Assessing recent recurrence after hepatectomy for hepatitis Brelated hepatocellular carcinoma by a predictive model based on sarcopenia

BACKGROUND Sarcopenia may be associated with hepatocellular carcinoma(HCC)following hepatectomy.But traditional single clinical variables are still insufficient to predict recurrence.We still lack effective prediction models for recent recurrence(time to recurrence<2 years)after hepatectomy for HCC.AIM To establish an interventable prediction model to estimate recurrence-free survival(RFS)after hepatectomy for HCC based on sarcopenia.METHODS We retrospectively analyzed 283 hepatitis B-related HCC patients who underwent curative hepatectomy for the first time,and the skeletal muscle index at the third lumbar spine was measured by preoperative computed tomography.94 of these patients were enrolled for external validation.Cox multivariate analysis was per-formed to identify the risk factors of postoperative recurrence in training cohort.A nomogram model was developed to predict the RFS of HCC patients,and its predictive performance was validated.The predictive efficacy of this model was evaluated using the receiver operating characteristic curve.RESULTS Multivariate analysis showed that sarcopenia[Hazard ratio(HR)=1.767,95%CI:1.166-2.678,P<0.05],alpha-fetoprotein≥40 ng/mL(HR=1.984,95%CI:1.307-3.011,P<0.05),the maximum diameter of tumor>5 cm(HR=2.222,95%CI:1.285-3.842,P<0.05),and hepatitis B virus DNA level≥2000 IU/mL(HR=2.1,95%CI:1.407-3.135,P<0.05)were independent risk factors associated with postoperative recurrence of HCC.Based on the sarcopenia to assess the RFS model of hepatectomy with hepatitis B-related liver cancer disease(SAMD)was established combined with other the above risk factors.The area under the curve of the SAMD model was 0.782(95%CI:0.705-0.858)in the training cohort(sensitivity 81%,specificity 63%)and 0.773(95%CI:0.707-0.838)in the validation cohort.Besides,a SAMD score≥110 was better to distinguish the high-risk group of postoperative recurrence of HCC.CONCLUSION Sarcopenia is associated with recent recurrence after hepatectomy for hepatitis B-related HCC.A nutritional status-based prediction model is first established for postoperative recurrence of hepatitis B-related HCC,which is superior to other models and contributes to prognosis prediction.

Sedimentary architecture of submarine channel-lobe systems under different seafloor topography:Insights from the Rovuma Basin offshore East Africa

Seafloor topography plays an important role in the evolution of submarine lobes.However,it is still not so clear how the shape of slope affects the three-dimensional(3-D)architecture of submarine lobes.In this study,we analyze the effect of topography factors on different hierarchical lobe architectures that formed during Pliocene to Quaternary in the Rovuma Basin offshore East Africa.We characterize the shape,size and growth pattern of different hierarchical lobe architectures using 3-D seismic data.We find that the relief of the topographic slope determines the location of preferential deposition of lobe complexes and single lobes.When the topography is irregular and presents topographic lows,lobe complexes first infill these depressions.Single lobes are deposited preferentially at positions with higher longitudinal(i.e.across-slope)slope gradients.As the longitudinal slope becomes higher,the aspect ratio of the single lobes increases.Lateral(i.e.along-slope)topography does not seem to have a strong influence on the shape of single lobe,but it seems to affect the overlap of single lobes.When the lateral slope gradient is relatively high,the single lobes tend to have a larger overlap surface.Furthermore,as the average of lateral slope and longitudinal slope gets greater,the width/thickness ratio of the single lobe is smaller,i.e.sediments tend to accumulate vertically.The results demonstrate that the shape of slopes more comprehensively influences the 3-D architecture of lobes in natural deep-sea systems than previously other lobe deposits and analogue experiments,which helps us better understand the development and evolution of the distal parts of turbidite systems.

Comparison of fungal vs bacterial infections in the medical intensive liver unit:Cause or corollary for high mortality?

