RESUMEN
This study aimed to conduct a survival analysis of thoracic esophageal squamous cell carcinoma (ESCC) patients treated with radical chemoradiotherapy and identify prognostic variables from among the hematological and radiation parameters. Cases of patients with ESCC receiving definitive chemoradiotherapy at Jiangsu Cancer Hospital between January 2018 and September 2020 were screened. A Cox proportional hazards model was used to assess the effect of hematological and radiation parameters on the overall survival (OS). The neutrophil-to-lymphocyte ratio (NLR) was calculated by dividing the absolute neutrophil count (ANC) by the absolute lymphocyte count (ALC) in the week prior to radical chemoradiotherapy. Variables associated with radiation were gathered based on dose-volume histograms (DVH). X-tile software was used to determine the optimal cutoff values for pretreatment NLR and posttreatment ALC nadir. Associations between lymphopenia and dose-volume parameters were analyzed using multivariate logistic regression. The study included 104 ESCC patients. The median follow-up of surviving patients was 45.0 months (interquartile range: 40.2-52.2), with 1- and 3-year OS rates of 88.0% and 62.7%, respectively. Multivariate Cox regression analysis demonstrated a significant survival benefit in patients with low baseline NLR (≤ 2.2), high ALC nadir (> 0.24*109/L), and desirable radiation parameters for the heart and thoracic vertebrae. Increased dose-volume parameters of the heart, lungs, and thoracic vertebrae were correlated with a high probability of radiation-induced lymphopenia (RIL) risk (P < 0.05). Baseline NLR and RIL are significantly related to survival outcomes in ESCC patients. Optimization of radiation parameters of cardiopulmonary and thoracic vertebrae can be effective in the prevention of RIL.
RESUMEN
The usage of zerovalent iron (ZVI) activated persulfate to induce sulfate radical (SO(4)(-)·) oxidation of both aqueous and solid phase naphthalene (Nap) was investigated. It was determined that the removal of Nap particles occurred through an indirect route. Specifically, Nap released through dissolution from the pure Nap particles was subsequently oxidized in the aqueous phase by SO(4)(-)·. Rapid destruction of dissolved Nap created a greater concentration gradient between the solid and aqueous phases. This caused more Nap particles to be dissolved which were then available for the subsequent oxidative destruction of dissolved Nap. The rate constant (k(obs,Nap)) of ZVI activated persulfate degradation of dissolved Nap was determined to be 3.74 min(-1). The overall dissolution mass transfer coefficients (k(L)a) for the Nap particles were determined, 3.0 × 10(-2) min(-1) with initial 10 mg Nap in 40 mL water, and found to be proportional to the quantities of the Nap particles present. The results indicate that the k(obs,Nap) is much greater than the k(L)a. The net result of the dissolution of Nap particles and the destruction of dissolved Nap by oxidation was the removal of Nap particles. Sequential additions of ZVI at a lower concentration to slow down the formation of SO(4)(-)· can prevent the scavenging of SO(4)(-)· by ZVI and enhance the removal of Nap particles. The results of the mass balance analysis during the oxidized, aqueous and solid phases of Nap were consistent with experimental observations.
