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The consumption of synthetic polymers has ballooned; so has the amount of post-consumer waste generated. The current polymer economy, however, is largely linear with most of the post-consumer waste being either landfilled or incinerated. The lack of recycling, together with the sizable carbon footprint of the polymer industry, has led to major negative environmental impacts. Over the past few years, chemical recycling technologies have gained significant traction as a possible technological route to tackle these challenges. In this regard, olefin metathesis, with its versatility and ease of operation, has emerged as an attractive tool. Here, we discuss the developments in olefin-metathesis-based chemical recycling technologies, including the development of new materials and the application of olefin metathesis to the recycling of commercial materials. We delve into structure-reactivity relationships in the context of polymerization-depolymerization behavior, how experimental conditions influence deconstruction outcomes, and the reaction pathways underlying these approaches. We also look at the current hurdles in adopting these technologies and relevant future directions for the field.
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BACKGROUND: ROS1 fusion-positive (ROS1+) nonsmall cell lung cancer (NSCLC) patients are highly sensitive to tyrosine kinase inhibitor (TKI) treatments. However, acquired TKI resistance remains the major hurdle preventing patients from experiencing prolonged benefits. METHODS: 107 advanced or metastatic ROS1+ NSCLC patients who progressed on crizotinib and lorlatinib were recruited. Tissue and plasma samples were collected at baseline (N = 50), postcrizotinib (N = 91), and postlorlatinib (N = 21), which were all subject to the 139-gene targeted next-generation DNA sequencing. Molecular dynamics modeling was performed to investigate the effects of ROS1 mutations on binding to different TKIs. RESULTS: In patients with postcrizotinib and postlorlatinib samples, an accumulation of on- and off-target resistance alterations after multiple TKI treatments was observed. ROS1 G2032R and MET amplification were the most common on-target and off-target alterations, respectively. Patients with CD74-ROS1 and SLC34A2-ROS1 had longer progression-free survival (PFS) (P < 0.001) and higher rates of resistance mutations (on-target, P = 0.001; off-target, P = 0.077) than other ROS1 fusion variants following crizotinib treatment. Ten distinct on-target resistance mutations were detected after TKI therapies, of which 4 were previously unreported (ROS1 L2010M, G1957A, D1988N, L1982V). Molecular dynamics simulations showed that all 4 mutations were refractory to crizotinib, while G1957A, D1988N, and L1982V were potentially sensitive to lorlatinib and entrectinib. CONCLUSIONS: This study provided a comprehensive portrait of TKI-resistance mechanisms in ROS1+ NSCLC patients. Using in silico simulations of TKI activity, novel secondary mutations that may confer TKI resistance were identified and may support clinical therapeutic decision-making.
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Aminopiridinas , Carcinoma Pulmonar de Células não Pequenas , Lactamas , Neoplasias Pulmonares , Pirazóis , Humanos , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Carcinoma Pulmonar de Células não Pequenas/genética , Carcinoma Pulmonar de Células não Pequenas/patologia , Crizotinibe/uso terapêutico , Crizotinibe/farmacologia , Proteínas Tirosina Quinases/genética , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/genética , Neoplasias Pulmonares/patologia , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas/metabolismo , Proteínas Proto-Oncogênicas/farmacologia , Inibidores de Proteínas Quinases/farmacologia , Inibidores de Proteínas Quinases/uso terapêutico , Lactamas Macrocíclicas/farmacologia , Lactamas Macrocíclicas/uso terapêutico , Resistencia a Medicamentos Antineoplásicos/genéticaRESUMO
BACKGROUND: Metagenomic next-generation sequencing (mNGS) excels in diagnosis of infection pathogens. We aimed to evaluate the performance of mNGS for the diagnosis of Pneumocystis jirovecii pneumonia (PJP) in non-HIV infected children. METHODS: Totally 36 PJP children and 61 non-PJP children admitted to the pediatric intensive care unit from March 2018 to December 2021 were retrospectively enrolled. Clinical features of PJP children were summarized. 