BACKGROUND Due to development of an immune-dysregulated phenotype,advanced liver disease in all forms predisposes patients to sepsis acquisition,including by opportunistic pathogens such as fungi.Little data exists on fungal infection within a medical intensive liver unit(MILU),particularly in relation to acute on chronic liver failure.AIM To investigate the impact of fungal infections among critically ill patients with advanced liver disease,and compare outcomes to those of patients with bacterial infections.METHODS From our prospective registry of MILU patients from 2018-2022,we included 27 patients with culture-positive fungal infections and 183 with bacterial infections.We compared outcomes between patients admitted to the MILU with fungal infections to bacterial counterparts.Data was extracted through chart review.RESULTS All fungal infections were due to Candida species,and were most frequently blood isolates.Mortality among patients with fungal infections was significantly worse relative to the bacterial cohort(93%vs 52%,P<0.001).The majority of the fungal cohort developed grade 2 or 3 acute on chronic liver failure(ACLF)(90%vs 64%,P=0.02).Patients in the fungal cohort had increased use of vasopressors(96%vs 70%,P=0.04),mechanical ventilation(96%vs 65%,P<0.001),and dialysis due to acute kidney injury(78%vs 52%,P=0.014).On MILU admission,the fungal cohort had significantly higher Acute Physiology and Chronic Health Evaluation(108 vs 91,P=0.003),Acute Physiology Score(86 vs 65,P=0.003),and Model for End-Stage Liver Disease-Sodium scores(86 vs 65,P=0.041).There was no significant difference in the rate of central line use preceding culture(52%vs 40%,P=0.2).Patients with fungal infection had higher rate of transplant hold placement,and lower rates of transplant;however,differences did not achieve statistical significance.CONCLUSION Mortality was worse among patients with fungal infections,likely attributable to severe ACLF development.Prospective studies examining empiric antifungals in severe ACLF and associations between fungal infections and transplant outcomes are critical.

Influence of reduced-port laparoscopic surgery on perioperative indicators, postoperative recovery, and serum inflammation in patients with colorectal carcinoma

BACKGROUND Conventional five-port laparoscopic surgery,the current standard treatment for colorectal carcinoma(CRC),has many disadvantages.AIM To assess the influence of reduced-port laparoscopic surgery(RPLS)on perioperative indicators,postoperative recovery,and serum inflammation indexes in patients with CRC.METHODS The study included 115 patients with CRC admitted between December 2019 and May 2023,52 of whom underwent conventional five-port laparoscopic surgery(control group)and 63 of whom underwent RPLS(research group).Comparative analyses were performed on the following dimensions:Perioperative indicators[operation time(OT),incision length,intraoperative blood loss(IBL),and rate of conversion to laparotomy],postoperative recovery(first postoperative exhaust,bowel movement and oral food intake,and bowel sound recovery time),serum inflammation indexes[high-sensitivity C-reactive protein(hs-CRP),tumor necrosis factor-α(TNF-α),and interleukin-6(IL-6)],postoperative complications(anastomotic leakage,incisional infection,bleeding,ileus),and therapeutic efficacy.RESULTS The two groups had comparable OTs and IBL volumes.However,the research group had a smaller incision length;lower rates of conversion to laparotomy and postoperative total complication;and shorter time of first postoperative exhaust,bowel movement,oral food intake,and bowel sound recovery;all of which were significant.Furthermore,hs-CRP,IL-6,and TNF-αlevels in the research group were significantly lower than the baseline and those of the control group,and the total effective rate was higher.CONCLUSION RPLS exhibited significant therapeutic efficacy in CRC,resulting in a shorter incision length and a lower conversion rate to laparotomy,while also promoting postoperative recovery,effectively inhibiting the inflammatory response,and reducing the risk of postoperative complications.

水系锌离子电池MnO_(2)正极的3D打印

为了解决MnO_(2)正极在水系锌离子电池中循环稳定性差及离子运输缓慢等问题,采用直写成型技术制备高精度定制的3D打印MnO_(2)正极。流变测试表明,打印墨水表现出剪切变稀行为,存储模量平台值高达10^(5) Pa。SEM图像显示,100次循环后该定制网-层状结构保持完整。具有良好力学强度的3D结构有利于降低电极内残余应力,同时提供更大的比表面积。所得的3D打印正极在50 m A/g的电流密度下循环110次后,比容量为对照传统2D电极的4倍。采用多种非原位技术系统研究了3D打印电池的可逆Mn^(2+)/Mn^(4+)双氧化还原储能机制。

