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1.
Adv Mater ; 36(4): e2303710, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37571811

ABSTRACT

Lithium (Li) metal is considered as one of the most promising candidates of anode material for high-specific-energy batteries, while irreversible chemical reactions always occur on the Li surface to continuously consume active Li, electrolyte. Solid electrolyte interphase (SEI) layer has been regarded as the key component in protecting Li metal anode. Herein, a controllable dual-layered SEI for Li metal anode in a scalable, low-loss manner is constructed. The SEI is self-induced by the predeposited LiAlO2 (LAO) layer during the initial cycles, in which the outer organic layer is produced due to the electrons tunneling through LAO, resulting in the reduction of electrolyte. The robust inner LAO layer can promote uniform Li deposition owing to its favorable mechanical strength and ionic conductivity, and the outer organic layer can further improve the stability of SEI. Benefiting from the remarkable effects of this dual-layered SEI, enhanced electrochemical performance of the LAO-Li anode is achieved. Additionally, a large-size LAO-Li sample can be easily obtained, and the preparation of the modified Li metal anode shows huge potential for large-scale production. This work highlights the tremendous potential of this self-induced dual-layered SEI for the commercialization of Li metal anode.

2.
J Med Virol ; 95(12): e29262, 2023 12.
Article in English | MEDLINE | ID: mdl-38037452

ABSTRACT

This study aims to characterize the genetic variability of HPV58, identify novel lineages and sublineages, and explore the association between persistent/multiple HPV58 infections and genetic variation. In this study, samples from 124 women with HPV58 infection in Eastern China were collected and 81 isolates of E6 and L1 full-length genes were successfully amplified from 55 samples. We evaluated the diversity of genetic variants and performed correlation analyses between genetic variability and pathology, vaccination, multiple infections, and persistent infections. Among the E6 and L1 gene sequences collected, the dominant prevailing sublineages were A1 (46.2%) and A2 (23.1%). In addition, we found two potential novel sublineages denoted as the A4 and A5 sublineage. A total of 50 nucleotide substitutions, including 28 synonymous substitutions and 22 nonsynonymous substitutions, were observed in the E6 and L1 genes. Among them, variants with A388C/K93N substitutions in the E6 gene correlated with persistent infection (≥1 and ≥2 years) (p < 0.005), and C307T/C66C was associated with persistent infection (≥2 years) (p < 0.005). Notably, two mutations above were detected in the isolate from the patient with breakthrough vaccine infection. Our study found two novel sublineages and sites of genetic variability in multiple and persistent infection variants. In addition, we identified two mutational sites associated with persistent infection. This study provides new insight into the clinical characteristics of HPV 58 genetic variations and offers new ideas for research on next-generation vaccines in Eastern China.


Subject(s)
Oncogene Proteins, Viral , Papillomavirus Infections , Uterine Cervical Neoplasms , Humans , Female , Oncogene Proteins, Viral/genetics , Persistent Infection , Human Papillomavirus Viruses , Phylogeny , Papillomaviridae/genetics , China/epidemiology , Papillomavirus Infections/complications , Genetic Variation
3.
Diagnosis (Berl) ; 2023 Dec 26.
Article in English | MEDLINE | ID: mdl-38143236

