It is critical that the risk of lymph node metastasis (LNM) is evaluated for determining the suitability of endoscopic resection for T1 colorectal cancer (CRC). Reported risk factors for LNM in ...completely resected T1 CRC are deep submucosal invasion, grade 3, angiolymphatic invasion, and budding. The aim of the present study was to identify the histopathologic factors associated with LNM in T1 CRC.
The study involved 435 patients with T1 CRC treated by endoscopic or surgical resection between January 2001 and April 2010 at the National Cancer Center, Korea. The 435 patients were classified into two groups - those undergoing surgical resection (n = 324) and those undergoing endoscopic resection (n = 111). In the surgically resected group, details regarding depth of submucosal invasion, angiolymphatic invasion, tumor grade, budding, and background adenoma (BGA) were evaluated with respect to presence or absence of LNM. In the endoscopically resected group, the results of follow-ups and additional salvage surgeries were studied.
In the surgically resected group, LNM was detected in 42 patients (13.0 %). Grade 3, angiolymphatic invasion, budding, and the absence of BGA were identified as factors associated with LNM in univariate and multivariate analyses (P < 0.05). Among the 50 patients in the endoscopically resected group with high risk, three were diagnosed as being LNM-positive during the follow-up period. There was no LNM in the endoscopically resected group with low risk.
Grade 3, angiolymphatic invasion, budding, and the absence of BGA are the risk factors that predict LNM in patients with T1 CRC. In cases where endoscopically resected T1 CRC has no risk factor, cautious follow-up could be recommended. However, if the tumor has any risk factor, additional surgical resection should be considered.
To reduce the residual thermal stress between the carbon fiber-reinforced carbon (C/C) composites and the SiC coating layer, functionally graded materials (FGM) consisting of a C/SiC compositionally ...graded layer (C/SiC interlayer) were adopted. After designing the compositional distribution of the C/SiC interlayer which can relieve the thermal stress effectively, the deposition conditions of the entire compositional range of the C/SiC composites were determined using a thermodynamic calculation. According to the design and calculation the C/SiC interlayer and the SiC outer layer were deposited on the C/C composites by a low pressure chemical vapor deposition (LPCVD) method at deposition temperatures of 1100 and 1300
°C. The stress calculation and the experimental results suggested that the SiC-rich compositional profile in the FGM layer is the most effective for relieving the thermal stress and increasing the oxidation resistance.
Superconductivity fluctuations are behaviors in which a finite probability of a Cooper pair above
T
c
due to thermal fluctuations produces excess conductivity. The dimensionality analysis of this ...behavior can accurately evaluate essential superconducting parameters such as the higher critical field and coherence length. To investigate the fluctuation effect of SmBa
2
Cu
3
O
7-δ
(SmBCO) superconducting tapes and two types of proton-irradiated SmBCO tapes, we measured the temperature dependence of the detailed in-plane electrical resistivity at various magnetic fields and extracted the temperature dependence of the excess conductivity from these results. The excess conductivity was analyzed by the Aslamazov–Larkin (AL) theory and the Ullah and Dorsey (UD) scaling method. The fluctuations occurred in three dimensions in all samples regardless of the proton irradiation, and the evaluated higher critical field showed a significant increase due to the proton irradiation. Proton irradiation improves the operating potential at higher magnetic fields in high-
T
c
superconductors. These results show that SmBCO superconducting coated conductor tape is a versatile core industrial material.
Abstract Falls cause 95% of hip and wrist fractures and 60% of head injuries in older adults. Risk for such injuries depends in part on velocity at contact, and the time available during the fall to ...generate protective responses. However, we have no information on the impact velocities and durations of falls in older adults. We addressed this barrier through kinematic analysis of 25 real-life falls (experienced by 23 individuals of mean age 80 years (SD=9.8)) captured on video in two long-term facilities. All 25 falls involved impact to the pelvis, 12 involved head impact, and 21 involved hand impact. We determined time-varying positions by digitizing each video, using direct linear transformations calibrated for each fall, and impact velocities through differentiation. The vertical impact velocity averaged 2.14 m/s (SD=0.63) for the pelvis, 2.91 m/s (SD=0.86) for the head, and 2.87 m/s (SD=1.60) for the hand. These values are 38%, 28%, and 4% lower, respectively, than predictions from an inverted pendulum model. Furthermore, the average pelvis impact velocity was 16% lower than values reported previously for young individuals in laboratory falling experiments. The average fall duration was 1271 ms (SD=648) from the initiation of imbalance to pelvis impact, and 583 ms (SD=255) from the start of descent to pelvis impact. These first measures of the kinematics of falls in older adults can inform the design and testing of fall injury prevention interventions (e.g., hip protectors, helmets, and flooring).
The thermal conductivities of granite were measured under different conditions of porosity and water content to investigate the effects of the porosity and water content on the thermal conductivity. ...For the dry samples, the thermal conductivities range from 2.12 W/mK for the rocks with a high porosity to 3.12 W/mK for the ones with a low porosity. Water-sorbed samples have greater thermal conductivities than dry samples of the same granite. The thermal conductivities range from 2.99 W/mK for granites with a high porosity to 3.62 W/mK for ones with a low porosity under saturated condition.
