Causes of death and conditional survival estimates of long-term lung cancer survivors.

INTRODUCTION: Lung cancer ranks the leading cause of cancer-related death worldwide. This retrospective cohort study was designed to determine time-dependent death hazards of diverse causes and conditional survival of lung cancer. METHODS: We collected 816,436 lung cancer cases during 2000-2015 in the SEER database, after exclusion, 612,100 cases were enrolled for data analyses. Cancer-specific survival, overall survival and dynamic death hazard were assessed in this study. Additionally, based on the FDA approval time of Nivolumab in 2015, we evaluated the effect of immunotherapy on metastatic patients\u27 survival by comparing cases in 2016-2018 (immunotherapy era, n=7135) and those in 2013-2016 (non-immunotherapy era, n=42061). RESULTS: Of the 612,100 patients, 285,705 were women, the mean (SD) age was 68.3 (11.0) years old. 252,558 patients were characterized as lung adenocarcinoma, 133,302 cases were lung squamous cell carcinoma, and only 78,700 cases were small cell lung carcinomas. TNM stage was I in 140,518 cases, II in 38,225 cases, III in 159,095 cases, and IV in 274,262 patients. 164,394 cases underwent surgical intervention. The 5-y overall survival and cancer-specific survival were 54.2% and 73.8%, respectively. The 5-y conditional survival rate of cancer-specific survival is improved in a time-dependent pattern, while conditional overall survival tends to be steady after 5-y follow-up. Except from age, hazard disparities of other risk factors (such as stage and surgery) diminished over time according to the conditional survival curves. After 8 years since diagnosis, mortality hazard from other causes became higher than that from lung cancer. This critical time point was earlier in elder patients while was postponed in patients with advanced stages. Moreover, both cancer-specific survival and overall survival of metastatic patients in immunotherapy era were significantly better than those in non-immunotherapy era (P CONCLUSIONS: Our findings expand on previous studies by demonstrating that non-lung-cancer related death risk becomes more and more predominant over the course of follow-up, and we establish a personalized web-based calculator to determine this critical time point for long-term survivors. We also confirmed the survival benefit of advanced lung cancer patients in immunotherapy era

A Generic Bamboo-Based Carbothermal Method for Preparing Carbide (SiC, B\u3csub\u3e4\u3c/sub\u3eC, TiC, TaC, NbC, Ti\u3csub\u3ex\u3c/sub\u3eNb\u3csub\u3e1-x\u3c/sub\u3eC, and Ta\u3csub\u3ex\u3c/sub\u3e Nb\u3csub\u3e1-x\u3c/sub\u3eC) Nanowires

Finding a general procedure to produce a whole class of materials in a similar way is a desired goal of materials chemistry. In this work, we report a new bamboo-based carbothermal method to prepare nanowires of covalent carbides (SiC and B4C) and interstitial carbides (TiC, TaC, NbC, TixNb1−xC, and TaxNb1−xC). The use of natural nanoporous bamboo as both the renewable carbon source and the template for the formation of catalyst particles greatly simplifies the synthesis process. Based on the structural, morphological and elemental analysis, volatileoxides or halides assisted vapour–liquid–solid growth mechanism was proposed. This bamboo based carbothermal method can be generalized to other carbide systems, providing a general, one-pot, convenient, low-cost, nontoxic, mass production, and innovative strategy for the synthesis of carbide nanostructures

The Genome of Ganderma lucidum Provide Insights into Triterpense Biosynthesis and Wood Degradation

BACKGROUND: Ganoderma lucidum (Reishi or Ling Zhi) is one of the most famous Traditional Chinese Medicines and has been widely used in the treatment of various human diseases in Asia countries. It is also a fungus with strong wood degradation ability with potential in bioenergy production. However, genes, pathways and mechanisms of these functions are still unknown. METHODOLOGY/PRINCIPAL FINDINGS: The genome of G. lucidum was sequenced and assembled into a 39.9 megabases (Mb) draft genome, which encoded 12,080 protein-coding genes and ∼83% of them were similar to public sequences. We performed comprehensive annotation for G. lucidum genes and made comparisons with genes in other fungi genomes. Genes in the biosynthesis of the main G. lucidum active ingredients, ganoderic acids (GAs), were characterized. Among the GAs synthases, we identified a fusion gene, the N and C terminal of which are homologous to two different enzymes. Moreover, the fusion gene was only found in basidiomycetes. As a white rot fungus with wood degradation ability, abundant carbohydrate-active enzymes and ligninolytic enzymes were identified in the G. lucidum genome and were compared with other fungi. CONCLUSIONS/SIGNIFICANCE: The genome sequence and well annotation of G. lucidum will provide new insights in function analyses including its medicinal mechanism. The characterization of genes in the triterpene biosynthesis and wood degradation will facilitate bio-engineering research in the production of its active ingredients and bioenergy

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

The complete chloroplast genome sequence of Rubus peltatus Maxim. (Rosaceae)

