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Objective To analyze the individualized CTV-to-PTV margin dose and positioning errors in radiotherapy for esophageal cancer for improving the treatment accuracy while meeting dose requirements.Methods Fifty-four esophageal cancer patients admitted to Sun Yat-sen University Cancer Center at Huangpu District from June 2021 to June 2022 were enrolled.All of the patients underwent CBCT scans in each fraction,and a total of 1283 CBCT images were collected.The image registration between CBCT image before radiotherapy and planning CT image was carried out to obtain errors in vertical(VRT),longitudinal(LNG),lateral(LAT),Roll,Pitch,and YAW directions.The mean values of six-dimensional positioning errors in the first 5 fractions were calculated,and the results were compared with the total fractional errors using the single sample t-test method for determining the differences.The CTV-to-PTV margin was calculated with the formula(margin=2.5∑+0.7δ),and the calculated margins were divided into 5 groups:Group A(5 mm expansion in all directions),Group B(7.9 mm expansion in LAT direction,and 5 mm expansion in other directions),Group C(11.03 mm expansion in LNG direction,and 5 mm expansion in the other directions),Group D(6.36 mm expansion in VRT direction,and 5 mm expansion in the other directions),and Group E(7.9 mm expansion in LAT direction,11.03 mm expansion in LNG direction,and 6.36 mm expansion in VRT direction).Simulation planning was conducted for 10 patients.Results The proportions of differences between the mean values of six-dimensional errors in the first 5 fractions and the total fractional errors in 54 patients were analyzed.There was no significant difference in 192 out of the 324 directions in 54 patients,accounting for 59.26%(P>0.05).Among them,the LAT,LNG,VRT,Pitch,Roll and YAW directions accounted for 64.81%,57.41%,51.85%,64.81%,57.41%and 59.26%of the total cases.The calculated CTV-to-PTV margin was 7.90,11.03 and 6.36 mm in LAT,LNG and VRT directions.The statistical analysis showed that the differences in the coverage rates of organs-at-risk and target areas among the 5 groups of CTV-to-PTV margins were trivial(P>0.05).Conclusion Using the positioning errors in the first 5 fractions of radiotherapy for esophageal cancer to predict subsequent positioning errors is feasible.The reasonable individualized margin in radiotherapy for esophageal cancer can reduce the inter-fractional off-target rate without increasing the dose delivered to organs-at-risk.The study provides a reference for the target volume margin of esophageal cancer and an important basis for precision treatment.
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Objective @#To compare the accuracies of implants with dynamic real-time navigation versus digital guide navigation to provide a reference for clinical precision dental implants. @*Methods@#Forty-six cases (seventy teeth) with missing teeth admitted to the Department of Stomatology, Wuzhou Red Cross Hospital from April 2018 to December 2019 were randomly divided into two groups (thirty-five teeth in each group) for dynamic real-time navigation and digital guide navigation implantation techniques. To compare the entry point, apex point, depth and angle deviation of the preoperative and postoperative position of implants in the two groups. SPSS 21.0 software was used for statistical analysis.@*Results @#Dental implants were successfully placed in both groups. The deviations of apex point, depth and angle in the dynamic real-time navigation group were all smaller than those in the digital guide navigation group, and the differences were statistically significant (P < 0.05). There was no statistically significant deviation in the entry point between the two groups (P > 0.05). @*Conclusion@#In this study, both techniques had good clinical effects. The accuracy of dynamic real-time navigation was higher than that of digital guidance.
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Studies on the drying kinetics of medicinal, aromatic and spice plants are a necessary step towards establishing the combination of drying parameters that would not qualitatively and quantitatively alter the quality of the fresh product. The purpose of this study was to investigate the drying kinetics of Brazilian peppertree (Schinus terebinthifolius) leaves and to verify whether the theoretical diffusion and the semi-empirical Lewis drying models were capable of accurately predicting the drying curves of the product at 35, 40, and 45°C, with a dry air mass flow rate of 0.731 kg s-1 m-2. Leaves were collected at 0800 h, 1200 h and 1700 h. The goodness of fit between experimental and predicted values was based on the correlation coefficient, root mean square error, mean absolute percentage error, mean bias error, and fit index. Residual plot analysis was also considered in the selection of the most effective drying model. Temperature had a pronounced effect on mass transfer and drying rate decreased continuously during the course of drying. Leaf collection time had little influence on the drying kinetics. Effective moisture diffusivity was found to increase with temperature. The results indicated that the Lewis model was considered a better predictor of the thin-layer drying behaviour of Brazilian peppertree leaves than the theoretical model based on Fick's second law of diffusion.
