The same parastomal hernia repairs rate in the different approaches to colostomy.

PURPOSE: This study aimed to compare the parastomal hernia repairs rate in the different approaches to colostomy and investigate the risk factors for parastomal hernia formation in patients with permanent colostomies. METHODS: Consecutive rectal cancer patients who underwent abdominoperineal resection from June 2014 to July 2020 in West China Hospital were divided into two groups according to their surgical approach for permanent colostomies. The impact of different approaches to colostomy on parastomal hernia repairs was determined by comparing a group of patients receiving an extraperitoneal route to colostomy with a group receiving transperitoneal. Potential variables were evaluated first with univariate and then multivariate analyses to identify the risk factors for the formation of parastomal hernia. RESULTS: Two hundred two subjects in the transperitoneal group and 103 in the extraperitoneal group attended the follow-up visit with a median follow-up period of 33 (25th-75th percentiles, 17-46) months. Clinically and radiologically detectable parastomal hernias were present in 76 of 202 (37.6%) and 14 of 103 (13.6%) subjects in the transperitoneal and extraperitoneal groups during the follow-up period (p＜0.01). Besides, 10 of 76 (13.1%) subjects in the transperitoneal group and 2 of 14 (14.3%) subjects in the extraperitoneal group underwent a parastomal hernia operation during the follow-up (p = 0.82). In addition, the transperitoneal approach of colostomy (p = 0.002), older age (p＜0.001), and higher body mass index (p = 0.013) were identified as independent risk factors for the occurrence of parastomal hernia. CONCLUSIONS: Extraperitoneal colostomy decreased the detectable parastomal hernias but did not reduce the surgical repair rate of parastomal hernias.

Total neoadjuvant therapy versus chemoradiotherapy for locally advanced rectal cancer: Bayesian network meta-analysis.

BACKGROUND: Total neoadjuvant therapy is a promising treatment for locally advanced rectal cancer, utilizing either short-course radiotherapy or long-course chemoradiotherapy, but their relative efficacy remains unclear. The aim of this Bayesian network meta-analysis was to investigate clinical outcomes amongst patients receiving total neoadjuvant therapy with short-course radiotherapy or long-course chemoradiotherapy, and those receiving long-course chemoradiotherapy alone. METHODS: A systematic literature search was performed. All studies that compared at least two of these three treatments for locally advanced rectal cancer were included. The primary endpoint was the pathological complete response rate, and survival outcomes were adopted as secondary outcomes. RESULTS: Thirty cohorts were included. Compared with long-course chemoradiotherapy, both total neoadjuvant therapy with long-course chemoradiotherapy (OR 1.78, 95 per cent c.i. 1.43 to 2.26) and total neoadjuvant therapy with short-course radiotherapy (OR 1.75, 95 per cent c.i. 1.23 to 2.50) improved the pathological complete response rate. Similar benefits were observed in the sensitivity and subgroup analyses, except for short-course radiotherapy with one to two cycles of chemotherapy. No significant differences in survival outcomes were found amongst the three treatments. Long-course chemoradiotherapy with consolidation chemotherapy (HR 0.44, 95 per cent c.i. 0.20 to 0.99) exhibited higher disease-free survival than long-course chemoradiotherapy alone. CONCLUSION: Compared with long-course chemoradiotherapy, both short-course radiotherapy with greater than or equal to three cycles of chemotherapy and total neoadjuvant therapy with long-course chemoradiotherapy can improve the pathological complete response rate, and long-course chemoradiotherapy with consolidation chemotherapy may lead to a marginal benefit in disease-free survival. The pathological complete response rate and survival outcomes are similar for total neoadjuvant therapy with short-course radiotherapy or long-course chemoradiotherapy.

Global Status of Research on Lateral Lymph Nodes in Rectal Cancer from 1994 to 2022: A Bibliometric Analysis.

