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1.
Mar Environ Res ; 200: 106629, 2024 Jul 02.
Article in English | MEDLINE | ID: mdl-39008941

ABSTRACT

Large quantities of marine ballast water discharged by ocean-going vessels can cause salinity increases in freshwater ports, which in turn negatively affects indigenous plankton in the ports. In this study, we investigated the impacts of marine ballast water discharge on the plankton community in a freshwater wharf through field surveys. It was found that salinity stress caused reductions in community indicators such as plankton community composition, abundance and diversity, thus threatening the structure and function of the plankton community in the wharf. In terms of the impact range, the salinity stress had a significant effect on all plankton in the waters near the discharge point and the phytoplankton in the waters 50 m from the discharge point, but had no significant effect on the plankton in the waters further away. Ballast water discharge also caused a significant decrease in the alpha diversity and richness of the plankton community but had no significant effect on the evenness of the plankton community. Moreover, phytoplankton were more tolerant of salinity changes than zooplankton in our study. This study provides an ecological reference for the scientific management of marine ballast water discharge and the risk of exogenous nutrient inputs to freshwater ecosystems.

2.
IEEE J Biomed Health Inform ; 28(7): 3997-4009, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38954559

ABSTRACT

Magnetic resonance imaging (MRI)-based deep neural networks (DNN) have been widely developed to perform prostate cancer (PCa) classification. However, in real-world clinical situations, prostate MRIs can be easily impacted by rectal artifacts, which have been found to lead to incorrect PCa classification. Existing DNN-based methods typically do not consider the interference of rectal artifacts on PCa classification, and do not design specific strategy to address this problem. In this study, we proposed a novel Targeted adversarial training with Proprietary Adversarial Samples (TPAS) strategy to defend the PCa classification model against the influence of rectal artifacts. Specifically, based on clinical prior knowledge, we generated proprietary adversarial samples with rectal artifact-pattern adversarial noise, which can severely mislead PCa classification models optimized by the ordinary training strategy. We then jointly exploited the generated proprietary adversarial samples and original samples to train the models. To demonstrate the effectiveness of our strategy, we conducted analytical experiments on multiple PCa classification models. Compared with ordinary training strategy, TPAS can effectively improve the single- and multi-parametric PCa classification at patient, slice and lesion level, and bring substantial gains to recent advanced models. In conclusion, TPAS strategy can be identified as a valuable way to mitigate the influence of rectal artifacts on deep learning models for PCa classification.


Subject(s)
Artifacts , Magnetic Resonance Imaging , Prostatic Neoplasms , Rectum , Humans , Male , Prostatic Neoplasms/diagnostic imaging , Magnetic Resonance Imaging/methods , Rectum/diagnostic imaging , Neural Networks, Computer , Image Interpretation, Computer-Assisted/methods , Deep Learning
3.
Clin Transl Oncol ; 2024 Jul 03.
Article in English | MEDLINE | ID: mdl-38958900

ABSTRACT

BACKGROUND: The correlation between breast cancer and hepatitis B virus (HBV) remains inconclusive. This study aims to explore the serological status of HBV infection and past infection in different age groups of female breast cancer patients, patients with benign breast diseases, and individuals undergoing routine physical examinations. METHODS: Serum data on HBV serological markers were collected and analyzed from 6072 female breast cancer patients first diagnosed from September 2012 to July 2020 at the First Affiliated Hospital of Chongqing Medical University, along with 4019 women with benign breast diseases and 54,740 healthy females undergoing routine physical examinations in the same period. The data were stratified by age for comparison between groups. RESULTS: The prevalence of HBV infection and past infection in the breast cancer group (7.9%, 55.1%) was higher than that in the benign breast disease group (6.5%, 39.1%) and the healthy females group(5.0%, 17.6%);the rate of only HBV surface antibody positivity (HBsAb ( +)) in the breast cancer group (10.3%) was lower than that in the benign breast disease group (26.9%) and the healthy females group (49.2%), with significant differences between the three groups (p < 0.05). Stratified by age, the prevalence of HBV infection in the breast cancer group (8%, 8.9%) and benign breast disease group (7.75%, 8.1%)was higher than that in the healthy females group (4.5%, 6.3%) in the 30-39 and 40-49 age group, respectively. The past infection rate of HBV in the breast cancer group (24.8%, 45.0%) was higher than that in the benign breast disease group (16.1%, 35.4%) in the ≤ 29 and 30-39 age group, respectively.. The past infection rate of HBV in the breast cancer group was higher than that in the healthy females group in all age groups, while the rate of only HBsAb ( +) in the breast cancer group was lower than that in the benign breast disease group and the routine physical examination group in all age groups. CONCLUSIONS: Breast cancer women and women with benign breast diseases have higher rates of hepatitis B virus infection and previous infections, with more significant differences among middle-aged women. Breast cancer women and women with benign breast diseases have lower rates of only HBsAb ( +) for HBV.

