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A coupling enhanced surface plasmon resonance (SPR) sensor based on coreless fiber is proposed. Compared with the common fiber, the coreless fiber is easier to perceive the changes of the external medium environment. As one-dimensional material with superior performance, the Au nano biconical particles are used to improve the sensor performance. Based on the finite element method (FEM), the electric field enhancement effect of the coupling between the SPR of the gold film and the Localized surface plasmon resonance (LSPR) of the Au nano biconical particles on the surface of the coreless fiber is analyzed, and the experimental results show that the Au nano biconical particles can improve the sensitivity. The sensitivity of the improved Au nano biconical particle sensor is 3514 nm/RIU, which is 64% higher than that of the traditional gold film SPR sensor, and the quality factor is increased by 24%. The new sensor based on Au nano biconical particles and gold film has a good application prospect in biosensor and chemical measurement.

In this work, we firstly used a new two-dimensional (2D) semiconductor material Bi2O2Se for optical-fiber SPR sensor sensitization, proposed and validated a U-shaped optical-fiber SPR sensor with Au film- Bi2O2Se Sandwich structure. The finite element simulation results illustrate that the electric field strength on the surface is 2.08 times higher than that of the pure Au film, which excites a stronger SPR phenomenon thus leading to a high sensitivity of the sensor. The effect of the Radius on the sensor performance was investigated, and the optimal structural parameters were derived to fabricate the sensing probes. The RI sensitivity of the presented sensor is 6827.41 nm/RIU, 1.98 times superior to that of the pure Au film U-shaped optical SPR sensor. The sensor is insensitive to temperature fluctuations and has good repetitive and environmental stability. The proposed sensor has good potential for future applications in biomass detection, which also indicates that Bi2O2Se has good prospects for future applications in optoelectronic devices.

Background. Acupuncture is often used to treat chronic conditions, such as pain. In recent years, given the importance of the explosive forces generated by shoulder muscles for the completion of motor tasks, studies in which nerves were stimulated through acupuncture to increase the explosive forces were conducted. This study explored the effect of acupuncture on explosive force production by the muscles of the female shoulder joint. Methods. Eighteen healthy women underwent shoulder adduction (Add), abduction (Abd), flexion (Flex), and extension (Ext) tests with an isokinetic measurement system. Acupuncture was used to stimulate the Zhongfu (LU1), Tianfu (LI3), Xiabai (LU4), Binao (LI14), Naohui (SJ13), Jianliao (SJ14), and Xiaoluo (SJ12) points, and electromyography (EMG) signals were recorded before and after acupuncture. Results. After acupuncture, there was a significant difference in the average maximum work, the average maximum power, the average maximum speed, the total work in Add/Abd and Flex/Ext, the EMG signals, and the stiffness of the muscles in Abd and Ext ( P < 0.05 ). There were no significant differences in the average maximum torque in Abd or Flex. Conclusion. Based on the results, there may be a significant correlation between the manipulation of different acupoints by acupuncture and the average maximum torque and stiffness. Acupuncture may stimulate nerves to activate muscles and induce a postactivation potentiation effect that improves explosive force production. Therefore, acupuncture as an auxiliary tool may increase the explosive forces generated by acupoint-related muscles by stimulating nerves.

The current study investigated the effects of shoes of different weights on calf individual muscle contributions during a running cycle. Twenty male runners ran on a force platform with shoes of four different weights (175 g, 255 g, 335 g, and 415 g). The study evaluated runners’ lower extremity muscle forces under the four shoe weight conditions using a musculoskeletal modeling system. The system generates equality and inequality constraint equations to simulate muscle forces. The individual muscle contributions in each calf were determined using these muscle forces. Data were compared using one-way repeated-measure ANOVA. The results revealed significant differences in the contributions of the gastrocnemius lateralis. Post hoc comparisons revealed that running in the 175 g shoes resulted in a larger contribution of the gastrocnemius lateralis than running in the 415 g shoes during the braking phase. Therefore, wearing lightweight shoes while running may promote fatigue in the gastrocnemius muscle during the braking phase. The calf muscle activation results may indicate that an adaptation period is warranted when changing from heavy to lightweight shoes.

