ABSTRACT
Tianjin is located in the Beijing-Tianjin-Hebei region. Recently, particulate matter pollution has received wide attention; therefore, studying the chemical composition and sources of particulate matter in the atmospheric environment is of great significance. To clarify the mixed state and possible sources of particulate matter in the summer ambient air in Tianjin, this study used single particle aerosol mass spectrometer (SPAMS) to collect 209887 samples. Particle size and complete spectrometry information were collected in July 2017. A total of 369 particle classes were obtained with respect to clustering particles with similarities in mass spectrometry characteristics using ART-2a. Then, according to the similarity in the chemical composition (mass spectrometry) of the categories, 19 particulate matter categories were artificially merged: K-EC (0.20%), K-EC-Sec (0.18%), K-NO3-PO3(12.00%), K-NO3-SiO3(2.98%), K-Sec (0.16%), EC (39.60%), EC-Sec (3.46%), EC-HM-Sec (3.93%), HEC (1.49%), HEC-Sec (1.38%), OC-Amine-Sec (3.58%), OC-Sec (0.36%), OCEC-Sec (0.71%), Dust-HEC (21.35%), Dust-Sec (0.72%), Cl-EC-NO3(1.22%), Na-Cl-NO3(3.20%), HM-Sec (2.58%), and PAH-Sec (0.90%). The obtained particle classes can be attributed to different sources of aerosol particles and different transmission and reaction processes. According to comprehensive analysis, the collected particle contribution sources were found to mainly include motor vehicle emission sources, biomass combustion sources, process sources, dust sources, and secondary processes. Among them, K-EC, EC, HEC, and Dust-HEC particles were mainly from direct emissions of primary sources. K-Sec, OC-Amine-Sec, OC-Sec, OCEC-Sec, Na-Cl-NO3, and PAH-Sec particles mainly undergo different degrees of aging or mixed with secondary components.
ABSTRACT
BACKGROUND: This study aims to discuss the application value of serum cystatin C (Cys C) in detecting early renal function injury in elderly patients with malignant tumors after chemotherapy. METHODS: The data at different chemotherapy time points (before chemotherapy, after two cycles of chemotherapy, and after four cycles of chemotherapy) were analyzed. RESULTS: Serum Cys C was significantly higher after chemotherapy than before chemotherapy in elderly patients with malignant tumors, and the endogenous creatinine clearance rate (CCr) significantly decreased. These were significantly correlated. However, there was no significant change in serum creatinine (SCr) and blood urea nitrogen (BUN). Cys C continued to increase with the prolonged time of chemotherapy. In addition, Cys C was sensitive for detecting renal impairment caused by platinum-based chemotherapy drugs. CONCLUSIONS: The diagnostic effect of Cys C on early renal function injury after chemotherapy in elderly patients with malignant tumors is better, when compared to traditional renal function test items, such as SCr, BUN and CCr.
ABSTRACT
OBJECTIVE: To investigate the clinical features and prognosis of bone metastases in colorectal cancer patients. METHODS: The clinical data of 104 cases of colorectal cancer with bone metastasis were collected and retrospectively analyzed. RESULTS: Among all the 104 patients included, 45 (43.3%) patients had multiple bone metastases, and 59 (56.7%) patients had single bone metastasis. Pelvis (46.1%) was the most common site, followed by thoracic vertebrae (41.3%), lumbar vertebrae (40.4%), sacral vertebrae (29.8%) and ribs (29.8%). One hundred and two patients (98.1%) were complicated with other organ metastases. The median time from colorectal cancer diagnosis to bone metastasis was 16 months, and the median time from bone metastasis to first skeletal-related events (SREs) was 1 month. The most common skeletal-related events (SREs) were the need for radiotherapy (44.2%), severe bone pain (15.4%) and pathologic fracture (9.6%). The median survival time of patients with bone metastases was 10.0 months, and 8.5 months for patients with SREs. ECOG score, systemic chemotherapy and bisphosphonate therapy were prognostic factors by univariate analysis (all P < 0.05). ECOG score and systemic chemotherapy were independent prognostic factors by Cox multivariate analysis. CONCLUSIONS: Bone metastasis in colorectal cancer patients has a poor prognosis and the use of chemotherapy and bisphosphonates may have a benefit for their survival.
