Cost-utility analysis of tislelizumab versus sorafenib as first-line treatment for advanced unresectable hepatocellular carcinoma / 中国药师

Objective To compare the cost-utility of tislelizumab and sorafenib in the first-line treatment of advanced unresectable hepatocellular carcinoma,and to provide a reference for the selection of treatment regimens from the perspective of pharmacoeconomics.Methods A partitioned survival model was used to simulate the survival status of patients using tislelizumab or sorafenib within 10 years,and the cost and health output were calculated respectively to obtain the incremental cost-utility ratio(ICUR).The 3 times China's per capita gross domestic product(GDP)in 2022 was taken as the threshold for willingness to pay(WTP).Results During the simulation period,the ICER of tislelizumab versus sorafenib was 280 691.4 yuan/quality-adjusted life year(QALY),which was significantly higher than that of the sorafenib group,which had obvious economic performance.Univariate sensitivity analysis showed that the incidence of grade 3 or above adverse reactions in the tislelizumab group,the cost of tislelizumab,and the incidence of grade 3 or higher adverse reactions in the sorafenib group were important factors affecting ICUR.Probabilistic sensitivity analysis showed that tislelizumab had a significant cost-utility advantage when WTP was 3 times GDP,with an economic probability of 81.4％,and the results were robust.Conclusion For the first-line treatment of advanced unresectable hepatocellular carcinoma,tislelizumab has a significant cost-utility advantage over sorafenib.

Short video users' personality traits and social sharing motivation.

Purpose/significance: Studying the correlation between short video users' personality traits and their sharing motivation can enrich the theoretical research on social sharing motivation and provide a reference for short-video content management and platform construction. Methods/process: Based on uses and gratifications theory and personality traits theory, a structural model affecting short-video users' sharing motivations was proposed. A total of 579 valid questionnaires were collected from a social network, and the proposed hypotheses were tested using SPSS and Amos software. Results/conclusion: The results show that the personality traits of short-video users affect their sharing motivation and that their specific sharing motivation also differ due to their personality traits. At the same time, the research results also confirm the Matthew effect of "the rich getting richer" and the social compensation effect of "the poor getting richer" in the context of social platforms that host short videos.

A Tandem Reaction System for Inactivation of Marine Microorganisms by Commercial Carbon Black and Boron-Doped Carbon Nitride.

The Pureballast system, based on photocatalytic technology, can purify ships' ballast water. However, the efficiency of photocatalytic sterilization still needs to be improved due to the shortcomings of the photocatalyst itself and the complex components of seawater. In this work, a tandem reaction of electrocatalytic synthesis and photocatalytic decomposition of hydrogen peroxide (H2O2) was constructed for the inactivation of marine microorganisms. Using seawater and air as raw materials, electrocatalytic synthesis of H2O2 by commercial carbon black can avoid the risk of large-scale storage and transportation of H2O2 on ships. In addition, boron doping can improve the photocatalytic decomposition performance of H2O2 by g-C3N4. Experimental results show that constructing the tandem reaction is effective, inactivating 99.7% of marine bacteria within 1 h. The sterilization efficiency is significantly higher than that of the single way of electrocatalysis (52.8%) or photocatalysis (56.9%). Consequently, we analyzed the reasons for boron doping to enhance the efficiency of g-C3N4 decomposition of H2O2 based on experiments and first principles. The results showed that boron doping could significantly enhance not only the transfer kinetics of photogenerated electrons but also the adsorption capacity of H2O2. This work can provide some reference for the photocatalytic technology study of ballast water treatment.

Morphology modulation and performance optimization of nanopetal-based Ag-modified Bi2O2CO3 as an inactivating photocatalytic material.

The use of photocatalytic technology to kill bacteria on marine vessel surface coatings has been paid more attention by research scholars. In this paper, petal-like microspheres with Ag nanoparticles were prepared by a simple one-step process combining the hydrothermal method and photodeposition. The 0.7% Ag/Bi2O2CO3 composite photocatalyst exhibited the highest photocatalytic efficiency for bacterial removal under visible light irradiation and had the highest photogenerated carrier separation efficiency, and the sterilization rate was doubled compared with that of pure Bi2O2CO3, reaching 95%. Using X-ray photoelectron spectroscopy, scanning electron microscopy and transmission electron microscopy, the existence of Ag nanoparticles was confirmed, and their size was approximately 10 nm. The surface plasmon resonance (SPR) effect of Ag nanoparticles was investigated by ultraviolet-visible diffuse reflectance spectroscopy (DRS). It was shown that the surface plasmon resonance effect of Ag improved the spectral utilization of the Ag/Bi2O2CO3 composite photocatalyst and enhanced the stability of the catalyst. This caused the Ag/Bi2O2CO3 composite photocatalyst to have superior photocatalytic activity to pure Bi2O2CO3. The results of electrochemical impedance characterization and transient photocurrent response show that 0.7% Ag/Bi2O2CO3 has a high efficiency of photogenerated carrier separation. By the free radical capture test, hydroxyl radicals were the primary active substance, and Ag+ improved the photocatalytic sterilization activity.

