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1.
Sensors (Basel) ; 22(19)2022 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-36236786

RESUMEN

The single-beam bathymetric light detection and ranging (LiDAR) system 1 (SBLS-1), which is equipped with a 532-nm-band laser projector and two concentric-circle receivers for shallow- and deep-water echo signals, is a lightweight and convenient prototype instrument with low energy consumption. In this study, a novel LiDAR bathymetric method is utilized to achieve single-beam and dual-channel bathymetric characteristics, and an adaptive extraction method is proposed based on the cumulative standard deviation of the peak and trough, which is mainly used to extract the signal segment and eliminate system and random noise. To adapt the dual-channel bathymetric mechanism, an automatic channel-selection method was used at various water depths. A minimum half-wavelength Gaussian iterative decomposition is proposed to improve the detection accuracy of the surface- and bottom-water waveform components and ensure bathymetric accuracy and reliability. Based on a comparison between the experimental results and in situ data, it was found that the SBLS-1 obtained a bathymetric accuracy and RMSE of 0.27 m and 0.23 m at the Weifang and Qingdao test fields. This indicates that the SBLS-1 was bathymetrically capable of acquiring a reliable, high-efficiency waveform dataset. Hence, the novel LiDAR bathymetric method can effectively achieve high-accuracy near-shore bathymetry.

2.
J Prosthodont ; 31(4): 282-288, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35000263

RESUMEN

The phenomenon of fusion is a type of tooth dysplasia, but few studies have systematically described the treatment of this kind of abnormality. This paper summarizes the treatment methods for fused teeth and classifies the management schemes according to whether the pulp is fused. Then, the treatment for a patient with bilateral anterior tooth fusion is reported. After orthodontic treatment, porcelain veneers were used to restore the normal shape and aesthetic appearance of the anterior teeth.


Asunto(s)
Dientes Fusionados , Porcelana Dental , Coronas con Frente Estético , Estética Dental , Humanos
3.
Opt Express ; 29(2): 2411-2430, 2021 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-33726437

RESUMEN

In nearshore bathymetry based on the Ice, Cloud, and Land Elevation Satellite-2 (ICESat-2), water refraction causes a position displacement of the seafloor signal photon, decreasing the bathymetric accuracy. A novel refraction-correction method is proposed for the ICESat-2. Based on the experimental results and statistical analysis, it is illustrated that the displacement in elevation direction reaches several meters at the relative depth. The displacement in the along- and cross-track directions is very small, ranging from millimeters to centimeters. Finally, the relationship of refraction displacements with various incident angles and water depths is analyzed in detail, revealing the nearshore bathymetry characteristics of ICESat-2.

4.
Sensors (Basel) ; 21(6)2021 Mar 16.
Artículo en Inglés | MEDLINE | ID: mdl-33809792

RESUMEN

Fine-scale land use and land cover (LULC) data in a mining area are helpful for the smart supervision of mining activities. However, the complex landscape of open-pit mining areas severely restricts the classification accuracy. Although deep learning (DL) algorithms have the ability to extract informative features, they require large amounts of sample data. As a result, the design of more interpretable DL models with lower sample demand is highly important. In this study, a novel multi-level output-based deep belief network (DBN-ML) model was developed based on Ziyuan-3 imagery, which was applied for fine classification in an open-pit mine area of Wuhan City. First, the last DBN layer was used to output fine-scale land cover types. Then, one of the front DBN layers outputted the first-level land cover types. The coarse classification was easier and fewer DBN layers were sufficient. Finally, these two losses were weighted to optimize the DBN-ML model. As the first-level class provided a larger amount of additional sample data with no extra cost, the multi-level output strategy enhanced the robustness of the DBN-ML model. The proposed model produces an overall accuracy of 95.10% and an F1-score of 95.07%, outperforming some other models.

5.
Opt Express ; 28(15): 22358-22387, 2020 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-32752500

RESUMEN

Scene classification of high-resolution remote sensing images is a fundamental task of earth observation. And numerous methods have been proposed to achieve this. However, these models are inadequate as the number of labelled training data limits them. Most of the existing methods entirely rely on global information, while regions with class-specific ground objects determine the categories of high-resolution remote sensing images. An ensemble model with a cascade attention mechanism, which consists of two kinds of the convolutional neural network, is proposed to address these issues. To improve the generality of the feature extractor, each branch is trained on different large datasets to enrich the prior knowledge. Moreover, to force the model to focus on the most class-specific region in each high-resolution remote sensing image, a cascade attention mechanism is proposed to combine the branches and capture the most discriminative information. By experiments on four benchmark datasets, OPTIMAL-31, UC Merced Land-Use Dataset, Aerial Image Dataset and NWPU-RESISC45, the proposed end-to-end model cascade attention-based double branches model in this paper achieves state-of-the-art performance on each benchmark dataset.