ABSTRACT

OBJECTIVES: The aims of this retrospective study were to evaluate the clinical applicability of the latest International Society for the Study of Vulvovaginal Disease (ISSVD) and International Federation for Cervical Pathology and Colposcopy (IFCPC) terminology for vulvar diseases, and to explore a new evaluation flow to optimize decision-making on diagnosis. METHODS: 1,068 patients with 5,340 qualified vulvar images were evaluated by observers using 2011 ISSVD and 2011 IFCPC terminology systems. The sensitivity, specificity, positive predictive value, negative predictive value, Youden Index and Overall Diagnostic Value (ODV) were calculated for each finding in the two systems. Then the disease diagnosis order and a diagnosis flow draft (DFD) were obtained. RESULTS: A total of 15 kinds of vulvar diseases were diagnosed. The proportion of patients accompanied with cervical or vaginal intraepithelial neoplasia was highest (83.3 %) in vulvar Paget's disease group (p<0.001). Total area of lesions was larger in vulvar Paget's disease, lichen simplex chronicus and lichen sclerosus group (p<0.001). Among the top five findings of ODV, some findings inferred several (≥6) kinds of diseases, while some findings only exist in a certain disease. When the DFD was used, the agreement between the initial impression and histopathology diagnosis was 68.8 %, higher than those when ISSVD an IFCPC terminology systems used (p=0.028), and it didn't change with the experience of the observer (p=0.178). CONCLUSIONS: Based on the findings in ISSVD and IFCPC terminology systems, we explored a DFD for observers with different experience on the detection of vulvar disease.

4.
Infect Drug Resist ; 16: 7683-7694, 2023.
Article in English | MEDLINE | ID: mdl-38144221

ABSTRACT

Background: Self-medication with antibiotics (SMA) among children is a common practice in low-income and middle-income countries, which has accelerated antibacterial abuse. Objective: This study aimed to estimate the prevalence and associated factors of SMA among children in China, including parents' knowledge, attitudes, and practices towards antibiotic use. Methods: A cross-sectional study based on a structured questionnaire survey of parents was conducted in Nantong between July and September 2020. A total of 1699 respondents participated. Information on participants' demographic and family characteristics, knowledge, attitudes, and practices towards antibiotics use was collected. Hierarchical binary logistic regression was used to examine the predictors of SMA among children. Results: Among 1699 participants, 23.31% practiced SMA to their children in the past year. Cough (59.6%) was the most common symptom leading to self-medication and penicillins (85.4%) were the most commonly used drugs. Hierarchical regression indicated that parents with higher level of antibiotic knowledge scores (OR=1.163, 95% CI: 1.067-1.268) and buying antibiotics without a prescription from pharmacy (OR=1.475, 95% CI: 1.097-1.983) were more likely to practice SMA to their children both in urban and in rural areas. Storing antibiotics at home resulted in an increased likelihood of self-medication in urban areas but not in rural areas. In addition, there was also a higher probability of non-prescribed antibiotics in children without chronic diseases (OR=1.959, 95% CI:1.072-3.578). Conclusion: The prevalence of SMA in children is high in China. Higher knowledge scores and practices of buying and storing non-prescribed antibiotics behaviors increased parents' antibiotic self-medication in their children. Practical and effective education intervention for children's rational use of antibiotics is urgently strengthened.

5.
J Med Virol ; 95(11): e29184, 2023 11.
Article in English | MEDLINE | ID: mdl-37943176

ABSTRACT

Over the years, the pace of developing vaccines for HBV and HPV has never stopped. After more than 30 years of application, the HBV vaccine has reduced 80% of hepatocellular carcinoma (HCC). However, vaccine escape variants occur under selective pressure induced by widespread vaccination and antiviral therapy, which results in fulminant infection and horizontal transmission. Several mechanisms have been studied to explain HBV vaccine escape, including vaccine escape mutations (VEMs) in the major hydrophilic region, which leads to a decrease in the binding ability to neutralize antibodies and is the primary escape mechanism, protein conformational and N-linked glycosylation sites changes caused by VEMs, differences in genotype distribution, gene recombination, and some temporarily unknown reasons. However, effective solutions are still being explored. The HPV vaccine has also been proven to prevent 70%-90% of cervical cancer worldwide. Cases of HPV infection after being vaccinated have been observed in clinical practice. However, few researchers have paid attention to the mechanism of HPV vaccine escape. Thus, we reviewed the literature on vaccine escape of both HBV and HPV to discuss the mechanism of the virus escaping from vaccine protection and possible solutions to this problem. We analyzed the gap between studies of HPV and HBV and made prospects for further research in HPV vaccine escape.


