Recycling drinking water treatment sludge in construction and building materials: A review.

Drinking water treatment sludge (DWTS) is a by-product of water treatment, and it is difficult to recycle to high value and poses potential environmental risks. Recycling DWTS into cement-based materials is an effective measure to achieve its high-volume utilization and reduce its environmental load. DWTS is rich in silica-alumina phases and has potential pozzolanic activity after drying, grinding and calcination, giving it similar properties to traditional supplementary cementitious materials. Adjusting the sludge production process and coagulant type will change its physical and chemical properties. Adding a small amount of DWTS can generate additional hydration products and refine the pore structure of the cement sample, thus improving the mechanical properties and durability of the sample. However, adding high-volume DWTS to concrete causes microstructural deterioration, but it is feasible to use high-volume DWTS to produce artificial aggregates, lightweight concrete, and sintered bricks. Meanwhile, calcined DWTS has similar compositions to clay, which makes it a potential raw material for cement clinker production. Cement-based materials can effectively solidify heavy metal ions in DWTS, and alkali-activated binders, magnesium-based cement, and carbon curing technology can further reduce the risk of heavy metal leaching. This review provides support for the high-value utilization of DWTS in cement-based materials and the reduction of its potential environmental risks.

Upcycling textile sludge into magnesium oxychloride cement: Physical properties, microstructure, and leaching behavior.

Textile sludge is a by-product produced during the wastewater treatment process in the textile printing and dyeing industry. Textile sludge is rich in heavy metal elements, which makes it a potential risk to the surrounding environment. This study designs a magnesium oxychloride cement (MOC) components to solidify harmful substances in textile sludge and studies the influence of textile sludge ash (TSA) on the mechanical properties and microstructure of MOC samples. The results indicated that adding 5 %-20 % TSA is beneficial for increasing the compressive strength of air-cured MOC paste and improving its water resistance. Meanwhile, the MOC sample shows volume expansion in 168 h, which is related to the further hydration of residual MgO. Incorporating 10 %-20 % TSA substantially increased the volume expansion ratio of the mixture compared to plain MOC sample. In addition, the porosity of TSA-modified MOC after water curing did not change significantly compared to the sample before water curing, while the pore structure of plain MOC after water curing significantly coarsened. This is mainly because TSA reacts with MOC and generates Mg-Al-Cl-Si-H and Mg-Cl-Si-H gels, consequently improving the water stability of MOC sample. At the nanoscale, the 3/5-phase crystal and unreacted MgO content in the 15 % TSA-modified MOC sample is relatively reduced by 7.79 % and 25 %, respectively, compared to the plain sample, but the 13 % gel phase is detected. In addition, the MOC component can effectively solidify heavy metal elements in textile sludge. For the leachate of 20 % TSA-modified MOC paste, the Ni element is not detected, and its solidifying effect on heavy elements such as Zn and Mn exceeded 99 %.

Environment pollutants exposure affects the endogenous activation of within-host Mycobacterium tuberculosis.

OBJECTIVE: Epidemiological studies have linked ambient pollutants with tuberculosis (TB) risk, but the association has not been fully understood. Here, for the first time, we applied whole-genome sequencing (WGS) to assess the reproductive state of Mycobacterium tuberculosis (MTB) by profiling the mutation rate of MTB (MTBMR) during within-host endogenous reactivated progression, intending to dissect the actual effects of ambient pollutants on the endogenous reactivation. METHODS: We conducted a retrospective cohort study on bacteriologically confirmed TB patients and followed them for relapse in Jiangsu and Sichuan Province, China. Endogenous and exogenous activation were distinguished by WGS of the pathogen. The average concentration of air pollution was estimated by considering a lag of 0-1 to 0-12 months. We applied a generalized additive model with a Poisson function to evaluate the relationships between ambient pollutants exposure and MTBMR. RESULTS: In the single-pollutant adjusted models, the maximum effect for PM10 (MTBMR increase: 81.87%, 95% CI: 38.38, 139.03) and PM2.5 (MTBMR increase: 73.91%, 95% CI: 22.17, 147.55) was observed at a lag of 0-12 months for every 10 µg/m³ increase. For SO2, the maximum effect was observed at lag 0-8 months, with MTBMR increasing by 128.06% (95% CI: 45.92, 256.44); and for NO2, the maximum effect was observed at lag 0-9 months, with MTBMR increasing by 124.02% (95% CI: 34.5, 273.14). In contrast, the O3 concentration was inversely associated with MTBMR, and the maximum reduction of MTBMR was 6.18% (95% CI: -9.24, -3.02) at a lag of 0-9 months. Similar results were observed for multi-pollutant models. CONCLUSIONS: Increased exposure to ambient pollutants (PM10, PM2.5, SO2, and NO2) contributed to a faster MTBMR, indicating that MTB exhibits increased reproductive activity, thus accelerating within-host endogenous reactivation. O3 exposure could decrease the MTBMR, suggesting that MTB exerts low reproductive activity by inhibiting within-host endogenous activation.

