The impact of gender on survival outcomes in patients with small intestinal stromal tumors: a comprehensive analysis using the SEER database.

BACKGROUND: Small intestinal stromal tumors (SISTs) are a rare type of mesenchymal tumor. Gender is known to influence the incidence and prognosis of various tumors, but its role on the survival of SISTs at the population level remains unclear. Therefore, we aim to explore the relationship between gender and the prognosis of SISTs using the Surveillance, Epidemiology, and End Results (SEER) database. METHODS: Data on SISTs patients from 2000 to 2019 were derived from the SEER database. Multiple imputation was used to address missing data. Kaplan-Meier analyses and Cox proportional hazard models were applied to evaluate the impact of demographic and clinical characteristics on overall survival (OS) and cancer-specific survival (CSS). RESULTS: A total of 3513 patients with SISTs were analyzed, including 1921 males and 1592 females. Kaplan-Meier analysis coupled with log-rank testing demonstrated a significantly higher mortality rate among male patients compared to females (P < 0.001). Notably, female patients exhibited superior OS (hazard ratio [HR] 0.808, 95% confidence interval [CI] 0.724-0.902, P < 0.001) and CSS (HR 0.801, 95% CI 0.692-0.927, P = 0.003) compared to male patients. While the mean 1-year CSS rates were comparable between genders (95.3% for males vs. 96.0% for females, P = 0.332), male patients consistently showed lower mean survival rates at 3-, 5-, and 10-year intervals. Surgical intervention significantly boosted 5-year OS and CSS rates in both male and female patients (P < 0.001). Multivariate Cox regression analysis identified age, sex, grade, TNM stage, surgery, and mitotic rate as independent risk factors for OS and CSS in patients with SISTs. CONCLUSIONS: Our findings suggest that male patients with SISTs have a higher risk of mortality compared to female patients, indicating that gender may serve as a predictive indicator for survival in this patient population.

Comparable prognosis of early gastric cancer between intestinal type and diffuse type in patients of age 75 and older: a SEER-based cohort study.

Background: The prognostic significance of Lauren's classification in elderly early gastric cancer (EGC) patients remains largely unknown. We aim to investigate the characteristics and clinical implications of Lauren's classification in elderly EGC patients. Methods: Patients were collected from the Surveillance, Epidemiology, and End Results (SEER) database based on the inclusion and exclusion criteria. Univariate and multivariate Cox regression, propensity score matching, inverse-probability-weighted analysis, and propensity-score adjustment were utilized to evaluate the association between Lauren's classification and cancer-specific survival (CSS) in elderly EGC patients. Stratification and interaction analyses were used to reveal the effects of confounding factors on the association between Lauren's classification and CSS. Results: The diffuse type (median, 41.0 months) showed a similar survival (37.0 months), and was mainly distributed in female group (62.5% vs. 42.2%) with poorly differentiated or undifferentiated components (89.1% vs. 27.0%) compared with intestinal type in elderly EGC patients. Analyses of univariate and multivariate Cox regression, propensity score matching, inverse-probability-weighted analysis, and propensity-score adjustment showed that Lauren's classification was not significantly CSS in elderly EGC patients (P>0.05). Subgroup and interaction analyses confirmed the stability of the results. Conclusions: Diffuse type was mainly distributed in female patients with more poorly differentiated/undifferentiated components and similar prognosis compared with intestinal type in age 75 and older EGC patients. No significant association was observed between diffuse type and CSS of the elderly EGC patients.

An acetate electrolyte for enhanced pseudocapacitve capacity in aqueous ammonium ion batteries.

Ammonium ion batteries are promising for energy storage with the merits of low cost, inherent security, environmental friendliness, and excellent electrochemical properties. Unfortunately, the lack of anode materials restricts their development. Herein, we utilized density functional theory calculations to explore the V2CTx MXene as a promising anode with a low working potential. V2CTx MXene demonstrates pseudocapacitive behavior for ammonium ion storage, delivering a high specific capacity of 115.9 mAh g-1 at 1 A g-1 and excellent capacity retention of 100% after 5000 cycles at 5 A g-1. In-situ electrochemical quartz crystal microbalance measurement verifies a two-step electrochemical process of this unique pseudocapacitive storage behavior in the ammonium acetate electrolyte. Theoretical simulation reveals reversible electron transfer reactions with [NH4+(HAc)3]···O coordination bonds, resulting in a superior ammonium ion storage capacity. The generality of this acetate ion enhancement effect is also confirmed in the MoS2-based ammonium-ion battery system. These findings open a new door to realizing high capacity on ammonium ion storage through acetate ion enhancement, breaking the capacity limitations of both Faradaic and non-Faradaic energy storage.

