Deceleration capacity of heart rate predicts trastuzumab-related cardiotoxicity in patients with HER2-positive breast cancer: A prospective observational study.

WHAT IS KNOWN AND OBJECTIVES: Trastuzumab is the standard choice for anti-human epidermal growth factor receptor 2 (HER2) therapy. Cardiotoxicity is one of the main adverse effects of trastuzumab. How to early predict trastuzumab-related cardiotoxicity remains a significant problem in clinical practice. The deceleration capacity of the heart rate (DC) has been shown to be a powerful predictor of adverse outcomes in various heart diseases. In the study, the role of DC in early predicting trastuzumab-related cardiotoxicity was investigated. METHODS: A total of 150 patients were prospectively investigated the clinical value of the DC in predicting trastuzumab-related cardiotoxicity in patients with HER2-positive breast cancer treated with trastuzumab at Guangxi Medical University Cancer Hospital from June 2015 to June 2017. DC, mean heart rate and heart rate variability (HRV) indices, including the standard deviation of all normal RR intervals (SDNN) and the square root of the mean of the squared differences between adjacent normal RR intervals (RMSSD), were assessed before treatment, and the left ventricular ejection fraction (LVEF) was regularly monitored for 2 years (before, during and after treatment) to evaluate cardiotoxicity. RESULTS: Among 150 eligible patients, 28 (18.7%) developed cardiotoxicity. Patients with cardiotoxicity were older (P < .05), higher anthracycline dose (P < .001) and had lower RMSSD (P < .05), SDNN, DC and baseline LVEF (P < .001), than patients without cardiotoxicity. Logistic regression analysis revealed lower DC, lower baseline LVEF and higher anthracycline dose were independent risk factors of trastuzumab-related cardiotoxicity. Receiver operating characteristic (ROC) curve analysis revealed a greater area under the curve for DC than for the baseline LVEF in predicting cardiotoxicity (0.88 vs 0.77, P = .032). Additionally, DC had higher sensitivity (78.6% vs 67.9%) and specificity (83.6% vs 77.9%) in predicting cardiotoxicity than the baseline LVEF. Linear regression analysis showed among patients who developed cardiotoxicity, lower DC was associated with an earlier onset (P < .01). WHAT IS NEW AND CONCLUSION: The present study found that DC was a stronger predictor of trastuzumab-related cardiotoxicity development than the baseline LVEF and HRV. Linear regression analysis showed among patients who developed cardiotoxicity, lower DC was associated with an earlier onset. DC should be a potential clinical indicator for the early prediction of trastuzumab-related cardiotoxicity.

Enhanced Fe(ii)/Fe(iii) cycle by boron enabled efficient Cr(vi) removal with microscale zero-valent iron.

Recently, researchers have been paying much attention to zero-valent iron (ZVI) in the field of pollution remediation. However, the depressed electron transport from the iron reservoir to the iron oxide shell limited the wide application of ZVI. This study was aimed at promoting the performance of microscale ZVI (mZVI) for hexavalent chromium (Cr(vi)) removal by accelerating iron cycle with the addition of boron powder. It was found that the addition of boron powder enhanced the Cr(vi) removal rate by 2.1 times, and the proportion of Cr(iii) generation after Cr(vi) removal process also increased, suggesting that boron could promote the reduction pathway of Cr(vi) to Cr(iii). By further comparing the Cr(vi) removal percentage of Fe(iii) with or without the boron powder, we found that boron powder could promote the percentage removal of Cr(vi) with Fe(iii) from 10.1% to 33.6%. Moreover, the presence of boron powder could decrease the potential gap values (ΔEp) between Fe(iii) reduction and Fe(ii) oxidation from 0.668 V to 0.556 V, further indicating that the added boron powder could act as an electron sacrificial agent to promote the reduction process of Fe(iii) to Fe(ii), and thus enhancing the reduction of Cr(vi) with Fe(ii). This study shed light on the promoted mechanism of Cr(vi) removal with boron powder and provided an environmentally friendly and efficient approach to enhance the reactivity of the mZVI powder, which would benefit the wide application of mZVI technology in the environmental remediation field.

Amine vapor-responsive ratiometric sensing tag based on HPTS/TPB-PVA fluorescent film for visual determination of fish freshness.

In this study, amine vapor-sensitive films with ratiometric fluorescence attributes were developed. The pH-sensitive fluorescein 8-hydroxypyrene-1,3,6-trisulfonic acid trisodium salt (HPTS) and its tetraphenylethylene derivative (TPB) were selected as ratiometric indicators and incorporated into a polyvinyl alcohol (PVA) matrix to produce HPTS/TPB-PVA films. The films responded well to amine vapors, and the interference of aromatic vapors did not substantially affect the fluorescence signals of the films. Under UV light at a wavelength of 365 nm, the fluorescence of the films changed from dark pink to light pink and finally to yellow when the freshness of the fish was visually checked during storage. In addition, the color difference values of the films showed a positive correlation with the total volatile basic nitrogen (TVB-N), ranging from 12.7 to 24.8 mg/100 g at 25 °C and 8.4 to 25.6 mg/100 g at 4 °C, respectively. This indicates that fluorescent films have good potential for quantifying fish freshness in the near future when connected to an automatic data processing system based on color differences.