1,3-ß-D glucan (BDG) test and bronchoalveolar lavage fluid (BALF) mNGS were used for evaluation of PJP diagnostic performance. Antimicrobial management modifications for PJP children after the mNGS results were also reviewed. RESULTS: Pneumocystis jirovecii was detected in all PJP children by mNGS (36/36), and the sensitivity of mNGS was 100% (95% confidence interval [CI]: 90.26-100%). The sensitivity of BDG was 57.58% (95% CI: 39.22-74.52%). Of the 26 (72.2%) PJP patients with mixed infection, twenty-four (66.7%) were detected by BALF-mNGS. Thirteen patients (36.1%) had their antimicrobial management adjusted according to the mNGS results. Thirty-six PJP children included 17 (47.2%) primary immunodeficiency and 19 (52.8%) secondary immunodeficiency, of whom 19 (52.8%) survived and 17 (47.2%) died. Compared to survival subgroup, non-survival subgroup had a higher rate of primary immunodeficiency (64.7% vs. 31.6%, P = 0.047), younger age (7 months vs. 39 months, P = 0.011), lower body weight (8.0 kg vs. 12.0 kg, P = 0.022), and lower T lymphocyte counts. CONCLUSIONS: The mortality rate of PJP in immunosuppressed children without HIV infection is high and early diagnosis is challenging. BALF-mNGS could help identify PJP and guide clinical management.
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Líquido da Lavagem Broncoalveolar , Sequenciamento de Nucleotídeos em Larga Escala , Metagenômica , Pneumocystis carinii , Pneumonia por Pneumocystis , Humanos , Pneumonia por Pneumocystis/diagnóstico , Pneumonia por Pneumocystis/tratamento farmacológico , Pneumonia por Pneumocystis/mortalidade , Estudos Retrospectivos , Masculino , Feminino , Pré-Escolar , Pneumocystis carinii/isolamento & purificação , Pneumocystis carinii/genética , Líquido da Lavagem Broncoalveolar/microbiologia , Lactente , Criança , Metagenômica/métodos , beta-Glucanas , Unidades de Terapia Intensiva PediátricaRESUMO
Cancer is one of the leading causes of death in the world. Various drugs have been developed to eliminate it but to no avail because a tumor can go into dormancy to avoid therapy. In the past few decades, tumor dormancy has become a popular topic in cancer therapy. Recently, there has been an important breakthrough in the study of tumor dormancy. That is, cancer cells can enter a reversible drug-tolerant persister (DTP) state to avoid therapy, but no exact mechanism has been found. The study of the link between the DTP state and diapause seems to provide an opportunity for a correct understanding of the mechanism of the DTP state. Completely treating cancer and avoiding dormancy by targeting the expression of key genes in diapause are possible. This review delves into the characteristics of the DTP state and its connection with embryonic diapause, and possible treatment strategies are summarized. The authors believe that this review will promote the development of cancer therapy.
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Diapausa , Neoplasias , Animais , Humanos , Neoplasias/tratamento farmacológicoRESUMO
BACKGROUND: Squamous cell carcinoma (SCC) and adenocarcinoma (AC) of the uterine cervix have distinct biological behaviors and different treatment responses. Studies on immune features and genomic profiling of these two pathologic types were limited and mainly focused on small patient cohorts. METHODS: From 2014 to 2021, 336 (254 SCC vs. 82 AC) cervical cancer patients who were diagnosed/treated in 7 medical centers in China were enrolled in the study. Next-generation sequencing of 425 cancer-relevant genes was performed on tumor tissues and liquid biopsies. Somatic alterations and immune response-related biomarkers were analyzed. Patient prognosis and immune infiltration were analyzed using data from The Cancer Genome Atlas (TCGA). RESULTS: AC tended to have more immunotherapy resistance-related STK11 alterations (P = 0.039), a higher proportion of microsatellite instability (P = 0.21), and more actionable mutations (P = 0.161). In contrast, higher tumor mutational burdens (TMB; P = 0.01), a higher proportion of TMB-high patients (P = 0.016), and more PD-L1-high patients (P = 0.0013) were observed in SCC. Multiple genetic alterations and aberrant signaling pathways were specifically enriched in AC (e.g., TP53, KRAS, ERBB2, and ARID1A alterations) or SCC (e.g., PIK3CA, FBXW7, EP300, and BAP1 mutations). Notably, AC-enriched genetic changes were significantly associated with decreased infiltrations of various B cells, T cells, and dendritic cells, whereas SCC-associated molecular features tended to be associated with increased CD4+ T cell infiltrations. CONCLUSIONS: This was the first multi-center study revealing the immunologic and genomic features between SCC and AC in Chinese patients with cervical cancer. Our findings have illustrated the difference in genetic profiles of those two cervical cancer subtypes, which may suggest the possibility of differential treatment regimens, with better immunotherapy efficacy in SCC and targeted therapy options more favorable in AC.
