Background:This study assessed the frequency of changes in some key receptor status of tumors after neoadjuvant chemotherapy(NAC)in patients with invasive breast cancer and the prognostic impact of these changes.Metho...Background:This study assessed the frequency of changes in some key receptor status of tumors after neoadjuvant chemotherapy(NAC)in patients with invasive breast cancer and the prognostic impact of these changes.Methods:This study included 300 patients diagnosed with invasive breast cancer who were treated with both NAC and surgery between 2012 and 2021.The hormone receptor(HR)and human epidermal growth factor receptor 2(HER2)levels were measured before and after NAC.The prognostic impact of receptor conversion was also evaluated in patients receiving NAC,by using the Kaplan-Meier method and Cox proportional hazards models as statistical methods.Results:The conversion rate of estrogen receptor–positive(ER^(+))to ER-negative(ER^(-))was similar to that of ER^(-)to ER^(+)(9.2%and10.9%,respectively).The proportion of HR^(-)to HR^(+)was remarkably higher than that of HR^(+)to HR^(-)(14.8%vs 9.2%,respectively).The change from HER2^(+)to HER2^(-)was significantly more frequently than that from HER2^(-)to HER2^(+)(20.3%vs 6%,respectively).Patients with ER and HR status changes from(-)to(+)after NAC had significantly worse recurrence-free survival(RFS)and overall survival(OS)than those in the other 3 groups(ER^(-)to ER^(+):RFS:p=0.002,OS:p<0.001;HR^(-)to HR^(+):RFS:p=0.003,OS:p<0.001).The 4 HER2 conversion subgroups were not significantly associated with RFS or OS.Conclusions:This study demonstrated a discordance in HR status after NAC and identified predictors of conversion.Patients whose HR status switched to positive after NAC had the worst 3-year RFS and OS rates.展开更多
Hybrid entangled states are crucial in quantum physics,offering significant benefits for hybrid quantum communication and quantum computation,and then the conversion of hybrid entangled states is equally critical.This...Hybrid entangled states are crucial in quantum physics,offering significant benefits for hybrid quantum communication and quantum computation,and then the conversion of hybrid entangled states is equally critical.This paper presents two novel schemes,that is,one converts the two-qubit hybrid Knill–Laflamme–Milburn(KLM)entangled state into Bell states and the other one transforms the three-qubit hybrid KLM state into Greenberger–Horne–Zeilinger(GHZ)states assisted by error-predicted and parity-discriminated devices.Importantly,the integration of single photon detectors into the parity-discriminated device enhances predictive capabilities,mitigates potential failures,and facilitates seamless interaction between the nitrogen-vacancy center and photons,so the two protocols operate in an error-predicted way,improving the experimental feasibility.Additionally,our schemes demonstrate robust fidelities(close to 1)and efficiencies,indicating their feasibility with existing technology.展开更多
BACKGROUND Surgical resection and liver transplantation(LT)are the most effective curative options for hepatocellular carcinoma(HCC).However,few patients with huge HCC(>10 cm in diameter),especially those with port...BACKGROUND Surgical resection and liver transplantation(LT)are the most effective curative options for hepatocellular carcinoma(HCC).However,few patients with huge HCC(>10 cm in diameter),especially those with portal vein tumor thrombus(PVTT),can receive these treatments.Selective internal radiation therapy(SIRT)can be used as a conversion therapy for them because it has the dual benefit of shrinking tumors and increasing residual hepatic volume.However,in patients with huge HCC,high lung absorbed dose often prevents them from receiving SIRT.CASE SUMMARY A 35-year-old man was admitted because of emaciation and pain in the hepatic region for about 1 month.The computed tomography scan showed a 20.2 cm×19.8 cm tumor located in the right lobe–left medial lobes with right portal vein and right hepatic vein invasion.After the pathological type of HCC was confirmed by biopsy,two conversions were presented.The first one was drug-eluting bead transarterial chemoembolization plus hepatic arterial infusion chemotherapy and lenvatinib and sintilimab,converted to SIRT,and the second one was sequential SIRT with continued systemic treatment.The tumor size significantly decreased from 20.2 cm×19.8 cm to 16.2 cm×13.8 cm,then sequentially to 7.8 cm×6.8 cm.In the meantime,the ratio of spared volume to total liver volume increased gradually from 34.4%to 55.7%,then to 62.9%.Furthermore,there was visualization of the portal vein,indicating regression of the tumor thrombus.Finally,owing to the new tumor in the left lateral lobe,the patient underwent LT instead of resection without major complications.CONCLUSION Patients with inoperable huge HCC with PVTT could be converted to SIRT first and accept surgery sequentially.展开更多
In the framework of metaphor theory,this paper tries to research conversions from animal nouns to verbs in English,and aims to help English learners to better understand this language phenomenon.First the paper explor...In the framework of metaphor theory,this paper tries to research conversions from animal nouns to verbs in English,and aims to help English learners to better understand this language phenomenon.First the paper explores the motivations of this language phenomenon,and points out that verbs converted from animal nouns can help enrich the vocabulary,make the expression vivid and concise,and achieve certain pragmatic effects as well.Second,it studies the mechanisms of the conversion by analyzing the mapping process and similarities between two domains.Last it points out the importance of the context and the geographic factor in understanding verbs converted from animal nouns.展开更多
To improve Mixograph testing effect, Farinograph measurements were adopted as a quality standard and changes in water absorption and parameter conversion in Mixograph test were explored. Comparative study showed that ...To improve Mixograph testing effect, Farinograph measurements were adopted as a quality standard and changes in water absorption and parameter conversion in Mixograph test were explored. Comparative study showed that increasing water absorption to about 73% and converting original parameters to compound parameters in Mixograph tests signiifcantly increased their predictive power for lfour quality. These efforts also enabled the adoption of ifxed water addition level in Mixograph test and simpliifed the test procedure signiifcantly. With the success in parameter conversions, Mixograph test results were successful y described by Farinograph parameters, which al ow breeders to compare and exchange test results easily. Al these changes optimized the ofifcial method of Mixograph test with simpliifed procedure and enhanced reliability and made the Mixograph being the superior tool for quality assessment in wheat-breeding programs.展开更多
We present a transmission-type polarization conversion metamaterial(PCM)whose functions can be dynamically switched among the linear-to-circular(LTC)and linear-to-linear(LTL)polarization conversions.The proposed PCM c...We present a transmission-type polarization conversion metamaterial(PCM)whose functions can be dynamically switched among the linear-to-circular(LTC)and linear-to-linear(LTL)polarization conversions.The proposed PCM consists of a grating,a polarization conversion surface and a reconfigurable polarization selective surface incorporated with PIN diodes.By changing the states of diodes,the PCM can achieve the reconfigurable manipulations for incident waves.The Fabry-Pérot(F-P)resonances excited by the PCM contribute to the polarization conversions,as is illustrated.Moreover,through establishing the F-P-like cavity model and analyzing the electric field components of the transmitted waves,the conditions for realizing LTC polarization conversion are revealed,which can guide the construction of PCM.The prototype of PCM is fabricated and measured,which can achieve LTC and LTL polarization conversions within 3.31-3.56 GHz and 2.76-4.24 GHz,respectively,the polarization conversion ratios of two functions are higher than 0.95.The measurement results are in agreement with the simulation data.展开更多
