Refractory high-entropy alloys(RHEAs)are promising for high-temperature applications due to their ex-ceptional mechanical properties at high temperatures.However,limited studies on their high-temperature fatigue behav...Refractory high-entropy alloys(RHEAs)are promising for high-temperature applications due to their ex-ceptional mechanical properties at high temperatures.However,limited studies on their high-temperature fatigue behavior hinder further development.This study systematically investigates the low-cycle fatigue(LCF)behavior of HfNbTiZr RHEA at room temperature(25℃)and elevated temperatures(350,450,and 600℃)through a combination of experimental analyses and dislocation-based damage-coupled crystal plasticity finite element(CPFE)simulations,to unveil the effects of creep damage on LCF behavior at varying temperatures.The results indicate that the LCF life dramatically decreases at an increased tem-perature,shifting from transgranular fatigue damage at lower temperatures(25-350℃)to a dual damage mechanism involving both intergranular fatigue and creep damage at higher temperatures(450-600℃).At 600℃,creep damage notably contributes to the accumulation of geometrically necessary dislocations(GNDs),crack initiation,and propagation at grain boundaries,and thus accelerates LCF failure.Compara-tive CPFE simulations reveal that creep damage significantly contributes to cyclic softening and reduction in elastic modulus,which also amplifies the strain localization under the LCF loading.The contribution of creep damage to the total stored energy density(SED)representing the overall damage increases with temperatures,accounting for 11%at 600℃.Additionally,CPFE simulations indicate that the creep dam-age notably influences the magnitude of GND density localized at grain boundaries.This study provides critical insights into the fatigue damage mechanisms of RHEAs,offering valuable guidance for their ap-plication in high temperatures.展开更多
Objective:This study aims to determine the effectiveness of giving a combination of Fe tablets and beetroot juice in increasing hemoglobin(Hb)levels of pregnant women with anemia in the Mataram City area.Methods:This ...Objective:This study aims to determine the effectiveness of giving a combination of Fe tablets and beetroot juice in increasing hemoglobin(Hb)levels of pregnant women with anemia in the Mataram City area.Methods:This study was designed with quasi-experimental design with pre-test and post-test with control design.The location of this study was conducted in the city of Mataram on pregnant women with anemia.The sample of this study was pregnant women with mild anemia based on inclusion and exclusion criteria,divided into 2 groups:a control group and a treatment group of 15 respondents each,bringing the total respondents to 30 people.Analysis of Hb level measurement results was carried out using the independent sample t-test.Results:The results obtained in the treatment group(combination of beet juice and Fe tablets)were the mean pre-test of 9.93 mg/dL and post-test of 11.90 mg/dL(P-value=0.000),which means there is effectiveness in increasing hemoglobin levels while in the control group.Comparison of increased Hb levels of the control group and significantly different treatments marked by a P value of 0.001.Conclusions:the combination of Fe tablets and beetroot juice is effective in increasing Hb levels of pregnant women with anemia in the Mataram City area.展开更多
Steel-concrete composite beams,due to their superior mechanical properties,are widely utilized in engineering structures.This study systematically investigates the calculation methods for internal forces and load-bear...Steel-concrete composite beams,due to their superior mechanical properties,are widely utilized in engineering structures.This study systematically investigates the calculation methods for internal forces and load-bearing capacity of composite beams based on elastic theory,with a focus on the transformed section method and its application under varying neutral axis positions.By deriving the geometric characteristics of the transformed section and incorporating a reduction factor accounting for slip effects,a computational model for sectional stress and ultimate load-bearing capacity is established.The results demonstrate that the slip effect significantly influences the flexural load-bearing capacity of composite beams.The proposed reduction factor,which considers the influence of the steel beam’s top flange thickness,offers higher accuracy compared to traditional methods.These findings provide a theoretical foundation for the design and analysis of composite beams,with significant practical engineering value.展开更多
The non-scaling effect on the penetration depth of rigid projectiles is an important issue that must be considered when extending the results of scaled experiments to prototype scenes.In this study,the evolution of th...The non-scaling effect on the penetration depth of rigid projectiles is an important issue that must be considered when extending the results of scaled experiments to prototype scenes.In this study,the evolution of the stress and strain of the target under penetration was analyzed.Expressions for the penetration resistance and penetration depth were obtained based on the conservation equation and continuity condition of the target.The penetration coefficients that characterize the nose shape,target resistance,and non-scaling effect were defined.Simplified calculation methods for the coefficients within the range of rigid projectile penetration were developed.Two methods for estimating the target parameters are proposed.The results show that the non-scaling effect is related to the failure process of the target and depends on the ratio of cavity radius to comminuted region radius.The nose shape coefficient can be approximated as a linear function of the length-to-diameter ratio of the nose.The noseshape coefficient of a flat-nosed projectile is 0.57.The caliber coefficient is related to the projectile diameter and reflects the non-scaling effect,which increases with the projectile diameter.A practical formula for calculating the penetration depth of rigid projectiles considering the non-scaling effect is also proposed.This formula is in good agreement with penetration experiments on rock and concrete.展开更多
The Richtmyer–Meshkov(RM)instability plays an important role in various natural and engineering fields such as inertial confinement fusion.In this study,the effect of relaxation time on the RM instability under resho...The Richtmyer–Meshkov(RM)instability plays an important role in various natural and engineering fields such as inertial confinement fusion.In this study,the effect of relaxation time on the RM instability under reshock impact is investigated using a two-component discrete Boltzmann method.The hydrodynamic and thermodynamic characteristics of the fluid system are comprehensively analyzed from the perspectives of the density gradient,vorticity,kinetic energy,mixing degree,mixing width and non-equilibrium intensity.Simulation results indicate that for longer relaxation time,the diffusion and dissipation are enhanced,the physical gradients decrease,and the growth of the interface is suppressed.Furthermore,the non-equilibrium manifestations show complex patterns,driven by the competitive physical mechanisms of the diffusion,dissipation,shock wave,rarefaction wave,transverse wave and fluid instabilities.These findings provide valuable insight into the fundamental mechanism of compressible fluid flows.展开更多
