Synergistic mechanism of steam blanching and freezing conditions on the texture of frozen yellow peaches based on macroscopic and microscopic properties.

Freezing and blanching are essential processing steps in the production of frozen yellow peaches, inevitably leading to texture softening of the fruit. In this study, the synergistic mechanism of stem blanching, freezing conditions (-20°C, -40°C, -80°C, and liquid nitrogen [-173°C]), and sample sizes (cubes, slices, and half peaches) on macroscopic properties of texture, cellular structure, and ice crystal size distribution of frozen yellow peaches were measured. Blanching enhanced the heat and mass transfer rates in the subsequent freezing process. For nonblanched samples, cell membrane integrity was lost at any freezing rate, causing a significant reduction in textural quality. Slow freezing further exacerbated the texture softening, while the ultra-rapid freezing caused structural rupture. For blanched samples, the half peaches softened the most. The water holding capacity and fracture stress were not significantly affected by changes in freezing rate, although the ice crystal size distribution was more susceptible to the freezing rate. Peach cubes that had undergone blanching and rapid freezing (-80°C) experienced 4% less drip loss than nonblanched samples. However, blanching softened yellow peaches more than any freezing conditions. The implementation of uniform and shorter duration blanching, along with rapid freezing, has been proven to be more effective in preserving the texture of frozen yellow peaches. Optimization of the blanching process may be more important than increasing the freezing rate to improve the textural quality of frozen yellow peaches.

Analyzing green and sustainable land use in China's coal cities: Insights from industrial transformation.

Driven by the goal of achieving sustainable development and carbon neutrality. Addressing environmental pollution and remediating land damage have become critical challenges in resource-based cities and regions with low land use efficiency. As a response, this study focuses on the 23 provinces where China's coal resource-based cities are situated. Utilizing data from 2014 to 2020, this research employs the SBM-Undesirable model, which considers undesirable outputs in efficiency calculations, and the Tobit regression test. It aims to explore the spatio-temporal variations in industrial transformation within resource-based cities and its impact on the efficiency of green space utilization. Furthermore, it analyzes the characteristics and the extent of the influence of factors such as industrial structure adjustments on urban land use efficiency, maximizing the output of land as a factor of production. The results show that: (1) Over the 7-year period studied, China consistently made nationwide adjustments to land area and land use structure to meet the needs of urban development (2) The regression test results show that the industrial transformation of resource-based cities can promote the improvement of green space utilization efficiency. The positive influence coefficient is 0.064 and is significant at a 1% level. (3) Environmental regulation, government expenditure, international trade, and green cover play a positive role in promoting green land use. The study provides valuable insights for policymakers and urban planners seeking to foster sustainable development in resource-based cities.

Machine learning-driven prognostic analysis of cuproptosis and disulfidptosis-related lncRNAs in clear cell renal cell carcinoma: a step towards precision oncology.

Cuproptosis and disulfidptosis, recently discovered mechanisms of cell death, have demonstrated that differential expression of key genes and long non-coding RNAs (lncRNAs) profoundly influences tumor development and affects their drug sensitivity. Clear cell renal cell carcinoma (ccRCC), the most common subtype of kidney cancer, presently lacks research utilizing cuproptosis and disulfidptosis-related lncRNAs (CDRLRs) as prognostic markers. In this study, we analyzed RNA-seq data, clinical information, and mutation data from The Cancer Genome Atlas (TCGA) on ccRCC and cross-referenced it with known cuproptosis and disulfidptosis-related genes (CDRGs). Using the LASSO machine learning algorithm, we identified four CDRLRs-ACVR2B-AS1, AC095055.1, AL161782.1, and MANEA-DT-that are strongly associated with prognosis and used them to construct a prognostic risk model. To verify the model's reliability and validate these four CDRLRs as significant prognostic factors, we performed dataset grouping validation, followed by RT-qPCR and external database validation for differential expression and prognosis of CDRLRs in ccRCC. Gene function and pathway analysis were conducted using Gene Ontology (GO) and Gene Set Enrichment Analysis (GSEA) for high- and low-risk groups. Additionally, we have analyzed the tumor mutation burden (TMB) and the immune microenvironment (TME), employing the oncoPredict and Immunophenoscore (IPS) algorithms to assess the sensitivity of diverse risk categories to targeted therapeutics and immunosuppressants. Our predominant objective is to refine prognostic predictions for patients with ccRCC and inform treatment decisions by conducting an exhaustive study on cuproptosis and disulfidptosis.