Two undescribed Tricholoma triterpenoids,namely tricholopardins C(1)and D(2),were isolated from the wild mushroom Tricholoma pardinum.Their structures with absolute configurations were elucidated by spectroscopic meth...Two undescribed Tricholoma triterpenoids,namely tricholopardins C(1)and D(2),were isolated from the wild mushroom Tricholoma pardinum.Their structures with absolute configurations were elucidated by spectroscopic methods,as well as the single crystal X-ray diffraction.Compounds 1 and 2 were further obtained by chemical conversions from the known analogues.Compound 1 showed significant cytotoxicity to MCF-7 and Hela cell lines with IC_(50)values of 4.7μM and 9.7μM,respectively.Its mechanism of inducing MCF-7 cell apoptosis was studied briefly.展开更多
Transcranial focused ultrasound is a booming noninvasive therapy for brain stimuli. The Kelvin–Voigt equations are employed to calculate the sound field created by focusing a 256-element planar phased array through a...Transcranial focused ultrasound is a booming noninvasive therapy for brain stimuli. The Kelvin–Voigt equations are employed to calculate the sound field created by focusing a 256-element planar phased array through a monkey skull with the time-reversal method. Mode conversions between compressional and shear waves exist in the skull. Therefore, the wave field separation method is introduced to calculate the contributions of the two waves to the acoustic intensity and the heat source, respectively. The Pennes equation is used to depict the temperature field induced by ultrasound. Five computational models with the same incident angle of 0？and different distances from the focus for the skull and three computational models at different incident angles and the same distance from the focus for the skull are studied. Numerical results indicate that for all computational models, the acoustic intensity at the focus with mode conversions is 12.05%less than that without mode conversions on average. For the temperature rise, this percentage is 12.02%. Besides, an underestimation of both the acoustic intensity and the temperature rise in the skull tends to occur if mode conversions are ignored. However, if the incident angle exceeds 30？, the rules of the over-and under-estimation may be reversed. Moreover,shear waves contribute 20.54% of the acoustic intensity and 20.74% of the temperature rise in the skull on average for all computational models. The percentage of the temperature rise in the skull from shear waves declines with the increase of the duration of the ultrasound.展开更多
The advancement and growth of nanotechnology lead to realizing new and novel multi-metallic nanostructures with well-defined sizes and morphology,resulting in an improvement in their performance in various catalytic a...The advancement and growth of nanotechnology lead to realizing new and novel multi-metallic nanostructures with well-defined sizes and morphology,resulting in an improvement in their performance in various catalytic applications.The trimetallic nanostructured materials are synthesized and designed in different architectures for energy conversion electrocatalysis.The as-synthesized trimetallic nanostructures have found unique physiochemical properties due to the synergistic combination of the three different metals in their structures.A vast array of approaches such as hydrothermal,solvothermal,seedgrowth,galvanic replacement reaction,biological,and other methods are employed to synthesize the trimetallic nanostructures.Noteworthy,the trimetallic nanostructures showed better performance and durability in the electrocatalytic fuel cells.In the present review,we provide a comprehensive overview of the recent strategies employed for synthesizing trimetallic nanostructures and their energy-related applications.With a particular focus on hydrogen evolution,alcohol oxidations,oxygen evolution,and others,we highlight the latest achievements in the field.展开更多
The electrochromic(EC)mechanisms of inorganic materials are usually based on reversible cation insertion/extraction or metal deposition/dissolution,which are plagued by ion trapping and dendrite growth,respectively.In...The electrochromic(EC)mechanisms of inorganic materials are usually based on reversible cation insertion/extraction or metal deposition/dissolution,which are plagued by ion trapping and dendrite growth,respectively.In this paper,a novel conversion-type electrochromic mechanism is proposed,by making good use of the CuI/Cu redox couple.This CuI-based electrochromic system shows a neutral color switching from transparent and dim grey.By simply increasing the bleaching voltage,I_(3)^(-)/I^(-)redox couple can be further activated.The generated I_(3)^(-)will readily react with Cu,effectively improving the conversion reversibility and thereby rejuvenating the degraded electrochromic performance.Thanks to the well-designed electrode and the self-healing ability,this conversion electrochromic system achieves rapid response times(tcoloring:23 s,tbleaching:6 s),decant optical modulation amplitude(26.4%),high coloration efficiency(86.15 cm^(2)·C^(-1)),admirable cyclic durability(without performance degradation after 480 cycles)and excellent optical memory ability(transmittance variation<1%after 10 h open-circuit storage).The establishment of this conversion-type electrochromism may inspire the exploration of novel electrochromic materials and devices.展开更多
The rational construction of heterogeneous interfacial engineering presents a critical strategy for advancing efficient electrochemical water-splitting development.Here,a bimetallic sulfide-coupled MoNi alloy heterost...The rational construction of heterogeneous interfacial engineering presents a critical strategy for advancing efficient electrochemical water-splitting development.Here,a bimetallic sulfide-coupled MoNi alloy heterostructure catalyst(VMoS/MoNi)is synthesized via hydrothermal and sulfidation methods for high-performance alkaline water electrolysis.Benefiting from interfacial coupling within the VMoS/MoNi catalyst,the active sites are enriched,and electron transfer is promoted,leading to enhanced synergy and collaboration in electrocatalytic reactions.As a result,at 10 mA·cm^(-2),the VMoS/MoNi catalyst demonstrates excellent HER(26 mV)and OER(223 mV)performance.VMoS/MoNi catalysts used as double electrode in an alkaline electrolytic assembly are noteworthy for achieving a cell voltage of 1.56 V at 10 mA·cm^(-2),a significant improvement above most previously reported bifunctional electrocatalysts.This result provides further momentum for the design of heterostructure electrocatalysts,advancing the study of renewable energy conversion and storage.展开更多