6.
Sensors (Basel) ; 20(24)2020 Dec 08.
Artículo en Inglés | MEDLINE | ID: mdl-33302547

RESUMEN

Low inter-class variance and complex spatial details exist in ground objects of the coastal zone, which leads to a challenging task for coastal land cover classification (CLCC) from high-resolution remote sensing images. Recently, fully convolutional neural networks have been widely used in CLCC. However, the inherent structure of the convolutional operator limits the receptive field, resulting in capturing the local context. Additionally, complex decoders bring additional information redundancy and computational burden. Therefore, this paper proposes a novel attention-driven context encoding network to solve these problems. Among them, lightweight global feature attention modules are employed to aggregate multi-scale spatial details in the decoding stage. Meanwhile, position and channel attention modules with long-range dependencies are embedded to enhance feature representations of specific categories by capturing the multi-dimensional global context. Additionally, multiple objective functions are introduced to supervise and optimize feature information at specific scales. We apply the proposed method in CLCC tasks of two study areas and compare it with other state-of-the-art approaches. Experimental results indicate that the proposed method achieves the optimal performances in encoding long-range context and recognizing spatial details and obtains the optimum representations in evaluation indexes.

7.
Int J Mol Sci ; 21(7)2020 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-32260095

RESUMEN

The objective of this study was to assess the ability of producing laminated edible films manufactured using the following proteins; gelatin (G), whey protein isolate (WPI) and polysaccharide sodium alginate (SA), and to evaluate their physical properties. Additionally, films' preparation employing these ingredients was optimized through the addition of corn oil (O). Overall, 8-types of laminated films (G-SA, G-WPI, SA-WPI, SA-G-WPI, GO-SAO, GO-WPIO, SAO-WPIO and SAO-GO-WPIO) were developed in this study. The properties of the prepared films were characterized through the measurement of tensile strength (TS), elongation at break point (EB), puncture resistance (PR), tear strength (TT), water vapour permeability (WVP) and oxygen permeability (OP). The microstructure of cross-sections of laminated films was investigated by scanning electron microscopy (SEM). Mechanical properties of films were dramatically enhanced through the addition of film layers. GO-SAO laminate showed the best barrier properties to water vapour (22.6 ± 4.04 g mm/kPa d m2) and oxygen (18.2 ± 8.70 cm3 mm/kPa d m2). SAO-GO-WPIO laminate film was the strongest of all laminated films tested, having the highest TS of 55.77 MPa, PR of 41.36 N and TT of 27.32 N. SA-G-WPI film possessed the highest elasticity with an EB value of 17.4%.


Asunto(s)
Alginatos/química , Aceite de Maíz/química , Gelatina/química , Proteína de Suero de Leche/química , Películas Comestibles , Oxígeno/química , Permeabilidad , Resistencia a la Tracción
8.
J Mol Cell Cardiol ; 129: 193-196, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30831134

RESUMEN

Although there is an increasing understanding of the signaling pathways that promote cardiac hypertrophy, negative regulatory factors of this process have received less attention. Increasing evidence indicates that Krüppel-like factor 15 (KLF15) plays an important role in maintaining cardiac function by controlling the transcriptional pathways that regulating cardiac metabolism. Recent studies have also revealed a vital role for KLF15 as an inhibitor of pathological cardiac hypertrophy and fibrosis via its effects on factors such as myocyte enhancer factor 2 (MEF2), GATA-binding protein 4 (GATA4), transforming growth factor-ß (TGF-ß), and myocardin. KLF15 may therefore be an effective therapeutic target for the treatment of heart failure and other cardiovascular diseases. In this review, we focus on the physiological and pathophysiological roles of KLF15 in the heart and the potential mechanisms through which KLF15 is regulated in various cardiac diseases.


