Summary
Background
Hepatitis B virus (HBV) is the leading cause of hepatocellular carcinoma (HCC) worldwide. It remains incompletely understood in the real world how anti‐viral therapy affects ...survival after HCC diagnosis.
Methods
This was an international multicentre cohort study of 2518 HBV‐related HCC cases diagnosed between 2000 and 2015. Cox proportional hazards models were utilised to estimate hazard ratios (HR) with 95% (CI) for anti‐viral therapy and cirrhosis on patients' risk of death.
Results
Approximately, 48% of patients received anti‐viral therapy at any time, but only 17% were on therapy at HCC diagnosis (38% at US centres, 11% at Asian centres). Anti‐viral therapy would have been indicated for >60% of the patients not on anti‐viral therapy based on American criteria. Patients with cirrhosis had lower 5‐year survival (34% vs 46%; P < 0.001) while patients receiving anti‐viral therapy had increased 5‐year survival compared to untreated patients (42% vs 25% with cirrhosis and 58% vs 36% without cirrhosis; P < 0.001 for both). Similar findings were seen for other patient subgroups by cancer stages and cancer treatment types. Anti‐viral therapy was associated with a decrease in risk of death, whether started before or after HCC diagnosis (adjusted HR 0.62 and 0.79, respectively; P < 0.001).
Conclusions
Anti‐viral therapy improved overall survival in patients with HBV‐related HCC across cancer stages and treatment types but was underutilised at both US and Asia centres. Expanded use of anti‐viral therapy in HBV‐related HCC and better linkage‐to‐care for HBV patients are needed.
Fracture liaison services (FLS) have been demonstrated to improve outcomes following osteoporotic fracture. The aim of this systematic literature review (SLR) was to determine the characteristics of ...an FLS that lead to improved patient outcomes. We conducted a SLR, including articles published between 2000 and February 2017, using global (Medline, EMBASE, PubMed and Cochrane Library) and local databases. Studies including patients aged ≥ 50 years with osteoporotic fractures enrolled in an FLS were assessed. Information extracted from each article included key person coordinating the FLS (physician, nurse or other healthcare professional), setting (hospital vs community), intensity (single vs multiple), duration (long vs short term), fracture type and gender. A meta-analysis of randomised controlled trials was conducted based on the key person coordinating the FLS. Out of 7236 articles, 57 were considered to be high quality and identified for further analysis. The SLR identified several components which contributed to FLS success, including multidisciplinary involvement, driven by a dedicated case manager, regular assessment and follow-up, multifaceted interventions and patient education. Meta-analytic data confirm the effectiveness of an FLS following an osteoporotic fracture: approximate 27% increase in the likelihood of BMD testing and up to 21% increase in the likelihood of treatment initiation compared with usual care. The balance of evidence indicates that the multifaceted FLS and dedicated coordination are important success factors that contribute to effective FLS interventions which reduce fracture-related morbidity and mortality.
Pure CO ice has been irradiated with electrons of energy in the range 150−1000 eV with the Interstellar Energetic-Process System. The main products of irradiation are carbon chains Cn (n = 3, 5, 6, ...8, 9, 10, 11, 12), suboxides, CnO (n = 2, 3, 4, 5, 6, 7), and CnO2 (n = 1, 3, 4, 5, 7) species. CO2 is by far the most abundant reaction product in all the experiments. The destruction cross section of CO peaks at about 250 eV, decreases with the energy of the electrons and is more than one order of magnitude higher than for gas-phase CO ionization. The production cross section of carbon dioxide has been also derived and is characterized by the competition between chemistry and desorption. Desorption of CO and of new species during the radiolysis follows the electron distribution in the ice. Low-energy electrons having short penetration depths induce significant desorption. Finally, as the ice thickness approaches the electron penetration depth the abundance of the products starts to saturate. Implications on the atmospheric photochemistry of cold planets hosting surface CO ices are also discussed.
