Long-term outcomes of patients with advanced hepatocellular carcinoma who achieved complete remission after sorafenib therapy

Background/AimsSorafenib is currently the sole molecular targeted agent that improves overall survival in advanced hepatocellular carcinoma (HCC). Despite the efficacy of sorafenib, the response rate varies in patients with advanced HCC. We retrospectively analyzed a series of Korean patients with advanced HCC with complete remission (CR) after sorafenib therapy.MethodsIn total, 523 patients with advanced HCC were treated with sorafenib in 3 large tertiary referral hospitals in Korea. A survey was conducted to collect data on patients who experienced CR after sorafenib monotherapy, and their medical records and follow-up data were analyzed. The tumor response and recurrence rates were assessed by radiologic study, based on modified response evaluation criteria in solid tumors.ResultsSeven patients with advanced HCC experienced CR after sorafenib therapy. The median time to tumor disappearance and the median disease-free survival time were 3 months and 9 months, respectively. HCC recurrence was identified in three cases (42.9%). Of these, two patients discontinued sorafenib before or after achieving CR and the other patient continued sorafenib after achieving CR. HCC recurred at 3, 10, and 42 months after CR in these three patients. Three patients needed dose reduction for toxicity and adverse events.ConclusionsThough CR was achieved after sorafenib therapy in patients with advanced HCC, the recurrence rate was relatively high. Subsequent strategies to reduce a chance of recurrence after sorafenib therapy are required to investigate

Effect of thermal cycling frequency on the durability of Yb-Gd-Y-based thermal barrier coatings

The effects of thermal cycling frequency and buffer layer on the crack generation and thermal fatigue behaviors of Yb–Gd–Y-stabilized zirconia (YGYZ)-based thermal barrier coatings (TBCs) were investigated through thermally graded mechanical fatigue (TGMF) test. TGMF tests with low- (period of 10 min) and high-frequency (period of 2 min) cycling were performed at 1100 °C with a 60 MPa tensile load. Different cycling frequencies in TGMF test generate two kinds of crack propagation modes. The sample with low-frequency cycling condition shows penetration cracks in the YGYZ top coat, and multiple narrow vertical cracks are generated in high-frequency cycling. To enhance the thermomechanical properties, different buffer layers were introduced into the TBC systems, which were deposited with the regular (RP) or high-purity 8 wt% yttria stabilized zirconia (HP-YSZ) feedstock. The purity of the feedstock powder used for preparing the buffer layer affected the fracture behavior, showing a better thermal durability for the TBCs with the HP-YSZ in both frequency test conditions. A finite element model is developed, which takes creep effect into account due to thermal cycling. The model shows the high stresses at the interfaces between different layers due to differential thermal expansion. The failure mechanisms of YGYZ-based TBCs in TGMF test are also proposed. The vertical cracks are preferentially created, and then the vertical and horizontal cracks will be propagated when the vertical cracks are impeded by pores and micro-cracks

Entecavir plus tenofovir versus entecavir plus adefovir in chronic hepatitis B patients with a suboptimal response to lamivudine and adefovir combination therapy

Background/AimsWe compared the efficacies of entecavir (ETV) plus tenofovir (TDF) and ETV plus adefovir (ADV) in chronic hepatitis B (CHB) patients with genotypic resistance to lamivudine (LAM) who showed a suboptimal response to LAM and ADV combination therapy.MethodsWe reviewed 63 CHB patients with genotypic resistance to LAM who showed a suboptimal response to LAM and ADV combination therapy. Among these patients, 30 were treated with ETV + ADV and 33 were treated with ETV + TDF for 12 months.ResultsThe only baseline characteristic that differed significantly between the two groups was the ETV resistance profile. The rate of a virologic response [serum hepatitis B virus (HBV) DNA level of <20 IU/mL] was significant higher for ETV+TDF than for ETV+ADV over 12 months (57.6% vs. 23.3%, P=0.006, at 6 months; 84.8% vs. 26.7%, P<0.001, at 12 months). The probability of a virologic response was significantly increased in ETV+TDF (P<0.001, OR=54.78, 95% CI=7.15-419.54) and decreased in patients with higher baseline viral loads (P=0.001, OR=0.18, 95% CI=0.07-0.50) in multivariate analysis. No serious adverse event occurred during the study period.ConclusionsIn patients with CHB who showed a suboptimal response to LAM and ADV combination therapy, ETV+TDF was superior to ETV+ADV in achieving a virologic response regardless of the HBV resistance profile. Further large-scale and long-term follow-up prospective studies are needed to explain these results

A numerical study of scale effects on performance of a tractor type podded propeller

