[Recent Advances in Diagnosis and Treatment Strategies for Multiple Primary Lung Cancer].

As the utilization of computed tomography in lung cancer screening becomes more prevalent in the post-pandemic era, the incidence of multiple primary lung cancer (MPLC) has surged in various countries and regions. Despite the continued application of advanced histologic and sequencing technologies in this research field, the differentiation between MPLC and intrapulmonary metastasis (IM) remains challenging. In recent years, the specific mechanisms of genetic and environmental factors in MPLC have gradually come to light. Lobectomy still predominates in the treatment of MPLC, but the observation that tumor-specific sublobar resection has not detrimentally impacted survival appears to be a viable option. With the evolution of paradigms, the amalgamated treatment, primarily surgical, is an emerging trend. Among these, stereotactic ablative radiotherapy (SABR) and lung ablation techniques have emerged as efficacious treatments for early unresectable tumors and control of residual lesions. Furthermore, targeted therapies for driver-positive mutations and immunotherapy have demonstrated promising outcomes in the postoperative adjuvant phase. In this manuscript, we intend to provide an overview of the management of MPLC based on the latest discoveries.
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Sonoprocessing of wetting of SiC by liquid Al: A thermodynamic and kinetic study.

The sonoprocessing of droplet spreading during the wetting process of molten aluminum droplets on SiC ceramic substrates at 700 °C is investigated in this paper. When wetting is assisted by a 20 kHz frequency ultrasonic field, the wettability of liquid metal gets enhanced, which has been determined by the variations in thermodynamic energy and wetting kinetics. Wetting kinetic characteristics are divided into two stages according to pinning and depinning states of substrate/droplet contact lines. The droplet is static when the contact line is pinning, while it is forced to move when the contact line is depinning. When analyzing the pinning stage, high-speed photography reveals the evidence of oxide films being rapidly crushed outside the aluminum droplet. In this work, atomic models of spherical Al core being wrapped by alumina shell are tentatively built, whose dioxide microstructures are being transformed from face-centered cubic into liquid at the atomic scale. At the same time, the wetting experiment reveals that the oxide films show changes in the period of sonoprocessing from 3rd to 5th second. During the ultrasonic spreading behavior in the late stage, there is a trend of evident expansion of the base contact area. The entire ultrasonic process lasts for no longer than 10 s. With the aid of ultrasonic sinusoidal waves, the wettability of metal Al gets a rapid improvement. Both molecular dynamic (MD) investigations and the experiments results reveal that the precursor film phenomenon is never found unless wetting is assisted by ultrasonic treatments. However, the precursor film appears near the triple line after using ultrasonics in the droplet wetting process, whose formation is driven by ultrasonic oscillations. Due to the precursor film, the ultrasonic wetting contact angle is lower than the non-ultrasonic contact angle. In addition, the time-variant effective ultrasonic energy has been quantitatively evaluated. The numerical expressions of thermodynamic variables are well verified by former ultrasonic spreading test results, which altogether provide an intrinsic explanation of the fast-decreasing contact angle of Al/SiC.

Discovery of a novel short peptide with efficacy in accelerating the healing of skin wounds.

Despite extensive efforts to develop efficacious therapeutic approaches, the treatment of skin wounds remains a considerable clinical challenge. Existing remedies cannot sufficiently meet current needs, so the discovery of novel pro-healing agents is of growing importance. In the current research, we identified a novel short peptide (named RL-QN15, primary sequence 'QNSYADLWCQFHYMC') from Rana limnocharis skin secretions, which accelerated wound healing in mice. Exploration of the underlying mechanisms showed that RL-QN15 activated the MAPK and Smad signaling pathways, and selectively modulated the secretion of cytokines from macrophages. This resulted in the proliferation and migration of skin cells and dynamic regulation of TGF-ß1 and TGF-ß3 in wounds, which accelerated re-epithelialization and granulation tissue formation and thus skin regeneration. Moreover, RL-QN15 showed significant therapeutic potency against chronic wounds, skin fibrosis, and oral ulcers. Our results highlight frog skin secretions as a potential treasure trove of bioactive peptides with healing activity. The novel peptide (RL-QN15) identified in this research shows considerable capacity as a candidate for the development of novel pro-healing agents.

The wetting characteristics of molten Ag-Cu-Au on Cu substrates: a molecular dynamics study.

Ag-Cu-Au ternary alloys are promising solder materials for wire bonding. Limited experimental studies on Ag-Cu-Au materials can be found due to the high cost of gold. In this study, face-centered-cubic Cu(100), Cu(111), and Cu(110) substrates wetted by molten Ag45Cu42Au13 were investigated via molecular dynamics (MD). As demonstrated by melting simulation results, the Ag45Cu42Au13 alloy has a lower melting temperature compared to the eutectic alloy, Ag60Cu40. MD methods were also used to investigate the dissolutive characteristics of Ag45Cu42Au13/Cu wetting. Density profiles and contact angles show an increase in wettability in the Ag45Cu42Au13/Cu(100) wetting system. For molten Ag60Cu40 and Ag45Cu42Au13 the spreading behavior on Cu(100) shows a promoted tendency, which contrasts with both Cu(111) and Cu(110). Solid-liquid adhesion is indicative of the comparative spreading degrees. The contact angles and PMF analysis of wetting behaviors on rough and smooth Cu substrates illustrate that solid-liquid adhesion in Wenzel states is stronger than in Cassie wetting states.

Design of non-equiatomic medium-entropy alloys.

High-entropy alloys have attracted much attention due to their unique microstructures and excellent properties. Since their invention more than ten years ago, research attention has been mainly focused on the study of multicomponent alloys with equiatomic or near-equiatomic compositions. Here we propose a novel design of non-equiatomic medium-entropy alloys that contain one matrix element and several equiatomic alloying elements. To verify the utility of this new design, a series of Co-free Fex(CrNiAl)100-x (at.%, 25 ≤ x ≤ 65) medium-entropy alloys were designed from the much-studied FeNiCrCoAl high-entropy alloy. Detailed characterization reveals that the alloys exhibit novel two-phase microstructures consisting of B2-ordered nanoprecipitates and BCC-disordered matrix. As the alloys deviate far from equiatomic composition, the structure of the nanoprecipitates transfers from a spinodal-like intertwined structure to a nanoparticle dispersed structure. Previous parametric approaches to predict phase formation rules for high-entropy alloys are unable to describe the phase separation behaviors in the studied alloys. Our findings provide a new route to design medium-entropy alloys and also demonstrate a strategy for designing nanostructured alloys from multicomponent alloy systems through simple variations in non-equiatomic compositions.