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Cancer-associated thrombosis (CAT) is the second leading cause of death in cancer patients, second only to the progression of the tumor. It leads to extended hospitalization and re-hospitalization, resulting in a serious social medical burden. Tumor-specific gene mutations such as JAK2, ALK, and KRAS mutations are closely related to the risk of CAT in patients with solid tumors. Patients treated with immune checkpoint inhibitors have a high risk of CAT, with a 1-year cumulative incidence rate of 10.86%. Therefore, accurate risk assessment is important. The Khorana risk score (KRS) is the first model to assess CAT risk and has been validated in several studies. The new generation models are based on the improvement of KRS, but they have not yet undergone large-scale external verification, such as the Vienna CAT model, PROTECHT model, and CONKO model. Due to the strong correlation between tumors and CAT, several CAT-related prevention guidelines have been established domestically and abroad. All of these guidelines recommend that patients undergo preventive anticoagulation therapy after tumor surgery. Low molecular weight heparin (LMWH) is the most widely used anticoagulant drug to prevent CAT. New oral anticoagulants (NOAC) are also used to prevent CAT, despite the incidence of hemorrhaging increases, the overall benefits to patients outweigh the risks. The strategy for treating CAT is complex. For patients with non-gastrointestinal tumors, NOAC can be used as a first-line drug, while LMWH is recommended for anticoagulation in patients with gastrointestinal tumors. Since CAT patients receive anticoagulation and anti-tumor therapy at the same time, drug interactions need to be considered to avoid drug-induced bleeding, especially the impact of combined medication on NOAC pharmacokinetics. The ideal length of anticoagulation therapy for CAT remains unclear. Guidelines recommend that patients with CAT should indefinitely continue the anticoagulation therapy after completing 3 to 6 months of initial anticoagulation therapy. Therefore, when determining the course of anticoagulation therapy for cancer patients, physicians should evaluate the risk of recurrence of thrombosis and bleeding, and optimize the treatment plan.

The strength and shape of the magnetic field are the core factors in the design of the Hall thruster. However, Hall current can affect the distribution of static magnetic field. In this paper, the Particle-In-Cell (PIC) method is used to obtain the distribution of Hall current in the discharge channel. The Hall current is separated into a direct and an alternating part to calculate the induced magnetic field using Finite Element Method Magnetics (FEMM). The results show that the direct Hall current decreases the magnetic field strength in the acceleration region and also changes the shape of the magnetic field. The maximum reduction in radial magnetic field strength in the exit plane is 10.8 G for an anode flow rate of 15 mg/s and the maximum angle change of the magnetic field line is close to 3° in the acceleration region. The alternating Hall current induces an oscillating magnetic field in the whole discharge channel. The actual magnetic deformation is shown to contain these two parts.

The energy supply mode of a micro-cathodic arc thruster (μ-CAT) was adjusted based on the charge and discharge characteristics of the energy storage element, and the cathode discharge characteristics of μ-CAT were studied under different energy supply modes. We applied an electrical method to measure the discharge characteristics of μ-CAT, with an enhanced intensified charge coupled device spectrum detector to measure the plasma parameters of μ-CAT, allowing analysis of the internal logic among thruster plasma parameters, arc discharge characteristics, and thruster energy supply mode. The mechanisms of μ-CAT were analyzed and characteristics of accumulated discharge, energy distribution, and ion velocity distribution of thruster were compared under different energy supply modes to obtain the effect of the energy supply mode on the discharge characteristics of the interelectrode of μ-CAT. The results show that the energy supply mode of μ-CAT affected the ionization characteristics and ionization stability of the micro-cathodic arc thruster, causing a multistage ionization difference in the cathode metal target. This would not only affect the propulsion performance of the thruster, but also affect the change of the number of particles in the cathode region in a single discharge cycle. [ABSTRACT FROM AUTHOR]

The aim of this paper is to investigate the adhesion of municipal solid waste incinerator bottom ash (MSWIBA) and limestone to asphalt using the principles of surface energy theory. MSWIBA asphalt mixes are known for their satisfactory water stability, with adhesion being a crucial factor, as demonstrated in previous freeze-thaw splitting tests. Contact angles of ground MSWIBA and limestone were measured using a capillary rise test, eliminating the influence of material surface structure. Subsequently, adhesion work and spalling work were calculated to correlate with water-induced damage. The results showed that the sequence of adhesion work was fine MSWIBA > limestone > coarse MSWIBA, while the sequence of spalling work was coarse MSWIBA > limestone > fine MSWIBA. The adhesion of MSWIBA asphalt mixes was evaluated using the water boiling test image method to validate the findings of surface energy theory. In both asphalt tests, the spalling rate followed this sequence: coarse MSWIBA > limestone > fine MSWIBA. The Adhesion index ER ranked as follows: ER Fine MSWIBA > ER limestone > ER coarse MSWIBA. These results suggest that the water stability of MSWIBA asphalt mixes is influenced by the surface energy of the components. Consequently, indices derived from surface energy theory can be applied in formulating and predicting the properties of MSWIBA asphalt mixes. [ABSTRACT FROM AUTHOR]