Tremendous progress has been made in the field of lateral lymph nodes (LLNs) in rectal cancer, but no bibliometric analysis in this field has been carried out and published. To reveal the current status and trends in LLNs in rectal cancer, this bibliometric analysis was performed. Cooperation network, co-citation and keyword co-occurrence analyses were conducted. Annual publication, cooperation relationships among authors, institutions and countries, co-cited journal, co-cited author, co-cited reference and keywords were the main outcomes. A total of 345 studies were included in this bibliometric analysis. The number of articles published in this field has been increasing year by year. The authors, institutions and countries worked closely together in this field. Japan has the largest number of published articles, accounting for 51.59% of the total publications. International Journal of Colorectal Disease (30 papers, 8.70%) published the most papers in this field. The JCOG0212 trial was the most cited article. Preoperative chemoradiotherapy, multicenter, lateral lymph node dissection (LLND) and metastasis are recent hot keywords, and LLND had the highest burst strength. In conclusion, this bibliometric analysis found that Japanese institutions and authors dominated the field of LLNs in rectal cancer. The JCOG0212 trial was the most influential article, which had a significant impact on the development of guidelines. LLND is a hotspot in this field with the highest burst strength. Further prospective studies are needed in this field.

Interfacial engineering of hydrophobic octadecanethiol/Pd metallene toward electrocatalytic nitrogen reduction.

In this work, we propose the modification of ultrathin and wrinkled Pd metallene by hydrophobic octadecanethiol (Pdene@C18) via Pd-S bonds for the nitrogen reduction reaction. The hydrophobic self-assembled monolayer C18 can effectively capture more N2 and inhibit the hydrogen evolution reaction. As a result, a high NH3 yield and Faraday efficiency of 27.97 µg h-1 mgcat.-1 and 14.29% are achieved for Pdene@C18 under neutral conditions, respectively, highlighting the modification of hydrophobic monolayers for efficient nitrogen electro-reduction to ammonia.

25(OH)D-but not 1,25(OH)2D-Is an independent risk factor predicting graft loss in stable kidney transplant recipients.

Background: Vitamin D deficiency (VDD) or vitamin D insufficiency is common in kidney transplant recipients (KTRs). The impact of VDD on clinical outcomes in KTRs remain poorly defined and the most suitable marker for assessing vitamin D nutritional status in KTRs is unknown so far. Methods: We conducted a prospective study including 600 stable KTRs (367 men, 233 women) and a meta-analysis to pool existing evidence to determine whether 25(OH)D or 1,25(OH)2D predicted graft failure and all-cause mortality in stable KTRs. Results: Compared with a higher 25(OH)D concentration, a low concentration of 25(OH)D was a risk factor for graft failure (HR 0.946, 95% CI 0.912-0.981, p = 0.003), whereas 1,25 (OH)2D was not associated with the study end-point graft loss (HR 0.993, 95% CI 0.977-1.009, p = 0.402). No association was found between either 25(OH)D or 1,25 (OH)2D and all-cause mortality. We furthermore conducted a meta-analysis including 8 studies regarding the association between 25(OH)D or 1,25(OH)2D and graft failure or mortality, including our study. The meta-analysis results were consistent with our study in finding that lower 25(OH)D levels were significantly associated with the risk of graft failure (OR = 1.04, 95% CI: 1.01-1.07), but not associated with mortality (OR = 1.00, 95% CI: 0.98-1.03). Lower 1,25(OH)2D levels were not associated with the risk of graft failure (OR = 1.01, 95% CI: 0.99-1.02) and mortality (OR = 1.01, 95% CI: 0.99-1.02). Conclusion: Baseline 25(OH)D concentrations but not 1,25(OH)2D concentrations were independently and inversely associated with graft loss in adult KTRs.

Immunotherapy with Immune Checkpoint Inhibitors for Advanced Colorectal Cancer: A Promising Individualized Treatment Strategy.