Asunto(s)
Enfermedades Cardiovasculares/metabolismo , Enfermedades Cardiovasculares/terapia , Factores de Transcripción de Tipo Kruppel/metabolismo , Miocardio/metabolismo , Animales , Homeostasis , Humanos , Publicaciones
9.
Biomed Microdevices ; 21(1): 18, 2019 02 20.
Artículo en Inglés | MEDLINE | ID: mdl-30783757

RESUMEN

Colorectal cancer (CRC) is a major malignancy characterized by a high metastasis rate. Systematic chemotherapy is important for patients with advanced CRC. However, many limitations (e.g., side effects to normal organs, shorter circulation time, and unsatisfactory tumor inhibition results) of traditional chemotherapy restrict its further application. Thus, it is necessary to find a method to overcome these challenges and improve the efficacy of CRC treatment. In this study, 20(S)-ginsenoside (Rg3) co-loaded poly(ethylene glycol)-block-poly(L-glutamic acid-co-L-phenylalanine) (mPEG-b-P(Glu-co-Phe)) nanoparticles (Rg3-NPs) were prepared. mPEG-b-P(Glu-co-Phe)-based drug delivery systems are pH sensitive that can target cancer cells and circulate for longer in blood. Rg3 could be released rapidly from the nanoparticles within tumor cells. A subcutaneous colon cancer mouse model was developed to evaluate the anticancer efficiency of the Rg3-NPs. The in vivo study indicated that the Rg3-NPs could significantly inhibit tumor proliferation by decreasing the expressions of proliferating cell nuclear antigen, resulting in tumor apoptosis through the increased expressions of caspase-3. Our study demonstrated the marked potential of the Rg3-NPs to treat CRC.


Asunto(s)
Neoplasias del Colon , Sistemas de Liberación de Medicamentos/métodos , Ginsenósidos , Nanopartículas , Animales , Línea Celular Tumoral , Neoplasias del Colon/tratamiento farmacológico , Neoplasias del Colon/metabolismo , Neoplasias del Colon/patología , Ginsenósidos/química , Ginsenósidos/farmacocinética , Ginsenósidos/farmacología , Humanos , Masculino , Ratones Desnudos , Nanopartículas/química , Nanopartículas/uso terapéutico , Péptidos/química , Péptidos/farmacocinética , Péptidos/farmacología , Polietilenglicoles/química , Polietilenglicoles/farmacocinética , Polietilenglicoles/farmacología , Ácido Poliglutámico/química , Ácido Poliglutámico/farmacocinética , Ácido Poliglutámico/farmacología , Ensayos Antitumor por Modelo de Xenoinjerto
10.
Biomed Microdevices ; 21(4): 78, 2019 08 14.
Artículo en Inglés | MEDLINE | ID: mdl-31414228

RESUMEN

Postoperative peritoneal adhesions are one of the most common surgical complications. In this study, we developed a 20(S)-ginsenoside Rg3-loaded methoxy poly (ethylene glycol)-block-poly(L-lactide-co-glycolide) (mPEG-b-PLGA) electrospun membrane (PEM/Rg3) that could not only serve as a physical barrier, but also as a drug delivery system that releases 20(S)-ginsenoside Rg3 constantly to prevent postoperative peritoneal adhesions. The characteristics of PEM/Rg3, including scanning electron microscopy, water contact angle, and mechanical analyses, were assessed. Degradation and drug release assays of PEM/Rg3 were performed. The anti-adhesion efficacy of PEM/Rg3 was evaluated in an abdomen-cecum mouse model. The adhesion scores, adhesion areas, hematoxylin and eosin (H&E) staining, immunofluorescence, and western blotting were assessed. The 20(S)-ginsenoside Rg3 loaded mPEG-b-PLGA electrospun fibers were successfully fabricated. The fibers were smooth, with no obvious drug crystals. PEM/Rg3 membranes were biodegradable and could be degraded gradually to release 20(S)-Ginsenoside Rg3 constantly from the membranes. The animal study showed that PEM/Rg3 exhibited an excellent adhesion prevention ability when compared with the control group, the PEM group, and polylactic acid (PLA) commercial membrane (Surgiwrap™) group. Immunofluorescence and western blotting studies showed that PEM/Rg3 inhibited the expressions of interleukin 1 (IL-1), interleukin 6 (IL-6), and reactive oxygen species modulator-1 (ROMO1). The 20(S)-ginsenoside Rg3-loaded mPEG-b-PLGA electrospun membranes exhibited satisfactory anti-adhesion efficacy by inhibiting inflammatory responses and oxidative stress. This composite represents a promising strategy to prevent postoperative peritoneal adhesions.


