We propose a new generalized Su–Schrieffer–Heeger model with hierarchical long-range hopping based on a onedimensional tetratomic chain. The properties of the topological states and phase transition, which depend on...We propose a new generalized Su–Schrieffer–Heeger model with hierarchical long-range hopping based on a onedimensional tetratomic chain. The properties of the topological states and phase transition, which depend on the cointeraction of the intracell and intercell hoppings, are investigated using the phase diagram of the winding number. It is shown that topological states with large positive/negative winding numbers can readily be generated in this system. The properties of the topological states can be verified by the ring-type structures in the trajectory diagram of the complex plane. The topological phase transition is strongly related to the opening(closure) of an energy bandgap at the center(boundaries) of the Brillouin zone. Finally, the non-zero-energy edge states at the ends of the finite system are revealed and matched with the bulk–boundary correspondence.展开更多
Magnesium hydride(MgH_(2))has been widely regarded as a potential hydrogen storage material owing to its high gravimetric and volumetric capacity.Its sluggish kinetics and high activation energy barrier,however,severe...Magnesium hydride(MgH_(2))has been widely regarded as a potential hydrogen storage material owing to its high gravimetric and volumetric capacity.Its sluggish kinetics and high activation energy barrier,however,severely limit its practical application.Transition metal oxides(TMOs)have been extensively used as catalysts to improve the hydrogen storage performance of MgH_(2),but the low-valence transition metal(TM)ions,resulting from the reduction of TMOs accompanied by the formation of inactive Mg O,have been demonstrated to be the most effective components.Herein,we theoretically and experimentally confirm that the doping of low-valence TMs into Mg O could effectively weaken the Mg-H bonds and decrease the energy required for hydrogen desorption from MgH_(2),leading to superior catalytic activity compared to both TMOs and Mg O.In particular,the apparent activation energy for the dehydrogenation of Mg(Nb)O-catalyzed MgH_(2)could be reduced to only 84.1 kJ mol^(-1),and the reversible capacity could reach around 7 wt.%after 5 cycles with a capacity retention of 96%.Detailed theoretical calculations confirm that the remarkable orbital hybridization between Mg(Nb)O and MgH_(2)promotes charge transfer from MgO to the MgH_(2)monomer,resulting in significantly weakened stability of MgH_(2),which could effectively enhance its hydrogen storage performance.展开更多
Objective:Coronavirus disease 2019(COVTD-19)is often accompanied by gastrointestinal symptoms,which are related to gut microbiota dysbiosis(GMD).Whether washed microbiota transplantation(WMT)is an effective treatment ...Objective:Coronavirus disease 2019(COVTD-19)is often accompanied by gastrointestinal symptoms,which are related to gut microbiota dysbiosis(GMD).Whether washed microbiota transplantation(WMT)is an effective treatment for COV1D-19 patients suspected of having GMD by restoring the gut microbiota is unknown.This study is designed to explore the efficacy and safety of WMT in COVID-19 patients suspected of having GMD.Methods:This is a randomized,multicenter,single-blind prospective study.COVID-19 patients suspected of having GMD will be randomly divided to receive routine treatment only or to receive routine treatment and WMT.The frequency of WMT will be once a day for three consecutive days.Laboratory and imaging examinations will be performed at admission,1 and 2 weeks after treatment,and on the day of discharge.Then a telephone follow-up will be conducted at 1st week,2nd week,and 6th month after discharge.The clinical efficacy and safety of WMT in COVD-19 patients suspected of having GMD and the effects of WMT on the organ function,homeostasis,inflammatory response,intestinal mucosal barrier function,and immunity of the patients will be evaluated.Results:By following the proposed protocol,WMT is expected to be efficacious and safe for the treatment of COVID-19 patients suspected of having GMD,and the therapeutic effect is expected to be associated with improvement of the intestinal mucosal barrier function,inflammatory response,and immunity.Conclusion:The findings from this study may offer a new approach for the prevention and treatment of COVID-19 patients suspected of having GMD.展开更多
BACKGROUND Squamous cell carcinoma (SCC) is one the most common subtypes of non-small cell lung cancer, yet the treatment options for it remain limited. Here, we report a case of advanced SCC and review the related li...BACKGROUND Squamous cell carcinoma (SCC) is one the most common subtypes of non-small cell lung cancer, yet the treatment options for it remain limited. Here, we report a case of advanced SCC and review the related literature focusing on the multiline therapy method. CASE SUMMARY We report the case of a 45-year-old man with advanced SCC who was deemed inoperable at the time of advanced SCC diagnosis. The patient had been referred to our hospital in April 2013 with complaints of a stuffy feeling in the chest, dyspnea, and pain in the right shoulder lasting for 1 mo. Physical examination found no obvious abnormalities, except for lower breath sound in the right lower lung. Laboratory data were within normal limits. Immunohistochemistry analysis of the tumor tissue showed CK5/6 (+), p63 (+), CD56 (+), and Ki-67 (+, approximately 30%), and genetic testing detected no EGFR mutation. He received a multiline treatment that included chemotherapy, radiotherapy, targeted therapy, and antiangiogenic therapy. After more than 5-year comprehensive treatment, the patient remains alive. CONCLUSION This typical case highlights the importance of appropriate multiline therapy for those patients with advanced SCC.展开更多