4.
Sci Rep ; 14(1): 15585, 2024 Jul 06.
Article in English | MEDLINE | ID: mdl-38971844

ABSTRACT

Infrared images have important applications in military, security and surveillance fields. However, limited by technical factors, the resolution of infrared images is generally low, which seriously limits the application and development of infrared images in various fields. To address the problem of difficult recovery of edge information and easy ringing effect in the super-resolution reconstruction process of infrared images, an edge-enhanced infrared image super-resolution reconstruction model TESR under transformer is proposed. The main structure of this model is transformer. First, in view of the problem of difficult recovery of edge information of infrared images, an edge detection auxiliary network is designed, which can obtain more accurate edge information from the input low-resolution images and enhance the edge details during image reconstruction; then, the CSWin Transformer is introduced to compute the self-attention of horizontal and vertical stripes in parallel, so as to increase the receptive field of the model and enable it to utilize features with higher semantic levels. The super-resolution reconstruction model proposed in this paper can extract more comprehensive image information, and at the same time, it can obtain more accurate edge information to enhance the texture details of super-resolution images, and achieve better reconstruction results.

5.
Int J Biol Macromol ; 275(Pt 1): 133630, 2024 Jul 04.
Article in English | MEDLINE | ID: mdl-38969032

ABSTRACT

A flexible phase-change film with thermal management and microwave absorption capabilities was developed for use in wearable devices. The film was created using a solution casting method based on a porous carbon-loaded eicosane (LP33/EI) material. LP33 served as the porous encapsulation medium, while Eicosane (EI) acted as the phase change component. The flexible substrate was a blend of polyvinyl alcohol (PVA) and bacterial cellulose nanocellulose (BC). The ultrathin film had a thickness of 0.262 mm, and LP33/EI-4 exhibited exceptional mechanical strength of 188 MPa. Testing revealed that the phase transition process had melting and crystallization enthalpies of 134.71 J/g and 126.11 J/g, respectively. The encapsulation structure effectively prevented any leakage during the phase transition process. Under simulated solar irradiation of 200 mW/cm2, LP33/EI-4 achieved a photothermal conversion efficiency (η) of 89.46 %. Additionally, the porous LP33 structure and high dielectric loss contributed to remarkable microwave absorption capabilities of -42 dB in the X-band and - 52 dB in the Ku-band. Overall, LP33/EI films demonstrated exceptional performance in thermal management, energy storage, and microwave absorption, making them an ideal choice for a variety of applications in wearable devices.

