Expert Consensus on Microtransplant for Acute Myeloid Leukemia in Elderly Patients -Report From the International Microtransplant Interest Group

Recent studies have shown that microtransplant (MST) could improve outcome of patients with elderly acute myeloid leukemia (EAML). To further standardize the MST therapy and improve outcomes in EAML patients, based on analysis of the literature on MST, especially MST with EAML from January 1st, 2011 to November 30th, 2022, the International Microtransplant Interest Group provides recommendations and considerations for MST in the treatment of EAML. Four major issues related to MST for treating EAML were addressed: therapeutic principle of MST (1), candidates for MST (2), induction chemotherapy regimens (3), and post-remission therapy based on MST (4). Others included donor screening, infusion of donor cells, laboratory examinations, and complications of treatment

Microstructure, Mechanical Properties, and Corrosion Behavior of Al-4.0Cu-1.1Li-0.5Mg-xAg Alloys

The influence of various Ag contents on the microstructure, mechanical properties, and corrosion behavior of extruded Al-4.0Cu-1.1Li-0.4Mg-xAg-0.2Mn-0.2Zr (x = 0.4 and 0.9, wt.%) alloys was investigated. The alloy with 0.9 Ag content contains higher number density of slender T1 (Al2CuLi) precipitates along with some θ’ (Al2Cu) phases in the matrix than the alloy with 0.4 Ag content, which is associated with a more rapid hardening response and higher mechanical properties and corrosion resistance, particularly for aging at 130 °C. When aging at high temperatures (above 160 °C), the increase of Ag content mitigates hardness loss by preventing the T1 precipitates from coarsening, and makes the alloy decorate more coarse precipitates at grain boundaries, which leads to the fracture morphology mainly occupied by intergranular fracture. Furthermore, due to the simultaneous promotion of T1 precipitates at grain boundaries and in grain interiors, the 0.9 Ag-containing Al-Cu-Li-Mg-Ag alloy has almost no improvement in corrosion resistance

Microstructure, Mechanical Properties and Corrosion Behaviors of Al–Li–Cu–Mg–Ag–Zn Alloys

Combined with microstructure characterization and properties tests, the effects of Zn contents on the mechanical properties, corrosion behaviors, and microstructural evolution of extruded Al–Li–Cu–Mg–Ag alloys were investigated. The results show that the increase in Zn contents can accelerate hardening kinetics and improve the hardness of peak-aged alloys. The Zn-added alloys present non-recrystallization characteristics combined with partially small recrystallized grains along the grain boundaries, while the T1 phase with finer dimension and higher number density could explain the constantly increasing tensile strength. In addition, increasing Zn contents led to a lower corrosion current density and a shallower maximum intergranular corrosion depth, thus improving the corrosion resistance of the alloys. Zn addition, distributed in the central layer of T1 phases, not only facilitates the precipitation of more T1 phases but also reduces the corrosion potential difference between the T1 phase and the matrix. Therefore, adding 0.57 wt.% Zn to the alloy has an excellent combination of tensile strength and corrosion resistance. The properties induced by Zn under the T8 temper (solid solution treatment + water quenching + 5% pre-strain+ isothermal aging), however, are not as apparent as the T6 temper (solid solution treatment + water quenching + isothermal aging)

Effect of Rolling Temperature on Microstructure and Properties of Al-Mg-Li Alloy

In this study, the effects of hot-rolled processes at different temperatures (420 °C, 450 °C, and 480 °C) and subsequent solid solution and aging treatments on the microstructure, mechanical properties, and corrosion properties of Al-Mg-Li alloys with trace Sc and Zr addition were investigated. The aging treatment of rolled sheets after solid solution treatment could obtain Al3Li particles and Al3(Sc, Zr)/Al3Li core–shell particles to improve the mechanical properties of Al-Mg-Li alloy products effectively. The results showed that, as the rolling temperatures increased from 420 °C to 480 °C, the alloy’s ultimate tensile strengths and yield strengths increased, while the corrosion resistance decreased. The increase in rolling temperature increased the precipitation-free zone (PFZ) width of the alloy, which undermined the corrosion resistance of the alloy. Moreover, elevating the hot rolling temperature changes the texture strength of the alloy. Particularly in the 480 °C hot-rolled sample, the decrease in the Brass texture strength and the increase in the S texture and Copper texture strength led to an increase in the Taylor factor (M). The increase in rolling temperature also raised the number density of the Al3(Sc, Zr)/Al3Li core–shell particles. The presence of such particles not only inhibits grain growth but also changes the strength mechanism from dislocation cutting to Orowan bypassing. Due to the combination effect of grain morphology, texture evolution, and precipitation behavior, the 480 °C hot-rolled sample had the highest properties

Effect of Combined Addition of CeLa and GdY on Microstructure and Mechanical Properties of As-Cast Al-Cu-Mn Alloys

