Camrelizumab combined with apatinib and nanoparticle albumin-bound paclitaxel in lung adenocarcinoma (CAPAP-lung): a single-arm phase II study.

Background: Platinum-doublet chemotherapy plus immunotherapy has been the standard of care for the first-line treatment of advanced non-small cell lung cancer lacking actional driver mutations. However, optimization of drug combinations is still needed to find a better balance between therapeutic efficacy and safety in the immunotherapy era. We aimed to investigate the efficacy and safety of platinum-free albumin bound paclitaxel (nab-paclitaxel) combined with camrelizumab and apatinib as first-line treatment for patients with advanced lung adenocarcinoma. Methods: In this multicenter open-label, single-arm phase II trial, patients with systemic treatment-naïve advanced lung adenocarcinoma without epidermal growth factor receptor (EGFR) or anaplastic lymphoma kinase (ALK) mutations received a rational-based combination of camrelizumab (200 mg intravenously, day one), apatinib (250 mg, q.d., five continuous days per week), and nab-paclitaxel (135 mg/m2 intravenously, days one and eight) every three weeks for four to six cycles in China. Patients with controlled disease were maintained with camrelizumab and apatinib. The primary end point was progression-free survival (PFS). This trial is registered with ClinicalTrials.gov (No. NCT04459078). Findings: Between August 26, 2020 and May 20, 2022, 64 patients were enrolled. The median PFS was 14.3 (95% CI: 9.9, not reached) months. The confirmed objective response rate was 64.1% (95% CI: 51.1, 75.7). The grade 3-4 hematologic treatment-related adverse events (TRAEs) were decreased neutrophil count (14.1%), decreased white blood cell count (7.8%), and anemia (3.1%). The most common non-hematologic TRAEs of grade 3-4 were increased alanine transaminase (18.8%) and aspartate transaminase (15.6%). No treatment-related death occurred. The quality of life was on average not clinically meaningful worse through treatment cycle 14. Interpretation: Nab-paclitaxel plus camrelizumab and apatinib showed clinically meaningful anti-tumor activity and manageable safety, with few hematologic toxicities, and might be a potential treatment option in patients with advanced lung adenocarcinoma lacking EGFR/ALK mutations. Funding: Heath Research Foundation of Chinese Society of Clinical Oncology, Hunan Provincial Natural Science Foundation of China, Hunan Cancer Hospital Climb Plan, Sister Institution Network Fund of The University of Texas MD Anderson Cancer Center, The Science and Technology Innovation Program of Hunan Province, and Suzhou Sheng Diya Biomedical Co., Ltd, a subsidiary of Jiangsu Hengrui Pharmaceuticals Co., Ltd. (Shanghai, China).

Characteristics of Methane Explosion and Dynamic Response of Rock Mass in an H-Type Roadway with Different Ignition Sources.

Methane explosion is an undesired incident in the coal mining industry. Its high pressure wave can cause damage to the rock mass. This study numerically investigated the flame and wave transport characteristics of methane explosion with ignition sources at three different locations, and the corresponding dynamic response of the rock masses was discussed. The results showed that the flame propagation time is shortest when the ignition position is located at the center of the H-type roadway structure and the maximum overpressure decreases as the ignition position deviates from the center of the H-type roadway structure. When the ignition point is located at the center of the H-type roadway structure, the smallest total deformation of rock mass shows up with the highest maximum overpressure. In contrast, the largest total deformation appears when the ignition point is most away from the center due to the asymmetric distribution of the gas pressure exerted on both sidewalls of the rock masses. This work may provide insights into the understanding of deflagration propagation and the dynamic evolution of stresses under complex conditions.

The Evaluation of Prognostic Value and Immune Characteristics of Ferroptosis-Related Genes in Lung Squamous Cell Carcinoma.