A promising approach to the fabrication of materials with nanoscale features is the transfer of liquid-crystalline structure to polymers. However, this has not been achieved in systems with full ...three-dimensional periodicity. Here we demonstrate the fabrication of self-assembled three-dimensional nanostructures by polymer templating blue phase I, a chiral liquid crystal with cubic symmetry. Blue phase I was photopolymerized and the remaining liquid crystal removed to create a porous free-standing cast, which retains the chiral three-dimensional structure of the blue phase, yet contains no chiral additive molecules. The cast may in turn be used as a hard template for the fabrication of new materials. By refilling the cast with an achiral nematic liquid crystal, we created templated blue phases that have unprecedented thermal stability in the range -125 to 125 °C, and that act as both mirrorless lasers and switchable electro-optic devices. Blue-phase templated materials will facilitate advances in device architectures for photonics applications in particular.
This study investigates the association between smoking cessation and hypertension incidence, as well as the association between waist circumference change after smoking cessation and hypertension ...incidence.
This was a nationwide population-based cohort study.
We used the Korean Health Screening Cohort data and included 158,505 participants who had undergone two or more health examinations between 2008 and 2011, with follow-ups throughout 2019. Smoking cessation and waist changes were captured based on difference between first and follow-up screening dates. Hazard ratio (HR) and 95% confidence interval (CI) for hypertension risk were estimated using multivariable Cox proportional hazard regression models.
There were 31,270 cases of hypertension during a median follow-up of 8.50 years. After adjusting for potential confounding factors, HR for hypertension were 1.01 (95% CI: 0.97–1.05), 0.91 (95% CI: 0.87–0.95), and 0.88 (95% CI: 0.85–0.91) for recent quitters, long-term quitters, and non-smokers, respectively, compared with current smokers. HR for hypertension, compared with current smokers, were 0.89 (95% CI: 0.84–0.94), 0.91 (95% CI: 0.85–0.97), and 0.99 (95% CI: 0.91–1.08) for long-term quitters with no waist gain, long-term quitters with waist gain of 0.1–5.0 cm, and long-term quitters with waist gain of ≥5.0 cm, respectively.
Long-term smoking cessation was significantly associated with decreased risk of hypertension, and long-term smoking cessation with no waist gain or less than 5.0 cm of waist gain was significantly associated with decreased risk of hypertension. However, more than 5.0 cm of waist gain can attenuate the effect of long-term smoking cessation on lowering the risk of hypertension.
Sweet potato leaf curl virus (SPLCV) infects sweet potato and is a member of the family Geminiviridae (genus Begomovirus). SPLCV transmission occurs from plant to plant mostly via vegetative ...propagation as well as by the insect vector Bemisia tabaci. When sweet potato seeds were planted and cultivated in a whitefly‐free greenhouse, some sweet potato plants started to show SPLCV‐specific symptoms. SPLCV was detected by PCR from all leaves and floral tissues that showed leaf curl disease symptoms. More than 70% of the seeds harvested from SPLCV‐infected sweet potato plants tested positive for SPLCV. SPLCV was also identified from dissected endosperm and embryos. The transmission level of SPLCV from seeds to seedlings was up to 15%. Southern blot hybridization showed SPLCV‐specific single‐ and double‐stranded DNAs in seedlings germinated from SPLCV‐infected seeds. Taken altogether, the results show that SPLCV in plants of the tested sweet potato cultivars can be transmitted via seeds and SPLCV DNA can replicate in developing seedlings. This is the first seed transmission report of SPLCV in sweet potato plants and also, to the authors' knowledge, the first report of seed transmission for any geminivirus.
Summary Background The multitargeted kinase inhibitors sorafenib and sunitinib have improved treatment of solid tumours including renal cell carcinoma and hepatocellular carcinoma by offering better ...clinical responses. However, sorafenib and sunitinib are commonly associated with cutaneous toxicity.
Objectives We conducted this study to make a clinical assessment of the cutaneous toxicities induced by the oral multitargeted kinase inhibitors sorafenib and sunitinib.
Methods Retrospectively, we reviewed medical records of patients receiving multitargeted kinase inhibitors, including 109 patients on sorafenib for the treatment of renal cell carcinoma or hepatocellular carcinoma and 119 patients receiving sunitinib for treatment of renal cell carcinoma or a gastrointestinal stromal tumour. Clinical data on cutaneous toxicities were collated. We describe the incidences and intensities of toxicities, and analyse the data statistically.
Results The most common cutaneous toxicity was hand‐and‐foot skin reaction (HFSR). Other cutaneous toxicities included alopecia, stomatitis, skin discoloration (hair or face), subungual splinter haemorrhage, facial swelling, facial erythema and xerosis. HFSR and severe stomatitis required therapy modifications to relieve symptoms, but other cutaneous toxicities did not affect treatment course. HFSR was observed in 48% of patients treated with sorafenib and 36% of those treated with sunitinib. Median time to onset was 18·4 days in patients receiving sorafenib and 32·4 days in those receiving sunitinib. HFSR and stomatitis were early symptoms compared with other cutaneous toxicities. Patients with severe HFSR were likely to develop the symptoms at early phases of therapy. A significant correlation between the severity of HFSR and development of alopecia and stomatitis was found.
Conclusions Multitargeted kinase inhibitors are associated with a significant risk of various cutaneous adverse events. HFSR is the commonest and most serious cutaneous toxicity in patients treated with these drugs.
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