The size effects were experimentally investigated and the underlying mechanism was analyzed.The results reveal that,as the specimen size increases,the interconnectivity of macropores slightly decreases.This in turn co...The size effects were experimentally investigated and the underlying mechanism was analyzed.The results reveal that,as the specimen size increases,the interconnectivity of macropores slightly decreases.This in turn constrains the diffusion of CO_(2) and moisture in the specimens,resulting in an increase in the discrepancy between the internal and external carbonation degrees.An increase in cement paste thickness simultaneously decreases the quantity,average size,and interconnectivity of macropores,lowering the diffusion efficacy of CO_(2) and moisture and exacerbating the overall heterogeneity in carbonation.Moreover,the gradual blockage of macropores leads to the emergence of localized ‘occluded zones’ with much lower carbonation degree.The reduction in aggregate size significantly alters the average diameter and connectivity of macropores,leading to notable change to overall non-uniformity.This study provides insight into improving the CO_(2) curing effect of pervious concrete products and developing uniform curing methods.展开更多
Research on scale effects on flows over weirs has been conducted on a limited basis, primarily focusing on flows upstream of a single-type weir, such as ogee, broad-crested, and sharp-crested (linear and non-linear) w...Research on scale effects on flows over weirs has been conducted on a limited basis, primarily focusing on flows upstream of a single-type weir, such as ogee, broad-crested, and sharp-crested (linear and non-linear) weirs. However, the scale effects downstream of these single-type weirs have not been thoroughly investigated. This study examined the scale effects on flows over a combined weir system consisting of an ogee weir and a sharp-crested weir, both upstream and downstream, utilizing physical modeling at a 1:33.33 scale based on Froude similarity and three-dimensional (3D) computational fluid dynamics (CFD) modeling. The sharp-crested weir in this study was represented by two sluice gates that remain closed and submerged during flood events. The experimental data confirmed that the equivalent discharge coefficients of the combined weir system behaved similarly to those of a sharp-crested weir across various H/P (where H is the total head, and P is the weir height) values. However, scale effects on the discharge rating curve due to surface tension and viscosity could only be minimized when H/P > 0.4, Re > 26 959, and We > 240 (where Re and We are the Reynolds and Weber numbers, respectively), provided that the water depth exceeded 0.042 m above the crest. Additionally, Re greater than 4 × 104 was necessary to minimize scale effects caused by viscosity in flows in the spillway channel and stilling basin (with baffle blocks). The limiting criteria aligned closely with existing literature. This study offers valuable insights for practical applications in hydraulic engineering in the future.展开更多
Investigating the blast effects and mechanisms on typical finite-sized obstacles is essential for optimizing defense strategies and designing more robust barriers to deter terrorists and protect critical locations.Thi...Investigating the blast effects and mechanisms on typical finite-sized obstacles is essential for optimizing defense strategies and designing more robust barriers to deter terrorists and protect critical locations.This study investigates the blasting effects and underlying mechanisms of concrete frustums subjected to contact explosions,employing both numerical simulations and field tests.It focuses on the effects of top and side blasting,with particular emphasis on fracture modes,damage patterns,and fragment sizes,as well as the causes of different failure modes and the propagation of stress waves.The study also explores the blasting effects of detonating explosives at varying positions along the side and with different charge amounts.The results show that side-blasting leads to complete fragmentation,with tensile waves playing a significant role in creating extensive damage zones that propagate parallel to the frustum's outer surface,concentrating damage near the surface.During top-blasting,the upper half of the frustum undergoes fragmentation,while the lower half experiences cracking.Tensile waves propagate from the top to the bottom surface,forming larger blocks in regions with lower wave intensity.Three distinct damage zones within the frustum were identified,and a series of mathematical formulas were derived to describe the relationship between the maximum fragment size and charge mass.As the charge mass increased from 1.0 kg to 4.0 kg,the maximum fragment size decreased.Detonation at the center of the frustum's side resulted in the most severe fragmentation,with a 51.8%reduction in fragment size compared to other detonation positions.Finally,four broken modes were classified,each influenced by charge mass and explosive location.This study provides valuable insights for optimizing civil blasting operations and designing protective engineering structures.展开更多
Accurate simulation of ice accretion of supercooled large droplet(SLD)is pivotal for the international airworthiness certification of large aircraft.Its complex dynamics behavior and broad particle size distributions ...Accurate simulation of ice accretion of supercooled large droplet(SLD)is pivotal for the international airworthiness certification of large aircraft.Its complex dynamics behavior and broad particle size distributions pose significant challenges to reliable CFD predictions.A numerical model of multi-particle SLD coupling breaking,bouncing and splashing behaviors is established to explore the relationship between dynamics behavior and particle size.The results show that the peak value of droplet collection efficiencyβdecreases due to splashing.The bounce phenomenon will make the impact limit S_(m)of the water drops decrease.With the increase of the SLD particle size,the water drop bounce point gradually moves toward the trailing edge of the wing.The critical breaking diameter of SLD at an airflow velocity of 50 m/s is approximately 100μm.When the SLD particle size increases,the height of the water droplet shelter zone on the upper edge of the wing gradually decreases,and the velocity in the Y direction decreases first and then increases in the opposite direction,increasing the probability of SLD hitting the wing again.Large particle droplets have a higher effect on the impact limit S_(m)than smaller droplets.Therefore,in the numerical simulation of the SLD operating conditions,it is very important to ensure the proportion of large particle size water droplets.展开更多
This study aims to assess the comprehensive strengthening effect of a steel-ultra high performance concrete(UHPC)composite strengthening method.The axial force-moment interaction curve(N-M curve)was calculated in a no...This study aims to assess the comprehensive strengthening effect of a steel-ultra high performance concrete(UHPC)composite strengthening method.The axial force-moment interaction curve(N-M curve)was calculated in a novel way,using cross-sectional strains at ultimate states as well as real-time stress measurements for each material.The enclosed area of the N-M curve was defined as a comprehensive performance index for the system.We validate our approach with comparisons to numerical modeling and full-scale four-point bending experiments.Additionally,strengthening effects were compared for different sagging and hogging moments based on material stress responses,and the impact of various strengthening parameters was analyzed.We find that the N-M curve of the strengthened cross-section envelops that of the un-strengthened cross-section.Notably,improvements in flexural capacity are greater under sagging moments during the large eccentric failure stage,and greater under hogging moments during the small eccentric failure stage.This discrepancy is attributed to the strength utilization of strengthening materials.These findings provide a reference for understanding the strengthening effects and parameters of steel-UHPC composite.展开更多