Photothermal catalysis represents an emerging technology for solar energy conversion that combines the principles and advantages of photoand thermal catalytic mechanisms[1–5].Driven by the inter/intra-band transition...Photothermal catalysis represents an emerging technology for solar energy conversion that combines the principles and advantages of photoand thermal catalytic mechanisms[1–5].Driven by the inter/intra-band transitions and subsequent electron-phonon scattering processes,photothermal catalysts can achieve rapid and highly localized heating,providing thermal activation to the chemical conversions.Besides,direct participation of photo-generated charge carriers could also drastically reduce the activation energy barriers and modulate the catalytic pathways.However,distinction between thermal and non-thermal contributions remains a key challenge for both fundamental understandings and large-scale applications of photothermal catalysis[6,7].This issue is largely due to a lack of precise in-situ surface-temperature measurement techniques that accurately quantify the light-to-heat conversion under reaction conditions at the nanoscale.Conventional macroscopic temperature measurement techniques,such as infrared cameras and thermocouples,suffer from the lack of spatiotemporal resolutions required for the localized photothermal conversion.They are,thus,measuring an average temperature of the ambient medium.Besides,they typically cannot be applied in in-situ temperature measurements,which is crucial since inaccurate heat dissipation rates may be predicted by ex-situ temperature measurement techniques.For instance,differences in gas pressure,composition and flow rate could lead to significantly different convective heat fluxes.展开更多
Direct in vivo conversion of astrocytes into functional new neurons induced by neural transcription factors has been recognized as a potential new therapeutic intervention for neural injury and degenerative disorders....Direct in vivo conversion of astrocytes into functional new neurons induced by neural transcription factors has been recognized as a potential new therapeutic intervention for neural injury and degenerative disorders. However, a few recent studies have claimed that neural transcription factors cannot convert astrocytes into neurons, attributing the converted neurons to pre-existing neurons mis-expressing transgenes. In this study, we overexpressed three distinct neural transcription factors––NeuroD1, Ascl1, and Dlx2––in reactive astrocytes in mouse cortices subjected to stab injury, resulting in a series of significant changes in astrocyte properties. Initially, the three neural transcription factors were exclusively expressed in the nuclei of astrocytes. Over time, however, these astrocytes gradually adopted neuronal morphology, and the neural transcription factors was gradually observed in the nuclei of neuron-like cells instead of astrocytes. Furthermore,we noted that transcription factor-infected astrocytes showed a progressive decrease in the expression of astrocytic markers AQP4(astrocyte endfeet signal), CX43(gap junction signal), and S100β. Importantly, none of these changes could be attributed to transgene leakage into preexisting neurons. Therefore, our findings suggest that neural transcription factors such as NeuroD1, Ascl1, and Dlx2 can effectively convert reactive astrocytes into neurons in the adult mammalian brain.展开更多
Earth＇s land cover has been extensively transformed over time due to both human activities and natural causes. Previous global studies have focused on developing spatial and temporal patterns of dominant human land-u...Earth＇s land cover has been extensively transformed over time due to both human activities and natural causes. Previous global studies have focused on developing spatial and temporal patterns of dominant human land-use activities （e.g., cropland, pastureland, urban land, wood harvest）. Process-based modeling studies adopt different strategies to estimate the changes in land cover by using these land-use data sets in combination with a potential vegetation map, and subsequently use this information for impact assessments. However, due to unaccounted changes in land cover （resulting from both indirect anthropogenic and natural causes）, heterogeneity in land-use/cover （LUC） conversions among grid cells, even for the same land use activity, and uncertainty associated with potential vegetation mapping and historical estimates of human land use result in land cover estimates that are substantially different compared to results acquired from remote sensing observations. Here, we present a method to implicitly account for the differences arising from these uncertainties in order to provide historical estimates of land cover that are consistent with satellite estimates for recent years. Due to uncertainty in historical agricultural land use, we use three widely accepted global estimates of cropland and pastureland in combination with common wood harvest and urban land data sets to generate three distinct estimates of historical land-cover change and underlying LUC conversions. Hence, these distinct historical reconstructions offer a wide range of plausible regional estimates of uncertainty and the extent to which different ecosystems have undergone changes. The annual land cover maps and LUC conversion maps are reported at 0.5°×0.5° resolution and describe the area of 28 land- cover types and respective underlying land-use transitions. The reconstructed data sets are relevant for studies addressing the impact of land-cover change on biogeo- physics, biogeochemistry, water cycle, and global climate.展开更多
The prevalence of intrahepatic cholangiocarcinoma(ICC)is increasing globally.Despite advancements in comprehending this intricate malignancy and formulating novel therapeutic approaches over the past few decades,the p...The prevalence of intrahepatic cholangiocarcinoma(ICC)is increasing globally.Despite advancements in comprehending this intricate malignancy and formulating novel therapeutic approaches over the past few decades,the prognosis for ICC remains poor.Owing to the high degree of malignancy and insidious onset of ICC,numerous cases are detected at intermediate or advanced stages of the disease,hence eliminating the chance for surgical intervention.Moreover,because of the highly invasive characteristics of ICC,recurrence and metastasis postresection are prevalent,leading to a 5-year survival rate of only 20%-35%following surgery.In the past decade,different methods of treatment have been investigated,including transarterial chemoembolization,transarterial radioembolization,radiotherapy,systemic therapy,and combination therapies.For certain patients with advanced ICC,conversion treatment may be utilized to facilitate surgical resection and manage disease progression.This review summarizes the definition of downstaging conversion treatment and presents the clinical experience and evidence concerning conversion treatment for advanced ICC.展开更多
In the quest for effective solutions to address Environ.Pollut.and meet the escalating energy demands,heterojunction photocatalysts have emerged as a captivating and versatile technology.These photocatalysts have garn...In the quest for effective solutions to address Environ.Pollut.and meet the escalating energy demands,heterojunction photocatalysts have emerged as a captivating and versatile technology.These photocatalysts have garnered significant interest due to their wideranging applications,including wastewater treatment,air purification,CO_(2) capture,and hydrogen generation via water splitting.This technique harnesses the power of semiconductors,which are activated under light illumination,providing the necessary energy for catalytic reactions.With visible light constituting a substantial portion(46%)of the solar spectrum,the development of visible-light-driven semiconductors has become imperative.Heterojunction photocatalysts offer a promising strategy to overcome the limitations associated with activating semiconductors under visible light.In this comprehensive review,we present the recent advancements in the field of photocatalytic degradation of contaminants across diverse media,as well as the remarkable progress made in renewable energy production.Moreover,we delve into the crucial role played by various operating parameters in influencing the photocatalytic performance of heterojunction systems.Finally,we address emerging challenges and propose novel perspectives to provide valuable insights for future advancements in this dynamic research domain.By unraveling the potential of heterojunction photocatalysts,this reviewcontributes to the broader understanding of their applications and paves the way for exciting avenues of exploration and innovation.展开更多