Objective This study aimed to assess the real-life nutritional status changes and gastrointestinal symptoms in patients with advanced non-small cell lung cancer(NSCLC) receiving chemotherapy.Methods A total of 104 pat...Objective This study aimed to assess the real-life nutritional status changes and gastrointestinal symptoms in patients with advanced non-small cell lung cancer(NSCLC) receiving chemotherapy.Methods A total of 104 patients with metastatic NSCLC receiving first-line chemotherapy were included in this study. Unintentional weight loss, body mass index(BMI) changes, and gastrointestinal symptoms were recorded and evaluated. Biochemical parameters [hemoglobin(Hb) and albumin levels] were compared before and after two chemotherapy cycles using SPSS software.Results Of these patients, 65.38%(68/104) experienced unintentional weight loss, whereas 30.77% and 12.5% presented with ≥ 5% and ≥ 10% degrees of weight loss, respectively, within 6 months before first-line chemotherapy was administered. Then, 48.08%(50/104) of the patients experienced unintentional weight loss after two chemotherapy cycles. The mean body weight after chemotherapy was 61.47 ± 10.37 kg, which was significantly decreased relative to that before chemotherapy(P < 0.05). The mean BMI after chemotherapy was 22.66 ± 3.34 kg/m^2, which was also significantly diminished with respect to that during the previous chemotherapy cycle(P < 0.05). The most common gastrointestinal symptoms reported among all the study patients were anorexia(80/104, 76.92%), nausea(53/104, 50.96%), constipation(49/104, 47.12%), vomiting(48/104, 46.15%), taste disorders(40/104, 38.46%), and early satiety(32/104, 30.77%). The mean Hb levels after chemotherapy were 117.06 ± 16.67 g/L, which were significantly lower than those before chemotherapy(132.73 ± 16.42 g/L)(P < 0.05). No significant difference was noted between the mean albumin levels before and after chemotherapy(38.29 ± 4.22 g/L vs 38.17 ± 4.54 g/L; P = 0.798). Conclusion Weight loss history, gastrointestinal symptoms, and Hb level decreases are determinant factors of nutritional status in patients with advanced NSCLC and must be included in the screening, evaluation, and treatment of lung carcinoma.展开更多
Objective The aim of this study was to assess the value of palliative local treatment of incurable metastatic lesions in colorectal cancer(CRC) patients receiving chemotherapy plus bevacizumab.Methods Data of 105 pati...Objective The aim of this study was to assess the value of palliative local treatment of incurable metastatic lesions in colorectal cancer(CRC) patients receiving chemotherapy plus bevacizumab.Methods Data of 105 patients with histologically confirmed synchronous or metachronous metastatic CRC who received bevacizumab treatment from January 1, 2011 to January 31, 2017 were retrospectively reviewed. Sixteen(15%) patients who were treated with bevacizumab for less than 4 cycles were excluded, and finally, 89(85%) patients were enrolled. Among them, 33(37%) patients who received palliative local treatment were categorized into the palliative local treatment group, and the remaining 56(63%) patients were categorized into the chemotherapy plus bevacizumab group. The primary endpoint was overall survival(OS), which was calculated using Kaplan-Meier survival analyses. Factors possibly influencing survival were evaluated by univariate and multivariate analyses. Adverse events(AEs) were graded according to Common Terminology Criteria for Adverse Events, version 4.0. Grades 1–2 and 3–4 AEs of the two groups were compared and analyzed using the Fisher's exact test and χ~2 analysis.Results The median follow-up period was 20.4 months, ranging from 1 to 60 months. The median OS in the palliative local treatment group was 36.3 months(95% CI, 33.5–39.2), and that in the chemotherapy plus bevacizumab group was 20.5 months(95% CI, 17.6–23.4). Both the univariate(HR 0.13, 95% CI, 0.05–0.30, P < 0.001) and multivariate(HR 0.16, 95% CI, 0.07–0.39, P < 0.001) analyses showed that the addition of palliative local treatment could prolong survival compared with chemotherapy plus bevacizumab alone. There were no significant differences in the rates of common chemotherapy-or bevacizumab-related AEs between the two groups.Conclusion These findings suggest palliative local treatment is an effective and safe method for treating patients with incurable metastatic CRC receiving chemotherapy plus bevacizumab.展开更多