Transcriptome analysis reveals the regulation of cyclic nucleotide-gated ion channels in response to exogenous abscisic acid and calcium treatment under drought stress in tomato.

Background: Drought stress can limit the growth and development of tomato seedlings and cause considerable loss of tomato yield. Exogenous abscisic acid (ABA) and calcium (Ca2+) can effectively alleviate the damage of drought stress to plants in part because Ca2+ acts as a second messenger in the drought resistance pathway. Although cyclic nucleotide-gated ion channels (CNGCs) are common non-specific Ca2+ osmotic channels in cell membranes, a thorough understanding of the transcriptome characteristics of tomato treated with exogenous ABA and Ca2+ under drought stress is necessary to characterize the molecular mechanism of CNGC involved in tomato drought resistance. Results: There were 12,896 differentially expressed genes in tomato under drought stress, as well as 11,406 and 12,502 differentially expressed genes after exogenous ABA and Ca2+ application, respectively. According to functional annotations and reports, the 19 SlCNGC genes related to Ca2+ transport were initially screened, with 11 SlCNGC genes that were upregulated under drought stress and downregulated after exogenous ABA application. After exogenous Ca2+ application, the data showed that two of these genes were upregulated, while nine genes were downregulated. Based on these expression patterns, we predicted the role of SlCNGC genes in the drought resistance pathway and their regulation by exogenous ABA and Ca2+ in tomato. Conclusion: The results of this study provide foundational data for further study of the function of SlCNGC genes and a more comprehensive understanding of drought resistance mechanisms in tomato.

Recycling solid waste to produce eco-friendly ultra-high performance concrete: A review of durability, microstructure and environment characteristics.

Recycling waste materials (WMs) is a cost-effective method for saving natural resources, protecting the environment, and reducing the use of high-carbon raw materials. This review aims to illustrate the impact of solid waste on the durability and microstructure of ultra-high performance concrete (UHPC) and to provide guidance for the research of eco-friendly UHPC. The results show that the proper use of solid waste to replace part of the binder or aggregate has a positive effect on the performance development of UHPC, but further enhancement techniques should be developed. When solid waste is prepared as a binder, the durability of waste based UHPC can be effectively improved by grinding and activation. When solid waste is used as an aggregate, its rough surface, potential reactivity and internal curing effect are also beneficial to the improvement of UHPC performance. Since UHPC has a dense microstructure, it can effectively prevent the leaching of harmful elements (heavy metal ions) in solid waste. However, the effect of waste modification on the reaction products of UHPC needs to be further studied, and design methods and testing standards suitable for eco-friendly UHPCs should be developed. The use of solid waste in UHPC effectively reduces the carbon footprint of the mixture, which is beneficial to the development of cleaner production technologies.

Recycling of water treatment sludge in concrete: The role of water-binder ratio from a nanoscale perspective.