MicroRNAs (miRNAs) are involved in tumorigenecity by regulating specific oncogenes and tumor suppressor genes, and their roles in breast cancer stem cells (BCSCs) are becoming apparent. Distinct from ...the CD44(+)/CD24(-/low) sub-population, we have isolated a novel PROCR(+)/ESA(+) BCSC sub-population. To explore miRNA-regulatory mechanisms in this sub-population, we performed miRNA expression profiling and found miR-495 as the most highly upegulated miRNA in PROCR(+)/ESA(+) cells. Coincidently, high upregulation of miR-495 was also found in CD44(+)/CD24(-/low) BCSCs, reflecting its potential importance in maintaining common BCSC properties. Ectopic expression of miR-495 in breast cancer cells promoted their colony formation in vitro and tumorigenesis in mice. miR-495 directly suppressed E-cadherin expression to promote cell invasion and inhibited REDD1 expression to enhance cell proliferation in hypoxia through post-transcriptional mechanism. miR-495 expression was directly modulated by transcription factor E12/E47, which itself is highly expressed in BCSCs. These findings reveal a novel regulatory pathway centered on miR-495 that contributes to BCSC properties and hypoxia resistance.
Background and Objective: Short‐chain fatty acids, such as butyric acid and propionic acid, are metabolic by‐products generated by periodontal microflora such as Porphyromonas gingivalis, and ...contribute to the pathogenesis of periodontitis. However, the effects of butyrate on the biological activities of gingival fibroblasts (GFs) are not well elucidated.
Material and Methods: Human GFs were exposed to various concentrations of butyrate (0.5–16 mm) for 24 h. Viable cells that excluded trypan blue were counted. Cell cycle distribution of GFs was analyzed by propidium iodide‐staining flow cytometry. Cellular reactive oxygen species (ROS) production was measured by flow cytometry using 2’,7’‐dichlorofluorescein (DCF). Total RNA and protein lysates were isolated and subjected to RT‐PCR using specific primers or to western blotting using specific antibodies, respectively.
Results: Butyrate inhibited the growth of GFs, as indicated by a decrease in the number of viable cells. This event was associated with an induction of G0/G1 and G2/M cell cycle arrest by butyrate (4–16 mm) in GFs. However, no marked apoptosis of GFs was noted in this experimental condition. Butyrate (> 2 mm) inhibited the expression of cdc2, cdc25C and cyclinB1 mRNAs and reduced the levels of Cdc2, Cdc25C and cyclinB1 proteins in GFs, as determined using RT‐PCR and western blotting, respectively. This toxic effect of butyrate was associated with the production of ROS.
Conclusion: These results suggest that butyrate generated by periodontal pathogens may be involved in the pathogenesis of periodontal diseases via the induction of ROS production and the impairment of cell growth, cell cycle progression and expression of cell cycle‐related genes in GFs. These events are important in the initiation and prolongation of inflammatory processes in periodontal diseases.
A ZnFe2O4-TiO2 nanocomposite combining p-type ZnFe2O4 and n-type TiO2 was successfully fabricated. The ZnFe2O4-TiO2 nanocomposite greatly enhanced the bisphenol A (BPA) photodegradation under visible ...light irradiation at 465 ± 40 nm. Loading TiO2 with 1 wt% of ZnFe2O4 produced high photocurrent and low charge transfer resistance. The photodegradation rate of BPA by ZnFe2O4-TiO2, which was highly dependent on the water chemistry including pH, anions, and humic acid, was 20.8–21.4 times higher than that of commercial TiO2 photocatalysts. Chloride and sulfate ions enhanced BPA photodegradation mostly due to the production of more radical species; whereas nitrate, dihydrogen phosphate, and bicarbonate ions decreased the photodegradation rate of BPA due to the scavenge of hydroxyl radicals. The photoactivity and recyclability of ZnFe2O4-TiO2 in lake water was also assessed. A near complete BPA removal from lake water was observed under visible light irradiation. Furthermore, >90% of photocatalytic activity toward BPA degradation was achieved in 5 cycles of continuous addition of BPA to the lake water. The BPA degradation intermediates were identified by HPLC/MS/MS and possible reaction pathways were proposed. Results clearly demonstrate the excellent visible-light-sensitive photocatalytic degradation of BPA over ZnFe2O4-TiO2 composite which has a great application potential for the decomposition of emerging contaminants in impaired waters.