7.
RSC Adv ; 14(30): 21623-21634, 2024 Jul 05.
Article in English | MEDLINE | ID: mdl-38979472

ABSTRACT

Carbon nanofiber membranes (CNMs) are expected to be used in many energy devices to improve the reaction rate. In this paper, CNMs embedded with palladium nanoparticles (Pd-CNMs) were prepared by electrospinning and carbonization using polyimide as the raw material. The effects of carbonization temperature, carbonization atmosphere, and heating rate on the physicochemical properties of the as-obtained Pd-CNMs were studied in detail. On this basis, the electrocatalytic performance of Pd-CNMs prepared under optimal conditions was characterized. The results showed that highly active zero-valent palladium nanoparticles with uniform particle size could be distributed on the surface of carbon nanofibers. Under vacuum conditions, at a carbonization temperature of 800 °C and a heating rate of 2 °C min-1, Pd-CNMs have lower H2O2 yield, lower Tafel slope (73.3 mV dec-1), higher electron transfer number (∼4), and superior durability, suggesting that Pd-CNMs exhibit excellent electrocatalytic activity for ORR in alkaline electrolyte. Therefore, polyimide-derived CNMs embedded with Pd nanoparticles are expected to become an excellent cathode catalyst layer for fuel cells.

8.
J Transl Med ; 22(1): 570, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38879538

ABSTRACT

BACKGROUND: Gut microbiota (GM) have been implicated as important regulators of gastrointestinal symptom which is commonly occurred along with respiratory influenza A virus (IAV) infection, suggesting the involvement of the gut-to-lung axis in a host's response to IAV. IAV primarily destroys airway epithelium tight junctions (TJs) and consequently causes acute respiratory disease syndrome. It is known that GM and their metabolism produce an anti-influenza effect, but their role in IAV-induced airway epithelial integrity remains unknown. METHODS: A mouse model of IAV infection was established. GM were analyzed using 16S rRNA gene sequencing, and short-chain fatty acids (SCFAs) levels were measured. GM depletion and fecal microbiota transplantation (FMT) were conducted to validate the role of GM in IAV infection. A pair-feeding experiment was conducted to reveal whether IAV-induced GM dysbiosis is attributed to impaired food intake. Furthermore, human bronchial epithelial (HBE) cells were cocultured with IAV in the presence or absence of acetate. TJs function was analyzed by paracellular permeability and transepithelial electronic resistance (TEER). The mechanism of how acetate affects TJs integrity was evaluated in HBE cells transfected with G protein-coupled receptor 43 (GPR43) short hairpin RNA (shRNA). RESULTS: IAV-infected mice exhibited lower relative abundance of acetate-producing bacteria (Bacteroides, Bifidobacterium, and Akkermansia) and decreased acetate levels in gut and serum. These changes were partly caused by a decrease in food consumption (due to anorexia). GM depletion exacerbated and FMT restored IAV-induced lung inflammatory injury. IAV infection suppressed expressions of TJs (occludin, ZO-1) leading to disrupted airway epithelial barrier function as evidenced by decreased TEER and increased permeability. Acetate pretreatment activated GPR43, partially restored IAV-induced airway epithelial barrier function, and reduced inflammatory cytokines levels (TNF-α, IL-6, and IL-1ß). Such protective effects of acetate were absent in HBE cells transfected with GPR43 shRNA. Acetate and GPR43 improved TJs in an AMP-activated protein kinase (AMPK)-dependent manner. CONCLUSION: Collectively, our results demonstrated that GM protected airway TJs by modulating GPR43-AMPK signaling in IAV-induced lung injury. Therefore, improving GM dysbiosis may be a potential therapeutic target for patients with IAV infection.


Subject(s)
Acetates , Gastrointestinal Microbiome , Lung Injury , Orthomyxoviridae Infections , Tight Junctions , Animals , Tight Junctions/metabolism , Gastrointestinal Microbiome/drug effects , Acetates/metabolism , Humans , Orthomyxoviridae Infections/complications , Mice, Inbred C57BL , Influenza A virus , Fecal Microbiota Transplantation , Receptors, G-Protein-Coupled/metabolism , Mice , Epithelial Cells/metabolism , Dysbiosis , Fatty Acids, Volatile/metabolism
9.
J Hazard Mater ; 476: 134994, 2024 Jun 20.
Article in English | MEDLINE | ID: mdl-38909472

