The gradual increase in shipping and drilling activities in the Arctic regions has resulted in the increased importance of studying the structural safety of polar ships in various ice conditions.Rafted ice refers to a...The gradual increase in shipping and drilling activities in the Arctic regions has resulted in the increased importance of studying the structural safety of polar ships in various ice conditions.Rafted ice refers to a type of accumulated and overlapped sea ice;it is driven by external forces,such as wind and waves,and may exert high loads on ships and threaten their structural safety.Therefore,the properties of rafted ice and the construction of numerical models should be studied before exploring the interaction and collision between ships and rafted ice.Based on the nonlinear finite-element method,this paper introduces the cohesive element model for the simulation of rafted ice.The interaction between ships and rafted ice is studied,and the ice force of the hull is obtained.Numerical simulation results are compared with model test findings,and the effectiveness of the cohesive element method in the construction of the model of rafted ice materials is verified.On this basis,a multilayer rafted ice model is constructed,and its interaction with the ship is studied.The research unveils that rafted ice parts impede crack generation and slow down crack propagation to a certain extent.展开更多
Purpose:The IMbrave150 PhaseⅢtrial demonstrated superiority of atezolizumab and bevacizumab(Atezo/Bev)over sorafenib for unresectable hepatocellular carcinoma(HCC).The present study aims to evaluate the feasibility o...Purpose:The IMbrave150 PhaseⅢtrial demonstrated superiority of atezolizumab and bevacizumab(Atezo/Bev)over sorafenib for unresectable hepatocellular carcinoma(HCC).The present study aims to evaluate the feasibility of TARE in combination with Atezo/Bev for treatment of intermediate and advanced staged HCC.Methods:Retrospective review at a single institution was performed between May 2021 and December 2022.Patients who received TARE using yttrium-90(Y90)with concomitant or sequential Atezo/Bev systemic treatment were included.The following outcomes were retrieved:overall survival(OS),radiologic tumor response,progression-free survival,technical adverse events related to TARE,and toxicity based on the National Cancer Institute–Common Terminology Criteria for Adverse Events version 5.0.Results:Ten consecutive patients with intermediate(n=4)and advanced stage HCC(n=6)were treated with TARE and sequential/concomitant Atezo/Bev.Tumor control was achieved in all TARE-treated target lesions(100%).Overall disease progression occurred in 4 patients with PFS of 78.8%and 66.7%at 6-and 12-months,respectively.Two patients died at follow-up,with 6-month and 12-month OS rates of 90.0%and 77.1%,respectively.Three(75%)patients with intermediate stage disease were downstaged into Milan criteria.One patient developed grade 3 transaminitis and hypoglobulinemia,while Atezo/Bev was switched to Lenvatinib in another patient due to immunotherapy related myositis.Conclusion:This study demonstrates initial safety and feasibility of combined TARE with Atezo/Bev for intermediate/advanced stage HCC.Further prospective studies with larger sample size are warranted.展开更多
Objective: The aim of this study was to investigate the prognostic factors and to evaluate the impact of adjuvant therapy on clinical outcome for early-stage cervical cancer. Methods: The clinical-pathological data ...Objective: The aim of this study was to investigate the prognostic factors and to evaluate the impact of adjuvant therapy on clinical outcome for early-stage cervical cancer. Methods: The clinical-pathological data of all 1,335 patients with the International Federation of Gynecology and Obstetrics (FIGO) Ib-[Ia cervical cancer treated with primary radical surgery at the Chinese National Cancer Center between May 2007 and Dec 2013 were retrospectively reviewed. The median follow-up was 70 months. Results: Of all the patients, 61.6% of the cases received adjuvant therapy, with 5-year disease-free survival (DFS) of 92.1% and 5-year overall survival (OS) of 95.0%. In multivariate analysis, differentiation of G3 (P〈0.05), lymph node metastasis (LNM, P〈0.05) and lymphovascular space invasion (LVSI, P〈0.05) were independent predictors for OS, while LNM (P〈0.05), deep stroma invasion (DSI, P〈0.05) and LVSI (P〈0.05) were independent factors for DFS. The samples were stratified by histologic type, and cervical squamous cell carcinoma (SCC) was found to share the same independent factors except for differentiation of OS. As to patients with cervical adenocarcinoma/adenosquamons carcinoma (AC/ASC), differentiation was the independent predictor of OS (P〈0.05); and LVSI of DFS (P〈0.05). Of 236 patients with high-risk factors, there was no significant difference in survival between concurrent chemoradiotherapy (CCRT, n=195), radiotherapy (RT, n=24), and chemotherapy (CT, n=17). Among the 190 patients with LNM who underwent CCRT, 124 cases showed improved DFS after sequential CT (P=0.118), with a recurrence rate decrease of 14%, though the difference was not statistically significant. Patients with single intermediate-risk factors like DSI or LVSI were found to partially benefit from adjuvant therapy, but the difference was not statistically significant. Conclusions: LNM, LVSI, DSI and differentiation were found to be independent prognostic factors for operable cervical cancer. Aggressive postoperative adjuvant therapy based on single risk factors in Chinese National Cancer Center could benefit survival. CCRT+CT outperformed CCRT in high-risk patients. For patients with single non-high-risk factor, the role of adjuvant therapy needs to be further discussed.展开更多