In this study, the effects of the combined addition of CeLa and GdY on the microstructure and mechanical properties of as-cast Al-4Cu-1Mn alloys were investigated by X-ray diffraction (XRD), scanning electron microscopy (SEM), transmission electron microscopy (TEM), and tensile testing. The results show that the minor addition of CeLa and GdY leads to a refinement of grain size. The addition of CeLa results in the formation of supersaturated vacancies in the Al matrix, whereas the addition of GdY leads to a decrease in the precipitation temperature of the Al2Cu phase. The combined CeLa and GdY additions can significantly increase ultimate tensile strength (UTS) while losing only a small amount of elongation (EL). Compared with the unmodified alloy, the grain size and SDAS of the alloy (0.2 wt.% CeLa + 0.1 wt.% GdY) were diminished by 67.2% and 58.7%, respectively, while maximum hardness and UTS rose by 31.2% and 36.9%, respectively

Evaluation of a Novel High-Efficiency SHS-EAH Multi-Stage DG-ADP Process for Cleaner Production of High-Quality Ferrovanadium Alloy

A novel high-efficiency industrialized clean production technology based on multi-stage gradient batching and smelting was proposed for the production of high-quality ferrovanadium. The thermodynamic mechanism of aluminothermic reduction equilibrium, alloy settlement and raw material impurity distribution were confirmed, and a multi-stage double-gradient aluminum addition pattern (DG-ADP), the highly efficient separation of molten slag and alloy, and typical impurity control standards of raw materials were achieved on the basis of a self-propagating high-temperature synthesis with an electric auxiliary heating (SHS-EAH) process. The reduction efficiency, separation efficiency and the comprehensive utilization rate of the secondary resources were significantly improved, as the whole total vanadium (T.V) content in the industrially produced residue slag reduced from 2.34 wt.% to 0.60 wt.%, while the corresponding smelting yield increased from 93.7 wt.% to 98.7 wt.% and the aluminum consumption decreased from 510 kg·t−1 to 400 kg·t−1. The multi-stage DG-ADP process enabled the internal circulation of vanadium-bearing materials in the ferrovanadium smelting system, as well as the external circulation of iron and residue slag in the same system, and finally achieved the zero discharge of solid and liquid waste from the ferrovanadium production line, which provides a brand-new perspective for the cleaner production of ferrovanadium alloy

Immunogenicity and Safety of an Inactivated Enterovirus 71 Vaccine Administered Simultaneously with Hepatitis B Virus Vaccine, Group A Meningococcal Polysaccharide Vaccine, Measles-Rubella Combined Vaccine and Japanese Encephalitis Vaccine: A Multi-Center, Randomized, Controlled Clinical Trial in China

Background: The aim of this study was to investigate the immunogenicity and safety of the enterovirus 71 vaccine (EV71 vaccine) administered alone or simultaneously. Methods: A multi-center, open-label, randomized controlled trial was performed involving 1080 healthy infants aged 6 months or 8 months from Shandong, Shanxi, Shaanxi, and Hunan provinces. These infants were divided into four simultaneous administration groups and EV71 vaccine separate administration group. Blood samples were collected from the infants before the first vaccination and after the completion of the vaccination. This trial was registered in the Clinical Trials Registry (NCT03519568). Results: A total of 895 were included in the per-protocol analysis. The seroconversion rates of antibodies against EV71 in four simultaneous administration groups (98.44% (189/192), 94.57% (122/129), 99.47% (187/188) and 98.45% (190/193)) were non-inferior to EV71 vaccine separate administration group (97.93% [189/193]) respectively. Fever was the most common adverse event, the pairwise comparison tests showed no difference in the incidence rate of solicited, systemic or local adverse events. Three serious adverse events related to the vaccination were reported. Conclusions: The evidence of immunogenicity and safety supports that the EV71 vaccine administered simultaneously with vaccines need to be administered during the same period of time recommended in China

Kidney Function Indicators Predict Adverse Outcomes of COVID-19.

BackgroundThe coronavirus disease 2019 (COVID-19) is a recently emerged respiratory infectious disease with kidney injury as a part of the clinical complications. However, the dynamic change of kidney function and its association with COVID-19 prognosis are largely unknown.MethodsIn this multicenter retrospective cohort study, we analyzed clinical characteristics, medical history, laboratory tests, and treatment data of 12,413 COVID-19 patients. The patient cohort was stratified according to the severity of the outcome into three groups: non-severe, severe, and death.FindingsThe prevalence of elevated blood urea nitrogen (BUN), elevated serum creatinine (Scr), and decreased blood uric acid (BUA) at admission was 6.29%, 5.22%, and 11.66%, respectively. The trajectories showed the elevation in BUN and Scr levels, as well as a reduction in BUA level for 28 days after admission in death cases. Increased all-cause mortality risk was associated with elevated baseline levels of BUN and Scr and decreased levels of BUA.ConclusionsThe dynamic changes of the three kidney function markers were associated with different severity and poor prognosis of COVID-19 patients. BUN showed a close association with and high potential for predicting adverse outcomes in COVID-19 patients for severity stratification and triage.FundingThis study was supported by grants from the National Key R&D Program of China (2016YFF0101504), the National Science Foundation of China (81630011, 81970364, 81970070, 81970011, 81870171, and 81700356), the Major Research Plan of the National Natural Science Foundation of China (91639304), the Hubei Science and Technology Support Project (2019BFC582, 2018BEC473, and 2017BEC001), and the Medical Flight Plan of Wuhan University