Background The purpose of our study was to construct a prognostic model based on ferroptosis-related gene signature to improve the prognosis prediction of lung squamous carcinoma (LUSC). Methods The mRNA expression profiles and clinical data of LUSC patients were downloaded. LUSC-related essential differentially expressed genes were integrated for further analysis. Prognostic gene signatures were identified through random forest regression and univariate Cox regression analyses for constructing a prognostic model. Finally, in a preliminary experiment, we used the reverse transcription-quantitative polymerase chain reaction assay to verify the relationship between the expression of three prognostic gene features and ferroptosis. Results Fifty-six ferroptosis-related essential genes were identified by using integrated analysis. Among these, three prognostic gene signatures (HELLS, POLR2H, and POLE2) were identified, which were positively affected by LUSC prognosis but negatively affected by immune cell infiltration. Significant overexpression of immune checkpoint genes occurred in the high-risk group. In preliminary experiments, we confirmed that the occurrence of ferroptosis can reduce three prognostic gene signature expression. Conclusions The three ferroptosis-related genes could predict the LUSC prognostic risk of antitumor immunity.

Inhibition Effect of KHCO3 and KH2PO4 on Ethylene Explosion.

The explosion risk of ethylene (C2H4) seriously hinders safe development of its production and processing. To reduce the harm caused by C2H4 explosion, an experimental study was conducted to assess the explosion inhibition characteristics of KHCO3 and KH2PO4 powders. The experiments were conducted based on the explosion overpressure and flame propagation of the 6.5% C2H4-air mixture in a 5 L semi-closed explosion duct. Both the physical and chemical inhibition characteristics of the inhibitors were mechanistically assessed. The results showed that the 6.5% C2H4 explosion pressure (P ex) decreases by increasing the concentration of KHCO3 or KH2PO4 powder. The inhibition effect of KHCO3 powder on the C2H4 system explosion pressure was better than that of the KH2PO4 powder under similar concentration conditions. Both powders significantly affected the flame propagation of the C2H4 explosion. Compared with KH2PO4 powder, KHCO3 powder had a better inhibition effect on the flame propagation speed, but its ability to reduce the flame luminance was less than KH2PO4 powder. Finally, the inhibition mechanism(s) of KHCO3 and KH2PO4 powders were revealed based on the powders' thermal characteristics and gas-phase reaction.

Numerical and Experimental Study on Flame Dynamics of the Premixed Methane-Air Mixture at Different Ignition Positions in a Two-Side 45° Branch Tube.

The combustion characteristics of premixed methane-air flames in a half-open tube with a two-sided 45° branch structure at different ignition positions were investigated by experiments and large eddy simulations. The numerical results were compared with the experimental results to verify the correctness of the model. The results show that the simulation results are highly consistent with the experiment. This study provides a basic understanding of the effects of the branch tube structure and the ignition position on flame dynamics. When the flame propagates to the branch interface, it forms a symmetrical vortex structure at the branch tube with the opposite rotation direction. When the ignition position is at IP0 and IP900, the maximum overpressures obtained in the experiment are 10.1 and 10.7 kPa, respectively, and 9.2 and 10.4 kPa in the simulation, respectively. At IP0, the Karlovitz number indicating the interaction intensity between the flame surface and the turbulence during flame propagation is a maximum of 9.2 and a minimum of 0.04. The premixed flame has a folded small flame, a corrugated small flame, and a thin reaction zone.

Experimental Studies on the Explosion Behaviors of Premixed Hydrogen-Air Mixtures in a Narrow Channel.

Premixed hydrogen-air explosion experiments were carried out in a 1000 mm × 50 mm × 10 mm half-open narrow channel, concerning with the influences of equivalence ratio and ignition position on explosion behaviors. Experimental phenomena were different from explosion in large space. The results indicated that when ignited at the closed end of the channel, three overpressure peaks appeared, caused by the rupture of the film, Helmholtz Oscillation, and the flame-acoustic interaction, respectively. As the equivalence ratio of the hydrogen-air mixtures varied from 0.6 to 1.6, the peak overpressure first increased and then decreased. The maximum peak overpressure occurred at ϕ = 1.2. The hydrogen flame would develop into the plane tulip structure without the influence of the end wall. With the ignition position moved to the open end, overpressure wave and flame oscillated significantly. Compared with other ignition positions, the minimum value of P max was obtained at IP950. Based on the explosion behaviors in the narrow channel, it was concluded that the closer the ignition was to the open end, the easier the oscillation was to be formed, the smaller the explosion hazard was.