Objective: To investigate the clinical significance of separate lateral parametrial lymph node dissection(LPLND) in improving parametrial lymph node(PLN) and its metastasis detection rate during radical hysterectomy f...Objective: To investigate the clinical significance of separate lateral parametrial lymph node dissection(LPLND) in improving parametrial lymph node(PLN) and its metastasis detection rate during radical hysterectomy for early-stage cervical cancer.Methods: From July 2007 to August 2017, 2,695 patients with cervical cancer in stage IB1-IIA2 underwent radical hysterectomy were included. Of these patients, 368 underwent separate dissection of PLNs using the LPLND method, and 2,327 patients underwent conventional radical hysterectomy(CRH). We compared the surgical parameters, PLN detection rate and PLN metastasis rate between the two groups.Results: Compared with CRH group, the rate of laparoscopic surgery was higher(60.3% vs. 15.9%, P<0.001),and the blood transfusion rate was lower(19.0% vs. 29.0%, P<0.001) in the LPLND group. PLNs were detected in 356 cases(96.7%) in the LPLND group, and 270 cases(11.6%) in the CRH group(P<0.001), respectively. The number of PLNs detected in the LPLND group was higher than that in the CRH group(median 3 vs. 1, P<0.001).The PLN metastases were detected in 25 cases(6.8%) in the LPLND group, and 18 cases(0.8%) in the CRH group(P<0.001), respectively. In multivariable analysis, LPLND is an independent factor not only for PLN detection [odds ratio(OR)=228.999, 95% confidence interval(95% CI): 124.661-420.664;P<0.001], but also for PLN metastasis identification(OR=10.867, 95% CI: 5.381-21.946;P<0.001).Conclusions: LPLND is feasible and safe. The surgical method significantly improves the detection rate of PLN and avoids omission of PLN metastasis during radical hysterectomy for early-stage cervical cancer.展开更多
UiO-66-NH2, as typical visible light responsive Zr-based metal-organic frameworks (MOFs), has attracted great interest in recent years. However, rapid combination of the photoinduced carriers limits its further applic...UiO-66-NH2, as typical visible light responsive Zr-based metal-organic frameworks (MOFs), has attracted great interest in recent years. However, rapid combination of the photoinduced carriers limits its further application. Here, we designed a facile precipitation-photoreduction method to post-synthetically decorate Ag/AgCl on the surface of UiO-66-NH2 and form a heterostructure. Metallic Ag can not only transmit electrons between UiO-66-NH2 and AgCl but also absorb visible light, because of the surface plasmon resonance (SPR) effect. The rhodamine B photodegradation rate of UiO-66-NH2/Ag/AgCl (16.2 wt.% Ag) is about 10 and 4 times those of UiO-66-NH2 and Ag/AgCl, respectively. The SPR effect of Ag NPs and the formation of a heterostructure synergistically increase the absorbability of visible light, accelerate the separation of photoinduced charges, and promote the formation of superoxide radicals. We expect that our work could provide a new viewpoint for constructing efficient MOF-based photocatalytic systems.展开更多
Objective: The aim of this study was to investigate the feasibility of using ultrasonic scalpel combined with vascular clip in parametrial management,called limited energy parametrial resection/dissection(LEPRD),in la...Objective: The aim of this study was to investigate the feasibility of using ultrasonic scalpel combined with vascular clip in parametrial management,called limited energy parametrial resection/dissection(LEPRD),in laparoscopic nerve plane-sparing radical hysterectomy(NPSRH),a modified nerve-sparing radical hysterectomy(NSRH); and to evaluate its effectiveness in pelvic autonomic nerve preservation.Methods: From July 2012 to January 2016,257 consecutive patients with stage IB1 to IIA2 cervical cancer who underwent NPSRH were included in this study.Patients were divided into three cohorts according to the different parametrial resection modality.The clinical,pathological and surgery-related parameters were compared between the three groups.Short-and long-term postoperative bladder functions were evaluated.Results: LEPRD was attempted in 94 patients,and was successful in 65(69.1%) patients(LEPRD group).The remaining 29(30.9%) patients required bipolar coagulation after failure of vascular clipping(combined modality group).Routine bipolar cautery was used in the other 163 patients during the parametrial resection(bipolar group).The blood loss in the LEPRD group was significantly lower than those in the other two groups(P<0.001).The rate of successful Foley removal on postoperative day 7 was significantly higher in the LEPRD group than in the bipolar group(P=0.022).The incidence of chronic voiding dysfunction was significantly lower in the LEPRD group than in the bipolar group(P=0.019).Conclusions: It is feasible to perform LEPRD in NPSRH for cervical cancers.This kind of limited energy surgical technique is associated with less blood loss,and leads to improved postoperative bladder function.展开更多
In this study, by using Xinkui 19 and its parents as experimental materials, 100 pairs of SSR molecular markers were screened to obtain specific poly- morphic primers, aiming at providing an accurate and efficient met...In this study, by using Xinkui 19 and its parents as experimental materials, 100 pairs of SSR molecular markers were screened to obtain specific poly- morphic primers, aiming at providing an accurate and efficient method for identifying the purity of Helianthus annuus L. hybrid seeds. According to the experimen- tal results, by using polymorphic SSR primer 455, the amplified bands of female and male parents were 460 and 430 bp, respectively; by using polymorphic SSR primer 478, the amplified bands of female and male parents were 330 and 350 bp, respectively. The identification results of Xinkui 19 hybrids and its parents with SSR marker technique and field cultivation were basically consistent. SSR primers 455 and 478 could be used for rapid and effective identification of the purity of Xinkui 19 hybrid seeds.展开更多
有机集成化光电子器件兼具了小型化和多功能性的优势,如集成了有机发光和紫外探测的有机发光紫外探测器件(OLED-UVOPDs).这种器件中的有机光电材料的设计仍然面临重大的挑战.在本文中,以蒽为π桥,腈基苯为受体,三苯胺(TPA)和二甲基三苯...有机集成化光电子器件兼具了小型化和多功能性的优势,如集成了有机发光和紫外探测的有机发光紫外探测器件(OLED-UVOPDs).这种器件中的有机光电材料的设计仍然面临重大的挑战.在本文中,以蒽为π桥,腈基苯为受体,三苯胺(TPA)和二甲基三苯胺(2mTPA)分别为给体,设计并合成了两种可用于OLED-UVOPD器件的蓝色发光分子,TPA-AN和2mTPA-AN.它们的发光峰分别位于474和488 nm处,荧光量子产率为51.1%和46.6%.通过单载流子器件计算得到其电子迁移率分别为3.96×10^(-5)和6.63×10^(-7)cm^(2)V^(-1)s^(-1).基于TPA-AN的OLED器件表现出强的蓝光发射,最大亮度为43,110 cd m^(-2),最大外量子效率(EQE)为8.1%.它们在OLED-UVOPD集成器件中表现出优异的性能,紫外探测率分别为7.18×10^(11)和2.85×10^(12)Jones,最大EQE分别为8.7%和5.9%.展开更多