Asunto(s)
Electricidad , Ginsenósidos/química , Ginsenósidos/farmacología , Membranas Artificiales , Enfermedades Peritoneales/prevención & control , Animales , Antiinflamatorios/química , Antiinflamatorios/farmacología , Antioxidantes/química , Antioxidantes/farmacología , Portadores de Fármacos/química , Liberación de Fármacos , Regulación de la Expresión Génica/efectos de los fármacos , Masculino , Ratones , Nanofibras/química , Enfermedades Peritoneales/metabolismo , Enfermedades Peritoneales/patología , Poliésteres/química , Polietilenglicoles/química , Adherencias Tisulares/metabolismo , Adherencias Tisulares/patología , Adherencias Tisulares/prevención & control
11.
Sensors (Basel) ; 20(1)2019 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-31906202

RESUMEN

Disconnect switch and circuit breakers operations in gas insulated switchgear (GIS) systems may produce very fast transient overvoltage (VFTO). Detecting VFTO is the first step for researchers to reduce the damage to other equipment of the substation caused by VFTO. Most of the existing sensors used for VFTO are generally bulky, complex to install, and require modification of the GIS structure. In this paper, a miniaturized measurement system that uses capacitive voltage divider and differentiating-integrating circuit is proposed. A special sensor structure and optimized differentiating-integrating circuit components arrangement were designed to increase the bandwidth of the measurement system. The frequency-domain, time-domain and voltage divide calibration experiment was performed, and a comparison experiment with an internal VFTO sensor was conducted. The measurement system was applied in the 500 kV GIS substation, and the VFTO measurement under specific conditions was carried out. The measured time domain and frequency domain waveforms conformed to the definition of standard VFTO according to IEC 60,071. It was found that the proposed measurement system meets VFTO measurement requirements and can be applied to actual VFTO measurements.

12.
Sensors (Basel) ; 19(1)2019 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-30621101

RESUMEN

Lung cancer is one of the most deadly diseases around the world representing about 26% of all cancers in 2017. The five-year cure rate is only 18% despite great progress in recent diagnosis and treatment. Before diagnosis, lung nodule classification is a key step, especially since automatic classification can help clinicians by providing a valuable opinion. Modern computer vision and machine learning technologies allow very fast and reliable CT image classification. This research area has become very hot for its high efficiency and labor saving. The paper aims to draw a systematic review of the state of the art of automatic classification of lung nodules. This research paper covers published works selected from the Web of Science, IEEEXplore, and DBLP databases up to June 2018. Each paper is critically reviewed based on objective, methodology, research dataset, and performance evaluation. Mainstream algorithms are conveyed and generic structures are summarized. Our work reveals that lung nodule classification based on deep learning becomes dominant for its excellent performance. It is concluded that the consistency of the research objective and integration of data deserves more attention. Moreover, collaborative works among developers, clinicians, and other parties should be strengthened.


Asunto(s)
Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/diagnóstico , Interpretación de Imagen Radiográfica Asistida por Computador , Tomografía Computarizada por Rayos X , Algoritmos , Bases de Datos Factuales , Humanos , Neoplasias Pulmonares/clasificación , Neoplasias Pulmonares/patología
13.
Biomed Microdevices ; 20(4): 88, 2018 10 11.
Artículo en Inglés | MEDLINE | ID: mdl-30310996

RESUMEN

Irreversible electroporation (IRE) is a kind of promising cancer treatment technology. However, local recurrence still occurs because of incomplete ablation. The aim of this study was to investigate the combined therapy of IRE and a hydroxycamptothecin loaded electrospun membrane (EM/HCPT) to treat rabbit VX2 subcutaneous cancer. HCPT loaded membranes were developed by electrospinning. Mechanical test and in vitro drug release study of EM/HCPT were performed. 24 rabbits with subcutaneous VX2 tumor were randomly divided into four groups: the control group, the EM/HCPT group, the IRE ablation group, and the IRE + EM/HCPT group. The tumor cells were ablated by IRE first, followed by subcutaneous implantation of EM/HCPT to release HCPT constantly in order to damage the residual cancer cells. The tumor inhibition efficacy was assessed by the tumor real-time monitoring, histological and immunofluorescent analyses, and transmission electron microscopy (TEM) examination. Assessment of the release from EM/HCPT showed that HCPT release lasted for about 7 days. The in vivo antitumor efficacy assessment, histological and immunofluorescent analyses, and TEM examination showed that IRE + EM/HCPT had the best tumor inhibition ability. In addition, the biochemical analyses and hematoxylin and eosin (H&E) staining of normal organs indicated that IRE + EM/HCPT treatment was safe. Our study provided a new concept in cancer treatment and might promote the application of IRE.


