Generalized Synthesis of Metal Oxide Nanosheets and Their Application as Li-Ion Battery Anodes

Metal oxide nanosheets have attracted great attention in various fields, such as energy storage, catalysis, and sensors. Current synthesis methods of metal oxide nanosheets are laborious and not scalable. Herein, a facile and scalable method for the synthesis of metal oxide nanosheets is presented, which requires neither hydro-/solvothermal conditions nor postsynthesis template removal. The synthesis is versatile, as evidenced by the wide variety of metal oxide nanosheets derived. Nanosheet properties such as crystallinity, crystallite size, and carbon content can be controlled by tuning the synthesis conditions. The metal oxide nanosheets demonstrate promising performance as Li-ion battery anodes.

Metal oxide nanosheets are synthesized using a graphene oxide planar-confined growth strategy, which employs graphene oxide sheets as 2D templates. The synthesis method is general and versatile, as demonstrated by the wide range of oxides and doped oxides created, and the controllable properties. The oxide nanosheets have very promising performance as Li-ion battery anodes.

http://ift.tt/2rF7ScZ

A systematic review of patient perspectives on surveillance after colorectal cancer treatment

Abstract

Purpose

Surveillance after colorectal cancer (CRC) treatment is routine, but intensive follow-up may offer little-to-no overall survival benefit. Given the growing population of CRC survivors, we aimed to systematically evaluate the literature for the patient perspective on two questions: (1) How do CRC patients perceive routine surveillance following curative treatment and what do they expect to gain from their surveillance testing or visits? (2) Which providers (specialists, nursing, primary care) are preferred by CRC survivors to guide post-treatment surveillance?

Methods

Systematic searches of PubMed MEDLINE, Embase, the CENTRAL Register of Controlled Trials, CINAHL, and PsycINFO were conducted. Studies were screened for inclusion by two reviewers, with discrepancies adjudicated by a third reviewer. Data were abstracted and evaluated utilizing validated reporting tools (CONSORT, STROBE, CASP) appropriate to study design.

Results

Citations (3691) were screened, 91 full-text articles reviewed, and 23 studies included in the final review: 15 quantitative and 8 qualitative. Overall, 12 studies indicated CRC patients perceive routine surveillance positively, expecting to gain reassurance of continued disease suppression. Negative perceptions described in six studies included anxiety and dissatisfaction related to quality of life or psychosocial issues during follow-up. Although 5 studies supported specialist-led care, 9 studies indicated patient willingness to have follow-up with non-specialist providers (primary care or nursing).

Conclusions

Patients' perceptions of follow-up after CRC are predominantly positive, although unmet needs included psychosocial support and quality of life.

Implications for Cancer Survivors:

Survivors perceived follow-up as reassuring, however, surveillance care should be more informative and focused on survivor-specific needs.

http://ift.tt/2tQivuf

Lipid Droplets Can Spontaneously Bud Off from a Symmetric Bilayer

Lipid droplets (LDs) are cytosolic organelles that protrude from the endoplasmic reticulum membrane under energy-rich conditions. How an LD buds off from the endoplasmic reticulum bilayer is still elusive. By using a continuous media description, we computed the morphology of a lipid droplet embedded in between two identical monolayers of a bilayer. We found that beyond a critical volume, the droplet morphology abruptly transits from a symmetrical elongated lens to a spherical protrusion. This budding transition does not require any energy-consuming machinery, or curvature-inducing agent, or intrinsic asymmetry of the bilayer; it is solely driven by the large interfacial energy of the LD, as opposed to the bilayer surface tension.

http://ift.tt/2tvEWp6

Vesicle Fusion Mediated by Solanesol-Anchored DNA

Fusion between two lipid bilayers is one of the central processes in cell biology, playing a key role in endocytosis, exocytosis, and vesicle transport. We have previously developed a model system that uses the hybridization of complementary DNA strands to model the formation of the SNARE four-helix bundle that mediates synaptic vesicle fusion and used it to study vesicle fusion to a tethered lipid bilayer. Using single vesicle assays, 70% of observed fusion events in the DNA-lipid system are arrested at the hemifusion stage, whereas only 5% eventually go to full fusion.

http://ift.tt/2sWlmVT

Anti-PD-1 antibodies in metastatic uveal melanoma: a treatment option?

