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Background: Older patients with cancer have a higher risk for malnutrition and impaired quality of life (QoL). The present study aimed to investigate the relationship between malnutrition diagnosed according to the Global Leadership Initiative Malnutrition (GLIM) criteria and QoL across various tumor types, and to evaluate the combined prognostic value of malnutrition and QoL in predicting survival among older patients with cancer. Methods: This multicenter, observational cohort study included 5310 older patients with cancer and 2184 with malnutrition (moderate stage, n = 1023; severe stage, n = 1161). An empirical cumulative distribution curve was performed to illustrate the correlation between malnutrition and QoL. The primary objective was to investigate the association between malnutrition and QoL using logistic regression analysis. Survival analyses were performed to assess the combined prognostic value of malnutrition and QoL. Results: The median age of the patients (66.9% male, 33.1% female) was 70 years (interquartile range [IQR] 67–74 years) years. The median QoL score was highest in patients without malnutrition (91.88 [IQR 84.44–97.44]), followed by those with moderate (86.15 [IQR 76.18–93.85) and severe (82.31 [IQR 69.87–91.11]) malnutrition. Logistics regression revealed that the risk for developing impaired QoL increased 1.98 (95% confidence interval [CI] 1.64–2.38; P < 0.001) and 2.33 (95% CI 1.93–2.81; P < 0.001) times in patients with moderate and severe malnutrition, respectively. Kaplan–Meier curves showed that QoL in combination with GLIM criteria demonstrated a significant discriminative performance for survival and served as an independent prognostic factor among older patients with cancer, especially for lung and gastric cancers. Conclusions: Malnutrition diagnosed according to the GLIM criteria was a predictor of impaired QoL. Additionally, the combination of QoL and malnutrition demonstrated utility for predicting survival outcomes in older patients with cancer.

Abstract Background There are disputes about which reduction technique should be adopted in treatment of distal radius-ulna fractures in older children who failed to achieve manual reduction. This study compared clinical effects between prying reduction with mosquito forceps (PRMF) and limited open reduction (LOR) of treating irreducible distal radius-ulna fractures in older children. Methods One hundred ten children with irreducible distal radius-ulna fractures were selected from January 2015 to December 2017 in Xi’an Hong Hui hospital. Retrospective analysis was performed. According to different reduction techniques, these children were divided into PRMF group (59 cases) and LOR group (51 cases). All children were treated with percutaneous Kirschner wire fixation and external fixation with plaster. Operation indexes, complications and wrist joint functions were compared between the two groups. Results Operation time of PRMF group was shorter than that of LOR group (P

It aimed at the secondary reheat ultra-supercritical unit to study the direction of energy saving, through comparing the design reasonable optimization and energy saving, improve the cycle thermal efficiency, reduce the coal consumption, achieve the goal of saving energy and reducing consumption. From the traditional heat extraction scheme, by setting the cooler, increase the heat series to design a new solution method, such as energy saving optimization scheme of different performance, investment, such as comparative analysis, finally to determine the best solution. Through the design of a series of studies show that for secondary reheat ultra-supercritical unit, can adopt the following means to improve the efficiency of generating units: one is to increase external steam cooler, make full use of the extraction period of heat; The second is to increase the steam recovery series and rationally distribute the enthalpy drops at all levels. After the above energy-saving optimization and transformation technology, the generating efficiency of the unit is increased by 1.6%, and the coal consumption of power supply is reduced by 6.6g/kWh, achieving a good energy-saving effect.

This paper introduces the application technology of a millionsecond reheat ultra-supercritical six cylinder six exhaust steam turbine, through the analysis of six cylinder six exhaust steam overall design scheme, to calculate the stability of the shafting, and compared with the five cylinder four exhaust schemes. The results show that, the design scheme of six cylinder six exhaust steam turbine is breakthrough in the stability of shafting, at the same time, optimize the exhaust parameters of the low-pressure cylinder, make the unit back pressure at 2.9 kPa. Through the comparison of two schemes, six cylinder six exhaust steam turbine scheme can save the standard coal consumption by about 2.28 g/kWh per year, save coal cost about 6.27 million. However, the initial investment increased by 55 million, and the investment cost can be recovered in 8.8 years, its has high investment value and social benefits.

Abstract Background Temperature remarkably affects the growth and metabolism of plants. Tobacco is an important cash crop, and the long-term effects of different growth temperatures (18.5, 23.5 and 28.5 °C, daily average) on growth, development and plastid pigments metabolism of tobacco plants were investigated in this study. Results Compared with tobacco plants grown under 23.5 °C, treatments with 18.5 and 28.5 °C inhibited the expansion of leaves. The contents of superoxide anion (O2·−), hydrogen peroxide (H2O2) and malonaldehyde (MDA) in the leaves were significantly increased under 28.5 °C from 0 to 60 days, which in turn accelerated the flowering and senescence of tobacco plants. By contrast, the treatment with 18.5 °C remarkably decreased O2.−, H2O2 and MDA, and delayed the flowering and senescence. Furthermore, treatment with 18.5 °C significantly up-regulated the expression of glutamyl-tRNA reductase (Glu-TR) and magnesium chelatase (MgCH), and down-regulated the ferri chelatase (FeCH), protochlorophyllide oxidoreductase, chlorophyllase (CHLase), phaeophorbide a monooxygenase (PaO) and phytoene synthase (PSY), which further promoted the accumulation of chlorophyll (Chls) and reduced the carotenoids (Cars) in leaves. On the contrary, exposing to 28.5 °C remarkably down-regulated the Glu-TR and MgCH, and up-regulated the FeCH, CHLase, PaO and PSY, which in turn decreased the Chls and increased the Cars in tobacco leaves. Conclusion As compared with the plants grown under 23.5 °C, lower (18.5 °C) and higher (28.5 °C) growth temperature inhibited the growth of tobacco plants. In general, treatment with 28.5 °C accelerated the flowering and senescence of tobacco plants by enhancing the accumulation of O2.− and H2O2 in leaves, while exposing to 18.5 °C had the opposite effects. Treatment with 18.5 °C increased the content of Chls and reduced the Cars in leaves. In contrast, Treatment with 28.5 °C decreased the Chls and increased the Cars. Moreover, both O2.− and H2O2 took part in the breakdown of Chls in tobacco leaves to some extent. The results suggest that growth temperature could regulate growth, development, and plastid pigments metabolism, and 23.5 °C could be an optimal temperature for growth, development and metabolism of plastid pigments of tobacco plants under the experimental conditions.

Chromatography is a powerful and generally applicable method for the analytical separation and quantification of the chemical constituents in complex mixtures because chromatographic separation can provide high selectivity by isolating all analytes from interferences. Multiway analysis based on the multilinear model is an increasingly widely used method for interference-free and fast determination of the chemical constituents also in complex mixtures because multilinear mathematical separation can provide high selectivity by extracting the pure signal of the analyte from the mixed signal of a real sample. By combining chromatographic separation with mathematical separation, multiway calibration method, multiway standard additions method, and multiway internal standard method can be established. Chromatography assisted by multiway analysis can reduce the requirements for complete chromatographic separation, save elution time, and decrease the consumption of the mobile phase, particularly when the peak coelution problem is difficult to solve. This review presents the fundamentals and analytical applications of multilinear mathematical separation in chromatography.