Efficacy and safety analysis of TACE + PEI + lenvatinib compared with TACE + lenvatinib for the treatment of hepatocellular carcinoma with PVTT: a retrospective study

ObjectiveThe aim of this study was to investigate the efficacy and safety of transcatheter arterial chemoembolization (TACE) combined with percutaneous ethanol injection (PEI) and lenvatinib in HCC patients with PVTT (Vp2-3), thus providing a safe and effective treatment strategy for advanced HCC patients.Materials and methodsClinical data of 227 patients with unresectable HCC and PVTT treated at the Union Hospital from January 2018 to December 2021 were retrospectively analyzed. The patients were divided into two groups according to their treatment methods: TACE+PEI+lenvatinib group (N=103) and TACE+lenvatinib group (N=124).ResultsThe proportion of patients with disappearance, shrinkage, or no change of PVTT after treatment was significantly higher in the TACE+PEI+lenvatinib group compared to the TACE+lenvatinib group, with statistical significance (P<0.001). The TACE+PEI+lenvatinib group had higher objective response rate (ORR) (50.5% vs. 25.8%, P<0.001) and disease control rate (DCR) (87.4% vs. 74.2%, P=0.013) than the TACE+lenvatinib group. The median progression-free survival (mPFS) of the TACE+PEI+lenvatinib group was longer than that of the TACE+lenvatinib group (8.1 months vs. 6.5 months, P<0.001). Consistently, the median overall survival (mOS) of the TACE+PEI+lenvatinib group was longer than that of the TACE+lenvatinib group (17.1 months vs. 13.9 months, P<0.001).ConclusionAmong HCC patients with PVTT (Vp2-3), TACE+PEI+lenvatinib is more effective comparing to TACE+lenvatinib in prolonging PFS and OS. The control of PVTT in the TACE+PEI+lenvatinib group was significantly more satisfactory than that in the TACE+lenvatinib group. TACE+PEI+lenvatinib is a safe and effective treatment strategy for HCC patients with PVTT (Vp2-3)

Carbon-emcoating architecture boosts lithium storage of Nb2O5

Intercalation transition metal oxides (ITMO) have attracted great attention as lithium-ion battery negative electrodes due to high operation safety, high capacity and rapid ion intercalation. However, the intrinsic low electron conductivity plagues the lifetime and cell performance of the ITMO negative electrode. Here we design a new carbon-emcoating architecture through single CO2 activation treatment as demonstrated by the Nb2O5/C nanohybrid. Triple structure engineering of the carbon-emcoating Nb2O5/C nanohybrid is achieved in terms of porosity, composition, and crystallographic phase. The carbon-embedding Nb2O5/C nanohybrids show superior cycling and rate performance compared with the conventional carbon coating, with reversible capacity of 387 mA h g−1 at 0.2 C and 92% of capacity retained after 500 cycles at 1 C. Differential electrochemical mass spectrometry (DEMS) indicates that the carbon emcoated Nb2O5 nanohybrids present less gas evolution than commercial lithium titanate oxide during cycling. The unique carbon-emcoating technique can be universally applied to other ITMO negative electrodes to achieve high electrochemical performance

The Interface between Li6.5La3Zr1.5Ta0.5O12 and Liquid Electrolyte

An advantageous solid electrolyte/liquid electrolyte interface is crucial for the implementation of a protected lithium anode in liquid electrolyte cells. Li6.5La3Zr1.5Ta0.5O12 (LLZTO) garnet electrolytes are among the few solid electrolytes that are stable in contact with lithium metal. We show LLZTO is unstable in contact with the organic carbonate-based Li+ liquid electrolyte used in conventional Li-ion cells. The interfacial resistance between LLZTO and LiPF6 in (CH2O)2CO: OC(OCH3)2 (1:1 v/v) increases with time due to the growth of a lithium-ion-conducting solid electrolyte interphase (SEI) at the surface of the ceramic electrolyte. The interphase is composed of Li2CO3, LiF, Li2O, and organic carbonates. Even at a rate of 5 mA cm−2, a 3 V potential drop occurs across the LLZTO/liquid electrolyte interface. A practical LLZTO membrane (thickness ∼10 μm), in contact with a lithium anode, gives a potential loss of ∼16 mV, less than 1% of the resistance of the SEI

Food and feed trade has greatly impacted global land and nitrogen use efficiencies over 1961–2017

International trade of agricultural products has complicated and far-reaching impacts on land and nitrogen use efficiencies. We analysed the productivity of cropland and livestock and associated use of feed and fertilizer efficiency for over 240 countries, and estimated these countries’ cumulative contributions to imports and exports of 190 agricultural products for the period 1961–2017. Crop trade has increased global land and partial fertilizer nitrogen productivities in terms of protein production, which equalled savings of 2,270 Mha cropland and 480 Tg synthetic fertilizer nitrogen over the analysed period. However, crop trade decreased global cropland productivity when productivity is expressed on an energy (per calorie) basis. Agricultural trade has generally moved towards optimality, that is, has increased global land and nitrogen use efficiencies during 1961–2017, but remains at a relatively low level. Overall, mixed impacts of trade on resource use indicate the need to rethink trade patterns and improve their optimality

Dental resin monomer enables unique NbO2/carbon lithium‐ion battery negative electrode with exceptional performance