Multiple Cations Nanoconfinement in Ultrathin V2O5 Nanosheets Enables Ultrafast Ion Diffusion Kinetics Toward High-performance Zinc Ion Battery.

Nanoconfinement of cations in layered oxide cathode is an important approach to realize advanced zinc ion storage performance. However, thus far, the conventional hydrothermal/solvothermal route for this nanoconfinement has been restricted to its uncontrollable phase structure and the difficulty on the multiple cation co-confinement simultaneously. Herein, this work reports a general, supramolecular self-assembly of ultrathin V2O5 nanosheets using various unitary cations including Na+, K+, Mg2+, Ca2+, Zn2+, Al3+, NH4 +, and multiple cations (NH4 + + Na+, NH4 + + Na+ + Ca2+, NH4 + + Na+ + Ca2+ +Mg2+). The unitary cation confinement results in a remarkable increase in the specific capacity and Zn-ion diffusion kinetics, and the multiple cation confinement gives rise to superior structural and cycling stability by multiple cation synergetic pillaring effect. The optimized diffusion coefficient of Zn-ion (7.5 × 10-8 cm2 s-1) in this assembly series surpasses most of the V-based cathodes reported up to date. The work develops a novel multiple-cations nanoconfinement strategy toward high-performance cathode for aqueous battery. It also provides new insights into the guest cation regulation of zinc-ion diffusion kinetics through a general, supramolecular assembly pathway.

Realizing Unassisted Photo-Charging of Zinc-Air Batteries by Anisotropic Charge Separation in Photoelectrodes.

Solar rechargeable zinc-air battery is a promising approach for capturing and storing intermittent solar energy through photoelectrochemical reactions. However, unassisted photo-charging of zinc-air batteries is challenging due to suboptimal carrier accumulation on photoelectrodes, resulting in sluggish reaction kinetics. Here, unassisted photo-charging of zinc-air battery is achieved by investigating anisotropic photogenerated charge separation on a series of representative semiconductors (ZnIn2 S4 , TiO2 , and In2 O3 ), among which the exceptional anisotropic charge separation on a ZnIn2 S4 photoelectrode is revealed based on anisotropic charge diffusion capabilities. The charge separation is facet-dependent, which is observed using Kelvin probe force microscopy, verifying a cause-and-effect relationship between the photo-charge accumulation on photoelectrodes and their photo-charging performance in zinc-air batteries. This work achieves an unassisted photo-charging current density of 1.9 mA cm-2 with a light-to-chemical energy conversion efficiency of 1.45%, highlighting the importance of anisotropic semiconductors for unassisted photo-charging of zinc-air batteries via efficient photogenerated charge separation.

Reversible Ammonium Ion Intercalation/de-intercalation with Crystal Water Promotion Effect in Layered VOPO4 ⋠2 H2 O.

The non-metal NH4 + carrier has attracted tremendous interests for aqueous energy storage owing to its light molar mass and fast diffusion in aqueous electrolytes. Previous study inferred that NH4 + ion storage in layered VOPO4 ⋅2 H2 O is impossible due to the removal of NH4 + from NH4 VOPO4 leads to a phase change inevitably. Herein, we update this cognition and demonstrated highly reversible intercalation/de-intercalation behavior of NH4 + in layered VOPO4 ⋅2 H2 O host. Satisfactory specific capacity of 154.6 mAh g-1 at 0.1 A g-1 and very stable discharge potential plateau at 0.4 V based on reference electrode was achieved in VOPO4 ⋅2 H2 O. A rocking-chair ammonium-ion full cell with the VOPO4 ⋅2 H2 O//2.0 M NH4 OTf//PTCDI configuration exhibited a specific capacity of 55 mAh g-1 , an average operating voltage of about 1.0 V and excellent long-term cycling stability over 500 cycles with a coulombic efficiency of ≈99 %. Theoretical DFT calculations suggest a unique crystal water substitution process by ammonium ion during the intercalation process. Our results provide new insight into the intercalation/de-intercalation of NH4 + ions in layered hydrated phosphates through crystal water enhancement effect.

Realizing Interfacial Electron/Hole Redistribution and Superhydrophilic Surface through Building Heterostructural 2 nm Co0.85 Se-NiSe Nanograins for Efficient Overall Water Splittings.

