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Neoadjuvant-intensified treatment for rectal cancer:Time to change?

World Journal of Gastroenterology 2013年第20期19卷 3052-3061页

作者： Daniela Musio Francesca De Felice Nadia Bulzonetti Roberta Guarnaccia Rossella Caiazzo Caterina Bangrazi nicola raffetto Vincenzo Tombolini Department of Radiotherapy Policlinico Umberto I University of Rome "Sapienza"00161 RomeItaly

AIM:To investigate whether neoadjuvant-intensified radiochemotherapy improved overall and disease-free survival in patients with locally advanced rectal ***:Between January 2007 and December 2011,80 patients with histologically confirmed rectal adenocarcinoma were *** were clinically classified as either T3 or T4 and by the N stage based on the presence or absence of positive regional lymph *** received intensified combined modality treatment,consisting of neoadjuvant radiation therapy(50.4-54.0 Gy) and infusional chemotherapy(oxaliplatin 50 mg/m 2) on the first day of each week,plus five daily continuous infusions of fluorouracil(200 mg/m 2 per die) from the first day of radiation therapy until radiotherapy *** received five or six cycles of oxaliplatin based on performance status,clinical lymph node involvement,and potential risk of a non-sphincter-conserving surgical *** was planned 7 to 9 wk after the end of radiochemotherapy treatment;adjuvant chemotherapy treatment was left to the oncologist's discretion and was recommended in patients with positive lymph *** treatment,all patients were monitored every three months for the first year and every six months for the subsequent ***:Of the 80 patients enrolled,75 patients completed the programmed neoadjuvant radiochemotherapy *** patients received the radiotherapy prescribed total dose;five patients suspended chemotherapy indefinitely because of chemotherapyrelated *** least five cycles of oxaliplatin were administered to 73 *** was well tolerated with high compliance and a good level of *** of the acute toxic effects observed were classified as grades *** grade 2 was the most common symptom(63.75%) and the earliest manifestation of acute *** toxicity grades 3-4 was reported in 30% of patients and grade 3 or 4 diarrhoea reported in just three patients(3.75%).Seventy-seven

关键词： Rectal cancer Neoadjuvant treatment Intensified radiochemotherapy Oxaliplatin Fluorouracil

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Chemoradiation as definitive treatment for primary squamous cell cancer of the rectum

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World Journal of Radiology 2010年第8期2卷 329-333页

作者： Eva Iannacone Francesco Dionisi Daniela Musio Rossella Caiazzo nicola raffetto Enzo Banelli Department of Radiation Oncology "University Sapienza"00161RomeItaly Radiotherapy Unit Niguarda Cà Granda Hospital20162MilanItaly Department of Radiation Oncology ""University Sapienza"00161RomeItaly

In this report,we present a case of advanced squamous cell cancer located in the rectum of a 78-year-old woman treated with chemoradiation with curative *** patient showed a complete clinical response to chemoradiation;multiple biopsies were performed at the site of the previous mass 5 mo after the end of treatment and histological examination showed no residual tumour in the *** intervention was avoided and the patient was free of disease 12 mo after the diagnosis of *** chemoradiation should be considered as the treatment of choice for this rare malignancy.

关键词： Squamous cell carcinoma Chemoradiation Non operative management

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Dihydropyrimidine dehydrogenase polymorphisms in patients with gastrointestinal malignancies and their impact on fluoropyrimidine tolerability: Experience from a single Italian institution

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World Journal of Gastrointestinal Oncology 2025年第1期17卷 101-109页

作者： Mariarosaria D'Amato Gennaro Iengo nicola Massa Chiara Carlomagno Department of Oncology Ospedale San Rocco ASL CasertaSessa Aurunca 81037CampaniaItaly Department of Clinical Medicine and Surgery University of Naples Federico IINaples 80131CampaniaItaly