Subject(s)
Carcinoma, Hepatocellular , Liver Neoplasms , Papillomavirus Infections , Papillomavirus Vaccines , Humans , Oncogenic Viruses , Papillomavirus Infections/prevention & control
6.
Foods ; 12(18)2023 Sep 15.
Article in English | MEDLINE | ID: mdl-37761147

ABSTRACT

Polygonatum sibiricum Polysaccharide (PsP) with antioxidant function is the main active component of Polygonatum sibiricum (P.sibiricum). The currently poor extraction yield and extraction methods of PsP cannot meet the application of that in food industrial production. In this research, an ultrasound-assisted extraction-deep eutectic solvents (UAE-DESs) method, which has never been used in the PsP industry, was first used to extract PsP. The extraction conditions were optimized by the response surface method (RSM). Both the extraction yield and antioxidant function were simultaneously considered during the optimization process. The indicators of PsP's level and antioxidant activity in vitro were used to present the extraction yield of the UAE-DESs method, the purity, and the antioxidant effect of PsP. Under the optimal conditions, which included a liquid-solid ratio of 26:1 (mL:g), extraction temperature of 80 °C, ultrasonic time of 51 min, and ultrasonic power of 82 W, the PsP extraction yield could reach (43.61 ± 0.09)%, which was obviously higher than single DESs (33.81%) and UAE (5.83%), respectively, and the PsP appeared favorably antioxidant function. This research proposed an efficient extraction method for PsP, filled the basic research gap, and further improved the development of PsP as a dietary supplement with antioxidant function in the food industry.

7.
Front Oncol ; 13: 1218744, 2023.
Article in English | MEDLINE | ID: mdl-37554156

ABSTRACT

Purpose: To identify the bibliometric information of Human papillomavirus (HPV) genotype co-infection in certain literature database over the past two decades. Methods: Web of Science was used as the main database to identify all eligible articles focusing on HPV genotype co-infection at the date of October 16, 2022. From this journal database, we identified 463 articles on HPV genotype co-infection, conducted statistical analysis according to the author, journal, publication year and month, country or region, keyword and impact factor. Results: The articles included in our analysis were published between 1994 and 2022. The index of citations per year ranged from 170.4 to 13.1. These articles were from 78 countries or regions, with most publications from the United States (n = 73), followed by China (n = 65) and Italy (n = 50). The journal that contributed the most publications on HPV heterotypic gene co-infection was PLOS ONE with a total of 29 articles, followed by JOURNAL OF MEDICAL VIROLOGY (n = 28), INFECTIOUS AGENTS AND CANCER (n = 14) and JOURNAL OF CLINICAL VIROLOGY (n = 12). Among existing research in the field of HPV co-infection, we found that epidemiological distribution and infection mechanism has been the two major topics for scholars, and studies on detection methods for HPV multiple genotypes were also included. Conclusion: Over decades, epidemiological studies and mechanism investigationhas been the central topics when it comes to HPV genotypes co-infection. Studies on HPV co-infection remained relatively insufficient, mainly stays in qualitative level while detailed infection data and high quality literature publications were still lack of valuable discussion.

8.
Angew Chem Int Ed Engl ; 62(38): e202307083, 2023 Sep 18.
Article in English | MEDLINE | ID: mdl-37489757

ABSTRACT

Dual-ion batteries (DIBs) is a promising technology for large-scale energy storage. However, it is still questionable how material structures affect the anion storage behavior. In this paper, we synthesis graphite with an ultra-large interlayer distance and heteroatomic doping to systematically investigate the combined effects on DIBs. The large interlayer distance of 0.51 nm provides more space for anion storage, while the doping of the heteroatoms reduces the energy barriers for anion intercalation and migration and enhances rapid ionic storage at interfaces simultaneously. Based on the synergistic effects, the DIBs composed of carbon cathode and lithium anode afford ultra-high capacity of 240 mAh g-1 at current density of 100 mA g-1 . Dual-carbon batteries (DCBs) using the graphite as both of cathode and anode steadily cycle 2400 times at current density of 1 A g-1 . Hence, this work provides a reference to the strategy of material designs of DIBs and DCBs.

