RESUMEN
FTIR microspectrometry with in situ temperature variation and IR-peak-mapping capability, and POM characterization were used to study the crystal distribution in dual spherulites in poly(heptamethylene terephthalate). By tracing the crystalline IR bands of the α-crystal and ß-crystal to get the crystal distribution, the techniques resolve that the ringed and ringless spherulites comprise α- and ß-crystals, respectively. In addition, temperature-dependent IR analyses on the spots related to the two crystals also reveal the α- and ß-crystals melt at 98 and 104 °C, respectively. The ringed and ringless spherulites were proven to be correlated with the α- and ß-crystal forms, respectively.
RESUMEN
PURPOSE: When the primary tumor of nasopharyngeal carcinoma (NPC) is treated at the base of skull and intracranium with conventional radiotherapy, the result is generally poor. In this report, we investigated whether hyperfractionated radiotherapy (HFRT) and concomitant chemotherapy (CCT) could achieve better local control and survival in NPC patients with T3 and T4 lesions. PATIENTS AND METHODS: Forty-eight patients (11 T3 and 37 T4 NPC) were treated with HFRT and CCT. HFRT was administered at 1.2 Gy per fraction, two fractions per day, Monday-Friday for 62 fractions for a total dose of 74.4 Gy. Concomitant chemotherapy consisting of cis-diamino-dichloroplatinum (CDDP) alone or CDDP and 5-fluorouracil was delivered simultaneously with radiotherapy during Weeks 1 and 6. Adjuvant chemotherapy consisted of CDDP and 5-fluorouracil for 2 to 3 cycles and was given monthly beginning 1 month after completion of radiation. RESULTS: With a median follow-up of 57 months (range: 28-94 months), the 3-year locoregional control rate was 93%, the disease-free survival rate was 71%, and the overall survival rate was 72%. For T4 patients, the 3-year locoregional control rate was 91%, disease-free survival was 62%, and overall survival was 63%. The major acute toxicity was Grade 3 mucositis in 73% and Grade 2 weight loss in 31% of patients. Fifty percent of patients were tube fed. Most patients tolerated the combined modality treatments relatively well; 88% of patients completed their radiation treatment within 8 weeks. CONCLUSION: HFRT and CCT for T3 and T4 NPC were associated with excellent local control and improved survival. The treatment-related toxicity was acceptable and reversible. We would recommend using HFRT with CCT for advanced T-stage NPC if the three-dimensional conformal radiation planning shows a significant portion of the brainstem to be inside the treatment field.
Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias Nasofaríngeas/tratamiento farmacológico , Neoplasias Nasofaríngeas/radioterapia , Adulto , Anciano , Cisplatino/administración & dosificación , Terapia Combinada , Fraccionamiento de la Dosis de Radiación , Femenino , Fluorouracilo/administración & dosificación , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Mucosa Bucal , Neoplasias Nasofaríngeas/mortalidad , Neoplasias Nasofaríngeas/patología , Metástasis de la Neoplasia , Estadificación de Neoplasias , Cooperación del Paciente , Estomatitis/etiología , Tasa de Supervivencia , Pérdida de PesoRESUMEN
Specific interactions and miscibility are demonstrated in a series of binary miscible blend comprising of bio-compatible/biodegradable polyesters, such as poly(epsilon-caprolactone) (PCL), poly(ethylene adipate) (PEA), or poly (butylene adipate) (PBA), and a macromolecular ester with polyphenol groups, tannic acid (TA). Thermal analysis and infrared spectroscopy were used for proving existence of favorable interactions, and polarized-light optical microscopy was used for characterizing the changes in crystal growth. The appearance of a single composition-dependent glass transition temperature (T(g)) observed by differential scanning calorimetry (DSC) indicated that TA is miscible with PCL, PBA, and PEA, respectively, over the entire range of compositions. Fourier transform infrared (FTIR) spectroscopy confirmed the presence of specific intermolecular hydrogen bonding interactions between the carbonyl groups of polyesters and the phenolic hydroxyl groups of TA. The blend T(g)'s generally exhibited various extents of positive-then-negative deviation from linearity with the compositions. The T(g)-composition relationships for three blend systems could all be fitted by the Kwei equation with large negative q values of -80 to -110 for different polyesters. Significant effects by TA on the spherulitic crystallization growth in the polyester/TA blends were also discussed to support the miscibility and strong interactions. Overall, the behavior of blends of polyesters with TA is similar to that of blends of polyesters with poly(vinyl p-phenol) (PVPh) that have been more widely studied and reported. However, TA is naturally bio-resourceful, bio-compatible, and bio-degradable but PVPh is not. Synergism of miscibility, natural bio-compatibility, and biodegradability in these blends by introducing naturally biodegradable macromolecules such as TA may offer greater potential in intended applications.