The electrocatalytic conversion of carbon dioxide(CO_(2))into useful fuels and chemical feedstocks is an emerging route to alleviate global warming and reduce reliance on fossil fuels.Methanol(CH_(3)OH),as one of the ...The electrocatalytic conversion of carbon dioxide(CO_(2))into useful fuels and chemical feedstocks is an emerging route to alleviate global warming and reduce reliance on fossil fuels.Methanol(CH_(3)OH),as one of the most significant and widely used liquid fuels that can be generated by CO_(2)reduction,is essential in the chemical industry.In this minireview,we unravel the origins of the selective formation of CH_(3)OH via CO_(2)reduction,including catalyst composition designs,local structure modulations,and electrolyte/catalyst interface regulations.Finally,the remaining challenges and perspectives for the CO_(2)-to-CH_(3)OH reduction are proposed.展开更多
Defensin-like proteins are conserved in multicellular organisms and contribute to innate immune re-sponses against fungal pathogens.In rice,defensins play a novel role in regulating cadmium(Cd)efflux from the cytosol....Defensin-like proteins are conserved in multicellular organisms and contribute to innate immune re-sponses against fungal pathogens.In rice,defensins play a novel role in regulating cadmium(Cd)efflux from the cytosol.However,whether the antifungal activity of defensins correlates with Cd-efflux function remains unknown.In this study,we isolated an endophytic Fusarium,designed Fo1o,by a comparative mi-crobiome analysis of rice plants grown in a paddy contaminated with Cd.Fo10 is tolerant to high levels of Cd,but is sensitive to the defensin-like protein OsCAL1,which mediates Cd efflux to the apoplast.We found that Fo10 symbiosis in rice is regulated by OsCAL1 dynamics,and Fo10 coordinates multiple plant pro-cesses,including Cd uptake,vacuolar sequestration,efflux to the environment,and formation of Fe pla-ques in the rhizosphere.These processes are dependent on the salicylic acid signaling pathway to keep Cd levels low in the cytosol of rice cells and to decrease Cd levels in rice grains without any yield penalty.Fo10 also plays a role in Cd tolerance in the poaceous crop maize and wheat,but has no observed effects in the eudicot plants Arabidopsis and tomato.Taken together,these findings provide insights into the mech-anistic basis underlying how afungal endophyte and host plant interact to control Cd accumulation in host plants by adapting defense responses to promotethe establishment ofa symbiosis that permits adaptation to high-Cd environments.展开更多
We demonstrate an ultrastable miniaturized transportable laser system at 1550 nm by locking it to an optical fiber delay line[FDL].To achieve optimized long-term frequency stability,the FDL was placed into a vacuum ch...We demonstrate an ultrastable miniaturized transportable laser system at 1550 nm by locking it to an optical fiber delay line[FDL].To achieve optimized long-term frequency stability,the FDL was placed into a vacuum chamber with a five-layer thermal shield,and a delicate two-stage active temperature stabilization,an optical power stabilization,and an RF power stabilization were applied in the system.A fractional frequency stability of better than 3.2×10^[-15]at 1 s averaging time and1.1×10^[-14]at 1000 s averaging time was achieved,which is the best long-term frequency stability of an all-fiber-based ultrastable laser observed to date.展开更多
Long noncoding RNAs(lncRNAs)play a crucial regulatory role in the development and progression of multiple cancers.However,the potential mechanism by which lncRNAs affect the recurrence and metastasis of ovarian cancer...Long noncoding RNAs(lncRNAs)play a crucial regulatory role in the development and progression of multiple cancers.However,the potential mechanism by which lncRNAs affect the recurrence and metastasis of ovarian cancer remains unclear.In the current study,the lncRNA LOC646029 was markedly downregulated in metastatic ovarian tumors compared with primary tumors.Gain-and loss-of-function assays demonstrated that LOC646029 inhibits the proliferation,invasiveness,and metastasis of ovarian cancer cells in vivo and in vitro.Moreover,the downregulation of LOC646029 in metastatic ovarian tumors was strongly correlated with poor prognosis.Mechanistically,LOC646029 served as a miR-627-3p sponge to promote the expression of Sprouty-related EVH1 domain-containing protein 1,which is necessary for suppressing tumor metastasis and inhibiting KRAS signaling.Collectively,our results demonstrated that LOC646029 is involved in the progression and metastasis of ovarian cancer,which may be a potential prognostic biomarker.展开更多
Electrocatalytic reduction of carbon dioxide(CO_(2))to valuable fuels is an up-and-coming approach.Owing to the low cost,environmental friendliness,and high selectivity to formate single product at low overpotentials,...Electrocatalytic reduction of carbon dioxide(CO_(2))to valuable fuels is an up-and-coming approach.Owing to the low cost,environmental friendliness,and high selectivity to formate single product at low overpotentials,bismuth(Bi)-based catalysts have attracted extensive research attention.In this review,the reaction mechanisms of Bi-based catalysts are first introduced,and the bimetallic Bi-based catalysts synthesized by alloying,doping,and loading strategies are reviewed from the aspects of catalyst component,morphology,synthesis procedure,and performance optimization for electrocatalytic CO_(2)reduction.We provide an in-depth discussion of the existing challenges and an outlook for this highly promising kind of electrocatalysis.展开更多