In this study,a phosphate-based conversion coating(PCC)was applied as a precursor before forming silicate-fluoride(SiF)and silicate-phosphate-fluoride(SiPF)based flash-plasma electrolytic oxidation(Flash-PEO)coatings ...In this study,a phosphate-based conversion coating(PCC)was applied as a precursor before forming silicate-fluoride(SiF)and silicate-phosphate-fluoride(SiPF)based flash-plasma electrolytic oxidation(Flash-PEO)coatings on AZ31B magnesium alloy.The main novelty is the successful incorporation of calcium,zinc,manganese and phosphate species into the Flash-PEO coatings via a precursor layer rather than using the electrolyte.The precursor also led to longer lasting and more intense discharges during the PEO process,resulting in increased pore size.Corrosion studies revealed similar short-term performance for all coatings,with impedance modulus at low frequencies above 10^(7)Ωcm^(2),and slightly better performance for the SiPF-based coating.Nonetheless,the enlarged pores in the PEO coatings functionalized with the PCC precursor compromised the effectiveness of self-healing mechanisms by creating diffusion pathways for corrosive species,leading to earlier failure.These phenomena were effectively monitored by recording the open circuit potential during immersion in 0.5 wt.%NaCl solution.In summary,this study demonstrates that conversion coatings are a viable option for the functionalization of PEO coatings on magnesium alloys,as they allow for the incorporation of cationic and other species.However,it is crucial to maintain a small pore size to facilitate effective blockage through self-healing mechanisms.展开更多
BACKGROUND Laparoscopic hepatectomy(LH)has been applied in the treatment of hepatolithiasisa in patients with a history of biliary surgery and has already achieved good clinical outcomes.However,reoperative LH(rLH)inc...BACKGROUND Laparoscopic hepatectomy(LH)has been applied in the treatment of hepatolithiasisa in patients with a history of biliary surgery and has already achieved good clinical outcomes.However,reoperative LH(rLH)includes multiple procedures,and the no studies have examined the clinical value of individual laparoscopic procedures.AIM To evaluate the safety and feasibility of each rLH procedure for hepatolithiasisa in patients with a history of biliary surgery.METHODS Patients with previous biliary surgery who underwent reoperative hepatectomy for hepatolithiasis were studied.Liver resection procedures were divided into three categories:(1)Laparoscopic/open left lateral sectionectomy[reoperative laparoscopic left lateral sectionectomy(rLLLS)/reoperative open left lateral sectionectomy(rOLLS)];(2)Laparoscopic/open left hemihepatectomy[reoperative laparoscopic left hemihepatectomy(rLLH)/reoperative open left hemihepatectomy(rOLH)];and(3)Laparoscopic/open complex hepatectomy[reoperative laparoscopic complex hepatectomy(rLCH)/reoperative open complex hepate ctomy(rOCH)].The clinical outcomes were compared between the rLLLS,rLLH,and rLCH groups,and subgroup analyses were performed for the rLLLS/rOLLS,rLLH/rOLH,and rLCH/rOCH subgroups.RESULTS A total of 185 patients were studied,including 101 rLH patients(40 rLLLS,50 rLLH,and 11 rLCH)and 84 reoperative open hepatectomy(40 rOLLS,33 rOLH,and 11 rOCH).Among the three types of rLH procedure,rLLLS required the shortest operation time(240.0 minutes vs 325.0 minutes vs 350.0 minutes,P=0.001)and the lowest blood transfusion rate(10.0%vs 22.0%vs 54.5%,P=0.005),followed by rLLH.The rLCH had the highest conversion rate(P<0.05)and postoperative intensive care unit stay rate(P=0.001).Most clinical outcomes in rLLLS and rLLH were superior or similar to those in the corresponding open surgery,while there were no differences in all outcomes between the rLCH and rOCH subgroups.CONCLUSION The rLH is safe for hepatolithiasis patients with a history of biliary surgery.The rLLLS and rLLH can be recommended for these patients,whereas rLCH should be applied with caution.展开更多
The development of electronic products and increased electronic waste have triggered a series of ecological problems on Earth.Meanwhile,amidst energy crises and the pursuit of carbon neutrality,the recycling of discar...The development of electronic products and increased electronic waste have triggered a series of ecological problems on Earth.Meanwhile,amidst energy crises and the pursuit of carbon neutrality,the recycling of discarded biomass has attracted the attention of many researchers.In recent years,the transformation of discarded biomass into value-added electronic products has emerged as a promising endeavor in the field of green and flexible electronics.In this review,the attempts and advancements in biomass conversion into flexible electronic materials and devices are systematically summarized.We focus on reviewing the research progress in biomass conversion into substrates,electrodes,and materials tailored for optical and thermal management.Furthermore,we explore component combinations suitable for applications in environmental monitoring and health management.Finally,we discuss the challenges in techniques and cost-effectiveness currently faced by biomass conversion into flexible electronic devices and propose improvement strategies.Drawing insights from both fundamental research and industrial applications,we offer prospects for future developments in this burgeoning field.展开更多
基金supported by grants from the Basic Research Project of Shanxi Science and Technology Department(no.202303021221190)the Shanxi General Surgery“136”Healthcare Engineering Project(no.2024XYZ03)。
文摘Background:This study assessed the frequency of changes in some key receptor status of tumors after neoadjuvant chemotherapy(NAC)in patients with invasive breast cancer and the prognostic impact of these changes.Methods:This study included 300 patients diagnosed with invasive breast cancer who were treated with both NAC and surgery between 2012 and 2021.The hormone receptor(HR)and human epidermal growth factor receptor 2(HER2)levels were measured before and after NAC.The prognostic impact of receptor conversion was also evaluated in patients receiving NAC,by using the Kaplan-Meier method and Cox proportional hazards models as statistical methods.Results:The conversion rate of estrogen receptor–positive(ER^(+))to ER-negative(ER^(-))was similar to that of ER^(-)to ER^(+)(9.2%and10.9%,respectively).The proportion of HR^(-)to HR^(+)was remarkably higher than that of HR^(+)to HR^(-)(14.8%vs 9.2%,respectively).The change from HER2^(+)to HER2^(-)was significantly more frequently than that from HER2^(-)to HER2^(+)(20.3%vs 6%,respectively).Patients with ER and HR status changes from(-)to(+)after NAC had significantly worse recurrence-free survival(RFS)and overall survival(OS)than those in the other 3 groups(ER^(-)to ER^(+):RFS:p=0.002,OS:p<0.001;HR^(-)to HR^(+):RFS:p=0.003,OS:p<0.001).The 4 HER2 conversion subgroups were not significantly associated with RFS or OS.Conclusions:This study demonstrated a discordance in HR status after NAC and identified predictors of conversion.Patients whose HR status switched to positive after NAC had the worst 3-year RFS and OS rates.