Colorectal cancer (CRC) is one of the high incident and lethal malignant tumors, and most of the patients are diagnosed at an advanced stage. The treatment of CRC mainly includes surgery, chemotherapy, radiotherapy and molecular targeted therapy. Despite these approaches have increased overall survival (OS) of CRC patients, the prognosis of advanced CRC remains poor. In recent years, remarkable breakthroughs have been made in tumor immunotherapy, especially immune checkpoint inhibitors (ICIs) therapy, bringing long-term survival benefits to tumor patients. With the increasing wealth of clinical data, ICIs have achieved significant efficacy in the treatment of high microsatellite instability/deficient mismatch repair (MSI-H/dMMR) advanced CRC, but the therapeutic effects of ICIs on microsatellite stable (MSS) advanced CRC patients is currently unsatisfactory. As increasing numbers of large clinical trials are performed globally, patients treated with ICIs therapy also have immunotherapy-related adverse events and treatment resistance. Therefore, a large number of clinical trials are still needed to evaluate the therapeutic effect and safety of ICIs therapy in advanced CRC. This article will focus on the current research status of ICIs in advanced CRC and discuss the current predicament of ICIs treatment.

Bimetallic PdY nanosponges for enhanced oxygen reduction electrocatalysis.

Controlling the morphology and composition of Pd-based catalysts is the key to construct highly efficient electrocatalysts for cathodic oxygen reduction reaction (ORR). Here, rare Earth element Y-doped Pd nanosponge (PdY NSs) are prepared by one-step reduction approach using NaBH4as reductant, which are employed for ORR under 0.1 M KOH. The PdY NSs with plentiful voids can offer a large number of active sites and improve the mass transfer for ORR. Moreover, the introduction of Y alters the electronic structure of Pd, thus promoting the dissociation and adsorption of oxygen. Therefore, the prepared PdY NSs display superior ORR activity and durability to the Pd NSs and Pd black, highlighting the introduction of rare Earth element on the enhancement of ORR performance for Pd-based catalysts.

Inhibition of Poly(ADP-ribose) Polymerase Sensitizes [177Lu]Lu-DOTAGA.(SA.FAPi)2-Mediated Radiotherapy in Triple-Negative Breast Cancer.

Fibroblast activation protein (FAP) is highly expressed in many tumor types and constitutes a promising target for tumor-specific delivery of therapeutic radionuclides. [177Lu]Lu-DOTAGA.(SA.FAPi)2 is a novel radiopharmaceutical based on a novel bidentate inhibitor of FAP that is excreted more slowly than its monomeric counterparts. Still, the efficacy of radiotherapy is mitigated by cascades of DNA damage repair signaling in tumor cells including those via Poly(ADP-ribose) polymerase (PARP). We hereby aimed to evaluate the efficacy of [177Lu]Lu-DOTAGA.(SA.FAPi)2 in combination with a PARP inhibitor, Olaparib, in the 4T1 murine triple negative breast cancer (TNBC) model. The therapeutic efficacy was visualized using 18F-FDG and [68Ga]Ga-FAPI-04 positron emission imaging/computer tomography (PET/CT). Our results demonstrated that Olaparib suppressed BALB/3T3 fibroblasts in vitro and sensitized the efficacy of [177Lu]Lu-DOTAGA.(SA.FAPi)2 in mice bearing 4T1 tumors via enhancement of DNA damage. Treatment-associated toxicity was tolerable with only mild leukopenia. Therefore, the combination of [177Lu]Lu-DOTAGA.(SA.FAPi)2 and Olaparib is a feasible treatment against TNBC.

Sulfur and phosphorus co-doping optimized electronic structure and modulated intermediate affinity on PdSP metallene for ethanol-assisted energy-saving H2 production.

