45 research outputs found

    Long-term outcomes of radiofrequency ablation vs. partial nephrectomy for cT1 renal cancer: A meta-analysis and systematic review

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    BackgroundPartial nephrectomy (PN) is one of the most preferred nephron-sparing treatments for clinical T1 (cT1) renal cancer, while radiofrequency ablation (RFA) is usually used for patients who are poor surgical candidates. The long-term oncologic outcome of RFA vs. PN for cT1 renal cancer remains undetermined. This meta-analysis aims to compare the treatment efficacy and safety of RFA and PN for patients with cT1 renal cancer with long-term follow-up of at least 5 years.MethodThis meta-analysis was performed following the PRISMA reporting guidelines. Literature studies that had data on the comparison of the efficacy or safety of RFA vs. PN in treating cT1 renal cancer were searched in databases including PubMed, Embase, Web of Science, and the Cochrane Library from 1 January2000 to 1 May 2022. Only long-term studies with a median or mean follow-up of at least 5 years were included. The following measures of effect were pooled: odds ratio (OR) for recurrence and major complications; hazard ratio (HR) for progression-free survival (PFS), cancer-specific survival (CSS), and overall survival (OS). Additional analyses, including sensitivity analysis, subgroup analysis, and publication bias analysis, were also performed.ResultsA total of seven studies with 1,635 patients were finally included. The treatment efficacy of RFA was not different with PN in terms of cancer recurrence (OR = 1.22, 95% CI, 0.45–3.28), PFS (HR = 1.26, 95% CI, 0.75–2.11), and CSS (HR = 1.27, 95% CI, 0.41–3.95) as well as major complications (OR = 1.31, 95% CI, 0.55–3.14) (P > 0.05 for all). RFA was a potential significant risk factor for OS (HR = 1.76, 95% CI, 1.32–2.34, P < 0.001). No significant heterogeneity and publication bias were observed.ConclusionThis is the first meta-analysis that focuses on the long-term oncological outcomes of cT1 renal cancer, and the results suggest that RFA has comparable therapeutic efficacy with PN. RFA is a nephron-sparing technique with favorable oncologic efficacy and safety and a good treatment alternative for cT1 renal cancer

    Enhanced daytime secondary aerosol formation driven by gas-particle partitioning in downwind urban plumes

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    Anthropogenic emissions from city clusters can significantly enhance secondary organic aerosol (SOA) formation in the downwind regions, while the mechanism is poorly understood. To investigate the effect of pollutants within urban plumes on organic aerosol (OA) evolution, a field campaign was conducted at a downwind site of the Pearl River Delta region of China in the fall of 2019. A time-of-flight chemical ionization mass spectrometer coupled with a Filter Inlet for Gases and Aerosol (FIGAERO-CIMS) was used to probe the gas- and particle-phase molecular composition and thermograms of organic compounds. For air masses influenced by urban pollution, strong daytime SOA formation through gas-particle partitioning was observed, resulting in higher OA volatility. The obvious SOA enhancement was mainly attributed to the equilibrium partitioning of non-condensable (C * ≥ 100.5 μg m-3) organic vapors. We speculated that the elevated NOx concentration could suppress the formation of highly oxidized products, resulting in a smooth increase of condensable (C * < 100.5 μg m-3) organic vapors. Evidence showed that urban pollutants (NOx and VOCs) could enhance the oxidizing capacity, while the elevated VOCs was mainly responsible for promoting daytime SOA formation by increasing the RO2 production rate. Our results highlight the important role of urban anthropogenic pollutants in SOA control in the suburban region

    2020 roadmap on two-dimensional materials for energy storage and conversion

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    Energy storage and conversion have attained significant interest owing to its important applications that reduce CO2 emission through employing green energy. Some promising technologies are included metal-air batteries, metal-sulfur batteries, metal-ion batteries, electrochemical capacitors, etc. Here, metal elements are involved with lithium, sodium, and magnesium. For these devices, electrode materials are of importance to obtain high performance. Two-dimensional (2D) materials are a large kind of layered structured materials with promising future as energy storage materials, which include graphene, black phosporus, MXenes, covalent organic frameworks (COFs), 2D oxides, 2D chalcogenides, and others. Great progress has been achieved to go ahead for 2D materials in energy storage and conversion. More researchers will join in this research field. Under the background, it has motivated us to contribute with a roadmap on ‘two-dimensional materials for energy storage and conversion

    Generation of unsteady inflow conditions for compressible LES with a modified vortex method

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    International audienceno abstrac

    Meloidogyne paramali n. sp. (Nematoda: Meloidogyninae) and First Report of M. marylandi in maple and yacca tree from Japan

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    Meloidogyne paramali n. sp. was detected from Japanese maple trees (Acer palmatum) from Chiba, Japan during quarantine inspections in China. This species is characterized by second-stage juveniles (J2) with short tail length 32.2 (24–36.8) μm, finely rounded to broadly pointed tail terminus with extremely short hyaline tail terminus 4.3 (3.0–4.9) μm; perineal patterns of females characterized by an oval or irregular appearance, with round and low dorsal arch, and fine and smooth striae. M. paramali n. sp. is very similar to M. mali in that the perineal pattern has fine, smooth striae and both J2 have a short tail, but it can be distinguished from the latter by perineal pattern of the female (lateral field distinct vs. indistinct), shorter J2 hyaline tail terminus (4.3 [3.0–4.9] μm vs. 8.2 [4.8–12.7] μm, and by J2 tail with finely rounded to broadly pointed tail terminus, never sharply pointed vs. finely rounded and almost pointed. The polytomous key codes of the new species are as follows: Female: A21, B2, C32, D4; Male: A21, B3, C2, D1, E2, F2; J2: A2, B23, C43, D34, E12, F34. Detailed phylogenetic analysis based on partial 18S, ITS, D2-D3 28S, and partial mtCOI sequences also confirmed it as a new species, which is very close to M. mali and M. vitis and forms molecular group VIII. M. marylandi and other Meloidogyne species detected from plants from Japan in China are also discussed
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