Improvements in advanced hepatocellular carcinoma to repeat implementation of primary protocol after cancer progression occurs following sequential systemic therapy and a clinical trial: A case report.

INTRODUCTION: Systemic therapy is recommended for patients with advanced hepatocellular carcinoma (aHCC). However, drug resistance occurs over time when patients receive systemic therapy, resulting in cancer progression. Due to the lack of relevant clinical trials, optimizing subsequent treatments after cancer progression remains elusive. PATIENT CONCERNS: A 52-year-old male patient presented with epigastric discomfort and fatigue for almost 1 month with a past history of chronic hepatitis B virus infection for 30 years. DIAGNOSIS: Based on the patient's performance status, tumor status assessed by computed tomography, liver function, he was diagnosed with HCC at BCLC stage C. INTERVENTIONS AND OUTCOMES: He first received transarterial chemoembolization (TACE) combined with sintilimab and lenvatinib as first-line treatment and experienced 10-month progression-free survival. After cancer progression, the patient participated in a clinical trial of ABSK-011, a novel fibroblast growth factor receptor 4 inhibitor, with a frustrating result. Then, the patient underwent TACE and received sintilimab plus lenvatinib again. Surprisingly, the tumor had a partial response, and the patient's serum alpha-fetoprotein returned to normal. LESSONS: The combined treatment of TACE plus systemic therapy might be an appropriate subsequent treatment.

Asymmetric Supercapacitors based on 1,10-phenanthroline-5,6-dione Molecular Electrodes Paired with MXene.

An efficient approach to increase the energy density of supercapacitors is to prepare electrode materials with larger specific capacitance and increase the potential difference between the positive and negative electrodes in the device. Herein, an organic molecular electrode (OME) is prepared by anchoring 1,10-phenanthroline-5,6-dione (PD), which possesses two pyridine rings and an electron-deficient conjugated system, onto reduced graphene oxide (rGO). Because of the electron-deficient conjugated structure of PD molecule, PD/rGOs exhibit a more positive redox peak potential along with the advantages of high capacitance-controlled behaviour and fast reaction kinetics. Additionally, the small energy gap between the lowest unoccupied molecular orbital (LUMO) and highest occupied molecular orbital (HOMO) leads to increased conductivity in PD/rGO. To assemble the asymmetric supercapacitor (ASC), a two-dimensional metal carbide, as known as MXene, with a chemical composition of Ti3C2Tx is selected as the negative electrode due to its exceptional performance, and PD/rGO-0.5 is employed as the positive electrode. Consequently, the working voltage is expanded up to 1.8 V. Through further electrochemical measurements, the assembled ASC (PD/rGO-0.5//Ti3C2Tx) achieves a remarkable energy density of 36.8 Wh kg-1. Remarkably, connecting two ASCs in series can power 73 LEDs, showcasing its promising potential for energy storage applications.

Removal of Pb from Contaminated Kaolin by Pulsed Electrochemical Treatment Coupled with a Permeable Reactive Barrier: Tuning Removal Efficiency and Energy Consumption.

Lead contamination in soil has emerged as a significant environmental concern. Recently, pulse electrochemical treatment (PECT) has garnered substantial attention as an effective method for mitigating lead ions in low-permeability soils. However, the impact of varying pulse time gradients, ranging from seconds to hours, under the same pulse duty cycle on lead removal efficiency (LRE) and energy consumption in PECT has not been thoroughly investigated. In this study, a novel, modified PECT method is proposed, which couples PECT with a permeable reaction barrier (PRB) and adds acetic acid to the catholyte. A comprehensive analysis of LRE and energy consumption is conducted by transforming pulse time. The results show that the LREs achieved in these experiments were as follows: PCb-3 s (89.5%), PCb-1 m (91%), PCb-30 m (92.9%), and PCb-6 h (91.9%). Importantly, these experiments resulted in significant reductions in energy consumption, with decreases of 68.5%, 64.9%, 51.8%, and 47.4% compared to constant voltage treatments, respectively. It was observed that LRE improved with an increase in both pulse duration and voltage gradient, albeit with a corresponding rise in energy consumption. The results also revealed that corn straw biochar as a PRB could enhance LRE by 6.1% while adsorbing migrating lead ions. Taken together, the present data highlights the potential of modified PECT technology for remediation of lead-contaminated soil, which provides an optimal approach to achieve high LRE while minimizing energy consumption.

Does green credit promote firm environmental performance? A new perspective of economic growth target constraints.

