The effect and safety of CDK4/6 inhibitors combined endocrine therapy on HR+, HER2-breast cancer: a meta-analysis of randomized controlled trials

Introduction: The purpose of this meta-analysis is to evaluate the efficacy and safety of cyclin-dependent kinase4/6 inhibitors (CDK4/6i) combined with endocrine therapy (ET) on hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2–) breast cancer (BC). Material and methods: A search was conducted in the PubMed, Embase, Web of Science, and Cochrane Library databases before July 2022. Results: A total of 19 studies comprising 19,004 patients were eligible for this meta-analysis. This meta-analysis found that for unresectable locally advanced or metastatic HR+, HER2– BC, CDK4/6i combined with ET can significantly improve the progression-free survival (PFS) (hazard ratio = 0.59, p < 0.001), overall survival (OS) (hazard ratio = 0.77, p < 0.001), objective response rate (ORR) [risk ratio (RR) = 1.32, p = 0.001)], disease control rate (DCR) (RR = 1.10, p < 0.001), and clinical benefit response (CBR) (RR = 1.15, p = 0.001). For early HR+, HER2- BC, CDK4/6i combined with ET improved ORR (RR = 1.14, p = 0.05) and invasive disease free survival (iDFS) (hazard ratio = 0.87, p = 0.045) but had no effect on pathologic complete response (pCR) (RR = 1.75, p = 0.33), distant recurrence free survival (DRFS) (hazardratio = 0.83, p = 0.311), and OS (hazard ratio = 1.08, p = 0.705). Conclusion: CDK4/6i combined with ET can improve the prognosis of patients with unresectable locally advanced or metastatic HR+, HER2– BC, but it has no obvious effect on patients with early HR+, HER2– BC. It is generally safe and manageable

Dietary fiber intake and cognitive impairment in older patients with chronic kidney disease in the United States: A cross-sectional study.

BackgroundHigh-fiber diet has been associated with better cognitive performance. However, the association between dietary fiber intake and cognition in older patients with chronic kidney disease (CKD) remains unknown. Hence, this study aimed to investigate the effect of dietary fiber intake on cognition in older patients with CKD.MethodsThis study included participants aged ≥60 years who provided data on social demography, cognitive tests (Consortium to Establish a Registry for Alzheimer's disease Word Learning [CERAD-WL], CERAD Delayed Recall [CERAD-DR], Animal Fluency Test [AFT], and Digit Symbol Substitution Test [DSST]), diet, and other potential cognition-related variables from the National Health and Nutrition Examination Survey 2011-2014. Fully-adjusted multivariate logistic regression subgroup models were performed, and multiple linear regression analyses were employed to examine the association between dietary fiber intake and cognition in patients with CKD.ResultsA total of 2461 older adults were included, with 32% who suffered from CKD. Participants with CKD scored lower in CERAD-WL, CERAD-DR, AFT, and DSST. Patients with CKD consuming low dietary fiber (≤25 g/day) had a higher risk of CERAD-WL and DSST impairments. High dietary fiber intake eliminated the differences in CERAD-WL and DSST impairments between the CKD and non-CKD participants. However, no associations were observed between CKD and CERAD-DR and AFT impairments regardless of dietary fiber intake. A positive linear relationship between dietary fiber intake and AFT score was observed in older patients with CKD.ConclusionHigh dietary fiber intake may benefit cognitive function in older patients with CKD. High-fiber diet management strategies could potentially mitigate cognitive impairment in this group of patients

Measurement and Modelling of Moisture Distribution and Water Binding Energy of Dredged Sludge

The dewatering of dredged sludge is a critical step in the minimization and reutilization of this solid waste. However, there is a lack of available literature on the fundamental drying characteristics of dredged sludge. In this work, two kinds of typical sludge dredged from an urban watercourse were tested by low-field NMR to investigate the water distribution in sludge and it was found that water contained in sludge can be classified into three categories: free water, capillary water and bound water. In addition, a novel model was proposed based on the Lennard-Jones equation and Kelvin law to quantitatively evaluate the binding energy during drying. Further, the model results were experimentally verified by thermogravimetry differential thermal analysis (TG-DTA). Results show that the trends of the model are consistent with the experimental values and the gradient of energy consumption during dehydration can be divided into three main stages. In stage 1, the total energy required for dewatering equals the latent heat of free water. In stage 2, binding energy reaches dozens to hundreds of kJ/kg accounting for capillary action. In stage 3, binding energy increases steeply reaching almost thousands of kJ/kg due to intermolecular interactions. All the discovered aspects could improve the management and disposal of dredged sludge from an energy cost perspective