消化道异物的内镜取出109例临床总结

背景摄入的消化道异物是临床中常见的急症.消化道异物个体化内镜取出方法报道较少.目的探讨摄入的消化道异物个体化内镜取出方法,以提高异物内镜取出成功率.方法采用回顾性队列研究,分析2014-07/2019-04在解放军总医院第三医学中心(原武警总医院)消化内镜中心的消化道异物的临床资料及相应的内镜取出的过程特征.结果109例患者纳入研究,其中男46例(42.2%),女63例(57.8%).年龄11岁-88岁,平均年龄57.3岁,其中52例(47.7%)为老年人.最常见的异物是枣核53例(48.6%),其次是鱼骨24例(22%)、食团15例(13.8%).消化道异物最常见的位置是食管84例(76.9%),其次是结肠7例(6.4%),吻合口6例(5.5%),胃和十二指肠分别为5例(4.5%)、5例(4.5%),咽部2例(1.8%).根据异物特点及其滞留部位和患者自身条件,选择合适的取出器械,制定个体化内镜取出方法,其中咽部异物用时间最短,平均时间为2.5±0.7 min.食管上、中、下段异物所用平均时间分别为7.0±5.3 min、8.3±6.3 min、3.3±1.2 min.吻合口处异物所用时间6.2±4.1 min.胃内异物和十二指肠异物所用平均时间为8.4±1.7 min和9.2±3.1 min.结肠异物所用时间最长,平均时间为15.6±8.0 min.消化道异物内镜取出成功率为97.2%(106/109).结论根据异物特点及其滞留部位和患者自身条件个体化内镜取出消化道异物是安全、有效的方法.

胆道出血6例临床分析及文献复习

背景胆道出血是上消化道出血的少见病因,胆道出血诊治是困难及具有挑战性的.目的探讨胆道出血的原因及处理方法,提高胆道出血诊治水平.方法分析我院2014-2018年确诊的6例胆道出血患者的临床资料、出血原因及其治疗方法,并进行相关文献复习,总结出胆道出血的诊治流程.结果胆道出血患者6例,男性4例,女2例,26-68岁,平均年龄54.2岁.其中肿瘤病变2例,胆囊结石1例,胆囊假性动脉瘤1例;肝移植术后1例;胆道感染1例.外科手术治疗2例,内镜下治疗1例,血管介入治疗1例;内科保守治疗2例.治愈5例,失血性休克死亡1例.结论胆道出血诊治是困难及具有挑战性,提高对胆道出血的认识,及时细致的检查和合理选择处理方式,是提高胆道出血诊治水平的关键.

The role of the Rho/ROCK signaling pathway in inhibiting axonal regeneration in the central nervous system

The Rho/Rho-associated coiled-coil containing protein kinase（Rho/ROCK） pathway is a major signaling pathway in the central nervous system, transducing inhibitory signals to block regeneration. After central nervous system damage, the main cause of impaired regeneration is the presence of factors that strongly inhibit regeneration in the surrounding microenvironment. These factors signal through the Rho/ROCK signaling pathway to inhibit regeneration. Therefore, a thorough understanding of the Rho/ROCK signaling pathway is crucial for advancing studies on regeneration and repair of the injured central nervous system.

Study on Random Initiation Phenomenon for Sympathetic Detonation of Explosive

It is important to understand the characteristics of explosive sympathetic detonation for explosive safety.Sympathetic reaction test of GHL(RDX/Al/Binder)explosive charges with shell are conducted.A model of the sympathetic reaction test is established.The elements-apart method and nodes random-failure method are used in the model to describe the expansion progress of shell expanding and the randomly forming process of fragments.Random detonation phenomena of acceptor charge are simulated.

Correlation of Epstein-Barr virus and its encoded proteins with Helicobacter pylori and expression of c-met and c-myc in gastric carcinoma

