The comparison of manual and mechanical anastomosis after total pharyngolaryngoesophagectomy

BackgroundTotal pharyngolaryngoesophagectomy (TPLE) is considered as a curative treatment for hypopharynx cancer and cervical esophageal carcinomas (HPCECs). Traditional pharyngo-gastric anastomosis is usually performed manually, and postoperative complications are common. The aim of this study was to introduce a new technique for mechanical anastomosis and to evaluate perioperative outcomes and prognosis.MethodsFrom May 1995 to Nov 2021, a series of 75 consecutive patients who received TPLE for a pathological diagnosis of HPCECs at Sun Yat-sen Memorial Hospital were evaluated. Mechanical anastomosis was performed in 28 cases and manual anastomosis was performed in 47 cases. The data from these patients were retrospectively analyzed.ResultsThe mean age was 57.6 years, and 20% of the patients were female. The rate of anastomotic fistula and wound infection in the mechanical group were significantly lower than that in the manual group. The operation time, intraoperative blood loss and postoperative hospital stays were significantly higher in the manual group than that in the mechanical group. The R0 resection rate and the tumor characteristics were not significantly different between groups. There was no significant difference in overall survival and disease-free survival between the two groups.ConclusionThe mechanical anastomosis technology adopted by this study was shown to be a safer and more effective procedure with similar survival comparable to that of manual anastomosis for the HPCECs patients

Surface Defect Dynamics in Organic–Inorganic Hybrid Perovskites: From Mechanism to Interfacial Properties

Organic–inorganic hybrid perovskites (OHPs) have garnered much attention among the photovoltaic and light-emitting diode research community due to their excellent optoelectronic properties and low-cost fabrication. Defects in perovskites have been proposed to affect device efficiency and stability and to have a potential role in enabling ion migration. In this study, the dynamic behavior and electronic properties of intrinsic defects in CH3NH3PbBr3 (MAPbBr3) were explored at the atomic scale. We use scanning tunneling microscopy to show unambiguously the occurrence of vacancy-assisted transport of individual ions as well as the existence of vacancy defect clusters at the OHP surface. We combine these observations with density functional theory (DFT) calculations to identify the mechanisms for this ion motion and show that ion transport energy barriers, as well as transport mechanisms, at the surface depend on crystal direction. DFT calculations also reveal that vacancy defect clusters can significantly modify the local work function of the perovskite surface, which is then expected to alter interfacial charge transport in a device. Our work provides a microscopic insight into the mechanism of ion migration in OHPs and also delivers the useful information for device improvement from the perspective of interface engineering

Family history of cancer is a prognostic factor for better survival in operable esophageal squamous cell carcinoma: A propensity score matching analysis

Lay summaryPatients with a family history of cancer, especially digestive tract cancer and esophageal cancer, a family history of cancer in the first degree, and more than one relative affected by cancer were associated with favorable survival when compared to those without a family history of cancer.Precis for use in the Table of ContentsA family history of cancer is a favorable independent prognostic factor in ESCC. Patients with a family history of cancer, especially digestive tract cancer and esophageal cancer, a family history of cancer in the first degree, and more than one relative affected by cancer were associated with favorable survival when compared to those without a family history of cancer.BackgroundA family history of cancer (FH) is closely associated with the risk and survival of many cancers. However, the effect of FH on the prognosis of patients with esophageal squamous cell carcinoma (ESCC) remains unclear. We performed a large cohort study in the Chinese population to obtain insight into the prognostic value of FH in patients with operable ESCC.MethodsA total of 1,322 consecutive patients with thoracic ESCC who had undergone esophagectomy between January 1997 and December 2013 were included. The FH group included patients with any degree of FH, while the non-FH group included patients without any degree of FH. In total, 215 patients with FH and 215 without FH were matched using the propensity score matching analysis method to adjust for differences in baseline variables between the two groups. The impact of FH on disease-free survival (DFS) and overall survival (OS) was estimated using the Kaplan–Meier method and Cox’s proportional hazards models.ResultsBefore matching, 280 (21.2%) patients were included in the FH group and 1,042 (78.8%) in the non-FH group. FH was associated with early pathological T stage (p = 0.001), lymph node-negative status (p = 0.022), and early pathological stage (p = 0.006). After matching, FH was an independent prognostic factor for DFS and OS in ESCC patients. Patients with FH had 35% lower risk of disease progression (hazard ratio [HR] = 0.65, 95% CI: 0.51–0.84, p = 0.001) and 34% lower risk of death (HR = 0.66, 95% CI: 0.51–0.86, p = 0.002) than those without FH. Patients with a family history of digestive tract cancer (FH-DC), a family history of esophageal cancer (FH-EC), FH in first-degree relatives (FH-FD), and more than one relative affected by cancer were associated with favorable DFS and OS as compared to those without FH.ConclusionFH is a favorable independent prognostic factor in ESCC. Patients with FH, especially those with FH-DC, FH-EC, FH-FD, and more than one relative affected by cancer, had improved survival

l-Arginine, as an essential amino acid, is a potential substitute for treating COPD via regulation of ROS/NLRP3/NF-κB signaling pathway