Estudos sobre a cinética da secagem de plantas medicinais, aromáticas e condimentares são necessários para o estabelecimento de parâmetros operacionais de secagem de forma a não alterar significativamente a qualidade e o perfil fitoquímico dessas plantas. O objetivo do presente trabalho foi investigar a cinética da secagem das folhas da aroeira-vermelha (Schinus terebinthifolius), além de verificar se o modelo teórico de difusão e o modelo semi-empírico de Lewis são capazes de predizer com acurácia as curvas de secagem do produto a 35, 40 e 45°C, com fluxo de ar seco de 0,731 kg s-1 m-2. As folhas foram coletadas às 8:00, 12:00 e 17:00 h. O grau de adequação dos valores obtidos pelas curvas de secagem àqueles obtidos experimentalmente foi avaliado empregando-se o coeficiente de determinação, a raiz do erro quadrático médio, o erro percentual absoluto médio, o viés médio e o índice de ajuste. A análise da dispersão dos resíduos também foi utilizada na escolha do modelo de predição mais efetivo. Observou-se que a temperatura tem efeito significativo na transferência de massa e a taxa de secagem diminuiu continuamente ao longo da secagem. O horário de coleta das folhas não teve influência significativa sobre a cinética da secagem. A difusividade efetiva da água aumentou com o aumento da temperatura. Os resultados evidenciaram que o modelo de Lewis descreve com maior grau de acurácia a secagem de folhas de aroeira-vermelha que o modelo teórico baseado na Segunda Lei de Difusão de Fick.
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Plantas Medicinales , Anacardiaceae , CinéticaRESUMEN
O objetivo deste estudo foi explorar as diferenças qualitativas nos erros apresentados em um Teste de Cloze nas pontuações extremas de crianças e encontrar evidências de validade por processo de resposta. Participaram 277 alunos matriculados nos 3º, 4º e 5º anos do ensino fundamental público do Estado de São Paulo. Para a coleta de dados, que ocorreu de forma coletiva, foi empregado o teste de Cloze estruturado de forma tradicional, na qual se omitem todos os quintos vocábulos do texto e no local coloca-se um traço de tamanho proporcional ao da palavra omitida, bem como a correção verbatim. Os resultados evidenciaram evidências de validade baseadas no processo de resposta, indicando também divergências nas respostas entre os alunos que pontuaram menos e aqueles que obtiveram maiores pontuações. A discussão dos dados aponta para algumas implicações acerca dos processos cognitivos envolvidos na emissão das respostas das crianças.(AU)
This study aims to explore the errors differences presented in a Cloze test of kids' extreme punctuations and find evidences of the validity for answer process. 277 students from third, fourth and fifth grades of public education of São Paulo participated on the survey. For data collection, which occurred collectively, it was held a traditional Cloze test that substitutes the fifth words for a dash of the same size of the word hidden, as well as verbatim correction. Results showed evidences of validity based on answer process, indicating answer divergences between students with high punctuation and low punctuation. Data discussion points some implications about cognitive process involved on the emission of kids' answers.(AU)
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Humanos , Masculino , Femenino , Niño , Lectura , Educación Primaria y Secundaria , ComprensiónRESUMEN
OBJECTIVE: To conduct the contrastive studies of universal compression model to pharmaceutical powder compression characteristics effect base on Heckel and Kawakita equation founded.METHODS: The uniaxial compression tests were developed with three excipients of lactose, starch, microcrystalline cellulose and four mixture excipients of lactose, starch, microcrystalline cellulose with different mass fraction. The change rules between density and pressure and model error are analyzed of two different compression models respectively.RESULTS: The absolute density error value of Heckel and Kawakita compression model is within 4%, when the pressure is greater than 80 MPa,and the variance of Kawakita model is less than Heckel model.The absolute error value of Heckel and Kawakita compression model is within 3.73%, when the pressure is larger than 60 MPa, and the variance of Kawakita compression model less than Heckel model.CONCLUSION: During applying two universal compression models to analyze pharmaceutical powder compression characteristics, two models are suitable, when the pressure is between 80 and 240 MPa.