Green credit encompasses financial instruments and services utilized to mitigate greenhouse gas emissions and facilitate adaptation to global climate change. Establishing a long-term stable green credit institution is crucial to promoting carbon abatement goals. This study uses the difference-in-difference (DID) model to discuss the impact of green credit policy (GCP) on environmental performance based on the China industrial enterprise data. Our results show that GCP inhibits the pollution emissions and improve firm environmental performance. This improvement effect is attributed to a reduction in production scale, and financing constraints. Moreover, GCP increases the firms' exit risk from market and promotes the technological innovation of incumbent firms. Economic growth target constraints trigger a positive moderation role in the implementation of GCP. Heterogeneity results show that such improvement effect is more pronounced in state-owned firm, large-scale firms, and high R&D intensity firms. Importantly, our findings also suggest the environmental monitoring effect of green credit is dependent on the institutional quality. Only in a sound market environment can GCP effectively improve firm environmental performance. Finally, we propose to build a systematic incentives and constraints mechanism to achieve the sustainable development. The conclusions of this paper provide empirical evidence and policy implications for the implementation of GCP.

Environmental contamination and health risk assessment of potentially toxic trace metal elements in soils near gold mines - A global meta-analysis.

Gold mining is the most important anthropogenic source of heavy metal emissions into the environment. Researchers have been aware of the environmental impacts of gold mining activities and have conducted studies in recent years, but they have only selected one gold mining site and collected soil samples in its vicinity for analysis, which does not reflect the combined impact of all gold mining activities on the concentration of potentially toxic trace elements (PTES) in nearby soils at a global scale. In this study, 77 research papers from 24 countries were collected from 2001 to 2022, and a new dataset was developed to provide a comprehensive study of the distribution characteristics, contamination characteristics, and risk assessment of 10 PTEs (As, Cd, Cr, Co, Cu, Hg, Mn, Ni, Pb, and Zn) in soils near the deposits. The results show that the average levels of all 10 elements are higher than the global background values and are at different levels of contamination, with As, Cd, and Hg at strong contamination levels and serious ecological risks. As and Hg contribute to a greater non-carcinogenic risk to both children and adults in the vicinity of the gold mine, and the carcinogenic risks of As, Cd, and Cu are beyond the acceptable range. Gold mining on a global scale has already caused serious impacts on nearby soils and should be given adequate attention. Timely heavy metal treatment and landscape restoration of extracted gold mines and environmentally friendly approaches such as bio-mining of unexplored gold mines where adequate protection is available are of great significance.

A new desorption method of polyurethane foam for the determination of gold and a comparative study on four desorption methods based on meta-analysis.

Accurate determination of gold in geological samples is an important prerequisite and guarantee for studying geological problems. There are many methods for digestion and enrichment of gold among which polyurethane foam (PUF) enrichment after aqua regia digestion is the most commonly used in the experiments. A new method to help the relief of gold from the PUF was put forward in this study, and it was applied to four certified reference materials (CRMs) together with three previously used methods, and the optimal extraction and enrichment conditions were determined through experiments. The four methods were compared by meta-analysis, and the thiourea liberation method was superior to the other three methods because of its simple operation and high accuracy. Out of consideration for the incomplete adsorption of gold in the solution by only one piece of PUF, repetitive adsorption of gold with a second and a third piece of PUF in the solution was proposed in this study. Results show that the gold content obtained by secondary and tertiary adsorption accounts for 11.03% of the total content, and the highest can reach 20.74%. When the third adsorption was carried out, the gold content in several samples was below the detection limit. Therefore, repeated adsorption of gold in the solution is necessary, and three times of adsorption is necessary.

COF-Based Electrodes with Vertically Supported Tentacle Array for Ultrahigh Stability Flexible Energy Storage.

As an emerging porous crystal polymer, covalent organic frameworks (COFs) possess unique characteristics, such as high porosity, excellent stability, diverse topologies, designable open channels, and functional tunability. However, limited by the solid powder form, most COFs display low active site utilization and weak binding force with the current collector. In this pioneering research, we integrate redox-active COFs onto carbon fiber surfaces (AC-COFs) via strong covalent bridging. The 2,6-diaminoanthraquinone (DAAQ) pillars embedded on the carbon fiber surface are the key to precisely controlling the growth direction of COFs. The obtained tentacle-like array vertically supported on the surface of the carbon fiber can effectively induce charge transfer and prevent COFs from aggregating/collapsing. The strong covalent coupling and increase of accessible active sites contributed to the high specific capacitance of AC-COFs electrode (1034 mF cm-2). In addition, the COF-based flexible electrode retains an initial capacitance of 98% after 20000 charge-discharge cycles. The flexible all-solid-state symmetric supercapacitor is assembled by PVA/H2SO4 gel electrolyte with an areal capacitance of 715 mF cm-2. Besides, a red LED can be easily powered by three-bending AC-COFs//AC-COFs devices. The innovative synthesis strategy opens up new opportunities to develop high-performance flexible energy storage devices based on COFs.