Asunto(s)
Camptotecina/análogos & derivados , Electroporación , Membranas Artificiales , Neoplasias de Tejido Conjuntivo/terapia , Tejido Subcutáneo/efectos de los fármacos , Animales , Apoptosis/efectos de los fármacos , Camptotecina/farmacología , Camptotecina/uso terapéutico , Terapia Combinada , Conejos , Tejido Subcutáneo/patología
14.
Biomed Microdevices ; 20(4): 97, 2018 11 08.
Artículo en Inglés | MEDLINE | ID: mdl-30406862

RESUMEN

This study aimed to evaluate the effect of irreversible electroporation (IRE) on the stomach wall after IRE was applied on liver tissues adjacent to the anterior wall of the stomach. IRE ablation was performed in eight Tibet mini-pigs with three lesions per pig. The IRE electrodes were inserted into the liver tissues situated close to the anterior wall of the stomach. As for the control group, the IRE electrodes were also inserted into the liver tissues for three lesions in four Tibet mini-pigs but did not turn on the current. Serum aminotransferase and WBC levels clearly increased in all the IRE ablated animals by Day 1 and decreased gradually thereafter. The gross postmortem examination at 7 days post-IRE revealed a whitish lesion with sharp demarcation on the serosal surface of the stomach, but we could not find any signs of ablation or just find a small, slightly reddish lesion at the Day-28 examination. On the Day-7 histopathological examination, inflammation and fibrosis were observed in the serosal layer of the stomach in each animal and mild inflammation of the myofibers was found in only two pigs. All the stomach layers returned to normalcy by 28 days post-IRE. Thus, IRE ablation of hepatic tissues situated close to the stomach wall cannot lead to stomach perforation. IRE is therefore a safe procedure for ablating hepatic tumors that are adjacent to the stomach.


Asunto(s)
Técnicas de Ablación/instrumentación , Electroporación/instrumentación , Hígado/citología , Estómago , Animales , Electrodos , Femenino , Porcinos
15.
Sensors (Basel) ; 17(9)2017 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-28850054

RESUMEN

The detection of dipole-like sources, such as unexploded ordnances (UXO) and other metallic objects, based on a magnetic gradiometer system, has been increasingly applied in recent years. In this paper, a novel dipole-like source detection algorithm, based on eigenvector analysis with magnetic gradient tensor data interpretation is presented. Firstly, the theoretical basis of the eigenvector decomposition of magnetic gradient tensor is analyzed. Then, a detection algorithm is proposed by using the properties of the tensor eigenvector decomposition to locate dipole-like magnetic sources. The algorithm can automatically detect magnetic dipole-like sources without estimating the magnetic moment direction. It performs well for locating weak, anomalous dipole-like sources in air-borne magnetic data through quantitative interpretation. The effectiveness of the proposed algorithm has been demonstrated in the designed synthetic experiment. Finally, an air-borne magnetic field data taken at high altitude with exact source position information is used to validate the practicality of the proposed algorithm. All of the experiments prove that the proposed algorithm is suitable for magnetic dipole-like source detecting and air-borne magnetic gradiometer data interpretation.

