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Aimed at the new application scenario of laser, a test platform was established to study the coating material da-mage features induced by the interaction of the Ma=6 tangential air flow and the continuous laser irradiation. The laser-damaged characteristics of the coating materials in still air and Ma=6 ground-simulated airflows, as well as the corresponding interference flow structures, were presented. Compared with the laser-irradiation ablation phenomenon of the coating materials in still air, the laser-induced damage characteristics of coating materials are significantly different in hypersonic tangential airflows. Under the interaction of hypersonic airflows, the coating materials show a larger damage area when the laser power is low, while the coating materials form deeper ablation pits when the laser power is high. Due to the disturbance from the material ablation, flow patterns similar to those produced by a thermal jet or small protrusion are formed around the ablative structure of coating materials. This phenomenon, in turn, affects the ablation of coating materials, producing a strong coupling phenomenon between hypersonic flow and laser ablation. The results can provide important guidance for engineering applications.

Background and purpose: Placental site trophoblastic tumor (PSTT) is a rare type of malignant tumor. Because of its unique mode of invasion in the uterus and its insensitivity to chemotherapy, total hysterectomy is the primary recommendation. The purpose of this study was to investigate the feasibility and safety of conservative surgical treatment in patients with stage Ⅰ PSTT. Methods: The patients with stage Ⅰ PSTT admitted to Obstetrics and Gynecology Hospital of Fudan University from January 2015 to December 2021 were included, and those published on Pubmed and China National Knowledge Infrastructure (CNKI) from January 1990 to December 2021 were searched with the keywords of “placental site trophoblastic tumor” and “case”, “placental trophoblastic tumor” and “case” respectively. The clinicopathological data of the patients were collected and retrospectively analyzed. Results: A total of 10 cases admitted to Obstetrics and Gynecology Hospital of Fudan University were enrolled. The median age was 27 years. The most common symptom was irregular vaginal bleeding (70.0%). The median time of interval since antecedent pregnancy (ISAP) was 14.5 months. The median level of β-human chorionic gonadotrophin (β-hCG) was 124.51 mU/mL, and the diameter of the focus was 0.8-8.0 cm. All 10 patients admitted to Obstetrics and Gynecology Hospital of Fudan University achieved complete remission after initial treatment. The average follow-up time was 48.1 months and there was no recurrence. Three patients became pregnant naturally after treatment, including 2 cases of full-term pregnancy and delivery and 1 case of induced abortion because of unplanned pregnancy. Literature review of PSTT cases showed similar clinicopathological distribution and disease outcome. Conclusion: Conservative surgery could be an alternative choice for selected patients with stage Ⅰ PSTT, but more research is needed to provide evidence.

Head and neck squamous cell carcinoma (HNSCC) is a solid tumor with high morbidity. In recent years, traditional treatment methods, such as surgery, chemotherapy, and radiotherapy, are going through a bottleneck period, and therefore, new treatment methods are urgently needed to improve the prognosis of patients. Immunotherapy is an emerging treatment method for tumor in recent years, and immune checkpoint inhibitors (ICIs) have been widely used in the clinical treatment of HNSCC and other tumors with a marked clinical effect. This article summarizes the research advances in ICIs in the treatment of HNSCC and the effect of ICIs combined with radiotherapy and/or chemotherapy and elaborates on the adverse reactions of ICI the-rapy, in order to find the best paradigm of immunotherapy for HNSCC patients.