Catalytic conversion of seawater to fuels: Eliminating N vacancies in g-C3N4 to promote photocatalytic hydrogen production.

The use of solar energy to decompose seawater and produce hydrogen is of great significance in solving the energy crisis. Numerous studies have shown that vacancies can significantly improve photocatalytic activity due to their electron-rich nature. However, our recent research has shown that materials with vacancies are not suitable for photocatalytic reactions in seawater. In this study, g-C3N4 with rich N vacancies was selected as the research object, and urea was used as the precursor; in this system, the N vacancies in g-C3N4 could be effectively reduced by the addition of ZIF-8 (ZCNQx). The activity of ZCNQ40 was 5.6 times higher than that of g-C3N4 in fresh seawater, but only 3.1 times higher in freshwater. Based on the analysis of the experimental results, we believe that g-C3N4 has a limiting relationship between H+ adsorption catalysis and H2 product desorption. In addition, seawater contains many heteroatoms that will also compete with proton (H+) reduction. The results of our study show that catalysts with vacancies are not necessarily suitable for catalytic reactions in seawater media. This research will stimulate new ideas for research into the conversion of solar energy to chemical energy in seawater media.

The enhanced photocatalytic inactivation of marine microorganisms over ZnO supported Ag quantum dots by the synthesis of H2O2.

The production of hydroxyl radicals has been demonstrated to improve the antifouling of marine through a photocatalytic strategy. However, only relying on the valence band of the photocatalyst to generate hydroxyl radicals is inefficient and limits the application of photocatalytic technology in the field of marine-antifouling coatings. Herein, we reported a new strategy in which Ag quantum dots are used to synthesize hydrogen peroxide (H2O2) by photocatalysis in seawater. The decomposition of the generated H2O2 to hydroxyl radicals improves the antifouling ability. Interestingly, the prominent size effect of Ag quantum dots is closely related to the yield of H2O2. We synthesized Ag quantum dots supported on ZnO and found that Ag quantum dots approximately 4 nm in size have the highest activity for H2O2 generation and undergo a 1 h photocatalytic reaction in which the concentration of H2O2 can reach 124 µg/mL. The efficiency of ZnO in inactivating marine microorganisms increased from 72.3% to 99.4% in seawater. The synthesis of H2O2 through photocatalysis based on the medium of seawater can expand the application of photocatalytic technology in the field of marine antifouling.

Clinical significances of additional chromosome abnormalities and t (15;17) in acute promyelocytic leukemia / 白血病·淋巴瘤

Objective To investigate the clinical significances of additional chromosome abnormalities and t(15;17) in acute promyelocytic leukemia (APL). Methods A total of 90 newly diagnosed APL patients in the Affiliated Hospital of Qingdao University from January 2007 to June 2014 were analyzed retrospectively. Patients with different chromosome karyotypes were divided into four groups: additional chromosome number abnormalities group (16 cases), additional chromosome structural abnormalities group (14 cases), additional chromosome number and structural abnormalities group (4 cases) and typical chromosome group (56 cases). According to whether the patient contained t(15;17), the patients were divided into group with t (15;17) and group without t (15;17). The short-term efficacy and survival of each group were analyzed and compared. Results The rate of complete remission in additional chromosome number abnormalities group, additional chromosome structural abnormalities group, additional chromosome number and structural abnormalities group and typical t(15;17) chromosome changes group were 56.3％(9/16), 100.0％(14/14), 25.0％(1/4) and 82.1％(46/56), the early mortality rates were 25.0％(4/16), 0 (0/14), 75.0％(3/4) and 8.9％ (5/56) respectively. Among them, the additional number and structural abnormalities group had lower complete remission rate and higher early mortality rate, and compared with other groups, the differences were statistically significant (all P< 0.05). The complete remission rates of the group with t (15;17) and the group without t (15;17) were 80.5％ (66/82) and 50.0％ (4/8), respectively, and the difference was not statistically significant (P= 0.070). Conclusions APL patients with karyotypes with additional number and structural changes have low complete remission rate, high early mortality rate and poor prognosis. Patients with t(15;17)have a high rate of complete remission.

