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不同抗肿瘤治疗方案对肺癌患者新型冠状病毒感染后肺炎发生及严重程度的影响:一项单中心回顾性研究
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作者 陆婉君 吕嘉文 +11 位作者 王琴 姚艳雯 王栋 陈佳妍 吴冠楠 顾晓凌 李慧娟 陈亚娟 韩贺东 吕镗烽 宋勇 展平 《中国肺癌杂志》 CAS CSCD 北大核心 2023年第6期429-438,共10页
背景与目的与健康人群相比,肺癌患者新型冠状病毒感染(corona virus disease 2019,COVID-19)的发生率及严重性会增加。目前肺癌的主要治疗方案包括手术、免疫治疗、化疗、放疗、靶向治疗以及抗血管生成治疗,不同抗肿瘤治疗方案对COVID-1... 背景与目的与健康人群相比,肺癌患者新型冠状病毒感染(corona virus disease 2019,COVID-19)的发生率及严重性会增加。目前肺癌的主要治疗方案包括手术、免疫治疗、化疗、放疗、靶向治疗以及抗血管生成治疗,不同抗肿瘤治疗方案对COVID-19的发生及严重性的影响结论尚不统一。本研究旨在探究半年内各种抗肿瘤治疗方案(化疗、靶向治疗、抗血管生成治疗、放疗、免疫治疗和外科手术)是否影响COVID-19后肺炎(以下简称新冠肺炎)的发生率及严重程度。方法我们对2022年12月1日-2023年2月15日南京大学附属金陵医院收治的COVID-19且病理确诊为肺恶性肿瘤的217例患者进行了回顾性研究。收集患者临床特征、6个月内抗肿瘤治疗方案以及COVID-19诊断、治疗及转归的数据。通过单因素和多因素Logistic回归分析影响新冠肺炎及影响其严重性的危险因素。结果(1)纳入的217例患者中,共51例(23.5%)发生新冠肺炎,其中临床分级为中型42例(82.4%),重型及危重型9例(17.6%);(2)通过单因素及多因素分析发现超重(OR=2.405,95%CI:1.095-5.286)以及肺内病灶放疗(OR=2.977,95%CI:1.071-8.274)是影响新冠肺炎发生的危险因素,而全身化疗、靶向治疗以及免疫治疗并不会导致新冠肺炎发生率的增加;(3)在严重程度影响因素的分析中,除了既往有慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)病史(OR=7.600,95%CI:1.430-40.387)是重症新冠肺炎的危险因素外,肺内病灶放疗、化疗、靶向治疗以及免疫治疗均不会增加其严重程度。结论半年内行肺内病灶放疗导致肺恶性肿瘤患者新冠肺炎的发生率增加,但也并没有增加其严重性,而化疗、靶向治疗、手术和免疫治疗并未导致肺炎的发生及其严重性的增加。 展开更多
关键词 肺肿瘤 新型冠状病毒感染 抗肿瘤治疗
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Distribution of chromophytic phytoplankton in the Western Subarctic Gyre of Pacific Ocean revealed by morphological observation and rbc L gene sequences
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作者 Tao JIANG Xiaohan QIN +7 位作者 guannan wu Huaxian ZHAO Xiaotao YU Xueyan XIAO Wenjing LIU Qingjing HU Jufa CHEN Nan LI 《Journal of Oceanology and Limnology》 SCIE CAS CSCD 2023年第6期2166-2179,共14页
Western Subarctic Gyre(WSG),which possesses distinctive differences in oceanographic and biogeochemical processes,is situated in the northwest subarctic Pacific.The WSG is characterized by high nutrient and low chloro... Western Subarctic Gyre(WSG),which possesses distinctive differences in oceanographic and biogeochemical processes,is situated in the northwest subarctic Pacific.The WSG is characterized by high nutrient and low chlorophyll.We carried out a field investigation in this area in summer 2020 and performed microscopic observation,cytometric counting,and RuBisCO large subunit(rbc L)gene analysis to understand the community structure and spatial distribution of chromophytic phytoplankton better.Microscopic method revealed that total phytoplankton(>10μm,including Bacillariophyta,Dinoflagellata,Ochrophyta,and Chlorophyta)abundances ranged(0.6×10^(3))-(167.4×10^(3))cells/L with an increasing trend from south to north.Dinoflagellates and Pennatae diatoms dominated the phytoplankton assemblages in the southern and northern stations,respectively.Major chromophytic phytoplankton groups derived from rbc L genes included Haptophyta,Ochrophyta,Bacillariophyta,as well as rarely occurring groups,such as Xanthophyta,Cyanobacteria,Dinoflagellata,Rhodophyta,and Cryptophyta.At the phylum level,Haptophyta was the most abundant phylum,accounting for approximately 30.80%of the total obtained operational taxonomic units in all samples.Ochrophyta and Bacillariophyta were the second and third most abundant phylum,and their relative abundance was 20.26% and 19.60%,respectively.Further,redundancy analysis showed that high proportion of diatoms(e.g.,microscopic and rbc L methods)was positively correlated with nutrients(e.g.,dissolved inorganic nitrogen(DIN),dissolved inorganic phosphorous,and dissolved silicate(DSi))and negatively correlated with temperature and salinity.The proportion of Ochrophyta,Rhodophyta,and Cyanobateria identified by rbc L genes was positively correlated with salinity and temperature and showed negative correlation to nutrients.This work is the first molecular study of phytoplankton accomplished in the WSG,and our results show some discrepancies between morphological observation and rbc L gene sequences,which highlight the necessity of combining the microscopic and molecular methods to reveal the diversity of phytoplankton in marine environment. 展开更多
关键词 flow cytometry microscopic counting PHYTOPLANKTON rbc L Western Subarctic Gyre
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