SST: a snore shifted-window transformer method for potential obstructive sleep apnea patient diagnosis.

Objective.Obstructive sleep apnea (OSA) is a high-incidence disease that is seriously harmful and potentially dangerous. The objective of this study was to develop a noncontact sleep audio signal-based method for diagnosing potential OSA patients, aiming to provide a more convenient diagnostic approach compared to the traditional polysomnography (PSG) testing.Approach.The study employed a shifted window transformer model to detect snoring audio signals from whole-night sleep audio. First, a snoring detection model was trained on large-scale audio datasets. Subsequently, the deep feature statistical metrics of the detected snore audio were used to train a random forest classifier for OSA patient diagnosis.Main results.Using a self-collected dataset of 305 potential OSA patients, the proposed snore shifted-window transformer method (SST) achieved an accuracy of 85.9%, a sensitivity of 85.3%, and a precision of 85.6% in OSA patient classification. These values surpassed the state-of-the-art method by 9.7%, 10.7%, and 7.9%, respectively.Significance.The experimental results demonstrated that SST significantly improved the noncontact audio-based OSA diagnosis performance. The study's findings suggest a promising self-diagnosis method for potential OSA patients, potentially reducing the need for invasive and inconvenient diagnostic procedures.

Impact of Paxlovid on in-hospital outcomes and post-COVID-19 condition in adult patients infected with SARS-CoV-2 Omicron variant: A non-randomized controlled clinical trial.

BACKGROUND: Nirmatrelvir plus ritonavir (Paxlovid) have been used in the treatment of adult patients with mild-to-moderate coronavirus disease 2019 (COVID-19). This study aimed to evaluate the impact of Paxlovid on in-hospital outcomes and post-COVID-19 condition in Chinese adult patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant. METHODS: This non-randomized clinical controlled trial recruited patients infected with SARS-CoV-2 Omicron variant from the designated hospital for treating COVID-19 between November 5 and November 28, 2022, in Shijiazhuang, China. Participants were administered Paxlovid (300 mg of nirmatrelvir and 100 mg of ritonavir orally) or standard treatment. The primary outcome was the nucleic acid shedding time and post-COVID-19 condition. RESULTS: A total of 320 patients infected with SARS-CoV-2 Omicron variant were included, with mean age of 29.10 ±â€…7.34 years old. Two hundred patients received Paxlovid. Compared to patients in the standard treatment group, those in Paxlovid group had a significantly shorter nucleic acid shedding time (3.26 ±â€…1.80 vs 7.75 ±â€…3.68 days, P < .001), shorter days until negative swab test (1.74 ±â€…1.15 vs 5.33 ±â€…2.91, P < .001), shorter days of first symptoms resolution (4.86 ±â€…1.62 vs 7.45 ±â€…2.63, P < .001), higher in nucleic acid test negative rate within 3 days [138 (70.77%) vs 14 (11.67%), P < .001], higher negative rate within 5 days [174 (89.23%) vs 26 (21.67%), P < .001], negative rate within 7 days [185 (94.87%) vs 78 (65.00%), P < .001], and were less likely to have post-COVID-19 condition [32 (18.60%) vs 30 (31.57%), P = .016]. There was no significant difference in duration of post-COVID-19 condition (43.00 ±â€…26.00 vs 49.00 ±â€…26.34 days, P = .354) between the 2 groups. CONCLUSION: Compared to standard treatment, Paxlovid significantly reduced nucleic acid shedding time, days until negative swab test, and days of first symptoms resolution, as well as improved nucleic acid test negative rate and post-COVID-19 condition.

Metabolic alterations in patients with Helicobacter pylori-related gastritis: The H. pylori-gut microbiota-metabolism axis in progression of the chronic inflammation in the gastric mucosa.

PURPOSE: To characterize the serum metabolism in patients with Helicobacter pylori-positive and H. pylori-negative gastritis. METHODS: Clinical data and serum gastric function parameters, PGI (pepsinogen I), PGII, PGR (PGI/II), and G-17 (gastrin-17) of 117 patients with chronic gastritis were collected, including 57 H. pylori positive and 60 H. pylori negative subjects. Twenty cases in each group were randomly selected to collect intestinal mucosa specimens and serum samples. The gut microbiota profiles were generated by 16S rRNA gene sequencing, and the serum metabolites were analyzed by a targeted metabolomics approach based on liquid chromatography-mass spectrometry (LC-MS) technology. RESULTS: Altered expression of 20 metabolites, including isovaleric acid, was detected in patients with HPAG. Some taxa of Bacteroides, Fusobacterium, and Prevotella in the gut microbiota showed significant correlations with differentially expressed metabolites between H. pylori positive and H. pylori negative individuals. As a result, an H. pylori-gut microbiota-metabolism (HGM) axis was proposed. CONCLUSION: Helicobacter pylori infection may influence the progression of mucosal diseases and the emergence of other complications in the host by altering the gut microbiota, and thus affecting the host serum metabolism.