Niobium dioxide (NbO2) features a high theoretical capacity and an outstanding electron conductivity, which makes it a promising alternative to the commercial graphite negative electrode. However, studies on NbO2 based lithium-ion battery negative electrodes have been rarely reported. In the present work, NbO2 nanoparticles homogeneously embedded in a carbon matrix are synthesized through calcination using a dental resin monomer (bisphenol A glycidyl dimethacrylate, Bis-GMA) as the solvent and a carbon source and niobium ethoxide (NbETO) as the precursor. It is revealed that a low Bis-GMA/NbETO mass ratio (from 1:1 to 1:2) enables the conversion of Nb (V) to Nb (IV) due to increased porosity induced by an alcoholysis reaction between the NbETO and Bis-GMA. The as-prepared NbO2/carbon nanohybrid delivers a reversible capacity of 225 mAh g−1 after 500 cycles at a 1 C rate with a Coulombic efficiency of more than 99.4% in the cycles. Various experimental and theoretical approaches including solid state nuclear magnetic resonance, ex situ X-ray diffraction, differential electrochemical mass spectrometry, and density functional theory are utilized to understand the fundamental lithiation/delithiation mechanisms of the NbO2/carbon nanohybrid. The results suggest that the NbO2/carbon nanohybrid bearing high capacity, long cycle life, and low gas evolution is promising for lithium storage applications

Effects of Anacetrapib in Patients with Atherosclerotic Vascular Disease

BACKGROUND: Patients with atherosclerotic vascular disease remain at high risk for cardiovascular events despite effective statin-based treatment of low-density lipoprotein (LDL) cholesterol levels. The inhibition of cholesteryl ester transfer protein (CETP) by anacetrapib reduces LDL cholesterol levels and increases high-density lipoprotein (HDL) cholesterol levels. However, trials of other CETP inhibitors have shown neutral or adverse effects on cardiovascular outcomes. METHODS: We conducted a randomized, double-blind, placebo-controlled trial involving 30,449 adults with atherosclerotic vascular disease who were receiving intensive atorvastatin therapy and who had a mean LDL cholesterol level of 61 mg per deciliter (1.58 mmol per liter), a mean non-HDL cholesterol level of 92 mg per deciliter (2.38 mmol per liter), and a mean HDL cholesterol level of 40 mg per deciliter (1.03 mmol per liter). The patients were assigned to receive either 100 mg of anacetrapib once daily (15,225 patients) or matching placebo (15,224 patients). The primary outcome was the first major coronary event, a composite of coronary death, myocardial infarction, or coronary revascularization. RESULTS: During the median follow-up period of 4.1 years, the primary outcome occurred in significantly fewer patients in the anacetrapib group than in the placebo group (1640 of 15,225 patients [10.8%] vs. 1803 of 15,224 patients [11.8%]; rate ratio, 0.91; 95% confidence interval, 0.85 to 0.97; P=0.004). The relative difference in risk was similar across multiple prespecified subgroups. At the trial midpoint, the mean level of HDL cholesterol was higher by 43 mg per deciliter (1.12 mmol per liter) in the anacetrapib group than in the placebo group (a relative difference of 104%), and the mean level of non-HDL cholesterol was lower by 17 mg per deciliter (0.44 mmol per liter), a relative difference of -18%. There were no significant between-group differences in the risk of death, cancer, or other serious adverse events. CONCLUSIONS: Among patients with atherosclerotic vascular disease who were receiving intensive statin therapy, the use of anacetrapib resulted in a lower incidence of major coronary events than the use of placebo. (Funded by Merck and others; Current Controlled Trials number, ISRCTN48678192 ; ClinicalTrials.gov number, NCT01252953 ; and EudraCT number, 2010-023467-18 .)

Study on the Characteristics of Soil Moisture of Artificial Robinia pseudoacacia Forest Land in Different Latitudinal Zones of Northern Shaanxi

This article studies the soil moisture conditions of 30 years artificial Robinia pseudoacacia in the north of Shaanxi under different climate conditions in order to explore the relationship between soil moisture and impact factor of Robinia pseudoacacia in this area, and variation characteristics of soil moisture in the Loess Plateau region. The results show that soil moisture content decreases with increase of soil depth, and in 40-50 cm depth the jump point of moisture reduction appears significantly. Soil moisture was lower than the growth critical moisture in 5 samples to the north of Chunhua, and has different degrees of deficit. Soil moisture deficit degree was more than 50% in sandy loam and light loam soils such as Yulin, Shenmu and Suide. With the increasing of latitude, both of soil accumulative storage and net rainfall tends to decrease, but the relationship between them is significant correlation, indicating that that climate conditions are the major factors causing significant difference of soil moisture

The Differences in the Impact of Economic Structure Adjustment on the Ecological Carrying Capacity of County Education—A Case Study of Chongqing, China

Basic education is a foundation-laying project of national quality education. Improving the ecological carrying level of basic education is of great practical significance to the coordinated and sustainable development of regional society and economy. Based on the panel data of Chongqing from 2011 to 2017, combined with the DPSIR theoretical model, a comprehensive evaluation index system was conducted, and the spatial and temporal evolution characteristics of ecological carrying capacity of county education in Chongqing was explored by using statistical analysis and spatial analysis methods. The multiple linear regression model was used to analyze differences in the impact of economic structure adjustment on the ecological carrying capacity of county education. It was found that the level of ecological carrying capacity of county education in Chongqing showed a steady upward trend in terms of time sequence, and all the five subsystems showed the characteristics of steady development, but the influence of each subsystem on the overall carrying capacity was different. From the formation mechanism, Chongqing’s educational ecological carrying capacity is the result of a multi-factor complex system, and there are obvious differences in the influencing factors at different development stages. Therefore, it is necessary to narrow the regional differences of education ecological carrying capacity, promote the coordinated development of education among regions, and take multiple measures to effectively ensure the high quality and sustainable development of county education in Chongqing