Flame Propagation Characteristics of Syngas-Air in the Hele-Shaw Duct with Different Equivalence Ratios and Ignition Positions.

In this paper, the effects of different ignition positions and equivalence ratios on the explosion characteristics of syngas in a half-open Hele-Shaw duct were investigated. The ignition points are set at distances of 0 and 500 mm from the closed end. Moreover, the research range of equivalence ratio is 0.8-1.2. The experimental results indicate that different ignition positions and equivalence ratios influence the flame front structure and the dynamic characteristics of flame propagation. When the ignition position is at the closed end, the flame front undergoes several typical propagation stages before eventually reaching the open end of the duct. The time required by the flame to reach the open end decreases as the equivalence ratio increases. Meanwhile, when the ignition is in the middle of the duct, the flame simultaneously spreads to the open and closed ends. The time required to reach both sides decreases with the increase in the equivalence ratio. The flame front structure and pressure are primarily affected by the ignition position and the equivalence ratio. At the same ignition position, flame propagation velocity and maximum overpressure increase with the equivalence ratio. The pressure oscillation becomes more intense when the ignition position is close to the open end. At IP500, when the equivalence ratio is 0.8, multiple finger-shaped flame fronts emerge, accompanied by high-frequency flame oscillations. This study can provide guidance for the study of the flame propagation characteristics of syngas in millimeter-scale burners.

Kinetic Analysis of Laminar Combustion Characteristics of a H2/Cl2 Mixture at CO2/N2 Dilution.

Garbage and biomass contain more chlorine, which reacts with H2 to form HCl gas during combustion or gasification, resulting in corrosion of metal walls. In this paper, based on the chlorine mechanism in Ansys Chemkin-Pro, the laminar combustion characteristics of H2/Cl2 are simulated with different diluents CO2/N2 under an initial temperature of 298 K, equivalence ratio range of 0.6-1.4, and initial pressure of 0.1-0.5 MPa. The results show that the laminar burning velocity of H2/Cl2 decreases significantly with the increase of dilution gas ratio, and the effect of diluent CO2 is more significant than that of N2. Due to the dilution effect, the fuel and oxidation components are reduced. Through sensitivity analysis, reaction R2: Cl + H2 = HCl + H is the main reaction of HCl formation. On improving the initial pressure, the laminar burning velocity is slightly lowered, and the thermal diffusivity of the fuel mixture increases with the increase of the initial pressure. According to the sensitivity analysis of the velocity, reactions R2, R9, and R10 are the main reactions that affect the laminar burning velocity, and the product HCl will be generated with a delay with the increase of the initial pressure.

Interferon regulatory factor-1 regulates cisplatin-induced apoptosis and autophagy in A549 lung cancer cells.

This study aimed to investigate the expression and function of interferon regulatory factor-1 (IRF-1) in non-small cell lung cancer (NSCLC). IRF-1 expression and its prognostic value were investigated through bioinformatic analysis. The protein expression levels of IRF-1, cleaved caspase 3, and LC3-I/II were analyzed by western blotting. A lentiviral vector was used to overexpress or knockdown IRF-1 in vitro. Mitochondrial membrane potential (MMP) and reactive oxygen species (ROS) were analyzed by JC-1 and DCFH-DA staining, respectively. ATP, SOD, MDA, cell viability, LDH release, and caspase 3 activity were evaluated using commercial kits. Compared to the levels in normal tissues, IRF-1 expression was significantly lower in lung cancer tissues and was a prognostic factor for NSCLC. Cisplatin treatment-induced IRF-1 activation, ROS production, ATP depletion, SOD consumption, and MDA accumulation in A549 lung cancer cells. IRF-1 overexpression promoted mitochondrial depolarization, oxidative stress, and apoptotic cell death and inhibited autophagy in A549 cells, and these effects could be reversed by IRF-1 knockdown. These data suggest that IRF-1 regulates apoptosis, autophagy and oxidative stress, which might be served as a potential target for increasing chemotherapy sensitivity of lung cancer.