AIM： To investigate the interrelationship of Epstein-Barr virus （EBV） and EBV- encoded proteins with Helicobacter pylori （H pylor/~ infection and the expression of c-met and c-myc oncogene proteins in gastric carcinoma, and to explore their role in gastric carcinogenesis. METHODS： One hundred and eighty-five gastric carcinoma tissues were detected by polymerase chain reaction （PCR）-Southern blot for EBV genome and in situ hybridization （ISH） for EBV-encoded small RNA 1 （EBER1）. Gastric carcinoma with positive EBER1 signals was confirmed EBV-associated gastric carcinoma （EBVaGC）. The status of Hpylori infection in 185 gastric carcinomas was assessed by rapid urease test and PCR. The samples with positive PCR and urease test were defined as H pylorl infection. The expression of c-met and c-myc oncogene proteins in tissues of EBVaGC and matched EBV-negative gastric carcinoma （EBVnGC） were examined by immunohistochemistry. RT-PCR and Southern hybridization were used to detect the expression of nuclear antigens （EBNAs） 1 and 2, latent membrane protein （LMP） 1, early genes BARF1 and BHRF1 in EBVaGC cases. RESULTS： The positive rate of H pylori and EBV in 185 gastric carcinomas was 59.45% （110/185） and 7.03% （13/185） respectively. No difference was found in sex, age, pathological differentiation, clinical stages and lymph node metastasis between H pylori-positive and H pylori-negative gastric carcinomas. However, the positive rate of H pylori infection in the antrum gastric carcinomas was higher than that of cardia and body gastric carcinomas. In our series, age, pathological differentiation, clinical stages, lymph node metastasis and location of cancer were not different between EBVnGC and EBVaGC, while the positive rate of EBV in male patients was significantly higher than that of female patients. The positivity of Hpylori in EBV-associated and EBV-negative gastric carcinomas was 46.15% （6/13） and 81.40%（104/172） respectively. There was no significant correlation between EBV and H pylori infection. The c-met overexpression was significantly higher in the EBVaGC group than in the EBVnGC group. However, c-met and c-myc expression did not show significant difference between the two groups. Transcripts of EBNA1 were detected in all 13 EBVaGCs, while both EBNA2 and LMP1 mRNA were not detected. Six of the 13 cases exhibited BARF1 transcripts and 2 exhibited BHRF1 transcripts. CONCLUSION： The positivity of H pylori in EBVnGCs is higher than that of EBVaGCs, but no significant correlation is found between EBV infection and H pylori infection. H pylori-positive gastric carcinoma is predominant in antrum location, while EBVaGC has a tendency of predominance in cardia/body location. EBV infection is associated with c-met abnormal expression but not with c-myc protein in EBVaGC. c-met overexpression is not induced by LMP1. BARF1 and BHRF1 may play important roles in the tumorigenesis of EBVaGC through different pathways.

Andrology in China： current status and 10 years＇ progress

Andrology has a long history in traditional Chinese medicine. There are records of male sexual health, male sexual dysfunction and male infertility from over thousands of years ago. Modern andrology in China had a late start, with the Chinese Androlo~ Association founded in 1995. Within last decade, andrology in China has grown rapidly. In this review article, we summarized the progress of androlo~ in last 10 years and outlined the current status of Chinese andrology with a special focus on progress in male erectile dysfunction, prostate diseases, male infertility and male hormonal contraception.

Discharge performance of Mg-Al-Pb-La anode for Mg-air battery

b The discharge performance of Mg-Al-Pb-La anode was investigated by electrochemical techniques and compared withthat of Mg-Al-Pb alloy. The results indicate that the Mg-Al-Pb-La anode provides enhanced corrosion resistance at open circlepotential, and exhibits better discharge activity than the Mg-Al-Pb alloy. The utilization efficiency of Mg-Al-Pb-La anode ishigher than that of commercial Mg-Al-Zn （AZ） and Mg-Al-Mn （AM） alloys. A single Mg-air battery with Mg-Al-Pb-La alloy asthe anode and air as the cathode has an average discharge potential of 1.295 V and a discharge capacity of 1370 mA·h/g duringdischarge at 10 mA/cm2, which is higher than that of batteries using Mg-Li anodes. The enhancement in discharge performance ofthe Mg-Al-Pb-La anode is caused by its modified microstructure, which reduces the self-corrosion and accelerates the spalling ofoxidation products during battery discharge. Furthermore, the dissolution mechanism of Mg-Al-Pb-La anode during the dischargeprocess was analyzed.