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Adenocarcinoma , Carcinoma de Células Escamosas , Neoplasias do Colo do Útero , Feminino , Humanos , Adenocarcinoma/genética , Adenocarcinoma/imunologia , Adenocarcinoma/patologia , Biomarcadores , Carcinoma de Células Escamosas/genética , Carcinoma de Células Escamosas/imunologia , Carcinoma de Células Escamosas/patologia , População do Leste Asiático , Perfil Genético , Mutação , Neoplasias do Colo do Útero/genética , Neoplasias do Colo do Útero/imunologia , Neoplasias do Colo do Útero/patologiaRESUMO
Tumor-infiltrating lymphocytes (TILs) offer a key for morphological diagnosis of lymphoepithelioma-like carcinoma (LELC) and are the foundation of oncoimmunology. To date, no reports have found a specific risk stratification value of TILs and related it to genomic variation in LELC. Based on the stromal TILs (str-TILs) ratio, we classified 105 Epstein-Barr virus (EBV)-associated LELC cases into two subtypes: patients with ≥60% str-TILs area ratio in tumor were classified as subtype I, and otherwise as subtype II. Subtype I patients had significantly better progression-free survival (PFS) and overall survival (OS). We also explored the genomic characteristics of EBV-associated LELC within different involved organs. We performed whole-exome sequencing for 51 patients with enough tissue and analyzed the genomic characteristics of EBV-associated LELC. Overall, EBV-associated LELCs were characterized by a low somatic mutation rate and copy number variations; the enriched genetic lesions affected RTK-RAS, PI3K, and cell cycle pathways. Moreover, EBV-associated LELCs from different organs were more similar to each other genetically as compared with other traditional carcinomas of the same sites-as evidenced by unsupervised clustering based on the quantitative data from both mutation signature and chromosomal aneuploidies. Notably, EBV-associated LELC patients with oncogenic driver alterations showed a worse prognosis compared with patients without such alterations. © 2022 The Pathological Society of Great Britain and Ireland.
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Carcinoma de Células Escamosas , Infecções por Vírus Epstein-Barr , Variações do Número de Cópias de DNA , Infecções por Vírus Epstein-Barr/complicações , Infecções por Vírus Epstein-Barr/genética , Genômica , Herpesvirus Humano 4/genética , Humanos , Linfócitos do Interstício TumoralRESUMO
Chemical recycling to monomer (CRM) is a promising route for transitioning to a circular polymer economy. To develop new CRM systems with useful properties, it is important to understand the effects of monomer structure on polymerization/depolymerization behavior. In earlier work, this group demonstrated chemically recyclable polymers prepared by ring-opening metathesis polymerization of trans-cyclobutane fused cyclooctenes (tCBCO). Here, it is investigated how different substituents on cyclobutane impact the thermodynamics and thermal properties of tCBCO polymers. Introducing additional substituents to a cis-diester functionalized tCBCO is found to favor the conversion of polymerization; increased polymerization conversion is also observed when the cis-diester is isomerized into its trans counterpart. The effects of these structural features on the thermal properties are also studied. These findings can provide important insights into designing next-generation CRM polymers.