基金supported by the National Key R&D Program of China(Grant No.2022YFB3203400)the National Natural Science Foundation of China(Grant No.61901420)Fundamental Research Program of Shanxi Province(Grant No.20230302121116)。
文摘Hybrid entangled states are crucial in quantum physics,offering significant benefits for hybrid quantum communication and quantum computation,and then the conversion of hybrid entangled states is equally critical.This paper presents two novel schemes,that is,one converts the two-qubit hybrid Knill–Laflamme–Milburn(KLM)entangled state into Bell states and the other one transforms the three-qubit hybrid KLM state into Greenberger–Horne–Zeilinger(GHZ)states assisted by error-predicted and parity-discriminated devices.Importantly,the integration of single photon detectors into the parity-discriminated device enhances predictive capabilities,mitigates potential failures,and facilitates seamless interaction between the nitrogen-vacancy center and photons,so the two protocols operate in an error-predicted way,improving the experimental feasibility.Additionally,our schemes demonstrate robust fidelities(close to 1)and efficiencies,indicating their feasibility with existing technology.
文摘BACKGROUND Surgical resection and liver transplantation(LT)are the most effective curative options for hepatocellular carcinoma(HCC).However,few patients with huge HCC(>10 cm in diameter),especially those with portal vein tumor thrombus(PVTT),can receive these treatments.Selective internal radiation therapy(SIRT)can be used as a conversion therapy for them because it has the dual benefit of shrinking tumors and increasing residual hepatic volume.However,in patients with huge HCC,high lung absorbed dose often prevents them from receiving SIRT.CASE SUMMARY A 35-year-old man was admitted because of emaciation and pain in the hepatic region for about 1 month.The computed tomography scan showed a 20.2 cm×19.8 cm tumor located in the right lobe–left medial lobes with right portal vein and right hepatic vein invasion.After the pathological type of HCC was confirmed by biopsy,two conversions were presented.The first one was drug-eluting bead transarterial chemoembolization plus hepatic arterial infusion chemotherapy and lenvatinib and sintilimab,converted to SIRT,and the second one was sequential SIRT with continued systemic treatment.The tumor size significantly decreased from 20.2 cm×19.8 cm to 16.2 cm×13.8 cm,then sequentially to 7.8 cm×6.8 cm.In the meantime,the ratio of spared volume to total liver volume increased gradually from 34.4%to 55.7%,then to 62.9%.Furthermore,there was visualization of the portal vein,indicating regression of the tumor thrombus.Finally,owing to the new tumor in the left lateral lobe,the patient underwent LT instead of resection without major complications.CONCLUSION Patients with inoperable huge HCC with PVTT could be converted to SIRT first and accept surgery sequentially.
文摘In the framework of metaphor theory,this paper tries to research conversions from animal nouns to verbs in English,and aims to help English learners to better understand this language phenomenon.First the paper explores the motivations of this language phenomenon,and points out that verbs converted from animal nouns can help enrich the vocabulary,make the expression vivid and concise,and achieve certain pragmatic effects as well.Second,it studies the mechanisms of the conversion by analyzing the mapping process and similarities between two domains.Last it points out the importance of the context and the geographic factor in understanding verbs converted from animal nouns.
基金financially supported by the Knowledge Innovation Program from the Chinese Academy of Sciences (KSCX2-EW-N-02)the State Key Laboratory of Plant Cell and Chromosome Engineering,Ministry of Science and Technology of China
文摘To improve Mixograph testing effect, Farinograph measurements were adopted as a quality standard and changes in water absorption and parameter conversion in Mixograph test were explored. Comparative study showed that increasing water absorption to about 73% and converting original parameters to compound parameters in Mixograph tests signiifcantly increased their predictive power for lfour quality. These efforts also enabled the adoption of ifxed water addition level in Mixograph test and simpliifed the test procedure signiifcantly. With the success in parameter conversions, Mixograph test results were successful y described by Farinograph parameters, which al ow breeders to compare and exchange test results easily. Al these changes optimized the ofifcial method of Mixograph test with simpliifed procedure and enhanced reliability and made the Mixograph being the superior tool for quality assessment in wheat-breeding programs.