Development and Validation of a Prognostic N6-Methyladenosine-Related Immune Gene Signature for Lung Adenocarcinoma.

PURPOSE: The prognostic value of an N6-methyladenosine (m6A) methylation-related immune gene signature for lung adenocarcinoma (LUAD) was investigated. PATIENTS AND METHODS: Gene expression and clinical phenotype data of LUAD patients were downloaded from The Cancer Genome Atlas database. A list of immune-related genes was retrieved from the InnateDB database. Correlation analysis, survival analysis, and univariate and multivariate Cox regression analyses were performed. After allocating patients into a high-risk or a low-risk group, the corresponding survival rates, immune microenvironment, expression of immune checkpoint genes, and modulation of Kyoto Encyclopedia of Genes and Genomes pathways were examined. Finally, the expression levels of prognostic biomarkers were assessed in the GSE126044 dataset. RESULTS: Seven m6A-related immune prognostic genes were identified. High expression of PSMD10P1, DIDO1, ABCA5, and CIITA was associated with high survival rates, while that of PRC1, ZWILCH, and ANLN was associated with low survival rates. The high- and low-risk groups showed significant differences in terms of the abundance of six tumor-infiltrating immune cell types and expression of 12 immune checkpoint genes. The risk group acted as an independent prognostic factor (hazard ratio = 0.398, 95% confidence interval = 0.217-0.729, P = 0.003). Finally, the developed nomogram could predict most efficiently the 1-, 2-, and 3-year survival probability of LUAD patients with a C-index of 0.833. CONCLUSION: A seven-gene risk signature, associated with the immune microenvironment in LUAD, showed independent prognostic value.

Removal of Antimony(V) from Drinking Water Using nZVI/AC: Optimization of Batch and Fix Bed Conditions.

Antimony (Sb) traces in water pose a serious threat to human health due to their negative effects. In this work, nanoscale zero-valent iron (Fe0) supported on activated carbon (nZVI) was employed for eliminating Sb(V) from the drinking water. To better understand the overall process, the effects of several experimental variables, including pH, dissolved oxygen (DO), coexisting ions, and adsorption kinetics on the removal of Sb(V) from the SW were investigated by employing fixed-bed column runs or batch-adsorption methods. A pH of 4.5 and 72 h of equilibrium time were found to be the ideal conditions for drinking water. The presence of phosphate (PO43-), silicate (SiO42-), chromate (CrO42-) and arsenate (AsO43-) significantly decreased the rate of Sb(V) removal, while humic acid and other anions exhibited a negligible effect. The capacity for Sb(V) uptake decreased from 6.665 to 2.433 mg when the flow rate was increased from 5 to 10 mL·min-1. The dynamic adsorption penetration curves of Sb(V) were 116.4% and 144.1% with the weak magnetic field (WMF) in fixed-bed column runs. Considering the removal rate of Sb(V), reusability, operability, no release of Sb(V) after being incorporated into the iron (hydr)oxides structure, it can be concluded that WMF coupled with ZVI would be an effective Sb(V) immobilization technology for drinking water.

Prognosis of Non-small-cell Lung Cancer Patients With Lipid Metabolism Pathway Alternations to Immunotherapy.