To evaluate the effects of a 48-week course of adefovir dipivoxil (ADV) plus Chinese medicine (CM) therapy, namely Tiaogan Jianpi Hexue (调肝健脾和血) and Tiaogan Jiedu Huashi (调肝解毒化湿) fomulae, in hepatitis B e antigen (HBeAg)-positive Chinese patients. A total of 605 HBeAg-positive Chinese CHB patients were screened and 590 eligible participants were randomly assigned to 2 groups in 1:1 ratio including experimental group (EG, received ADV plus CM) and control group (CG, received ADV plus CM-placebo) for 48 weeks. The major study outcomes were the rates of HBeAg and HBV-DNA loss on week 12, 24, 36, 48, respectively. Secondary endpoints including liver functions (enzymes and bilirubin readings) were evaluated every 4 weeks at the beginning of week 24, 36, and 48. Routine blood, urine, and stool analyses in addition to electrocardiogram and abdominal B scan were monitored as safety evaluations. Adverse events (AEs) were documented. The combination therapy demonstrated superior HBeAg loss at 48 weeks, without additional AEs. The full analysis population was 560 and 280 in each group. In the EG, population achieved HBeAg loss on week 12, 24, 36, and 48 were 25 (8.90%), 34 (12.14%), 52 (18.57%), and 83 (29.64%), respectively; the equivalent numbers in the CG were 20 (7.14%), 41 (14.64%), 54 (19.29%), and 50 (17.86%), respectively. There was a statistically significant difference between these group values on week 48 (P

Purpose We investigate the interocular symmetry of fixation, optic disc, and corneal astigmatism in bilateral high myopia, and evaluate the predictive relationships between them. Methods We enrolled 202 cases with bilateral high myopia. Fixation, in terms of the bivariate contour ellipse area (BCEA), was evaluated with the Macular Integrity Assessment microperimetry. Optic disc features, including orientation, tilt, and rotation, were evaluated with ultrawide-field retinal photographs. Corneal topography was performed with Pentacam. Interocular symmetry of fixation, optic disc, and corneal astigmatism was assessed, and the predictive relationships between these parameters were investigated. Results Axial length differences between the two eyes were: ≥0 to ≤1 mm, 67.8%; 1 to ≤2 mm, 20.3%; 2 to ≤3 mm, 9.4%; and >3 mm, 2.5%. Axial length, 95% BCEA, and magnitude of corneal astigmatism showed good interocular symmetry, whereas the optic disc tilt, rotation, and axis of corneal astigmatism (mirror axes) showed less symmetry (all P < 0.05). No interocular symmetry was observed in the direction of the fixation ellipse. In both eyes, the corneal steep meridian more often was consistent with the optic disc orientation than inconsistent (right eye [OD], P < 0.001; left eye [OS], P = 0.029). Conclusions As different parameters presented different degrees of symmetry, cautions are needed when including both eyes or only one lateral eye in cases of bilateral high myopia for clinical investigations. The optic disc orientation, to some extent, may indicate the steep meridian of the cornea. Translational Relevance Our study provided evidences for selection of eye laterality in clinical investigations of highly myopic eyes.

The thesis mainly proposed a novel design method for Sinusoidal Pulse Width Modulation (SPWM) controller based on modulation waveform cycle normalization. T is the period of sinusoidal modulation waveform, and T/n is the cycle of triangular carrier. Shift registers and adders of SPWM controller were designed to translate the 2n numerical value for SPWM waveform on-off switching points, which were calculated offline, to control the level of the outpout SPWM waveform,which is the key point of modulation waveform cycle normalization. In the thesis RTL function simulation verification by ModelSim and testing for FPGA have been achieved successfully. The results show that the novel SPWM controller is reliable, which has practical significance.

International audience; This multicenter, randomized, open-label phase III trial (planned enrollment: 700 patients) was conducted to test the hypothesis that single-agent sunitinib improves progression-free survival (PFS) compared with capecitabine as treatment for advanced breast cancer (ABC). Patients with HER2-negative ABC that recurred after anthracycline and taxane therapy were randomized (1:1) to sunitinib 37.5 mg/day or capecitabine 1,250 mg/m(2) (1,000 mg/m(2) in patients >65 years) BID on days 1-14 q3w. The independent data-monitoring committee (DMC) determined during the first interim analysis (238 patients randomized to sunitinib, 244 to capecitabine) that the trial be terminated due to futility in reaching the primary endpoint. No statistical evidence supported the hypothesis that sunitinib improved PFS compared with capecitabine (one-sided P = 0.999). The data indicated that PFS was shorter with sunitinib than capecitabine (median 2.8 vs. 4.2 months, respectively; HR, 1.47; 95% CI, 1.16-1.87; two-sided P = 0.002). Median overall survival (15.3 vs. 24.6 months; HR, 1.17; two-sided P = 0.350) and objective response rates (11 vs. 16%; odds ratio, 0.65; P = 0.109) were numerically inferior with sunitinib versus capecitabine. While no new or unexpected safety findings were reported, sunitinib treatment was associated with higher frequencies and greater severities of many common adverse events (AEs) compared with capecitabine, resulting in more temporary discontinuations due to AEs with sunitinib (66 vs. 51%). The relative dose intensity was lower with sunitinib than capecitabine (73 vs. 95%). Based on these efficacy and safety results, sunitinib should not be used as monotherapy for patients with ABC.