Effect of Ultrasonic Pre-treatment on Dewaterability and Moisture Distribution in Sewage Sludge

International audienceThe main objective of this work was to enhance the dewatering efficiency of sewage sludge by ultrasonic irradiation. Low-field 1H nuclear magnetic resonance (LF-NMR) was used to deduce the moisture distribution in sewage sludge. Experiments were carried out to investigate the effects of ultrasonic frequencies (20, 25, 30, 35 and 40 kHz) and treatment time (1, 2, 3, 5 and 10 min) on water content, SCOD and moisture distribution in sewage sludge. The results showed that ultrasonic irradiation is an effective pre-treatment process for sludge dewatering. When sewage sludge was pre-treated by ultrasonic irradiation at 30 kHz for 2 min, the water content of sludge decreased from 93.03 to 86.95% after centrifugal dewatering. This means the volume of residual sludge cake after ultrasonic pre-treatment is half of the volume of raw sludge cake. In addition, the NMR analysis reveals that there are three categories of water in sewage sludge, and the moisture distributions were changed by ultrasonic irradiation. For different ultrasonic frequencies, the sample with the lowest water content contains the highest free water content. While for different pre-treatment times, the water content decreased at the first 2 min, then it gradually increased with longer ultrasonic irradiation time. The SCOD of sludge samples increased continuously with ultrasonic irradiation time extended

Education Assistance to Africa: We Can Do More and Better

Education Assistance to Africa, Global governance, One harmonious world, I21,

Exploiting Novel Unfused-Ring Acceptor for Efficient Organic Solar Cells with Record Open-Circuit Voltage and Fill Factor

Unfused-ring acceptors (UFAs) show bright application prospects in organic solar cells (OSCs) thanks to their easy synthesis, low cost, and good device performance. The selection of central-core building block and suitable side chain are the key factors to achieve high-performance UFAs. Current tremendous endeavors for the development of UFAs mainly concentrate on obtaining higher short-circuit current density (J(sc)), albeit accompanied by low open-circuit voltage (V-oc) and modest fill factor (FF). Herein, two novel A-D-A '-D-A type UFAs (BTCD-IC and BTCD-2FIC), which have the same new electron-withdrawing central-core dithieno[3 ',2 ':3,4;2 '',3 '':5,6]-benzo[1,2-c][1,2,5]thiadia-zole (DTBT) and cyclopentadithiophene unit (CPDT, substituted by 2-butyl-1-octyl alkyl chain) coupling with different terminals, were designed and synthesized. Two UFAs showed strong and broad light absorption in the wavelength range of 300-850 nm owing to the strong intramolecular charge transfer effect favorable by DTBT core. Compared with BTCD-IC, BTCD-2FIC with F-containing terminal group exhibited higher molar extinction coefficient, lower energy level, higher charge mobility, stronger crystallinity, more ordered molecular stacking, and better film morphology. As a result, when blended with donor polymer PBDB-T (poly[(2,6-(4,8-bis(5-(2-ethylhexyl)thiophen-2-yl)benzo[1,2-b:4,5-b ']dithiophene)-co-(1,3-di(5-thiophene-2-yl)-5,7-bis(2-ethylhexyl)benzo[1,2-c:4,5-c ']-dithiophene-4,8-dione)]), the BTCD-2FIC-based OSC achieved a superior power conversion efficiency (PCE) of 11.32 %, with a high V-oc of 0.85 V, a J(sc) of 18.24 mA cm(-2), and a FF of 73 %, than BTCD-IC-based OSC (PCE=8.96 %). Impressively, the simultaneously enhanced V-oc and FF values of the PBDB-T:BTCD-2FIC device were the highest values of the A-D-A '-D-A-type UFAs. The results demonstrate the application of electron-withdrawing DTBT central-core unit in efficient UFAs provides meaningful molecular design guidance for high-performance OSCs.clos

Litter Inputs Control the Pattern of Soil Aggregate-Associated Organic Carbon and Enzyme Activities in Three Typical Subtropical Forests

