Background: Little is known about annual hazard rates of cancer mortality and recurrence for papillary thyroid cancer (PTC). This study investigated the time-varying pattern of cancer death and recurrence from PTC and independent prognostic factors for cause-specific mortality (CSM) and recurrence of PTC. Methods: This retrospective chart review enrolled 466 patients diagnosed with PTC who underwent curative initial surgery between April 1981 and December 1991 with a median follow-up of 18.4 years. Clinical characteristics, cancer mortality (primary endpoint), and recurrence (secondary endpoint) were ascertained. The failure rates of either death or recurrence were estimated using the Kaplan-Meier methods, and annual death/recurrence hazard was depicted using hazard function. Results: In this Japanese cohort where only 1.5% of patients received radioactive iodine therapy, the 10-, 20-, and 30-year CSM rates were 2.7%, 6.2%, and 8.6%, respectively. Eleven (44.0%) cases of death occurred within the first 10 years, whereas 10 (40.0%) and 4 (16.0%) cases occurred within 10-20 and 20-30 years after surgery, respectively. The 10-, 20-, and 30-year recurrence rates were 11.3%, 21.8%, and 29.4%, respectively. Forty-six (54.8%) cases of recurrence occurred within the first 10 years, predominantly within the first five years (31 cases; 36.9%), whereas 29 (34.5%), 7 (8.3%), and 2 (2.4%) cases occurred within 10-20, 20-30, and ‡30 years after surgery, respectively. Age ‡55 years was the only independent prognostic factor for CSM. Age ‡55 years, male, tumor size > 4 cm, extranodal extension, and positive pathological lymph node metastasis were independent prognostic factors for recurrence. The annual hazard curve of cancer mortality presented a double-peaked distribution, with a first peak at the 10th year, and the second peak reaching the maximum at the 20th year after surgery for the entire population. The annual hazard curve of recurrence showed a triple-peaked pattern, with surges at about 12, 22, and 29 years after surgery. Conclusions: Patients with PTC harboring at least one of the prognostic characteristics may be at persistent risk of cancer mortality and recurrence even 10 or more years after initial treatment. Understanding the hazard rate of PTC is key to creating more tailored treatment and surveillance.

Traditional cleaning methods involving surfactants and ultrasound generate large amounts of wastewater. Microbubbles offer a more eco-friendly technology for interface cleaning. Here, we explored the efficiency of microbubbles for cleaning oil from metal surfaces. Air microbubbles at concentrations as high as 10 6 particles/mL were generated by hydrodynamic cavitation. Under optimal conditions, cleaning efficiencies for the removal of oil from carbon-steel and stainless-steel surfaces were 78.5 and 49.8% after 15 min, respectively, compared to only 6.5 and 9.9% without microbubbles. Additionally, combining microbubble treatment with the ultrasonic method achieved a higher efficiency than ultrasonic cleaning alone, achieving an efficiency of 85.5% after 3 min compared to 69.0%. The mechanism of microbubble cleaning was determined using a fluorescence observation system, and a model was established to describe the cleaning process. The use of microbubbles produced less emulsified oil wastewater because the oil that attaches to the microbubble surface floats with the bubbles to the surface of the cleaning water, where it can be removed, allowing for water recycling. This novel microbubble cleaning technology, which both enhances cleaning efficiency and reduces wastewater production, represents a viable and eco-friendly option for degreasing processes.

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We report the structural analysis of Na + and Cs + in sodium cesium silicate glasses by using 23 Na and 133 Cs magic-angle spinning nuclear magnetic resonance (MAS NMR) spectroscopy. In the NMR spectra of cesium silicate crystals, the peak position shifted to higher magnetic field for structures with larger Cs + coordination numbers and to lower magnetic field for smaller Cs + coordination numbers. The MAS NMR spectra of xNa 2 O-yCs 2 O-2SiO 2 (x = 0, 0.2, 0.33, 0.5, 0.66, 0.8, 1.0; x + y = 1) glass reveal that the average coordination number of both the alkali cations decreases with increasing Cs + /(Na + + Cs +) ratio. In addition, the coordination number of Na + in xNa 2 O-yCs 2 O-2SiO 2 glass is smaller than that of Cs +. This difference between the average coordination numbers of the alkali cations is considered to be one structural reason of the mixed alkali effect.

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