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Ciclobutanos , Termodinâmica , Polimerização , Ciclo-Octanos , Polímeros/químicaRESUMO
This paper focuses on motion planning for mobile manipulators, which includes planning for both the mobile base and the manipulator. A hierarchical motion planner is proposed that allows the manipulator to change its configuration autonomously in real time as needed. The planner has two levels: global planning for the mobile base in two dimensions and local planning for both the mobile base and the manipulator in three dimensions. The planner first generates a path for the mobile base using an optimized A* algorithm. As the mobile base moves along the path with the manipulator configuration unchanged, potential collisions between the manipulator and the environment are checked using the environment data obtained from the on-board sensors. If the current manipulator configuration is in a potential collision, a new manipulator configuration is searched. A sampling-based heuristic algorithm is used to effectively find a collision-free configuration for the manipulator. The experimental results in simulation environments proved that our heuristic sampling-based algorithm outperforms the conservative random sampling-based method in terms of computation time, percentage of successful attempts, and the quality of the generated configuration. Compared with traditional methods, our motion planning method could deal with 3D obstacles, avoid large memory requirements, and does not require a long time to generate a global plan.
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The outbreak of the COVID-19 epidemic is a reminder that aerosols have important health effects as a potential route for disease transmission. Biological components in aerosols (especially PM2.5 ) may pose potential threats to humans as pathogens and allergens. Research on PM2.5 and biological components currently focuses mainly on polluted conditions, with less emphasis on clean environments. Sampling has also been primarily based on a single point with a lack of data at different positions. In this study, a modified fluorescein diacetate hydrolysis method was used to measure microbial activity in PM2.5 at different altitudes over a year in Beijing, China. A high-throughput sequencing method was used to study the microbial community. Results showed that microbial activity 1.5 m (0.0465 ng m-3 ) above the ground was higher than 31.5 m (0.0348 ng m-3 ). There was higher microbial activity at both heights during spring. Furthermore, a positive correlation was observed between microbial activity and relative abundance of dominant species. Microbial activity increased during autumn and winter increased alongside the pollution level, but in spring higher levels of microbial activity were observed in excellent or good weather conditions. The results from this study are valuable for further research regarding the biological components of atmospheric PM, the prevention of biological pollution, and establishing a comprehensive air quality evaluation system.
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Poluentes Atmosféricos , Poluição do Ar , COVID-19 , Poluentes Atmosféricos/análise , Alérgenos , Atmosfera , Pequim , China , Monitoramento Ambiental/métodos , Humanos , Material Particulado/análise , Aerossóis e Gotículas Respiratórios , Estações do AnoRESUMO
Ceria is widely used as a catalyst for soot combustion, but effects of Zr substitution on the reaction mechanism is ambiguous. The present work elucidates effects of Zr substitution on soot combustion over cubic fluorite-structured nanoceria. The nanostructured CeO2, Ce0.92Zr0.08O2, and Ce0.84Zr0.16O2 composed of 5-6 nm crystallites display Tm-CO2 (the temperature at maximum CO2 yield) at 383, 355, and 375°C under 10 vol.% O2/N2, respectively. The size of agglomerate decreases from 165.5 to 51.9-57.3 nm, which is beneficial for the soot-ceria contact. Moreover, Zr increases the amount of surface oxygen vacancies, generating more active oxygen (O2- and O-) for soot oxidation. Thus, the activities of Ce0.92Zr0.08O2 and Ce0.84Zr0.16O2 in soot combustion are better than that of CeO2. Although oxygen vacancies promote the migration of lattice O2-, the enriched surface Zr also inhibits the mobility of lattice O2-. Therefore, the Tm-CO2 of Ce0.84Zr0.16O2 is higher than that of Ce0.92Zr0.08O2. Based on reaction kinetic study, soot in direct contact with ceria preferentially decomposes with low activation energy, while the oxidation of isolated soot occurs through diffusion with high activation energy. The obtained findings provide new understanding on the soot combustion over nanoceria.