For eutrophic water bodies, potassium permanganate is an effective pre-oxidant to remove algae and its residue in water treatment sludge. Recycling water treatment sludge in concrete is an environmentally friendly and high-value utilization measure. However, little research has been done on the effect of manganese-rich drinking water sludge ash (DWSA) on concrete. The effect of water-binder ratio (w/b) on strength, shrinkage and microstructural characteristics of concrete containing DWSA was investigated, and the structural behavior was explained from a nanoscale perspective. The results show that recycling 10 % DWSA in concrete improved the strength and shrinkage resistance of the samples. Reducing the w/b effectively increased the strength of DWSA-modified concrete and reduced the shrinkage deformation. The paste with high w/b had higher contents of non-evaporated water and calcium hydroxide, as well as higher reaction degree of DWSA. Nanoscale characterization shows that reducing the w/b reduced the volume fraction of pore and unhydrated phases in the matrix and increased the proportion of high-density C-S-H. Meanwhile, reducing the w/b also reduced the interfacial transition zone width of DWSA-modified concrete. Recycling DWSA in concrete effectively reduced the total carbon footprint and cost of the mixture. The combined application of reducing the w/b and incorporating DWSA effectively improved the economic and environmental benefits of concrete material. For the concrete modified with 10 % DWSA (w/b = 0.3), its cost and carbon emissions are reduced by 14 %-21 % and 19 %-25 % compared with the reference sample, respectively. Overall, this study reveals the action mechanism of DWSA in cement system at different w/b from nanoscale perspective, and gives a new insight on determining the optimal w/b in full-scale application of DWSA concrete.

Receptor discordance among primary tumors, brain metastases and extra-brain metastases in patients with breast cancer.

Background: To investigate the expression status of estrogen receptor (ER), progesterone receptor (PR) and HER2 in patients with breast cancer brain metastases (BM). Methods: Patients who underwent craniotomy for BM were included. The status of ER, PR and HER2 (including HER2-low expression) in primary breast tumors (PT), BM and extra-BM (EM) was determined. Results: Between PT and BM, conversion of hormone receptor and HER2 occurred in 28% (30/107) and 12% (10/86) of cases. When considering three-tiered categorization of HER2, the conversion rate reached 31%. In the paired EM and BM (n = 39), the discordance rates were 18%, 3% and 22%, respectively. Conclusion: Receptor discordance was dynamic and relevant, especially using new HER2 categorization.

Effect of curing regime on the immobilization of municipal solid waste incineration fly ash in sustainable cement mortar.

Stabilizing/solidificating municipal solid waste incineration fly ash (MIFA) with cement is a common strategy, and it is critical to study the high-value utilization of MIFA in ordinary Portland cement (OPC) components. With this aim, binary-binding-system mortar was produced by partially replacing OPC (∼50%) with MIFA, and the effects of different curing regimes (steam curing and carbonation curing) on the properties of the cement mortar were studied. The results showed that the setting time of the cement paste was shorten with the increase of MIFA content, and steam curing accelerated the hardening of the mixture. Although the incorporation of MIFA reduced the strength of the mortar, compared to conventional curing method, steam curing and carbonation curing increased the 3-d strength of the mortar. For high-volume MIFA mortars, the CO2-cured samples had the highest long-term strength and lowest permeability. The incorporation of MIFA increased the initial porosity of the mortar, thereby significantly increasing the carbonation degree and crystallinity of the reaction product - CaCO3. Steam curing also further narrowed the difference in the hydration degree between MIFA-modified sample and plain paste, which may be due to the enhanced hydraulic reactivity of MIFA at high temperatures. Although the incorporation of MIFA increased the porosity of the mortar, this waste-derived SCM refined the bulk pore structure and decreased the interconnected porosity. Additionally, the heavy metal leaching contents of MIFA-modified mortars were all below 1%, which meet the requirements of Chinese standards. Compared with standard curing, steam curing and carbonation curing made the early-age and long-term performance of MIFA-modified mortar better, which can promote the efficient application of MIFA in OPC products.

Dual MOF-Derived MoS2 /CdS Photocatalysts with Rich Sulfur Vacancies for Efficient Hydrogen Evolution Reaction.

Cocatalyst plays an important role in efficient charge transfer and separation for photocatalysis. Herein, a MoS2 /CdS photocatalyst with MoS2 as cocatalyst was designed by using Mo-MOF and Cd-MOF as precursors. Due to the existence of rich sulfur vacancies and 1T phase, MoS2 shows strong charge capture and transport ability. The photo-generated electrons on conduction band (CB) can be bound by the sulfur vacancy of CdS and effectively transported to MoS2 through the compact interface between the CdS nanoparticles and 2D large-scale MoS2 . The optimal photocatalyst 1 %MoS2 /CdS exhibited dramatically improved photocatalytic hydrogen production activity, which is 28 times that of pristine CdS and even about 2 times that of 1 %Pt/CdS with same loading amount of noble metal Pt. This work highlights the role of Mo-MOF derived MoS2 with 1T-2H phases as a sustainable and prospective candidate of cocatalyst for improving charge separation and photocatalytic stability of MoS2 /CdS composites.