基金Project supported by the Fundamental Research Funds for Central Universities(Grant No.2682020GF03)
文摘We present a transmission-type polarization conversion metamaterial(PCM)whose functions can be dynamically switched among the linear-to-circular(LTC)and linear-to-linear(LTL)polarization conversions.The proposed PCM consists of a grating,a polarization conversion surface and a reconfigurable polarization selective surface incorporated with PIN diodes.By changing the states of diodes,the PCM can achieve the reconfigurable manipulations for incident waves.The Fabry-Pérot(F-P)resonances excited by the PCM contribute to the polarization conversions,as is illustrated.Moreover,through establishing the F-P-like cavity model and analyzing the electric field components of the transmitted waves,the conditions for realizing LTC polarization conversion are revealed,which can guide the construction of PCM.The prototype of PCM is fabricated and measured,which can achieve LTC and LTL polarization conversions within 3.31-3.56 GHz and 2.76-4.24 GHz,respectively,the polarization conversion ratios of two functions are higher than 0.95.The measurement results are in agreement with the simulation data.
基金This work was financially supported by the National Natural Science Foundation of China(81872762)the Hubei Provincial Natural Science Foundation of China(2019CFB387).
文摘Two undescribed Tricholoma triterpenoids,namely tricholopardins C(1)and D(2),were isolated from the wild mushroom Tricholoma pardinum.Their structures with absolute configurations were elucidated by spectroscopic methods,as well as the single crystal X-ray diffraction.Compounds 1 and 2 were further obtained by chemical conversions from the known analogues.Compound 1 showed significant cytotoxicity to MCF-7 and Hela cell lines with IC_(50)values of 4.7μM and 9.7μM,respectively.Its mechanism of inducing MCF-7 cell apoptosis was studied briefly.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.81527901,11604361,and 91630309)
文摘Transcranial focused ultrasound is a booming noninvasive therapy for brain stimuli. The Kelvin–Voigt equations are employed to calculate the sound field created by focusing a 256-element planar phased array through a monkey skull with the time-reversal method. Mode conversions between compressional and shear waves exist in the skull. Therefore, the wave field separation method is introduced to calculate the contributions of the two waves to the acoustic intensity and the heat source, respectively. The Pennes equation is used to depict the temperature field induced by ultrasound. Five computational models with the same incident angle of 0？and different distances from the focus for the skull and three computational models at different incident angles and the same distance from the focus for the skull are studied. Numerical results indicate that for all computational models, the acoustic intensity at the focus with mode conversions is 12.05%less than that without mode conversions on average. For the temperature rise, this percentage is 12.02%. Besides, an underestimation of both the acoustic intensity and the temperature rise in the skull tends to occur if mode conversions are ignored. However, if the incident angle exceeds 30？, the rules of the over-and under-estimation may be reversed. Moreover,shear waves contribute 20.54% of the acoustic intensity and 20.74% of the temperature rise in the skull on average for all computational models. The percentage of the temperature rise in the skull from shear waves declines with the increase of the duration of the ultrasound.
文摘The advancement and growth of nanotechnology lead to realizing new and novel multi-metallic nanostructures with well-defined sizes and morphology,resulting in an improvement in their performance in various catalytic applications.The trimetallic nanostructured materials are synthesized and designed in different architectures for energy conversion electrocatalysis.The as-synthesized trimetallic nanostructures have found unique physiochemical properties due to the synergistic combination of the three different metals in their structures.A vast array of approaches such as hydrothermal,solvothermal,seedgrowth,galvanic replacement reaction,biological,and other methods are employed to synthesize the trimetallic nanostructures.Noteworthy,the trimetallic nanostructures showed better performance and durability in the electrocatalytic fuel cells.In the present review,we provide a comprehensive overview of the recent strategies employed for synthesizing trimetallic nanostructures and their energy-related applications.With a particular focus on hydrogen evolution,alcohol oxidations,oxygen evolution,and others,we highlight the latest achievements in the field.
基金the National Natural Science Foundation of China(Nos.52371238,22273081,52207249)the Natural Science Foundation of Shandong Province(No.ZR2020ME024)+1 种基金Taishan Young Scholar Program(No.tsqn202211114)the Open Foundation of Key Laboratory for Palygorskite Science and Applied Technology of Jiangsu Province(No.HPK202103)for financial support.
文摘The electrochromic(EC)mechanisms of inorganic materials are usually based on reversible cation insertion/extraction or metal deposition/dissolution,which are plagued by ion trapping and dendrite growth,respectively.In this paper,a novel conversion-type electrochromic mechanism is proposed,by making good use of the CuI/Cu redox couple.This CuI-based electrochromic system shows a neutral color switching from transparent and dim grey.By simply increasing the bleaching voltage,I_(3)^(-)/I^(-)redox couple can be further activated.The generated I_(3)^(-)will readily react with Cu,effectively improving the conversion reversibility and thereby rejuvenating the degraded electrochromic performance.Thanks to the well-designed electrode and the self-healing ability,this conversion electrochromic system achieves rapid response times(tcoloring:23 s,tbleaching:6 s),decant optical modulation amplitude(26.4%),high coloration efficiency(86.15 cm^(2)·C^(-1)),admirable cyclic durability(without performance degradation after 480 cycles)and excellent optical memory ability(transmittance variation<1%after 10 h open-circuit storage).The establishment of this conversion-type electrochromism may inspire the exploration of novel electrochromic materials and devices.
基金supported by the National Natural Science Foundation of China(No.22369025)Yunnan Applied Basic Research Projects(Nos.202201AT070095,202301AT070098,202301AT070107,202401AT070438,and 202401AT070433)+2 种基金Education Reform Research Project of Yunnan University(No.2021Z06)Yunnan University Graduate Student Practice and Innovation Program(Nos.ZC-23234269,ZC-23235291,KC-23236398,and KC-23234063)Yunnan Revitalization Talent Support Program。
文摘The rational construction of heterogeneous interfacial engineering presents a critical strategy for advancing efficient electrochemical water-splitting development.Here,a bimetallic sulfide-coupled MoNi alloy heterostructure catalyst(VMoS/MoNi)is synthesized via hydrothermal and sulfidation methods for high-performance alkaline water electrolysis.Benefiting from interfacial coupling within the VMoS/MoNi catalyst,the active sites are enriched,and electron transfer is promoted,leading to enhanced synergy and collaboration in electrocatalytic reactions.As a result,at 10 mA·cm^(-2),the VMoS/MoNi catalyst demonstrates excellent HER(26 mV)and OER(223 mV)performance.VMoS/MoNi catalysts used as double electrode in an alkaline electrolytic assembly are noteworthy for achieving a cell voltage of 1.56 V at 10 mA·cm^(-2),a significant improvement above most previously reported bifunctional electrocatalysts.This result provides further momentum for the design of heterostructure electrocatalysts,advancing the study of renewable energy conversion and storage.
