AIM To investigate the efficacy of double-layered covered stent in the treatment of malignant oesophageal obstructions.METHODS A systematic review and meta-analysis was performed following the PRISMA process. Pub Med(...AIM To investigate the efficacy of double-layered covered stent in the treatment of malignant oesophageal obstructions.METHODS A systematic review and meta-analysis was performed following the PRISMA process. Pub Med(Medline),EMBASE(Excerpta Medical Database),AMED(Allied and Complementary medicine Database),Scopus and online content,were searched for studies reporting on the Ni Ti-S polyurethane-covered double oesophageal stent for the treatment of malignant dysphagia. Weighted pooled outcomes were synthesized with a random effects model to account for clinical heterogeneity. All studies reporting the outcome of palliative management of dysphagia due to histologically confirmed malignant oesophageal obstruction using double-layered covered nitinol stent were included. The level of statistical significance was set at α = 0.05.RESULTS Six clinical studies comprising 250 patients in total were identified. Pooled technical success of stent insertion was 97.2%(95%CI: 94.8%-98.9%; I2 = 5.8%). Pooled complication rate was 27.6%(95%CI: 20.7%-35.2%; I2 = 41.9%). Weighted improvement of dysphagia on a scale of 0-5 scoring system was-2.00 [95%CI:-2.29%-(-1.72%); I2 = 87%]. Distal stent migration was documented in 10 out of the 250 cases examined.Pooled stent migration rate was 4.7%(95%CI: 2.5%-7.7%; I2 = 0%). Finally,tumour overgrowth was reported in 34 out of the 250 cases with pooled rate of tumour overgrowth of 11.2%(95%CI: 3.7%-22.1%; I2 = 82.2%). No funnel plot asymmetry to suggest publication bias(bias = 0.39,P = 0.78). In the sensitivity analysis all results were largely similar between the fixed and random effects models.CONCLUSION The double-layered nitinol stent provides immediate relief of malignant dysphagia with low rates of stent migration and tumour展开更多
Co-free Li-rich Mn-based layered oxides are promising candidates for next-generation lithium-ion batteries(LIBs)due to their high specific capacity,high voltage,low cost.However,their commercialization is hindered by ...Co-free Li-rich Mn-based layered oxides are promising candidates for next-generation lithium-ion batteries(LIBs)due to their high specific capacity,high voltage,low cost.However,their commercialization is hindered by limited cycle life and poor rate performance.Herein,an in-situ simple and low-cost strategy with a nanoscale double-layer architecture of lithium polyphosphate(LiPP)and spinel phase covered on top of the bulk layered phase,is developed for Li_(1.2)Mn_(0.6)Ni_(0.2)O_(2)(LMNO)using Li^(+)-conductor LiPP(denoted as LMNO@S-LiPP).With such a double-layer covered architecture,the half-cell of LMNO@S-LiPP delivers an extremely high capacity of 202.5 mAh·g^(−1)at 1 A·g^(−1)and retains 85.3%of the initial capacity after 300 cycles,so far,the best highrate electrochemical performance of all the previously reported LMNOs.The energy density of the full-cell assembled with commercial graphite reaches 620.9 Wh·kg^(−1)(based on total weight of active materials in cathode and anode).Mechanism studies indicate that the superior electrochemical performance of LMNO@S-LiPP is originated from such a nanoscale double-layer covered architecture,which accelerates Li-ion diffusion,restrains oxygen release,inhibits interfacial side reactions,suppresses structural degradation during cycling.Moreover,this strategy is applicable for other high-energy-density cathodes,such as LiNi_(0.8)Co_(0.1)Mn_(0.1)O_(2),Li_(1.2)Ni_(0.13)Co_(0.13)Mn_(0.54)O_(2),LiCoO_(2).Hence,this work presents a simple,cost-effective,scalable strategy for the development of high-performance cathode materials.展开更多
文摘AIM To investigate the efficacy of double-layered covered stent in the treatment of malignant oesophageal obstructions.METHODS A systematic review and meta-analysis was performed following the PRISMA process. Pub Med(Medline),EMBASE(Excerpta Medical Database),AMED(Allied and Complementary medicine Database),Scopus and online content,were searched for studies reporting on the Ni Ti-S polyurethane-covered double oesophageal stent for the treatment of malignant dysphagia. Weighted pooled outcomes were synthesized with a random effects model to account for clinical heterogeneity. All studies reporting the outcome of palliative management of dysphagia due to histologically confirmed malignant oesophageal obstruction using double-layered covered nitinol stent were included. The level of statistical significance was set at α = 0.05.RESULTS Six clinical studies comprising 250 patients in total were identified. Pooled technical success of stent insertion was 97.2%(95%CI: 94.8%-98.9%; I2 = 5.8%). Pooled complication rate was 27.6%(95%CI: 20.7%-35.2%; I2 = 41.9%). Weighted improvement of dysphagia on a scale of 0-5 scoring system was-2.00 [95%CI:-2.29%-(-1.72%); I2 = 87%]. Distal stent migration was documented in 10 out of the 250 cases examined.Pooled stent migration rate was 4.7%(95%CI: 2.5%-7.7%; I2 = 0%). Finally,tumour overgrowth was reported in 34 out of the 250 cases with pooled rate of tumour overgrowth of 11.2%(95%CI: 3.7%-22.1%; I2 = 82.2%). No funnel plot asymmetry to suggest publication bias(bias = 0.39,P = 0.78). In the sensitivity analysis all results were largely similar between the fixed and random effects models.CONCLUSION The double-layered nitinol stent provides immediate relief of malignant dysphagia with low rates of stent migration and tumour
基金the financial support from the Ministry of Science and Technology of China(MoST,No.52090034)the Higher Education Discipline Innovation Project(No.B12015).
文摘Co-free Li-rich Mn-based layered oxides are promising candidates for next-generation lithium-ion batteries(LIBs)due to their high specific capacity,high voltage,low cost.However,their commercialization is hindered by limited cycle life and poor rate performance.Herein,an in-situ simple and low-cost strategy with a nanoscale double-layer architecture of lithium polyphosphate(LiPP)and spinel phase covered on top of the bulk layered phase,is developed for Li_(1.2)Mn_(0.6)Ni_(0.2)O_(2)(LMNO)using Li^(+)-conductor LiPP(denoted as LMNO@S-LiPP).With such a double-layer covered architecture,the half-cell of LMNO@S-LiPP delivers an extremely high capacity of 202.5 mAh·g^(−1)at 1 A·g^(−1)and retains 85.3%of the initial capacity after 300 cycles,so far,the best highrate electrochemical performance of all the previously reported LMNOs.The energy density of the full-cell assembled with commercial graphite reaches 620.9 Wh·kg^(−1)(based on total weight of active materials in cathode and anode).Mechanism studies indicate that the superior electrochemical performance of LMNO@S-LiPP is originated from such a nanoscale double-layer covered architecture,which accelerates Li-ion diffusion,restrains oxygen release,inhibits interfacial side reactions,suppresses structural degradation during cycling.Moreover,this strategy is applicable for other high-energy-density cathodes,such as LiNi_(0.8)Co_(0.1)Mn_(0.1)O_(2),Li_(1.2)Ni_(0.13)Co_(0.13)Mn_(0.54)O_(2),LiCoO_(2).Hence,this work presents a simple,cost-effective,scalable strategy for the development of high-performance cathode materials.