The size and shape effect(SSE)of components has become a critical issue for mechanical properties,application reliability,and processing.In this study,the creep rupture life(CRL)of components with different wall thick...The size and shape effect(SSE)of components has become a critical issue for mechanical properties,application reliability,and processing.In this study,the creep rupture life(CRL)of components with different wall thicknesses and positions in a combustion chamber casing simulator made of K439B superalloy was investigated.The intrinsic mechanisms of the SSE were explored from the dendrite structure,volume fraction and size of theγ'phase,and element segregation,etc.It is shown that this casting exhibits a strong SSE of creep rupture life,characterized by a significant difference in the CRL values up to 60%with the variation of wall thickness and position in the casing.In terms of casting technology,the influence of SSE on CRL is actually determined by the cooling rate.The SSE on the creep rupture life originates from the dendrite structure(such as the secondary dendrite arm spacing),volume fraction size of theγ'phase in the dendrite trunk,and elements segregation rate.This work may have implications for the design and application of engineering components with large sizes and complex structures.展开更多
Rechargeable Zn/Sn-air batteries have received considerable attention as promising energy storage devices.However,the electrochemical performance of these batteries is significantly constrained by the sluggish electro...Rechargeable Zn/Sn-air batteries have received considerable attention as promising energy storage devices.However,the electrochemical performance of these batteries is significantly constrained by the sluggish electrocatalytic reaction kinetics at the cathode.The integration of light energy into Zn/Sn-air batteries is a promising strategy for enhancing their performance.However,the photothermal and photoelectric effects generate heat in the battery under prolonged solar irradiation,leading to air cathode instability.This paper presents the first design and synthesis of Ni_(2)-1,5-diamino-4,8-dihydroxyanthraquinone(Ni_(2)DDA),an electronically conductiveπ-d conjugated metal-organic framework(MOF).Ni_(2)DDA exhibits both photoelectric and photothermal effects,with an optical band gap of~1.14 eV.Under illumination,Ni_(2)DDA achieves excellent oxygen evolution reaction performance(with an overpotential of 245 mV vs.reversible hydrogen electrode at 10 mA cm^(−2))and photothermal stability.These properties result from the synergy between the photoelectric and photothermal effects of Ni_(2)DDA.Upon integration into Zn/Sn-air batteries,Ni_(2)DDA ensures excellent cycling stability under light and exhibits remarkable performance in high-temperature environments up to 80℃.This study experimentally confirms the stable operation of photo-assisted Zn/Sn-air batteries under high-temperature conditions for the first time and provides novel insights into the application of electronically conductive MOFs in photoelectrocatalysis and photothermal catalysis.展开更多
The published article titled“Truncated Bid Overexpression Induced by Recombinant Adenovirus Cre/LoxP System Suppresses the Tumorigenic Potential of CD133+Ovarian Cancer Stem Cells”has been retracted from Oncology Re...The published article titled“Truncated Bid Overexpression Induced by Recombinant Adenovirus Cre/LoxP System Suppresses the Tumorigenic Potential of CD133+Ovarian Cancer Stem Cells”has been retracted from Oncology Research,Vol.25,No.4,2017,pp.595–603.展开更多
Beam-tracking simulations have been extensively utilized in the study of collective beam instabilities in circular accelerators.Traditionally,many simulation codes have relied on central processing unit(CPU)-based met...Beam-tracking simulations have been extensively utilized in the study of collective beam instabilities in circular accelerators.Traditionally,many simulation codes have relied on central processing unit(CPU)-based methods,tracking on a single CPU core,or parallelizing the computation across multiple cores via the message passing interface(MPI).Although these approaches work well for single-bunch tracking,scaling them to multiple bunches significantly increases the computational load,which often necessitates the use of a dedicated multi-CPU cluster.To address this challenge,alternative methods leveraging General-Purpose computing on Graphics Processing Units(GPGPU)have been proposed,enabling tracking studies on a standalone desktop personal computer(PC).However,frequent CPU-GPU interactions,including data transfers and synchronization operations during tracking,can introduce communication overheads,potentially reducing the overall effectiveness of GPU-based computations.In this study,we propose a novel approach that eliminates this overhead by performing the entire tracking simulation process exclusively on the GPU,thereby enabling the simultaneous processing of all bunches and their macro-particles.Specifically,we introduce MBTRACK2-CUDA,a Compute Unified Device Architecture(CUDA)ported version of MBTRACK2,which facilitates efficient tracking of single-and multi-bunch collective effects by leveraging the full GPU-resident computation.展开更多
Benzalkonium chloride(BAC)is widely employed as a broad-spectrum biocide and has emerged as a significant environmental pollutant.Polymyxin B(PB)serves as the last-line defense for the treatment of Gram-negative patho...Benzalkonium chloride(BAC)is widely employed as a broad-spectrum biocide and has emerged as a significant environmental pollutant.Polymyxin B(PB)serves as the last-line defense for the treatment of Gram-negative pathogens.Previous studies reported that BAC-adapted Pseudomonas aeruginosa increased the tolerance to PB.Herein,we present the novel finding that the combination of BAC and PB exhibited synergistic antibacterial effects against P.aeruginosa.Time-killing assay demonstrated a significant reduction in bacterial cell viability.Scanning electron microscopy,zeta potential analysis,hydrophobicity measurements,and fluorescence probe analyses collectively revealed severe disruption of the cell envelope and membrane potential induced by the combination of BAC and PB.Transcriptomic analysis revealed that the BAC-PB combination notably downreg-ulated the expression of genes involved in lipid A modification and cell envelope production,including phoPQ,pmrAB,bamABCDE,lptABCDEG,lolB,yidC,and murJ.Additionally,the combination group exhibited augmented production of reactive oxygen species and diminished ATP synthesis.The expression of the genes associated with substance metabolism and energy generation was significantly impeded.This study provides significant implica-tions for the interactions of biocides and antibiotics on Gram-negative pathogens,while also addressing antibiotic resistance and developing the external treatment strategy for Pseudomonas-infected wounds and burns.展开更多