Objective To investigate the clinical features of several cases of malignancy with multiple bone lesions as the first manifestation.Methods Forty-nine cases of malignancy with multiple bone lesions as the first manife...Objective To investigate the clinical features of several cases of malignancy with multiple bone lesions as the first manifestation.Methods Forty-nine cases of malignancy with multiple bone lesions as the first manifestation were retrospectively analyzed from May 2018 to July 2019.All patients complained of“pain at the site of bone lesion”upon admission.Baseline patient information,such as age,gender,location of bone lesions,etiology,diagnosis method,time of onset was collected.Results The median age of the patients was 56 years old,of which 83.7%(41/49)were aged≥50 years.The median time of onset was 2 months.Among the cases,40 were confirmed as solid tumor bone metastasis,whereas the remaining 9 cases as hematological system tumor.Lung cancer and multiple myeloma were the main tumor types,accounting for 40.8%(20/49)and 16.3%(8/49),respectively.Other common causes were seven cases of cancer affecting the digestive system(three cases of liver cancer,three cases of gastric cancer,and one case of esophageal cancer),as well as seven cases of unknown primary cancer.Half of the solid tumors had only multiple bone metastases but no other distant metastasis.Conclusion Multiple bone lesions accompanied by pain may be the first clinical manifestation in various malignant tumors.The common tumor types were lung cancer,multiple myeloma,and digestive system tumor.It is more common in people aged 50 years and older.Multiple bone lesions might be the only metastasis site of some solid tumors,and its mechanism needs further investigation.展开更多
Metastable molybdenum carbide(α-MoC),as a catalyst and an excellent support for metal catalysts,has been widely used in thermo/electro-catalytic reactions.However,the selective synthesis ofα-MoC remains a great chal...Metastable molybdenum carbide(α-MoC),as a catalyst and an excellent support for metal catalysts,has been widely used in thermo/electro-catalytic reactions.However,the selective synthesis ofα-MoC remains a great challenge.Herein,a simple one-pot synthetic strategy for the selective preparation of metastableα-MoC is proposed by electrochemical co-reduction of CO_(2)and MoO_(3)in a low-temperature eutectic molten carbonate.The synthesizedα-MoC shows a reed flower-like morphology.By controlling the electrolysis time and monitoring the phase and morphology of the obtained products,the growth process ofα-MoC is revealed,where the carbon matrix is deposited first followed by the growth ofα-MoC from the carbon matrix.Moreover,by analyzing the composition of the electrolytic products,the formation mechanism forα-MoC is proposed.In addition,through this one-pot synthetic strategy,S-dopedα-MoC is successfully synthesized.Density functional theory(DFT)calculations reveal that S doping enhanced the HER performance ofα-MoC by facilitating water absorption and dissociation and weakening the bond energy of Mo-H to accelerate H desorption.The present work not only highlights the valuable utilization of CO_(2) but also offers a new perspective on the design and controllable synthesis of metal carbides and their derivatives.展开更多
Pregnancy with solid pseudopapillary tumor of the pancreas(SPTP)is rare.Because pregnancy hormones may cause tumor progression,the management and treatment of SPTP need to balance the safety of pregnant women and fetu...Pregnancy with solid pseudopapillary tumor of the pancreas(SPTP)is rare.Because pregnancy hormones may cause tumor progression,the management and treatment of SPTP need to balance the safety of pregnant women and fetuses with surgical treatment.We reported a case of a giant pancreatic tumor diagnosed during pregnancy that was considered to be SPTP.Examinations also showed hepatitis B virus infection and severe decompensation of liver cirrhosis.Medical termination of pregnancy was performed.The patient has lived with the tumor until now without surgery.We retrieved the published case reports,summarized the clinical characteristics of pregnancy with SPTP,and explored its management during the perinatal period.Most patients with SPTP have a good prognosis with good maternal and fetal outcomes,and it is important to choose an appropriate treatment method and timing.However,pregnancy combined with decompensated liver cirrhosis needs to be terminated in a timely manner because of its high-risk status.展开更多
First-principles calculations based on density functional theory were perfo rmed to investigate the cohesive energies,elastic modulus,Debye temperatures,thermal conductivities and density of states of La_(2-x)Yb_(x)Zr...First-principles calculations based on density functional theory were perfo rmed to investigate the cohesive energies,elastic modulus,Debye temperatures,thermal conductivities and density of states of La_(2-x)Yb_(x)Zr_(2)O_(7),La_(2)Zr_(2-x)Ce_(x)O_(7)and La_(2-x)Yb_(x)Zr_(2-x)Ce_(x)O_(7)(x=0.00,0.25,0.50,0.75,1.00)ceramics.The results show that doping Yb~(3+)or Ce~(4+)into La_(2)Zr_(2)O_(7)reduces its elastic modulus,thermal conductivity and Debye temperature.Compared with La_(2-x)Yb_(x)Zr_(2)O_(7)(x≠0.00),La_(2)Zr_(2-x)Ce_(x)O_(7)compounds have better ductility and lower Debye te mperature.The Debye temperature values of La_(2)Zr_(2-x)Ce_(x)O_(7)(x≠0.00)co mpounds are in the range of 485.0-511.5 K.Among all components,the fluorite-type La_(2-x)Yb_(x)Zr_(2-x)Ce_(x)O_(7)(x=0.75,1.00)compounds exhibit better mechanical and thermophysical properties,and their thermal conductivity values are only 1.213-1.246 W/(m·K)(1073 K),which are 14.5%-16.7%lower than that of the pure La_(2)Zr_(2)O_(7).Thus,our findings open an entirely new avenue for TBCs.展开更多