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Cério , Fuligem , Catálise , OxigênioRESUMO
While depolymerizable polymers have been intensely pursued as a potential solution to address the challenges in polymer sustainability, most depolymerization systems are characterized by a low driving force in polymerization, which poses difficulties for accessing diverse functionalities and architectures of polymers. Here, we address this challenge by using a cyclooctene-based depolymerization system, in which the cis-to-trans alkene isomerization significantly increases the ring strain energy to enable living ring-opening metathesis polymerization at monomer concentrations ≥0.025â M. An additional trans-cyclobutane fused at the 5,6-position of the cyclooctene reduces the ring strain energy of cyclooctene, enabling the corresponding polymers to depolymerize into the cis-cyclooctene monomers. The use of excess triphenylphosphine was found to be essential to suppress secondary metathesis and depolymerization. The high-driving-force living polymerization of the trans-cyclobutane fused trans-cyclooctene system holds promise for developing chemically recyclable polymers of a wide variety of polymer architectures.
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Recent studies have reported an increasing incidence of ischemic stroke, particularly in younger age groups. Dental pulp stem cells (DPSCs) and periodontal ligament stem cells (PDLSCs) are the most common stem cells acquired from the teeth of adults, even elderly people. However, there are no detailed reports on whether DPSCs or PDLSCs are suitable for the treatment of ischemic stroke. In this study, the in vitro differentiation of DPSCs and PDLSCs into neuron-like cells was evaluated. Then, we established a rat model of cerebral ischemia. DPSCs or PDLSCs were administered to animals, and the therapeutic effects of these two types of cells were investigated. The results showed that PDLSCs had a higher differentiation rate than DPSCs. Immunofluorescence studies showed that the expression of the neuronal differentiation marker Thy-1 was higher in PDLSCs than in DPSCs, and other gene markers of neuronal differentiation showed corresponding trends, which were confirmed by western blot analysis. In this process, the Notch and Wnt signaling pathways were inhibited and activated, respectively. Finally, rats with transient occlusion of the right middle cerebral artery were used as a model to assess the therapeutic effect of PDLSCs and DPSCs on ischemia. The results showed that rats in the PDLSC-treated group emitted significantly greater red fluorescence signal than the DPSC-treated group. PDLSC transplantation promoted the recovery of neurological function more effectively than DPSC transplantation. Hence, PDLSCs represent an autogenous source of adult mesenchymal stem cells with desirable biological properties and may be an ideal candidate for clinical applications.
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Isquemia Encefálica , Diferenciação Celular , Polpa Dentária/metabolismo , Neurônios/metabolismo , Ligamento Periodontal/metabolismo , Transplante de Células-Tronco , Células-Tronco/metabolismo , Animais , Isquemia Encefálica/metabolismo , Isquemia Encefálica/patologia , Isquemia Encefálica/terapia , Polpa Dentária/patologia , Modelos Animais de Doenças , Xenoenxertos , Humanos , Masculino , Neurônios/patologia , Ligamento Periodontal/patologia , Ratos , Ratos Sprague-Dawley , Células-Tronco/patologiaRESUMO
Acid-base reactivity is a key factor for understanding the interfacial geochemistry of clay minerals. Numerous studies showed the significant role of surface acidity of clay minerals in the geological processes and environmentally related applications. In this work, montmorillonite (Mt) was pillared by polycations of Keggin-Al13 and Keggin-Al30. Arrangement models of Keggin-Al13 and Keggin-Al30 in the interlayer region of Mt were put forward based on the chemical composition analysis, the structural formula calculation of Mt, and the results of powder X-ray diffraction. Ammonia temperature-programmed desorption and diffuse reflectance Fourier transform infrared methods were applied to explore the impacts of pillaring by polycations (Keggin-Al13 and Keggin-Al30) on the surface acidic characteristics of Mt. Results demonstrated that one Keggin-Al30 polycation can affect an area of 9.5 unit cells (from two layers, with 4.7-4.8 unit cells in each layer) in Mt, whereas a Keggin-Al13 polycation controls an area of 7.1 unit cells (from two layers, with 3.5-3.6 unit cells in each layer). Pillaring by polycations could lead to a lot of surface acid sites (1.33 mmol NH3/g) on Mt with the main type of Bronsted acid sites. The increase of surface acid sites on both Keggin-Al13-pillared Mt (Al13-PILM) and Keggin-Al30-pillared Mt (Al30-PILM) is attributed to the high positive charge and high content of aluminum per unit of polycation, which affects the formation of Bronsted acid sites and structural changes of Mt layers. Catalytic oxidation of toluene provided evidence for the high catalytic activity of Al30-PILM under much lower temperature at 78 °C compared with that of Al13-PILM and Mt at 207 and 285 °C, respectively. The basic finding in this study not only reveals the possible sources of abundant micropores and mesopores in the micro/mesoporous materials of Al13-PILM and Al30-PILM but also provides a reasonable mechanism for the formation of abundant Bronsted surface acid sites on these two types of pillared materials. The novel Al30-PILM with an excellent micro/mesoporous structure and extremely high thermal stability also exhibits a potential ability in the application of heterogeneous acid catalysis.
