Objective To investigate the therapeutic effect of combination treatment of transcatheter arterial chemoembolization(TACE),micro wave ablation(MW A)and targeted immunotherapy for hepatocellular carcinoma(HCC).Methods The clinical data of HCC patients,who were admitted to the Affiliated Central Hospital of Jiangnan University of China to receive TACE from August 2016 to August 2023,were retrospectively analyzed.Based on the inclusion criteria,a total of 252 patients were included in this study.According to the therapeutic scheme,the patients were divided into combination group(receiving TACE,MWA,targeted therapy and immunotherapy,n=41),and control group(receiving TACE alone,n=211).The overall survival(OS)and progression-free survival(PFS)of the two groups were statistically analyzed.After propensity score matching at 1∶1 ratio,the clinical effects of the two groups were analyzed.According to different data,t-test,test,Kaplan-Meier curve,logarithmic rank test,Cox regression analysis,or Cox proportional risk model analysis was used to make statistical analysis.Results Multivariate regression analysis showed that tumor number,maximum diameter,invasion of large vessels,tumor capsule,AFP level,glutamic oxalacetic transaminase,BCLC stage and Child-Pugh stage were the independent risk factors for patient survival.Imaging response and combination treatment were the protective factors for survival.After propensity score matching,a total of 37 pairs of patients were obtained,and the baseline data were comparable between the groups.The differences in OS and PFS between the two groups were statistically significant.Combination treatment of TACE,MWA,targeted therapy and immunotherapy could significantly prolong OS and PFS in HCC patients.Conclusion Compared with TACE alone,combination use of TACE,MWA,targeted therapy and immunotherapy is a more effective therapeutic scheme for HCC,it can remarkably and effectively improve OS and PFS in HCC patients.

BACKGROUND:The limitations of computer technology in the study of bone biomechanics and the prediction of bone fixation strength, stability, fatigue damage and life expectancy are more difficult. OBJECTIVE:To investigate the new progress and application of finite element analysis in orthopedics. METHODS:The first author searched PubMed (http://www.ncbi.nlm.nih.gov/PubMed) and CNKI China journal ful-text database (http://www.cnki.net/) published til November 2015. Key words were“finite element analysis, orthopedics, biomechanics”. There were 51 references in English and 320 Chinese literatures. According to the inclusion criteria, 40 literatures were selected. RESULTS AND CONCLUSION:Biomechanics of human skeleton is very complex, and most of the mechanical state is a locomotive, non-static process, thus increasing the difficulty of orthopedic biomechanics research. The prediction concerning bone fixation strength, stability, fatigue damage and lifetime is more difficult. However, the finite element analysis technology, which has been widely applied and demonstrated its reliability actual y in engineering fields, can solve these problems effectively. With the rapid development of computer technology, finite element analysis in the field of orthopedic applications has increasingly been used, which also promoted the development of orthopedic technology.

Objective To determine the pollution sources that influence the level of exposure to particulate matter 2.5 (PM2.5) in the elderly,and calculate the quantitative contributions of difference sources.Methods Personal exposure PM samples were collected in the summer and winter of 2011 from 101 elderly men in a Tianjin community.Chemical species (elements,water-soluble ions and carbonaceous species) were analyzed in PM samples to determine PM2.5 concentrations and chemical compositions.The Positive Matrix Factorization (PMF) model,which is recommended by the US Environmental Protection Agency,was employed to quantitatively analyze the contribution of each potential sources to personal levels of PM2.5 exposure.Results In both summer and winter,the model identified the same six sources of personal exposure to PM2.5 in the elderly:fugitive dust (marker species:Si,Al,Ca,Mg,Fe etc.),coal combustion emissions (marker species:organic carbon (OC) and SO42-),vehicle exhausts (marker species:inorganic carbon and NO3),secondary sulfates and nitrates (marker species:NO3-,SO42-and NH4 +),industrial emissions (marker species:Mn,Ni,Cu,Zn,Pb etc.),and indoor sources (marker species:OC,K,Si,Al etc.).Among these six potential sources,vehicle exhausts (summer:33.6％,winter:24.2％),secondary sulfates and nitrates (summer:27.4％,winter:29.1％),as well as coal combustion emissions (summer:19.9％,winter:24.1％) were the greatest contributors.Conclusions Coal combustion and vehicle exhaust emissions were the major sources of personal exposure to PM2.5 in the elderly,suggesting that these two sources were the key contributors to the precursor gases of secondary sulfate and nitrate.Key Project of Chinese National Programs for Fundamental Research and Development (2011CB503801)

Objective To determine the pollution sources that influence the level of exposure to particulate matter 2.5 (PM2.5) in the elderly,and calculate the quantitative contributions of difference sources.Methods Personal exposure PM samples were collected in the summer and winter of 2011 from 101 elderly men in a Tianjin community.Chemical species (elements,water-soluble ions and carbonaceous species) were analyzed in PM samples to determine PM2.5 concentrations and chemical compositions.The Positive Matrix Factorization (PMF) model,which is recommended by the US Environmental Protection Agency,was employed to quantitatively analyze the contribution of each potential sources to personal levels of PM2.5 exposure.Results In both summer and winter,the model identified the same six sources of personal exposure to PM2.5 in the elderly:fugitive dust (marker species:Si,Al,Ca,Mg,Fe etc.),coal combustion emissions (marker species:organic carbon (OC) and SO42-),vehicle exhausts (marker species:inorganic carbon and NO3),secondary sulfates and nitrates (marker species:NO3-,SO42-and NH4 +),industrial emissions (marker species:Mn,Ni,Cu,Zn,Pb etc.),and indoor sources (marker species:OC,K,Si,Al etc.).Among these six potential sources,vehicle exhausts (summer:33.6％,winter:24.2％),secondary sulfates and nitrates (summer:27.4％,winter:29.1％),as well as coal combustion emissions (summer:19.9％,winter:24.1％) were the greatest contributors.Conclusions Coal combustion and vehicle exhaust emissions were the major sources of personal exposure to PM2.5 in the elderly,suggesting that these two sources were the key contributors to the precursor gases of secondary sulfate and nitrate.Key Project of Chinese National Programs for Fundamental Research and Development (2011CB503801)