ABSTRACT

Chemical stabilization is one of the most widely used remediation strategies for chromium (Cr)-contaminated soils by reducing Cr(VI) to Cr(III), and its performance is affected by human and natural processes in a prolonged period, challenging long-term Cr stability. In this work, we established a method for evaluating the long-term effectiveness of remediation of Cr-contaminated soils, and developed an accelerated aging system to simultaneously simulate acid rain leaching and freeze-thaw cycles. The mechanisms and influencing factors of long-term (50-year) change in soil Cr speciation were unravelled after stabilization with Metafix®. Chemical stabilization remarkably decreased the contents of Cr(VI)soil, Crtotal-leach and Cr(VI)leach, among which the removal rate of Cr(VI) in soil was up to 89.70 %, but it also aggravated soil Cr instability. During the accelerated aging process, Crtotal-leach change rates in chemically stabilized soil samples were 0.0462-0.0587 mg/(L·a), and soil Cr became instable after 20-year accelerated aging. The proportion of Cr bound to organic matter and residual Cr increased in soil, and exchangeable Cr decreased. Linear combination fitting results of XANES also showed that Cr(VI) and Cr3+ were transformed into OM-Cr(III), Fh-Cr(III) and CrFeO3 after restoration. During the accelerated aging process, acid rain leaching activated Cr(III) and dissolved Cr(VI), whereas freeze-thaw cycle mainly affected OM-Cr. Chemical stabilization, acid rain leaching and aging time were the major factors influencing the stability of soil Cr, and the freeze-thaw cycle promoted the influence of acid rain leaching. This study provided a new way to explore the long-term effectiveness and instability mechanisms at Cr-contaminated site after chemical stabilization.

10.
Biomed Environ Sci ; 37(5): 494-502, 2024 May 20.
Article in English | MEDLINE | ID: mdl-38843922

ABSTRACT

Objective: To explore characteristics of clinical parameters and cytokines in patients with drug-induced liver injury (DILI) caused by different drugs and their correlation with clinical indicators. Method: The study was conducted on patients who were up to Review of Uncertainties in Confidence Assessment for Medical Tests (RUCAM) scoring criteria and clinically diagnosed with DILI. Based on Chinese herbal medicine, cardiovascular drugs, non-steroidal anti-inflammatory drugs (NSAIDs), anti-infective drugs, and other drugs, patients were divided into five groups. Cytokines were measured by Luminex technology. Baseline characteristics of clinical biochemical indicators and cytokines in DILI patients and their correlation were analyzed. Results: 73 patients were enrolled. Age among five groups was statistically different ( P = 0.032). Alanine aminotransferase (ALT) ( P = 0.033) and aspartate aminotransferase (AST) ( P = 0.007) in NSAIDs group were higher than those in chinese herbal medicine group. Interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-α) in patients with Chinese herbal medicine (IL-6: P < 0.001; TNF-α: P < 0.001) and cardiovascular medicine (IL-6: P = 0.020; TNF-α: P = 0.001) were lower than those in NSAIDs group. There was a positive correlation between ALT ( r = 0.697, P = 0.025), AST ( r = 0.721, P = 0.019), and IL-6 in NSAIDs group. Conclusion: Older age may be more prone to DILI. Patients with NSAIDs have more severe liver damage in early stages of DILI, TNF-α and IL-6 may partake the inflammatory process of DILI.


Subject(s)
Chemical and Drug Induced Liver Injury , Cytokines , Humans , Chemical and Drug Induced Liver Injury/etiology , Male , Female , Middle Aged , Cytokines/blood , Cytokines/metabolism , Adult , Aged , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Drugs, Chinese Herbal/adverse effects , Alanine Transaminase/blood
11.
Article in English | MEDLINE | ID: mdl-38860904