A mucosal recovery software tool for endoscopic submucosal dissection in early gastric cancer.

Background: Due to the limited diagnostic ability, the low detection rate of early gastric cancer (EGC) is a serious health threat. The establishment of the mapping between endoscopic images and pathological images can rapidly improve the diagnostic ability to detect EGC. To expedite the learning process of EGC diagnosis, a mucosal recovery map for the mapping between ESD mucosa specimen and pathological images should be performed in collaboration with endoscopists and pathologists, which is a time-consuming and laborious work. Methods: 20 patients at the Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College from March 2020 to July 2020 were enrolled in this study. We proposed the improved U-Net to obtain WSI-level segmentation results, and the WSI-level results can be mapped to the macroscopic image of the specimen. For the convenient use, a software pipeline named as "Pathology Helper" for integration the workflow of the construction of mucosal recovery maps was developed. Results: The MIoU and Dice of our model can achieve 0.955 ± 0.0936 and 0.961 ± 0.0874 for WSI-level segmentation, respectively. With the help of "Pathology Helper", we can construct the high-quality mucosal recovery maps to reduce the workload of endoscopists and pathologists. Conclusion: "Pathology Helper" will accelerate the learning of endoscopists and pathologists, and rapidly improve their abilities to detect EGC. Our work can also improve the detection rate of early gastric cancer, so that more patients with gastric cancer will be treated in a timely manner.

Modification Effect of Nano-Clay on Mechanical Behavior of Composite Geomaterials: Cement, Nano-Silica and Coastal Soft Soil.

To study the modification effect of nano-clay and nano-SiO2 on cement-reinforced coastal soft soil, the effects of the nano-SiO2 and nano-clay on the mechanical properties of cement soil were studied through unconfined compressive and unconsolidated undrained shear tests, and the Duncan-Chang model was used to fit the test results. Results show that adding nano-clay and nano-SiO2 to cement soil improved its compressive and shear strength. The compressive strength and shear strength increased by 18-57% and 3-32%, respectively, with the increase in nano-clay content in a content range of 0-10%. Additionally, nano-clay can enhance the ductility of cement soil. Moreover, nano-clay and nano-SiO2 improve the shear strength by increasing the internal friction angle by 1°-2° and cohesion of 9-25%, and the cement-stabilized coastal soft soil enhanced by nano-SiO2 and nano-clay conforms to the Duncan-Chang model well.

Thoracic aortic reactivity in obese patients submitted to aerobic exercise / Reatividade da aorta torácica em pacientes obesos submetidos ao exercício aeróbico / Reactividad de la aorta torácica en pacientes obesos sometidos a ejercicio aeróbico

ABSTRACT Introduction: Aerobic exercise can improve the function of the cardiovascular circulatory system, reducing morbidity and mortality from cardiovascular disease by stimulating the production of endogenous self-protection. Activating potassium channels in vascular smooth muscle cells can cause vasodilation and increase blood flow, lowering blood pressure. There is a sensitivity to intracellular ATP and ADP concentration among the variety of potassium channels distributed in vascular smooth muscle cells, which vary mainly during aerobic physical activity. Objective: Explore the effect of aerobic exercise on the vascular reactivity of the thoracic aorta in patients with obesity and hyperlipidemia. Methods: Randomized controlled trial in twenty male Wistar rats weighing 250g and two months old. The control group remained at rest while the experimental group performed aerobic exercise on a treadmill at increasing speed for eight weeks. The rats were dissected, and dilatators and vasoconstrictors drugs stimulated their blood vessels in a tamponade solution. Observation of vascular changes was measured under controlled tensioning. Results: The blockade of KATP channels in vascular smooth muscle caused tonic contraction of vascular smooth muscle cells and increased blood pressure. Conclusion: Long-term regular aerobic exercise may induce changes in rats' thoracic aortic vascular function and vascular smooth muscle reactivity. Aerobic exercise can also significantly improve the activity of KATP channels. Evidence Level II; Therapeutic Studies - Investigating the results.