基金support from the National Natural Science Foundation of China(22302137,52172221,52272229,51920105005)the Jiangsu Key Laboratory for Carbon-Based Functional Materials and Devices(ZZ2201)+1 种基金the Suzhou Key Laboratory of Advanced Photonic Materialsthe Collaborative Innovation Center of Suzhou Nano Science&Technology.
文摘Photothermal catalysis represents an emerging technology for solar energy conversion that combines the principles and advantages of photoand thermal catalytic mechanisms[1–5].Driven by the inter/intra-band transitions and subsequent electron-phonon scattering processes,photothermal catalysts can achieve rapid and highly localized heating,providing thermal activation to the chemical conversions.Besides,direct participation of photo-generated charge carriers could also drastically reduce the activation energy barriers and modulate the catalytic pathways.However,distinction between thermal and non-thermal contributions remains a key challenge for both fundamental understandings and large-scale applications of photothermal catalysis[6,7].This issue is largely due to a lack of precise in-situ surface-temperature measurement techniques that accurately quantify the light-to-heat conversion under reaction conditions at the nanoscale.Conventional macroscopic temperature measurement techniques,such as infrared cameras and thermocouples,suffer from the lack of spatiotemporal resolutions required for the localized photothermal conversion.They are,thus,measuring an average temperature of the ambient medium.Besides,they typically cannot be applied in in-situ temperature measurements,which is crucial since inaccurate heat dissipation rates may be predicted by ex-situ temperature measurement techniques.For instance,differences in gas pressure,composition and flow rate could lead to significantly different convective heat fluxes.
基金supported by the Key Project of Guangzhou City,No.202206060002Science and Technology Project of Guangdong Province,No.2018B030332001Guangdong Provincial Pearl River Project,No.2021ZT09Y552 (all to GC)。
文摘Direct in vivo conversion of astrocytes into functional new neurons induced by neural transcription factors has been recognized as a potential new therapeutic intervention for neural injury and degenerative disorders. However, a few recent studies have claimed that neural transcription factors cannot convert astrocytes into neurons, attributing the converted neurons to pre-existing neurons mis-expressing transgenes. In this study, we overexpressed three distinct neural transcription factors––NeuroD1, Ascl1, and Dlx2––in reactive astrocytes in mouse cortices subjected to stab injury, resulting in a series of significant changes in astrocyte properties. Initially, the three neural transcription factors were exclusively expressed in the nuclei of astrocytes. Over time, however, these astrocytes gradually adopted neuronal morphology, and the neural transcription factors was gradually observed in the nuclei of neuron-like cells instead of astrocytes. Furthermore,we noted that transcription factor-infected astrocytes showed a progressive decrease in the expression of astrocytic markers AQP4(astrocyte endfeet signal), CX43(gap junction signal), and S100β. Importantly, none of these changes could be attributed to transgene leakage into preexisting neurons. Therefore, our findings suggest that neural transcription factors such as NeuroD1, Ascl1, and Dlx2 can effectively convert reactive astrocytes into neurons in the adult mammalian brain.
文摘Earth＇s land cover has been extensively transformed over time due to both human activities and natural causes. Previous global studies have focused on developing spatial and temporal patterns of dominant human land-use activities （e.g., cropland, pastureland, urban land, wood harvest）. Process-based modeling studies adopt different strategies to estimate the changes in land cover by using these land-use data sets in combination with a potential vegetation map, and subsequently use this information for impact assessments. However, due to unaccounted changes in land cover （resulting from both indirect anthropogenic and natural causes）, heterogeneity in land-use/cover （LUC） conversions among grid cells, even for the same land use activity, and uncertainty associated with potential vegetation mapping and historical estimates of human land use result in land cover estimates that are substantially different compared to results acquired from remote sensing observations. Here, we present a method to implicitly account for the differences arising from these uncertainties in order to provide historical estimates of land cover that are consistent with satellite estimates for recent years. Due to uncertainty in historical agricultural land use, we use three widely accepted global estimates of cropland and pastureland in combination with common wood harvest and urban land data sets to generate three distinct estimates of historical land-cover change and underlying LUC conversions. Hence, these distinct historical reconstructions offer a wide range of plausible regional estimates of uncertainty and the extent to which different ecosystems have undergone changes. The annual land cover maps and LUC conversion maps are reported at 0.5°×0.5° resolution and describe the area of 28 land- cover types and respective underlying land-use transitions. The reconstructed data sets are relevant for studies addressing the impact of land-cover change on biogeo- physics, biogeochemistry, water cycle, and global climate.
文摘The prevalence of intrahepatic cholangiocarcinoma(ICC)is increasing globally.Despite advancements in comprehending this intricate malignancy and formulating novel therapeutic approaches over the past few decades,the prognosis for ICC remains poor.Owing to the high degree of malignancy and insidious onset of ICC,numerous cases are detected at intermediate or advanced stages of the disease,hence eliminating the chance for surgical intervention.Moreover,because of the highly invasive characteristics of ICC,recurrence and metastasis postresection are prevalent,leading to a 5-year survival rate of only 20%-35%following surgery.In the past decade,different methods of treatment have been investigated,including transarterial chemoembolization,transarterial radioembolization,radiotherapy,systemic therapy,and combination therapies.For certain patients with advanced ICC,conversion treatment may be utilized to facilitate surgical resection and manage disease progression.This review summarizes the definition of downstaging conversion treatment and presents the clinical experience and evidence concerning conversion treatment for advanced ICC.
基金supported by the National Natural Science Foundation of China (Nos.52072152 and 51802126)Jiangsu University Jinshan Professor Fund,Jiangsu Specially-Appointed Professor Fund,the Open Fund from Guangxi Key Laboratory of Electrochemical Energy Materials,Zhenjiang“Jinshan Talents”Project 2021,China PostDoctoral Science Foundation (No.2022M721372)+1 种基金the“Doctor of Entrepreneurship and Innovation”in Jiangsu Province (No.JSSCBS20221197)the Postgraduate Research&Practice Innovation Program of Jiangsu Province (No.KYCX22_3645).