The oxygen reduction reaction(ORR),an important process in Zn-air batteries(ZABs),shows sluggish reaction kinetics,which significantly impairs the further improvement of battery performance.Thus,rationally designing c...The oxygen reduction reaction(ORR),an important process in Zn-air batteries(ZABs),shows sluggish reaction kinetics,which significantly impairs the further improvement of battery performance.Thus,rationally designing cathodic catalysts for ZABs has drawn sufficient attention.We herein synthesize and characterize Fe/N/F-tridoped CNTs(FeNFCs)by annealing the postsynthesized trifluoroacetic anhydridemodified Fe-MIL-88B-NH_(2)nanocrystals with melamine at high temperature in a N_(2)atmosphere.Benefiting from the Fe/N/F element doping,high specific surface area,and CNT structure,the FeNFC800 catalyst prepared at 800℃exhibits a preferable half-wave potential of 0.829 V vs.RHE.The Zn-air battery equipped with Fe NFC800 shows a high open-circuit voltage of 1.47 V,a gratifying peak power density of196 mW/cm^(2),and extraordinary long-term stability,outperforming the benchmark 20%Pt/C.展开更多
Computer vision(CV)algorithms have been extensively used for a myriad of applications nowadays.As the multimedia data are generally well-formatted and regular,it is beneficial to leverage the massive parallel processi...Computer vision(CV)algorithms have been extensively used for a myriad of applications nowadays.As the multimedia data are generally well-formatted and regular,it is beneficial to leverage the massive parallel processing power of the underlying platform to improve the performances of CV algorithms.Single Instruction Multiple Data(SIMD)instructions,capable of conducting the same operation on multiple data items in a single instruction,are extensively employed to improve the efficiency of CV algorithms.In this paper,we evaluate the power and effectiveness of RISC-V vector extension(RV-V)on typical CV algorithms,such as Gray Scale,Mean Filter,and Edge Detection.By our examinations,we show that compared with the baseline OpenCV implementation using scalar instructions,the equivalent implementations using the RV-V(version 0.8)can reduce the instruction count of the same CV algorithm up to 24x,when processing the same input images.Whereas,the actual performances improvement measured by the cycle counts is highly related with the specific implementation of the underlying RV-V co-processor.In our evaluation,by using the vector co-processor(with eight execution lanes)of Xuantie C906,vector-version CV algorithms averagely exhibit up to 2.98x performances speedups compared with their scalar counterparts.展开更多
The content and hydrogen isotope ratios of n-alkanes extracted from recent lake surface sediments sampled from nine lakes in three different climate zones on the Southwestern Tibetan Plateau were analyzed.Values were ...The content and hydrogen isotope ratios of n-alkanes extracted from recent lake surface sediments sampled from nine lakes in three different climate zones on the Southwestern Tibetan Plateau were analyzed.Values were compared with n-alkanes in plants from lake drainages,and dD values of meteoric water,lake water,and mean annual precipitation.The results showed that n-C23was predominantly derived from aquatic plants,and n-C27–n-C33from terrestrial higher plants.The average carbon chain length of n-C27–n-C33(ACL27–33)was positively correlated with the mean annual precipitation.dD values of the long-chain n-alkanes n-C29and n-C31of terrestrial origin(varying between-214%and-169%,and-226%and-185%,respectively)were inversely correlated with mean annual precipitation;but in accordance with the average annual variations in dD(OIPC),dD values of n-C31were strongly related to the dD values of growing season meteoric water(R2=0.74).The large difference between dD values of n-C23of aquatic origin and n-C31(an average of about 27%)demonstrates the enrichment of the lake water dD compared to precipitation,caused by strong evaporation in the semiarid–arid areas of the southwestern Tibetan Plateau.Average value of en C25 31=p(-95%)is evidently higher than the value observed in European wet regions(-128%);besides,en C31(about-116%)is constant along the study transect(SD=9),which indicates that n-C31is a useful proxy for the environment.展开更多
基金Project supported by the National Natural Science Foundation of China(Grant No.11405100)the Natural Science Basic Research Program in Shaanxi Province of China(Grant Nos.2022JZ-02,2020JM-507,and 2019JM-332)+1 种基金the Doctoral Research Fund of Shaanxi University of Science and Technology in China(Grant Nos.2018BJ-02 and 2019BJ-58)the Youth Innovation Team of Shaanxi Universities.