Electrochemical overall water splitting using renewable energy input is highly desirable for large-scale green hydrogen generation, but it is still challenged due to the lack of low-cost, durable, and highly efficient electrocatalysts. Herein, 1D nanowires composed of numerous 2 nm Co0.85 Se-NiSe nanograin heterojunctions as efficient precious metal-free bifunctional electrocatalyst are reported for both hydrogen evolution reaction (HER) and oxygen evolution reaction (OER) in alkaline solution with the merits of high activity, durability, and low cost. The abundant microinterface among the ultrafine nanograins and the presence of lattice distortion around nanograin interface is found to create a superhydrophilic surface of the electrocatalyst, which significantly facilitate the fast diffusion of electrolytes and the release of the formed H2 and O2 from the catalyst surface. Furthermore, synergic effect between Co0.85 Se and NiSe grain on adjusting the electronic structure is revealed, which enhances electron mobility for fast electron transport during the HER/OER process. Owing to these merits, the rationally designed Co0.85 Se-NiSe heterostructures display efficient overall water splitting behavior with a low voltage of 1.54 V at 10 mA cm-2 and remarkable long-term durability for the investigated period of 50 h.

Surface Selenization Strategy for V2CTx MXene toward Superior Zn-Ion Storage.

MXenes are promising cathode materials for aqueous zinc-ion batteries (AZIBs) owing to their layered structure, metallic conductivity, and hydrophilicity. However, they suffer from low capacities unless they are subjected to electrochemically induced second phase formation, which is tedious, time-consuming, and uncontrollable. Here we propose a facile one-step surface selenization strategy for realizing advanced MXene-based nanohybrids. Through the selenization process, the surface metal atoms of MXenes are converted to transition metal selenides (TMSes) exhibiting high capacity and excellent structural stability, whereas the inner layers of MXenes are purposely retained. This strategy is applicable to various MXenes, as demonstrated by the successful construction of VSe2@V2CTx, TiSe2@Ti3C2Tx, and NbSe2@Nb2CTx. Typically, VSe2@V2CTx delivers high-rate capability (132.7 mA h g-1 at 2.0 A g-1), long-term cyclability (93.1% capacity retention after 600 cycles at 2.0 A g-1), and high capacitive contribution (85.7% at 2.0 mV s-1). Detailed experimental and simulation results reveal that the superior Zn-ion storage is attributed to the engaging integration of V2CTx and VSe2, which not only significantly improves the Zn-ion diffusion coefficient from 4.3 × 10-15 to 3.7 × 10-13 cm2 s-1 but also provides sufficient structural stability for long-term cycling. This study offers a facile approach for the development of high-performance MXene-based materials for advanced aqueous metal-ion batteries.

MXene-Derived Tin O2 n- 1 Quantum Dots Distributed on Porous Carbon Nanosheets for Stable and Long-Life Li-S Batteries: Enhanced Polysulfide Mediation via Defect Engineering.

The application of Li-S batteries has been hindered by the shuttling behavior and sluggish reaction kinetics of polysulfides. Here an effective polysulfide immobilizer and catalytic promoter is developed by proposing oxygen-vacancy-rich Tin O2 n -1 quantum dots (OV-Tn QDs) decorated on porous carbon nanosheets (PCN), which are modulated using Ti3 C2 Tx MXene as starting materials. The Tn QDs not only confine polysulfides through strong chemisorption but also promote polysulfide conversion via redox-active catalysis. The introduction of oxygen vacancies further boosts the immobilization and conversion of polysulfides by lowering the adsorption energy and shortening the bond lengths. The PCN provides a physical polysulfide confinement as well as a flexible substrate preventing OV-Tn QDs from aggregation. Moreover, the two building blocks are conductive, thereby effectively improving the electron/charge transfer. Finally, the ultrasmall size of QDs along with the porous structure endows OV-Tn QDs@PCN with large specific surface area and pore volume, affording adequate space for S loading and volume expansion. Therefore, the OV-Tn QDs@PCN/S delivers a high S loading (79.1 wt%), good rate capability (672 mA h g-1 at 2 C), and excellent long-term cyclability (88% capacity retention over 1000 cycles at 2 C). It also exhibits good Li+ storage under high S-mass loading and lean electrolyte.

Selenic Acid Etching Assisted Vacancy Engineering for Designing Highly Active Electrocatalysts toward the Oxygen Evolution Reaction.

Oxygen evolution electrocatalysts are central to overall water splitting, and they should meet the requirements of low cost, high activity, high conductivity, and stable performance. Herein, a general, selenic-acid-assisted etching strategy is designed from a metal-organic framework as a precursor to realize carbon-coated 3d metal selenides Mm Sen (Co0.85 Se1- x , NiSe2- x , FeSe2- x ) with rich Se vacancies as high-performance precious metal-free oxygen evolution reaction (OER) electrocatalysts. Specifically, the as-prepared Co0.85 Se1- x @C nanocages deliver an overpotential of only 231 mV at a current density of 10 mA cm-2 for the OER and the corresponding full water-splitting electrolyzer requires only a cell voltage of 1.49 V at 10 mA cm-2 in alkaline media. Density functional theory calculation reveals the important role of abundant Se vacancies for improving the catalytic activity through improving the conductivity and reducing reaction barriers for the formation of intermediates. Although phase change after long-term operation is observed with the formation of metal hydroxides, catalytic activity is not obviously affected, which strengthens the important role of the carbon network in the operating stability. This study provides a new opportunity to realize high-performance OER electrocatalysts by a general strategy on selenic acid etching assisted vacancy engineering.