RESUMO Introdução: O exercício aeróbico pode melhorar a função do sistema circulatório cardiovascular, reduzindo a morbidade e mortalidade de doenças cardiovasculares estimulando a produção de autoproteções endógenas. A ativação de canais de potássio nas células musculares lisas vasculares pode causar vasodilatação e aumentar o fluxo sanguíneo, diminuindo a pressão sanguínea. Há uma sensível a concentração de ATP intracelular e ADP dentre a variedade de canais de potássio distribuídos em células musculares lisas vasculares, que variam principalmente durante a atividade física aeróbica. Objetivo: Explorar o efeito do exercício aeróbico na reatividade vascular da aorta torácica em pacientes com obesidade e hiperlipidemia. Métodos: Estudo randomizado controlado em vinte ratos Wistar machos de 250g e 2 meses de idade. O grupo controle permaneceu sob repouso enquanto o experimental realizava exercícios aeróbicos em esteira com velocidade crescente durante 8 semanas. Os ratos foram dissecados e seus vasos sanguíneos estimulados com drogas vasoconstritoras e dilatadoras em solução tampão. A observação das alterações vasculares foi mensurada sob tensionamento controlado. Resultados: O bloqueio dos canais KATP no músculo liso vascular causou contração tônica das células musculares lisas vasculares e aumento da pressão arterial. Conclusão: Exercícios aeróbicos regulares de longo prazo podem induzir alterações na função vascular da aorta torácica e reatividade do músculo liso vascular em ratos. O exercício aeróbico também pode melhorar significativamente a atividade dos canais KATP. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción: El ejercicio aeróbico puede mejorar la función del sistema circulatorio cardiovascular, reduciendo la morbilidad y la mortalidad de las enfermedades cardiovasculares al estimular la producción de autoprotección endógena. La activación de los canales de potasio en las células del músculo liso vascular puede causar vasodilatación y aumentar el flujo sanguíneo, reduciendo la presión arterial. Existe una sensibilidad a la concentración intracelular de ATP y ADP entre la variedad de canales de potasio distribuidos en las células del músculo liso vascular, que varían principalmente durante la actividad física aeróbica. Objetivo: Explorar el efecto del ejercicio aeróbico sobre la reactividad vascular de la aorta torácica en pacientes con obesidad e hiperlipidemia. Métodos: Ensayo controlado aleatorio en veinte ratas Wistar macho de 250 g y 2 meses de edad. El grupo de control permaneció en reposo mientras que el grupo experimental realizó ejercicios aeróbicos en una cinta de correr a velocidad creciente durante 8 semanas. Las ratas fueron disecadas y sus vasos sanguíneos fueron estimulados con fármacos vasoconstrictores y dilatadores en solución amortiguada. La observación de los cambios vasculares se midió bajo tensión controlada. Resultados: El bloqueo de los canales KATP en el músculo liso vascular provocó una contracción tónica de las células del músculo liso vascular y un aumento de la presión arterial. Conclusión: El ejercicio aeróbico regular a largo plazo puede inducir cambios en la función vascular de la aorta torácica y en la reactividad del músculo liso vascular en ratas. El ejercicio aeróbico también puede mejorar significativamente la actividad del canal KATP. Nivel de evidencia II; Estudios terapéuticos - Investigación de resultados.

Triaxial Mechanical Properties and Mechanism of Waterborne Polyurethane-Reinforced Road Demolition Waste as Road Bases.

The recycling and reuse of construction waste have not only effectively protected natural resources but also promoted the sustainable development of the environment. Therefore, in this article, waterborne polyurethane (WPU) as a promising new polymer reinforcement material was proposed to reinforce the road demolition waste (RDW), and the mechanical performance of WPU-reinforced RDW (named PURD) was investigated using triaxial unconsolidated and undrained shear (UU) and Scanning Electron Microscope (SEM) tests. The results showed that under the same curing time and confining pressure, the shear strength of PURD increased with the increase in WPU content. When the WPU content was 6%, the WPU presented the best reinforcement effect on RA. The failure strain of PURD increased with the increase in confining pressure, but increased first and then reduced with the increase in WPU content. The specimens with 5% WPU content showed the best ductility. At the curing time of 7 and 28 days, the internal friction angle and cohesion of PURD increased with the increase in WPU content, and they reached a maximum when the WPU content was 6%. The internal friction angle barely budged, but the cohesion increased obviously. The enhancement effect of WPU was attributed to the spatial reticular membrane structure produced by wrapping and bonding particles with the WPU film. Microscopic analysis showed that with the increase in WPU content, the internal pore and crack size of PURD gradually decreased. As the WPU content increased, the WPU film became increasingly thicker, which increased the adhesion between WPU and RA particles and made the structure of PURD become increasingly denser.