ABSTRACT

BACKGROUND: Sorafenib is currently the first choice for the treatment of patients with advanced hepatocellular carcinoma, but its therapeutic effect is still limited. OBJECTIVES: This study aims to examine whether WEE family kinase inhibitors can enhance the anticancer effect of sorafenib. METHODS: We analyzed the expression levels of PKMYT1 kinase and WEE1 kinase in HCC, studied the inhibitory effect of PKMYT1 kinase inhibitor RP-6306, WEE1 kinase inhibitor adavosertib combined with sorafenib on the proliferation of HCC cells, and detected the effect of drug combination on CDK1 phosphorylation. RESULTS: We found that PKMYT1 and WEE1 were upregulated in HCC and were detrimental to patient survival. Cell experiments showed that both RP-6306 and adavosertib (1-100 µM) inhibited the proliferation of HCC cell lines in a dose-dependent manner alone, and the combination of the two drugs had a synergistic effect. In HCC cell lines, sorafenib combined with RP-6306 or adavosertib showed a synergistic antiproliferation effect and less toxicity to normal cells. Sorafenib combined with RP-6306 and adavosertib further inhibited the proliferation of HCC cells and caused complete dephosphorylation of CDK1. CONCLUSION: Taken together, our findings provide experimental evidence for the future use of sorafenib in combination with RP-6306 or adavosertib for the treatment of HCC.

13.
Mar Drugs ; 22(6)2024 Jun 12.
Article in English | MEDLINE | ID: mdl-38921582

ABSTRACT

Cyclic glycine-proline (cGP), a prevalent marine cyclic dipeptide, possesses a distinct pyrrolidine-2,5-dione scaffold, which contributes to the chemical diversity and broad bioactivities of cGP. The diverse sources from marine-related, endogenous biological, and synthetic pathways and the in vitro and in vivo activities of cGP are reviewed. The potential applications for cGP are also explored. In particular, the pivotal roles of cGP in regulating insulin-like growth factor-1 homeostasis, enhancing neuroprotective effects, and improving neurotrophic function in central nervous system diseases are described. The potential roles of this endogenous cyclic peptide in drug development and healthcare initiatives are also highlighted. This review underscores the significance of cGP as a fundamental building block in drug discovery with exceptional drug-like properties and safety. By elucidating the considerable value of cGP, this review aims to reignite interest in cGP-related research within marine medicinal chemistry and synthetic biology.


Subject(s)
Aquatic Organisms , Dipeptides , Peptides, Cyclic , Animals , Dipeptides/pharmacology , Dipeptides/chemistry , Peptides, Cyclic/pharmacology , Peptides, Cyclic/chemistry , Humans , Neuroprotective Agents/pharmacology , Neuroprotective Agents/chemistry , Drug Discovery/methods , Glycine/pharmacology , Glycine/analogs & derivatives
15.
Chem Commun (Camb) ; 60(55): 7073-7076, 2024 Jul 04.
Article in English | MEDLINE | ID: mdl-38888188

ABSTRACT

Structure-reactivity investigations and quantum-chemical parametrization of steric and electronic properties of geometrically constrained iminophosphoranes enabled the design of new frustrated Lewis pairs and revealed unusual properties at the phosphonium center embedded in the cage-shaped triptycene tricyclic scaffold.

16.
Anal Chim Acta ; 1312: 342747, 2024 Jul 11.
Article in English | MEDLINE | ID: mdl-38834275

ABSTRACT

BACKGROUND: Lipid droplets (LDs) polarity is intricately linked to diverse biological processes and diseases. The visualization of LDs-polarity is of vital importance but challenging due to the lack of high-specificity, high-sensitivity and large-Stokes shift probes for real-time tracking LDs-polarity in biological systems. RESULTS: Four D-π-A based fluorescent probes (TPA-TCF1-TPA-TCF4) have been developed by combining tricyanofuran (an electron acceptor, A) and triphenylamine (an electron donor, D) derivatives with different terminal groups. Among them, TPA-TCF1 and TPA-TCF4 exhibit excellent polar sensitivity, large Stokes shift (≥182 nm in H2O), and efficient LDs targeting ability. In particular, TPA-TCF4 is capable of monitoring the change of LDs-polarity during ferroptosis, inflammation, apoptosis of cancer cell, and fatty liver. SIGNIFICANCE: All these features render TPA-TCF4 a versatile tool for pharmacodynamic evaluation of anti-cancer drugs, in-depth understanding of the biological effect of LDs on ferroptosis, and medical diagnosis of LDs-polarity related diseases.