文摘We propose a new generalized Su–Schrieffer–Heeger model with hierarchical long-range hopping based on a onedimensional tetratomic chain. The properties of the topological states and phase transition, which depend on the cointeraction of the intracell and intercell hoppings, are investigated using the phase diagram of the winding number. It is shown that topological states with large positive/negative winding numbers can readily be generated in this system. The properties of the topological states can be verified by the ring-type structures in the trajectory diagram of the complex plane. The topological phase transition is strongly related to the opening(closure) of an energy bandgap at the center(boundaries) of the Brillouin zone. Finally, the non-zero-energy edge states at the ends of the finite system are revealed and matched with the bulk–boundary correspondence.
基金supported by the National Key R&D Program of China(No.2018YFB1502101)National Science Fund for Distinguished Young Scholars(51625102)+5 种基金National Natural Science Foundation of China(Nos.51874049,51401036,51901045)the Innovation Program of Shanghai Municipal Education Commission(2019–01–07–00–07E00028)the Science and Technology Commission of Shanghai Municipality(17XD1400700)the Changsha Science and Technology Program Project(No.kq1907092)the Science Research Project of Hunan Province Office of Education(No.20A024)the Programs for Professor of Special Appointment(Eastern Scholar)at Shanghai Institutions of Higher Learning
文摘Magnesium hydride(MgH_(2))has been widely regarded as a potential hydrogen storage material owing to its high gravimetric and volumetric capacity.Its sluggish kinetics and high activation energy barrier,however,severely limit its practical application.Transition metal oxides(TMOs)have been extensively used as catalysts to improve the hydrogen storage performance of MgH_(2),but the low-valence transition metal(TM)ions,resulting from the reduction of TMOs accompanied by the formation of inactive Mg O,have been demonstrated to be the most effective components.Herein,we theoretically and experimentally confirm that the doping of low-valence TMs into Mg O could effectively weaken the Mg-H bonds and decrease the energy required for hydrogen desorption from MgH_(2),leading to superior catalytic activity compared to both TMOs and Mg O.In particular,the apparent activation energy for the dehydrogenation of Mg(Nb)O-catalyzed MgH_(2)could be reduced to only 84.1 kJ mol^(-1),and the reversible capacity could reach around 7 wt.%after 5 cycles with a capacity retention of 96%.Detailed theoretical calculations confirm that the remarkable orbital hybridization between Mg(Nb)O and MgH_(2)promotes charge transfer from MgO to the MgH_(2)monomer,resulting in significantly weakened stability of MgH_(2),which could effectively enhance its hydrogen storage performance.
基金supported by the Special Research Project on Prevention and Control of COVID-19 in Universities of the Guangdong Provincial Education Department(No.2020KZDZX1132).
文摘Objective:Coronavirus disease 2019(COVTD-19)is often accompanied by gastrointestinal symptoms,which are related to gut microbiota dysbiosis(GMD).Whether washed microbiota transplantation(WMT)is an effective treatment for COV1D-19 patients suspected of having GMD by restoring the gut microbiota is unknown.This study is designed to explore the efficacy and safety of WMT in COVID-19 patients suspected of having GMD.Methods:This is a randomized,multicenter,single-blind prospective study.COVID-19 patients suspected of having GMD will be randomly divided to receive routine treatment only or to receive routine treatment and WMT.The frequency of WMT will be once a day for three consecutive days.Laboratory and imaging examinations will be performed at admission,1 and 2 weeks after treatment,and on the day of discharge.Then a telephone follow-up will be conducted at 1st week,2nd week,and 6th month after discharge.The clinical efficacy and safety of WMT in COVD-19 patients suspected of having GMD and the effects of WMT on the organ function,homeostasis,inflammatory response,intestinal mucosal barrier function,and immunity of the patients will be evaluated.Results:By following the proposed protocol,WMT is expected to be efficacious and safe for the treatment of COVID-19 patients suspected of having GMD,and the therapeutic effect is expected to be associated with improvement of the intestinal mucosal barrier function,inflammatory response,and immunity.Conclusion:The findings from this study may offer a new approach for the prevention and treatment of COVID-19 patients suspected of having GMD.
