The Digital Silk Road and Chinas Influence on Standard Setting

China is striving to become a leader in international standard setting, and the Digital Silk Road, part of China's Belt and Road Initiative to expand its global infrastructure and markets, is key to realizing this goal. Both roads depend on standard connectivity, fuelled by Chinese private companies that are the driving force behind China's growing role as a leader in technology development and shaping standards in both domestic and global markets. However, China faces strong competition to gain more influence in international standard-setting bodies, which are dominated by the European Union and the United States

Drug-coated balloon angioplasty with provisional stenting versus primary stenting for the treatment of de novo coronary artery lesions: REC-CAGEFREE I trial rationale and design

Background: Percutaneous coronary intervention (PCI) with primary stenting, which stands for stent implantation regardless of obtaining satisfactory results with balloon angioplasty, has superseded conventional plain old balloon angioplasty with provisional stenting. With drug-coated balloon (DCB), primary DCB angioplasty with provisional stenting has shown non-inferiority to primary stenting for de novo coronary small vessel disease. However, the long-term efficacy and safety of such a strategy to the primary stenting on clinical endpoints in de novo lesions without vessel diameter restrictions remain uncertain. Study design: The REC-CAGEFREE I is an investigator-initiated, multicenter, randomized, open-label trial aimed to enroll 2270 patients with acute or chronic coronary syndrome from 43 interventional cardiology centers in China to evaluate the non-inferiority of primary paclitaxel-coated balloons angioplasty to primary stenting for the treatment of de novo, non-complex lesions without vessel diameter restrictions. Patients who fulfill all the inclusion and exclusion criteria and have achieved a successful lesion pre-dilatation will be randomly assigned to the two arms in a 1:1 ratio. Protocol-guided DCB angioplasty and bailout stenting after unsatisfactory angioplasty are mandatory in the primary DCB angioplasty group. The second-generation sirolimus-eluting stent will be used as a bailout stent in the primary DCB angioplasty group and the treatment device in the primary stenting group. The primary endpoint is the incidence of Device-oriented Composite Endpoint (DoCE) within 24 months after randomization, including cardiac death, target vessel myocardial infarction, and clinically and physiologically indicated target lesion revascularization. Discussion: The ongoing REC-CAGEFREE I trial is the first randomized trial with a clinical endpoint to assess the efficacy and safety of primary DCB angioplasty for the treatment of de novo, non-complex lesions without vessel diameter restrictions. If non-inferiority is shown, PCI with primary DCB angioplasty could be an alternative treatment option to primary stenting. Trial registration: Registered on clinicaltrial.gov (NCT04561739)

Effect of Light and Heavy Rare Earth Doping on the Physical Structure of Bi₂O₂CO₃ and Their Performance in Photocatalytic Degradation of Dimethyl Phthalate

In order to solve the problem of environmental health hazards caused by phthalate esters, a series of pure Bi2O2CO3 and light (La, Ce, Pr, Nd, Sm and Eu) and heavy (Gd, Tb, Dy, Ho, Er, Tm, Yb and Lu) rare earth-doped Bi2O2CO3 samples were prepared by hydrothermal method. The crystalline phase composition and physical structure of the samples calcined at 300 °C were studied, and we found that the rare earth ion doping promoted the transformation of Bi2O2CO3 to β-Bi2O3 crystalline phase, thus obtaining a mixed crystal phase photocatalyst constituted by rare earth-ion-doped Bi2O2CO3/β-Bi2O3. The Bi2O3/Bi2O2CO3 heterostructure had a lower band gap and more efficient charge transfer. The fabricated samples were applied to the photocatalytic degradation of dimethyl phthalate (DMP) under a 300 W tungsten lamp, and it was found that the rare earth ion doping enhanced the photocatalytic degradation activity of DMP, in which the heavy rare earth of Er-doped sample reached 78% degradation for DMP at 150 min of light illumination. In addition, the doping of rare earths resulted in a larger specific surface area and a stronger absorption of visible light. At the same time, the formation of Bi2O2CO3/β-Bi2O3 heterogeneous junction enhanced the separation efficiency of photogenerated electrons and holes