Abstract

Uveal melanomas (UMs) are a rare form of cancer with clinical and pathological characteristics distinct from cutaneous melanomas. Ipilimumab has shown efficacy and safety in the treatment of metastatic UM. This provides a rationale for treatment with other immune checkpoint inhibitors. This is a retrospective review of 15 patients with metastatic UM treated between June 2014 and February 2016, who received treatment with the anti-PD-1 Abs pembrolizumab or nivolumab. Patients were treated at two German university hospitals. Therapy was administered at the approved dosing schedules of 2 mg/kg q3w for pembrolizumab and 3 mg/kg q2w for nivolumab. Treatment was given until first tumor assessment and continued if tumor assessment showed disease control. Tumor assessments were performed at baseline and following scans every 12 weeks. Patients were monitored throughout for adverse events. Best response to treatment was stable disease in four patients. Eight out of 15 (53%) patients received treatment until first tumor assessment. As of February 2016, median progression-free survival (PFS) is 3 months (range 0.75–6.75 months) and overall survival (OS) is 5 months (range 1–16 months). Eight out of 15 (53%) patients are still alive (two patients lost to follow-up) with one out of four patients is in ongoing disease control. Patients with multiple organ metastases and elevated serum lactate dehydrogenase did not respond well to treatment. No objective response to PD-1 Ab therapy was seen. Best response to treatment was stable disease in four patients. Treatment was well tolerated with manageable toxicity.

Response rates to PD-1 Abs in patients with metastatic Uveal melanoma were low although we did see four patients benefitting from treatment. Patients with multiple organ metastases and elevated lactate dehydrogenase did not respond well to treatment.

http://ift.tt/2sXeKGE

Long-term survival benefit of upfront chemotherapy in patients with newly diagnosed borderline resectable pancreatic cancer

Abstract

The use of neoadjuvant chemotherapy or radiation for borderline resectable pancreatic adenocarcinoma (BL-PDAC) is increasing. However, the impact of neoadjuvant chemotherapy and radiation therapy on the outcome of BL-PDAC remains to be elucidated. We performed a retrospective analysis of 93 consecutive patients who were diagnosed with BL-PDAC and primarily followed at Johns Hopkins Hospital between February 2007 and December 2012. Among 93 patients, 62% received upfront neoadjuvant chemotherapy followed by chemoradiation, whereas 20% received neoadjuvant chemoradiation alone and 15% neoadjuvant chemotherapy alone. Resectability following all neoadjuvant therapy was 44%. Patients who underwent resection with a curative intent had a median overall survival (mOS) of 25.8 months, whereas those who did not undergo surgery had a mOS of 11.9 months. However, resectability and overall survival were not significantly different between the three types of neoadjuvant therapy. Nevertheless, 22% (95% CI, 0.13–0.36) of the 58 patients who received upfront chemotherapy followed by chemoradiation remained alive for a minimum of 48 months compared to none of the 19 patients who received upfront chemoradiation. Among patients who underwent curative surgical resection, 32% (95% CI, 0.19–0.55) of those who received upfront chemotherapy remained disease free at least 48 months following surgical resection, whereas none of the eight patients who received upfront chemoradiation remained disease free beyond 24 months following surgical resection. Neoadjuvant therapy with upfront chemotherapy may result in long-term survival in a subpopulation of patients with BL-PDAC.

This is a retrospective, intention-to-treat analysis of consecutive patients who were diagnosed with borderline resectable pancreatic cancer and primarily followed at the Johns Hopkins Hospital. The results from this study highlight the importance of upfront systemic therapy in the management of borderline resectable pancreatic cancer.

http://ift.tt/2rEWwWm

Effect of a web-based positive psychology intervention on prenatal well-being: A case series study

Publication date: Available online 21 June 2017
Source:Women and Birth
Author(s): Giulia Corno, Ernestina Etchemendy, Macarena Espinoza, Rocío Herrero, Guadalupe Molinari, Alba Carrillo, Constance Drossaert, Rosa Maria Baños
BackgroundDetrimental effects of women's negative feelings during pregnancy have been extensively examined and documented, but research on the influence of positive feelings and protective factors on their prenatal mental health is scarce. Evidence from the positive psychology field has shown that practicing some brief positive exercises, called positive psychology interventions, can maximize well-being by increasing positive emotions, engagement, and meaning.AimThe aim of this study is to examine the effect of a positive psychology web-based intervention on indices of women's prenatal well-being.MethodsSpecifically, a case series design was adopted, and data from six women are presented. Participants were involved in a 5-week online positive psychology intervention that includes a set of positive psychology interventions specifically adapted for pregnant women. Measures of women's mental well-being, depression, pregnancy-related anxiety, life satisfaction, and social support were measured at pre- and post-intervention. Compliance with the intervention and exercise preferences were assessed at post-test. Single-item related well-being measures were assessed weekly.Findings and discussionThe findings of this case series study indicate potential effects of the intervention on supporting mental well-being and decreasing depressive symptomatology in these pregnant women. Furthermore, this study provides some suggestions for developing future online-based positive interventions addressed to pregnant women. However, these findings are preliminary, and future studies are needed in order to assess the effects of the intervention in a wider population of pregnant women.



http://ift.tt/2tQd3re