Soil extracellular enzyme activities among aggregate fractions are critical to short-term microbial activity and long–term carbon dynamics in forest ecosystems, but little is known regarding the effects of forest types on the soil enzyme activities in different soil aggregate fractions. Three typical subtropical forest types (Broadleaved forest, Moso bamboo forest and Chinese fir forest) were selected, and undisturbed soil samples (0–15 cm) were collected. We investigated the effects of forest types on aggregate stability (mean weight diameter, geometric mean diameter and fractal dimension), aggregate–associated organic carbon (OC) and the functionality of five enzymes (cellobiohydrolase, β-glucosidase, β-xylosidase, N–acetylglucosaminidase, leucine aminopeptidase) of different aggregate fractions (>2 mm, 0.25–2 mm, 0.053–0.25 mm and <0.053 mm). The results showed that the proportion of macro-aggregates, aggregate stability and macro–aggregates associated–carbon content and storage were higher in broadleaved and Moso bamboo forests than in Chinese fir forests, indicating that forest types influence the distribution of total soil OC among aggregate fraction classes and would delay the loss of OC in broadleaved and Moso bamboo forests. We also found that the extracellular enzymes were higher in aggregates of broadleaved forests and Moso bamboo forests. SEM (structural equation model) analysis also supported significantly positive relationships between litter quantity and aggregate enzyme activity, and indirect impact of litter quantity and litter C/N ratio together with soil organic carbon (SOC) and soil aggregate organic C content (SAOCC) on aggregate enzyme activity. The results of this study indicate that forest types showed large impact on aggregate-associated OC and enzyme activities, and the litter input of different forest types is the main control on enzyme activity among different aggregate fractions, and thus may play an important role in adjusting the sink capacity and stability of SOC

Litter Inputs Control the Pattern of Soil Aggregate-Associated Organic Carbon and Enzyme Activities in Three Typical Subtropical Forests

Soil extracellular enzyme activities among aggregate fractions are critical to short-term microbial activity and long–term carbon dynamics in forest ecosystems, but little is known regarding the effects of forest types on the soil enzyme activities in different soil aggregate fractions. Three typical subtropical forest types (Broadleaved forest, Moso bamboo forest and Chinese fir forest) were selected, and undisturbed soil samples (0–15 cm) were collected. We investigated the effects of forest types on aggregate stability (mean weight diameter, geometric mean diameter and fractal dimension), aggregate–associated organic carbon (OC) and the functionality of five enzymes (cellobiohydrolase, β-glucosidase, β-xylosidase, N–acetylglucosaminidase, leucine aminopeptidase) of different aggregate fractions (>2 mm, 0.25–2 mm, 0.053–0.25 mm and <0.053 mm). The results showed that the proportion of macro-aggregates, aggregate stability and macro–aggregates associated–carbon content and storage were higher in broadleaved and Moso bamboo forests than in Chinese fir forests, indicating that forest types influence the distribution of total soil OC among aggregate fraction classes and would delay the loss of OC in broadleaved and Moso bamboo forests. We also found that the extracellular enzymes were higher in aggregates of broadleaved forests and Moso bamboo forests. SEM (structural equation model) analysis also supported significantly positive relationships between litter quantity and aggregate enzyme activity, and indirect impact of litter quantity and litter C/N ratio together with soil organic carbon (SOC) and soil aggregate organic C content (SAOCC) on aggregate enzyme activity. The results of this study indicate that forest types showed large impact on aggregate-associated OC and enzyme activities, and the litter input of different forest types is the main control on enzyme activity among different aggregate fractions, and thus may play an important role in adjusting the sink capacity and stability of SOC

Regulating the Sequence Structure of Conjugated Block Copolymers Enables Large-Area Single-Component Organic Solar Cells with High Efficiency and Stability

Single-component organic solar cells (SCOSCs) based on conjugated block copolymers (CBCs) by covalently bonding a polymer donor and polymer acceptor become more and more appealing due to the formation of a favorable and stable morphology. Unfortunately, a deep understanding of the effect of the assembly behavior caused by the sequence structure of CBCs on the device performance is still missing. Herein, from the aspect of manipulating the sequence length and distribution regularity of CBCs, we synthesized a series of new CBCs, namely D18(20)-b-PYIT, D18(40)-b-PYIT and D18(60)-b-PYIT by two-pot polymerization, and D18(40)-b-PYIT(r) by traditional one-pot method. It is observed that precise manipulation of sequence length and distribution regularity of the polymer blocks fine-tunes the self-assembly of the CBCs, optimizes film morphology, improves optoelectronic properties, and reduces energy loss, leading to simultaneously improved efficiency and stability. Among these CBCs, the D18(40)-b-PYIT-based device achieves a high efficiency of 13.4 % with enhanced stability, which is an outstanding performance among SCOSCs. Importantly, the regular sequence distribution and suitable sequence length of the CBCs enable a facile film-forming process of the printed device. For the first time, the blade-coated large-area rigid/flexible SCOSCs are fabricated, delivering an impressive efficiency of 11.62 %/10.73 %, much higher than their corresponding binary devices