Predictive value of plasma sICAM-1 and sP-Selectins in the risk of death in patients with acute respiratory distress syndrome

Background: To evaluate the predictive value of sICAM-1 and sP-Selectins in the risk of death in a prospective cohort of adult acute respiratory distress syndrome (ARDS). Methods: Adult ARDS patients were included. Plasma sICAM-1, sP-Selectins, and inflammatory cytokines (TNF-α, IL-1b, IL-6, IL-8, and IL-17A) were detected in ARDS subjects. The correlation between different factors and the potential of sICAM-1 and sP-Selectins as endothelial markers to predict the risk of deathfrom ARDS was analyzed. Results: Plasma sICAM-1 and sP-Selectins were higher in ARDS patients and higher in non-survivors of ARDS. sICAM-1 was significantly correlated with TNF-α, IL-6 and IL-8, and sP-Selectins was also significantly correlated with IL-6 and IL-8. Above the critical values of 245.5 ng/mL (sICAM-1) and 482.5 ng/mL (sP-Selectins), the death of the ARDS population increased. High plasma sICAM-1 and sP-Selectins at ICU admission were independent predictors of death of ARDS patients. Conclusion: sICAM-1 and sP-Selectins can predict the risk of death in critically ill patients with ARDS

Photochemical reaction enabling the engineering of photonic spin-orbit coupling in organic-crystal optical microcavities

The control and active manipulation of spin-orbit coupling (SOC) in photonic systems is fundamental in the development of modern spin optics and topological photonic devices. Here, we demonstrate the control of an artificial Rashba-Dresselhaus (RD) SOC mediated by photochemical reactions in a microcavity filled with an organic single-crystal of photochromic phase-change character. Splitting of the circular polarization components of the optical modes induced by photonic RD SOC is observed experimentally in momentum space. By applying an ultraviolet light beam, we control the spatial molecular orientation through a photochemical reaction and with that we control the energies of the photonic modes. This way we realize a reversible conversion of spin-splitting of the optical modes with different energies, leading to an optically controlled switching between circularly and linearly polarized emission from our device. Our strategy of in situ and reversible engineering of SOC induced by a light field provides a promising approach to actively design and manipulate synthetic gauge fields towards future on-chip integration in photonics and topological photonic devices

The evaluation of durative transfusion of Endostar combined with chemotherapy in patients with advanced non-small cell lung cancer

Background: The overall survival (OS) in non-small cell lung cancer (NSCLC) is poor, with median OS of advanced NSCLC with standard systemic chemotherapy being reported at 13.6 months and the 5-year survival rate at less than 15%. Therefore, the aim of this study was to evaluate Endostar combined with chemotherapy in patients with advanced NSCLC. Methods: Data on 116 cases of pathologically confirmed stage IIIB-IV NSCLC were retrospectively collected. The control group was treated with chemotherapy combined with intravenous infusion of Endostar while the test group received durative transfusion of Endostar. The short-term therapeutic effects including overall response rate (ORR), disease control rate (DCR), and safety were evaluated in both groups. In the follow-up, progression-free survival (PFS) and OS were also analysed. Results: In the test group, the ORR was 53.4%, which was similar to that in the control group (44.8%) (p > 0.05). However, the DCR in the test group (86.2%) was significantly higher than that in the control group (70.7%) (p < 0.01). The median time to progression in the test group (6 months) was also significantly longer than that in the control group (4 months). Importantly, the median OS in the test group (17.5 months) was improved compared to the control group (13.5 months). The 1-year survival rate in the test and control groups was 9.7 and 15.8%, respectively. There was no significant difference in side effects (including thrombocytopenia, leucopenia, nausea, and vomiting) between the two groups. Conclusions: Endostar durative transfusion combined with chemotherapy showed a higher DCR, longer PFS and OS time, and was well tolerated in patients with advanced NSCLC

Investigation of the prevalence and clinical implications of ERBB2 exon 16 skipping mutations in Chinese pan-cancer patients