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This research describes the drying kinetics and compares the convective drying rates of in natura and osmodehydrated pineapple slices in inverted sugar. The effective moisture diffusivity during air drying was estimated using Fick's second law of diffusion. The suitability of a theoretical liquid-diffusion model and seven semi-theoretical mathematical models for use in describing the experimental drying curves was also evaluated. Goodness of fit between experimental and predicted values was based on the root mean square error, mean absolute percentage error, mean bias error, agreement index, residual plot analysis and the principle of parsimony. Osmotic dehydration was conducted in 155, 310, and 465 mL L-1 osmotic solutions, at 40 and 50 ºC for 2 h at 60 rpm. Convective drying was performed in a tray cabinet dryer using heated ambient air at 60 ºC and 1.15 m s-1. Osmotic pretreatment facilitated water removal during the first hours of drying, a trend that was reversed towards the end of the process for samples osmodehydrated at the highest solution concentration. The effect of the osmotic pretreatments on drying rate was negligible at 40 ï°C, but at 50 ï°C the rate of moisture removal was more intense for samples in natura and osmodehydrated at the lowest solution concentration. Effective moisture diffusivity increased with temperature and solution concentration. The single-exponential, three-parameter semi-theoretical drying model gave the best predictions of the drying curves of pineapple slices both in natura and pre-osmodehydrated in inverted sugar.
O trabalho descreve a cinética de secagem e compara as taxas de secagem por convecção de fatias de abacaxi in natura e pré-desidratadas osmoticamente em açúcar invertido. A difusividade efetiva da água no interior do produto durante a secagem foi calculada empregando-se a Segunda Lei de Fick. Avalia, também, o grau de adequação de um modelo teórico de difusão de liquido e de sete modelos semi-teóricos na descrição das curvas experimentais de secagem. A desidratação osmótica foi realizada empregando-se soluções a 155, 310 e 465 mL L-1, a 40 e 50 ºC, sob agitação a 60 rpm e tempo de imersão de 2 h. A secagem por convecção foi feita em secador do tipo gabinete com bandejas, com ar à 60 ºC e 1,15 m s-1. O grau de ajuste dos modelos foi avaliado por meio da raiz do erro quadrático médio, do erro percentual absoluto médio, do viés médio, do índice de ajuste, pela análise da dispersão de resíduos e aplicando-se o princípio da parcimônia. O pré-tratamento osmótico facilitou a remoção de água durante as primeiras horas de secagem, comportamento que se reverteu ao final do processo para amostras desidratadas na solução mais concentrada. O efeito do pré-tratamento osmótico sobre a taxa de secagem foi desprezível a 40 ºC, no entanto, a 50 ºC, a taxa de remoção de água foi mais intensa para amostras in natura e pré-desidratadas nas soluções de menor concentração. A difusividade efetiva aumentou em função de aumentos na temperatura e na concentração da solução. O modelo exponencial simples de três parâmetros foi o que melhor descreveu as curvas de secagem por convecção de fatias de abacaxi in natura e pré-desidratadas osmoticamente em açúcar invertido
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Ananas , Conservación de AlimentosRESUMEN
Objective:To explore the effect of quality control circle ( QQC) on the error control in PIVAS. Methods:QQC group was established in the department of PIVAS to reduce the errors in intravenous admixture practice. The status was analyzed using the total errors per week as the index, and the improvement target value was calculated by the eighty-twenty rule. The concrete causes for the errors were found out by the method of“brain storm”, and the main causes were confirmed using a fishbone diagram and the eighty-twenty rule, and then some countermeasures were summarized and carried out. The application effect of QQC was judged by the intan-gible and tangible outcomes before and after the activity, and some suggestions for the further improvement were provided. Results:Af-ter the implementation of QQC activity, the number of errors was reduced from 47 per week to 22 per week with the rate of target a-chievement of 104. 1% and the progress rate of 53. 2%. Moreover, QQC showed positive influence on the sense of being masters, co-operation ability, team spirit and sense of responsibility and confidence in the whole staff, and the ability of analyzing, summarizing and solving problems was also enhanced. Conclusion: QQC can significantly reduce the errors in the practice of intravenous admix-ture. The management method is valuable to explore and analyze the deep problems encountered in PIVAS in order to make rational and efficient measures. It is also helpful to improving the service conception of pharmacists and nurses, and enhancing the roles of pharma-cists in quality management and control to ensure medication safety.