ABSTRACTIn this study, the scale effect on the performance of the podded propeller of tractor type is investigated. Turbulent flow computations are carried out for Reynolds numbers increasing progressively from model scale to full scale using the CFD analysis. The result of the flow calculation for model scale Reynolds numbers agrees well with that of the experiment of a large cavitation tunnel. The existing numerical analysis indicates that the performance of the podded propeller blades is mainly influenced by the advance coefficient and relatively little by the Reynolds number. However, the drag of pod housing with propeller in operation is different from that of pod housing without propeller due to the acceleration and swirl of propeller slipstream which is altered by propeller loading as well as the pressure recovery and friction according to Reynolds number, which suggests that the pod housing drag under the condition of propeller in operation is the key factor of the scale effect on the performance between model and full scale podded propellers. The so called ‘drag ratio’, which is the ratio of pod housing drag to total thrust of podded propeller, increases as the advance coefficient increases due to accelerated flow in the slipstream of the podded propeller. However, the increasing rate of the drag ratio reduces continuously as the Reynolds number increases from model to full scale progressively. The contribution of hydrodynamic forces, which acts on the parts composed of the pod housing with propeller operating in various loading conditions, to the thrust and the torque of the total propeller unit are presented for a range of Reynolds numbers from model to full scales

Thermal properties of La2Zr2O7 double-layer thermal barrier coatings

La2Zr2O7 is a promising thermal barrier coating (TBC) material. In this work, La2Zr2O7 and 8YSZ-layered TBC systems were fabricated. Thermal properties such as thermal conductivity and coefficient of thermal expansion were investigated. Furnace heat treatment and jet engine thermal shock (JETS) tests were also conducted. The thermal conductivities of porous La2Zr2O7 single-layer coatings are 0.50–0.66 W m−1 °C−1 at the temperature range from 100 to 900°C, which are 30–40% lower than the 8YSZ coatings. The coefficients of thermal expansion of La2Zr2O7 coatings are about 9–10 × 10−6 °C−1 at the temperature range from 200 to 1200°C, which are close to those of 8YSZ at low temperature range and about 10% lower than 8YSZ at high temperature range. Double-layer porous 8YSZ plus La2Zr2O7 coatings show a better performance in thermal cycling experiments. It is likely because porous 8YSZ serves as a buffer layer to release stress

Pressure dependence of upper critical fields in FeSe single crystals

We investigate the pressure dependence of the upper critical fields ({\mu}$_0$$H$$_{c2}$) for FeSe single crystals with pressure up to 2.57 GPa. The superconducting (SC) properties show a disparate behavior across a critical pressure where the pressure-induced antiferromagnetic phase coexists with superconductivity. The magnetoresistance for $H//ab$ and $H//c$ is very different: for $H//c$, magnetic field induces and enhances a hump in the resistivity close to the $T_c$ for pressures higher than 1.2 GPa, while it is absent for $H//ab$. Since the measured {\mu}$_0$$H$$_{c2}$ for FeSe samples is smaller than the orbital limited upper critical field ($H$$^{orb}$$_{c2}$) estimated by the Werthamer Helfand and Hohenberg (WHH) model, the Maki parameter ({\alpha}) related to Pauli spin-paramagnetic effects is additionally considered to describe the temperature dependence of {\mu}$_0$$H$$_{c2}$($T$). Interestingly, the {\alpha} value is hardly affected by pressure for $H//ab$, while it strongly increases with pressure for $H//c$. The pressure evolution of the {\mu}$_0$$H$$_{c2}$(0)s for the FeSe single crystals is found to be almost similar to that of $T_c$($P$), suggesting that the pressure-induced magnetic order adversely affects the upper critical fields as well as the SC transition temperature.Comment: 23 pages, 6 figures, 1 tabl

Extrusion-Based 3D Printing of Molecular Sieve Zeolite for Gas Adsorption Applications

Extrusion based 3D printing is one of the emerging additive manufacturing technologies used for printing range of materials from metal to ceramics. In this study, we developed a customized 3D printer based on extrusion freeform fabrication technique, such as slurry deposition, for 3D printing of different molecular sieve zeolite monoliths like 3A, 4A, 5A and 13X to evaluate their performance in gas adsorption. The physical and structural properties of 3D printed zeolite monoliths will be characterized along with the gas adsorption performance. The Brunauer–Emmett–Teller (BET) test of 3D printed samples will be performed for calculation of the surface area, which will give us the capacity of gas absorption into 3D printed zeolite. The BET surface area test showed good results for Zeolite 13X compared to available literature. The surface area calculated for 3D – printed Zeolite 13X was 767m2/g and available literature showed 498 m2/g for 3D – printed Zeolite 13X. The microhardness values of 3D – printed Zeolite samples were measured using a Vicker hardness tester. The hardness value of the 3D - printed Zeolite samples increased from 8.3 ± 2 to 12.5 ± 3 HV 0.05 for Zeolite 13X, 3.3 ± 1 to 7.3 ± 1 HV 0.05 for Zeolite 3A, 4.3 ± 2 to 7.5 ± 2 HV 0.05 for Zeolite 4A, 7.4 ± 1 to 14.0 ± 0.5 HV 0.05 for Zeolite 5A, before and after sintering process, respectively. The SEM analysis was performed for 3D printed samples before and after sintering to evaluate their structural properties. The SEM analysis reveals that all 3D – printed Zeolite samples retained their microstructure after slurry preparation and also after the sintering process. The porous nature of 3D – printed Zeolite walls was retained after the sintering process