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This study investigated the feasibility of combining natural ventilation and animal disturbance in constructed wetlands (CWs) and the joint effects on oxygen transfer, microbial activity, organics, and nitrogen removal. The results showed that natural ventilation extended the habitat depth of earthworms by approximately 10 cm by significantly improving oxygen transfer in CWs; in turn, the earthworms slightly promoted the addition of oxygen inside CWs through burrowing activity. Therefore, the interaction between natural ventilation and animal disturbance in CWs mutually reinforced oxygen transfer, enzymatic activity, and the ammonification, nitrification, and aerobic degradation of organics. Additionally, the combination of natural ventilation and animal disturbance in CWs promoted the oxygen transfer rate by 42.1%-68.2%; promoted catalase, urease, and dehydrogenase activity by 19.3%-24.8%, 17.4%-22.3%, and 18.1%-25.6%, respectively; and promoted COD and NH3-N removal loads by 48.6%-74.2% and 94.9%-135.3%, respectively. To achieve higher total nitrogen removal, moderate wind speeds (≤1 m/s in this study) are recommended to simultaneously create aerobic and anoxic/anaerobic conditions. Although natural ventilation reduced the microbial diversity in CWs by promoting the abundance of aerobes, the combination of natural ventilation and animal disturbance was generally conducive to improving microbial diversity. this website The relationship between wind speed and oxygen transfer rate and COD and NH3-N removal loads in naturally ventilated CWs conformed to cubic equations.
This is the first randomised study to evaluate toxicity and survival outcomes of two neoadjuvant chemoradiotherapy (CRT) regimens for patients with localised oesophageal adenocarcinoma (OAC) or gastro-oesophageal junction (GOJ) adenocarcinoma. The initial results showed comparable toxicity between regimens and pathological complete response (pCR) rate favouring CarPacRT. Herein, we report survival, progression patterns, and long-term toxicity after a median follow-up of 40.7 months.
NeoSCOPE was an open-label, UK multicentre, randomised, phase II trial. Eighty-five patients with resectable OAC or GOJ adenocarcinoma, ≥cT3 and/or ≥cN1 (TNM v7), suitable for neoadjuvant CRT, were recruited between October 2013 and February 2015. Patients were randomised to OxCapRT (oxaliplatin 85mg/m
on Days 1, 15, and 29; capecitabine 625mg/m
orally twice daily on days of radiotherapy [RT]) or CarPacRT (carboplatin AUC2; paclitaxel 50mg/m
on Days 1, 8, 15, 22, and 29). RT dose was 45Gy/25 fractions/5 weeks. Both arms sing the systemic treatment component.
EudraCT Number 2012-000640-10; ClinicalTrials.gov NCT01843829.
EudraCT Number 2012-000640-10; ClinicalTrials.gov NCT01843829.
This phase 1 study evaluated safety, pharmacokinetics (PK), maximum tolerated dose (MTD), and antitumour activity of regorafenib in paediatric patients with solid tumours.
Patients (aged 6 months to <18 years) with recurrent/refractory solid tumours received oral regorafenib once daily for 3 weeks on/1 week off. The starting dose (60mg/m
) was derived from an adult physiology-based PK model and scaled to children; dose escalation was followed by safety expansion of the MTD cohort. Treatment-emergent adverse events (TEAEs) were evaluated using National Cancer Institute Common Terminology Criteria for Adverse Eventsversion 4.0. Regorafenib PK was evaluated using a population PK model.
Forty-one patients (median age 13 years) received regorafenib (four cohorts 60-93mg/m
). Five of 23 evaluable patients experienced dose-limiting toxicities (Grade 4 thrombocytopenia, Grade 3 maculopapular rash, pyrexia, hypertension, and exfoliative dermatitis [each n=1]). The MTD was defined as 82mg/m
. The most common Grade ≥3 drug-related TEAE was thrombocytopenia (10%). The incidence and severity of hypertension, diarrhoea, fatigue, hypothyroidism, and hand-foot skin reactionwere lower than reported in adults. Regorafenib exposure increased with dose, with substantial overlap because of moderate-to-high interpatient variability. One patient with rhabdomyosarcoma experienced an unconfirmed partial response; 15 patients had stable disease, five for >16 weeks.
The recommended phase 2 dose of single-agent regorafenib in paediatric patients with solid malignancies is 82mg/m
. Regorafenib demonstrated acceptable tolerability and preliminary antitumour activity, supporting further investigation in paediatric patients.
NCT02085148.
NCT02085148.
Research among adults has rarely differentiated between tonic irritability (i.e., irritable mood) and phasic irritability (i.e., aggressive outbursts) with respect to multiple dimensions of depression. The current study explored both tonic and phasic irritability in relation to depression severity, depression chronicity, age of depression onset, individual depressive symptom, and depression subtypes.
The study included participants (N=5692) from the National Comorbidity Survey - Replication (NCS-R) part two. The NCS-R used lay-administered, fully standardized diagnostic interviews. The current study implemented linear models, generalized linear models, Cox proportional hazard model, and latent class regression.
Both types of irritability were significantly associated with greater risk for MDD diagnosis, as well as risk for having at least one depressive symptom, early MDE onset, and MDE chronicity. Both phasic and tonic irritability were associated with greater odds of specific depressive symptoms and were differentially related to distinct depressive symptom constellations. Phasic irritability related only to severe depression. Lastly, both phasic and tonic irritability was associated with suicidal ideation, but only phasic irritability was associated with a suicide plan and attempt, above and beyond depression subtypes.
Both phasic and tonic irritability differentially related to almost all aspects of depression in adults. Specifically, tonic irritability showed overall stronger associations with various depressive features, whereas phasic irritability marked higher depressive severity.
Both phasic and tonic irritability differentially related to almost all aspects of depression in adults. Specifically, tonic irritability showed overall stronger associations with various depressive features, whereas phasic irritability marked higher depressive severity.
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