Mechanical, water resistance and environmental benefits of magnesium oxychloride cement incorporating rice husk ash.

Magnesium oxychloride cement (MOC) has received extensive attention as an eco-friendly cement, but its poor water resistance limits its engineering applications. In this study, MOC mixture (MOCM) was modified with 10-50 % rice husk ash (RHA) (wt% of MgO), and the development of their fresh properties, mechanical strength and microstructure was investigated. The results show that the incorporation of RHA to MOCM increases the setting time of the mixture and reduces its flowability. Due to the fine particle size and high reactivity of RHA, the incorporation of an appropriate amount of RHA to MOCM improves the matrix compactness, thereby enhancing the compressive strength of the samples. Although the microstructure of MOCM deteriorates and the strength decreases after immersion in water, the strength retention coefficient of MOCM with 50 % RHA increases by 24.57 % compared with that of plain MOCM. The incorporation of RHA not only reduces the relative content of magnesium oxide in MOCM, but also generates Mg-Cl-Si-H gel, which is beneficial to improve the water resistance of MOCM. Meanwhile, with the increase of RHA content, the carbon emission of MOCM also decreases. Compared with other modification methods, RHA-modified MOCM performs better in terms of water resistance, environmental benefits and strength enhancement.

A retrospective cohort study on the treatment outcomes and genotyping of isoniazid-resistant tuberculosis patients in Eastern China.

OBJECTIVES: Isoniazid resistance might be overlooked because of the priority of detection of rifampicin-resistant tuberculosis. It was urgent to reveal the current situation of isoniazid-resistant tuberculosis (HR-TB), including unfavorable outcomes and bacterial factors. METHODS: A retrospective cohort study was undertaken including 120 patients with HR-TB and 193 patients with drug-sensitive tuberculosis (DS-TB). 24-loci MIRU-VNTR and Spoligotyping were adopted for genotyping. RESULTS: We found 106 cases (88.3%) of HR-TB and 165 cases (85.5%) of DS-TB were treated with the first-line drugs. Meanwhile, 12 (10.0%) patients of the HR-TB group and 7 (3.63%) patients of the DS-TB group involved adverse treatment outcomes (χ2 = 5.271, P = 0.028). Seventy-eight DNA from HR Mycobacterium tuberculosis and 114 DNA from DS M. tuberculosis were available for MIRU-VNTR and Spoligotyping. The clustering rate was 17.9% (14/78) for HR-TB and 16.7% (19/114) for DS-TB, and reached no significant difference (χ2 = 0.05, P = 0.8171). The Beijing family strains accounted for 83.7% (65/78) of HR-TB and 80.0% (91/114) of DS-TB (χ2 = 0.37, P = 0.5407). The adverse treatment outcomes for HR-TB all occurred in patients infected with Beijing family strains (13.8%), but no difference was found between Beijing and non-Beijing genotypes (P = 0.342). CONCLUSION: Adverse outcomes were significantly more frequent in patients with HR-TB than in those with DS-TB, and most of the patients with HR-TB were receiving a standard first-line regimen. Although the clustering rate and Beijing genotype distribution amongst HR-TB and DS-TB showed no significant difference, the Beijing genotype was the dominant genotype and its proportion was slightly higher amongst HR-TB than amongst DS-TB.

Membrane-cloaked polydopamine modified mesoporous silica nanoparticles for cancer therapy.

To improve the shortcomings of narrow therapeutic range and low bioavailability of traditional preparations, a composite drug carrier that combines the advantages of biological carriers and synthetic carriers was prepared in this project. The biomimetic nano-delivery system outer membrane vesicles-polydopamine-mesoporous silica nanoparticle (OMVs-PDA-MSN-DOX) for oral administration is composed of OMVs ofEscherichia colias shell and doxorubicin-loaded MSN modified by PDA as core. Several characterization techniques thoroughly examined the nano-drug delivery system to confirm its surface morphology and chemical property. OMVs-PDA-MSN-DOX with a particle size of 150 nm showed significant cell selectivity and safety. We demonstrated that OMVs are capable of protecting pH-sensitive nanostructure from the oral route of administration in the short term. Importantly, OMVs-PDA-MSN-DOX could facilitate intestinal adhesion and improve DOX bioavailability. Overall, the OMVs-cloaked nanocarrier provides an efficient delivery platform for the oral targeting treatment of cancer with pH-sensitive nano-formulations.