Immune checkpoint inhibitors (ICIs) significantly improve the survival of patients with non-small-cell lung cancer (NSCLC), but only some patients obtain clinical benefits. Predictive biomarkers for ICIs can accurately identify people who will benefit from immunotherapy. Lipid metabolism signaling plays a key role in the tumor microenvironment (TME) and immunotherapy. Hence, we aimed to explore the association between the mutation status of the lipid metabolism pathway and the prognosis of patients with NSCLC treated with ICIs. We downloaded the mutation data and clinical data of a cohort of patients with NSCLC who received ICIs. Univariate and multivariate Cox regression models were used to analyze the association between the mutation status of the lipid metabolism signaling and the prognosis of NSCLC receiving ICIs. Additionally, The Cancer Genome Atlas (TCGA)-NSCLC cohort was used to explore the relationships between the different mutation statuses of lipid metabolism pathways and the TME. Additionally, we found that patients with high numbers of mutations in the lipid metabolism pathway had significantly enriched macrophages (M0- and M1-type), CD4 + T cells (activated memory), CD8 + T cells, Tfh cells and gamma delta T cells, significantly increased expression of inflammatory genes [interferon-γ (IFNG), CD8A, GZMA, GZMB, CXCL9, and CXCL10] and enhanced immunogenic factors [neoantigen loads (NALs), tumor mutation burden (TMB), and DNA damage repair pathways]. In the local-NSCLC cohort, we found that the group with a high number of mutations had a significantly higher tumor mutation burden (TMB) and PD-L1 expression. High mutation status in the lipid metabolism pathway is associated with significantly prolonged progression-free survival (PFS) in NSCLC, indicating that this marker can be used as a predictive indicator for patients with NSCLC receiving ICIs.

Numerical Simulation of the Effect of CH4/CO Concentration on Combustion Characteristics of Low Calorific Value Syngas.

The composition of low calorific value synthesis gas varies greatly depending on the raw material and processing technology, which makes the combustion extremely complicated. The three mechanisms of the GRI-Mech 3.0, Li-Model, and FFCM-Mech are used to numerically simulate CH4/CO/H2/N2 air premixed combustion by using ANSYS CHEMKIN-PRO. The numerical simulation is the calculation of laminar flame velocity and adiabatic flame temperature at an initial temperature of 298 K, an equivalence ratio of 0.6-1.4, and an initial pressure of 0.1-0.5 MPa, discussing through thermodynamics and chemical kinetics. The formation of NO X , H, and OH radicals by fuel composition was analyzed. The result shows that the concentrations of H, O, and OH radicals have a positive effect on laminar flame velocity. The combustion reaction of H2 is higher than that of CH4 and CO; with the increase of N2 content, the priority is higher. The thermal diffusivity of flame under different equivalence ratios is affected by inert gas, which affects adiabatic combustion temperature and laminar combustion velocity. In thermal kinetics and chemical kinetics, CH4 has more influence on combustion temperature than CO, while laminar flame velocity is relatively low. Under the change of initial pressure, the laminar combustion flux increases to the initial pressure and the laminar combustion velocity decreases to the increase in pressure. Reactions H + O2 = O + OH, HO2 + H = 2OH, and CH3 + HO2 = OH + CH3O are mainly due to change in the concentration of O, H, and OH radicals.

Experimental Study on the Explosion Characteristics of CH4/O2/N2 Mixtures with Different Oxygen Enrichment Coefficients and Ignition Positions.

In this paper, the flame propagation characteristics and overpressure oscillation characteristics of CH4 explosion were studied under different ignition positions (IPs) and oxygen enrichment conditions in a half-open tube. The distances between the IP and the closed end of the tube are 0, 250, 500, and 750 mm. The oxygen enrichment coefficient (φ) values used in the experiment are 0.21, 0.3, and 0.4. The experimental results show that the IP and oxygen enrichment coefficient have an important influence on the flame structure and overpressure oscillation. Only when the oxygen enrichment coefficient φ = 0.21, a tulip flame will be formed. The IP close to the outlet can make the air participate in the combustion more quickly. With the increase of the oxygen enrichment coefficient, the combustion-induced rapid phase transition phenomenon is more likely to occur, and the maximum overpressure value and the overpressure rise rate of flame will increase. It is worth noting that after increasing the oxygen enrichment coefficient, the IP has less influence than the oxygen enrichment coefficient on the overpressure rise rate.

Effect of the Inclination Angle on Premixed Flame Dynamics in Half-Open Ducts.