Bacillus cereus,a spore-forming bacterium and frequent cause of food poisoning,poses a safety threat to dairy and rice industries due to its high contamination rates and ability to produce toxins such as cereulide.Bec...Bacillus cereus,a spore-forming bacterium and frequent cause of food poisoning,poses a safety threat to dairy and rice industries due to its high contamination rates and ability to produce toxins such as cereulide.Because of widespread presence and thermal resistance of the spores,B.cereus cannot be eliminated from the environment and may survive in processing plants.Surviving spores can develop into vegetative cells,leading to a heightened risk of cereulide production in the processing environment.Both spores and vegetative cells have the ability to adhere to the surfaces of dairy plants and form biofilms,serving as the site for cereulide production and accumulation.Therefore,it is crucial for the food industry to address potential sources and pathways of B.cereus contamination and their connections to cereulide production in processing lines.In this review,sources of contamination of B.cereus,including spores,vegetative cells,and biofilms and their potential role in cereulide production at each stage of dairy and cooked rice processing were analyzed.In addition,control methods to prevent B.cereus contamination and cereulide production in processing lines were proposed,offering valuable insights for improving microbial risk management in the food industry.展开更多
To the Editor:Human immunodeficiency virus(HIV)epidemic poses a significant challenge to global public health.As of 2022,approximately 39.0 million people worldwide were living with HIV.[1]With the ongoing evolution o...To the Editor:Human immunodeficiency virus(HIV)epidemic poses a significant challenge to global public health.As of 2022,approximately 39.0 million people worldwide were living with HIV.[1]With the ongoing evolution of combined antiretroviral therapy(cART),HIV infection has transformed into a manageable chronic disease requiring long-term treatment.Among the various classes of antiretroviral(ARV)drugs,integrase strand transfer inhibitor(INSTI)-based regimens,known for potency and tolerability,have emerged as the predominant treatment modality worldwide.The nextgeneration of INSTI,bictegravir(BIC),received the Food and Drug Administration(FDA)approval in 2018 as a single-tablet regimen(STR)containing BIC(50 mg)/emtricitabine(FTC,200 mg)/tenofovir alafenamide(TAF,25 mg)for once daily.It has been endorsed as the preferred choice for treatment-naive patients by major guidelines,including the 2021 edition of the China Acquired Immune Deficiency Syndrome(AIDS)Diagnosis and Treatment Guidelines.[2]In China,people living with HIV(PLWH)are provided with flexible cART options,including the National Reimbursement Drug List(NRDL),self-pay drugs,and free drugs.Since being included in NRDL in 2021,BIC/FTC/TAF have gained popularity among an increasing number of patients.展开更多
In recent years,defect-engineered Zr-based UiO-66 metal-organic frameworks(UiO-66(Zr)metalorganic frameworks(MOFs))have shown huge advantages in catalytic,functional materials,adsorption,and other fields due to their ...In recent years,defect-engineered Zr-based UiO-66 metal-organic frameworks(UiO-66(Zr)metalorganic frameworks(MOFs))have shown huge advantages in catalytic,functional materials,adsorption,and other fields due to their large surface areas,well-ordered porous structures,and flexible tailorability.It is extremely challenging to introduce defect sites in the synthesis of MOFs to regulate the physicochemical properties of materials such as(energy band structure,pore structure,etc.)to obtain an excellent performance.This paper reviews the recent research results of synthesis methods,characterization technologies,and application fields of defect-engineered UiO-66(Zr)MOFs materials in order to provide new insights to synthesize high-performance UiO-66(Zr)MOFs materials and promote the development of UiO-66(Zr)in various fields.展开更多
Electrochemical reduction of CO_(2) to valuable formate as liquid fuel is a promising way to alleviate the greenhouse effect.The edge active sites in bismuth(Bi)nanosheets play a critical role in the electrochemical r...Electrochemical reduction of CO_(2) to valuable formate as liquid fuel is a promising way to alleviate the greenhouse effect.The edge active sites in bismuth(Bi)nanosheets play a critical role in the electrochemical reduction of CO_(2) into formate,which enable the operation of CO_(2) reduction with high cathodic energy efficiency,especially under large current densities of≥200 mA/cm^(2).However,the undesirable reconstruction of small Bi nanosheets into large nanosheets leads to the decreasing of edge active sites during electrocatalysis.Here we report stable isolated ultrasmall bismuth nanosheets-synthesized by in-situ electrochemical transformation of ligands covered bismuth vanadate-on silver nanowires as an efficient electrocatalyst for CO_(2)-to-formate reduction.The cooperative electrocatalyst achieves a formate current density of 186 mA/cm^(2) and a cathodic energy efficiency of 75%for formate,which is the only best compared to the literature results.Operand。Raman and morphologic measurements demonstrate that the excellent energy utilization of the electrocatalyst is originated from the rich edge active sites with Bi-O species of the ultrasmall Bi nanosheets.展开更多
基金The National Natural Science Foundation of China(Grant Nos.52192693,52192690,51979051,51979056 and U20A20327)the National Key Research and Development Program of China(Grant No.2021YFC2803400)。
文摘The gradual increase in shipping and drilling activities in the Arctic regions has resulted in the increased importance of studying the structural safety of polar ships in various ice conditions.Rafted ice refers to a type of accumulated and overlapped sea ice;it is driven by external forces,such as wind and waves,and may exert high loads on ships and threaten their structural safety.Therefore,the properties of rafted ice and the construction of numerical models should be studied before exploring the interaction and collision between ships and rafted ice.Based on the nonlinear finite-element method,this paper introduces the cohesive element model for the simulation of rafted ice.The interaction between ships and rafted ice is studied,and the ice force of the hull is obtained.Numerical simulation results are compared with model test findings,and the effectiveness of the cohesive element method in the construction of the model of rafted ice materials is verified.On this basis,a multilayer rafted ice model is constructed,and its interaction with the ship is studied.The research unveils that rafted ice parts impede crack generation and slow down crack propagation to a certain extent.
