Removal of Pb(II) from aqueous solutions by adsorption on magnetic bentonite

Abstract

Bentonite is a porous clay material that shows good performance for adsorbing heavy metals and other pollutants for wastewater remediation. In our previous study, magnetic bentonite (M-B) was prepared to solve the separation problem and improve the operability. In this study, we investigated the influence of various parameters on the Pb(II) adsorption of M-B, and it showed effective performance. About 98.9% adsorption removal rate was achieved within 90 min at adsorbent dose of 10 g/L for initial Pb(II) concentration of 200 mg/L at 40 °C and pH 5. The adsorption kinetic fit well by the pseudo-second-order model, and also followed the intra-particle diffusion model up to 90 min. Moreover, adsorption data were successfully reproduced by the Langmuir isotherm; the maximum adsorption capacity was calculated as 80.40 mg/g. The mechanism of interaction between Pb(II) ions and M-B was ionic exchange, surface complexation, and electro-static interactions. Thermodynamics study indicated that the reaction of Pb(II) adsorption on M-B was endothermic and spontaneous; increasing the temperature promoted adsorption. This study was expected to provide a reference and theoretical basis for the treatment of Pb-containing wastewater using bentonite materials.

https://ift.tt/2QDGlVM

An ultra-fast non-conventional waste management protocol to recycle of industrial fly ash into zeolite X

Abstract

An ultra-fast non-conventional waste management protocol was being designed and applied to recycle and reuse industrial coal fly ash (CFA) waste to generate highly pure nanozeolite X. Both microwave heating–assisted hydrothermal treatment method and ultrasonic waves–assisted hydrothermal method have been successfully used for the fast valorization of power plant CFA waste, and the results were compared with conversional valorization method for CFA conversion to zeolite. While conventional methods like hydrothermal treatment using sodium hydroxide took up to 4 days in valorization of the solid CFA waste into a useful zeolitic X material; the non-conventional methods using microwave irradiation of frequency 2.45 GHz and ultrasound irradiation of frequency 20 kHz took 90 min and 20 min respectively to fast-valorize the solid waste into highly pure zeolite material with high cation–exchanged capacity. The unconventional techniques, therefore, can be used in the large-scale valorization of solid waste recycling and reuse to yield highly pure zeolite.

https://ift.tt/2Ps20nm

Rituximab and Omalizumab for the Treatment of Bullous Pemphigoid: A Systematic Review of the Literature

Abstract

Background

Bullous pemphigoid (BP) is the most common autoimmune blistering skin disease worldwide. Systemic corticosteroids are considered the mainstay of therapy; however, they may cause significant adverse effects and treatment failures, so additional therapeutic modalities with better safety profiles are required. Rituximab and omalizumab are novel biologic agents administered in recent years for the treatment of BP, yet data regarding their use in the disease are limited.

Objective

Our objective was to systematically review the current literature regarding the use of rituximab and omalizumab for the treatment of BP to evaluate their safety and efficacy.

Methods

A systematic review of all publications evaluating patients with BP treated with rituximab or omalizumab was performed. The primary outcome was clinical response; secondary outcomes were adverse events and recurrence rate.

Results

The systematic review included 35 publications (84 patients: 62 receiving rituximab and 22 receiving omalizumab). In total, 61 of 63 patients had not experienced disease control with systemic corticosteroids before receiving the biologic treatment. Complete response rates were 85% and 84% for rituximab and omalizumab, respectively. The recurrence rate was considerably lower with rituximab (29%) than with omalizumab (80%). Mean time to recurrence was 10.2 and 3.4 months, and adverse effects occurred in 24% and 20% of the patients, respectively.

Conclusions

Available data, although potentially limited because of publication bias, suggest that rituximab and omalizumab have similar safety profiles and provide clinical benefit for patients with BP. The reviewed data indicated that rituximab resulted in lower recurrence rates and a longer time until recurrence than omalizumab.

https://ift.tt/2zLPB2U

Annual Congress of the European Society for Medical Oncology (ESMO): Munich, Germany, 19–23 October 2018

https://ift.tt/2T8ztS0

Acknowledgement to Referees

https://ift.tt/2zPNefD

Local Sleep

The historic sleep regulatory paradigm invokes "top-down" imposition of sleep on the brain by sleep regulatory circuits. While remaining conceptually useful, many sleep phenomena are difficult to explain using that paradigm, including, unilateral sleep, sleep-walking, and poor performance after sleep deprivation. Further, all animals sleep after non-lethal brain lesions, regardless of whether the lesion includes sleep regulatory circuits, suggesting that sleep is a fundamental property of small viable neuronal/glial networks.

https://ift.tt/2OGQOOv

What are the determinants of children’s sleep behavior? A systematic review of longitudinal studies

To develop evidence-based healthy sleep interventions for children, this review provides insight into the behavioral determinants of sleep behavior. Hence the objective of this review is to systematically review the longitudinal evidence on determinants of children's sleep behavior.Studies were identified from searches in PubMed, PsycINFO, and Web of Science, until January 2017. Longitudinal studies investigating the association between potential determinants and sleep behavior (duration, quality and timing) in healthy children aged 4-12 years were included.