Coupling cathodic hydrogen evolution reaction (HER) and anodic electrochemical oxidation of organic small molecules in a co-electrolysis system could simultaneously realize high-value chemical generation and energy-saving hydrogen production, which, however, require high-performance electrocatalysts. In this work, we developed a one-step solvothermal method to synthesize S, P-co-doped Pd metallene (PdSP metallene) and employed it as a bifunctional electrocatalyst for both the HER and ethanol oxidation reaction (EOR). The co-doping of S and P atoms into Pd metallene could introduce multiple active sites and increase the electrochemically-active surface area. Moreover, the electronic interactions between Pd, S, and P atoms could regulate the electronic structure of the active sites and modulate the intermediate affinity on the resultant PdSP metallene, thus boosting the electrocatalytic HER and EOR performance. In the HER-EOR co-electrolysis system with bifunctional PdSP metallene electrocatalysts, only a 0.88 V of electrolysis voltage was required to fulfill 10 mA cm-2 current density, much lower than that of pure water electrolysis (1.41 V) using the same electrocatalysts.

Tuning Multiple Landau Quantization in Transition-Metal Dichalcogenide with Strain.

Landau quantization associated with the quantized cyclotron motion of electrons under magnetic field provides the effective way to investigate topologically protected quantum states with entangled degrees of freedom and multiple quantum numbers. Here we report the cascade of Landau quantization in a strained type-II Dirac semimetal NiTe2 with spectroscopic-imaging scanning tunneling microscopy. The uniform-height surfaces exhibit single-sequence Landau levels (LLs) at a magnetic field originating from the quantization of topological surface state (TSS) across the Fermi level. Strikingly, we reveal the multiple sequence of LLs in the strained surface regions where the rotation symmetry is broken. First-principles calculations demonstrate that the multiple LLs attest to the remarkable lifting of the valley degeneracy of TSS by the in-plane uniaxial or shear strains. Our findings pave a pathway to tune multiple degrees of freedom and quantum numbers of TMDs via strain engineering for practical applications such as high-frequency rectifiers, Josephson diode and valleytronics.

Testing electron-phonon coupling for the superconductivity in kagome metal CsV3Sb5.

In crystalline materials, electron-phonon coupling (EPC) is a ubiquitous many-body interaction that drives conventional Bardeen-Cooper-Schrieffer superconductivity. Recently, in a new kagome metal CsV3Sb5, superconductivity that possibly intertwines with time-reversal and spatial symmetry-breaking orders is observed. Density functional theory calculations predicted weak EPC strength, λ, supporting an unconventional pairing mechanism in CsV3Sb5. However, experimental determination of λ is still missing, hindering a microscopic understanding of the intertwined ground state of CsV3Sb5. Here, using 7-eV laser-based angle-resolved photoemission spectroscopy and Eliashberg function analysis, we determine an intermediate λ=0.45-0.6 at T = 6 K for both Sb 5p and V 3d electronic bands, which can support a conventional superconducting transition temperature on the same magnitude of experimental value in CsV3Sb5. Remarkably, the EPC on the V 3d-band enhances to λ~0.75 as the superconducting transition temperature elevated to 4.4 K in Cs(V0.93Nb0.07)3Sb5. Our results provide an important clue to understand the pairing mechanism in the kagome superconductor CsV3Sb5.

Selective CO2 Electroreduction to Formate on Polypyrrole-Modified Oxygen Vacancy-Rich Bi2 O3 Nanosheet Precatalysts by Local Microenvironment Modulation.

Challenges remain in the development of highly efficient catalysts for selective electrochemical transformation of carbon dioxide (CO2 ) to high-valued hydrocarbons. In this study, oxygen vacancy-rich Bi2 O3 nanosheets coated with polypyrrole (Bi2 O3 @PPy NSs) are designed and synthesized, as precatalysts for selective electrocatalytic CO2 reduction to formate. Systematic material characterization demonstrated that Bi2 O3 @PPy precatalyst can evolve intoBi2 O2 CO3 @PPy nanosheets with rich oxygen vacancies (Bi2 O2 CO3 @PPy NSs) via electrolyte-mediated conversion and function as the real active catalyst for CO2 reduction reaction electrocatalysis. Coating catalyst with a PPy shell can modulate the interfacial microenvironment of active sites, which work in coordination with rich oxygen vacancies in Bi2 O2 CO3 and efficiently mediate directional selective CO2 reduction toward formate formation. With the fine-tuning of interfacial microenvironment, the optimized Bi2 O3 @PPy-2 NSs derived Bi2 O2 CO3 @PPy-2 NSs exhibit a maximum Faradaic efficiency of 95.8% at -0.8 V (versus. reversible hydrogen electrode) for formate production. This work might shed some light on designing advanced catalysts toward selective electrocatalytic CO2 reduction through local microenvironment engineering.

