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2025
Abstract
Introduction Concurrent chemoradiation is the treatment of choice for unresectable locally advanced pancreatic cancer (LAPC). Recent progress toward an effective chemotherapeutic regime has seen improvement in systemic control; however, local control remains a significant issue. One strategy to improve local control and survival is stereotactic body radiotherapy (SBRT).
Objectives This study aims to describe the clinical and treatment characteristics of patients with unresectable LAPC treated with SBRT and to assess the outcome.
Material and Methods This is a retrospective observation study of case series involving patients treated with SBRT from January 2015 to December 2023 with unresectable LAPC. Data were recorded from the electronic medical records of the hospital-based cancer registry, and overall survival was calculated using the Statistical Package for the Social Sciences software.
Result We enrolled four patients in this study. This group consisted of four patients with unresectable LAPC who were treated with the FOLFORINOX (folinic acid, fluorouracil, irinotecan, and oxaliplatin) chemotherapy regime followed by SBRT. For most patients, the radiotherapy dose was 30 to 40 Gy five times per week. These patients exhibited no acute or late toxicity, with 5 to 18 months overall survival.
Conclusion Chemotherapy followed by SBRT is an effective treatment in unresectable LAPC besides chemoradiation.- Book : ()
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2025
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2025
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2025
ABSTRACTIn situ leaching (ISL) is an important method for green and efficient development of sandstone‐type uranium ore. It achieves ISL of uranium through the deployment of injection and extraction vertical well patterns. The optimization of parameter matching between injection and extraction wells is key to improving the efficiency of uranium development. However, as the depth of mining and the scale of development increase, the small area controlled by vertical wells leads to a large number of vertical wells and high drilling costs, which severely affect the benefits of mine development. In this paper, taking the development case of the LK mine area in Xinjiang as an example, an extraction method of “horizontal well injection–vertical well extraction” was innovatively proposed for the first time. By using the well‐storage coupling model and particle tracking technology, this study systematically investigated the impact of well types and injection–extraction parameters on the leaching range and the distribution of leaching dead zones. Furthermore, a hybrid multiobjective optimization algorithm was used to complete the parameter optimization of well‐storage coupling for ISL of uranium. The research content of this paper explores the impact of injection–extraction parameters and well spacing on the leaching effect of “horizontal well injection–vertical well extraction,” providing a method and approach for the optimization study of ISL uranium parameters. In addition, the research results of this paper have certain guiding significance for enhancing the leaching and extraction effect of the existing uranium mining plan in the LK mining area.- Book : ()
- Pub. Date : 2025
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2025
Red sandstone is widely distributed in southern China. Due to the significant difference in mechanical properties before and after hydration and its poor water stability, red sandstone often triggers landslide accidents. In this paper, red sandstone from an open pit slope in Jiangxi Province was taken as the research object. Two variables, namely the initial saturation degree (25%, 50%, 75%, and 100%) and the number of wetting–drying cycles (0, 10, 20, 30, and 40), were set. With the help of nuclear magnetic resonance, the Brazilian disc test, and fractal theory, the relationships among its meso-structure, macroscopic fracture mechanics characteristics, and deterioration mechanism were analyzed. The research results are as follows: (1) Wetting–drying cycles have a significant impact on the pore structure and fracture mechanics characteristics of red sandstone. Moreover, the higher the initial saturation degree, the more obvious the deterioration effect of the wetting–drying cycles on the rock mass. (2) After further subdividing the pores according to their size for research, it was found that sandstone is mainly composed of mesopores, and the deterioration laws of different types of pores after the wetting–drying cycles are different. The porosities of total pores and macropores increase, while the proportions of mesopores and micropores decrease. The fractal dimensions of macropores and total pores of each group of rock samples are all within the range of 2–3, and the fractal dimension value increases with the increase in the number of wetting–drying cycles, showing significant and regular fractal characteristics. Micropores and some mesopores do not possess fractal characteristics. The fractal dimension of rock samples basically satisfies the rule that the larger the pore diameter, the larger the fractal dimension and the more complex the pore structure. (3) Both the type I and type II fracture toughness of rock samples decrease with the increase in the number of cycles, and the decrease is the most significant when the initial saturation degree is 100%. After 40 cycles, the decreases in type I and type II fracture toughness reach 23.578% and 30.642%, respectively. The fracture toughness is closely related to the pore structure. The porosity and fractal dimension of rock samples and their internal macropores are linearly negatively correlated with the type II fracture toughness. The development of the macropore structure is the key factor affecting its fracture mechanics performance. (4) After the wetting–drying cycles, the internal pores of red sandstone continue to develop. The number of pores increases, the pore diameter enlarges, and the proportion of macropores rises, resulting in internal damage to the rock mass. When bearing loads, the expansion and connection of internal cracks intensify, ultimately leading to the failure of the rock mass. The research results can provide important reference for the stability analysis of sandstone slope engineering.- Book : 15(2)
- Pub. Date : 2025
- Page : pp.158-158
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2025