Effect of particle gradation of aluminum on the explosion field pressure and temperature of RDX-based explosives in vacuum and air atmosphere

To optimize the energy output and improve the energy utilization efficiency of an aluminized explosive,an explosion device was developed and used to investigate the detonation pressure and temperature of R1(A16)aluminum powder and the aluminum powder particle gradation of R2(Al6+Al13),R3(Al6+Al24)and R4(Al6+AI flake)in a confined space.By using gas chromatography,quantitative analysis and calculations were carried out to analyze the gaseous detonation products.Finally,the reaction ratios of the aluminum powder and the explosion reaction equations were calculated.The results show that in a confined space,the quasi-static pressures and equilibrium temperature of the aluminum powder in air are higher than in vacuum.In vacuum,the quasi-static pressures and equilibrium temperatures of the samples in descending order are R1>R3>R4>R2 and R3>R4>R1>R2,respectively.In air,the quasi-static pressures and equilibrium telperatures of the samples in descending order are R1>R2>R4>R3 and R1>R4>R2>R3,respectively.R4(Al6+AI flake)and R3(Al6+A124)have relatively higher temperatures after detonation,which shows that the particle gradation method can enhance the reaction energy output of aluminum during the initial reaction stage of the explosion and increase the reaction ratio by10.6%and 8.0%,respectively.In air,the reaction ratio of AI6 aluminum powder can reach as high as 78.16%,and the reaction ratio is slightly reduced after particle gradation.Finally,the reaction equations of the explosives in vacuum and in air were calculated by quantitative analysis of the explosion products,which provides a powerful basis for the study of RDX-based explosive reactions.

Near-net shaped Al/SiCP composites via vacuum-pressure infiltration combined with gelcasting

To solve the problem of difficult machining, the near-net shaped Al/SiCP composites with high volume fraction of SiC particles were fabricated by vacuum-pressure infiltration. The SiCP preform with a complex shape was prepared by gelcasting. Pure Al, Al4Mg, and Al4Mg2Si were used as the matrices, respectively. The results indicate that the optimal parameters of SiCP suspension in gelcasting process are pH value of 10, TMAH content of 0.5 wt.%, and solid loading of 52 vol.%. The Al matrix alloyed with Mg contributes to improving the interfacial wettability of the matrix and SiC particles, which increases the relative density of the composite. The Al matrix alloyed with Si is beneficial to inhibiting the formation of the detrimental Al4C3 phases. The Al4Mg2Si/SiCP composite exhibits high relative density of 99.2%, good thermal conductivity of 150 W·m^-1·K^-1, low coefficient of thermal expansion of 10.1×10^-6 K^-1, and excellent bending strength of 489 MPa.

An Innovative Methodology of Product Design from Nature

Nature is an information sourcebook of behaviour, function, colour and shape which can inspire visual design and invention. Studying the form and functional characteristics of a natural object can provide inspiration for product design and help to improve the marketability of manufactured products. The inspiration can be triggered either by direct observation or captured by three-dimensional （3D） digitising techniques to obtain superficial information （geometry and colour）. An art designer often creates a concept in the form of a two-dimensional （2D） sketch while engineering methods lead to a point cloud in 3D. Each has its limitations in that the art designer commonly lacks the knowledge to build a final product from a 2D sketch and the engi- neering designer＇s 3D point clouds may not be very beautiful. We propose a method for Product Design from Nature （PDN）, coupling aesthetic intent and geometrical characteristics, exploring the interactions between designers and nature＇s systems in PDN. We believe that this approach would considerably reduce the lead time and cost of product design from nature.

Relationship among solution heating rate,mechanical properties,microstructure and texture of Al−Mg−Si−Cu alloy

The relationship among heating rate, mechanical properties, microstructure and texture of Al-Mg-Si-Cu alloy during solution treatment was investigated through tensile test, scanning electron microscope, X-ray diffractometer and EBSD technology. The experimental results reveal that there is a non-monotonic relationship among solution heating rate, mechanical properties, microstructure and texture. As the solution heating rate increases, the strength variations are dependent on the tensile direction;work hardening exponent n decreases first, and then increases;plastic strain ratio r increases first, and then decreases, and finally increases. The final microstructure and texture are also affected by heating rate. As heating rate increases, the microstructure transforms from elongated grain structure to equiaxed grain structure, and the average grain size decreases first, and then increases, and decreases finally. Although the texture components including CubeND{001}<310> and P{011}<122> orientations almost have no change with the increase of heating rate, the texture intensity and volume fraction decrease first, and then increase, and finally decrease. Both microstructure and texture evolutions are weakly affected by heating rate. Improving heating rate is not always favorable for the development of fine equiaxed grain structure, weak texture and high average r value, which may be related to the recrystallization behavior.