Recycling coral waste into eco-friendly UHPC: Mechanical strength, microstructure, and environmental benefits.

On islands far away from the mainland, the raw materials for concrete production are often more difficult to obtain. Converting the coral waste generated during the island construction process into a marine ultra-high performance concrete (UHPC) mixture is an eco-friendly strategy. Coral powder (CP) is used to partially replace cement and silica fume (SF), and its mechanical strength, microstructure and environmental benefits are evaluated. Results show that using a small amount of CP (5%) to replace cement can improve the mechanical properties of UHPC, but the strength of UHPC decreases with the further increase of CP content. From the perspective of nanoindentation test, an appropriate amount of CP refines the pore structure of the UHPC matrix and increases the content of C-S-H, especially the proportion of high-density C-S-H. When 15% of SF is replaced by CP (SF15), the strength of UHPC decreases due to the decrease of C-S-H phase and the deterioration of microstructure. In terms of the width of the interface transition zone, the width of the C5 sample (CP replace 5% cement) is decreased by 16.7% compared with the control group, while the width of the SF15 group is increased by 38.9%. Compared with conventional UHPC, CP-based UHPC has lower carbon emission and non-renewable energy consumption, which effectively utilizes waste and promotes sustainability.

In situ growth of MOF-derived sulfur vacancy-rich CdS nanoparticles on 2D polymers for highly efficient photocatalytic hydrogen generation.

In heterojunction photocatalytic materials, the size of the nanoparticles and electron-hole separation efficiency have a great influence on the photocatalytic hydrogen production activity. In this work, for the first time, a strategy of combining sulfur vacancy engineering and quantum size control for constructing CdS (MOF)/PI heterojunctions was reported. Sulfur-deficient CdS (MOF) nanoparticles with a size of 5-10 nm were derived from in situ sulfurization of Cd-MOF precursors and highly dispersed on the surface of 2D polyimide (PI). The experimental and characterization results demonstrated that CdS (MOF)/PI heterojunctions possess broader and stronger light absorption towards the visible region than pristine PI. More importantly, a considerable amount of sulfur vacancies were introduced into CdS (MOF) nanoparticles. The presence of abundant surface and bulk sulfur vacancies created more unsaturated coordinated Cd 3c atoms, which increased the proportion of the (002) crystal planes that act as highly active crystal planes of CdS (MOF), providing more active reaction sites. The surface sulfur vacancy level located near the Fermi level serves as the photogenerated electron trap level, thereby increasing the efficiency of electron-hole separation and further prolonging the lifetime of photogenerated electrons. As a result, the 18%CdS(MOF)/PI heterojunction exhibited a higher hydrogen evolution rate of 8640 µmol g-o after 4 hours of illumination, which was 20 times higher than that of 18%CdS/PI under visible light irradiation. This work highlights the role of sulfur defects in the modification of the CdS (MOF)/PI heterojunction as a feasible strategy for improving charge separation and photocatalytic performance.

Improvement mechanism of water resistance and volume stability of magnesium oxychloride cement: A comparison study on the influences of various gypsum.

The development of magnesium oxychloride cement can effectively utilize the waste of potash industry and reduce its harm to the environment. Although magnesium oxychloride cement paste (MOCP) has excellent performance in dry environment, its performance is greatly deteriorated in water or humid environment, which severely limits its practical application. In order to improve the water resistance of MOCP, MOCP was modified by various gypsum in this study, and the intrinsic mechanism was explored. Results showed that replacing MgO with gypsum delayed the setting time of MOCP and effectively improved its volume stability. Although the incorporation of gypsum reduced the 14-d air-cured compressive strength of MOCP, waste gypsum was able to significantly improve the water resistance of MOCP compared to natural gypsum. When 80% flue gas desulfurization gypsum and phosphogypsum (weight of magnesium oxide) were incorporated into MOCP, the 14-d air-cured compressive strength of MOCP was only decreased by 14.49% and 15.94% compared with the control group, but its 28-d water immersion strength retention coefficient (SRC) could still reach 61.02% and 46.55%, respectively. However, for the control group and MOCP with 80% natural gypsum, the 28-d SRC were only 28.99% and 8.41%. The incorporation of high-volume waste gypsum to MOCP not only reduced the relative content of MgO, but also improved the stability of the 5-phase in water, which was beneficial to improve the water resistance of MOCP. In addition, high-volume waste gypsum-modified MOCP had lower cost and carbon emissions, and exhibited superior water resistance and sustainability compared to existing MOCP compositions.