文摘Purpose:The IMbrave150 PhaseⅢtrial demonstrated superiority of atezolizumab and bevacizumab(Atezo/Bev)over sorafenib for unresectable hepatocellular carcinoma(HCC).The present study aims to evaluate the feasibility of TARE in combination with Atezo/Bev for treatment of intermediate and advanced staged HCC.Methods:Retrospective review at a single institution was performed between May 2021 and December 2022.Patients who received TARE using yttrium-90(Y90)with concomitant or sequential Atezo/Bev systemic treatment were included.The following outcomes were retrieved:overall survival(OS),radiologic tumor response,progression-free survival,technical adverse events related to TARE,and toxicity based on the National Cancer Institute–Common Terminology Criteria for Adverse Events version 5.0.Results:Ten consecutive patients with intermediate(n=4)and advanced stage HCC(n=6)were treated with TARE and sequential/concomitant Atezo/Bev.Tumor control was achieved in all TARE-treated target lesions(100%).Overall disease progression occurred in 4 patients with PFS of 78.8%and 66.7%at 6-and 12-months,respectively.Two patients died at follow-up,with 6-month and 12-month OS rates of 90.0%and 77.1%,respectively.Three(75%)patients with intermediate stage disease were downstaged into Milan criteria.One patient developed grade 3 transaminitis and hypoglobulinemia,while Atezo/Bev was switched to Lenvatinib in another patient due to immunotherapy related myositis.Conclusion:This study demonstrates initial safety and feasibility of combined TARE with Atezo/Bev for intermediate/advanced stage HCC.Further prospective studies with larger sample size are warranted.
文摘Objective: The aim of this study was to investigate the prognostic factors and to evaluate the impact of adjuvant therapy on clinical outcome for early-stage cervical cancer. Methods: The clinical-pathological data of all 1,335 patients with the International Federation of Gynecology and Obstetrics (FIGO) Ib-[Ia cervical cancer treated with primary radical surgery at the Chinese National Cancer Center between May 2007 and Dec 2013 were retrospectively reviewed. The median follow-up was 70 months. Results: Of all the patients, 61.6% of the cases received adjuvant therapy, with 5-year disease-free survival (DFS) of 92.1% and 5-year overall survival (OS) of 95.0%. In multivariate analysis, differentiation of G3 (P〈0.05), lymph node metastasis (LNM, P〈0.05) and lymphovascular space invasion (LVSI, P〈0.05) were independent predictors for OS, while LNM (P〈0.05), deep stroma invasion (DSI, P〈0.05) and LVSI (P〈0.05) were independent factors for DFS. The samples were stratified by histologic type, and cervical squamous cell carcinoma (SCC) was found to share the same independent factors except for differentiation of OS. As to patients with cervical adenocarcinoma/adenosquamons carcinoma (AC/ASC), differentiation was the independent predictor of OS (P〈0.05); and LVSI of DFS (P〈0.05). Of 236 patients with high-risk factors, there was no significant difference in survival between concurrent chemoradiotherapy (CCRT, n=195), radiotherapy (RT, n=24), and chemotherapy (CT, n=17). Among the 190 patients with LNM who underwent CCRT, 124 cases showed improved DFS after sequential CT (P=0.118), with a recurrence rate decrease of 14%, though the difference was not statistically significant. Patients with single intermediate-risk factors like DSI or LVSI were found to partially benefit from adjuvant therapy, but the difference was not statistically significant. Conclusions: LNM, LVSI, DSI and differentiation were found to be independent prognostic factors for operable cervical cancer. Aggressive postoperative adjuvant therapy based on single risk factors in Chinese National Cancer Center could benefit survival. CCRT+CT outperformed CCRT in high-risk patients. For patients with single non-high-risk factor, the role of adjuvant therapy needs to be further discussed.