Introduction Intra-articular injection of hyaluronic acid (HA) is often used as therapy for knee osteoarthritis because it is less expensive and less aggressive than total knee replacement. Therefore, it is important to document whether HA is safe and efficacious. We tested whether single and multiple injection viscosupplementation with HA is associated with clinically meaningful pain relief in a new randomized clinical trial (RCT). Our objective was to compare safety and efficacy of intra-articular HA in two formulations: one 3.0 ml injection of Durolane versus five 2.5 ml injections of Artz for the treatment of knee osteoarthritis pain. Methods Patients (N = 349) from the People’s Republic of China were randomized to treatment (Durolane = 175, Artz = 174). The Durolane group received a 3.0 ml injection at week 0 (baseline), with sham skin punctures at weeks 1, 2, 3, and 4. The Artz group received one 2.5 ml injection at each of the same time points. The primary assessment tool was the Likert-type Western Ontario and McMaster University (WOMAC) pain scale at weeks 0, 6, 10, 14, 18, and 26. Secondary assessments were WOMAC physical function, knee stiffness, and global self-assessment, at identical time points. Statistically-controlled analyses were non-inferiority of Durolane over 18, then over 26 weeks, with a priori non-inferiority defined as 8% of the relevant scale. Acetaminophen was permitted as rescue analgesia and all adverse events (AEs) were recorded. Results Overall study retention was excellent; 332 patients (95.1%) completed 18 weeks and 319 (91.4%) completed 26 weeks, with no significant retention difference between treatment arms. All variables met non-inferiority criteria over 18 and 26 weeks. Efficacy response in both arms was >90%. Treatment-related AEs were 9.8% (17/174) for Artz and 13.1% (23/175) for Durolane. Conclusions A single injection of Durolane is non-inferior to 5 injections of Artz over 18 and 26 weeks for pain, physical function, global self-assessment, and knee stiffness. Both treatments were efficacious, safe, and well tolerated. Trial registration ClinicalTrials.gov NCT01295580. Registered 11 February 2011.

The probabilistic restitution model was adopted by fitting probability functions with Gauss-Hermite method for the integral inlet separator particle trajectory simulation compared with deterministic restitution model and elastic collision model. Result shows that the above three bounce models perform well in AC coarse sand separation prediction. For C-spec sand, results based on elastic collision model deviate from test data seriously, and the deterministic restitution model over predicts its separation efficiency, especially for the swirling inlet particle separator, while the probabilistic restitution model achieves an intermediate value which shows a good agreement with test data.

To investigate the feasibility of the anti-mucin 1 (anti-MUC1/CD227) antibody in the fluorescent imaging of ovarian cancer, the CD227 antibody and a control IgG antibody were labeled with a near-infrared dye [Cy5.5-N-hydroxysuccinimide (NHS)] and a green dye (fluorescein-NHS). In vivo fluorescence images were obtained at 4, 12 and 36 h after injection of the probes into OVCAR3 tumor-bearing mice. The tumor to background ratios were calculated for both probes. Ex vivo fluorescence images were obtained following sacrifice at 36 h. After conjugation to Cy5.5 and fluorescein, the dual-color labeled CD227 probe (Ab-FL-Cy5.5) could be visualized by both green and near-infrared fluorescence. Uptake by the tumors was higher for the Ab-FL-Cy5.5 than for the IgG-Cy5.5 probe. All tumors could be visualized by in vivo imaging with an acceptable tumor to background ratio. Ex vivo studies demonstrated the advantages of using green fluorescence imaging to guide the resection of tumor tissues. These preliminary data indicate that the Ab-FL-Cy5.5 probe is promising for further tumor imaging applications and clinical translation.

