Testing EGFR with Idylla on Cytological Specimens of Lung Cancer: A Review

The current standard of care for advanced non-small-cell lung cancer is based on detecting actionable mutations that can benefit from targeted therapy. Comprehensive genetic tests can have long turn-around times, and because EGFR mutations are the most prevalent actionable mutation, a quick detection would enable a prompt initiation of targeted therapy. Furthermore, the scarcity of diagnostic material means that sometimes only cytologic material is available. The Idylla™ EGFR assay is a real-time PCR–based method able to detect 51 EGFR mutations in 2.5 h. Idylla is validated for use only on FFPE sections, but some researchers described their experiences with cytological material. We reviewed the relevant literature, finding four articles describing 471 cases and many types of cytological input material: smears, cell-block sections, suspensions, and extracted DNA. The sensitivity, specificity, and limit of detection appear comparable to those obtained with histological input material, with one exception: the usage of scraped stained smears as input may reduce the accuracy of the test. In conclusion, usage of cytological material as input to the Idylla EGFR test is possible. A workflow where common mutations are tested first and fast, leaving rarer mutations for subsequent comprehensive profiling, seems the most effective approach.     

蜂窝梁的稳定性能研究进展

对蜂窝梁破坏模式的研究表明，失稳是其结构性能失效的重要破坏模式。为此，在回顾蜂窝梁结构特性研究的基础上，总结归纳了蜂窝梁失稳的3种主要模式：整体弯扭失稳、梁墩屈曲、畸变屈曲。结合国内外近30多年来对蜂窝梁稳定性的试验研究成果，对影响蜂窝梁稳定性的主要因素进行分析。采用蒙特卡洛法得到纯弯简支蜂窝梁弯扭失稳临界荷载的概率分布和影响因子的敏感度。将部分具有代表性的试验成果与欧洲规范EN 1993-1-1计算结果进行对比，根据中国规范GB 50068—2001《建筑结构可靠度设计统一标准》提供的抗力分项系数，计算了不同荷载组合下蜂窝梁整体弯扭失稳临界荷载的可靠度指标，为国内规范的制订提供依据。最后，总结了当前蜂窝梁稳定性研究中存在的不足，指明了进一步研究的方向。     

Visually deficient working conditions and reduced work performance in office workers: Is it mediated by visual discomfort?

IntroductionThe main purpose of this cross-sectional study was to investigate whether visual discomfort acts as a mediating factor between perceived visual ergonomic working conditions and self-rated visual performance among office workers who carry out administrative tasks and computer-based work at the Swedish Tax Agency.MethodsA questionnaire was sent to 94 office workers addressing: 1) perceived visual quality of the visual display units; 2) prevalence of eye symptoms; and 3) self-rated visual performance. Eighty-six persons (54 women (63%), 31 men (36%), and 1 of unspecified sex) answered the questionnaire. Multiple regression analysis investigated the association between visual ergonomic working conditions and visual performance, both with and without visual discomfort as a mediator.ResultsThe group mean of the Indexed survey questions indicated a reasonably good quality of visual ergonomic working conditions, a relative absence of eye symptoms, and acceptable self-rated visual performance. Results from multiple regression analysis showed a significant association between perceived visual ergonomic working conditions and self-rated visual performance (r² = 0.30, β = 0.327, p < 0.01). When visual discomfort was used as a mediator, the association between perceived visual ergonomic working conditions and self-rated visual performance remained the same (r² = 0.32, β = 0.315, p < 0.01).DiscussionIt was remarkable to discover that self-rated visual performance was independent of visual discomfort. Possible explanations include exposure factors not included in the current study, such as dry air and sensory irritation in the eyes, psychosocial stress, time spent performing near work activities, or time exposed to visually deficient working conditions.Relevance to industryThe strong connection between satisfaction with visual ergonomic working conditions and productivity in this study has implications for workplace profitability and staff satisfaction. If productivity is enhanced by better visual ergonomic working conditions, then managers of workplaces may be able to improve work outcomes by optimizing the physical work environment.     

一种有效折扣证据源的冲突证据合成方法

为解决证据组合规则中一票否决和弱决策证据在低冲突情况下出现的反直观推理的现象，提出一种有效折扣证据源的冲突证据合成方法。首先根据证据的信任函数和似然函数求得证据间的相似度，然后求出证据之间的支持程度，并确定折扣因子，最后采用Dempster组合规则合成利用折扣因子修正后的证据源。数值算例分析结果表明，改进后的证据组合方法可以有效地处理证据冲突。     

迁钢210 t钢包全程加盖工艺及实践

迁钢二炼钢厂自投入使用210 t钢包全程加盖技术及工艺后，取得了显著效果，平均出钢温度降低10 ℃，钢包热周转使用率长期保持在85%以上，取消了钢包在线烘烤，降低了煤气消耗，有效地保证了钢包洁净度，提高了钢包包衬寿命。实践生产运行表明，炼钢生产中钢包全程加盖工艺是一项节能、环保、降耗的先进技术，为迁钢二炼钢厂取得了显著的经济效益。但在一段时间内，该工艺运行稳定性较差，通过现场生产数据归纳分析，从中找出了影响钢包加、揭盖的因素，并制定了控制措施；同时，岗位要掌握其操作要点及主要设备，才能提高运行稳定性。     

利用地震品质因子Q比例的分布特征预测南川页岩气藏保存条件

根据地震数据、地质资料和地震属性，开展了南川地区五峰组-龙马溪组下部页岩的地震品质因子Q平面上分布与页岩气保存条件评价研究。针对南川地区页岩气开发中的断裂破碎带，提出了一种获取稳定品质因子Q比例及界限的工作流程和相应的迭代算法。研究表明，地震品质因子Q比例的分布可以快速、直观识别出断裂破碎带的内幕特征与不同类型页岩分布区。其中，断裂破碎带页岩区的品质因子Q比例总体上偏小，大多低于0.2，局部超过0.5，平面上分布杂乱、碎斑状；页岩呈北东向展布的条带，被断裂所撕裂、破碎，保存条件较差。稳定分布的页岩区的品质因子Q比例是较高的，超过0.7，平面变化稳定，没有突变现象，保存条件好。微裂缝发育的页岩区的品质因子Q比例具有渐变的趋势性，品质因子Q比例的分布从该页岩区的边部0.7向中部有规律地减小至0.1，保存条件最佳。实践证明，高产气井大多位于稳定分布的页岩区或内部微裂隙发育的稳定页岩区，地震品质因子Q比例研究方法对页岩气保存评价与开发井优化部署是一个实用工具。     

二次侧非能动余热排出系统流动不稳定性研究

二次侧非能动余热排出（ASP）系统是压水堆核电厂应对全厂断电事故的重要措施之一。为研究ASP系统的运行特性，设计建造了ASP系统试验装置（ASPTF）。在ASPTF上开展了ASP系统运行稳定性影响试验，并对试验结果进行了理论分析。试验研究与理论分析结果表明：低压低功率下ASP系统中出现流动不稳定性；增加蒸汽管线或回水管线阻力系数可抑制ASP系统出现流动不稳定性；降低加热功率时ASP系统更易出现流动不稳定性；主泵运行状态影响ASP系统的输入功率进而影响系统的流动不稳定性。     

制浆造纸企业配电变压器的选择和节能探讨

本文计算并分析了变压器运行的损耗，从配电变压器的选型、负荷率的选择等方面探讨了其节能降耗措施；并对制浆造纸企业配电变压器选用方法提出了建议。