline the benefits of multi-component training in functionality of older adults, and further, provide relevant aspects about the modulation of pain perception, sleep disturbances, social factors and physical and emotional well-being. Physical exercise programs such as «Actívate» should be promoted, in order to encourage healthy lifestyle habits, in the older adults’ population.     

家庭干预对喉癌患者术后生活质量的影响

目的:探讨家庭干预对喉癌术后患者生活质量的影响。方法:将66例喉癌术后患者随机分为干预组和时照组,两组病人均进行常规治疗和护理,干预组在此基础上对患者实施针对性家庭干预。采用Terrell生活质量调查表分别在实施干预前及实施干预后进行评估。结果:干预组患者干预后对健康知识掌握率显著高于对照组(P<0.05),生活质量明显高于对照组(P<0.05)。结论:对喉癌术后病人实施针对性家庭干预,可以提高喉癌术后病人生活质量。     

基于老年综合评估结果指导治疗对老年冠心病患者心功能、脂代谢和生活质量的影响

摘要 目的：探讨基于老年综合评估结果指导（CGA）治疗对老年冠心病患者心功能、脂代谢和生活质量的影响。方法：本次研究将2020年6月-2022年1月在江苏省人民医院心血管内科接受治疗的106例老年冠心病患者,采用随机数字法将其随机分为对照组（常规药物治疗,53例）与研究组（对照组的基础上结合CGA治疗,53例）。对比两组疗效、心功能、脂代谢和生活质量相关情况。结果：研究组的临床总有效率为94.34%,明显高于对照组的79.25%（P<0.05）。研究组治疗3个月后左心室舒张期末内径（LVEDD）、左心室收缩期末内径（LVESD）低于对照组,左心室射血分数（LVEF）高于对照组（P<0.05）。研究组治疗3个月后高密度脂蛋白胆固醇（HDL-C）高于对照组,甘油三酯（TG）、总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）低于对照组（P<0.05）。研究组治疗3个月后病情、体力、医疗状况、一般生活、社会心理状况、工作状况各维度评分高于对照组（P<0.05）。研究组的住院期间心脏不良事件总发生率低于对照组（P<0.05）。结论：基于CGA治疗老年冠心病,可有效改善心功能、脂代谢,降低住院期间不良事件发生率,提高患者的生活质量。