The detection sensitivity of methane trace-gas concentration using optical fiber gas sensor based on tunable diode laser absorption spectroscopy (TDLAS) and wavelength modulation spectroscopy (WMS) is very high, the absorption line is detected using a laser diode wavelength-sweep technique, and Fourier series is used to analysis WMS signal. The ratio of the second harmonic peak and the first harmonic baseline as output is used to eliminate the influence of optical intensity fluctuations. The fluctuations of temperature in the gas cell cause absorption coefficient and modulation coefficient to change, a simple piece of equipment with temperature acquisition devices is developed for measuring methane gas concentration. Under the different modulation amplitudes, the deviations of system output caused by temperature fluctuations are different, and the optimal modulation coefficient is chosen to suppress the influence of temperature fluctuations.

Tunable diode laser absorption spectroscopy (TDLAS) is a widely used technique in measuring the concentration of trace gas due to its high sensitivity, high selectivity, and fast time response. The fluctuations of temperature in the gas cell can cause the characteristics of the absorption spectra to change in the TDLAS methane sensing system. The three absorption lines in the R(3) transitions of 2v3 band of methane at 1653.72 nm have been studied, and the influence of the temperature fluctuations on the spectral absorption coefficient and the amplitude of second harmonic is analyzed. A simple piece of equipment with temperature acquisition devices is developed for measuring methane gas concentration, temperature signals are obtained for eliminating the impact of temperature fluctuations. Using calibration coefficient, the amplitude of second harmonic is transformed into standard signal at reference temperature in order to restrain the influence of temperature fluctuations. The results show that this optic fiber methane gas sensor using tunable diode laser absorption spectroscopy can restrains the influence of temperature fluctuations and improves detection accuracy effectively.

Tunable diode laser absorption spectroscopy (TDLAS) is a technique measuring the concentration of trace-gas, the gas concentration is in the sub-ppm (part-per-million) range. Experiment results show that the main part of system noise is interference fringes originating from multiple reflections between surfaces in optical components, so-called etalon effects. This work investigates the basis principle of the measurement of trace-gas concentration using wavelength modulation spectroscopy (WMS) technique and analyses etalon effects from different types of optical surfaces. Fluctuations in temperature or vibrations of the etalon cause the interference fringes to shift in wavelength, and the interference fringes originated from short etalons within laser or photodetector cannot be removed by subtraction of a zero baseline using wedged or dithered components. It is shown that although analytical signal, SAS,nf, for short etalons, is decreasing with increased detection order, the signal-to-background ratio (SAS/SBG)nf is improved significantly. It is more advantageous to detect higher even harmonic signals, e.g. the 4th or 6th, than 2nd to reduce or eliminate the interference fringes originated from short etalons within laser or photodetector.

Summary Objectives The maximum tolerated dose (MTD) and overall safety of sunitinib plus pemetrexed and carboplatin was determined in patients with advanced solid malignancies. Methods In this phase I dose-escalation study, patients received oral sunitinib on a continuous daily dosing (CDD) schedule (37.5 mg/day) or Schedule 2/1 (2 weeks on treatment, 1 week off treatment; 37.5 or 50 mg/day). Pemetrexed (400–500 mg/m2 IV) and carboplatin (AUC = 5 mg·min/ml IV) were administered q3w. At the MTD for the chosen schedule, a cohort of patients with non-small cell lung cancer (NSCLC) or mesothelioma was further evaluated. Results Twenty-one patients were enrolled on Schedule 2/1 (expansion cohort included) and 3 patients on the CDD schedule. The MTD on Schedule 2/1 was sunitinib 37.5 mg/day with pemetrexed 500 mg/m2 and carboplatin AUC = 5 mg·min/ml; MTD on the CDD schedule was not established. Dose-limiting toxicities included grade 3/4 neutropenia, grade 3 thrombocytopenia, and grade 3 hand–foot syndrome. The most common grade 3/4 drug-related non-hematologic adverse events at Schedule 2/1 MTD were fatigue/asthenia and diarrhea (both n = 4). Grade 3/4 hematologic abnormalities included neutropenia (83 %) and leukopenia (83 %). Pharmacokinetic data revealed no clinically significant drug–drug interactions. Best response at the Schedule 2/1 MTD was stable disease ≥8 weeks in 3/5 evaluable patients (60 %). Conclusions With this combination, in patients with advanced solid malignancies, sunitinib MTD on Schedule 2/1 was 37.5 mg/day. Sunitinib plus pemetrexed and carboplatin were tolerable at the MTD, although sunitinib dose delays and reductions were often required due to myelosuppression.