AIM:To evaluate and compare alterations in the effective lens position(ELP)and refractive outcomes among three distinct intraocular lens(IOL)types.METHODS:Patients with cataracts were enrolled and allocated to 3 group...AIM:To evaluate and compare alterations in the effective lens position(ELP)and refractive outcomes among three distinct intraocular lens(IOL)types.METHODS:Patients with cataracts were enrolled and allocated to 3 groups:Group A(implanted with the SN6CWS),Group B(implanted with the MI60),and Group C(implanted with the Aspira-aA).ELP measurements were obtained with swept-source optical coherence tomography(SS-OCT)at 1d,1wk,1mo,and 3mo postoperatively.Subjective refraction assessments were conducted at 1wk,1mo,and 3mo following surgery.RESULTS:The study included 189 eyes of 150 cataract patients(66 males).There were 77 eyes in Group A,55 eyes in Group B,and 57 eyes in Group C.The root mean square of the ELP(ELPRMS)within the initial 3mo was significantly lower for Group A than for Groups B and C.Refractive changes within Group A were not significant across the time points of 1wk,1mo,and 3mo.Conversely,both Group B and Group C demonstrated statistically significant shifts toward hyperopia from 1wk to 3mo postsurgery.CONCLUSION:Among the three IOLs examined,the SN6CWS IOL showes the greatest stability during the first 3mo postoperatively.Between 1wk and 3mo after surgery,notable hyperopic shifts are evident in eyes implanted with the MI60 and Aspira-aA IOLs,whereas refractive outcomes remain relatively constant in eyes implanted with SN6CWS IOLs.展开更多
Electrical and electronic devices face significant challenges in heatmanagement due to their compact size and high heat flux,which negatively impact performance and reliability.Conventional coolingmethods,such as forc...Electrical and electronic devices face significant challenges in heatmanagement due to their compact size and high heat flux,which negatively impact performance and reliability.Conventional coolingmethods,such as forced air cooling,often struggle to transfer heat efficiently.In contrast,thermoelectric coolers(TECs)provide an innovative active cooling solution to meet growing thermal management demands.In this research,a refrigerant based on mono ethylene glycol and distilled water was used instead of using gases,in addition to using thermoelectric cooling units instead of using a compressor in traditional refrigeration systems.This study evaluates the performance of a Peltierbased thermalmanagement systemby analyzing the effects of using two,three,and four Peltiermodules on cooling rates,power consumption,temperature reduction,and system efficiency.Experimental results indicate that increasing the number of Peltier modules significantly enhances cooling performance.The four-module system achieved an optimal balance between cooling speed and energy efficiency,reducing the temperature of a liquidmixture(30% mono ethylene glycol+70% distilled water plus laser dyes)to 8℃ in just 17 min.It demonstrated a cooling rate of 0.794℃/min and a high coefficient of performance(COP)of 1.2 while consuming less energy than the two-and three-module systems.Furthermore,the study revealed that increasing the number of modules led to faster air cooling and improved temperature reduction.These findings highlight the importance of selecting the optimal number of Peltier modules to enhance efficiency and cooling speed whileminimizing energy consumption.This makes TEC technology a sustainable and effective solution for applications requiring rapid and reliable thermal management.展开更多
The magnetic properties and Kondo effect in Ce3TiBi5 with a quasi-one-dimensional structure were investigated using in situ high-pressure resistivity measurements up to 48 GPa.At ambient pressure,Ce_(3)TiBi_(5) underg...The magnetic properties and Kondo effect in Ce3TiBi5 with a quasi-one-dimensional structure were investigated using in situ high-pressure resistivity measurements up to 48 GPa.At ambient pressure,Ce_(3)TiBi_(5) undergoes an antiferromagnetic(AFM)transition at T_(N)∼5 K.Under high pressures within 8.9 GPa,we find that Kondo scattering contributes differently to the high-temperature resistance,R(T),depending on the applied current direction,demonstrating a significantly anisotropic Kondo effect.The complete P–T phase diagram has been constructed,in which the pressure dependence of T_(N) exhibits a dome-like shape.The AFM order remains robust under pressure,even when the coherence temperature T^(*) far exceeds 300 K.We attribute the observed anisotropic Kondo effect and the robust AFM to the underlying anisotropy in electronic hybridization under high pressure.展开更多
In winter 2018,an aerosol physicochemical experiment was conducted in the Western Pacific Ocean(WPO)aboard the Research Vessel KEXUE of Chinese Academy of Sciences.This study systematically investigated both natural a...In winter 2018,an aerosol physicochemical experiment was conducted in the Western Pacific Ocean(WPO)aboard the Research Vessel KEXUE of Chinese Academy of Sciences.This study systematically investigated both natural and anthropogenic effects on marine aerosols optical properties,as well as the applicability of multi-satellite products and IMPROVE equation.The averaged aerosol optical depth(AOD500 nm)was 0.31±0.16 andÅngström exponent440–675 nm was 0.29±0.30.In offshore China,significant anthropogenic emissions affected the marine environment.In remote WPO,dust aerosols transported from northern China,Siberia,Central Asia,and those settling from the upper troposphere originating from north Africa,Arabian peninsula,and western India,were dominant.The spatial trends of AOD were opposite in the mid-latitude and southern seas of WPO.The highest AOD,0.32±0.23,appeared along the coast of South Asia at mid-latitude,decreasing from offshore seas to remote oceans.In low-latitude and equatorial seas,AOD significantly increased from coast to remote oceans.Ångström exponent dropped significantly from the coast to remote oceans as anthropogenic influence diminished across the entire WPO.Correlation analysis showed that both MODIS-C6 and Himawari AOD prod-ucts showed similar applicability in coastal urban areas,while Himawari AOD is highly recommended for coastal background and marine environment due to its finer resolution.The extinction coefficient derived from PM_(2.5) chemical compositions using IMPROVE algorithm exhibited a significant correlation(R^(2)=0.58)with the con-currently measured AOD in the absence of long-distance transport,suggesting that the IMPROVE is a reasonable proxy of the columnar average of marine aerosol extinctions free from transport influences.展开更多
Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenv...Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenvatinib and everolimus represents a viable option,and the present review aimed to summarize its activity,effectiveness,and safety.Methods:A systematic review of the literature was conducted using PubMed,targeting studies published between 2018 and 2025.Eligible studies included English-language prospective and retrospective trials reporting survival outcomes in mRCC patients treated with lenvatinib and everolimus after at least one ICI-containing regimen.Results:Nine studies met the inclusion criteria,encompassing a total of 441 patients.The lenvatinib and everolimus combination was primarily used in the third and subsequent lines of therapy.Median overall survival ranged from 7.5 to 24.5 months,while median progression-free survival was more consistent,between 6.1 and 6.7 months,except for one study reporting 12.9 months.Objective response rates varied widely(14.0%–55.7%).Adverse events of grade≥3 did not exceed the expected rate,with diarrhoea and proteinuria as the most reported events.Dose reductions and treatment discontinuations due to toxicity occurred but were generally lower than in prior pivotal trials.Conclusions:Real-world evidence suggests that lenvatinib and everolimus represent an effective and safe option after ICI failure in mRCC patients.Nevertheless,the lack of randomized phase III trials and the heterogeneity of existing studies highlight the need for more robust prospective research to guide post-ICI therapeutic strategies.展开更多
基金National Science Foundation of China(Nos.52401212 and52401214)the National Science Foundation of Jiangsu Province(No.BK20241020)+1 种基金the Avi-ation Foundation(No.2023Z0530S6004)the Jiangsu Province University Collaborative Innovation Centre(High-Tech Ships)Pro-gram(No.XTCX202401).
