The order-of-addition experiments are widely used in many fields,including food and industrial production,but the relative research under prior constraints is limited.The purpose of this paper is to select an optimal ...The order-of-addition experiments are widely used in many fields,including food and industrial production,but the relative research under prior constraints is limited.The purpose of this paper is to select an optimal sequence under the restriction that component i is added before component j,while it is unachievable to compare all sequences when the number of components m is large.To achieve this,a constrained PWO model is first provided,and then the D-optimal designs for order-of addition experiments with minimal-points via the modified threshold accepting algorithm is established.The effectiveness of the proposed method is demonstrated through a job scheduling problem with a prior constraint for teaching cases.展开更多
Breast cancer （BC） is diagnosed in 〉 65 year old women in about half of cases. Experts currently recommend that systemic therapy is offered to elderly patients with BC, if, based on their overall conditions and lif...Breast cancer （BC） is diagnosed in 〉 65 year old women in about half of cases. Experts currently recommend that systemic therapy is offered to elderly patients with BC, if, based on their overall conditions and life expectancy, it can be reasonably anticipated that the benefits will outweigh the risks of treatment. Like for young subjects, the monoclonal antibody against human epidermal growth factor receptor-2 （HER-2）, trastuzumab, represents a valid therapeutic option when BC over-expresses this receptor. Unforttmately, administration of trastu- zumab is associated with the occurrence of left ventricular dysfunction and chronic heart failure （CHF）, possibly because of interference with the homeostatic functions of HER-2 in the heart. Registry-based, retrospective analyses have reported an incidence of CHF around 25% in elderly women receiving trastuzumab compared with 10%-15% in those not given any therapy for BC, and the risk of CHF has been estimated to be two-fold higher in 〉 60455 year old trastuzumab users vs. non-users. Extremely advanced age and preexisting cardiac disease have been shown to predispose to trastuzumab cardiotoxicity. Therefore, selection of older patients for treatment with trastuzumab should be primarily based on their general status and the presence of comorbidities; previous chemotherapy, especially with anthracyclines, should be also taken into account. Once therapy has started, efforts should be made to ensure regular cardiac surveillance. The role of selected biomarkers, such as cardiac troponin, or new imaging techniques （three-dimension, tissue Doppler echocardiography, magnetic resonance imaging） is promising, but must be further investigated especially in the elderly. Moreover, additional studies are needed in order to better understand the mechanisms by which trastuzumab affects the old heart.展开更多
基金supported by National Natural Science Foundation of China(Grant Nos.11971204,12271270)Natural Science Foundation of Jiangsu Province of China(Grant No.BK20200108)the Zhongwu Youth Innovative Talent Program of Jiangsu University of Technology and the Third Level Training Object of the Sixth“333 Project”in Jiangsu Province。
文摘The order-of-addition experiments are widely used in many fields,including food and industrial production,but the relative research under prior constraints is limited.The purpose of this paper is to select an optimal sequence under the restriction that component i is added before component j,while it is unachievable to compare all sequences when the number of components m is large.To achieve this,a constrained PWO model is first provided,and then the D-optimal designs for order-of addition experiments with minimal-points via the modified threshold accepting algorithm is established.The effectiveness of the proposed method is demonstrated through a job scheduling problem with a prior constraint for teaching cases.
文摘Breast cancer （BC） is diagnosed in 〉 65 year old women in about half of cases. Experts currently recommend that systemic therapy is offered to elderly patients with BC, if, based on their overall conditions and life expectancy, it can be reasonably anticipated that the benefits will outweigh the risks of treatment. Like for young subjects, the monoclonal antibody against human epidermal growth factor receptor-2 （HER-2）, trastuzumab, represents a valid therapeutic option when BC over-expresses this receptor. Unforttmately, administration of trastu- zumab is associated with the occurrence of left ventricular dysfunction and chronic heart failure （CHF）, possibly because of interference with the homeostatic functions of HER-2 in the heart. Registry-based, retrospective analyses have reported an incidence of CHF around 25% in elderly women receiving trastuzumab compared with 10%-15% in those not given any therapy for BC, and the risk of CHF has been estimated to be two-fold higher in 〉 60455 year old trastuzumab users vs. non-users. Extremely advanced age and preexisting cardiac disease have been shown to predispose to trastuzumab cardiotoxicity. Therefore, selection of older patients for treatment with trastuzumab should be primarily based on their general status and the presence of comorbidities; previous chemotherapy, especially with anthracyclines, should be also taken into account. Once therapy has started, efforts should be made to ensure regular cardiac surveillance. The role of selected biomarkers, such as cardiac troponin, or new imaging techniques （three-dimension, tissue Doppler echocardiography, magnetic resonance imaging） is promising, but must be further investigated especially in the elderly. Moreover, additional studies are needed in order to better understand the mechanisms by which trastuzumab affects the old heart.