9.
Obstet Gynecol ; 141(5): 927-936, 2023 05 01.
Article in English | MEDLINE | ID: mdl-37023450

ABSTRACT

OBJECTIVE: To establish a new cesarean scar ectopic pregnancy clinical classification system with recommended individual surgical strategy and to evaluate its clinical efficacy in treatment of cesarean scar ectopic pregnancy. METHODS: This retrospective cohort study included patients with cesarean scar ectopic pregnancy in Qilu Hospital in Shandong, China. From 2008 to 2015, patients with cesarean scar ectopic pregnancy were included to determine risk factors for intraoperative hemorrhage during cesarean scar ectopic pregnancy treatment. Univariable analysis and multivariable logistic regression analyses were used to explore the independent risk factors for hemorrhage (300 mL or greater) during a cesarean scar ectopic pregnancy surgical procedure. The model was internally validated with a separate cohort. Receiver operating characteristic curve methodology was used to identify optimal thresholds for the identified risk factors to further classify cesarean scar ectopic pregnancy risk, and the recommended operative treatment was established for each classification group by expert consensus. A final cohort of patients from 2014 to 2022 were classified according to the new classification system, and the recommended surgical procedure and clinical outcomes were abstracted from the medical record. RESULTS: Overall, 955 patients with first-trimester cesarean scar ectopic pregnancy were included; 273 were used to develop a model to predict intraoperative hemorrhage with cesarean scar ectopic pregnancy, and 118 served as an internal validation group for the model. Anterior myometrium thickness at the scar (adjusted odds ratio [aOR] 0.51, 95% CI 0.36-0.73) and average diameter of the gestational sac or mass (aOR 1.10, 95% CI 1.07-1.14) were independent risk factors for intraoperative hemorrhage of cesarean scar ectopic pregnancy. Five clinical classifications of cesarean scar ectopic pregnancy were established on the basis of the thickness and gestational sac diameter, and the optimal surgical option for each type was recommended by clinical experts. When the classification system was applied to a separate cohort of 564 patients with cesarean scar ectopic pregnancy, the overall success rate of recommended first-line treatment with the new classification grouping was 97.5% (550/564). No patients needed to undergo hysterectomy. Eighty-five percent of patients had a negative serum ß-hCG level within 3 weeks after the surgical procedure; 95.2% of patients resumed their menstrual cycles within 8 weeks. CONCLUSION: Anterior myometrium thickness at the scar and the diameter of the gestational sac were confirmed to be independent risk factors for intraoperative hemorrhage during cesarean scar ectopic pregnancy treatment. A new clinical classification system based on these factors with recommended surgical strategy resulted in high treatment success rates with minimal complications.


Subject(s)
Cicatrix , Pregnancy, Ectopic , Pregnancy , Female , Humans , Retrospective Studies , Cicatrix/complications , Cesarean Section/adverse effects , Pregnancy, Ectopic/etiology , Pregnancy, Ectopic/surgery , Pregnancy Trimester, First , Blood Loss, Surgical
10.
Microb Genom ; 9(4)2023 04.
Article in English | MEDLINE | ID: mdl-37103992

ABSTRACT

Human papillomavirus 52 (HPV52) infection is prevalent in the Chinese population, and variations in HPV52 show correlations with oncogenicity. However, no specific variation in HPV52 was reported to show relevancy to infection characteristics. In this study, we retrieved 222 isolates of E6 and L1 full-length genes from 197 Chinese women with HPV52 infection. After sequence alignment and phylogenetic tree construction, we found that 98.39 % of the collected variants belonged to the sublineage B2 and two variants displayed incongruence between the phylogenetic tree of E6 and L1. The analysis of the infection pattern showed that the presence of C6480A/T mutation in the L1 gene was associated with single infection (P=0.01) and persistent infection (P=0.047) of HPV52, while the A6516G nucleotide change was relevant to transient infection (P=0.018). Our data also indicated that variations T309C in the E6 gene and C6480T, C6600A in L1 were more commonly presented in patients with high-grade cytology (P<0.05). One HPV52 breakthrough infection after vaccination was identified, which hinted at the immune escape post-vaccination. Young coitarche age and non-condom usage were correlated to multiple infections. This study provided insight into the polymorphism of HPV52 and revealed the impact of variations in HPV52 on its infection characteristics.