文摘Refractory high-entropy alloys(RHEAs)are promising for high-temperature applications due to their ex-ceptional mechanical properties at high temperatures.However,limited studies on their high-temperature fatigue behavior hinder further development.This study systematically investigates the low-cycle fatigue(LCF)behavior of HfNbTiZr RHEA at room temperature(25℃)and elevated temperatures(350,450,and 600℃)through a combination of experimental analyses and dislocation-based damage-coupled crystal plasticity finite element(CPFE)simulations,to unveil the effects of creep damage on LCF behavior at varying temperatures.The results indicate that the LCF life dramatically decreases at an increased tem-perature,shifting from transgranular fatigue damage at lower temperatures(25-350℃)to a dual damage mechanism involving both intergranular fatigue and creep damage at higher temperatures(450-600℃).At 600℃,creep damage notably contributes to the accumulation of geometrically necessary dislocations(GNDs),crack initiation,and propagation at grain boundaries,and thus accelerates LCF failure.Compara-tive CPFE simulations reveal that creep damage significantly contributes to cyclic softening and reduction in elastic modulus,which also amplifies the strain localization under the LCF loading.The contribution of creep damage to the total stored energy density(SED)representing the overall damage increases with temperatures,accounting for 11%at 600℃.Additionally,CPFE simulations indicate that the creep dam-age notably influences the magnitude of GND density localized at grain boundaries.This study provides critical insights into the fatigue damage mechanisms of RHEAs,offering valuable guidance for their ap-plication in high temperatures.
基金supported by Muhammadiyah Research Grant (RisetMu) Batch Ⅵ (No. 1687.186/PD/I.3/D/2022)
文摘Objective:This study aims to determine the effectiveness of giving a combination of Fe tablets and beetroot juice in increasing hemoglobin(Hb)levels of pregnant women with anemia in the Mataram City area.Methods:This study was designed with quasi-experimental design with pre-test and post-test with control design.The location of this study was conducted in the city of Mataram on pregnant women with anemia.The sample of this study was pregnant women with mild anemia based on inclusion and exclusion criteria,divided into 2 groups:a control group and a treatment group of 15 respondents each,bringing the total respondents to 30 people.Analysis of Hb level measurement results was carried out using the independent sample t-test.Results:The results obtained in the treatment group(combination of beet juice and Fe tablets)were the mean pre-test of 9.93 mg/dL and post-test of 11.90 mg/dL(P-value=0.000),which means there is effectiveness in increasing hemoglobin levels while in the control group.Comparison of increased Hb levels of the control group and significantly different treatments marked by a P value of 0.001.Conclusions:the combination of Fe tablets and beetroot juice is effective in increasing Hb levels of pregnant women with anemia in the Mataram City area.
文摘Steel-concrete composite beams,due to their superior mechanical properties,are widely utilized in engineering structures.This study systematically investigates the calculation methods for internal forces and load-bearing capacity of composite beams based on elastic theory,with a focus on the transformed section method and its application under varying neutral axis positions.By deriving the geometric characteristics of the transformed section and incorporating a reduction factor accounting for slip effects,a computational model for sectional stress and ultimate load-bearing capacity is established.The results demonstrate that the slip effect significantly influences the flexural load-bearing capacity of composite beams.The proposed reduction factor,which considers the influence of the steel beam’s top flange thickness,offers higher accuracy compared to traditional methods.These findings provide a theoretical foundation for the design and analysis of composite beams,with significant practical engineering value.
基金the National Natural Science Foundation of China(Grant Nos.52422808,52378401)to provide funds for this research。
文摘The non-scaling effect on the penetration depth of rigid projectiles is an important issue that must be considered when extending the results of scaled experiments to prototype scenes.In this study,the evolution of the stress and strain of the target under penetration was analyzed.Expressions for the penetration resistance and penetration depth were obtained based on the conservation equation and continuity condition of the target.The penetration coefficients that characterize the nose shape,target resistance,and non-scaling effect were defined.Simplified calculation methods for the coefficients within the range of rigid projectile penetration were developed.Two methods for estimating the target parameters are proposed.The results show that the non-scaling effect is related to the failure process of the target and depends on the ratio of cavity radius to comminuted region radius.The nose shape coefficient can be approximated as a linear function of the length-to-diameter ratio of the nose.The noseshape coefficient of a flat-nosed projectile is 0.57.The caliber coefficient is related to the projectile diameter and reflects the non-scaling effect,which increases with the projectile diameter.A practical formula for calculating the penetration depth of rigid projectiles considering the non-scaling effect is also proposed.This formula is in good agreement with penetration experiments on rock and concrete.
基金supported by the National Natural Science Foundation of China(Grant No.U2242214)the Guangdong Basic and Applied Basic Research Foundation(Grant No.2024A1515010927)+3 种基金the Humanities and Social Science Foundation of the Ministry of Education in China(Grant No.24YJCZH163)the Fujian Provincial Units Special Funds for Education and Research(Grant No.2022639)Fundamental Research Funds for the Central Universities,Sun Yatsen University(Grant No.24qnpy044)partly supported by the Open Research Fund of Key Laboratory of Analytical Mathematics and Applications(Fujian Normal University),Ministry of Education,P.R.China(Grant No.JAM2405)。
文摘The Richtmyer–Meshkov(RM)instability plays an important role in various natural and engineering fields such as inertial confinement fusion.In this study,the effect of relaxation time on the RM instability under reshock impact is investigated using a two-component discrete Boltzmann method.The hydrodynamic and thermodynamic characteristics of the fluid system are comprehensively analyzed from the perspectives of the density gradient,vorticity,kinetic energy,mixing degree,mixing width and non-equilibrium intensity.Simulation results indicate that for longer relaxation time,the diffusion and dissipation are enhanced,the physical gradients decrease,and the growth of the interface is suppressed.Furthermore,the non-equilibrium manifestations show complex patterns,driven by the competitive physical mechanisms of the diffusion,dissipation,shock wave,rarefaction wave,transverse wave and fluid instabilities.These findings provide valuable insight into the fundamental mechanism of compressible fluid flows.
