ABSTRACT
BACKGROUND: This retrospective study examined outcomes in esophageal squamous cell carcinoma (ESCC) patients who did not undergo surgical resection after neoadjuvant chemoradiotherapy (nCRT). METHODS: Patients receiving nCRT between 2012 and 2020 were divided into two groups: group 1 (scheduled surgery) and group 2 (no surgery). Group 2 was further categorized into subgroups based on reasons for not proceeding to surgery: group 2a (disease progression), group 2b (poor general conditions), and group 2c (patient refusal). Overall survival (OS) was the primary outcome. RESULTS: Group 1 comprised 145 patients, while subgroups 2a, 2b, and 2c comprised 24, 16, and 31 patients, respectively. The 3-year OS rate was significantly lower in group 2 compared with group 1 (34% versus 56%, p < 0.001). A subgroup analysis showed varying 3-year OS rates: 13% for group 2a, 25% for group 2b, and 58% for group 2c (p < 0.001). Propensity score matching for group 2c and group 1 revealed no significant difference in 3-year OS rates (p = 0.91). CONCLUSION: One-third of ESCC patients receiving nCRT did not undergo surgical resection. Overall survival in this group was generally poorer, except for those who refused surgery (group 2c).
ABSTRACT
Two chromophoric congeners derived from indenoquinoxaline and oxadiazole are designed, synthesized and characterized for their multi-photon properties in the femtosecond time domain. These two model structures are experimentally found to exhibit strong and widely distributed two- and three-photon activities within the spectral range of 680-1500 nm and the larger congener manifests maximum two- and three-photon absorption cross-section values of 2120 GM (at 750 nm) and â¼85 × 10-80 cm6 s2 (at 1280 nm), respectively. Both two- and three-photon absorption-based optical power-limiting performance of a representative model compound are also evaluated and demonstrated.
ABSTRACT
The purpose of this article is to promote two simple and scalable methods to accelerate the formulation development of formulated granules using acetaminophen as a model system. In method I, formulated granules made from the batch of small particle-sized acetaminophen (1) by ball milling the batch of large particle-sized acetaminophen (2), and the mixture of the two batches at equal weights (mix) gave the dissolution rate constants (k) of k(1) = 0.43 +/- 0.15 minutes(-1), k(2) = 0.18 +/- 0.01 minutes(-1), and k(mix) = 0.30 +/- 0.03 minutes(-1) for 75 wt percent formulation; k(1) = 0.75 +/- 0.01 minutes(-1), k(2) = 0.18 +/- 0.01 minutes(-1), and k(mix) = 0.34 +/- 0.03 minutes(-1) for 62 wt percent formulation; and k(1) = 0.28 +/- 0.01 minutes(-1), k(2) = 0.16 +/- 0.01 minutes(-1), and k(mix) = 0.22 +/- 0.02 minutes(-1) for 30 wt percent formulation. In method II, the mixture of the formulated granules produced by mixing the formulated granules from the two batches at equal weights gave dissolution rate constants of k(mix) = 0.30 +/- 0.03 minutes(-1), 0.30 +/- 0.02 minutes(-1), and 0.22 +/- 0.01 minutes(-1) for 75 wt percent, 62 wt percent, and 30 wt percent formulations, respectively. After fitting the three data points of k(1), k(2), and k(mix) to the 10 mixing rules in materials science--series mixing rule, Hashin and Shtrikman upper bound, logarithmic mixing, Looyenga mixing rule, effective media approximation (EMA), three-point lower bound, Torquato approximation, three-point upper bound, Maxwell mixing rule, and parallel mixing rule--we found that the selection of the best suited mixing rules based on k(1), k(2), and k(mix) was solely dependent on the formulations under a given operating condition and regardless of whether the system was a powder mixture or a granular mixture. The values of k(1), k(2), and k(mix) in both the 75 wt percent and 30 wt percent formulations were enveloped by the parallel mixing rule and Maxwell mixing rule, whereas the values of k(1), k(2), and k(mix) for the 62 wt percent formulation were encompassed by the logarithmic mixing rule, Hashin and Shtrikman upper bound, and the series mixing rule. Apparently, the best suited mixing rules could be used to predict the right proportions of either the powder mixture (Method I) or the granular mixture (Method II) for obtaining any other desired dissolution rate constant, k(mix), whose value fell in between the values of k(1) and k(2).