Subject(s)
Genetic Variation , Human Papillomavirus Viruses , Humans , Female , Phylogeny , Polymorphism, Genetic , Papillomaviridae/genetics , Mutation
11.
BMC Bioinformatics ; 24(1): 146, 2023 Apr 13.
Article in English | MEDLINE | ID: mdl-37055729

ABSTRACT

BACKGROUND: The aim was to develop a personalized survival prediction deep learning model for cervical adenocarcinoma patients and process personalized survival prediction. METHODS: A total of 2501 cervical adenocarcinoma patients from the surveillance, epidemiology and end results database and 220 patients from Qilu hospital were enrolled in this study. We created our deep learning (DL) model to manipulate the data and evaluated its performance against four other competitive models. We tried to demonstrate a new grouping system oriented by survival outcomes and process personalized survival prediction by using our DL model. RESULTS: The DL model reached 0.878 c-index and 0.09 Brier score in the test set, which was better than the other four models. In the external test set, our model achieved a 0.80 c-index and 0.13 Brier score. Thus, we developed prognosis-oriented risk grouping for patients according to risk scores computed by our DL model. Notable differences among groupings were observed. In addition, a personalized survival prediction system based on our risk-scoring grouping was developed. CONCLUSIONS: We developed a deep neural network model for cervical adenocarcinoma patients. The performance of this model proved to be superior to other models. The results of external validation supported the possibility that the model can be used in clinical work. Finally, our survival grouping and personalized prediction system provided more accurate prognostic information for patients than traditional FIGO stages.


Subject(s)
Adenocarcinoma , Deep Learning , Uterine Cervical Neoplasms , Female , Humans , Uterine Cervical Neoplasms/pathology , Neural Networks, Computer
12.
Int J Biol Markers ; 38(2): 133-138, 2023 Jun.
Article in English | MEDLINE | ID: mdl-36927209

ABSTRACT

OBJECTIVE: Peripheral systemic inflammatory, nutritional, and coagulation biomarkers have prognostic and predictive value in various malignancies. We evaluated the prognostic and predictive roles of systemic inflammatory, nutritional, and coagulation biomarkers in the circulating blood of patients with advanced cervical cancer. METHODS: A retrospective study of 795 patients with cervical cancer who received concurrent chemoradiation therapy was performed. Overall survival was evaluated by the Kaplan-Meier estimator. Univariate and multivariate Cox regression models were used to determine prognostic factors associated with overall survival. RESULTS: The median follow-up time was 76 months. In the univariate analysis, overall survival showed positive prognostic value in patients with a platelet-to-lymphocyte ratio (PLR) <164.29 (P = 0.010), and a plasma fibrinogen (FIB) level <4 g/L(P = 0.012). In the multivariate analysis, the PLR (P = 0.036), and FIB level (P = 0.047) maintained their significance for overall survival. Therefore, the PLR and FIB levels are independent prognostic factors in patients with advanced cervical cancer. CONCLUSIONS: Systemic inflammatory and coagulation biomarkers could help to understand survival differences in the clinical treatment of advanced cervical cancer. The PLR and FIB levels are independent prognostic factors of poor survival in patients with advanced cervical cancer.