Subject(s)
Fatty Liver , Ferroptosis , Fluorescent Dyes , Inflammation , Lipid Droplets , Lipid Droplets/chemistry , Lipid Droplets/metabolism , Humans , Ferroptosis/drug effects , Fatty Liver/drug therapy , Fatty Liver/metabolism , Fluorescent Dyes/chemistry , Inflammation/drug therapy , Inflammation/metabolism , Animals , Mice , Antineoplastic Agents/pharmacology , Antineoplastic Agents/chemistry , Molecular Structure
17.
Oncologist ; 2024 Jun 21.
Article in English | MEDLINE | ID: mdl-38902966

ABSTRACT

BACKGROUND: The prognostic significance of lymph node metastasis (LNM) in papillary thyroid carcinoma (PTC) remains controversial. Notably, there is evidence suggesting an association between tissue stiffness and the aggressiveness of the disease. We therefore aimed to explore the effect of tissue stiffness on LNM-related invasiveness in PTC patients. METHOD: A total of 2492 PTC patients from 3 hospitals were divided into an LNM group and a non-LNM group based on their pathological results. The effects of interior lesion stiffness (E) and peri-cancerous tissue stiffness (Eshell) on the LNM-related recurrence rate and mortality in each patient with PTC subgroup were analyzed. The activation of cancer-associated fibroblasts (CAFs) and extracellular matrix component type 1 collagen (COL-I) in the lesion were compared and analyzed across different subgroups. The underlying biological basis of differences in each subgroup was identified using RNA sequencing (RNA-seq) data. RESULTS: The Eshell value and Eshell/E in the LNM group were significantly higher than those in the non-LNM group of patients with PTC (Eshell: 72.72 ±â€…5.63 vs 66.05 ±â€…4.46; Eshell/E: 1.20 ±â€…1.72 vs 1.09 ±â€…1.10, P < .001). When Eshell/E > 1.412 and LNM were both present, the recurrence rate and mortality were significantly increased compared to those of group of patients with LNM (91.67% and 7.29%, respectively). The CAF activation and COL-I content in the Eshell/E+ group were significantly higher than those in the Eshell/E- group (all P < .001), and the RNA-seq results revealed significant extracellular matrix (ECM) remodeling in the LNM-Eshell/E+ group. CONCLUSIONS: Stiff peri-cancerous tissue induced CAF activation, COL-I deposition, and ECM remodeling, resulting in a poor prognosis for PTC patients with LNM.

18.
Biochem Pharmacol ; 225: 116310, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38788960

ABSTRACT

Targeting the DNA damage response (DDR) is a promising strategy in oncotherapy, as most tumor cells are sensitive to excess damage due to their repair defects. Ataxia telangiectasia mutated and RAD3-related protein (ATR) is a damage response signal transduction sensor, and its therapeutic potential in tumor cells needs to be precisely investigated. Herein, we identified a new axis that could be targeted by ATR inhibitors to decrease the DNA-dependent protein kinase catalytic subunit (DNAPKcs), downregulate the expression of the retinoblastoma (RB), and drive G1/S-phase transition. Four-way DNA Holliday junctions (FJs) assembled in this process could trigger S-phase arrest and induce lethal chromosome damage in RB-positive triple-negative breast cancer (TNBC) cells. Furthermore, these unrepaired junctions also exerted toxic effects to RB-deficient TNBC cells when the homologous recombination repair (HRR) was inhibited. This study proposes a precise strategy for treating TNBC by targeting the DDR and extends our understanding of ATR and HJ in tumor treatment.