BackgroundAlthough rare, ERBB2 exon 16 skipping mutations (ERBB2ΔEx16) have been implicated in resistance to anti-HER2 and anti-EGFR targeted agents. Our study investigated the prevalence and clinical significance of ERBB2ΔEx16 in Chinese pan-cancer patients.MethodsWe retrospectively screened 40996 patients, spanning 19 cancer types, who had available genomic profiles acquired with DNA-based next-generation sequencing (NGS). We characterized the clinical and molecular features of the ERBB2ΔEx16-positive patients. Furthermore, we also analyzed a pan-cancer dataset from the Cancer Genome Atlas (TCGA; n=8705).ResultsA total of 22 patients were detected with ERBB2ΔEx16, resulting in an overall prevalence rate of 0.054% (22/40996). Of them, 16 patients had lung cancer (LC; 0.05%, 16/30890), five patients had gastric cancer (GC; 0.35%, 5/1448), and one patient had ovarian cancer (0.12%, 1/826). Among the 16 LC patients, ERBB2ΔEx16 was detected in four treatment-naïve EGFR/ALK-negative patients and 12 EGFR-positive patients after the onset of resistance to EGFR tyrosine kinase inhibitors (TKIs). The treatment-naïve patients harbored no LC-associated oncogenic drivers except ERBB2 amplification, suggesting a potential oncogenic role for ERBB2ΔEx16. Consistently, ERBB2ΔEx16+ patients from TCGA data also carried no known drivers despite various concurrent alterations. In the 12 EGFR TKI-resistant LC patients, relative variant frequencies for ERBB2ΔEx16 were lower than in untreated patients, suggesting ERBB2ΔEx16 as secondary alterations following TKI treatment and thereby implicating ERBB2ΔEx16 in mediating therapeutic resistance.ConclusionsOur study identified an overall ERBB2ΔEx16 prevalence rate of 0.054% and provided insights into the clinical implications of ERBB2ΔEx16 in Chinese pan-cancer patients

Electrically Switchable Amplified Spontaneous Emission from Lead Halide Perovskite Film

Electrically tunable optical devices that allow for modulation and detection of the optical signals would be extremely beneficial for the next photonic and electronic technologies. Perovskite materials as an emerging excitonic one provide promising platforms because they offer excitons manipulated by an external electrical field and efficient coupling to light. However, so far, electrically modulated switches based on perovskite amplified spontaneous emission (ASE) still remain unexplored. Here, we prepared perovskite films on indium tin oxide substrates by a spin-coating method and characterized their ASE behaviors. Based on it, we designed and fabricated electrically switchable ASE devices of perovskite film based on a light-emitting diode device configuration. Under the externally applied current, this device exhibits good controllable optoelectronic switching behaviors. Furthermore, this photoelectric response can be modulated by the different current densities. Our strategy for electrically switchable perovskite ASE will promote integrated applications in optoelectronic devices and provide valuable experience for the development of electrically pumped perovskite lasers

Biochar and Vermicompost Amendments Affect Substrate Properties and Plant Growth of Basil and Tomato

The suitability of biochar (BC) as a container substrate depends on the BC mix ratio and plant species. Mixes with mixed hardwood BC (20%, 40%, 60%, and 80%, by volume) and vermicompost (VC; 5%, 10%, 15%, and 20%, by volume) were evaluated as container substrates on basil (Ocimum basilicum L.) and tomato (Solanum lycopersicum L. &lsquo;Roma&rsquo;) plants compared to a commercial peat-based substrate (CS). The CS made up the rest of the volume when BC and VC did not add up to 100%. The total porosity of all mixes with BC, VC, and CS (BC:VC:CS mixes) was similar to the control. Mixes with 80% BC had lower container capacity than the control. At 9 weeks after transplanting, the leachate pH of all the BC:VC:CS mixes was higher than that of the control, except for mixes of 20%BC and 5%VC with the rest (75%) being CS (20BC:5VC:75CS) and 20BC:10VC:70CS with tomato plants. The soil plant analysis development (SPAD) readings in BC:VC:CS mixes were similar to or higher than the control except for tomato plants in 80BC:5VC:15CS, 80BC:15VC:5CS, and 80BC:20VC:0CS mixes. Plants in BC:VC:CS mixes had similar growth indexes and total dry weight with respect to those in 100% CS, with the root DW of basil plants in 60BC:15VC:25CS being the highest among all treatments. Therefore, the BC (20%, 40%, 60%, or 80%, by volume) and VC (5%, 10%, 15%, or 20%, by volume) mixes had the potential to replace CS for container-grown plants, with the estimate wholesale price for 80BC:5VC:15CS was only 61.6% that of the control

All Traveling Wave Exact Solutions of the Kawahara Equation Using the Complex Method

In this article, we prove that the ⟨p,q⟩ condition holds, first by using the Fuchs index of the complex Kawahara equation, and then proving that all meromorphic solutions of complex Kawahara equations belong to the class W. Moreover, the complex method is employed to get all meromorphic solutions of complex Kawahara equation and all traveling wave exact solutions of Kawahara equation. Our results reveal that all rational solutions ur(x+νt) and simply periodic solutions us,1(x+νt) of Kawahara equation are solitary wave solutions, while simply periodic solutions us,2(x+νt) are not real-valued. Finally, computer simulations are given to demonstrate the main results of this paper. At the same time, we believe that this method is a very effective and powerful method of looking for exact solutions to the mathematical physics equations, and the search process is simpler than other methods