文摘BACKGROUND Squamous cell carcinoma (SCC) is one the most common subtypes of non-small cell lung cancer, yet the treatment options for it remain limited. Here, we report a case of advanced SCC and review the related literature focusing on the multiline therapy method. CASE SUMMARY We report the case of a 45-year-old man with advanced SCC who was deemed inoperable at the time of advanced SCC diagnosis. The patient had been referred to our hospital in April 2013 with complaints of a stuffy feeling in the chest, dyspnea, and pain in the right shoulder lasting for 1 mo. Physical examination found no obvious abnormalities, except for lower breath sound in the right lower lung. Laboratory data were within normal limits. Immunohistochemistry analysis of the tumor tissue showed CK5/6 (+), p63 (+), CD56 (+), and Ki-67 (+, approximately 30%), and genetic testing detected no EGFR mutation. He received a multiline treatment that included chemotherapy, radiotherapy, targeted therapy, and antiangiogenic therapy. After more than 5-year comprehensive treatment, the patient remains alive. CONCLUSION This typical case highlights the importance of appropriate multiline therapy for those patients with advanced SCC.
文摘Objective This study aimed to assess the real-life nutritional status changes and gastrointestinal symptoms in patients with advanced non-small cell lung cancer(NSCLC) receiving chemotherapy.Methods A total of 104 patients with metastatic NSCLC receiving first-line chemotherapy were included in this study. Unintentional weight loss, body mass index(BMI) changes, and gastrointestinal symptoms were recorded and evaluated. Biochemical parameters [hemoglobin(Hb) and albumin levels] were compared before and after two chemotherapy cycles using SPSS software.Results Of these patients, 65.38%(68/104) experienced unintentional weight loss, whereas 30.77% and 12.5% presented with ≥ 5% and ≥ 10% degrees of weight loss, respectively, within 6 months before first-line chemotherapy was administered. Then, 48.08%(50/104) of the patients experienced unintentional weight loss after two chemotherapy cycles. The mean body weight after chemotherapy was 61.47 ± 10.37 kg, which was significantly decreased relative to that before chemotherapy(P < 0.05). The mean BMI after chemotherapy was 22.66 ± 3.34 kg/m^2, which was also significantly diminished with respect to that during the previous chemotherapy cycle(P < 0.05). The most common gastrointestinal symptoms reported among all the study patients were anorexia(80/104, 76.92%), nausea(53/104, 50.96%), constipation(49/104, 47.12%), vomiting(48/104, 46.15%), taste disorders(40/104, 38.46%), and early satiety(32/104, 30.77%). The mean Hb levels after chemotherapy were 117.06 ± 16.67 g/L, which were significantly lower than those before chemotherapy(132.73 ± 16.42 g/L)(P < 0.05). No significant difference was noted between the mean albumin levels before and after chemotherapy(38.29 ± 4.22 g/L vs 38.17 ± 4.54 g/L; P = 0.798). Conclusion Weight loss history, gastrointestinal symptoms, and Hb level decreases are determinant factors of nutritional status in patients with advanced NSCLC and must be included in the screening, evaluation, and treatment of lung carcinoma.
文摘Objective The aim of this study was to assess the value of palliative local treatment of incurable metastatic lesions in colorectal cancer(CRC) patients receiving chemotherapy plus bevacizumab.Methods Data of 105 patients with histologically confirmed synchronous or metachronous metastatic CRC who received bevacizumab treatment from January 1, 2011 to January 31, 2017 were retrospectively reviewed. Sixteen(15%) patients who were treated with bevacizumab for less than 4 cycles were excluded, and finally, 89(85%) patients were enrolled. Among them, 33(37%) patients who received palliative local treatment were categorized into the palliative local treatment group, and the remaining 56(63%) patients were categorized into the chemotherapy plus bevacizumab group. The primary endpoint was overall survival(OS), which was calculated using Kaplan-Meier survival analyses. Factors possibly influencing survival were evaluated by univariate and multivariate analyses. Adverse events(AEs) were graded according to Common Terminology Criteria for Adverse Events, version 4.0. Grades 1–2 and 3–4 AEs of the two groups were compared and analyzed using the Fisher's exact test and χ~2 analysis.Results The median follow-up period was 20.4 months, ranging from 1 to 60 months. The median OS in the palliative local treatment group was 36.3 months(95% CI, 33.5–39.2), and that in the chemotherapy plus bevacizumab group was 20.5 months(95% CI, 17.6–23.4). Both the univariate(HR 0.13, 95% CI, 0.05–0.30, P < 0.001) and multivariate(HR 0.16, 95% CI, 0.07–0.39, P < 0.001) analyses showed that the addition of palliative local treatment could prolong survival compared with chemotherapy plus bevacizumab alone. There were no significant differences in the rates of common chemotherapy-or bevacizumab-related AEs between the two groups.Conclusion These findings suggest palliative local treatment is an effective and safe method for treating patients with incurable metastatic CRC receiving chemotherapy plus bevacizumab.