Analysis of the application of a gene chip method for detecting Mycobacterium tuberculosis drug resistance in clinical specimens: a retrospective study.

Most Mycobacterium tuberculosis (Mtb) resistant to rifampicin (RIF) has mutations in the rpoB gene, while most Mtb resistant to isoniazid (INH) has mutations in the katG gene or inhA promoter. We used gene chip technology to detect mutations in these genes to determine the resistance of Mtb to RIF and INH. A total of 4148 clinical specimens with sputum smear positivity for acid-fast bacilli (AFB) were detected. Then, taking the results of the drug sensitivity test (DST) as the reference standard, the detection efficiency of sputum samples from different grades of positive smears was compared in detail. We found that the sensitivity of the gene chip method for detecting sputum samples with a grade ≥ AFB 2 + was higher than that of sputum samples with a grade ≤ AFB 1 + (P < 0.05). When the grade of the sample was ≤ AFB 1 +, the sensitivity of the gene chip method was 72.6% for RIF, 67.3% for INH, and 60.0% for MDR-TB. When the grade of the sample was ≥ AFB 2 +, the sensitivity of the gene chip method was 84.5% for RIF, 78.2% for INH, and 73.9% for MDR-TB. The results show that gene chip technology can be directly used to diagnose drug-resistant tuberculosis in clinical specimens, and the diagnostic efficiency for the detection of sputum specimens with a grade ≥ AFB 2 + is better than that of other sputum specimens.

Diagnostic Performance of GeneChip for the Rapid Detection of Drug-Resistant Tuberculosis in Different Subgroups of Patients.

OBJECTIVE: Drug-resistant tuberculosis (DR-TB) is a growing problem worldwide. The rapid drug susceptibility test (DST) of DR-TB enables the timely administration of a chemotherapy regimen that effectively treats DR-TB. GeneChip has been reported as a novel molecular diagnostic tool for rapid diagnosis but has limited data on the performance of subgroup patients with DR-TB. This study aims to assess the diagnostic value of GeneChip in patients with different sexes, ages, treatment histories, treatment outcomes, and places of residence. METHODS: We recruited newly registered sputum smear-positive pulmonary TB patients from January 2011 to September 2020 in Lianyungang City, Jiangsu Province, China. We applied both GeneChip and DST to measure drug resistance to rifampin (RIF) and isoniazid (INH). The kappa value, sensitivity, specificity, and agreement rate (AR) were calculated. We also applied a Classification and Regression Tree to explore factors related to the performance of GeneChip. RESULTS: We observed that sex, age, treatment history, treatment outcomes, and drug resistance type were significantly associated with the performance of GeneChip. For RIF resistance, there was significant accordance in young patients (kappa: 0.79) and cases with the treatment failure outcome (kappa: 0.92). For multidrug resistance (MDR), there was significant accordance in young cases (kappa: 0.77). Compared with previously treated patients, the newly treated patients had a significantly higher AR in detecting RIF resistance (0.97 vs 0.92), INH resistance (0.95 vs 0.89), and MDR (0.98 vs 0.92). The overall sensitivity, specificity, AR and kappa value for the diagnosis of MDR-TB were 0.70 (95% CI: 0.63-0.70), 0.99 (95% CI: 0.98-0.99), 0.98 (95% CI: 0.97-0.98), and 0.72 (95% CI: 0.67-0.78), respectively. CONCLUSION: We observed a high concordance between GeneChip and DST among TB patients with different characteristics, indicating that GeneChip can be a potential alternative tool for rapid MDR-TB detection.

Experimental study on full-volume slag alkali-activated mortars: Air-cooled blast furnace slag versus machine-made sand as fine aggregates.

