PurposePrevious studies have shown a bidirectional relationship between diabetes and pancreatic cancer (PC). In particular, new-onset diabetes might be induced by PC, and people with long-term diabetes might be at increased risk for the development of PC. The purpose of our study was to examine whether long-term diabetes represented an independent risk factor for PC development.MethodologyA literature search was performed by searching electronic databases for studies published before July 1, 2014, and relative risks (RRs) and corresponding 95% confidence intervals (CIs) were calculated. Data pertaining to diabetes were recorded at both individual and study levels, with RRs calculated separately to analyze the relationship between the duration of diabetes and the development of PC.ResultsForty-four studies were included in this meta-analysis, including 18 studies with a case-control design, 5 with a nested case-control design and 21 with a cohort design. The overall summary estimate for the relationship between the population with a duration of diabetes ≥2 years and PC was 1.64 (1.52-1.78). The pooled RR (95% CI) of PC for the population with a duration of diabetes ≥5 years was 1.58 (1.42-1.75). For the population with a duration of diabetes ≥10 years, the RR (95% CI) of PC was 1.50 (1.28-1.75).ConclusionsOur study suggests that long-term diabetes mellitus is associated with an increased risk of PC. However, the level of risk is negatively correlated with increasing diabetes mellitus duration.
Laser shock processing (LSP) is an advanced material surface hardening technology that can significantly improve mechanical properties and extend service life by using the stress effect generated by laser-induced plasma shock waves, which has been increasingly applied in the processing fields of metallic materials and alloys. With the rapidly development of modern industry, many new technologies developed from LSP have emerged, which broadens the application of LSP and enriches its technical theory. In this work, the technical theory of LSP was summarized, which consists of the fundamental principle of LSP and the laser-induced plasma shock wave. The new technologies, developed from LSP, are introduced in detail from the aspect of laser shock forming (LSF), warm laser shock processing (WLSP), laser shock marking (LSM) and laser shock imprinting (LSI). The common feature of LSP and these new technologies developed from LSP is the utilization of the laser-generated stress effects rather than the laser thermal effect. LSF is utilized to modify the curvature of metal sheet through the laser-induced high dynamic loading. The material strength and the stability of residual stress and micro-structures by WLSP treatment are higher than that by LSP treatment, due to WLSP combining the advantages of LSP, dynamic strain aging (DSA) and dynamic precipitation (DP). LSM is an effective method to obtain the visualized marks on the surface of metallic materials or alloys, and its critical aspect is the preparation of the absorbing layer with a designed shape and suitable thickness. At the high strain rates induced by LSP, LSI has the ability to complete the direct imprinting over the large-scale ultrasmooth complex 3D nanostructures arrays on the surface of crystalline metals. This work has important reference value and guiding significance for researchers to further understand the LSP theory and the new technologies developed from LSP.
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