文摘Objective To investigate the clinical features of several cases of malignancy with multiple bone lesions as the first manifestation.Methods Forty-nine cases of malignancy with multiple bone lesions as the first manifestation were retrospectively analyzed from May 2018 to July 2019.All patients complained of“pain at the site of bone lesion”upon admission.Baseline patient information,such as age,gender,location of bone lesions,etiology,diagnosis method,time of onset was collected.Results The median age of the patients was 56 years old,of which 83.7%(41/49)were aged≥50 years.The median time of onset was 2 months.Among the cases,40 were confirmed as solid tumor bone metastasis,whereas the remaining 9 cases as hematological system tumor.Lung cancer and multiple myeloma were the main tumor types,accounting for 40.8%(20/49)and 16.3%(8/49),respectively.Other common causes were seven cases of cancer affecting the digestive system(three cases of liver cancer,three cases of gastric cancer,and one case of esophageal cancer),as well as seven cases of unknown primary cancer.Half of the solid tumors had only multiple bone metastases but no other distant metastasis.Conclusion Multiple bone lesions accompanied by pain may be the first clinical manifestation in various malignant tumors.The common tumor types were lung cancer,multiple myeloma,and digestive system tumor.It is more common in people aged 50 years and older.Multiple bone lesions might be the only metastasis site of some solid tumors,and its mechanism needs further investigation.
基金the financial support from National Natural Science Foundation of China(Nos.22071070,21971077).
文摘Metastable molybdenum carbide(α-MoC),as a catalyst and an excellent support for metal catalysts,has been widely used in thermo/electro-catalytic reactions.However,the selective synthesis ofα-MoC remains a great challenge.Herein,a simple one-pot synthetic strategy for the selective preparation of metastableα-MoC is proposed by electrochemical co-reduction of CO_(2)and MoO_(3)in a low-temperature eutectic molten carbonate.The synthesizedα-MoC shows a reed flower-like morphology.By controlling the electrolysis time and monitoring the phase and morphology of the obtained products,the growth process ofα-MoC is revealed,where the carbon matrix is deposited first followed by the growth ofα-MoC from the carbon matrix.Moreover,by analyzing the composition of the electrolytic products,the formation mechanism forα-MoC is proposed.In addition,through this one-pot synthetic strategy,S-dopedα-MoC is successfully synthesized.Density functional theory(DFT)calculations reveal that S doping enhanced the HER performance ofα-MoC by facilitating water absorption and dissociation and weakening the bond energy of Mo-H to accelerate H desorption.The present work not only highlights the valuable utilization of CO_(2) but also offers a new perspective on the design and controllable synthesis of metal carbides and their derivatives.
基金supported by the National Key R&D Program of China (grant no.2019YFC1005105).
文摘Pregnancy with solid pseudopapillary tumor of the pancreas(SPTP)is rare.Because pregnancy hormones may cause tumor progression,the management and treatment of SPTP need to balance the safety of pregnant women and fetuses with surgical treatment.We reported a case of a giant pancreatic tumor diagnosed during pregnancy that was considered to be SPTP.Examinations also showed hepatitis B virus infection and severe decompensation of liver cirrhosis.Medical termination of pregnancy was performed.The patient has lived with the tumor until now without surgery.We retrieved the published case reports,summarized the clinical characteristics of pregnancy with SPTP,and explored its management during the perinatal period.Most patients with SPTP have a good prognosis with good maternal and fetal outcomes,and it is important to choose an appropriate treatment method and timing.However,pregnancy combined with decompensated liver cirrhosis needs to be terminated in a timely manner because of its high-risk status.
基金Project supported by the National Natural Science Foundation of China(52071172,51361026)the Key Research&Developement Plan of Jiangxi Province(20203BBE53046,20181ACH80009)+1 种基金the China Postdoctoral Science Foundation(2017M620576)the Aeronautical Science Foundation of China(2017ZE56015)。
文摘First-principles calculations based on density functional theory were perfo rmed to investigate the cohesive energies,elastic modulus,Debye temperatures,thermal conductivities and density of states of La_(2-x)Yb_(x)Zr_(2)O_(7),La_(2)Zr_(2-x)Ce_(x)O_(7)and La_(2-x)Yb_(x)Zr_(2-x)Ce_(x)O_(7)(x=0.00,0.25,0.50,0.75,1.00)ceramics.The results show that doping Yb~(3+)or Ce~(4+)into La_(2)Zr_(2)O_(7)reduces its elastic modulus,thermal conductivity and Debye temperature.Compared with La_(2-x)Yb_(x)Zr_(2)O_(7)(x≠0.00),La_(2)Zr_(2-x)Ce_(x)O_(7)compounds have better ductility and lower Debye te mperature.The Debye temperature values of La_(2)Zr_(2-x)Ce_(x)O_(7)(x≠0.00)co mpounds are in the range of 485.0-511.5 K.Among all components,the fluorite-type La_(2-x)Yb_(x)Zr_(2-x)Ce_(x)O_(7)(x=0.75,1.00)compounds exhibit better mechanical and thermophysical properties,and their thermal conductivity values are only 1.213-1.246 W/(m·K)(1073 K),which are 14.5%-16.7%lower than that of the pure La_(2)Zr_(2)O_(7).Thus,our findings open an entirely new avenue for TBCs.