Organic Small-Molecule Electrodes: Emerging Organic Composite Materials in Supercapacitors for Efficient Energy Storage.

Organic small molecules with electrochemically active and reversible redox groups are excellent candidates for energy storage systems due to their abundant natural origin and design flexibility. However, their practical application is generally limited by inherent electrical insulating properties and high solubility. To achieve both high energy density and power density, organic small molecules are usually immobilized on the surface of a carbon substrate with a high specific surface area and excellent electrical conductivity through non-covalent interactions or chemical bonds. The resulting composite materials are called organic small-molecule electrodes (OMEs). The redox reaction of OMEs occurs near the surface with fast kinetic and higher utilization compared to storing charge through diffusion-limited Faraday reactions. In the past decade, our research group has developed a large number of novel OMEs with different connections or molecular skeletons. This paper introduces the latest development of OMEs for efficient energy storage. Furthermore, we focus on the design motivation, structural advantages, charge storage mechanism, and various electrode parameters of OMEs. With small organic molecules as the active center, OMEs can significantly improve the energy density at low molecular weight through proton-coupled electron transfer, which is not limited by lattice size. Finally, we outline possible trends in the rational design of OMEs toward high-performance supercapacitors.

Features of lymph node metastasis of papillary thyroid carcinoma in ultrasonography and CT and the significance of their combination in the diagnosis and prognosis of lymph node metastasis.

PURPOSE: To investigate the characteristics of lymph node (LN) metastasis of papillary thyroid carcinoma (PTC) with ultrasonography (US) and spiral computed tomography (CT) and the significance of their combination in the diagnosis and prognosis of LN metastasis. METHODS: A total of 93 PTC patients admitted to and treated in the oncology department of our hospital were randomly enrolled in this study. LN imaging signs were explored by US, CT and their combination. Through the comparison with pathological findings, the diagnostic efficiency of three methods in LN metastasis in patients with PTC was analyzed. Postoperatively, all patients were followed up for 1-3 years to analyze the relationship between LN metastasis and the prognosis of PTC. RESULTS: Among 93 PTC patients, 69 (74.19%) had LN metastasis, and 24 (25.81%) had not. US examination revealed that metastatic LN were hypoechoic and obviously calcified, and had aspect ratio >1 and strong blood flow signals. Among them, there were significant differences in calcification and blood flow between LN metastasis group and non-metastasis group (p<0.05). CT images indicated that metastatic LN were swollen, had low-density and were calcified with abundant blood flow signals. In addition, the edge, calcification and CT reinforced examination showed obvious differences between the LN metastasis group and the non-metastasis group (p<0.05). The sensitivity, specificity and accuracy of US alone in the diagnosis of LN metastasis were clearly better than those of CT alone (p<0.05), while their combination was better than both US and CT alone in the sensitivity, specificity and accuracy in the diagnosis of LN metastasis (p<0.05). Follow-up data suggested that the 3-year recurrence or metastasis rates of patients in the metastasis and non-metastasis groups were 4.54 and 11.27%, respectively, showing a statistically significant difference (p<0.05). CONCLUSIONS: US combined with CT can make up for the deficiencies of each examination alone, and improve the sensitivity and specificity of PTC LN metastasis detection. It is worthy of clinical promotion.

[Chemical Constituents from Semiliquidambar cathayensis Roots].

OBJECTIVE: To study the chemical constituents from the roots of Semiliquidambar cathayensis. METHODS: The roots of Semiliquidambar cathayensis were extracted with 80% ethanol for reflux. Chemical constituents were isolated by silica gel chromatography and Sephadex LH-20 column chromatography from petrol ether part and ethyl acetate part of extracts. Their structures were identified on the basis of physico-chemical characters and spectroscopic analysis. RESULTS: Eleven compounds were obtained from the roots of Semiliquidambar cathayensis, and identified as 3-acetyl-12-ene-oleanolic acid methyl ester (1), ß-sitosterol (2), 3-acetyl-12-ene-oleanol-ic acid (3), 2α,3ß-dihydroxy-lup-20(29)-en-28-oic acid (4), (24R)-5α-stignast-3,6-dione (5), betulonic acid (6), stearic acid (7), hexadecanoic acid (8), 3-oxo-olean-12-en-28-oic acid (9), arjunolic acid (10) and daucosterol (11). CONCLUSION: Compounds 1,3 - 6 and 8 are isolated from this genus for the first time.