ABSTRACT
Aim: The potential role of postmastectomy radiation therapy (PMRT) on prognosis in patients with T1-2 breast cancer and micrometastatic disease in sentinel lymph node dissection (SLND) has not yet been established. The aim of this study was to investigate the impact of PMRT on prognosis in patients with T1-2 breast cancer and micrometastatic in SLND. Method: A register- and population-based cohort was utilized by identifying eligible patients on the research database BcBase 3.0. Multivariate Cox regression models were applied for survival outcomes. In addition, a systematic literature review and meta-analysis including all relevant studies on this topic was performed. Results: In total, 956 patients fulfilling the inclusion criteria were found through the BcBaSe 3.0 with 237 (25.0 %) receiving PMRT and 719 (75.0 %) not receiving PMRT. No statistically significant differences between the two patient groups in terms of neither breast cancer-specific (adjusted Hazard Ratio (HR): 0.49; 95 % Confidence Interval (CI): 0.14 - 1.73) nor overall survival (adjusted HR: 0.63; 95 % CI: 0.29 - 1.35) was found. In the pooled analyses after literature review, PMRT did not result in better breast cancer-specific (5 studies; pooled HR: 1.06; 95 % CI: 0.88-1.27; I2 = 1 %; low certainty of evidence) or overall survival (6 studies; pooled HR: 1.01; 95 % CI: 0.91-1.13; I2 = 10 %; low certainty of evidence). Conclusion: PMRT does not seem to impact survival in patients with T1 or T2 breast cancer with micrometastatic disease in SLND. Considering the low level of evidence and the relatively short follow-up of included studies, caution in interpreting the results into clinical practice is suggested.
ABSTRACT
Novel multinary nanocomposite using solvothermal method synthesized and studied for their use in supercapacitors and photocatalysis to degrade pollutants using characterization techniques XRD, SEM, EDX, FTIR, Raman, UV-Vis, Zeta potential and photoluminescence spectroscopy whereas electrochemical testing via EIS, CV and GCD analysis. Average crystalline size of 20.81 nm measured from XRD whereas EDX confirms GO suppression within nanocomposite. Mixed matrix like morphology is observable from SEM micrographs. The composite exhibited a band gap of 2.78 eV that could degrade MB dye at 94 % under direct sunlight consistent with first-order kinetics. Multiple distinctive peaks in FTIR spectra indicates various functional groups exsistence in the material alongwith zeta potential value of -17.9 mV. Raman spectra reveals D-band shifting to value 1361 cm-1 while the G-band shifts to 1598 cm-1 relative to GO. Furthermore electrochemical performance evaluated revealing electron transfer rate value 4.88 × 10-9 cms-1 with maximum capacitance about 7182 Fg-1 at a scan rate of 10 mVs-1 respectively. Power density ranges from 3591.18 to 2163 W/kg and energy density from 299 to 120 Wh/Kg as measured from GCD analysis. These findings indicates that novel multinary nanocomposite holds potential as an electrode material in supercapacitors and as a sunlight-driven photocatalyst for the degradation of water-borne organic pollutants.
ABSTRACT
Solar-activated water treatment has become an emerging research field due to its eco-friendly nature and the economic feasibility of green photocatalysis. Herein, we synthesized promising, cost-effective, and ultralong-semiconductor TiO2 nanowires (NW), with the aim to degrade toxic azo dyes. The band gap of TiO2 NW was tuned through transition metals, i.e., chromium (Cr) and manganese (Mn), and narrowed by conjugation with high surface area graphene oxide (GO) sheets. Cr-Mn-doped TiO2 NWs were chemically grafted onto GO nanosheets and polymerized with sodium alginate to form a mesh network with an excellent band gap (2.6 eV), making it most suitable to act as a solar photocatalytic membrane. Cr-Mn-doped TiO2 NW @GO aerogels possess high purity and crystallinity confirmed by Energy Dispersive X-ray spectroscopy and X-ray diffraction pattern. A Cr-Mn-doped TiO2 NW @GO aerogels membrane was tested for the photodegradation of Acid Black 1 (AB 1) dye. The synthesized photocatalytic membrane in the solar photocatalytic reactor at conditions optimized by response surface methodology (statistical model) and upon exposure to solar radiation (within 180 min) degraded 100% (1.44 kg/m3/day) AB 1dye into simpler hydrocarbons, confirmed by the disappearance of dye color and Fourier transform infrared spectroscopy. An 80% reduction in water quality parameters defines Cr-Mn-doped TiO2 NW @GO aerogels as a potential photocatalytic membrane to degrade highly toxic pollutants.