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•TiO2 doped with 1.0-wt% ZnFe2O4 exhibited the highest visible-light BPA photodegradation.•The kobs of BPA photodegradation followed the order: pH 9.0 > pH 7.0 > pH 5.0 > pH 3.0 > pH 11.0.•Cl− and SO42− enhance and humic acid inhibits BPA degradation over ZnFe2O4-TiO2.•Near complete BPA removal (>90%) in lake water was observed under visible light irradiation•BPA degradation over ZnFe2O4-TiO2 in lake water was high for at least five continuous cycles.
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•Bamboo biochar effectively adsorbs ammonium from dilute aqueous solutions.•pH, ionic strength, particle size, and temperature affect ammonium adsorption.•Surface hydroxyl groups ...development on hydrous biochar surface.•FTIR results show changes of surface chemical groups upon ammonium adsorption.•Surface complexation and precipitation are major ammonium adsorption reactions.
This research aims at studying the characteristics of ammonium adsorption onto hydrous bamboo biochar. Results showed that pH played the most important role in ammonium adsorption. High ionic strength enhanced the ammonium adsorption capacity of bamboo biochar. Ammonium adsorption was exothermic and spontaneous. FTIR results showed shift, disappearance, or appearance of specific functional groups on the bamboo biochar surface. Surface precipitation and complex formation contributed to the adsorption of ammonium onto hydrous bamboo biochar. Biochar can be an effective adsorbate for ammonium removal from water. Additionally, the formation of nitrogen containing precipitates on the biochar surface, potentially, leads to the in-situ synthesis of slow-release fertilizer.
Hyperflares of M Dwarfs Chang, H.-Y.; Lin, C.-L.; Ip, W.-H. ...
The Astrophysical journal,
11/2018, Volume:
867, Issue:
1
Journal Article
Peer reviewed
From a study of the light curves of the M dwarfs observed by the Kepler space telescope in its primary mission, a number of flare events with the peak flux increases reaching more than the nominal ...stellar luminosity have been found. One of them, KIC 9201463, produced an extreme flare with the peak flux increase jumping to five times the quiet-time value. In relative terms, this class of hyperflares is much stronger than the superflares of the solar-type stars and could have a very important influence on the atmospheric evolution and the potential development of biospheres of habitable super-Earths orbiting around M dwarf stars. A cross-correlation of the flare activities of some of these M dwarf stars and their H equivalent width (EW) values derived from the LAMOST project indicates that the H EW values can be used to monitor the occurrence of hyperflares as well as the level of flare activity of different classes of M dwarfs with fast to slow rotations, and hence the long-term environmental effects of star-planet interaction of exoplanets.
A nickel foam-supported Ni(OH)2/NiOOH electrode, synthesized in-situ at a specific electrode overpotential, was used to study the oxidation of ammonia in aqueous solution. Results of voltammetric ...analysis showed the formal potential of Ni(OH)2/NiOOH transition at +0.6 V (vs. Hg/HgO, pH 11) at which the current profile was improved by electron transfers of NH3 in the electrolyte. Selectivity of NH3 conversion to NO3− and N2 was evaluated by batch constant current experiments. Electrochemical parameters, including solution pH (6–12), temperature (20–40 °C), current density (0.2–3 mA cm−2), and initial NH3-N concentration (20–450 mg-L−1), that may affect ammonia oxidation toward nitrogen selectivity were studied. At constant current density of 1.5 mA cm−2A, ammonia removal reached 98.5% and NO3− was the major product at initial NH3-N concentration of 50 mg-L−1 in 7 h. By contrast, N2 evolution dominated at low current density (<1 mA cm−2) and high initial NH3-N concentration (i.e., >100 mg-L−1). A surface steady-state approach, with NH3 deprotonation as the rate-limiting step, provided the reaction pathways of NH3 conversion to molecular nitrogen byproduct.
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•The NiOOH@Ni-electrode was capable of directly oxidizing NH3 to NO3− and N2.•NH3 augmented the anodic current and enhanced the oxidation of Ni(0) to NiOOH.•Increasing initial NH3 concentration improved the transfer coefficient and ammonia oxidation.•Current density and initial ammonia concentration governed nitrogen selectivity.
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