Lithium-mediated reduction of dinitrogen is ap romising methodt oe vade electron-stealing hydrogen evolution, ac ritical challenge which limits faradaic efficiency (FE) and thus hinders the success of traditional protic-solvent-based ammonia electro-synthesis. Av iable implementation of the lithium-mediated pathway using lithium-ion conducting glass ceramics involves i) lithium deposition, ii)nitridation,a nd iii)ammonia formation. Ammonia was successfully synthesized from molecular nitrogen and water,y ielding am aximum FE of 52.3 %. Witha n ammonia synthesis rate comparable to previously reported approaches, the fairly high FE demonstrates the possibility of using this nitrogen fixation strategya sasubstitute for firmly established, yet exceedingly complicated and expensivet echnology,a nd in so doing represents an ext-generation energy storagesystem.The Haber-Bosch process is aw ell-established ammonia (NH 3 ) synthesis technology that converts more than 120 million tons of N 2 into NH 3 annually. [1,2] However,this process is exceedingly energy intensiveo wing to harsh operating conditions, and exhibits extensive carbon emission. [1] Therefore, the development of more environmentally benign alternatives is crucial.Electrochemical synthesisi sa na ttractive candidatef or N 2 fixation ase nergy consumption, if optimized (i.e. with low overvoltage and high faradaic efficiency), could potentially be reduced as compared to the Haber-Bosch process while avoiding CO 2 emission. [3,4] If the required electricity for the process is supplied from renewable sources, this approach offers a meanstostore excess renewable energy in agreen energy carrier with an energy density comparable to fossil fuels. [5] True sustainability,h owever,w ill only be realized if the electrons required for the N 2 reduction originate from water rather than H 2 .Over the last three decades, such electrochemical processes have been developed, with state-of-the art technologiess ummarized in Ta ble S1 in the Supporting Information. [6][7][8][9][10][11][12][13][14][15][16] Unfortunately,t he faradaic efficiencies (FEs) in most cases were unbearably low (< 5%)a st he competing hydrogen evolution from water or ap rotonw as preferred over the intended N 2 reduction, which was particularly sluggish owing to the strong triple bond of N 2 (941 kJ mol À1 ). [3,17,18] Innovative strategies are thus indispensable to overcome such obstacles and achieve excellent selectivity in the N 2 reduction.One promisingw ay is to employ Li as amediator in the electro-synthesis. In contact with N 2 ,m etallicL i, on accounto fi ts strong reducing power,c auses dissociation to form lithium nitride (Li 3 N) even under ambient conditions. Thus-formed Li 3 N is ah igh-energyi ntermediate for NH 3 synthesis that is readily transformed into NH 3 upon reaction with protons or water. [17] This so-called "Li-mediated pathway" was firstly applied to synthesizing NH 3 in studies by Ts unetoe tal.,w hich reported an impressively high maximum FE of 59 %a t5 0atm of N 2 (1 atm = 0....
Small nonfunctioning pancreatic neuroendocrine tumors (NF-PNETs) usually exhibit minimal or no growth over many years. However, there is a controversy regarding the optimal management of incidentally discovered, small NF-PNETs. This study aimed to gain insights into tumor behavior and potential strategies for clinical management.We retrospectively reviewed a total of 202 patients with a suspected PNET (size 2 cm or smaller) at Samsung Medical Center from January 1, 1995 to April 30, 2012. Among these patients, 72 patients were excluded and 145 patients were enrolled in our study. Patients were included if the size of the tumor was ≤2 cm without familial syndrome, radiographic evidence of local invasion or metastases.Among the 145 patients, 76 patients (52.4%) had pathologically confirmed PNETs. Eleven (14.5%) and 3 (3.9%) of these 76 patients were diagnosed with NET G2 and G3, respectively. PNETs measuring 1.5 cm or more in size had a higher probability of being classified as NET G2 or G3 compared with PNETs measuring <1.5 cm (P = 0.03). Older age (≥55 years) and a meaningful tumor growth (≥20% or ≥5 mm) were significantly associated with NET G2 or G3 (P < 0.05).Older age (≥55 years), larger tumor size (≥1.5 cm), and a meaningful tumor growth (≥20% or ≥5 mm) were associated with NET G2 or G3. Intensive follow-up could be an acceptable approach in small (especially <1.5 cm), asymptomatic, NF-PNETs.
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