Objective： Extranodal involvement represents a peculiar presentation of diffuse large B-cell lymphoma（DLBCL）. Previous studies have suggested that older patients are more prone to extranodal involvement. This study...Objective： Extranodal involvement represents a peculiar presentation of diffuse large B-cell lymphoma（DLBCL）. Previous studies have suggested that older patients are more prone to extranodal involvement. This study retrospectively addressed the distribution, prognostic value and treatment options of extranodal involvement in young patients with DLBCL.Methods： A total of 329 patients were enrolled according to the inclusion requirements. The effects of gender,extranodal involvement, age-adjusted international prognostic index（aa IPI）, rituximab infusion and radiotherapy on patient outcomes were evaluated.Results： Among these patients, 59% presented extranodal involvement in 16 anatomic sites. More than one instance was linked to many poorer clinical characteristics and poorer survival compared with either nodal disease or one instance. In patients with one extranodal lesion, multivariate analysis revealed that the site of extranodal involvement, but not the aa IPI or rituximab infusion, was independently related to the outcome, and radiotherapy had a negative influence on survival.Conclusions： Extranodal involvement is common in younger patients and exhibits a ubiquitous distribution.The site of extranodal involvement is of strong prognostic significance. Radiotherapy for extranodal lesions does not improve patient outcomes.展开更多
Sodium-ion batteries (SIBs) are promising alternatives to lithium-ion batteries (LIBs) for large-scale energy storage considering the abundance and low cost of Na-containing resources. However, the energy density of S...Sodium-ion batteries (SIBs) are promising alternatives to lithium-ion batteries (LIBs) for large-scale energy storage considering the abundance and low cost of Na-containing resources. However, the energy density of SIBs has been limited by the typically low specific capacities of traditional intercalation-based cathodes. Metal fluorides, in contrast, can deliver much higher capacities based on multi-electron conversion reactions. Among metal fluorides, CuF_(2) presents a theoretical specific capacity as high as 528 mAh/g while its Na-ion storage mechanism has been rarely reported. Here, we report CuF_(2) as a SIB cathode, which delivers a high capacity of 502 mAh/g but suffers from poor electrochemical reversibility. As a solution, we adjust the cell configuration by inserting a carbon-coated separator, which hinders the transportation of dissolved Cu ions and improves the reversibility of the CuF_(2) cathode. By using in-situ XRD measurements and theoretical calculation, we propose that a one-step conversion reaction occurs during the discharge process, and a reconversion reaction competes with the oxidization of Cu to dissolved Cu ion during the charge process.展开更多
基金supported by the National Nature Science Foundation of China (No. 81071938, 81470365)
文摘Objective： Extranodal involvement represents a peculiar presentation of diffuse large B-cell lymphoma（DLBCL）. Previous studies have suggested that older patients are more prone to extranodal involvement. This study retrospectively addressed the distribution, prognostic value and treatment options of extranodal involvement in young patients with DLBCL.Methods： A total of 329 patients were enrolled according to the inclusion requirements. The effects of gender,extranodal involvement, age-adjusted international prognostic index（aa IPI）, rituximab infusion and radiotherapy on patient outcomes were evaluated.Results： Among these patients, 59% presented extranodal involvement in 16 anatomic sites. More than one instance was linked to many poorer clinical characteristics and poorer survival compared with either nodal disease or one instance. In patients with one extranodal lesion, multivariate analysis revealed that the site of extranodal involvement, but not the aa IPI or rituximab infusion, was independently related to the outcome, and radiotherapy had a negative influence on survival.Conclusions： Extranodal involvement is common in younger patients and exhibits a ubiquitous distribution.The site of extranodal involvement is of strong prognostic significance. Radiotherapy for extranodal lesions does not improve patient outcomes.
基金financial support by the National Natural Science Foundation of China (No. 21975186)“Shanghai Rising-Star Program”(No. 19QA1409300)。
文摘Sodium-ion batteries (SIBs) are promising alternatives to lithium-ion batteries (LIBs) for large-scale energy storage considering the abundance and low cost of Na-containing resources. However, the energy density of SIBs has been limited by the typically low specific capacities of traditional intercalation-based cathodes. Metal fluorides, in contrast, can deliver much higher capacities based on multi-electron conversion reactions. Among metal fluorides, CuF_(2) presents a theoretical specific capacity as high as 528 mAh/g while its Na-ion storage mechanism has been rarely reported. Here, we report CuF_(2) as a SIB cathode, which delivers a high capacity of 502 mAh/g but suffers from poor electrochemical reversibility. As a solution, we adjust the cell configuration by inserting a carbon-coated separator, which hinders the transportation of dissolved Cu ions and improves the reversibility of the CuF_(2) cathode. By using in-situ XRD measurements and theoretical calculation, we propose that a one-step conversion reaction occurs during the discharge process, and a reconversion reaction competes with the oxidization of Cu to dissolved Cu ion during the charge process.