16.
J Hepatol ; 64(5): 1076-1089, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26778753

RESUMEN

BACKGROUND & AIMS: In this study, we investigated the role of salt-inducible kinase 1 (SIK1) and its possible mechanisms in human hepatocellular carcinoma (HCC). METHODS: Immunoprecipitation, immunohistochemistry, luciferase reporter, Chromatin immunoprecipitation, in vitro kinase assays and a mouse model were used to examine the role of SIK1 on the ß-catenin signaling pathway. RESULTS: SIK1 was significantly downregulated in HCC compared with normal controls. Its introduction in HCC cells markedly suppresses epithelial-to-mesenchymal transition (EMT), tumor growth and lung metastasis in xenograft tumor models. The effect of SIK1 on tumor development occurs at least partially through regulation of ß-catenin, as evidenced by the fact that SIK1 overexpression leads to repression of ß-catenin transcriptional activity, while SIK1 depletion has the opposite effect. Mechanistically, SIK1 phosphorylates the silencing mediator of retinoic acid and thyroid hormone receptor (SMRT) at threonine (T)1391, which promotes the association of nuclear receptor corepressor (NCoR)/SMRT with transducin-beta-like protein 1 (TBL1)/transducing-beta-like 1 X-linked receptor 1 (TBLR1) and disrupts the binding of ß-catenin to the TBL1/TBLR1 complex, thereby inactivating the Wnt/ß-catenin pathway. However, SMRT-T1391A reverses the phenotype of SIK1 and promotes ß-catenin transactivation. Twist1 is identified as a critical factor downstream of SIK1/ß-catenin axis, and Twist1 knockdown (Twist1(KD)) reverses SIK1(KD)-mediated changes, whereas SIK1(KD)/Twist1(KD) double knockdown cells were less efficient in establishing tumor growth and metastasis than SIK1(KD) cells. The promoter activity of SIK1 were negatively regulated by Twist1, indicating that a double-negative feedback loop exists. Importantly, levels of SIK1 inversely correlate with Twist1 expression in human HCC specimens. CONCLUSIONS: Our findings highlight the critical roles of SIK1 and its targets in the regulation of HCC development and provides potential new candidates for HCC therapy.


Asunto(s)
Carcinoma Hepatocelular/genética , ADN de Neoplasias/genética , Regulación Neoplásica de la Expresión Génica , Neoplasias Hepáticas Experimentales/genética , Proteínas Serina-Treonina Quinasas/genética , beta Catenina/genética , Animales , Carcinoma Hepatocelular/metabolismo , Carcinoma Hepatocelular/patología , Línea Celular Tumoral , Progresión de la Enfermedad , Humanos , Inmunohistoquímica , Inmunoprecipitación , Neoplasias Hepáticas Experimentales/metabolismo , Neoplasias Hepáticas Experimentales/patología , Ratones , Ratones Desnudos , Reacción en Cadena de la Polimerasa , Proteínas Serina-Treonina Quinasas/biosíntesis , beta Catenina/biosíntesis
17.
Pediatr Hematol Oncol ; 32(1): 18-25, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24852330

RESUMEN

PURPOSE: This study was to determine the efficacy of vincristine and irinotecan in children with relapsed hepatoblastoma (HB). METHODS: A total of 10 patients with relapsed HB were enrolled. Three patients were excluded. Patients received irinotecan 50 mg/m(2)/day, day 1-5 and vincristine 1.5 mg/m(2)/day, day 1, repeated every 3 weeks. The maximum cycles were eight. Reevaluation of tumor was performed every two cycles. The primary outcome was the rate of complete resection. Secondary outcomes were event-free survival (EFS) and overall survival (OS). RESULTS: Of the seven patients assessable for response, one patient with normal AFP level showed a progressive disease and withdrew. He finally died 6 months later. Four had PR, all of them underwent a second surgery and achieved complete resection. Two patients had SD, one patient relapsed 6 months after orthotopic liver transplantation and died, the other one undergoing surgery had micro margin positive, he relapsed again but alive. The rate of complete resection was 71.4% (including orthotopic liver transplantation). The 2-year EFS and OS for the whole group were 57.1% (95% CI, 12.7% to 34.2%) and 71.4% (95% CI, 16.39% to 37.4%), respectively. CONCLUSIONS: The combination of irinotecan and vincristine has a significant antitumor activity and acceptable toxicity in children with relapsed HB.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/administración & dosificación , Hepatoblastoma , Neoplasias Hepáticas , Recurrencia Local de Neoplasia , Camptotecina/administración & dosificación , Camptotecina/análogos & derivados , Preescolar , Supervivencia sin Enfermedad , Hepatoblastoma/mortalidad , Hepatoblastoma/terapia , Humanos , Lactante , Irinotecán , Neoplasias Hepáticas/mortalidad , Neoplasias Hepáticas/terapia , Trasplante de Hígado , Recurrencia Local de Neoplasia/mortalidad , Recurrencia Local de Neoplasia/terapia , Tasa de Supervivencia , Factores de Tiempo , Vincristina/administración & dosificación
18.
J Pediatr Hematol Oncol ; 36(4): 271-5, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24309602