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The near infrared ( NIR ) spectra of 76 batches of the amoxicillin capsules from different manufacturers and their corresponding content powder without capsules cell were used to find some quantitative indicators to evaluate whether the piecewise direct standardization ( PDS ) algorithm succeeded in NIR quantitative model updating. 54 batches were used to construct the NIR quantitative model for capsule preparation. All the NIR spectra of amoxicillin capsules were divided into five classes by cluster analysis, and each class can be regarded as a homology sample set. The average spectrum for each homology sample set was calculated. Ten to Fifteen spectra were selected from each homology sample set as the corresponding master spectra of the PDS algorithm to correct all the NIR spectra of the amoxicillin content powder respectively. Then the corrected spectra were predicted by the constructed NIR quantitative model for amoxicillin capsules. The prediction error for each corrected powder spectrum, and the correlation coefficient between each corrected powder spectrum and the average spectrum of the corresponding homolog sample set which the PDS master spectra came from, were calculated. Finally, the relationship between the prediction error and its corresponding correlation coefficient were studied. It was found that the correction results correlated closely with the selected master spectra set in PDS algorithm. The bigger the correlation coefficient ( r) , the better the correction results. In general, when r is less than 99%, it can be judged that the PDS correction is failed. At this condition, the prediction error is often more than 5%. Therefore, the correlation coefficient between the corrected spectrum and its corresponding average spectrum of the homology sample set can be used as an indicator to evaluate the efficiency of the PDS correction.
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Objective To expand the application of electrochemical immunosensor during deleting aflatoxin B1 in foods and feeds through analyzing impacts of the time of antibody incubation and sample preparation .Methods T he double self-assembly immu-nosensor combined with aflatoxin B1 and carboxylated single-walled carbon nanotubes (SWNTs) was characterized by cyclic volta-mmetry and impacts of the time of antibody incubation and sample preparation methods were investigated .Results The signal in-creased gradually following the increasing time of antibody incubation and reached a plateau at 90 min and sample preparation meth-ods showed a comparatively large impact on results .Additionally ,the crude extractions purified through removing interfering com-pounds by immunoaffinity column could effectively eliminate the interference effects of sample matrix .Conclusion Deleting aflatox-in B1 by electrochemical immunosensor is characterized by various features ,such as fast ,simple and low detection limits .The pres-ent study shows that stability of the electrochemical immunosensor is affected by the time of antibody incubation and sample prepa-ration .
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O presente estudo analisou os erros apresentados por crianças com dificuldades de compreensão de textos em duas situações de leitura. As crianças do Grupo 1 realizaram a leitura interrompida de uma história e as do Grupo 2 realizaram a leitura sem interrupção. Após a leitura, as crianças responderam perguntas sobre informações inferenciais. A análise das respostas permitiu identificar quatro tipos de erros referentes à maneira de integrar informações intra e extratextuais. Apesar dos erros serem estáveis em ambas as situações, a leitura interrompida propiciou tentativas de estabelecimento de inferências mais eficientes do que a leitura sem interrupções. Os resultados contribuem para um entendimento psicológico das dificuldades de compreensão textual no que concerne ao estabelecimento de inferências, podendo gerar implicações educacionais.
This study analyzed errors presented by children with difficulties in reading comprehension in two reading conditions. Children in Group 1 were asked to read a story with interruptions, and those in Group 2 had to read the same story without any interruptions whatsoever. After reading, the children answered questions about information of an inferential nature. Analysis of the answers led to the identification of four types of errors, regarding the way intra and extra-textual information is integrated. Although the errors were stable in both situations, the interrupted reading appears to favor attempts to establish inferences. The results contribute to a psychological understanding of the difficulties related to reading comprehension, specifically in the establishment of inferences, with possible educational implications.
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Humanos , Masculino , Femenino , Niño , Comprensión , LecturaRESUMEN
OBJECTIVE:To cut down the mistakes in PIVAS of our hospital in order to guarantee safe drug use of patients.METHODS:Various errors occurred in PIVAS of our hospital in 2008 were collected and analyzed.Relevant countermeasures were carried out then errors occurred in 2009 were compared statistically.RESULTS & CONCLUSIONS:Errors occurred in PIVAS of our hospital mainly were printing errors of label,shelf errors of drugs,dispensing errors and describing errors.The error rate was decreased from 0.016 1% in 2008 to 0.006 4% in 2009 and the safety of drug use was improved.