As the industrial waste from blast furnace ironmaking, air-cooled blast furnace slag (ACBFS) puts a lot of pressure on the environment. It is becoming more and more urgent to deal with the increasing ACBFS. In this study, the concept of "full-volume slag alkali-activated mortars (FSAM)" is proposed using ground granulated water-cooled blast furnace slag (GGBS) as aluminosilicate material and ACBFS to replace machine-made sand, aiming to solve the current situation of increasing scarcity of natural resources. The characteristics of ACBFS are investigated, and its stability and heavy metal leaching all meet the requirements as a building material. The results show that the flowability and mechanical properties of FSAM are significantly enhanced with the substitution rate of ACBFS increases. Meanwhile, the incorporation of ACBFS is also beneficial to improve the compactness of the microstructure of the mortar, thereby improving the impermeability (Water, ion and gas) of FSAM. In addition, the specimen mixed with ACBFS showed good high temperature resistance due to the porous feature of the aggregate. Furthermore, using a small amount of limestone powder to replace GGBS can slightly improve the performance of FSAM. Therefore, ACBFS is recommended to be used in FSAM, which meets safety, cost and environmental benefits.

Is There a Role for Post-Mastectomy Radiotherapy for T1-2N1 Breast Cancers With Node-Positive Pathology After Patients Become Node-Negative Pathology Following Neoadjuvant Chemotherapy?

Purpose: To assess the benefit of post-mastectomy radiotherapy (PMRT) in breast cancer (BC) patients with T1-2N1M0 who developed pathologically negative lymph nodes (ypN0) after undergoing neoadjuvant chemotherapy (NAC) and mastectomy. Patients and Materials: Patients with T1-2 tumors and positive lymph node(s) who became pN0 after NAC and mastectomy were screened from our prospectively maintained database. The primary endpoint was recurrence-free survival (RFS), and the secondary endpoints were local recurrence-free survival (LRFS) and overall survival (OS). Propensity-score matching (PSM) was conducted for the comparison between PMRT and non-PMRT groups. Results: Of the 142 eligible patients, 110 (77.5%) received PMRT, and 32 (22.5%) did not. The median follow-up time was 72 months. Univariate analyses showed that the 5-year RFS, LRFS, and OS rates were 88.7, 94.5, and 96.1, respectively, with PMRT and 72.4, 90.1, and 95.0% without PMRT (p = 0.028; p = 0.151; p = 0.971). Multivariate analyses established PMRT as a significant prognostic factor for RFS rate (HR, 0.411; 95% CI, 0.175-0.968; p = 0.042). After a PSM analysis (64 in the PMRT group vs. 32 in the non-PMRT group), PMRT remained significant, with improved RFS in univariate and multivariate analysis (with 5-year RFS rates of 90.1 vs. 72.4%, respectively, p = 0.016; HR, 0.323, 95%CI, 0.115-0.913, p = 0.033). In the subgroup of 48 (33.8%) patients with pathologic complete responses (pCR, ypT0, and ypN0) after NAC, PMRT did not affect RFS (HR, 0.226; 95% CI, 0.034-1.500; p = 0.123). Conclusions: PMRT might benefit pT1-2N1M0 patients with pN0 after NAC. Patients with pCR might consider omitting PMRT. Prospective studies are needed to assess the effect of PMRT on this specific patient population.

Biofilm-encapsulated nano drug delivery system for the treatment of colon cancer.

AIM: In this study, 5-fluorouracil (5-FU) is delivered to target colon without the interference of mononuclear phagocyte system (MPS). METHODS: Outer membrane vesicles (OMVs) were used as the biological shield to disguise mesoporous silica (MSN) and 5-FU. OMVs-MSN-5-FU were prepared by high pressure co-extrusion, and characterised on the basis of size, drug loading, transmission electron microscope, infra-red spectroscopy, differential scanning calorimetry, thermal gravity analysis, % in vitro release, MTT assay, cell uptake and in vivo imaging. RESULTS: OMVs-MSN-5-FU with -18.22 ± 0.17 mV zeta potential and 90.4 ± 9.1 nm size were used for oral treatment of colon cancer. Drug loading of the drug was 50.22%±0.17 (w/w). The cumulative release of OMVs-MSN-5-FU reached 75.07%±0.94 in tumour microenvironment. The percentage of cell viability of OMVs-MSN-5-FU was 33.75%±2.73. In vivo experiments results confirmed that OMVs-MSN-5-FU could be taken up by colon cancer cells. CONCLUSIONS: The study provided a promising nano platform for the targeting treatment of colon cancer.