基金the financial supports from National Natural Science Foundation of China(Nos.21971077,22071070)the facility support of the Center for Nanoscale Characterization&Devices(CNCD),WNLO of HUST,and the Analytical and Testing Center in Huazhong University of Science and Technology for all related measurements。
文摘The oxygen reduction reaction(ORR),an important process in Zn-air batteries(ZABs),shows sluggish reaction kinetics,which significantly impairs the further improvement of battery performance.Thus,rationally designing cathodic catalysts for ZABs has drawn sufficient attention.We herein synthesize and characterize Fe/N/F-tridoped CNTs(FeNFCs)by annealing the postsynthesized trifluoroacetic anhydridemodified Fe-MIL-88B-NH_(2)nanocrystals with melamine at high temperature in a N_(2)atmosphere.Benefiting from the Fe/N/F element doping,high specific surface area,and CNT structure,the FeNFC800 catalyst prepared at 800℃exhibits a preferable half-wave potential of 0.829 V vs.RHE.The Zn-air battery equipped with Fe NFC800 shows a high open-circuit voltage of 1.47 V,a gratifying peak power density of196 mW/cm^(2),and extraordinary long-term stability,outperforming the benchmark 20%Pt/C.
基金supported by the National Natural Science Foundation of China under Grant No.61972444。
文摘Computer vision(CV)algorithms have been extensively used for a myriad of applications nowadays.As the multimedia data are generally well-formatted and regular,it is beneficial to leverage the massive parallel processing power of the underlying platform to improve the performances of CV algorithms.Single Instruction Multiple Data(SIMD)instructions,capable of conducting the same operation on multiple data items in a single instruction,are extensively employed to improve the efficiency of CV algorithms.In this paper,we evaluate the power and effectiveness of RISC-V vector extension(RV-V)on typical CV algorithms,such as Gray Scale,Mean Filter,and Edge Detection.By our examinations,we show that compared with the baseline OpenCV implementation using scalar instructions,the equivalent implementations using the RV-V(version 0.8)can reduce the instruction count of the same CV algorithm up to 24x,when processing the same input images.Whereas,the actual performances improvement measured by the cycle counts is highly related with the specific implementation of the underlying RV-V co-processor.In our evaluation,by using the vector co-processor(with eight execution lanes)of Xuantie C906,vector-version CV algorithms averagely exhibit up to 2.98x performances speedups compared with their scalar counterparts.
基金supported by a Major Program of the National Natural Science Foundation of China (41190082)the National Basic Research Program of China (2012CB956101)+1 种基金the Key Project of National Science Foundation of China (2012FY111400) the Strategic Priority Research Program of Chinese Academy of Sciences (XDB03030400)
文摘The content and hydrogen isotope ratios of n-alkanes extracted from recent lake surface sediments sampled from nine lakes in three different climate zones on the Southwestern Tibetan Plateau were analyzed.Values were compared with n-alkanes in plants from lake drainages,and dD values of meteoric water,lake water,and mean annual precipitation.The results showed that n-C23was predominantly derived from aquatic plants,and n-C27–n-C33from terrestrial higher plants.The average carbon chain length of n-C27–n-C33(ACL27–33)was positively correlated with the mean annual precipitation.dD values of the long-chain n-alkanes n-C29and n-C31of terrestrial origin(varying between-214%and-169%,and-226%and-185%,respectively)were inversely correlated with mean annual precipitation;but in accordance with the average annual variations in dD(OIPC),dD values of n-C31were strongly related to the dD values of growing season meteoric water(R2=0.74).The large difference between dD values of n-C23of aquatic origin and n-C31(an average of about 27%)demonstrates the enrichment of the lake water dD compared to precipitation,caused by strong evaporation in the semiarid–arid areas of the southwestern Tibetan Plateau.Average value of en C25 31=p(-95%)is evidently higher than the value observed in European wet regions(-128%);besides,en C31(about-116%)is constant along the study transect(SD=9),which indicates that n-C31is a useful proxy for the environment.