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This study employed microwave-assisted hydrothermal method to synthesize Ti-MCM-41, which are mesoporous materials with a high surface area and excellent photocatalytic ability. Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), transmission electron microscopy (TEM), and ultraviolet-visible spectroscopy (UV-Vis) were employed. The XRD findings showed that Ti-MCM-41 exhibited a peak at 2θ of 2.2°, which was attributed to the hexagonal MCM-41 structure. The BET (Brunauer-Emmett-Teller) results agreed with the TEM findings that Ti-MCM-41 has a pore size of about 3-5nm and a high surface area of 883m(2)/g. FTIR results illustrated the existence of Si-O-Si and Si-O-Ti bonds in Ti-MCM-41. The appearance of Ti 2p peaks in the XPS results confirmed the FTIR findings that the Ti was successfully doped into the MCM-41 structure. Zeta (ζ)-potential results indicated that the iso-electric point (IEP) of Ti-MCM-41 was at about pH3.02. In this study, the photocatalytic degradation of oxytetracycline (OTC) at different pH was investigated under Hg lamp irradiation (wavelength 365nm). The rate constant (K'obs) for OTC degradation was 0.012min(-1) at pH3. Furthermore, TOC (total organic carbon) and high resolution LC-MS (liquid chromatography-mass spectrometry) analyses were conducted to elucidate the possible intermediate products and degradation pathway for OTC. The TOC removal efficiency of OTC degradation was 87.0%, 74.4% and 50.9% at pH3, 7 and 10, respectively. LC-MS analysis results showed that the degradation products from OTC resulted from the removal of functional groups from the OTC ring.
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Micro-Ondas , Oxitetraciclina/química , Dióxido de Silício/química , Titânio/química , Microscopia Eletrônica de Transmissão , Modelos Químicos , Processos Fotoquímicos , Espectroscopia Fotoeletrônica , Espectroscopia de Infravermelho com Transformada de Fourier , Difração de Raios XRESUMO
This study reviews the latest progress on the research of electrical stimulationï¼ESï¼ in peripheral nerve regeneration, summarizes the parameters in preclinical experiments and discusses the effect on nerve regeneration. A detailed description is given in the study of conditioning electrical stimulation and nerve conduit scaffolding technology combined with ES, which have been hotly researched in recent years.
