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Few trial-based assessments of ruxolitinib in patients with lower-risk myelofibrosis (MF) have been conducted, and no studies have made such assessments in a real-world population. We assessed changes in spleen size and constitutional symptoms during ruxolitinib treatment using a retrospective, observational review of anonymized US medical record data of patients diagnosed with IPSS low-risk (n=25) or intermediate-1-risk (n=83) MF. The majority of patients were male (low risk, 60%; intermediate-1 risk, 69%). Most patients (92% and 77%) were still receiving ruxolitinib at the medical record abstraction date (median observation/exposure time, 8 months). The proportion of patients with moderate or severe palpable splenomegaly (≥10 cm) decreased from diagnosis (56%) to best response (12%). Fatigue was reported in 47% of patients and was the most common constitutional symptom. For most symptoms in both risk groups, shifts in the distribution of severity from more to less severe from diagnosis to best response were observed. Both patients with low-risk and intermediate-1-risk MF experienced a substantial decrease in spleen size with ruxolitinib treatment in real-world settings. For most symptoms examined, there were distinct improvements in the distribution of severity during ruxolitinib treatment. These findings suggest that patients with lower-risk MF may benefit clinically from ruxolitinib treatment.

This paper addresses the problem of accurate path following control for an underactuated unmanned underwater vehicle (UUV) in the horizontal plane. For an underactuated UUV, the line-of-sight (LOS) guidance method is adopted to map 2D reference trajectory into a desired orientation, and through the tracking of heading to achieve path following, where the sideslip is introduced to modify the desired orientation. In this paper, we propose a method called dynamic surface and active disturbance rejection control (DS-ADRC) to solve the path following control problem. This controller can effectively avoid the phenomenon of explosion of terms in the conventional backstepping method, reduce the dependence on the UUV controller mathematical model, and enhance the antijamming ability. Simulation is carried out to verify the effectiveness of the proposed control method for an underactuated UUV. The results show that, even for this controller with disturbance, the cross-track error of UUV is gradually converged to zero and has some certain robustness.

Flexible silica aerogel composites in intact monolith of 12 cm were successfully fabricated by reinforcing SiO2 aerogel with electrospun polyvinylidene fluoride (PVDF) webs via electrospinning and sol-gel processing. Three electrospun PVDF webs with different microstructures (e.g., nanofibers, microparticles, and combined nanofibers and microparticles) were fabricated by regulating electrospinning parameters. The as-electrospun PVDF webs with various microstructures were impregnated into the silica sol to synthesize the PVDF/SiO2 composites followed by solvent exchange, surface modification, and drying at ambient atmosphere. The morphologies of the PVDF/SiO2 aerogel composites were characterized and the thermal and mechanical properties were measured. The effects of electrospun PVDF on the thermal and mechanical properties of the aerogel composites were evaluated. The aerogel composites reinforced with electrospun PVDF nanofibers showed intact monolith, improved strength, and perfect flexibility and hydrophobicity. Moreover, the aerogel composites reinforced with the electrospun PVDF nanofibers had the lowest thermal conductivity (0.028W·m-1 ·K-1). It indicates that the electrospun PVDF nanofibers could greatly improve the mechanical strength and flexibility of the SiO2 aerogels while maintaining a lower thermal conductivity, which provides increasing potential for thermal insulation applications. [ABSTRACT FROM AUTHOR]