基金Funded by the National Natural Science Foundation of China (No.22203066)the 6th Young Elite Scientist Sponsorship Program by China Association for Science and Technology (No.2020QNRC001)。
文摘The size effects were experimentally investigated and the underlying mechanism was analyzed.The results reveal that,as the specimen size increases,the interconnectivity of macropores slightly decreases.This in turn constrains the diffusion of CO_(2) and moisture in the specimens,resulting in an increase in the discrepancy between the internal and external carbonation degrees.An increase in cement paste thickness simultaneously decreases the quantity,average size,and interconnectivity of macropores,lowering the diffusion efficacy of CO_(2) and moisture and exacerbating the overall heterogeneity in carbonation.Moreover,the gradual blockage of macropores leads to the emergence of localized ‘occluded zones’ with much lower carbonation degree.The reduction in aggregate size significantly alters the average diameter and connectivity of macropores,leading to notable change to overall non-uniformity.This study provides insight into improving the CO_(2) curing effect of pervious concrete products and developing uniform curing methods.
基金supported by the Ministry of Public Works and Housing of Indonesia and Parahyangan Catholic University(Grant No.II/PD/2023-07/02-SJ).
文摘Research on scale effects on flows over weirs has been conducted on a limited basis, primarily focusing on flows upstream of a single-type weir, such as ogee, broad-crested, and sharp-crested (linear and non-linear) weirs. However, the scale effects downstream of these single-type weirs have not been thoroughly investigated. This study examined the scale effects on flows over a combined weir system consisting of an ogee weir and a sharp-crested weir, both upstream and downstream, utilizing physical modeling at a 1:33.33 scale based on Froude similarity and three-dimensional (3D) computational fluid dynamics (CFD) modeling. The sharp-crested weir in this study was represented by two sluice gates that remain closed and submerged during flood events. The experimental data confirmed that the equivalent discharge coefficients of the combined weir system behaved similarly to those of a sharp-crested weir across various H/P (where H is the total head, and P is the weir height) values. However, scale effects on the discharge rating curve due to surface tension and viscosity could only be minimized when H/P > 0.4, Re > 26 959, and We > 240 (where Re and We are the Reynolds and Weber numbers, respectively), provided that the water depth exceeded 0.042 m above the crest. Additionally, Re greater than 4 × 104 was necessary to minimize scale effects caused by viscosity in flows in the spillway channel and stilling basin (with baffle blocks). The limiting criteria aligned closely with existing literature. This study offers valuable insights for practical applications in hydraulic engineering in the future.
基金the support provided by the Technology Innovation Project (Grant No. KYGYZB002201) for the research work
文摘Investigating the blast effects and mechanisms on typical finite-sized obstacles is essential for optimizing defense strategies and designing more robust barriers to deter terrorists and protect critical locations.This study investigates the blasting effects and underlying mechanisms of concrete frustums subjected to contact explosions,employing both numerical simulations and field tests.It focuses on the effects of top and side blasting,with particular emphasis on fracture modes,damage patterns,and fragment sizes,as well as the causes of different failure modes and the propagation of stress waves.The study also explores the blasting effects of detonating explosives at varying positions along the side and with different charge amounts.The results show that side-blasting leads to complete fragmentation,with tensile waves playing a significant role in creating extensive damage zones that propagate parallel to the frustum's outer surface,concentrating damage near the surface.During top-blasting,the upper half of the frustum undergoes fragmentation,while the lower half experiences cracking.Tensile waves propagate from the top to the bottom surface,forming larger blocks in regions with lower wave intensity.Three distinct damage zones within the frustum were identified,and a series of mathematical formulas were derived to describe the relationship between the maximum fragment size and charge mass.As the charge mass increased from 1.0 kg to 4.0 kg,the maximum fragment size decreased.Detonation at the center of the frustum's side resulted in the most severe fragmentation,with a 51.8%reduction in fragment size compared to other detonation positions.Finally,four broken modes were classified,each influenced by charge mass and explosive location.This study provides valuable insights for optimizing civil blasting operations and designing protective engineering structures.
基金supported in part by the National Natural Science Foundation of China(No.52276009)。
文摘Accurate simulation of ice accretion of supercooled large droplet(SLD)is pivotal for the international airworthiness certification of large aircraft.Its complex dynamics behavior and broad particle size distributions pose significant challenges to reliable CFD predictions.A numerical model of multi-particle SLD coupling breaking,bouncing and splashing behaviors is established to explore the relationship between dynamics behavior and particle size.The results show that the peak value of droplet collection efficiencyβdecreases due to splashing.The bounce phenomenon will make the impact limit S_(m)of the water drops decrease.With the increase of the SLD particle size,the water drop bounce point gradually moves toward the trailing edge of the wing.The critical breaking diameter of SLD at an airflow velocity of 50 m/s is approximately 100μm.When the SLD particle size increases,the height of the water droplet shelter zone on the upper edge of the wing gradually decreases,and the velocity in the Y direction decreases first and then increases in the opposite direction,increasing the probability of SLD hitting the wing again.Large particle droplets have a higher effect on the impact limit S_(m)than smaller droplets.Therefore,in the numerical simulation of the SLD operating conditions,it is very important to ensure the proportion of large particle size water droplets.
基金supported by the National Natural Science Foundation of China(Nos.51938005,52090082,and 52378395)the National Key Research and Development Program of China(No.2023YFB2604402).
文摘This study aims to assess the comprehensive strengthening effect of a steel-ultra high performance concrete(UHPC)composite strengthening method.The axial force-moment interaction curve(N-M curve)was calculated in a novel way,using cross-sectional strains at ultimate states as well as real-time stress measurements for each material.The enclosed area of the N-M curve was defined as a comprehensive performance index for the system.We validate our approach with comparisons to numerical modeling and full-scale four-point bending experiments.Additionally,strengthening effects were compared for different sagging and hogging moments based on material stress responses,and the impact of various strengthening parameters was analyzed.We find that the N-M curve of the strengthened cross-section envelops that of the un-strengthened cross-section.Notably,improvements in flexural capacity are greater under sagging moments during the large eccentric failure stage,and greater under hogging moments during the small eccentric failure stage.This discrepancy is attributed to the strength utilization of strengthening materials.These findings provide a reference for understanding the strengthening effects and parameters of steel-UHPC composite.
基金financially supported by the National Science and Technology Major Project of China (No.J2019-VI-0004-0117)a Laboratory Fund Project (6142903220101)。
文摘The size and shape effect(SSE)of components has become a critical issue for mechanical properties,application reliability,and processing.In this study,the creep rupture life(CRL)of components with different wall thicknesses and positions in a combustion chamber casing simulator made of K439B superalloy was investigated.The intrinsic mechanisms of the SSE were explored from the dendrite structure,volume fraction and size of theγ'phase,and element segregation,etc.It is shown that this casting exhibits a strong SSE of creep rupture life,characterized by a significant difference in the CRL values up to 60%with the variation of wall thickness and position in the casing.In terms of casting technology,the influence of SSE on CRL is actually determined by the cooling rate.The SSE on the creep rupture life originates from the dendrite structure(such as the secondary dendrite arm spacing),volume fraction size of theγ'phase in the dendrite trunk,and elements segregation rate.This work may have implications for the design and application of engineering components with large sizes and complex structures.