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Estimulação Elétrica , Regeneração Nervosa , Nervos Periféricos , Estimulação Elétrica/métodos , Nervos Periféricos/fisiologia , Animais , Traumatismos dos Nervos Periféricos/terapia , Humanos , Alicerces Teciduais , Terapia por Estimulação Elétrica/métodosRESUMO
Bismuth telluride (Bi2Te3) is the only commercial thermoelectric material so far, and it is also the best thermoelectric material with the best performance at room temperature. However, up to now, the zT value of n-type materials used on a large scale is only about 1.0; this makes the thermoelectric conversion efficiency of thermoelectric devices and thermoelectric applications stagnant. Therefore, under the synergistic action of BiI3 and In, the properties of n-type Bi2Te2.7Se0.3 material are improved. The experiments show that BiI3, which is nontoxic and non-absorbent, can effectively improve the power factor of the material and inhibit the bipolar effect and is an effective dopant. After the inclusion of In, due to the low bond energy of the In-Te bond, it is easy to form the InTe phase in the matrix material and then introduce the second phase, and the presence of the second phase in the material will scatter phonons and reduce the lattice thermal conductivity so that it can reach 0.31 W m-1 K-1 at 350 K. Ultimately, a high maximum zT of 1.20 at 325 K and a remarkable average zT of 1.04 (300-500 K) are attained in the In0.005Bi1.995Te2.7Se0.3 + 0.13 wt % BiI3 sample.
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Objective:To summarize the results of different facial nerve management modalities applied to tumor resection in the jugular foramen region. Methods:The clinical data of 54 patients with tumors in the jugular foramen region who underwent surgery from January 2015 to March 2023 were retrospectively analyzed: 18 males and 36 females; Age ranges from 21 to 67 years, with an average age of 44.4 years; and median follow-up time: 12 months. The House-Brackmannï¼HBï¼ grading system was applied to assess the patients' facial nerve function before surgery, 1-2 weeks after surgery and at the final follow-up ï¼HBâ -â ¡ grade for good functionï¼: 42 cases with preoperative HB grades â -â ¡; partial facial nerve transpositionï¼9 casesï¼, complete facial nerve transpositionï¼28 casesï¼, and facial nerve excision and re-constructionï¼17 casesï¼ were used, respectivelyï¼stage â or â ¡ï¼. Relevant factors affecting postoperative facial nerve function were analyzed. Results:Postoperative pathology confirmed 39 cases of paraganglioma, 9 cases of nerve sheath tumor, 3 cases of meningioma, and 1 case each of fibromucinous sarcoma, chondrosarcoma, and intravascular myofibroma. Facial nerve function after partial facial nerve transposition was HB grade â -â ¡ in 89%ï¼8/9ï¼; after complete facial nerve transposition was HB grade â -â ¡ in 86%ï¼24/28ï¼ in 28 cases; after facial nerve severance and reconstruction was HB grade â -â ¡ in 2/7ï¼Stage â ï¼ and 0/3ï¼Stage â ¡ï¼, respectively. Tumor size and surgical approach were correlated with postoperative facial nerve function in patients with facial nerve transpositionï¼P<0.05ï¼. There was no statistically significant difference in facial nerve function after complete and partial facial nerve transpositionï¼P>0.05ï¼. Conclusion:Intraoperative stretching of the facial nerve may be an important factor affecting facial nerve function during surgical treatment of tumors in the jugular venous foramen region; for patients with facial nerve dissection, facial nerve reconstruction should be adopted according to the situation, aiming at the recovery of facial nerve function.
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Nervo Facial , Forâmen Jugular , Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Adulto , Nervo Facial/cirurgia , Estudos Retrospectivos , Idoso , Forâmen Jugular/cirurgia , Adulto Jovem , Meningioma/cirurgia , Paraganglioma/cirurgia , Período Pós-OperatórioRESUMO
Anterior cruciate ligament (ACL) tear is a common sports-related injury, and cartilage injury always emerges as a serious complication following ACL tear, significantly impacting the physical and psychological well-being of affected individuals. Over the years, efforts have been directed toward finding strategies to repair cartilage injury after ACL tear. In recent times, procyanidins, known for their anti-inflammatory and antioxidant properties, have emerged as potential key players in addressing this concern. This article focuses on summarizing the research progress of procyanidins in repairing cartilage injury after ACL tear. It covers the roles, mechanisms, and clinical significance of procyanidins in repairing cartilage injury following ACL tear and explores the future prospects of procyanidins in this domain. This review provides novel insights and hope for the repair of cartilage injury following ACL tear.