Subject(s)
Uterine Cervical Neoplasms , Female , Humans , Prognosis , Retrospective Studies , Uterine Cervical Neoplasms/pathology , Biomarkers , Lymphocytes , Neutrophils/pathology
13.
Molecules ; 27(22)2022 Nov 09.
Article in English | MEDLINE | ID: mdl-36431803

ABSTRACT

Chemical treatments of hair such as dyeing, perming and bleaching could cause mechanical damage to the hair, which weakens the hair fibers and makes the hair break more easily. In this work, hyaluronate (HA) with different molecular weight (MW) was investigated for its effects on restoring the mechanical properties of damaged hair. It was found that low-MW HA (average MW~42 k) could significantly improve the mechanical properties, specifically the elastic modulus, of overbleached hair. The fluorescent-labeling experiments verified that the low-MW HA was able to penetrate into the cortex of the hair fiber, while high-MW HA was hindered. Fourier transform infrared spectrometry (FT-IR) results implied the formation of additional intermolecular hydrogen bonds in the HA-treated hair. Thermos gravimetric analysis (TGA) indicated that the HA-treated hair exhibited decreased content of loosely bonded water, and differential scanning calorimetry (DSC) characterizations suggested stronger water bonding inside the HA-treated hair, which could alleviate the weakening effect of loosely bonded water on the hydrogen bond networks within keratin. Therefore, the improved elastic modulus and mechanical strength of the HA-treated hair could be attributed to the enhanced formation of hydrogen bond networks within keratin. This study illustrates the capability of low-MW HA in hair damage repair, implying an enormous potential for other moisturizers to be used in hair care products.


Subject(s)
Hair , Keratins , Humans , Molecular Weight , Spectroscopy, Fourier Transform Infrared , Hair/chemistry , Keratins/chemistry , Glycosaminoglycans/pharmacology , Water/analysis
14.
Regen Ther ; 21: 494-501, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36313395

ABSTRACT

Purpose: Intrauterine adhesion (IUA), often leading to gynecological complications including amenorrhea, abdominal pain and infertility, is frequently induced by injuries to the endometrium. Hence it would be of great benefit to take efforts to prevent adhesion after intrauterine operations. Orally administration of 17ß-estradiol (E2) is commonly used to promote endometrium regeneration, but is limited by low concentrations at the injured sites. We aim at preparing an E2-releasing uterine stent, which could improve the efficiency of E2 therapy and be utilized for IUA prevention. Methods: We designed a silicone rubber stent, which could be implanted in the uterine cavity and continuously release E2 in long term. Stents were placed in rodent uterine, and removed at different time points. Remaining E2 in stent was measured by high performance liquid chromatography (HPLC), and organ E2 concentrations were detected by enzyme-linked immuno sorbent assay (ELISA). Endometrium morphology was examined by histological staining of paraffin sections. Results: Our stent showed a controlled release of E2 in rodent uterine for over 60 days, and significantly increased E2 concentration in serum and in situ uterine. After the stent was removed from uterine, E2 rapidly reverted to a normal level. Also, the stent did not induce pathological changes in endometrium. Conclusions: The uterine stent provided abundant local E2 in uterine cavity with satisfactory safety. The silicone rubber based E2-releasing uterine stent could be further advanced by adjusting its shape and E2 load for its clinical application, and might promisingly help lowering the incidence of IUA.

15.
ACS Appl Mater Interfaces ; 14(39): 44338-44344, 2022 Oct 05.
Article in English | MEDLINE | ID: mdl-36149014

ABSTRACT

In lithium metal batteries (LMB), unrestricted growth of lithium dendrites will pierce the separator and cause an internal short circuit. Therefore, we designed modified separator with an InN thin layer, which could be in situ converted into a binary mixed-modified layer of Li-In alloy and Li3N during the lithium plating/stripping process. Among them, Li-In alloy induces the lateral growth of lithium dendrites and prevents the separator from being pierced; Li3N balances ion distribution at the lithium anode/separator interface, which is beneficial to inhibit the growth of lithium dendrites. Under the synergistic effect of the two phases, the performance of LMBs was obviously improved. In addition, the separator modification does not need to be carried out in a protective atmosphere and is suitable for large-scale roll-to-roll processing.