BACKGROUND Fluoropyrimidines are metabolized in the liver by the enzyme dihydropyrimidine dehydrogenase(DPD),encoded by the DPYD *** 7%of the European population is a carrier of DPYD gene polymorphisms associated with reduced DPD enzyme *** To assess the prevalence of DPYD polymorphisms and their impact on fluoropyrimidine tolerability in Italian patients with gastrointestinal *** A total of 300 consecutive patients with a diagnosis of gastrointestinal malignancy and treated with a fluoropyrimidine-based regimen were included in the analysis and divided into two cohorts:(1)149 patients who started fluoropyrimidines after DPYD testing;and(2)151 patients treated without DPYD *** the patients in cohort A,15%tested only the DPYD2A polymorphism,19%tested four polymorphisms(DPYD2A,HapB3,c.2846A>T,and DPYD13),and 66%tested five polymorphisms including *** Overall,14.8%of patients were found to be carriers of a DPYD variant,the most common being DPYD6(12.1%).Patients in cohort A reported≥G3 toxicities(P=0.00098),particularly fewer nonhematological toxicities(P=0.0028)compared with cohort B,whereas there was no statistically significant difference between the two cohorts in hematological toxicities(P=0.6944).Significantly fewer chemotherapy dose reductions(P=0.00002)were observed in cohort A compared to cohort B,whereas there was no statistically significant differences in chemotherapy *** Although this study had a limited sample size,it provides additional information on the prevalence of DPYD polymorphisms in the Italian population and highlights the role of pharmacogenetic testing to prevent severe toxicity.

关键词： Dihydropyrimidine dehydrogenase DPYD polymorphisms Fluoropyrimidine Caucasian population Gastrointestinal cancers

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Empirical assessment of the role of the Sun in climate change using balanced multi-proxy solar records

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Geoscience Frontiers 2023年第6期14卷 191-209页

作者： nicola Scafetta Department of Earth Sciences Environment and GeoresourcesUniversity of Naples Federico IIComplesso Universitario di Monte S.Angelovia Cinthia21Naples 80126Italy

The role of the Sun in climate change is hotly *** studies suggest its impact is significant,while others suggest it is *** Intergovernmental Panel on Climate Change(IPCC)supports the latter view and suggests that nearly 100%of the observed surface warming from 1850–1900 to 2020 is due to anthropogenic ***,the IPCC’s conclusions are based solely on computer simulations made with global climate models(GCMs)forced with a total solar irradiance(TSI)record showing a low multi-decadal and secular *** same models also assume that the Sun affects the climate system only through radiative forcing–such as TSI–even though the climate could also be affected by other solar *** this paper I propose three“balanced”multi-proxy models of total solar activity(TSA)that consider all main solar proxies proposed in scientific *** optimal signature on global and sea surface temperature records is assessed together with those produced by the anthropogenic and volcanic radiative forcing functions adopted by the CMIP6 *** is done by using a basic energy balance model calibrated with a differential multi-linear regression methodology,which allows the climate system to respond to the solar input differently than to radiative forcings alone,and to evaluate the climate’s characteristic time-response as *** proposed methodology reproduces the results of the CMIP6 GCMs when their original forcing functions are applied under similar physical conditions,indicating that,in such a scenario,the likely range of the equilibrium climate sensitivity(ECS)could be 1.4℃to 2.8℃,with a mean of 2.1℃(using the HadCRUT5 temperature record),which is compatible with the low-ECS CMIP6 GCM ***,if the proposed solar records are used as TSA proxies and the climatic sensitivity to them is allowed to differ from the climatic sensitivity to radiative forcings,a much greater solar impact on climate change is found,along with a significant

关键词： Solar activity changes Solar variability climatic impact Global climate change and modeling Equilibrium climate sensitivity

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Impacts and risks of“realistic”global warming projections for the 21st century

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Geoscience Frontiers 2024年第2期15卷 392-416页

作者： nicola Scafetta Department of Earth Sciences Environment and GeoresourcesUniversity of Naples Federico IIComplesso Universitario di Monte S.AngeloVia Vicinale Cupa Cintia2180126 NaplesNAItaly