The propagation of premix methane/air flames in long half-open ducts with different inclination angles θ between the sidewall and the horizon was numerically investigated using the laminar model. The numerical result was compared with the experimental and theoretical ones to validate the numerical model. The results show that the numerical results are in good agreement with them. The investigation provides the basic understanding of the effects on changing the shape of the ducts to promote the premixed flame combustion. For methane/air, the position where the flame front begins to concave is pushed back with the increase in angle θ. The so-called "tulip" flame even disappeared, if the angle θ is bigger than one certain value. Moreover, the flame propagation speed and pressure are enhanced as the angle θ increases. In addition, the numerical simulation indicates that the burning gas creates an eddy near the tip of the flame, altering the flow field and causing the tulip flame to appear. However, with the angle θ increased, the flame propagation is restrained by the change in sidewalls, resulting in the different flow patterns to suppress the formation of tulip flames and promote flame combustion.

Effect of Metal Foam Mesh on Flame Propagation of Biomass-Derived Gas in a Half-Open Duct.

The effect of metal foam mesh on flame propagation of biomass-derived gas in a half-open duct was studied. The explanations are based essentially on the experimental investigations of premixed biomass-derived gas explosions carried out in a rectangular half-open combustion chamber. The initial temperature T 0 and pressure P 0 were 300 K and 1.0 atm, respectively. The key parameters of explosive characteristics, such as flame propagation images and explosive overpressure, were analyzed by changing the porosity, the pore density of porous metal foams, and the gas components. The results show that the use of porous metal foam has a significant inhibitory effect on the gas explosion. Although the combustion structure of the flames is similar, the action of the porous metal foam during the experiment also shows the characteristics consistent with the obstacles. When the porosity of the porous foam is 97%, the flame can be stimulated to produce turbulence, and then the shock-flame interaction generated by the reflection of the lead shock wave can enhance the explosion propagation and promote the explosion escalation. However, with the increase of hole density, the existence of the porous metal foam by momentum loss and heat loss to curb the spread of the explosion not only hindered the flow of not flammable but also extracted energy from the expansion of the combustion products at the same time. This study also confirms that the biological hydrogen and methane component has a vital role in the flame, and a reasonable hydrogen and methane ratio can improve the flame burning to get more economic value.

Buzhongyiqi Decoction Protects Against Loperamide-Induced Constipation by Regulating the Arachidonic Acid Pathway in Rats.

Constipation is a common gastrointestinal disorder without effective treatment approach. Buzhongyiqi decoction (BZYQD) is a classical formula that has been commonly used for gastrointestinal disorders for nearly 1,000 years. In this study, we aimed to investigate the protective effect of BZYQD against loperamide-induced constipation and its potential mechanism. Rats with loperamide-induced constipation were orally administered BZYQD. BZYQD treatment obviously increased the small intestinal transit rate and alleviated colon tissue pathological damage. Subsequently, serum metabolomics study was performed to identify the metabolites affected by BZYQD. Metabolomics identified that the levels of 17 serum metabolites, including prostaglandin E2 (PGE2), arachidonic acid (AA), and inositol, were significantly changed in BZYQD-treated group compared with those in the loperamide-induced group. Pathway analysis revealed that those metabolites were mainly associated with arachidonic acid metabolism, biosynthesis of unsaturated fatty acids, ascorbate and aldarate metabolism, inositol phosphate metabolism. Additionally, BZYQD treatment down-regulated the cyclooxygenase-2 expression and decrease production of the proinflammatory mediator PGE2. Further study revealed that BZYQD administration decreased serum levels of the inflammatory factors IL-1ß and TNF-α, inhibited phosphorylation of the nuclear transcription factor NF-κB, and down-regulated expression of the inflammatory factors IL-1ß and IL-6 in the constipated rat colon. Moreover, BZYQD treatment also increased serum levels of inositol, motilin and gastrin, and promoted gastrointestinal motility. In conclusion, the present study suggested that BZYQD exerted a protective effect against loperamide-induced constipation, which may be associated with its role in regulation of multiple metabolic pathways.

Comprehensive analysis of genomic alterations detected by next-generation sequencing-based tissue and circulating tumor DNA assays in Chinese patients with non-small cell lung cancer.