Abstract Backgrounds Chronic obstructive pulmonary disease (COPD) is a frequent and common disease in clinical respiratory medicine and its mechanism is unclear. The purpose of this study was to find the new biomarkers of COPD and elucidate its role in the pathogenesis of COPD. Analysis of metabolites in plasma of COPD patients were performed by ultra-high performance liquid chromatography (UPLC) and quadrupole time-of-flight mass spectrometry (TOF–MS). The differential metabolites were analyzed and identified by multivariate analysis between COPD patients and healthy people. The role and mechanisms of the differential biomarkers in COPD were verified with COPD rats, arginosuccinate synthetase 1 (ASS-l) KO mice and bronchial epithelial cells (BECs). Meanwhile, whether the differential biomarkers can be the potential treatment targets for COPD was also investigated. 85 differentials metabolites were identified between COPD patients and healthy people by metabonomic. Results l-Arginine (LA) was the most obvious differential metabolite among the 85 metabolites. Compare with healthy people, the level of LA was markedly decreased in serum of COPD patients. It was found that LA had protective effects on COPD with in vivo and in vitro experiments. Silencing Ass-1, which regulates LA metabolism, and α-methy-dl-aspartic (NHLA), an Ass-1 inhibitor, canceled the protective effect of LA on COPD. The mechanism of LA in COPD was related to the inhibition of ROS/NLRP3/NF-κB signaling pathway. It was also found that exogenous LA significantly improved COPD via regulation of ROS/NLRP3/NF-κB signaling pathway. l-Arginine (LA) as a key metabolic marker is identified in COPD patients and has a protective effect on COPD via regulation of ROS/NLRP3/NF-κB signaling pathway. Conclusion LA may be a novel target for the treatment of COPD and also a potential substitute for treating COPD

Role of Local Carbon Structure Surrounding FeN₄ Sites in Boosting the Catalytic Activity for Oxygen Reduction

Development of effective nonprecious metal and nitrogen codoped carbon catalysts for the oxygen reduction reaction (ORR) requires a fundamental understanding of the mechanisms underlying their catalytic activity. In this study, we employed the first-principles density functional theory calculations to predict some key parameters (such as activation energy for O–O bond breaking and free-energy evolution as a function of electrode potential) of ORR on three FeN₄-type active sites with different local carbon structures. We find that the FeN₄ site surrounded by eight carbon atoms and at the edge of micropores has the lowest activation energy (about 0.20 eV) for O–O bond breaking among the three FeN₄-type active sites for promoting a direct four-electron ORR. Consequently, our computational results suggest that introduction of micropores in the nonprecious metal catalysts could enhance their catalytic activity for ORR through facilitating the formation of FeN₄–C₈ active sites with high specific activity

Advances in Molecular Imprinting Technology for the Extraction and Detection of Quercetin in Plants

Quercetin is a kind of flavonoid compound, which has antioxidative, anti-aging and anti-cancer effects, so it is of great importance to study the efficient extraction and highly sensitive detection of quercetin. Molecular imprinting technology has remarkable selectivity and resistance to complex matrix interference, which is often used for extracting quercetin. The methods of molecular imprinted solid phase extraction, molecularly imprinted microsphere extraction, molecularly imprinted electrochemical sensor recognition and molecularly imprinted composite material extraction of quercetin from plant samples were discussed in detail. This review provides valuable information on efficient and sensitive methods for separating and purifying quercetin in plants. It also provides a technical reference for further investigation of the separation and analysis of active ingredients in natural products

Simultaneous Electrochemical Detection of Nitrite and Hydrogen Peroxide Based on 3D Au-rGO/FTO Obtained Through a One-Step Synthesis

In this paper, Au and reduced graphene oxide (rGO) were successively deposited on fluorine-doped SnO2 transparent conductive glass (FTO, 1 × 2 cm) via a facile and one-step electrodeposition method to form a clean interface and construct a three-dimensional network structure for the simultaneous detection of nitrite and hydrogen peroxide (H2O2). For nitrite detection, 3D Au-rGO/FTO displayed a sensitivity of 419 μA mM−1 cm−2 and a linear range from 0.0299 to 5.74 mM, while for the detection of H2O2, the sensitivity was 236 μA mM−1 cm−2 and a range from 0.179 to 10.5 mM. The combined results from scanning electron microscopy (SEM), transmission electron microscopy (TEM), Raman spectroscopy, X-ray diffraction measurements (XRD) and electrochemical tests demonstrated that the properties of 3D Au-rGO/FTO were attributabled to the conductive network consisting of rGO and the good dispersion of Au nanoparticles (AuNPs) which can provide better electrochemical properties than other metal compounds, such as a larger electroactive surface area, more active sites, and a bigger catalytic rate constant