The IPCC AR6 assessment of the impacts and risks associated with projected climate changes for the 21st century is both alarming and *** to computer projections,global surface temperature may warm from 1.3℃to 8.0℃by 2100,depending on the global climate model(GCM)and the shared socioeconomic pathway(SSP)scenario used for the *** climate-change hazards are estimated to be high and very high if the global surface temperature rises,respectively,more than 2.0℃and 3.0℃above pre-industrial *** studies,however,showed that a substantial number of CMIP6 GCMs run“too hot”because they appear to be too sensitive to radiative forcing,and that the high/extreme emission scenarios SSP3-7.0 and SSP5-8.5 are to be rejected because judged to be unlikely and highly unlikely,***,the IPCC AR6 mostly focused on such alarmistic scenarios for risk *** paper examines the impacts and risks of“realistic”climate change projections for the 21st century generated by assessing the theoretical models and integrating them with the existing empirical knowledge on global warming and the various natural cycles of climate change that have been recorded by a variety of scientists and *** is achieved by combining the SSP2-4.5 scenario(which is the most likely SSP according to the current policies reported by the International Energy Agency)and empirically optimized climate *** to recent research,the GCM macro-ensemble that best hindcast the global surface warming observed from 1980 to 1990 to 2012–2022 should be made up of models that are characterized by a low equilibrium climate sensitivity(ECS)(1.5℃

关键词： Climate change Climate models Shared socioeconomic pathways 21st-century climate projections Impacts and risks assessment

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Effect of template shape on metal nanoimprinting:a dislocation dynamics study

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Journal of Zhejiang University-Science A(Applied Physics & Engineering) 2010年第10期11卷 722-726页

作者： Lucia nicola Department of Materials Science and Engineering Delft University of Technology

Dislocation dynamics simulations are performed to investigate the effect of template shape on the nanoimprinting of metal layers. To this end, metal thin films are imprinted by a rigid template made of an array of equispaced indenters of various shapes, i.e., rectangular, wedge, and circular. The geometry of the indenters is chosen such that the contact area is approximately the same at the final imprinting depth. Results show that, for all template shapes, the final patterns strongly depend on the dislocation activity, and that each imprint differs from the neighboring ones. Large material pile ups appear between the imprints, such that polishing of the metal layer is suggested for application of the patterns in electronics. Rectangular indenters require the lowest imprinting force and achieve the deepest retained imprints.

关键词： Nanoimprinting Dislocation dynamics Simulations

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Production of metallic iron nanoparticles in a baffled stirred tank reactor: Optimization via computational fluid dynamics simulation

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Particuology 2020年第5期18卷 83-96页

作者： Giorgio Vilardi nicola Verdone Sapienza University of Rome Department of Chemical Engineering Materials EnvironmentVia Eudossiana 1800184RomeItaly

The aim of this work is to optimize iron nanoparticle production in stirred tank reactors equipped with two classical impellers:Rushton and four-pitched blade turbines,which are largely used in batch industrial synthesis and efficient *** main operative parameters of nanoparticle synthesis are the precursor initial concentration,reducing agent/precursor molar ratio,impeller-tank clearance,and impeller rotational *** parameters were varied during the synthesis to find the optimal operating values based on the Fe(0)(%)production,zeta potential,particle size distribution,and powder X-ray diffraction pattern *** found that the optimal operating conditions for nanoparticle production were an impeller velocity of 1500 rpm,initial iron precursor concentration of 20 mM,molar ratio of reducing agent to iron precursor of 3 mol/mol,and impeller clearance of 0.25 and 0.4 times the vessel diameter for Rushton and four-pitched blade impellers,*** these conditions achieved a total conversion of 0.94-0.98 and yielded a product with a unimodal size distribution and average diameters in the range 30-50 *** computational fluid dynamics results agreed with the expectations,and the obtained mixing Damkohler numbers show that the process is mixed controlled.

