Comparison of efficacy and safety of general anesthesia alone with those of combined epidural/general anesthesia in Chinese patients with gastric cancer undergoing laparoscopy-assisted tumor resection

Purpose: To compare postoperative opioid consumption, inflammatory response, survival/clinical outcomes and safety profile of epidural combined with general anesthesia (GA) versus GA in stage 1 gastric cancer patients undergoing surgical intervention by laparoscopy.Method: Chinese patients with early-stage gastric cancer undergoing laparoscopic-assisted tumor resection were enrolled and received either epidural combined with general anesthesia (group EA + GA) or general anesthesia only (group GA) in allocation ratio of 1:1. The following efficacy variables were assessed: 1) Pain score was measured on VAS scale; 2) post-operative consumption; 3) Quality of recovery; 4) inflammatory response; and 5) survival outcome. Safety was assessed throughout the study period.Results: Data for 200 subjects were analyzed. Compared to GA alone, combination of EA + GA demonstrate significantly greater reduction in post-operative pain with decrease postoperative opioid consumption. Also, the combination of GA and EA inhibited inflammatory response when compared to patients who received GA only. Moreover, the combination of GA and EA did not demonstrate any clinical benefit in survival outcome, when compared to patients who received GA alone, indicating that GA + EA has no role in improving survival outcome among patients undergoing gastric cancer surgery. Additionally, EA + GA was also associated with a shorter length of hospital stay, compared to GA.Conclusion: Overall, the results favor the use of GA + EA in Chinese patients with early-stage gastric cancer undergoing laparoscopic-assisted tumor resection. GA + EA combination improves immune response by inhibiting the inflammatory response but has no significant effect on survival outcome

Isospin dependence of projectile-like fragment production at intermediate energies

The cross sections of fragments produced in 140 $A$ MeV $^{40,48}$Ca + $^9$Be and $^{58,64}$Ni + $^9$Be reactions are calculated by the statistical abration-ablation(SAA) model and compared to the experimental results measured at the National Superconducting Cyclotron Laboratory (NSCL) at Michigan State University. The fragment isotopic and isotonic cross section distributions of $^{40}$Ca and $^{48}$Ca, $^{58}$Ni and $^{64}$Ni, $^{40}$Ca and $^{58}$Ni, and $^{48}$Ca and $^{64}$Ni are compared and the isospin dependence of the projectile fragmentation is studied. It is found that the isospin dependence decreases and disappears in the central collisions. The shapes of the fragment isotopic and isotonic cross section distributions are found to be very similar for symmetric projectile nuclei. The shapes of the fragment isotopic and isotonic distributions of different asymmetric projectiles produced in peripheral reactions are found very similar. The similarity of the distributions are related to the similar proton and neutron density distributions inside the nucleus in framework of the SAA model.Comment: 7 pages, 4 figures; to be published in Phys Rev

Review on Applications of Lignin in Pavement Engineering: A Recent Survey

Lignin is the second-largest plant polymer on Earth after cellulose. About 98% of lignin produced in the papermaking and pulping industry is used for combustion heating or power generation. Less than 2% of lignin is used in more valuable fields, mainly in the formulation of dispersants, adhesives, and surfactants. Asphalt is one of the most important materials in pavement engineering. It is a dark brown complex mixture composed of hydrocarbons with different molecular weights and their non-metallic derivatives. Because the chemical structure of lignin is similar to that of asphalt, it is a carbon-based hydrocarbon material. More researchers studied the application of lignin in pavement engineering. In this paper, the structure, application, and extraction technology of lignin were summarized. This is a review article describing the different applications of lignin in pavement engineering and exploring the prospects of the application. There are three main types of pavement materials that can be used for lignin in pavement engineering, which are asphalt, asphalt mixture, and roadbed soil. In asphalt, lignin can be used as a modifier, extender, emulsifier, antioxidant, and coupling agent. In asphalt mixtures, lignin can be used as an additive. In road base soils, lignin can be used as a soil stabilizer. Furthermore, the article analyzed the application effects of lignin from the life cycle assessment. The conclusions suggest that lignin-modified asphalt exhibits more viscosity and hardness, and its high-temperature resistance and rutting resistance can be significantly improved compared with conventional asphalt. In addition, some lignin-modified asphalt binders exhibit reduced low-temperature crack resistance and fatigue resistance, which can be adjusted and selected according to the climate change in different regions. The performance of lignin as an asphalt mixture additive and asphalt extender has been proved to be feasible. Lignin can also produce good mechanical properties as well as environmental benefits as a soil stabilizer. In summary, lignin plays an important role in asphalt pavement and roadbed soil, and it is likely to be a development trend in the future due to its environmental friendliness and low cost. More research is needed to generalize the application of lignin in pavement engineering

