The prognostic role of inflammation index like neutrophil-to-lymphocyte ratio (NLR) in colorectal cancer (CRC) remains controversial. We conduct a meta-analysis to determine the predictable value of NLR in the clinical outcome of CRC patients. The analysis was carried out based on the data from 16 studies (19 cohorts) to evaluate the association between NLR and overall survival (OS) and progression-free survival (PFS) in patients with CRC. In addition, the relationship between NLR and clinicopathological parameters was assessed. Hazard ratio (HR) or odds ratio (OR) with its 95% confidence interval (CI) was used as the effect size estimate. Our analysis results indicated that elevated pretreatment NLR predicted poorer OS (HR: 1.813, 95% CI: 1.499-2.193) and PFS (HR: 2.102, 95% CI: 1.554-2.843) in patients with CRC. Increased NLR is also significantly associated with the poorer differentiation of the tumor (OR: 1.574, 95% CI: 1.226-2.022) and higher carcino-embryonie antigen (CEA) level (OR: 1.493, 95% CI: 1.308-1.705). By these results, we conclude that NLR gains a prognostic value for patients with CRC. NLR should be monitored in CRC patients for rational stratification of the patients and adjusting the treatment strategy.

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The dream of human beings for long living has stimulated the rapid development of biomedical and healthcare equipment. However, conventional biomedical and healthcare devices have shortcomings such as short service life, large equipment size, and high potential safety hazards. Indeed, the power Wanli Wang, Jinbo Pang, and Jie Su contributed equally to this study.

BackgroundSerum lens culinaris agglutinin-reactive fraction of α-fetoprotein (AFP-L3%) has been widely used for HCC diagnosis and follow-up surveillance as tumor serologic marker. However, the prognostic value of high pre-treatment serum AFP-L3% in patients with hepatocellular carcinoma (HCC) remains controversial. We therefore conduct a meta-analysis to assess the relationship between high pre-treatment serum AFP-L3% and clinical outcome of HCC.MethodsEligible studies were identified through systematic literature searches. A meta-analysis of fifteen studies (4,465 patients) was carried out to evaluate the association between high pre-treatment serum AFP-L3% and overall survival (OS) and disease-free survival (DFS) in HCC patients. Sensitivity and subgroup analyses were also conducted in this meta-analysis.Results Our analysis results showed that high pre-treatment serum AFP-L3% implied poor OS (HR: 1.65, 95%CI: 1.45–1.89 p<0.00001) and DFS (HR: 1.80, 95% CI: 1.49–2.17 p<0.00001) of HCC. Subgroup analysis revealed that there was association between pre-treatment serum AFP-L3% and endpoint (OS and DFS) in low AFP concentration HCC patients (HR: 1.96, 95% CI: 1.24–3.10, p = 0.004; HR: 2.53, 95% CI: 1.09–5.89, p = 0.03, respectively).ConclusionThe current evidence suggests that high pre-treatment serum AFP-L3% levels indicated a poor prognosis for patients with HCC and AFP-L3% may have significant prognostic value in HCC patients with low AFP concentration.

Islet xenotransplantation is one prospective treatment to bridge the gap between available human cells and needs of patients with diabetes. Pig represents an ideal candidate for obtaining such available cells. However, potential clinical application of pig islet still faces obstacles including inadequate yield of high-quality functional islets and xenorejection of the transplants. Adequate amounts of available islets can be obtained by selection of a suitable pathogen-free source herd and the development of isolation and purification method. Several studies demonstrated the feasibility of successful preclinical pig-islet xenotransplantation and provided insights and possible mechanisms of xenogeneic immune recognition and rejection. Particularly promising is the achievement of long-term insulin independence in diabetic models by means of distinct islet products and novel immunotherapeutic strategies. Nonetheless, further efforts are needed to obtain much more safety and efficacy data to translate these findings into clinic.

In this paper, we propose an optimized power distribution method for hybrid electric energy storage systems for electric vehicles (EVs). The hybrid energy storage system (HESS) uses two isolated soft-switching symmetrical half-bridge bidirectional converters connected to the battery and supercapacitor (SC) as a composite structure of the protection structure. The bidirectional converter can precisely control the charge and discharge of the SC and battery. Spiral wound SCs with mesoporous carbon electrodes are used as the energy storage units of EVs. Under the 1050 operating conditions of the EV driving cycle, the SC acts as a “peak load transfer” with a charge and discharge current of 2isc~3ibat. An improved energy allocation strategy under state of charge (SOC) control is proposed, that enables SC to charge and discharge with a peak current of approximately 4ibat. Compared with the pure battery mode, the acceleration performance of the EV is improved by approximately 50%, and the energy loss is reduced by approximately 69%. This strategy accommodates different types of load curves, and helps improve the energy utilization rate and reduce the battery aging effect.

a Target to triple-shape memory capacity, a series of side-chain liquid crystalline polyurethane networks (SCLCPU-Ns) with well-defined architecture are prepared via an elaborately designed synthetic route: polymerizing the liquid-crystalline (LC) founctionalized monomer with diisocyanate to produce linear polyurethane precursor with uniform distribution of pendant mesogenic units; and then, using tetra-functional pentaerythritol (PTOL) as the crosslinker to produce the PU network with similar backbone length between each crosslinking point. The chemical structures of monomer and linear polyurethane precursor are characterized by nuclear magnetic resonance (NMR). The differential scanning calorimetry (DSC), polarized optical microscopy (POM), and wide angle X-ray (WAXD) are employed to verify the nematic nature of liquid crystalline state. DSC analysis combined POM observation reveals that almost all SCLCPU-Ns display two thermal transitions (Tg and Tcl), which can be utilized as Ttrans to trigger the triple shape memory behavior. The cyclic thermomechanical analysis performed by DMA reveals that the networks exhibit excellent triple-shape memory properties, although the architecture of the networks influences their performance. Taking advantage of the overlap of Tg and Tcl in SCLCPU-Ns, which can be regarded as one broad thermal transition, a well-controllable gradual recovering process has been realized in a broad termperature range.

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