Effect of Human Umbilical Cord Blood-Derived Mesenchymal Stem Cells on the Proliferation and Apoptosis of Leukemic Cells and Its Mechanism / 中国实验血液学杂志

<p><b>OBJECTIVE</b>To investigate the effects of human umbilical cord blood-derived mesenchymal stem cells(HUCMSC) on the leukemic cell line HL-60 and acute lymphoblastic leukemia cell line Jurkat as well as the role of CXCL12/CXCR4.</p><p><b>METHODS</b>HL-60 cells and Jurkat cells were co-cultured with human umbilical cord blood mesenchymal stem cell (HUCMSC), and the model was treated with G-CSF, AMD3100 and their combination. The cell viability and cell cycle were measured by Cell Counting Kit-8 (CCK-8), the apoptosis and the cell-cycle analysis were assessed by flow cytometry with the Annexin V/PI double staining. The expression of surface CXCR4 protein and total CXCR4 protein of leukemic cells were detected by flow cytometry and Western blot respectively.</p><p><b>RESULTS</b>HUCMSC could decrease the viability of HL-60 cells and Jurkat cells, as well as the percentage of apoptotic cells, they could also increase the number of G/Gcells, while G-CSF and AMD3100 could reduce the proliferation of HL-60 cells and Jurkat cells in HUCMSC co-culture model, destructed the anti-apoptotic effect of HUCMSC on HL-60 cells and Jurkat cells, and the combination of 2 drugs resulted in a synergistic effect. The G-CSF could reduce the expression of surface CXCR4 protein and total CXCR4 protein in leukemic cells, while AMD3100 could only decrease the expression of surface CXCR4 protein of leukemia cell membrane, having no effect on the expression of CXCR4 protein in cytoplasm.</p><p><b>CONCLUSION</b>Human umbilical cord blood mesenchymal stem cells can inhibit the proliferation and apoptosis of acute leukemia cells and increase the number of G/Gphase cells in leukemic cells. The AMD3100 can decrease the expression of surface CXCR4 protein in leukemia cells, G-CSF can decrease expression of total CXCR4 protein as well as membrane CXCR4 protein. Both of them can block the CXCL12/CXCR4 signal axis, weakening the relationship between leukemia cells and microenvironment. And on the basic of HUCMSC influenced leukemia cells' growth and proliferation, the cell viability will be weakened, its apoptosis will be promoted, and the percentage of G/Gphase cells in leukemia cells will be decreased.</p>

α1-Adrenoceptors in the hippocampal dentate gyrus involved in learning-dependent long-term potentiation during active-avoidance learning in rats.

The hippocampus is the key structure for learning and memory in mammals and long-term potentiation (LTP) is an important cellular mechanism responsible for learning and memory. The influences of norepinephrine (NE) on the modulation of learning and memory, as well as LTP, through ß-adrenoceptors are well documented, whereas the role of α1-adrenoceptors in learning-dependent LTP is not yet clear. In the present study, we measured extracellular concentrations of NE in the hippocampal dentate gyrus (DG) region using an in-vivo brain microdialysis and high-performance liquid chromatography techniques during the acquisition and extinction of active-avoidance behavior in freely moving conscious rats. Next, the effects of prazosin (an antagonist of α1-adrenoceptor) and phenylephrine (an agonist of the α1-adrenoceptor) on amplitudes of field excitatory postsynaptic potential were measured in the DG region during the active-avoidance behavior. Our results showed that the extracellular concentration of NE in the DG was significantly increased during the acquisition of active-avoidance behavior and gradually returned to the baseline level following extinction training. A local microinjection of prazosin into the DG significantly accelerated the acquisition of the active-avoidance behavior, whereas a local microinjection of phenylephrine retarded the acquisition of the active-avoidance behavior. Furthermore, in all groups, the changes in field excitatory postsynaptic potential amplitude were accompanied by corresponding changes in active-avoidance behavior. Our results suggest that NE activation of α1-adrenoceptors in the hippocampal DG inhibits active-avoidance learning by modulation of synaptic efficiency in rats.

Near Infrared Quantum Cutting of Tb3+-Yb3+ Co-Doped CeF3 Nanophosphors.

In this paper, Tb3+-Yb3+ Co-doped CeF3 nanophosphors were synthesized using the microwave-assisted heating hydrothermal method (M-H). The excitation and emission spectra of the samples at room temperature show that the samples absorb ultraviolet light from 250 nm to 280 nm, and emit light at 300 nm. This corresponds to the transitions from 5D to 4F of Ce3+, 480 nm, 540 nm, 583 nm, 620 nm which correspond to the transitions from 5D4 to 7F6,5,4,3 of Tb3+, 973 nm which corresponds to the transitions from 2F5/2-2F7/2 of Yb3+. In the emission spectra, it is clear that the emission intensity of Ce3+ and Tb3+ decreases, and Yb3+ increases with increasing Yb3+. This suggests that energy transfer from Ce3+ to Yb3+, and Ce3+ to Tb3+ to Yb3+ may occur. In the near infrared emission area, it is noted that a distinct emission centered at 973 nm was observed under 260 nm excitation. This is due to transitions among the different Stark levels of 2FJ(J=5/2,7/2) Yb3+ ions. This also suggests an energy transfer from Ce3+ ions to Tb3+ and then to Yb3+. The energy transfers from Tb3+-Yb3+ Co-doped CeF3 nanophosphors, which lead to intense NIR emissions at 900-1050 nm, match the energy of Si band gaps of Si-based solar cells. Therefore, these kinds of materials are promising candidates for applications that require modifying if solar spectrums and enhancement of conversion efficiency of Si-based solar cells.