RESUMEN

PURPOSE: The use of neoadjuvant chemotherapy has improved the survival of patients with hepatoblastoma (HB). However, an increased number of treatment complications and toxic deaths, particularly from heart failure, have been observed with doxorubicin treatment. We have applied cisplatin as a single agent to treat children with high-risk HB to improve event-free survival (EFS). METHODS: Between 2007 and 2009, 14 patients with untreated high-risk HB were enrolled in this study. All the patients received a single-agent treatment of cisplatin. The initial cisplatin cycle was administered in a continuous intravenous 24-hour infusion of 80 mg/m/24 h. The primary outcome was the rate of complete resection. Secondary outcomes were EFS and overall survival (OS). RESULTS: Eleven patients (78.6%) had an overall partial response. Two patients (14.3%) had stable disease. One patient experienced (7.1%) progression. Of the 4 patients who presented with lung metastases initially, 1 patient achieved complete response, 2 patients achieved partial response, and 1 patient experienced progression during preoperative chemotherapy. The complete resection rate was 78.6% (95% CI, 49%-95%). The Kaplan-Meier estimates of 2-year EFS and OS for the whole group were 64.3% (95% CI, 35%-87%) and 85.7% (95% CI, 57%-98%), respectively. The 2-year EFS and OS rates of patients who achieved complete resection were 81.8% (95% CI, 48%-98%) and 100% (95% CI, 62%-100%), respectively. CONCLUSIONS: The single-agent cisplatin had less toxicity than cisplatin plus doxorubicin and achieved an equal rate of complete resection in high-risk HB compared with conventional multiagent chemotherapy.


Asunto(s)
Antineoplásicos/administración & dosificación , Cisplatino/administración & dosificación , Hepatoblastoma/tratamiento farmacológico , Neoplasias Hepáticas/tratamiento farmacológico , Adolescente , Antineoplásicos/efectos adversos , Niño , Preescolar , Cisplatino/efectos adversos , Supervivencia sin Enfermedad , Femenino , Estudios de Seguimiento , Hepatoblastoma/mortalidad , Hepatoblastoma/patología , Humanos , Lactante , Neoplasias Hepáticas/mortalidad , Neoplasias Hepáticas/patología , Masculino , Estudios Retrospectivos , Tasa de Supervivencia
19.
Eur J Pediatr ; 173(12): 1667-70, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24384793

RESUMEN

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare, highly aggressive hematopoietic malignancy, characterized by cutaneous and bone marrow involvement and leukemic spread. Cutaneous involvement is the most common presentation in BPDCN. At present, the diagnosis and management of BPDCN are still challenging. Due to its rarity, the pediatric experience with BPDCN is especially limited. Herein, we report a special case of BPDCN with diffuse nodular lung metastases and a cutaneous lesion, which achieved a dramatic response to non-Hodgkin lymphoma regimen and remained with complete remission for 2 years. To date, acute lymphoblastic leukemia (ALL)-type chemotherapy followed by hematopoietic stem cell transplantation (SCT) is commonly thought to be related to a favorable outcome in adults with BPDCN. In contrast to it, ALL or non-Hodgkin lymphoma-type therapy alone seems enough in children with BPDCN with or without cutaneous lesions. SCT should only be performed for children who relapse and achieve a second remission. For pediatric BPDCN, further study of larger numbers of cases is needed to better define prognostic factors and optimal treatment strategy, and understand the underling differences in pathogenesis between children and adults.


Asunto(s)
Células Dendríticas/patología , Neoplasias Hematológicas/patología , Neoplasias Pulmonares/secundario , Biopsia , Células de la Médula Ósea/patología , Niño , Terapia Combinada , Diagnóstico Diferencial , Femenino , Neoplasias Hematológicas/terapia , Humanos , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/terapia , Imagen por Resonancia Magnética , Estadificación de Neoplasias , Tomografía Computarizada por Rayos X
20.
ScientificWorldJournal ; 2014: 838021, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24892097

RESUMEN

A coupled projection method combining formal modelling and other statistical techniques was developed to delineate the relationship between economic and social drivers for net new housing allocations. Using the example of employment growth in Tyne and Wear, UK, until 2016, the empirical analysis yields housing projections at the macro- and microspatial levels (e.g., region to subregion to elected ward levels). The results have important implications for the strategic planning of locations for housing and employment, demonstrating both intuitively and quantitatively how local economic developments affect housing demand.


Asunto(s)
Desarrollo Económico , Vivienda , Técnicas de Planificación , Reino Unido
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