Subject(s)
Ataxia Telangiectasia Mutated Proteins , DNA, Cruciform , Triple Negative Breast Neoplasms , Ataxia Telangiectasia Mutated Proteins/metabolism , Ataxia Telangiectasia Mutated Proteins/antagonists & inhibitors , Ataxia Telangiectasia Mutated Proteins/genetics , Humans , Triple Negative Breast Neoplasms/metabolism , Triple Negative Breast Neoplasms/genetics , Triple Negative Breast Neoplasms/drug therapy , Cell Line, Tumor , DNA, Cruciform/metabolism , DNA, Cruciform/genetics , Retinoblastoma Protein/metabolism , Retinoblastoma Protein/genetics , Female , S Phase/drug effects , S Phase/physiology , Animals , Antineoplastic Agents/pharmacology , DNA Damage/physiology , DNA Damage/drug effects
19.
Int J Gen Med ; 17: 1807-1822, 2024.
Article in English | MEDLINE | ID: mdl-38720819

ABSTRACT

Purpose: Glycated hemoglobin (HbA1c) is widely used in diabetes management and now recommended for diagnosis and risk assessment. Our research focused on investigating the optimal cutoff points of HbA1c for diagnosis of diabetes and prediabetes in Chinese breast cancer women, aiming to enhance early detection and tailor treatment strategies. Patients and Methods: This study involved 309 breast cancer women without diabetes history in China. Patients were categorized into groups of newly diagnosed diabetes, prediabetes, and normal glucose tolerance using oral glucose tolerance test (OGTT) according to the 2010 ADA criteria. HbA1c data were collected from all patients. Receiver operating characteristic (ROC) curve analysis was used to assess the effectiveness of the HbA1c screening. Results: Among the 309 breast cancer women without diabetes history, 96 (31.0%) were identified with diabetes and 130 (42.1%) had prediabetes according to OGTT, and the incidence of normal glucose tolerance was only 26.9% (83). ROC curve analysis, using OGTT as a reference, revealed that the area under the curve of 0.903 (P<0.001, 95% CI, 0.867-0.938) for HbA1c alone, indicating high accuracy. The optimal HbA1c cutoff for identifying diabetes was determined to be 6.0%, with a sensitivity of 78.1% and specificity of 86.4%. For prediabetes, the ROC curve for HbA1c alone showed that the area under the ROC curve of 0.703 (P<0.001, 95% CI, 0.632-0.774), with an optimal cutoff of 5.5% (sensitivity of 76.9% and specificity of 51.8%). Conclusion: The prevalence of undiagnosed diabetes is very high in breast cancer women without diabetes history in China. The optimal cutoff points of HbA1c for identifying diabetes and prediabetes are 6.0% and 5.5% in Chinese breast cancer women, respectively.

20.
Adv Mater ; : e2401909, 2024 May 04.
Article in English | MEDLINE | ID: mdl-38703350

ABSTRACT

For preparing next-generation sulfide all-solid-state batteries (ASSBs), the solvent-free manufacturing process has huge potential for the advantages of economic, thick electrode, and avoidance of organic solvents. However, the dominating solvent-free process is based on the fibrillation of polytetrafluoroethylene, suffering from poor mechanical property and electrochemical instability. Herein, a continuously solvent-free paradigm of fusion bonding technique is developed. A percolation network of thermoplastic polyamide (TPA) binder with low viscosity in viscous state is constructed with Li6PS5Cl (LPSC) by thermocompression (≤5 MPa), facilitating the formation of ultrathin LPSC film (≤25 µm). This composite sulfide film (CSF) exhibits excellent mechanical properties, ionic conductivity (2.1 mS cm-1), and unique stress-dissipation to promote interface stabilization. Thick LiNi0.83Co0.11Mn0.06O2 cathode can be prepared by this solvent-free method and tightly adhered to CSF by interfacial fusion of TPA for integrated battery. This integrated ASSB shows high-energy-density feasibility (>2.5 mAh cm-2 after 1400 cycles of 9200 h and run for more than 10 000 h), and energy density of 390 Wh kg-1 and 1020 Wh L-1. More specially, high-voltage bipolar cell (≥8.5 V) and bulk-type pouch cell (326 Wh kg-1) are facilely assembled with good cycling performance. This work inspires commercialization of ASSBs by a solvent-free method and provides beneficial guiding for stable batteries.

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