16.
Ying Yong Sheng Tai Xue Bao ; 33(9): 2356-2362, 2022 Sep.
Article in Chinese | MEDLINE | ID: mdl-36131650

ABSTRACT

To explore the dynamics and distribution of soil seed banks under different vegetation types in desert, and reveal the community succession tendency and diversity characteristics of different vegetative types, we took Populus euphratica community, Caragana intermedia community, Leymus secalinus community and Agriophyllum squarrosum community as the research objects in the southeastern margin of the Tengger Desert. Samples of 0-2 cm, 2-5 cm, 5-10 cm, and 10-20 cm soil layers were collected. We examined the characteristics of soil seed banks and their relationships with vegetation. The results showed that there were 13 plant species in the soil seed banks of the four vegetation types, belonging to 3 families and 12 genera, with the annual and biennial herbs dominated and much Chenopodiaceae species. The soil seed bank density was generally low, with an order of C. intermedia community > L. secalinus community > P. euphratica community > A. squarrosum community. The seed bank density and species richness decreased with increasing soil depth. Based on the Shannon index, Simpson index, Pielou index and Patrick richness analysis, the order of species diversity in soil seed banks was P. euphratica community > L. secalinus community > C. intermedia community > A. squarrosum community. The similarity coefficient between soil seed bank and vegetation was the highest in C. intermedia community, followed by P. euphratica community, and the lowest in P. euphratica community and L. secalinus community. On the whole, the arbor forest P. euphratica community was the most stable one, while the sandy land A. squarrosum community was the most vulnerable.


Subject(s)
Chenopodiaceae , Seed Bank , China , Ecosystem , Forests , Humans , Seeds , Soil
17.
BMC Pregnancy Childbirth ; 22(1): 404, 2022 May 12.
Article in English | MEDLINE | ID: mdl-35549886

ABSTRACT

BACKGROUND: The aim of this study was to evaluate the effectiveness and safety of different treatment strategies for endogenic caesarean scar pregnancy (CSP) patients. METHODS: According to Vial's standard, we defined endogenic-type CSP as (1) the gestational sac growing towards the uterine cavity and (2) a greater than 0.3 cm thickness of myometrial tissue at the caesarean scar. A total of 447 endogenic CSP patients out of 527 patients from 4 medical centres in China were enrolled in this study. A total of 120 patients were treated with methotrexate (MTX) followed by surgery, 106 received ultrasound-guided curettage directly and 221 received curettage combined with hysteroscopy. The clinical information and clinical outcomes of these patients were reviewed. Successful treatment was defined as (1) no additional treatment needed, (2) no retained mass of conception and (3) serum ß subunit of human chorionic gonadotropin (ß-hCG) level returning to a normal level within 4 weeks. The success rate was analysed based on these factors. RESULT: Among 447 patients, no significant difference was observed in baseline characteristics between groups except for foetal heartbeat. The success rate was significantly different (p<0.001) among the three groups. The highest success rate of 95.9% was noted in the hysteroscopy group, and the lowest success rate of 84.0% was noted in the curettage group. In addition, the MTX group reported the longest hospital stay and highest expenses, but the curettage group showed the shortest and lowest expenses, respectively. Nevertheless, no difference in blood loss was observed between the groups. CONCLUSION: The combination of curettage and hysteroscopy represents the most effective strategy. Pretreatment with MTX did not result in better clinical outcomes. Ultrasound-guided curettage directly should not be considered a first-line treatment choice for endogenic CSP patients.


Subject(s)
Cicatrix , Pregnancy, Ectopic , Cesarean Section/adverse effects , Chorionic Gonadotropin, beta Subunit, Human , Cicatrix/etiology , Cicatrix/therapy , Female , Humans , Methotrexate/therapeutic use , Pregnancy , Pregnancy, Ectopic/etiology , Pregnancy, Ectopic/therapy , Retrospective Studies , Treatment Outcome
18.
ACS Appl Mater Interfaces ; 13(36): 42957-42965, 2021 Sep 15.
Article in English | MEDLINE | ID: mdl-34476943