Synergistic coupling of IrNi/Ni(OH)2nanosheets with polypyrrole and iron oxyhydroxide layers for efficient electrochemical overall water splitting.

The design of electrocatalysts with excellent activity and stability for overall water splitting is highly desirable, and remains a challenge. Constructing heterojunctions onto the same substrate is beneficial for the integration of a water-splitting reaction. Herein, self-supported IrNi/Ni(OH)2@PPy and IrNi/Ni(OH)2@FeOOH are fabricated by coupling polypyrrole (PPy) and iron oxyhydroxide (FeOOH) on IrNi/Ni(OH)2nanosheets array, respectively. Benefiting from the nanosheet structure, composition, and heterogeneous interface, the as-constructed IrNi/Ni(OH)2@PPy and IrNi/Ni(OH)2@FeOOH catalysts can efficiently drive the hydrogen evolution reaction and oxygen evolution reaction, respectively. Moreover, the electrolyzer consisting of IrNi/Ni(OH)2@PPy and IrNi/Ni(OH)2@FeOOH for water splitting requires only a low cell voltage of 1.49 V to deliver 10 mA cm-2. This study provides a useful strategy for constructing efficient electrocatalysts by synergistic composition modulation and interface engineering.

PdCu Bimetallene for Enhanced Oxygen Reduction Electrocatalysis.

Engineering two-dimensional (2D) metallic nanomaterials has attracted numerous research interests for oxygen reduction reaction (ORR) due to their highly exposed unsaturated metal atoms and excellent physicochemical properties. Herein, we report a CO-confined growth strategy for the synthesis of 2D PdCu bimetallene with several atomic layers for ORR. The incorporation of Cu into Pd metallene can generate strain effect and change the electronic structure, weakening the interaction between Pd and CO and suppressing the adsorption of CO. Therefore, the synthesized PdCu bimetallene exhibits remarkable catalytic performance for alkaline ORR, with mass and specific activities of 0.82 A mgPd-1 and 1.01 mA cm-2, which are 5.1 and 3.7 times those for Pt/C, respectively. Meanwhile, the PdCu bimetallene shows no decrease in ORR activity after 5000 cycles. This work highlights the design of ultrathin bimetallic 2D nanomaterials for efficient ORR electrocatalysis.

Sulfur-Induced Low Crystallization of Ultrathin Pd Nanosheet Arrays for Sulfur Ion Degradation-Assisted Energy-Efficient H2 Production.

The utilization of thermodynamically favorable sulfur oxidation reaction (SOR) as an alternative to sluggish oxygen evolution reaction is a promising technology for low-energy H2 production while degrading the sulfur source from wastewater. Herein, amorphous/crystalline S-doped Pd nanosheet arrays on nickel foam (a/c S-Pd NSA/NF) is prepared by S-doping crystalline Pd NSA/NF.  Owing to the ultrathin amorphous nanosheet structure and the incorporation of S atoms, the a/c S-Pd NSA/NF provides a large number of active sitesand the optimized electronic structure, while exhibiting outstanding electrocatalytic activity in hydrogen evolution reaction (HER) and SOR. Therefore, the coupling system consisting of SOR-assisted HER can reach a current density of 100 mA cm-2 at 0.642 V lower than conventional electrolytic water by 1.257 V, greatly reducing energy consumption. In addition, a/c S-Pd NSA/NF can generate H2 over a long period of time while degrading S2- in water to the value-added sulfur powder, thus further reducing the cost of H2 production. This work proposes an attractive strategy for the construction of an advanced electrocatalyst for H2 production and utilization of toxic sulfide wastewater by combining S-doping induced partial amorphization and ultrathin metal nanosheet arrays.