While tumor genotyping is the standard treatment for patients with non-small cell lung cancer (NSCLC), spatial and temporal tumor heterogeneity and insufficient specimens can lead to limitations in the use of tissue-based sequencing. Circulating tumor DNA (ctDNA) fully encompasses tumor-specific sequence alterations and offers an alternative to tissue sample biopsies. However, few studies have evaluated whether the frequency of multiple genomic alterations observed following ctDNA sequencing is similar to that observed following tissue sequencing in NSCLC. Therefore, in the present study, targeted next-generation sequencing (NGS) was performed on tissue and plasma ctDNA samples in 99 patients with NSCLC. Overall, the frequencies of genetic alterations detected in ctDNA were positively correlated with those detected via tissue profiling (r=0.812; P=0.022). Genomic data revealed significant mutual exclusivity between alterations in epidermal growth factor receptor (EGFR) and tumor protein 53 (TP53; P=0.020), and between alterations in EGFR and KRAS (P=0.008), as well as potential mutual exclusivity between alterations in EGFR and Erb-B2 receptor tyrosine kinase 2 (P=0.059). Furthermore, the EGFR mutant allele frequency (MAF) was positively correlated with the TP53 MAF in individual tumors (r=0.773; P=0.005), and there was a marked difference in the EGFR MAF between patients with and without the TP53 mutation (P=0.001). Levels of the tumor serum marker CA242 in patients with ctDNA-detectable mutations were higher compared with those in patients without ctDNA-detectable mutations. The data from the present study highlight the importance of tissue and plasma ctDNA screening by NGS to guide personalized therapy and promote the clinical management of patients with NSCLC.

In situ grown Ni phosphide nanowire array on Ni foam as a high-performance catalyst for hydrazine electrooxidation.

Synthesis of high-performance and cost-effective electrocatalysts towards hydrazine electrooxidation is vital to develop the direct hydrazine fuel cell (DHFC) as a viable energy conversion technology. Herein, we report a combined experimental and theoretical study of nickel phosphides (NixP) as promising catalysts for hydrazine electrooxidation. NixP nanowire array supported on a Ni foam (NF) was synthesized by a one-step phosphorization method using hypophosphite as a P-source. Ni12P5 and Ni2P phases are observed as the products of the direct phosphorization of commercial NF under the applied conditions with Ni2P nanoparticles exclusively distributing on the surface of Ni12P5. The NixP/NF catalyst exhibits a synergetic capabilities of exceptionally high activity, excellent durability and nearly 100% selectivity towards the complete electrooxidation of hydrazine in alkaline condition, which is among the best performance reported on hydrazine electrooxidation catalysts. First-principles calculations have been conducted to gain insight into the catalytic mechanism of Ni phosphides towards hydrazine electrooxidation.

Continuous glucose monitoring system can improve the quality of glucose control and glucose variability compared with point-of-care measurement in critically ill patients: A randomized controlled trial.

BACKGROUND: The purpose of this study was to determine whether subcutaneous continuous glucose monitoring systems (CGMS) could improve glucose management in critically ill patients compared with frequent and conventional point-of-care (POC) glucose measurements. METHODS: A total of 144 patients with an expected length of stay in the ICU of at least 72 hours and with an admission glucose or two random glucose values of >10.0 mmol/L within 24 hours after admission, were randomly assigned to the CGMS group (n = 74) or the conventional group (C group, n = 70). Both groups used the same insulin algorithm to reach the same glucose target range (8.0-10.0 mmol/L). RESULTS: Time in range (TIR, 8.0-10.0 mmol/L), which is our primary outcome measure, was higher in the CGMS group than in the C group (51.5% vs. 29.0%, P < .001). Glucose variability (coefficient of variation, CV; standard deviation, SD; glucose lability index, and GLI) was improved by CGMS (all P < .05). Mean glucose level (MGL) (9.6 vs. 10.3 mmol/L, P = .156) and the proportion of patients with hypoglycemia did not differ between CGMS (5.4%) and C (5.7%) (P = 1.000). However, duration of hypoglycemia was reduced in the CGMS group (15 vs. 28 minutes, P = .032). Clinical outcomes were similar between groups except for the fewer usage of CRRT and lower peak plasma urea nitrogen level in the CGMS group. CONCLUSION: The use of CGMS, compared with POC glucose measurement, could improve the TIR, GV and duration of hypoglycemia.