CD3AK细胞两种输入方法的不良反应观察

目的探讨减少CD3AK细胞输入不良反应的最佳技术操作方法。方法将62例接受CD3AK细胞输入治疗的慢性乙型肝炎患者分为两组:用CD3AK细胞输入与白介素-2混合静脉输入的15例患者为混合输入组,采用CD3AK细胞、白介素-2分别单独静脉输入的47例患者为分开输入组,观察两组输入反应情况。结果两组头痛、发热、畏寒的发生率,经统计学处理,有显著性差异(P<0.01)。结论取CD3AK细胞、白介素-2加入生理盐水分别单独输入的方法,可减轻患者不良反应,顺利完成疗程,达到预期的治疗效果。     

Human blood cells at microgravity: the NASA Initial Blood Storage Experiment

The Initial Blood Storage Experiment (IBSE) probed the behavior of human red cells, white cells, and platelets during exposure to microgravity for 6 days and 2 hours on a National Aeronautics and Space Administration (NASA) shuttle mission, named STS 61-C, which was launched on January 12, 1986. IBSE involved carefully controlled comparisons between two identical sets of blood cells, one exposed to microgravity and the other held on the ground. Specially designed and fabricated, electrically powered environmental chambers provided appropriate environmental temperatures and air flow to support cell metabolism throughout the experiment. To circumvent the need for constant agitation of platelets during storage, a new thin-layer compression method for platelet preservation was developed. Blood cell samples were allocated to the two arms of the experiment, microgravity and earth gravity, by blind assignment. Moreover, to ensure unbiased assessment of the experiment's findings, postexperiment samples for measurement were identified by code. To optimize the chances of detecting possible gravitational effects, a wide array of measurements of cellular function, morphology, metabolism, and immunology were made. Analysis of variance was used in analyzing the data. The most striking finding was that platelets displayed markedly superior structural and functional integrity at microgravity. Granulocytes held on the ground were preserved slightly better than those that orbited in the shuttle, whereas red cells displayed few effects that were attributable to the gravitational variable. Polyvinylchloride-di-(2-ethylhexyl)phthalate (PVC-DEHP) was the plastic of choice for storage of red cells, while PVC-trioctyltrimellitate (TOTM) was superior to PVC-DEHP and polyolefin (PO) for platelets.     

Classification of Genes: Standardized Clinical Validity Assessment of Gene–Disease Associations Aids Diagnostic Exome Analysis and Reclassifications

Ascertaining a diagnosis through exome sequencing can provide potential benefits to patients, insurance companies, and the healthcare system. Yet, as diagnostic sequencing is increasingly employed, vast amounts of human genetic data are produced that need careful curation. We discuss methods for accurately assessing the clinical validity of gene–disease relationships to interpret new research findings in a clinical context and increase the diagnostic rate. The specifics of a gene–disease scoring system adapted for use in a clinical laboratory are described. In turn, clinical validity scoring of gene–disease relationships can inform exome reporting for the identification of new or the upgrade of previous, clinically relevant gene findings. Our retrospective analysis of all reclassification reports from the first 4 years of diagnostic exome sequencing showed that 78% were due to new gene–disease discoveries published in the literature. Among all exome positive/likely positive findings in characterized genes, 32% were in genetic etiologies that were discovered after 2010. Our data underscore the importance and benefits of active and up‐to‐date curation of a gene–disease database combined with critical clinical validity scoring and proactive reanalysis in the clinical genomics era.     

Oxone promoted dehydrogenative Povarov cyclization of N-aryl glycine derivatives: an approach towards quinoline fused lactones and lactams

Oxone promoted intramolecular dehydrogenative imino Diels–Alder reaction (Povarov cyclization) of alkyne tethered N-aryl glycine esters and amides has been explored, thus affording biologically significant quinoline fused lactones and lactams. The reaction is simple, scalable, and high yielding (up to 88%). The method was further extended to prepare biologically important luotonin-A analogues and the quinoline core of uncialamycin.

Oxone promoted intramolecular dehydrogenative imino Diels–Alder reaction (Povarov cyclization) of alkyne tethered N-aryl glycine esters and amides has been explored, thus affording biologically significant quinoline fused lactones and lactams.     

Correction: Photoelectrochemical study of carbon-modified p-type Cu2O nanoneedles and n-type TiO2−x nanorods for Z-scheme solar water splitting in a tandem cell configuration

Correction for ‘Photoelectrochemical study of carbon-modified p-type Cu₂O nanoneedles and n-type TiO_2−x nanorods for Z-scheme solar water splitting in a tandem cell configuration’ by Nelly Kaneza et al., RSC Adv., 2019, 9, 13576–13585.

The authors regret that eqn (3) is shown incorrectly in the original article. The correct equation is shown here.3The Royal Society of Chemistry apologises for these errors and any consequent inconvenience to authors and readers.     

Curative to Palliative Care-Transition and Communication Issues: Surgeons Perspective

Transition of a cancer patient from curative to palliative stage is one of the most difficult and challenging phases of cancer care both from patient and physician point of view. Most of the time the treating surgeons are expected to facilitate this transition but due to a number of reasons surgeons often fail to fulfill this crucial responsibility. This article highlights the various issues involved in the transition phase from a surgeons perspective.     

Repeatability of parametric methods for [18F]florbetapir imaging in Alzheimer’s disease and healthy controls: A test–retest study

Accumulation of amyloid beta (Aβ) is one of the pathological hallmarks of Alzheimer’s disease (AD), which can be visualized using [¹⁸F]florbetapir positron emission tomography (PET). The aim of this study was to evaluate various parametric methods and to assess their test-retest (TRT) reliability. Two 90 min dynamic [¹⁸F]florbetapir PET scans, including arterial sampling, were acquired (n = 8 AD patient, n = 8 controls). The following parametric methods were used; (reference:cerebellum); Logan and spectral analysis (SA), receptor parametric mapping (RPM), simplified reference tissue model2 (SRTM2), reference Logan (rLogan) and standardized uptake value ratios (SUV_r(50–70)). BP_ND+1, DVR, V_T and SUVr were compared with corresponding estimates (V_T or DVR) from the plasma input reversible two tissue compartmental (2T4k_V_B) model with corresponding TRT values for 90-scan duration. RPM (r² = 0.92; slope = 0.91), Logan (r² = 0.95; slope = 0.84) and rLogan (r² = 0.94; slope = 0.88), and SRTM2 (r² = 0.91; slope = 0.83), SA (r² = 0.91; slope = 0.88), SUVr (r² = 0.84; slope = 1.16) correlated well with their 2T4k_V_B counterparts. RPM (controls: 1%, AD: 3%), rLogan (controls: 1%, AD: 3%) and SUV_r(50–70) (controls: 3%, AD: 8%) showed an excellent TRT reliability. In conclusion, most parametric methods showed excellent performance for [¹⁸F]florbetapir, but RPM and rLogan seem the methods of choice, combining the highest accuracy and best TRT reliability.