This paper presents a study of brane formation in six-dimensional space. There is no a priori assumption of the existence of brane(s). However, an analysis of the generalized Einstein equations shows that there is a set of metrics describing two static branes even in the absence of matter fields. At the same time, no one-brane configurations were found. The trapping of massive particles on branes is a consequence of the metric structure, which prevents these particles from moving between branes. It is shown that communication between charged particles on different branes is provided by photons. Such positron–electron annihilation could be studied experimentally at the LHC collider. The Higgs field is distributed between the branes in such a way that it can serve as a Higgs portal connecting two worlds located on different branes. The values of the 4D physical parameters depend on the extra metric structure near the branes. We also found a non-trivial effect of the decompactification of extra space during the Hubble parameter variation.- Book : 17(2)
- Pub. Date : 2025
- Page : pp.252-252
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2025
Abstract
Near the ends of their lives, supernova remnants (SNRs) enter a “radiative phase,” when efficient cooling of the postshock gas slows expansion. Understanding SNR evolution at this stage is crucial for estimating feedback in galaxies, as SNRs are expected to release energy and momentum into the interstellar medium near the ends of their lives. A standard prediction of SNR evolutionary models is that the onset of the radiative stage precipitates the formation of a dense shell behind the forward shock. In Paper I, we showed that such shell formation yields detectable nonthermal radiation from radio to γ-rays, most notably emission brightening by nearly 2 orders of magnitude. However, there remains no observational evidence for such brightening, suggesting that this standard prediction needs to be investigated. In this paper, we perform magnetohydrodynamic simulations of SNR evolution through the radiative stage, including cosmic rays (CRs) and magnetic fields to assess their dynamical roles. We find that both sources of nonthermal pressure impede shell formation, reducing shell densities by a factor of a few to more than an order of magnitude. We also use a self-consistent model of particle acceleration to estimate the nonthermal emission from these modified SNRs and demonstrate that, for reasonable CR acceleration efficiencies and magnetic field strengths, the nonthermal signatures of shell formation can all but disappear. We therefore conclude that the absence of observational signatures of shell formation represents strong evidence that nonthermal pressures from CRs and magnetic fields play a critical dynamical role in late-stage SNR evolution.- Book : 980(2)
- Pub. Date : 2025
- Page : pp.167-167
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2025
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2025
The International Agency for Research on Cancer (IARC) Monographs Programme plays an important role in cancer prevention by identifying potential carcinogenic hazards. However, the terminology used in IARC’s classifications and Monographs can confuse the public, health professionals, and policymakers. Terms like “carcinogenic to humans” imply causation, although classifications only indicate increased risk under certain conditions. For example, the lifetime incidence of mesothelioma among firefighters is approximately 14 in 10,000, compared to 7 in 10,000 in the general population. Despite doubling the risk, occupational exposure as a firefighter does not cause this type of cancer in 9,986 out of 10,000 firefighters. However, the IARC concludes that “occupational exposure as a firefighter causes mesothelioma” (IARC Working Group on the Identification of Carcinogenic Hazards to Humans. Occupational Exposure as a Firefighter. Lyon: IARC; 2023. pp. 1–730. PMID: 37963216). In addition, the lack of essential information about dosage and context in the IARC carcinogen lists can lead to agents with health benefits under certain conditions (e.g., solar radiation, red meat consumption, approved drugs) being perceived as universally harmful, discouraging beneficial exposures, behaviors, or treatments. Here, I propose renaming the groups of agents classified by the IARC and adding basic labels to specific agents to improve the accuracy and interpretability of the IARC classification lists. These adjustments do not interfere with the IARC’s objective of identifying potential hazards, are easy to implement, and enhance accuracy and clarity, providing stronger support to guide cancer prevention strategies.- Book : ()
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2025
AbstractMast cells (MCs) have a well-established detrimental role in allergic conditions, but they can also impact on diverse malignant conditions, including melanoma. To study the latter, previous studies have mainly evaluated how MCs can influence melanomas/melanoma cells. However, the inverse scenario, i.e., whether melanoma/melanoma cells might impact on MCs has received less attention. Here we investigated this issue and show that melanoma cell-conditioned medium had a strong growth-inhibitory impact on MCs, which was attributed to inhibition of MC proliferation combined with induction of apoptosis. Further, our data indicate that such effects were attributable to melanin present in the melanoma cell-conditioned medium, as similar anti-proliferative effects were seen in response to both free melanin and to melanocores enriched from melanoma-conditioned medium. Melanin did not reduce the expression of MC markers, but was shown to impair MC activation. We also demonstrate that melanin is taken up by MCs, both in cultured MCs andin vivoin melanoma tumors, and it was observed that melanin, after uptake, can be found in the MC nucleus. Further, we show that melanin had marked effects on the nuclear morphology in MCs accompanied by clipping of core histone 3, and it is demonstrated that these events were dependent on translocation of tryptase, a granule-localized protease, into the MC nucleus. Tryptase was also shown to affect the mechanism of melanin-induced cell death. Altogether, the present study outlines a novel mechanism by which melanoma cells can suppress MC function, potentially representing an immunosuppressive mechanism that may influence tumor growth.- Book : ()
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