基金special fund for “Capital City Clinical Specific Application Study”(No.Z171100001017115)。
文摘Objective: To investigate the clinical significance of separate lateral parametrial lymph node dissection(LPLND) in improving parametrial lymph node(PLN) and its metastasis detection rate during radical hysterectomy for early-stage cervical cancer.Methods: From July 2007 to August 2017, 2,695 patients with cervical cancer in stage IB1-IIA2 underwent radical hysterectomy were included. Of these patients, 368 underwent separate dissection of PLNs using the LPLND method, and 2,327 patients underwent conventional radical hysterectomy(CRH). We compared the surgical parameters, PLN detection rate and PLN metastasis rate between the two groups.Results: Compared with CRH group, the rate of laparoscopic surgery was higher(60.3% vs. 15.9%, P<0.001),and the blood transfusion rate was lower(19.0% vs. 29.0%, P<0.001) in the LPLND group. PLNs were detected in 356 cases(96.7%) in the LPLND group, and 270 cases(11.6%) in the CRH group(P<0.001), respectively. The number of PLNs detected in the LPLND group was higher than that in the CRH group(median 3 vs. 1, P<0.001).The PLN metastases were detected in 25 cases(6.8%) in the LPLND group, and 18 cases(0.8%) in the CRH group(P<0.001), respectively. In multivariable analysis, LPLND is an independent factor not only for PLN detection [odds ratio(OR)=228.999, 95% confidence interval(95% CI): 124.661-420.664;P<0.001], but also for PLN metastasis identification(OR=10.867, 95% CI: 5.381-21.946;P<0.001).Conclusions: LPLND is feasible and safe. The surgical method significantly improves the detection rate of PLN and avoids omission of PLN metastasis during radical hysterectomy for early-stage cervical cancer.
基金supported by the National Natural Science Foundation of China(21676182)the National Basic Research Program of China(973 Program,2014CB932403)the Program for Introducing Talents of Discipline to Universities of China(B06006)
文摘UiO-66-NH2, as typical visible light responsive Zr-based metal-organic frameworks (MOFs), has attracted great interest in recent years. However, rapid combination of the photoinduced carriers limits its further application. Here, we designed a facile precipitation-photoreduction method to post-synthetically decorate Ag/AgCl on the surface of UiO-66-NH2 and form a heterostructure. Metallic Ag can not only transmit electrons between UiO-66-NH2 and AgCl but also absorb visible light, because of the surface plasmon resonance (SPR) effect. The rhodamine B photodegradation rate of UiO-66-NH2/Ag/AgCl (16.2 wt.% Ag) is about 10 and 4 times those of UiO-66-NH2 and Ag/AgCl, respectively. The SPR effect of Ag NPs and the formation of a heterostructure synergistically increase the absorbability of visible light, accelerate the separation of photoinduced charges, and promote the formation of superoxide radicals. We expect that our work could provide a new viewpoint for constructing efficient MOF-based photocatalytic systems.
基金supported by the special fund for Capital City Clinical Specific Application Study(No.Z171100001017115)
文摘Objective: The aim of this study was to investigate the feasibility of using ultrasonic scalpel combined with vascular clip in parametrial management,called limited energy parametrial resection/dissection(LEPRD),in laparoscopic nerve plane-sparing radical hysterectomy(NPSRH),a modified nerve-sparing radical hysterectomy(NSRH); and to evaluate its effectiveness in pelvic autonomic nerve preservation.Methods: From July 2012 to January 2016,257 consecutive patients with stage IB1 to IIA2 cervical cancer who underwent NPSRH were included in this study.Patients were divided into three cohorts according to the different parametrial resection modality.The clinical,pathological and surgery-related parameters were compared between the three groups.Short-and long-term postoperative bladder functions were evaluated.Results: LEPRD was attempted in 94 patients,and was successful in 65(69.1%) patients(LEPRD group).The remaining 29(30.9%) patients required bipolar coagulation after failure of vascular clipping(combined modality group).Routine bipolar cautery was used in the other 163 patients during the parametrial resection(bipolar group).The blood loss in the LEPRD group was significantly lower than those in the other two groups(P<0.001).The rate of successful Foley removal on postoperative day 7 was significantly higher in the LEPRD group than in the bipolar group(P=0.022).The incidence of chronic voiding dysfunction was significantly lower in the LEPRD group than in the bipolar group(P=0.019).Conclusions: It is feasible to perform LEPRD in NPSRH for cervical cancers.This kind of limited energy surgical technique is associated with less blood loss,and leads to improved postoperative bladder function.
基金Supported by Project of Xinjiang Production and Construction Corps to Support Xinjiang Development(2014AB007)Key Scientific and Technological Project of Xinjiang Production and Construction Corps(2014BA005)
文摘In this study, by using Xinkui 19 and its parents as experimental materials, 100 pairs of SSR molecular markers were screened to obtain specific poly- morphic primers, aiming at providing an accurate and efficient method for identifying the purity of Helianthus annuus L. hybrid seeds. According to the experimen- tal results, by using polymorphic SSR primer 455, the amplified bands of female and male parents were 460 and 430 bp, respectively; by using polymorphic SSR primer 478, the amplified bands of female and male parents were 330 and 350 bp, respectively. The identification results of Xinkui 19 hybrids and its parents with SSR marker technique and field cultivation were basically consistent. SSR primers 455 and 478 could be used for rapid and effective identification of the purity of Xinkui 19 hybrid seeds.