Defect-Rich PdIr Bimetallene Nanoribbons with Interatomic Charge Localization for Isopropanol-Assisted Seawater Splitting.

Metallene with outstanding physicochemical properties is an efficient two-dimensional electrocatalysts for sustainable hydrogen (H2 ) production applications. However, the controllable fabrication of extended atomically thin metallene nanoribbons remains a formidable challenge. Herein, this work proposes a controllable preparation strategy for atomically thin defect-rich PdIr bimetallene nanoribbons (PdIr BNRs) with a thickness of only 1.5 nm for the efficient and stable isopropanol-assisted seawater electrolytic H2 production. When using PdIr BNRs as catalyst to build an isopropanol-assisted seawater electrolysis system, a voltage of only 0.38 V is required at @10 mA cm-2 to achieve energy-saving H2 production, while producing high value-added acetone at the anode. The aberration-corrected high-resolution transmission electron microscopy (HRTEM) clearly reveals that the PdIr BNRs possess abundant structural defects, which can additionally serve as highly catalytically active sites. Density functional theory (DFT) calculations combined with X-ray absorption spectroscopy studies reveal that the introduction of Ir atoms can induce the formation of a localized charge region and shift the d-band center of Pd down, thereby reducing the adsorption energy on the catalyst in favor of the rapid desorption of H2 . This work opens the way for the controllable design and construction of defect-rich atomically thin metallene nanoribbons for efficient electrocatalytic applications.

Effects and Mechanism of the Leontopodium alpinum Callus Culture Extract on Blue Light Damage in Human Foreskin Fibroblasts.

Leontopodium alpinum is an important source of raw material for food, medicine, and modern cosmetics. The purpose of this study was to develop a new application for protection against blue light damage. To investigate the effects and mechanism of action of Leontopodium alpinum callus culture extract (LACCE) on blue light damage, a blue-light-induced human foreskin fibroblast damage model was established. The contents of collagen (COL-I), matrix metalloproteinase 1 (MMP-1), and opsin 3 (OPN3) were detected using enzyme-linked immunosorbent assays and Western blotting. The calcium influx and reactive oxygen species (ROS) levels were measured via flow cytometry and the results showed that the LACCE (10-15 mg/mL) promoted the production of COL-I, inhibited the secretion of MMP-1, OPN3, ROS and calcium influx, and may play a role in inhibiting the activation of blue light on the OPN3-calcium pathway. Thereafter, high-performance liquid chromatography and ultra-performance liquid chromatography-tandem mass spectrometry were used to quantitatively analyze the contents of nine active ingredients in the LACCE. The results indicated that LACCE has an anti-blue-light-damage effect and provides theoretical support for the development of new raw materials in the natural food, medicine, and skin care industries.

Polyethyleneimine-functionalized PdOs bimetallene for enhanced oxygen reduction.

Herein, we propose the fabrication of polyethyleneimine-functionalized PdOs bimetallene (PdOs@PEI bimetallene) for the alkaline oxygen reduction reaction (ORR) via a wet-chemical method. The PdOs@PEI bimetallene has an ultra-thin and curved nanosheet structure that is conducive to providing more active sites and high conductivity and the bimetallic composition and PEI modification can tailor the electronic structure of PdOs bimetallene, leading to enhanced oxygen adsorption energy. Therefore, the PdOs@PEI bimetallene exhibits superior ORR activity, stability and durability to commercial Pt/C, highlighting the important role of the modified nitrogen-containing polymers in the enhancement of ORR performance.