New management of surveillance in patients with baseline serrated polyps: a large single-center retrospective cohort study in China.

BACKGROUND: Serrate d polyps (SP) is associated with an increased risk of colorectal cancer. Patients with SP history tend to have SP recurrence. However, the risk factors for metachronous polyps (MP) in those patients are not well established. METHODS: Data of colonoscopy were retrospectively reviewed from October 2012 to October 2021. The pathology database, electronic medical records and telephone follow-up data were also observed. RESULTS: A total of 906 patients were studied including 278 patients with MPs and 628 patients without. The multiplicity of polyps (OR, 13.63; 95% CI, 8.80-21.75), older age (OR, 5.71; 95% CI, 1.87-20.63), abdominal obesity (OR, 2.46; 95% CI, 0.98-6.42), current smoker (OR, 2.93; 95% CI, 1.15-7.83) and sedentary lifestyle (OR, 1.41; 95% CI, 1.22-1.65) are significantly associated with the risk of MPs. Patients with baseline SP < 10 mm were more likely to develop higher or same risk-grade polyps (HSRGP) ( P = 0.0014). Patients with non-clinically significant SPs whether coexisted with adenoma or not were more likely to develop HSRGPs when compared to others ( P < 0.001). CONCLUSION: Total number of polyps, older age, sedentary behavior, abdominal obesity and smoking status contributed to the risk of MPs at surveillance colonoscopy. Patients with grade 1 SPs might require closer surveillance. SPs coexisting with conventional adenoma did not increase the risk of MPs but may increase the risk of developing HSRGPs.

Formation of nano-sized M2C carbides in Si-free GH3535 alloy.

GH3535 alloy is one of the most promising structural materials for molten salt reactors (MSRs). Its microstructure is characterized by equiaxed grains and coarser primary M6C carbide strings. In this study, stable nano-sized M2C carbides were obtained in GH3535 alloy by the removal of Si and thermal exposure at 650 °C. Nano-sized M2C carbide particles precipitate preferentially at grain boundaries during the initial stage of thermal exposure and then spread all over the grain interior in two forms, namely, arrays along the {1 1 1} planes and randomly distributed particles. The precipitate-free zones (PFZs) and the precipitate-enriched zones (PEZs) of the M2C carbides were found to coexist in the vicinity of the grain boundaries. All M2C carbides possess one certain orientation relationship (OR) with the matrix. Based on microstructural characterizations, the formation process of M2C carbides with different morphologies was discussed. The results suggested that the more-stable morphology and OR of M2C carbides in the Si-free alloy provide higher hardness and better post-irradiation properties, as reported previously. Our results indicate the preferential application of Si-free GH3535 alloy for the low-temperature components in MSRs.

Carbides Evolution in a Ni-16Mo-7Cr Base Superalloy during Long-Term Thermal Exposure.

The effect of long-term thermal exposure on the carbide evolution in a Ni-16Mo-7Cr base superalloy was investigated. The results show that M12C carbides are mainly precipitated on the grain boundaries during thermal exposure, and the primary massive M6C carbides can be completely transformed to M12C carbides in situ at temperatures above 750 °C for long-term thermal exposure. The transformation from M6C carbides to M12C carbides is attributed to the release of C atoms from M6C, which results in the morphology changes of massive carbides, and stabilization of the sizes of M12C carbides precipitated on the grain boundaries.

Evaluating the ability to form single crystal.

Design of crystal materials requires predicting the ability of bulk materials to form single crystals, challenging current theories of material design. By introducing a concept of condensing potential (CP), it is shown via vast simulations of crystal growth for fcc (Ni, Cu, Al, Ar) and hcp (Mg), that materials with larger CP can grow into perfect single crystal more easily. Due to the simplicity of the calculation of CP, this method might prove a convenient way to evaluate the ability of materials to form single crystal.