基金financially supported by the Joint Funds of the National Natural Science Foundation of China (NSFC,U21A20492)NSFC (61705156,60976018,and 61605138)+2 种基金the Key R&D program of Shanxi Province (International Cooperation,201903D421087,201903D121100)Shanxi Scholarship Council of China (2020-049)Shanxi-Zheda Institute of Advanced Materials and Chemical Engineering (2021SX-FR007)。
文摘有机集成化光电子器件兼具了小型化和多功能性的优势,如集成了有机发光和紫外探测的有机发光紫外探测器件(OLED-UVOPDs).这种器件中的有机光电材料的设计仍然面临重大的挑战.在本文中,以蒽为π桥,腈基苯为受体,三苯胺(TPA)和二甲基三苯胺(2mTPA)分别为给体,设计并合成了两种可用于OLED-UVOPD器件的蓝色发光分子,TPA-AN和2mTPA-AN.它们的发光峰分别位于474和488 nm处,荧光量子产率为51.1%和46.6%.通过单载流子器件计算得到其电子迁移率分别为3.96×10^(-5)和6.63×10^(-7)cm^(2)V^(-1)s^(-1).基于TPA-AN的OLED器件表现出强的蓝光发射,最大亮度为43,110 cd m^(-2),最大外量子效率(EQE)为8.1%.它们在OLED-UVOPD集成器件中表现出优异的性能,紫外探测率分别为7.18×10^(11)和2.85×10^(12)Jones,最大EQE分别为8.7%和5.9%.
基金supported by the National Natural Science Foundation of China(Nos.22178104,U22B20143,21838003,and 22008069)Shanghai Municipal Science and Technology Major Project,the Shanghai Scientific and Technological Innovation Project(No.22dz1205900)+1 种基金“the Fundamental Research Funds for the Central Universities”,Shanghai Rising-Star Program(No.23QA1402200)the Shanghai Sailing Program(No.20YF1410200).
文摘The electrocatalytic conversion of carbon dioxide(CO_(2))into useful fuels and chemical feedstocks is an emerging route to alleviate global warming and reduce reliance on fossil fuels.Methanol(CH_(3)OH),as one of the most significant and widely used liquid fuels that can be generated by CO_(2)reduction,is essential in the chemical industry.In this minireview,we unravel the origins of the selective formation of CH_(3)OH via CO_(2)reduction,including catalyst composition designs,local structure modulations,and electrolyte/catalyst interface regulations.Finally,the remaining challenges and perspectives for the CO_(2)-to-CH_(3)OH reduction are proposed.
基金This research was supported by the National Science Foundation of China(U20A2024)the STI2030-Major Project(2023ZD04072),and the Strategic Priority Research Program of the Chinese Academy of Sciences(XDB27020101).
文摘Defensin-like proteins are conserved in multicellular organisms and contribute to innate immune re-sponses against fungal pathogens.In rice,defensins play a novel role in regulating cadmium(Cd)efflux from the cytosol.However,whether the antifungal activity of defensins correlates with Cd-efflux function remains unknown.In this study,we isolated an endophytic Fusarium,designed Fo1o,by a comparative mi-crobiome analysis of rice plants grown in a paddy contaminated with Cd.Fo10 is tolerant to high levels of Cd,but is sensitive to the defensin-like protein OsCAL1,which mediates Cd efflux to the apoplast.We found that Fo10 symbiosis in rice is regulated by OsCAL1 dynamics,and Fo10 coordinates multiple plant pro-cesses,including Cd uptake,vacuolar sequestration,efflux to the environment,and formation of Fe pla-ques in the rhizosphere.These processes are dependent on the salicylic acid signaling pathway to keep Cd levels low in the cytosol of rice cells and to decrease Cd levels in rice grains without any yield penalty.Fo10 also plays a role in Cd tolerance in the poaceous crop maize and wheat,but has no observed effects in the eudicot plants Arabidopsis and tomato.Taken together,these findings provide insights into the mech-anistic basis underlying how afungal endophyte and host plant interact to control Cd accumulation in host plants by adapting defense responses to promotethe establishment ofa symbiosis that permits adaptation to high-Cd environments.
基金supported by the Special Foundation for State Major Basic Research Program of China(Nos.2021YFC2201803 and 2021YFC2201904)。
文摘We demonstrate an ultrastable miniaturized transportable laser system at 1550 nm by locking it to an optical fiber delay line[FDL].To achieve optimized long-term frequency stability,the FDL was placed into a vacuum chamber with a five-layer thermal shield,and a delicate two-stage active temperature stabilization,an optical power stabilization,and an RF power stabilization were applied in the system.A fractional frequency stability of better than 3.2×10^[-15]at 1 s averaging time and1.1×10^[-14]at 1000 s averaging time was achieved,which is the best long-term frequency stability of an all-fiber-based ultrastable laser observed to date.
基金supported by the National Key R&D Program of China (No.2021YFC2501000)the CAMS Innovation Fund for Medical Sciences (Nos.2021-I2M-1-018 and 2021-12M-1-067).
文摘Long noncoding RNAs(lncRNAs)play a crucial regulatory role in the development and progression of multiple cancers.However,the potential mechanism by which lncRNAs affect the recurrence and metastasis of ovarian cancer remains unclear.In the current study,the lncRNA LOC646029 was markedly downregulated in metastatic ovarian tumors compared with primary tumors.Gain-and loss-of-function assays demonstrated that LOC646029 inhibits the proliferation,invasiveness,and metastasis of ovarian cancer cells in vivo and in vitro.Moreover,the downregulation of LOC646029 in metastatic ovarian tumors was strongly correlated with poor prognosis.Mechanistically,LOC646029 served as a miR-627-3p sponge to promote the expression of Sprouty-related EVH1 domain-containing protein 1,which is necessary for suppressing tumor metastasis and inhibiting KRAS signaling.Collectively,our results demonstrated that LOC646029 is involved in the progression and metastasis of ovarian cancer,which may be a potential prognostic biomarker.
基金This work was supported by the National Natural Science Foundation of China(grant nos.22178104,21838003,and 22008069)the Shanghai Scientific and Technological Innovation Project(grant no.22dz1205900)the Fundamental Research Funds for the Central Universities,and the Shanghai Sailing Program(grant no.20YF1410200).