Breakthrough pressure of oil displacement by water through the ultra-narrow kerogen pore throat from the Young-Laplace equation and molecular dynamic simulations.

As one common unconventional reservoir, shale plays a pivotal role to compensate the depletion of conventional oil resources. There are numerous nanoscale pores and ultra-narrow pore throats (sub 2 nm) in shale media. To displace oil through ultra-narrow pore throats by water, one needs to overcome excessively-high capillary pressure. Understanding the water-oil two-phase displacement process through pore throats is critical to numerical simulation on tight/shale oil exploitation and ultimate oil recovery estimation. In this work, we use molecular dynamics simulations to investigate oil (represented by n-octane) displacement by water through a ~2 nm kerogen (represented by Type II-C kerogen) pore throat. Besides, the applicability of the Young-Laplace equation to the ultra-narrow kerogen pore throat has been assessed. We find that although the Type II-C kerogen is generally oil-wet, water has an excellent displacement efficiency without the oil film on the substrate, thanks to the hydrogen bonding formed between water and heteroatoms (such as O, N, and S) on the kerogen surface. Unlike previous studies, the capillary pressure obtained from the widely used Young-Laplace equation shows a good agreement with the breakthrough pressure obtained from MD simulations for the ∼2 nm kerogen pore throat. Our work indicates that explicitly considering intermolecular interactions as well as atomistic and molecular level characteristics is imperative to study the two-phase displacement process through ultra-narrow pore throats.

Natural gas vaporization in a nanoscale throat connected model of shale: multi-scale, multi-component and multi-phase.

Production of hydrocarbons from shale is a complex process that necessitates the extraction of multi-component hydrocarbons trapped in multi-scale nanopores. While advances in nanofluidics have allowed researchers to probe thermodynamics and transport in single, discrete nanochannels, these studies present a highly simplified version of shale reservoirs with homogeneous pore structures and/or single-component fluid compositions. In this study, we develop and apply a 30 000-pore nanomodel that captures the inherent heterogeneity in reservoir pore sizes (100 nm pores gated by 5 nm-pores) to study vaporization of a representative natural gas hydrocarbon mixture. The nanomodel matches major North American formations in the volumetric and number contributions of the pore sizes, porosity (10.5%), and ultra-low permeability (44 nD). Combined experimental and analytical results show 3000× slower vaporization owing to the nanoscale throat bottlenecks. At low temperatures, mixture effects reduce rates further with stochastic vaporization of light components in large pores dominating. Collectively this approach captures the coupled complexity of multicomponent, multiphase fluids in multiscale geometries that is inherent to this resource.

Nutritional value of detoxified Jatropha curcas seed cake protein isolates using rats as an animal model.

A bioassay study was conducted to investigate the effects of substituting casein with graded levels of detoxified Jatropha curcas seed cake protein isolates (JPI) as a protein source on the growth performance, feed efficiency ratio (FER) and its protein values using rats as an animal model. Thirty 21-day-old male Sprague-Dawley weaned rats were randomly divided into 5 groups, each group with 6 replications (n = 1). Each group consumed one of the following diets: protein-free, casein (CAS) and JPI diets (JPI20, JPI40 and JPI60; different levels of JPI to replace the casein at concentrations of 20%, 40% and 60% on crude protein basis). Feed intake and protein intake showed no difference among the rats fed JPI20, JPI40 and CAS diets (P > 0.05). However, these parameters were lower in the rats fed JPI60 than in rats fed CAS (P < 0.05). The rats fed diets containing JPI had lower body weight gain, protein efficiency ratio and net protein retention than those fed CAS diet (P < 0.05). When the level of JPI used to replace the casein was lower than 40%, protein efficiency ratio (PER) was close to or higher than 2.0, which suggests that JPI could be viewed as a high-quality protein. Inclusion of JPI in the diet decreased alkaline phosphatase activity. The values were significantly lower in rats fed JPI20 and JPI40 than in rats fed CAS (P < 0.05). No histopathological changes were observed in livers and kidneys in the rats fed JPI diets. The results demonstrate that JPI could be used as an efficient protein source at a level of no more than 40% of dietary protein source.