Rubus peltatus Maxim. (Bull. Acad. Imp. 1871) is a wild species endemic to East and Southeast China. However, genetic resources were unavailable for this species. It holds great potential for domestication or other breeding purposes with the extraordinary large yellow fruits. The complete chloroplast genome sequence of R. peltatus, assembled with Illumina Hiseq X Ten platform sequencing data, was reported. The chloroplast genome was 155,582 bp in length. The large single-copy (LSC) and small single-copy (SSC) of 85,329 bp and 18,779 bp were separated by two inverted repeats (IRs) of 25,737 bp. The chloroplast genome of R. peltatus contains 130 genes, including eight transfer RNA genes, 36 ribosomal RNA genes, and 86 protein-coding genes. Phylogenetic analysis supports R. peltatus has a close relationship with the R. cochinchinensis and R. takesimensis

Preparation of RDX/F2311/Fe₂O₃/Al Composite Hollow Microspheres by Electrospray and Synergistic Energy Release during Combustion between Components

Nanothermites and high-energy explosives have significantly improved the performance of high-energy composites and have broad application prospects. Therefore, in this study, RDX/F2311/Fe2O3/Al composite hollow microspheres were successfully prepared utilizing the electrospray method using F2311 as a binder between components. The results show that the combustion time of the composite hollow microspheres is shortened from 2400 ms to 950 ms, the combustion process is more stable, and the energy release is more concentrated. The H50 of the composite hollow microspheres increased from 14.49 cm to 24.57 cm, the explosion percentage decreased from 84% to 72%, and the sensitivity of the composite samples decreased significantly. This is mainly the result of the combination of homogeneous composition and synergistic reactions. The combustion results show that F2311 as a binder affects the tightness of the contact between the components. By adjusting its content, the combustion time and the intensity of the combustion of the composite microspheres can be adjusted, which provides a feasible direction for its practical application

Vitrinite Maturation in Confined Pyrolysis Experiments

Laboratory simulation (pyrolysis) is an important approach for the study of petroleum formation and evolution. It is useful to determine the maturity levels under experimental temperature and time conditions. Mean random vitrinite reflectance (%Ro) is a parameter widely used to demonstrate source rock maturity. Confined pyrolysis experiments were conducted for simulating vitrinite maturation on six coal samples with initial hydrogen indices (HI) ranging from 155 to 259 mg HC/g TOC at 2 and 20 degrees C/h heating rates. Coal JC24 having higher initial HI (259 mg HC/g TOC) has relatively lower measured vitrinite reflectance (%Ro) compared with that of coals JC23 and JC25 having lower initial HI (i.e., 171 and 155 mg HC/g TOC, respectively), at the same thermal stress levels. For all six coals, the measured %Ro is lower compared to the predicted EASY%Ro at >1.5 EASY%Ro. The differences between the measured %Ro and calculated EASY%Ro are substantially greater at 20 degrees C/h compared to 2 degrees C/h at the same thermal stress levels. These results demonstrate that the measured %Ro values are influenced by the hydrogen index and heating rate, in addition to temperature and heating time, and suggest that EASY%Ro values may be more representative of thermal stress compared with the measured %Ro for pyrolysis experiments in a wide range of EASY%Ro (0.50-4.40)

A Solar-Driven Flexible Electrochromic Supercapacitor

Solar-driven electrochromic smart windows with energy-storage ability are promising for energy-saving buildings. In this work, a flexible photoelectrochromic device (PECD) was designed for this purpose. The PECD is composed of two flexible transparent conductive layers, a photocatalytic layer, an electrochromic material layer, and a transparent electrolyte layer. The photocatalytic layer is a dye-sensitized TiO2 thick film and the electrochromic layer is a WO3 thin film, which also possesses a supercapacitive property. Under illumination, dye-sensitized TiO2 thick film realizes photo-drive electrochromism that the WO3 changes from colorless to blue with large optical modulation. Meanwhile, the PECD has an electrochemical supercapacitance showing an energy storage property of 21 mF&middot;cm&minus;2 (114.9 F&middot;g&minus;1 vs the mass of WO3), stable mechanical performance and long cycle performance. The PECD can effectively adjust the transmittance of visible and near-infrared light without any external power supply, realizing zero energy consumption, and can convert solar energy into electrical energy for storage

Freestanding layer-structure selenium cathodes with ultrahigh Se loading for high areal capacity Li-Se batteries

In this work, a freestanding layer-structure Se cathode, composed of alternant barrier layers and active layers, is synthesized via a facile syringe-filtration strategy. With employing the barrier layers simultaneously acting as polyselenide-interception barriers and as highly conductive current collectors, the active layers with 3D porous architecture are endowed with strong polyselenide-trapping capability and fast redox-conversion capability. Such novel Se cathode readily achieves a high Se loading up to 13.5 mg cm−2. The optimized Se cathode with a high Se loading of 4.5 mg cm−2 exhibits high specific capacity/areal capacity (794 mA h g−1/3.6 mA h cm−2), excellent cycling stability (508 mA h g−1@300 cycles), and remarkable rate capability (389 mA h g−1@800 mA g−1), which is superior to conventional Se cathodes. Keywords: Lithium-selenium batteries, Se cathode, Alternant layer structure, Syringe-filtration method, Areal capacit