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        Cervical cancer patient reported gastrointestinal outcomes: intensity/ volumetric modulated vs. 3D conformal radiation therapy

        Ryan Urban,Justin Wong,Peter Lim,Susan Zhang,Ingrid Spadinger,Robert Olson,Francois Bachand,Clement Ho,Anna V. Tinker,Lovedeep Gondara,Sarah Nicole Hamilton 대한부인종양학회 2022 Journal of Gynecologic Oncology Vol.33 No.5

        Objective: To evaluate gastrointestinal (GI) patient reported outcomes (PROs) in cervical cancer patients treated with definitive radiotherapy (RT), comparing 3D conformal RT (3DCRT) vs. intensity modulated/volumetric modulated arc therapy (IMRT/VMAT). Methods: An analysis of patients treated with definitive RT between 2015–2018 was performed. GI PROs were prospectively collected at baseline, during RT (acute), ≤12 weeks after RT (subacute), and >12 weeks after RT (late). GI PROs evaluated three symptom domains: bowel problems (BPs), bowel bother (BB), and abdominal problems (APs). Multiple linear regression analysis was performed to investigate associations between mean changes of symptom scores with clinical and dosimetric variables. Results: The cohort included 167 patients. A total of 100 (60%) patients were treated with IMRT/VMAT and 67 (40%) with 3DCRT. In the subacute phase, the mean change of symptom scores from baseline in 3DCRT vs. IMRT/VMAT were +0.9 vs. −1.15 (p=0.004) for BP, +2.18 vs. −0.10 (p=0.019) for BB, and +1.41 vs. −0.38 (p=0.021) for AP. Likewise, in the late phase, mean changes were +0.72 vs. −0.82 (p=0.014) for BP, +1.98 vs. −0.03 (p=0.008) for BB, and +1.29 vs. −0.31 (p<0.001) for AP. On multiple linear regression, use of 3DCRT vs. IMRT/VMAT was associated with greater mean changes in subacute BP (p=0.023) and late phase AP (p=0.019). A higher small bowel V50Gy was associated increased symptom scores in late AP (p=0.012). Conclusion: 3DCRT was associated with significantly greater worsening of GI PRO symptom scores in the subacute and late phase. These data support the ongoing use of IMRT/VMAT in routine practice

      • Edge-Functionalized Graphene Nanoribbon Encapsulation To Enhance Stability and Control Kinetics of Hydrogen Storage Materials

        Wan, Liwen F.,Cho, Eun Seon,Marangoni, Tomas,Shea, Patrick,Kang, ShinYoung,Rogers, Cameron,Zaia, Edmond,Cloke, Ryan R.,Wood, Brandon C.,Fischer, Felix R.,Urban, Jeffrey J.,Prendergast, David American Chemical Society 2019 Chemistry of materials Vol.31 No.8

        <P>Hydrogen is a long-term clean energy carrier that enables completely carbon-free energy production. However, practical implementation of hydrogen fuel technologies is restricted because of lack of safe and high-performing storage materials. Here, we report Mg nanocrystals encapsulated by narrow, bottom-up synthesized graphene nanoribbons (GNRs) as environmentally stable and high-capacity hydrogen storage materials. As an encapsulation medium, GNRs offer similar functionalities as reduced graphene oxide to protect the encapsulated Mg nanocrystals from extensive oxidation, while allowing penetrations of hydrogen. In addition, the GNRs can be edge functionalized to tune the (de-)hydrogenation kinetics, in particular for the processes occurred at the GNR-Mg interfaces. In this work, four different types of edge-functional groups were introduced into GNRs with the goal of comparing their cycling performances because of edge functionalization. On the basis of detailed kinetic analysis coupled with first-principles calculations, we propose that edge-functional groups can contribute to the reduction of kinetic barriers for surface hydrogen reactions at the interface with the GNR by stabilizing surface defects. Furthermore, the GNR-Mg composite exhibited higher hydrogen storage capacity (7.1 wt % of hydrogen based on the total composite) compared with the current literature while demonstrating long-term air stability. This work suggests that the rational design of edge-functional groups in graphene derivatives can provide a general and novel paradigm for simultaneous encapsulation and hydrogen storage catalysis in simple metal or complex metal nanocrystals.</P> [FIG OMISSION]</BR>

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