基金supported by the National Natural Science Foundation of China(No.62464010)Spring City Plan-Special Program for Young Talents(K202005007)+2 种基金Yunnan Talents Support Plan for Young Talents(XDYC-QNRC-2022-0482)Yunnan Local Colleges Applied Basic Research Projects(202101BA070001-138)Frontier Research Team of Kunming University 2023.
文摘Rechargeable Zn/Sn-air batteries have received considerable attention as promising energy storage devices.However,the electrochemical performance of these batteries is significantly constrained by the sluggish electrocatalytic reaction kinetics at the cathode.The integration of light energy into Zn/Sn-air batteries is a promising strategy for enhancing their performance.However,the photothermal and photoelectric effects generate heat in the battery under prolonged solar irradiation,leading to air cathode instability.This paper presents the first design and synthesis of Ni_(2)-1,5-diamino-4,8-dihydroxyanthraquinone(Ni_(2)DDA),an electronically conductiveπ-d conjugated metal-organic framework(MOF).Ni_(2)DDA exhibits both photoelectric and photothermal effects,with an optical band gap of~1.14 eV.Under illumination,Ni_(2)DDA achieves excellent oxygen evolution reaction performance(with an overpotential of 245 mV vs.reversible hydrogen electrode at 10 mA cm^(−2))and photothermal stability.These properties result from the synergy between the photoelectric and photothermal effects of Ni_(2)DDA.Upon integration into Zn/Sn-air batteries,Ni_(2)DDA ensures excellent cycling stability under light and exhibits remarkable performance in high-temperature environments up to 80℃.This study experimentally confirms the stable operation of photo-assisted Zn/Sn-air batteries under high-temperature conditions for the first time and provides novel insights into the application of electronically conductive MOFs in photoelectrocatalysis and photothermal catalysis.
文摘The published article titled“Truncated Bid Overexpression Induced by Recombinant Adenovirus Cre/LoxP System Suppresses the Tumorigenic Potential of CD133+Ovarian Cancer Stem Cells”has been retracted from Oncology Research,Vol.25,No.4,2017,pp.595–603.
基金supported by the National Research Foundation of Korea(NRF)funded by the Ministry of Science and ICT(MSIT)(No.RS-2022-00143178)the Ministry of Education(MOE)(Nos.2022R1A6A3A13053896 and 2022R1F1A1074616),Republic of Korea.
文摘Beam-tracking simulations have been extensively utilized in the study of collective beam instabilities in circular accelerators.Traditionally,many simulation codes have relied on central processing unit(CPU)-based methods,tracking on a single CPU core,or parallelizing the computation across multiple cores via the message passing interface(MPI).Although these approaches work well for single-bunch tracking,scaling them to multiple bunches significantly increases the computational load,which often necessitates the use of a dedicated multi-CPU cluster.To address this challenge,alternative methods leveraging General-Purpose computing on Graphics Processing Units(GPGPU)have been proposed,enabling tracking studies on a standalone desktop personal computer(PC).However,frequent CPU-GPU interactions,including data transfers and synchronization operations during tracking,can introduce communication overheads,potentially reducing the overall effectiveness of GPU-based computations.In this study,we propose a novel approach that eliminates this overhead by performing the entire tracking simulation process exclusively on the GPU,thereby enabling the simultaneous processing of all bunches and their macro-particles.Specifically,we introduce MBTRACK2-CUDA,a Compute Unified Device Architecture(CUDA)ported version of MBTRACK2,which facilitates efficient tracking of single-and multi-bunch collective effects by leveraging the full GPU-resident computation.
基金supported by the National Natural Science Foundation of China(No.32170121).
文摘Benzalkonium chloride(BAC)is widely employed as a broad-spectrum biocide and has emerged as a significant environmental pollutant.Polymyxin B(PB)serves as the last-line defense for the treatment of Gram-negative pathogens.Previous studies reported that BAC-adapted Pseudomonas aeruginosa increased the tolerance to PB.Herein,we present the novel finding that the combination of BAC and PB exhibited synergistic antibacterial effects against P.aeruginosa.Time-killing assay demonstrated a significant reduction in bacterial cell viability.Scanning electron microscopy,zeta potential analysis,hydrophobicity measurements,and fluorescence probe analyses collectively revealed severe disruption of the cell envelope and membrane potential induced by the combination of BAC and PB.Transcriptomic analysis revealed that the BAC-PB combination notably downreg-ulated the expression of genes involved in lipid A modification and cell envelope production,including phoPQ,pmrAB,bamABCDE,lptABCDEG,lolB,yidC,and murJ.Additionally,the combination group exhibited augmented production of reactive oxygen species and diminished ATP synthesis.The expression of the genes associated with substance metabolism and energy generation was significantly impeded.This study provides significant implica-tions for the interactions of biocides and antibiotics on Gram-negative pathogens,while also addressing antibiotic resistance and developing the external treatment strategy for Pseudomonas-infected wounds and burns.
基金Supported by the Zhejiang Medical Health Science and Technology Project(No.2021KY217)the Basic Public Welfare Research Project of Wenzhou Municipal Science and Technology Bureau(No.2024Y1221).
文摘AIM:To evaluate and compare alterations in the effective lens position(ELP)and refractive outcomes among three distinct intraocular lens(IOL)types.METHODS:Patients with cataracts were enrolled and allocated to 3 groups:Group A(implanted with the SN6CWS),Group B(implanted with the MI60),and Group C(implanted with the Aspira-aA).ELP measurements were obtained with swept-source optical coherence tomography(SS-OCT)at 1d,1wk,1mo,and 3mo postoperatively.Subjective refraction assessments were conducted at 1wk,1mo,and 3mo following surgery.RESULTS:The study included 189 eyes of 150 cataract patients(66 males).There were 77 eyes in Group A,55 eyes in Group B,and 57 eyes in Group C.The root mean square of the ELP(ELPRMS)within the initial 3mo was significantly lower for Group A than for Groups B and C.Refractive changes within Group A were not significant across the time points of 1wk,1mo,and 3mo.Conversely,both Group B and Group C demonstrated statistically significant shifts toward hyperopia from 1wk to 3mo postsurgery.CONCLUSION:Among the three IOLs examined,the SN6CWS IOL showes the greatest stability during the first 3mo postoperatively.Between 1wk and 3mo after surgery,notable hyperopic shifts are evident in eyes implanted with the MI60 and Aspira-aA IOLs,whereas refractive outcomes remain relatively constant in eyes implanted with SN6CWS IOLs.