Bubble Point Pressures of Hydrocarbon Mixtures in Multiscale Volumes from Density Functional Theory.

Accurate characterization of the bubble point pressure of hydrocarbon mixtures under nanoconfinement is crucial to the prediction of ultimate oil recovery and well productivity of shale/tight oil reservoirs. Unlike conventional reservoirs, shale has an extensive network of tiny pores in the range of a few nanometers. In nanopores, the properties of hydrocarbon fluids deviate from those in bulk because of significant surface adsorption. Many previous theoretical works use a conventional equation of state model coupled with capillary pressure to study the nanoconfinement effect. Without including the inhomogeneous molecular density distributions in nanoconfinement, these previous approaches predict only slightly reduced bubble points. In this work, we use density functional theory to study the effect of nanoconfinement on the hydrocarbon mixture bubble point pressure by explicitly considering fluid-surface interactions and inhomogeneous density distributions in nanopores. We find that as system pressure decreases, while lighter components are continuously released from the nanopores, heavier components accumulate within. The bubble point pressure of nanoconfined hydrocarbon mixtures is thus significantly suppressed from the bulk bubble point to below the bulk dew point, in line with our previous experiments. When bulk fluids are in a two-phase, the confined hydrocarbon fluids are in a single liquid-like phase. As pore size increases, bubble point pressure of confined fluids increases and hydrocarbon average density in nanopores approaches the liquid-phase density in bulk when bulk is in a two-phase region. For a finite volume bulk bath, we find that because of the competitive adsorption in nanopores, the bulk bubble point pressure increases in line with a previous experimental work. Our work demonstrates how mixture dynamics and nanopore-bulk partitioning influence phase behavior in nanoconfinement and enables the accurate estimation of hydrocarbon mixture bubble point pressure in shale nanopores.

Nanoscale Phase Measurement for the Shale Challenge: Multicomponent Fluids in Multiscale Volumes.

Hydrocarbon recovery from shale reservoirs provides an increasing share of world energy. These resources are multicomponent fluid mixtures within multiscale geometries, and understanding their associated phase-change thermodynamics presents an array of challenges for experimentalists, theorists, operators, and policy makers. Here, we quantify hydrocarbon mixture phase behavior via direct imaging of connected channels spanning 4 orders of magnitude (10 nm to 10 µm) with supporting density functional theory. The methane/propane mixture dew point shifts, with early condensation of heavy components in nanopores because of a combination of capillarity and competitive surface adsorption. The bubble point in nanoconfinement is found to be deeply suppressed (∼3-fold), to below the bulk dew point of the original mixture, because of the exchange of mixture components with larger connected volumes. The trapping of the heaviest components of hydrocarbon mixtures within the smallest connected pores has implications for shale operations, reserve estimation, and ultimately energy security.

Hyalinizing clear cell carcinoma of salivary glands: A retrospective study focused on uncommon morphology, immunohistochemistry, and detection of gene fusion using fluorescence in situ hybridization.

AIMS: To investigate histological, immunohistochemical, and molecular features, especially uncommon morphology of hyalinizing clear cell carcinoma (HCCC) to expand the morphological spectrum of HCCC. METHODS AND RESULTS: We examined 5 cases of HCCC by histological, immunohistochemical, and molecular analysis. Generally, 5 HCCC cases shared similar characteristics, exhibiting clear to slightly eosinophilic cells arranged in cords, nests, islands, or trabeculae with a hyalinized stroma, while myxoid stroma, perineural invasion, and polygonal cells with high-grade nuclei were observed in 3 cases. Immunohistochemically, 5 cases were entirely immunoreactive for CKpan, whereas 80% HCCC cases were positive for P63, and CK14. None expressed immunoreactivity for S-100, Calponin, or GFAP. The positive rate of Ki-67 staining was about 5% in the classic area of case 3, but 40% in the high-grade area. As for the result of FISH findings, EWSR1 gene break was detected in all 5 HCCC cases. CONCLUSIONS: Our study has expanded the morphological spectrum of HCCC, and proposed the diagnosis of HCCC should be confirmed by fully analyzing histological, immunohistochemical, and molecular features practically.

Copper-catalyzed radical cascade oxyalkylation of olefinic amides with simple alkanes: highly efficient access to benzoxazines.

A copper-catalyzed C(sp3)-H bond functionalization of simple alkanes with olefinic amides was developed for the efficient synthesis of important benzoxazine derivatives. It involves new C-C and C-O bond formation in one step via a radical cascade process.