文摘In the quest for effective solutions to address Environ.Pollut.and meet the escalating energy demands,heterojunction photocatalysts have emerged as a captivating and versatile technology.These photocatalysts have garnered significant interest due to their wideranging applications,including wastewater treatment,air purification,CO_(2) capture,and hydrogen generation via water splitting.This technique harnesses the power of semiconductors,which are activated under light illumination,providing the necessary energy for catalytic reactions.With visible light constituting a substantial portion(46%)of the solar spectrum,the development of visible-light-driven semiconductors has become imperative.Heterojunction photocatalysts offer a promising strategy to overcome the limitations associated with activating semiconductors under visible light.In this comprehensive review,we present the recent advancements in the field of photocatalytic degradation of contaminants across diverse media,as well as the remarkable progress made in renewable energy production.Moreover,we delve into the crucial role played by various operating parameters in influencing the photocatalytic performance of heterojunction systems.Finally,we address emerging challenges and propose novel perspectives to provide valuable insights for future advancements in this dynamic research domain.By unraveling the potential of heterojunction photocatalysts,this reviewcontributes to the broader understanding of their applications and paves the way for exciting avenues of exploration and innovation.
基金support of the PID2021-124341OB-C22/AEI/10.13039/501100011033/FEDER,UE(MICIU)J.M.Vega also acknowledges the Grant RYC2021-034384-I funded by MICIU/AEI/10.13039/501100011033 and by“European Union Next Generation EU/PRTR”.
文摘In this study,a phosphate-based conversion coating(PCC)was applied as a precursor before forming silicate-fluoride(SiF)and silicate-phosphate-fluoride(SiPF)based flash-plasma electrolytic oxidation(Flash-PEO)coatings on AZ31B magnesium alloy.The main novelty is the successful incorporation of calcium,zinc,manganese and phosphate species into the Flash-PEO coatings via a precursor layer rather than using the electrolyte.The precursor also led to longer lasting and more intense discharges during the PEO process,resulting in increased pore size.Corrosion studies revealed similar short-term performance for all coatings,with impedance modulus at low frequencies above 10^(7)Ωcm^(2),and slightly better performance for the SiPF-based coating.Nonetheless,the enlarged pores in the PEO coatings functionalized with the PCC precursor compromised the effectiveness of self-healing mechanisms by creating diffusion pathways for corrosive species,leading to earlier failure.These phenomena were effectively monitored by recording the open circuit potential during immersion in 0.5 wt.%NaCl solution.In summary,this study demonstrates that conversion coatings are a viable option for the functionalization of PEO coatings on magnesium alloys,as they allow for the incorporation of cationic and other species.However,it is crucial to maintain a small pore size to facilitate effective blockage through self-healing mechanisms.
基金Supported by The Key Research and Development Program of Anhui Province of China,No.1804h08020273The Key Research Project of Health Commission of Anhui Province of China,No.AHWJ2022a016.
文摘BACKGROUND Laparoscopic hepatectomy(LH)has been applied in the treatment of hepatolithiasisa in patients with a history of biliary surgery and has already achieved good clinical outcomes.However,reoperative LH(rLH)includes multiple procedures,and the no studies have examined the clinical value of individual laparoscopic procedures.AIM To evaluate the safety and feasibility of each rLH procedure for hepatolithiasisa in patients with a history of biliary surgery.METHODS Patients with previous biliary surgery who underwent reoperative hepatectomy for hepatolithiasis were studied.Liver resection procedures were divided into three categories:(1)Laparoscopic/open left lateral sectionectomy[reoperative laparoscopic left lateral sectionectomy(rLLLS)/reoperative open left lateral sectionectomy(rOLLS)];(2)Laparoscopic/open left hemihepatectomy[reoperative laparoscopic left hemihepatectomy(rLLH)/reoperative open left hemihepatectomy(rOLH)];and(3)Laparoscopic/open complex hepatectomy[reoperative laparoscopic complex hepatectomy(rLCH)/reoperative open complex hepate ctomy(rOCH)].The clinical outcomes were compared between the rLLLS,rLLH,and rLCH groups,and subgroup analyses were performed for the rLLLS/rOLLS,rLLH/rOLH,and rLCH/rOCH subgroups.RESULTS A total of 185 patients were studied,including 101 rLH patients(40 rLLLS,50 rLLH,and 11 rLCH)and 84 reoperative open hepatectomy(40 rOLLS,33 rOLH,and 11 rOCH).Among the three types of rLH procedure,rLLLS required the shortest operation time(240.0 minutes vs 325.0 minutes vs 350.0 minutes,P=0.001)and the lowest blood transfusion rate(10.0%vs 22.0%vs 54.5%,P=0.005),followed by rLLH.The rLCH had the highest conversion rate(P<0.05)and postoperative intensive care unit stay rate(P=0.001).Most clinical outcomes in rLLLS and rLLH were superior or similar to those in the corresponding open surgery,while there were no differences in all outcomes between the rLCH and rOCH subgroups.CONCLUSION The rLH is safe for hepatolithiasis patients with a history of biliary surgery.The rLLLS and rLLH can be recommended for these patients,whereas rLCH should be applied with caution.
基金supported by the National Key R&D Program of China(2018YFA0901700)National Natural Science Foundation of China(22278241)+1 种基金a grant from the Institute Guo Qiang,Tsinghua University(2021GQG1016)Department of Chemical Engineering-iBHE Joint Cooperation Fund。
文摘The development of electronic products and increased electronic waste have triggered a series of ecological problems on Earth.Meanwhile,amidst energy crises and the pursuit of carbon neutrality,the recycling of discarded biomass has attracted the attention of many researchers.In recent years,the transformation of discarded biomass into value-added electronic products has emerged as a promising endeavor in the field of green and flexible electronics.In this review,the attempts and advancements in biomass conversion into flexible electronic materials and devices are systematically summarized.We focus on reviewing the research progress in biomass conversion into substrates,electrodes,and materials tailored for optical and thermal management.Furthermore,we explore component combinations suitable for applications in environmental monitoring and health management.Finally,we discuss the challenges in techniques and cost-effectiveness currently faced by biomass conversion into flexible electronic devices and propose improvement strategies.Drawing insights from both fundamental research and industrial applications,we offer prospects for future developments in this burgeoning field.