2D MXenes as Co-catalysts in Photocatalysis:Synthetic Methods

Since their seminal discovery in 2011,two-dimensional(2D)transition metal carbides/nitrides known as MXenes,that constitute a large family of 2D materials,have been targeted toward various applications due to their outstanding electronic properties.MXenes functioning as co-catalyst in combination with certain photocatalysts have been applied in photocatalytic systems to enhance photogenerated charge separation,suppress rapid charge recombination,and convert solar energy into chemical energy or use it in the degradation of organic compounds.The photocatalytic performance greatly depends on the composition and morphology of the photocatalyst,which,in turn,are determined by the method of preparation used.Here,we review the four different synthesis methods(mechanical mixing,self-assembly,in situ decoration,and oxidation)reported for MXenes in view of their application as co-catalyst in photocatalysis.In addition,the working mechanism for MXenes application in photocatalysis is discussed and an outlook for future research is also provided.

Effects of strain rate on mechanical properties, microstructure and texture of Al-Mg-Si-Cu alloy under tensile loading

The effects of strain rate on the mechanical properties,microstructure and texture of Al-Mg-Si-Cu alloy were investigated through tensile test,microstructure and texture characterization.The results show that strain rate has some influences on the mechanical properties and microstructure,but a slight influence on the texture.Overall,yield strength,ultimate tensile strength and elongation increase first,then remain unchanged,and finally increase with increasing strain rate.Independent of strain rate,microstructure in the vicinities of the fracture regions of all the specimens is composed of the slightly elongated grains.However,some differences in misorientation angle distributions can be observed.As strain rate increases,the low angle grain boundaries(LAGBs)increase first,and then decrease.Textures in the vicinities of the fracture regions are almost identical with increasing strain rate.

Theoretical calculation and experimental study on the interaction mechanism between TKX-50 and AP

The combination of 5,5'-bistetrazole-1,1'-diolate(TKX-50) and ammonium perchlorate(AP) can make greater use of the chemical energy of TKX-50 based energetic materials.The research on the interaction mechanism between TKX-50 and AP is very important for designing TKX-50-AP compounds and judging the formation feasibility of composite particles,which can lay a theoretical foundation for the preparation of TKX-50-AP mixed crystals and the application of TKX-50 in propellant,propellant and explosive.Herein,in order to research the interaction mechanism between TKX-50 and AP,density-functional theory calculation was applied to optimize three configurations of TKX-50-AP compounds.The geometry structure,electrostatic potential and binding energy of the compounds were predicted,and the electronic density topological analysis was also carried out.Then TKX-50-AP mixed crystals structures were constructed,and the radial distribution function of H-O and H-N in mixed crystals was calculated.Finally,solvent/non-solvent method was applied to prepare TKX-50-AP composites,and the infrared spectro scopy and the non-isothermal decomposition perfo rmance of the composites were characterized.Results show that the superposition of positive charges in TKX-50 molecule and negative charges in AP makes the electrostatic potential distributions of TKX-50-AP compounds different from that of TKX-50 and AP.The interaction energies of TKX-50-AP 1,TKX-50-AP 2 and TKX-50-AP 3 are 39.743 kJ/mol,61.206 kJ/mol and 27.702 kJ/mol,respectively.The interaction between TKX-50 molecules and AP molecules in TKX-50-AP mixed crystals both depends on hydrogen bonds and van der Waals force,and the number and strength of hydrogen bonds are significantly greater than that of van der Waals force.The composition of AP and TKX-50 makes the absorption peak of the five-membered rings and NH_3 OH^+ of TKX-50 shift to low wavenumber in the infrared spectroscopy.In general,TKX-50 interacts with AP via hydrogen bonds and van der Waals force,and the calculated results are in good agreement with the experimental results.The composition of TKX-50 and AP can also prolong the decomposition process.

Preparation of dual-shell Si/TiO_(2)/CFs composite and its lithium storage performance

A dual-shell Si/TiO2/CFs composite was synthesized through a simple method to deal with the intrinsic drawbacks of silicon-based anode,in terms of huge volume change,unstable SEI films,and low electronic and ionic conductivity.The inner rigid TiO2 shell alleviates the huge volume expansion of the nano silicon,and the outer resilient carbon fiber,which is porous and staggered,is beneficial to the rapid transport of electrons and ions.The as-prepared Si/TiO2/CFs composite displays a superior reversible specific capacity of 583.4 mA·h/g,high rate capability and decent cycling performance.The dual-shell encapsulation method provides a guideline for other anode materials with huge volume expansion during the cycling process.