Predictive value of metabolism and its heterogeneity parameters measured by preoperative 18 F-FDG PET/CT for mediastinal occult lymph node metastasis in cN0 lung invasive adenocarcinoma.

OBJECTIVE: To explore the potential of intratumoral metabolism and its heterogeneous parameters, as measured by preoperative fluorine-18-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) imaging, to predict mediastinal occult lymph node metastasis in cN0 lung invasive adenocarcinoma. SUBJECTS AND METHODS: Seventy five patients were consecutively enrolled from January 2018 to December 2022. All patients underwent 18F-FDG PET/CT scans within two weeks before surgery, and had mediastinal lymph node metastasis confirmed by pathologic diagnosis after surgery. Metabolic parameters including the maximum standardized uptake value (SUVmax), mean SUV (SUVmean), maximum average SUV (SUVpeak), tumor metabolic volume (MTV), and metabolic heterogeneity (HF) were measured. The relationship between primary focal metabolism, its heterogeneity parameters, and occult mediastinal lymph node metastasis was analyzed using an independent-sample t-test, analysis of covariance, and Mann-Whitney U test. A multivariate logistic regression model was used to analyze independent risk factors for mediastinal lymph node metastasis, while the receiver operating characteristic (ROC) curve assessed the predictive value of metabolic heterogeneity parameters for mediastinal occult lymph node metastasis. RESULTS: A total of 20 out of 75 patients (26.7%) were pathologically confirmed to have mediastinal lymph node metastasis. Analysis of covariance showed that the SUVmax, SUVmean, SUVpeak and MTV were significantly higher in patients with metastasis than in those without (all P<0.05). The metabolic heterogeneity parameters HF2 and HF3 were significantly higher in patients with mediastinal lymph node metastasis than in those without (P=0.013, 0.001), but not HF1. Multivariate Logistic regression analysis identified that tumor size, SUVmax, SUVpeak, lymph node SUVmax, and HF2 of the primary tumor as independent risk factors for mediastinal lymph node metastasis. Metabolic heterogeneity 3 demonstrated high predictive value for mediastinal occult lymph node metastasis (AUC=0.720, P=0.004). CONCLUSION: Metabolism and heterogeneity, as measured by preoperative 18F-FDG PET/CT in lung invasive adenocarcinoma, potentially have clinical value for predicting mediastinal occult lymph node metastasis.

Global, regional and national burden of Glaucoma: an update analysis from the Global Burden of Disease Study 2019.

PURPOSE: As the epidemiological and burden trends of glaucoma are changing, it is extremely necessary to re-investigate geographical differences and trends. Here we use data from the 2019 Global burden of Disease, which aims to report the prevalence and disability-adjusted life years of glaucoma injury to assess the latest epidemiological models and trends from 1990 to 2019. METHOD: Annual case numbers, age-standardized rates of prevalence, DALYs, and their estimated annual percentage changes (EAPCs) for glaucoma between 1990 and 2019 were derived from the GBD 2019 study. The relationship between glaucoma disease burden and social demographic index (SDI) was also investigated in this study. RESULTS: In 2019, there were 7.47 million prevalent cases and 0.75 million DALYs cases, which increased by 92.53% and 69.23% compared with 1990 respectively. The global age-standardized rate of prevalence (ASPR) and age-standardized rate of DALYs (ASDR) decreased during 1990-2019 (EAPC = - 0.55 and - 1, respectively). In 2019, the highest ASPR and ASDR of Glaucoma were all observed in Mali, whereas the lowest occurred in Taiwan (Province of China). In terms of gender, males were more likely to suffer from glaucoma than females, especially the elderly. CONCLUSIONS: The global prevalence and DALYs of glaucoma had an absolute increase during the past 30 years. The disease burden caused by glaucoma is closely related to socioeconomic level, age, gender, and other factors, and these findings provide a basis for policymakers from the perspective of social management.

Highly Processable Covalent Organic Framework Gel Electrolyte Enabled by Side-Chain Engineering for Lithium-Ion Batteries.

Although covalent organic frameworks (COFs) with a graphene-like structure present unique chemical and physical properties, they are essentially insoluble and infusible crystalline powders with poor processability, hindering their further practical applications. How to improve the processability of COF materials is a major challenge in this field. In this contribution, we proposed a general side-chain engineering strategy to construct a gel-state COF with high processability. This method takes advantages of large and soft branched alkyl side chains as internal plasticizers to achieve the gelation of the COF. We systematically studied the influence of the length of the side chain on the COF gel formation. Benefitting from their machinability and flexibility, this novel COF gel can be easily processed into gel-type electrolytes with specific shape and thickness, which were further applied to assemble lithium-ion batteries that exhibited high cycling stability.

Encapsulating NH4Br in a metal organic framework: achieving remarkable proton conduction in a wide relative humidity range.

Proton-conducting materials are key components for constructing high-energy-density electronic devices. In this work, by accumulating NH4Br into the nanospace of the classical metal organic framework MIL-101-Cr, a proton conductivity as high as 1.53 × 10-1 S cm-1 was achieved at 363 K and 100% RH. The proton conduction of NH4Br@MIL-101-Cr was also high even at lower relative humidity; for instance, it was ∼10-2 S cm-1 at 75% RH. The activation energy was calculated to be 0.11 eV for NH4Br@MIL-101-Cr, indicative of tight H-bond networks and a low barrier to proton transfer, and confirming the occurrence of pure proton conduction as well.

Host-Guest Assembly of H-Bonding Networks in Covalent Organic Frameworks for Ultrafast and Anhydrous Proton Transfer.

An anhydrous proton conductor represents a key material for the manufacture of high-energy electrical devices. Incorporation of proton carriers into the vacancies of the porous solid provides an effective method for their preparation, but the weak or even no interactions between the ion carriers and the porous solids causing a serious leaking of ion carriers result in trade-off of long-term conductivity. In this term, we developed a host-guest supramolecular chemistry-induced strategy to assemble hydrogen bond networks along the 1D nanochannels of covalent organic frameworks (COFs) for ultrafast and anhydrous proton transfer (1.33 × 10-2 S cm-1 at 140 °C). Solid-state NMR was applied to explore guest interaction between protic ionic liquids (PILs) and the COFs to investigate the proton transport mechanism. This work presents an excellent example of accumulation of PILs into the nanochannels of COFs for anhydrous proton conduction at high temperature, demonstrating great advantages of COFs to serve as a supramolecular host for holding/transiting ions in the solid state.

Conjugated Microporous Polymer with C≡C and C-F Bonds: Achieving Remarkable Stability and Super Anhydrous Proton Conductivity.

Introducing nonvolatile liquid acids into porous solids is a promising solution to construct anhydrous proton-conducting electrolytes, but due to weak coordination or covalent bonds building these solids, they often suffer from structural instability in acidic environments. Herein, we report a series of steady conjugated microporous polymers (CMPs) linked by robust alkynyl bonds and functionalized with perfluoroalkyl groups and incorporate them with phosphoric acid. The resulting composite electrolyte exhibits high anhydrous proton conductivity at 30-120 °C (up to 4.39 × 10-3 S cm-1), and the activation energy is less than 0.4 eV. The excellent proton conductivity is attributed to the hydrophobic pores that provide nanospace for continuous proton transport, and the hydrogen bonding between phosphoric acid and perfluoroalkyl chains of CMPs promotes short-distance proton hopping from one side to the other.