ABSTRACT

Polymer electrolytes are the key candidates for solid-state batteries benefiting from their intrinsic advantages over inorganic electrolytes in terms of flexibility and easy processability. However, they suffer from low ionic conductivity and poor mechanical strength, which restrict their wide utilization. Conventional ceramic fillers are used to improve the mechanical properties of polymer electrolytes but lack sufficient Li+ conductivity. In this work, a framework with vertical channels that possess fast Li+ movement is designed. It is found that the poly(ethylene oxide) (PEO) compound in the vertical channel framework benefits to improve the ionic conductivity and mechanical strength synchronously. The framework in which ionic liquids are loaded on a zirconium dioxide surface (ZrO2@ILs) helps to improve ionic conductivity by 2 orders of magnitude compared with PEO, which is due to the enhanced orientation of ion transport. By optimizing the content of ZrO2@ILs, the elastic modulus is also tripled. Therefore, the symmetric lithium battery can cycle stably for more than 800 h at a current density of 0.25 mA cm-1, whereas the lithium metal battery has a specific capacity of 135 mAh g-1 at a current density of 2C and can cycle stably for more than 200 cycles at 60 °C.

19.
Adv Mater ; 32(40): e2004017, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32876955

ABSTRACT

Aqueous batteries are promising devices for electrochemical energy storage because of their high ionic conductivity, safety, low cost, and environmental friendliness. However, their voltage output and energy density are limited by the failure to form a solid-electrolyte interphase (SEI) that can expand the inherently narrow electrochemical window of water (1.23 V) imposed by hydrogen and oxygen evolution. Here, a novel (Li4 (TEGDME)(H2 O)7 ) is proposed as a solvation electrolyte with stable interfacial chemistry. By introducing tetraethylene glycol dimethyl ether (TEGDME) into a concentrated aqueous electrolyte, a new carbonaceous component for both cathode-electrolyte interface and SEI formation is generated. In situ characterizations and ab initio molecular dynamics (AIMD) calculations reveal a bilayer hybrid interface composed of inorganic LiF and organic carbonaceous species reduced from Li+ 2 (TFSI- ) and Li+ 4 (TEGDME). Consequently, the interfacial films kinetically broaden the electrochemical stability window to 4.2 V, thus realizing a 2.5 V LiMn2 O4 -Li4 Ti5 O12 full battery with an excellent energy density of 120 W h kg-1 for 500 cycles. The results provide an in-depth, mechanistic understanding of a potential design of more effective interphases for next-generation aqueous lithium-ion batteries.

20.
Cancer Manag Res ; 12: 4807-4815, 2020.
Article in English | MEDLINE | ID: mdl-32606970

ABSTRACT

PURPOSE: Accumulating evidence indicates that circular RNAs (circRNAs) are closely involved in canceration and cancer progression. However, the role of circRNAs in cervical cancer (CC) is largely unknown. Here, we characterized the role of circRNA_101308 in CC. MATERIALS AND METHODS: The expression of circRNA_101308 in CC tissues was measured by quantitative reverse transcription-polymerase chain reaction (qRT-PCR). Then, circRNA_101308 was overexpressed in CC cells to detect its function by proliferation and apoptosis assays, Transwell assays and animal experiments. The potential mechanism of circRNA_101308 in CC was explored by RNA pull-down, Gene Ontology (GO) and pathway analyses. RESULTS: CircRNA_101308 was significantly downregulated in CC tissues. The level of circRNA_101308 was much lower in CC patients with lymph node metastasis or deep myometrial invasion compared to those patients without lymph node metastasis and superficial myometrial invasion. CircRNA_101308 overexpression inhibited CC cell proliferation, invasion and migration. MiR-26a-5p, miR-196a-5p, miR-196b-5p, miR-335-3p, and miR-1307-3p were found to be sponged by circRNA_101308 in CC cells. Further, GO and pathway analyses predicted the potential functional processes and pathways of circRNA_101308 in CC. CONCLUSION: CircRNA_101308 is downregulated and acts as a tumor suppressor in CC. CircRNA_101308 can participate in many different processes by sponging different miRNAs in CC cells. This exploration of circRNA_101308 provides new directions for research on cancer development and the clinical treatment of CC.

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