Theoretical modeling and experiment of refractive index change in He+ ion-implanted KTP waveguide.

A theoretical model is presented to explain the refractive index change in the ion-implanted KTP waveguide, which includes respective contributions of spontaneous polarization, molar polarization and molar volume, and photoelastic effect. Numerical calculations of refractive indices along different crystalline orientations (X, Y, and Z) as a function of the lattice damage level, determined by Rutherford back-scattering/channeling technique, are performed based on the results from a set of z-cut KTP crystals implanted by 300 keV He+ ions in doses ranging from 4×10(16) to 8×10(16) ions/cm2. The theoretical results show consistency with the experimental data. To our knowledge, this is the first model to comprehensively describe the ion-implanted KTP planar waveguide.

Optical confinement achieved in ZnO crystal by O+ ions implantation: analysis of waveguide formation and properties.

Optical confinement in ZnO crystal was observed by O(+) implantation with different MeV energies and doses. Planar optical waveguides were formed in the as-implanted ZnO samples. The optical properties of the planar waveguide were investigated by the prism-coupling and the end-face coupling methods at the wavelength of 633 nm. The crystal lattice damage in the guiding region caused by the O(+) ions implantation was analyzed by the Rutherford backscattering/Channeling technique, results show that even high dose at 2 × 10(15) ions/cm(2) can hardly produce defect in near surface of ZnO. A theoretical model is developed to explain the principle of waveguide formation in ZnO crystal and the refractive index profile in the implanted waveguide was reconstructed accordingly. The experimental result and analysis are significant for application of ZnO crystal, especially for the design of ZnO light emitter devices.

catena-Poly[[[(1,10-phenanthroline-κN,N')zinc]-µ-pyridine-2,3-dicarboxyl-ato-κN,O:O,O] monohydrate].

In the title complex, {[Zn(C(7)H(3)NO(4))(C(12)H(8)N(2))]·H(2)O}(n), the Zn(II) ion is in a distorted octa-hedral environment, defined by two N atoms from a chelating 1,10-phenanthroline (phen) ligand and one N atom and three O atoms from two pyridine-2,3-dicarboxyl-ate (2,3-pydc) ligands. The bridging 2,3-pydc ligands connect the Zn(II) ions into a chain extending along [010]. O-H⋯O hydrogen bonds between the uncoordinated water mol-ecules and the uncoordinated carboxyl-ate O atoms, as well as π-π inter-actions between the pyridine rings of the phen ligands [centroid-centroid distance = 3.557 (2) Å], are observed.

Nutrients removal from the secondary effluents of municipal domestic wastewater by Oscillatoria tenuis and subsequent co-digestion with pig manure.

Batch experiments were carried out to investigate the performance of Oscillatoria tenuis to remove nitrogen, phosphorus and chemical oxygen demand (COD) from secondary effluents of municipal domestic wastewater. Meanwhile the potential of biogas production by collected O. tenuis co-digested with pig manure was also investigated. O. tenuis had a biomass productivity of 150 mg L-1 d-1, a removal rate of [Formula: see text] (96.1%), total phosphorus (82.9%) and COD (92.6%) within 7 d at an aeration rate of 1.0 L/min. The biochemical methane potential (BMP) test for O. tenuis fermented with pig manure was evaluated at three different ratios. The cumulative methane yield was 183 mL CH4/gVSadd at a mixing ratio (MR) of 3.0, 191 mL CH4/gVSadd at a MR of 2.0 and 84 mL CH4/gVSadd at a MR of 1.0. The maximum methane yield appeared at the ratio of 2.0. Meanwhile, acid-, alkali- and thermal-pretreatments were applied to raw microalgae biomass to promote biogas production. The highest methane productivity (256 mL CH4/gVSadd) was achieved by the thermal-pretreatment at 120°C, which was about 1.5 times higher than the non-pretreatment group (191 mL CH4/g VSadd).

LDH nanocages synthesized with MOF templates and their high performance as supercapacitors.

Layered double hydroxides (LDHs) are currently attracting intense research interest for their various applications. Three LDH hollow nano-polyhedra are synthesized with zeolitic imidazolate framework-67 (ZIF-67) nanocrystals as the templates. The nanocages well inherit the rhombic dodecahedral shape of the ZIF-67 templates, and the shell is composed of nanosheets assembled with an edge-to-face stacking. This is the first synthesis of the LDH non-spherical structures. And the mechanism of utilizing metal-organic framework (MOF) nanocrystals as templates is explored. Control of the simultaneous reactions, the precipitation of the shells and the template etching, is extremely crucial to the preparation of the perfect nanocages. And the Ni-Co LDH nanocages exhibit superior pseudocapacitance property due to their novel hierarchical and submicroscopic structures.

Synthesis of novel ZnS nanocages utilizing ZIF-8 polyhedral template.

Truncated rhombic dodecahedral zeolitic imidazolate framework-8 (ZIF-8) nanocrystals are fabricated with acetate as a modulating ligand; ZnS hollow polyhedra with uniform morphology are obtained using the ZIF-8 templates.