Long-range frustration in T=0 first-step replica-symmetry-broken solutions of finite-connectivity spin glasses

In a finite-connectivity spin-glass at the zero-temperature limit, long-range correlations exist among the unfrozen vertices (whose spin values being non-fixed). Such long-range frustrations are partially removed through the first-step replica-symmetry-broken (1RSB) cavity theory, but residual long-range frustrations may still persist in this mean-field solution. By way of population dynamics, here we perform a perturbation-percolation analysis to calculate the magnitude of long-range frustrations in the 1RSB solution of a given spin-glass system. We study two well-studied model systems, the minimal vertex-cover problem and the maximal 2-satisfiability problem. This work points to a possible way of improving the zero-temperature 1RSB mean-field theory of spin-glasses.Comment: 5 pages, two figures. To be published in JSTA

Heat shock transcription factor 1 preserves cardiac angiogenesis and adaptation during pressure overload

To examine how heat shock transcription factor 1 (HSF1) protects against maladaptive hypertrophy during pressure overload, we subjected HSF1 transgenic (TG), knockout (KO) and wild type (WT) mice to a constriction of transverse aorta (TAC), and found that cardiac hypertrophy, functions and angiogenesis were well preserved in TG mice but were decreased in KO mice compared to WT ones at 4 weeks, which was related to HIF-1 and p53 expression. Inhibition of angiogenesis suppressed cardiac adaptation in TG mice while overexpression of angiogenesis factors improved maladaptive hypertrophy in KO mice. In vitro formation of vasculatures by microvascular endothelial cells was higher in TG mice but lower in KO mice than in WT ones. A siRNA of p53 but not a HIF-1 gene significantly reversed maladaptive hypertrophy in KO mice whereas a siRNA of HIF-1 but not a p53 gene induced maladaptive hypertrophy in TG mice. Heart microRNA analysis showed that miR-378 and miR-379 were differently changed among the three mice after TAC, and miR-378 or siRNA of miR-379 could maintain cardiac adaptation in WT mice. These results indicate that HSF1 preserves cardiac adaptation during pressure overload through p53-HIF-1-associated angiogenesis, which is controlled by miR-378 and miR-379

Australobius polyspinipes sp. n., a new species of Australobius Chamberlin, 1920 (Lithobiomorpha: Lithobiidae) from China

Australobius polyspinipes sp. n. (Lithobiomorpha: Lithobiidae) was recently discovered from Tianheshan Mountain, Hebei Province, China, and it is described here. Morphologically the new species is similar to A. nodulus Ma, Song &Zhu, 2008 and A. magnus (Trozina, 1894), both recorded from China. The new species can be easily distinguished from those by having 7+7–8+8 coxosternal teeth, 10–12 ocelli on each side of the cephalic plate, 5+5 spurs on the first article of the female gonopods and differences in plectrotaxy of legs. The main morphological characters and a key to the known Chinese species of genus Australobius based on adult specimens is presented

Development of 15kA/cm2^2 Fabrication Process for Superconducting Integrated Digital Circuits

A new fabrication process for superconducting integrated digital circuits is reported. We have developed the "SIMIT Nb04" fabrication technique for superconducting integrated circuits with Nb-based Josephson junctions based on the validated "SIMIT Nb03" process and Chemical Mechanical Planarization (CMP) technology. Seven Nb superconducting layers and one Mo resistor layer are included in the "SIMIT Nb04" process with 19 mask levels. The device structure is composed of active layers including junctions at the bottom, two passive transmission line (PTL) layers in the middle and a DC power layer at the top. The circuit fabrication started with the fabrication of Mo resistors with a target sheet resistance Rsh of 3 $\Omega$, followed by the deposition of Nb/Al-AlO$_x$/Nb trilayer Josephson-junction with a target critical current density Jc at 15 kA/cm$^2$. To increase the Al-AlO$_x$ barrier layer etching's repeatability, an additional barrier protection layer was applied. To accomplish high-quality planarization, we created a planarization procedure coupled with dummy filling. To assess the process dependability and controllability, a set of process control monitors (PCMs) for monitoring fabrication and design parameters was designed and monitored. The successful manufacturing and testing of a few small-scale circuits, like our standard library cells, further attests to the viability of our fabrication process for superconducting integrated circuits