文摘Electrical and electronic devices face significant challenges in heatmanagement due to their compact size and high heat flux,which negatively impact performance and reliability.Conventional coolingmethods,such as forced air cooling,often struggle to transfer heat efficiently.In contrast,thermoelectric coolers(TECs)provide an innovative active cooling solution to meet growing thermal management demands.In this research,a refrigerant based on mono ethylene glycol and distilled water was used instead of using gases,in addition to using thermoelectric cooling units instead of using a compressor in traditional refrigeration systems.This study evaluates the performance of a Peltierbased thermalmanagement systemby analyzing the effects of using two,three,and four Peltiermodules on cooling rates,power consumption,temperature reduction,and system efficiency.Experimental results indicate that increasing the number of Peltier modules significantly enhances cooling performance.The four-module system achieved an optimal balance between cooling speed and energy efficiency,reducing the temperature of a liquidmixture(30% mono ethylene glycol+70% distilled water plus laser dyes)to 8℃ in just 17 min.It demonstrated a cooling rate of 0.794℃/min and a high coefficient of performance(COP)of 1.2 while consuming less energy than the two-and three-module systems.Furthermore,the study revealed that increasing the number of modules led to faster air cooling and improved temperature reduction.These findings highlight the importance of selecting the optimal number of Peltier modules to enhance efficiency and cooling speed whileminimizing energy consumption.This makes TEC technology a sustainable and effective solution for applications requiring rapid and reliable thermal management.
基金supported by the National Key Research and Development Program of Chinathe National Natural Science Foundation of China (Grant Nos.2024YFA1408000,12474097,and2023YFA1406001)+2 种基金the Guangdong Provincial Quantum Science Strategic Initiative (Grant No.GDZX2201001)the Center for Computational Science and Engineering at Southern University of Science and Technology,the Major Science and Technology Infrastructure Project of Material Genome Big-science Facilities Platform supported by Municipal Development and Reform Commission of Shenzhen(for J.L.Z.and Y.L.)the Chinese funding sources applied via HPSTAR。
文摘The magnetic properties and Kondo effect in Ce3TiBi5 with a quasi-one-dimensional structure were investigated using in situ high-pressure resistivity measurements up to 48 GPa.At ambient pressure,Ce_(3)TiBi_(5) undergoes an antiferromagnetic(AFM)transition at T_(N)∼5 K.Under high pressures within 8.9 GPa,we find that Kondo scattering contributes differently to the high-temperature resistance,R(T),depending on the applied current direction,demonstrating a significantly anisotropic Kondo effect.The complete P–T phase diagram has been constructed,in which the pressure dependence of T_(N) exhibits a dome-like shape.The AFM order remains robust under pressure,even when the coherence temperature T^(*) far exceeds 300 K.We attribute the observed anisotropic Kondo effect and the robust AFM to the underlying anisotropy in electronic hybridization under high pressure.
基金supported by the CAS Strategic Priority Research Program(No.XDB0760102),the Ministry of Science and Technology of China(No.2022YFF0802501)the Major Science and Technology Infrastructure Maintenance and Transformation Project of the Chinese Academy of Sciences,Shanghai Science and Technology Innovation Action Plan-Phospherus Project(No.23YF1426200)the National Key Research and Development Program of China(No.2024YFE0212200).
文摘In winter 2018,an aerosol physicochemical experiment was conducted in the Western Pacific Ocean(WPO)aboard the Research Vessel KEXUE of Chinese Academy of Sciences.This study systematically investigated both natural and anthropogenic effects on marine aerosols optical properties,as well as the applicability of multi-satellite products and IMPROVE equation.The averaged aerosol optical depth(AOD500 nm)was 0.31±0.16 andÅngström exponent440–675 nm was 0.29±0.30.In offshore China,significant anthropogenic emissions affected the marine environment.In remote WPO,dust aerosols transported from northern China,Siberia,Central Asia,and those settling from the upper troposphere originating from north Africa,Arabian peninsula,and western India,were dominant.The spatial trends of AOD were opposite in the mid-latitude and southern seas of WPO.The highest AOD,0.32±0.23,appeared along the coast of South Asia at mid-latitude,decreasing from offshore seas to remote oceans.In low-latitude and equatorial seas,AOD significantly increased from coast to remote oceans.Ångström exponent dropped significantly from the coast to remote oceans as anthropogenic influence diminished across the entire WPO.Correlation analysis showed that both MODIS-C6 and Himawari AOD prod-ucts showed similar applicability in coastal urban areas,while Himawari AOD is highly recommended for coastal background and marine environment due to its finer resolution.The extinction coefficient derived from PM_(2.5) chemical compositions using IMPROVE algorithm exhibited a significant correlation(R^(2)=0.58)with the con-currently measured AOD in the absence of long-distance transport,suggesting that the IMPROVE is a reasonable proxy of the columnar average of marine aerosol extinctions free from transport influences.
文摘Background:While the treatment of metastatic renal cell carcinoma(mRCC)is evolving due to immune checkpoint inhibitors(ICIs),optimal strategies for later lines of therapy have yet to be defined.The combination of lenvatinib and everolimus represents a viable option,and the present review aimed to summarize its activity,effectiveness,and safety.Methods:A systematic review of the literature was conducted using PubMed,targeting studies published between 2018 and 2025.Eligible studies included English-language prospective and retrospective trials reporting survival outcomes in mRCC patients treated with lenvatinib and everolimus after at least one ICI-containing regimen.Results:Nine studies met the inclusion criteria,encompassing a total of 441 patients.The lenvatinib and everolimus combination was primarily used in the third and subsequent lines of therapy.Median overall survival ranged from 7.5 to 24.5 months,while median progression-free survival was more consistent,between 6.1 and 6.7 months,except for one study reporting 12.9 months.Objective response rates varied widely(14.0%–55.7%).Adverse events of grade≥3 did not exceed the expected rate,with diarrhoea and proteinuria as the most reported events.Dose reductions and treatment discontinuations due to toxicity occurred but were generally lower than in prior pivotal trials.Conclusions:Real-world evidence suggests that lenvatinib and everolimus represent an effective and safe option after ICI failure in mRCC patients.Nevertheless,the lack of randomized phase III trials and the heterogeneity of existing studies highlight the need for more robust prospective research to guide post-ICI therapeutic strategies.