关键词： Nano zero-valent iron Computational fluid dynamics Turbulence Micromixing Length scale

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Covariance analysis of periodic and quasi-periodic orbits around Phobos with applications to the Martian Moons eXploration mission

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Astrodynamics 2023年第3期7卷 363-379页

作者： Edoardo Ciccarelli nicola Baresi Surrey Space Centre University of SurreyGU27XHGuildfordUK

Understanding the internal composition of a celestial body is fundamental for formulating theories regarding its *** knowledge of the distribution of mass under the body’s crust can be achieved by analyzing its moments of inertia and gravity *** this regard,the two moons of the Martian system have not yet been closely studied and continue to pose questions regarding their origin to the space community;thus,they deserve further *** Martian Moons eXploration mission will be the first of its kind to sample and study Phobos over a prolonged *** study aims to demonstrate that the adoption of periodic and quasi-periodic retrograde trajectories would be beneficial for the scientific value of the ***,a covariance analysis was implemented to compare the estimation of high-order gravitational field coefficients from different orbital geometries and for different sets of processed *** was shown that the adoption of low-altitude non-planar quasi-satellite orbits would help to refine the knowledge of the moon’s libration angle and gravitational field.

关键词： covariance analysis Martian system geodetic navigation Martian Moons eXploration(MMX) Phobos

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From Wagner to Wagner: reminiscences of the Bayreuth Festspielhaus in the reconstruction of the Carlo Felice Opera House in Genoa

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Frontiers of Architectural Research 2022年第5期11卷 917-933页

作者： nicola Delledonne College of Design and Built Environment Architecture DepartmentKing Fahd University of Petroleum and MineralsDhahran31261SaudiArabia

Around the middle of the nineteenth century, in the context of an extensive project to reform opera, German composer Richard Wagner began to envision a new kind of theater building that finally saw the light in 1876 in Bayreuth as the Festspielhaus. In the following century, Italian architect Aldo Rossi evoked its characteristic features in his reconstruction project of the Carlo Felice Opera House in Genoa, a building that had been partially destroyed during World War II and was reopened to the public in 1991. At the same time, he restored the relationship between architecture and the city that Wagnerian precepts had more or less consciously eliminated. By revisiting the time that separates the two buildings, and specifically the changes that the most important playhouses underwent, this essay attempts to capture the distinctive elements of the Wagnerian playhouse in order to evaluate what remains of them, what was omitted, and what was subtracted from later buildings that either exist only as projects or that were in fact actualized.

关键词： Theater Richard Wagner Aldo Rossi Bayreuth Genoa

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Infrared-active phonons in one-dimensional materials and their spectroscopic signatures

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npj Computational Materials 2023年第1期9卷 331-337页

作者： Norma Rivano nicola Marzari Thibault Sohier Theory and Simulations of Materials(THEOS) École Polytechnique Fédérale de LausanneCH-1015 LausanneSwitzerland National Centre for Computational Design and Discovery of Novel Materials(MARVEL) École Polytechnique Fédérale de LausanneCH-1015 LausanneSwitzerland Laboratory for Materials Simulations Paul Scherrer Institut5232 Villigen PSISwitzerland Laboratoire Charles Coulomb(L2C) Universitéde MontpellierCNRSMontpellierFrance

Dimensionality provides a clear fingerprint on the dispersion of infrared-active,polar-optical *** these phonons,the local dipoles parametrized by the Born effective charges drive the LO-TO splitting of bulk materials;this splitting actually breaks down in two-dimensional ***,we develop the theory for one-dimensional(1D)systems—nanowires,nanotubes,and atomic and polymeric *** an analytical model with the implementation of density-functional perturbation theory in 1D boundary conditions,we show that the dielectric splitting in the dispersion relations collapses as x^(2) log(x)at the zone *** dielectric properties and the radius of the 1D materials are linked by the present work to these red shifts,opening infrared and Raman characterization avenues.

关键词： dimensional splitting dielectric

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