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World Journal of Gastroenterology 2010年第25期16卷 3103-3111页

作者： Luis Bujanda Angel Cosme ines gil Juan I Arenas-Mirave Department of Gastroenterology Donostia Hospital Uni-versity of Basque Country Centro de Investigación Biomédica en Enfermedades Hepáticas y Digestivas 20010 San Sebastián Guipúzcoa Spain University of Basque Country Centro de Investigación Biomédica en Enfermedades Hepáticas y Digestivas 20010 San Sebastián Guipúzcoa Spain

Nowadays, the number of cases in which malignant colorectal polyps are removed is increasing due to colorectal cancer screening programmes. Cancerous polyps are classified into non-invasive high grade neoplasia (NHGN), when the cancer has not reached the muscularis mucosa, and malignant polyps, classed as T1, when they have invaded the submucosa. NHGN is considered cured with polypectomy, while the prognosis for malignant polyps depends on various morphological and histological factors. The prognostic factors include, sessile or pedunculated morphology of the polyp, whether partial or en bloc resection is carried out, the degree of differentiation of the carcinoma, vascular or lymphatic involvement, and whether the polypectomy resection margin is tumor free. A malignant polyp at T1 is considered cured with polypectomy ifit is a pedunculated polyp (Ip of the Paris classification), it has been completely resected, it is not poorly differentiated, the resection edge is not affected by the tumor and there is no vascular or lymphatic involvement. The sessile malignant polyp (Is of the Paris classification) at T1 is considered not cured with polypectomy. Only in some cases (e.g. older people with high surgical risk) local excision(polypectomy or endoscopic submucosal dissection or conventional endoscopic mucosal resection) is considered the definitive treatment.

关键词： Favourable histology Follow-up Malignant polyps Non-invasive high grade neoplasia Treatment

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Colorectal cancer prognosis twenty years later

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World Journal of Gastroenterology 2010年第7期16卷 862-867页

作者： Luis Bujanda Cristina Sarasqueta Elisabeth Hijona Lander Hijona Angel Cosme ines gil Jose Luis Elorza Jose I Asensio Santiago Larburu José M Enríquez-Navascués Rodrigo Jover Francesc Balaguer Xavier Llor Xavier Bessa Montserrat Andreu Artemio Paya Antoni Castells Gastrointestinal Oncology Group of the Spanish Gastroenterological Association Department of Gastroenterology Donostia HospitalUniversity of Basque CountryCentro de Investigación Biomédica en Enfermedades Hepáticas y Digestivas(CIBEREHD)20014 San SebastiánSpain Department of Epidemiology Donostia HospitalCIBERESP20014 San SebastiánSpain Department of Surgery Donostia Hospital20014 San SebastiánSpain Department of Gastroenterology General Hospital Department of Gastroenterology Clinic HospitalCIBEREHDIDIBAPS08036 BarcelonaSpain Digestive Diseases and Nutrition Secion University of IllinoisChicagoIL 60607United States Department of Gastroenterology Del Mar Hospital08003 BarcelonaSpain Department of Gastroenterology General Hospital 03010 AlicanteSpain

AIM:To evaluate changes in colorectal cancer(CRC) survival over the last 20 ***:We compared two groups of consecutive CRC patients that were prospectively recruited:Group Ⅰincluded 1990 patients diagnosed between 1980 and ***Ⅱincluded 871 patients diagnosed in ***:The average follow up time was 21 mo(1-229)for GroupⅠand 50 mo(1-73.4)for GroupⅡ.Overall median survival was significantly longer in Group Ⅱthan in GroupⅠ(73 mo vs 25 mo,P<0.001)and the difference was significant for all tumor *** surgical mortality was 8% for GroupⅠand 2% for Group Ⅱ(P<0.001).Only 17% of GroupⅠpatients received chemotherapy compared with 50% of GroupⅡpatients(P<0.001).CONCLUSION:Survival in colorectal cancer patients has doubled over the past 20 *** increase seems to be partly due to the generalization in the administration of chemotherapy and to the decrease of post surgical mortality.

关键词： Colon cancer Prognosis Survival Chemotherapy Surgery

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The Evaluation of Polyethylene/Clay Composite from Solid State NMR

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Materials Sciences and Applications 2011年第5期2卷 453-457页

作者： Regina F.Nogueira Maria ines B.Tavares Rosane A.S.San gil Antonio G.Ferreira Departamento de Quimica Universidade Federal de Sao CarlosSao CarlosBrasil Laboratorio de Nanocompositos Polimericos Instituto de Macromoleculas Professora Eloisa Mano da Universidade Federal do Rio de JaneiroRio de JaneiroBrasil Departamento de Quimica Organica da Universidade Federal do Rio de JaneiroRio de JaneiroBrasil

Polymeric nanocomposites based on polyethylene (PE) and Brazilian natural montmorillonite clay (MN) were obtained by melt processing, using a twin-screw extruder. The main objective of this work is focusing on the characterization of composites materials by solid-state nuclear magnetic resonance (NMR). The solid-state NMR measurements were used to observe both polymer matrix (through carbon-13 and hydrogen nuclei) and the clay (silicon-29 and aluminum-27). The polymer matrix analyses were carried out applying solid state techniques, such as: cross-polarization magic angle spinning (CPMAS), variable contact time (VCT) and by the proton spin-lattice relaxation time in the rotating frame parameter (T1ρH), detected from the resolved carbon-13 decay of the VCT experiment and through the determination of spin-lattice relaxation time, T1H (using low field NMR). The clay was analyzed by 29Si and 27Al, employing MAS NMR technique. From those techniques we can have principally response on clay dispersion in the polyethylene matrix, as well as the interactions between both components in the nanostructured material. The T1H response was an important result which showed, that the materials formed, presented different molecular domains (according to the domain size that varied from 25 to 50 nm, measured by relaxation), considering the clay dispersion mode in terms of intercalation and/or exfoliation in the polymer matrix.

关键词： NMR Polymer Polyethylene Clay Montmorillonite

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