Ultrathin VSe2 Nanosheets with Fast Ion Diffusion and Robust Structural Stability for Rechargeable Zinc-Ion Battery Cathode.

The realizing of high-performance rechargeable aqueous zinc-ion batteries (ZIBs) with high energy density and long cycling life is promising but still challenging due to the lack of suitable layered cathode materials. The work reports the excellent zinc-ion storage performance as-observed in few-layered ultrathin VSe2 nanosheets with a two-step Zn2+ intercalation/de-intercalation mechanism verified by ex situ X-ray diffraction (XRD) and X-ray photoelectron spectroscopy (XPS) characterizations. The VSe2 nanosheets exhibit a discharge plateau at 1.0-0.7 V, a specific capacity of 131.8 mAh g-1 (at 0.1 A g-1 ), and a high energy density of 107.3 Wh kg-1 (at a power density of 81.2 W kg-1 ). More importantly, outstanding cycle stability (capacity retention of 80.8% after 500 cycles) without any activation process is achieved. Such a prominent cyclic stability should be attributed to its fast Zn2+ diffusion kinetics (DZn 2+  ≈ 10-8 cm-2 s-1 ) and robust structural/crystalline stability. Density functional theory (DFT) calculation further reveals a strong metallic characteristic and optimal zinc-ion diffusion pathway with a hopping energy barrier of 0.91 eV. The present finding implies that 2D ultrathin VSe2 is a very promising cathode material in ZIBs with remarkable battery performance superior to other layered transitional metal dichalcogenides.

Irf5 deficiency in myeloid cells prevents necrotizing enterocolitis by inhibiting M1 macrophage polarization.

Necrotizing enterocolitis (NEC) is a life-threatening inflammatory disease in newborns, but the mechanisms remain unclear. Interferon regulatory factor 5 (IRF5) is a master regulator of macrophage function and is essential for proinflammatory M1 macrophage polarization. Our previous data indicated that M1 macrophages promote NEC injury. Here, we investigated whether IRF5 is involved in the pathogenesis of NEC. First, we found that IRF5 was upregulated in infiltrated macrophages in human neonates with NEC compared to controls. We further confirmed IRF5 upregulation in macrophages in experimental murine NEC and that the infiltrated macrophages were predominantly polarized into the M1 but not the M2 phenotype. Myeloid-specific deficiency of Irf5, which was associated with reduced M1 macrophage polarization and systematic inflammation, dramatically prevented experimental NEC. Moreover, we found that the ablation of Irf5 in myeloid cells markedly suppressed intestinal epithelial cell apoptosis and further prevented intestinal barrier dysfunction in experimental NEC. Bioinformatic and chromatin immunoprecipitation analysis further showed that IRF5 binds to the promoters of the M1 macrophage-associated genes Ccl4, Ccl5, Tnf, and Il12b. Overall, our study provides evidence that IRF5 participates in the pathogenesis of NEC, while the deletion of Irf5 in myeloid cells prevents NEC via inhibiting M1 macrophage polarization.

Open-loop fiber-optic gyroscope with a double sensitivity employing a polarization splitter and Faraday rotator mirror.

In this Letter, a novel open-loop fiber-optic gyroscope configuration with a double sensitivity is proposed. By employing a polarization-maintaining Faraday rotator mirror and a polarization beamsplitter/combiner, light waves propagate twice along the same fiber coil in two orthonormal polarization directions. The reciprocity of the configuration has been verified in theory. The Allan variance analysis of the gyro prototype exhibits 0.03°/h bias stability over 5.5 h in the laboratory environment.

A sewing needle within the right hepatic lobe of an infant.

Intrahepatic foreign bodies are extremely rare before 6 months of age. We reported a case of a 5-month-old boy with a needle-like foreign body in the liver. The foreign body was incidentally found in the right hepatic lobe on the x-ray image. He was asymptomatic, with neither a history of swallowing a needle nor an abdominal cutaneous scar. Three-dimensional reconstruction of spiral computed tomographic scan showed an intrahepatic needle, close to the base of the heart, with its proximal end close to the gallbladder fossae. Because of the localization of the needle and subsequent risks of complications, surgical removal was recommended. At laparotomy, a tiny scar was recognized in the upper surface of the right lobe of the liver, confirming the migration route. Postoperative course was uneventful, and the child was discharged on postoperative day 10 and is thriving perfectly 2 months after surgery. We reviewed the clinical issues of intrahepatic foreign bodies and briefly discussed its approach and implications.