文摘Electrocatalytic reduction of carbon dioxide(CO_(2))to valuable fuels is an up-and-coming approach.Owing to the low cost,environmental friendliness,and high selectivity to formate single product at low overpotentials,bismuth(Bi)-based catalysts have attracted extensive research attention.In this review,the reaction mechanisms of Bi-based catalysts are first introduced,and the bimetallic Bi-based catalysts synthesized by alloying,doping,and loading strategies are reviewed from the aspects of catalyst component,morphology,synthesis procedure,and performance optimization for electrocatalytic CO_(2)reduction.We provide an in-depth discussion of the existing challenges and an outlook for this highly promising kind of electrocatalysis.
基金This work was funded by a grant from the Key Projects of International Scientific and Technological Innovation Cooperation Among Governments Under the National Key Research and Development Program of China(No.2019YFE0103800).
文摘Bacillus cereus,a spore-forming bacterium and frequent cause of food poisoning,poses a safety threat to dairy and rice industries due to its high contamination rates and ability to produce toxins such as cereulide.Because of widespread presence and thermal resistance of the spores,B.cereus cannot be eliminated from the environment and may survive in processing plants.Surviving spores can develop into vegetative cells,leading to a heightened risk of cereulide production in the processing environment.Both spores and vegetative cells have the ability to adhere to the surfaces of dairy plants and form biofilms,serving as the site for cereulide production and accumulation.Therefore,it is crucial for the food industry to address potential sources and pathways of B.cereus contamination and their connections to cereulide production in processing lines.In this review,sources of contamination of B.cereus,including spores,vegetative cells,and biofilms and their potential role in cereulide production at each stage of dairy and cooked rice processing were analyzed.In addition,control methods to prevent B.cereus contamination and cereulide production in processing lines were proposed,offering valuable insights for improving microbial risk management in the food industry.
基金supported by the Research project of Hunan Provincial Department of Science and Technology(No.2020SK21361)
文摘To the Editor:Human immunodeficiency virus(HIV)epidemic poses a significant challenge to global public health.As of 2022,approximately 39.0 million people worldwide were living with HIV.[1]With the ongoing evolution of combined antiretroviral therapy(cART),HIV infection has transformed into a manageable chronic disease requiring long-term treatment.Among the various classes of antiretroviral(ARV)drugs,integrase strand transfer inhibitor(INSTI)-based regimens,known for potency and tolerability,have emerged as the predominant treatment modality worldwide.The nextgeneration of INSTI,bictegravir(BIC),received the Food and Drug Administration(FDA)approval in 2018 as a single-tablet regimen(STR)containing BIC(50 mg)/emtricitabine(FTC,200 mg)/tenofovir alafenamide(TAF,25 mg)for once daily.It has been endorsed as the preferred choice for treatment-naive patients by major guidelines,including the 2021 edition of the China Acquired Immune Deficiency Syndrome(AIDS)Diagnosis and Treatment Guidelines.[2]In China,people living with HIV(PLWH)are provided with flexible cART options,including the National Reimbursement Drug List(NRDL),self-pay drugs,and free drugs.Since being included in NRDL in 2021,BIC/FTC/TAF have gained popularity among an increasing number of patients.
基金This work was supported by the Scientific Research Project of Tianjin Municipal Education Commission(Grant No.2019KJ221)the Chemistry and Chemical Engineering Guangdong Laboratory(Grant No.1912011).
文摘In recent years,defect-engineered Zr-based UiO-66 metal-organic frameworks(UiO-66(Zr)metalorganic frameworks(MOFs))have shown huge advantages in catalytic,functional materials,adsorption,and other fields due to their large surface areas,well-ordered porous structures,and flexible tailorability.It is extremely challenging to introduce defect sites in the synthesis of MOFs to regulate the physicochemical properties of materials such as(energy band structure,pore structure,etc.)to obtain an excellent performance.This paper reviews the recent research results of synthesis methods,characterization technologies,and application fields of defect-engineered UiO-66(Zr)MOFs materials in order to provide new insights to synthesize high-performance UiO-66(Zr)MOFs materials and promote the development of UiO-66(Zr)in various fields.
基金supported by the National Natural Science Foundation of China(Nos.21808061,21838003,91834301,and 22008069)the Shanghai Scientific and Technological Innovation Project(Nos.18JC1410500 and 19JC1410400)+1 种基金the Innovation Program of Shanghai Municipal Education Commission,“the Fundamental Research Funds for the Central Universities”(No.222201718002)the Shanghai Sailing Program(No.20YF1410200).
文摘Electrochemical reduction of CO_(2) to valuable formate as liquid fuel is a promising way to alleviate the greenhouse effect.The edge active sites in bismuth(Bi)nanosheets play a critical role in the electrochemical reduction of CO_(2) into formate,which enable the operation of CO_(2) reduction with high cathodic energy efficiency,especially under large current densities of≥200 mA/cm^(2).However,the undesirable reconstruction of small Bi nanosheets into large nanosheets leads to the decreasing of edge active sites during electrocatalysis.Here we report stable isolated ultrasmall bismuth nanosheets-synthesized by in-situ electrochemical transformation of ligands covered bismuth vanadate-on silver nanowires as an efficient electrocatalyst for CO_(2)-to-formate reduction.The cooperative electrocatalyst achieves a formate current density of 186 mA/cm^(2) and a cathodic energy efficiency of 75%for formate,which is the only best compared to the literature results.Operand。Raman and morphologic measurements demonstrate that the excellent energy utilization of the electrocatalyst is originated from the rich edge active sites with Bi-O species of the ultrasmall Bi nanosheets.