https://ift.tt/2z87gSW

Increase of global DNA methylation patterns in beauty salon workers exposed to low levels of formaldehyde

Abstract

Formaldehyde (FA) is a carcinogenic aldehyde illegally added to creams as a hair straightening agent for the Brazilian blowout (BB). This study aimed to investigate the possible effects of occupational exposure to FA on global DNA methylation in salon workers with different exposure levels. FA exposure was monitored using environmental and biological measurements. The study included 49 salon workers divided by FA levels in the workplace into group A (FA < 0.01 ppm; n = 8), group B (0.03 ppm < FA < 0.06 ppm; n = 15), and group C (0.08 ppm < FA < 0.24 ppm; n = 26). The global DNA methylation levels were 3.12%, 4.55%, and 4.29% for groups A, B, and C, respectively, with statistically higher values for groups B and C compared to group A (p = 0.002). A correlation was found between FA in passive samplers and global DNA methylation (r_s = 0.307, p = 0.032). Additionally, when only taking into account the hairdressers that performed the BB on clients instead of the whole group, a stronger correlation was observed between FA in personal passive samplers and global DNA methylation (r_s = 0.764, p = 0.006). For the first time, an increase in DNA methylation was observed in subjects occupationally exposed to FA. In conclusion, our results indicated that even low levels of FA exposure could cause a disturbance in DNA methylation, leading to epigenetic changes, which is associated with cancer development. These data suggest a possible contribution of FA to cancer development through occupational exposure.

https://ift.tt/2JVIDNk

Performance and emission characteristics of CNG-fueled compression ignition engine with Ricinus communis methyl ester as pilot fuel

Abstract

Surge in petroleum prices, its drying sources and degradation in air quality focused interest on renewable energy sources as substitute for existing fuels for internal combustion engines. This study highlights the combustion, performance, and emission characteristics of diesel engines fueled with compressed natural gas (CNG) as primary fuel and castor (Ricinus communis) oil methyl ester (COME) as pilot fuel. COME was produced from non-edible grade Ricinus communis oil. The biodiesel fuel properties and characterization was done as per ASTM D6751 specifications. The CNG was inducted through inlet manifold fumigation at a consistent flow rate of 15 l/min under dual-fuel mode. It is evident from the test results that B20-CNG yields brake thermal efficiency of 23.6% when compared to 25 and 27% for D-CNG and diesel fuel, respectively. The peak cylinder gas pressure was lower in dual-fuel mode when compared to conventional diesel. The emission results show increase in NO_x emission by 24.5 and 28.4% for D-CNG and B20-CNG, respectively when compared to baseline diesel fuel at full engine load. There was increase in HC emission by 6.7 and 11% whereas CO emissions decreased by 31.6 and 37.4% for B20-CNG and D-CNG, respectively at similar operating conditions. Reduction in smoke opacity by 49.4 and 59.6% was achieved respectively for D-CNG and B20-CNG under dual-fuel mode. On the whole, COME exhibits a better pilot fuel choice for dual-fuel combustion mode in comparison to conventional fossil petroleum diesel in terms of combustion, performance, and emissions characteristics.

https://ift.tt/2qHUtlm

A study on the evaluation of water-bloom using image processing

Abstract

This study utilized remote sensing techniques using an unmanned aerial vehicle (UAV) with an attached multispectral sensor to monitor the Nakdong River. In this study, chlorophyll-a, an indicator of water quality and the normalization difference vegetation index (NDVI), which indicates the vitality of plant growth was employed. NDVI images were generated using georeferenced and Orthomosaic images. The data (field samples) used to conduct the study was collected in September 2017. The relationship between the chlorophyll-a concentrations and NDVI was then examined. The results of the relationship can be used in monitoring of green algae for water quality management.

https://ift.tt/2FjpRB3

Quality of life assessment in patients with HNF1A-MODY and GCK-MODY

Abstract

Aim

The impact of maturity onset diabetes of the young (MODY) on quality of life (QoL) has never been examined. We assessed disease impact on QoL among patients with HNF1A-MODY and GCK mutation carrier status.

Methods

The study included 80 patients with HNF1A-MODY and 89 GCK gene mutation carriers. We also examined 128 type 1 diabetes (T1DM) patients for comparison. Diabetes-specific QoL was assessed using the Audit of Diabetes Dependent Quality of Life questionnaire.

Results

HNF1A-MODY and GCK-MODY groups had similar mean age (41.7 vs. 38.0 years, respectively) and BMI (24.1 vs. 24.3 kg/m²), whereas T1DM patients were on average younger (34.2 years) with similar BMI (25.0 kg/m²). Less than a third of GCK mutation carriers were on pharmacotherapy (n = 20, 31%), while the majority of HNF1A mutation carriers used oral drugs or insulin (n = 66, 82.5%). While current QoL was similar across the three groups (p = 0.66), two other major indices—the impact of diabetes on QoL and the average weighted impact (AWI)—differed among them (p < 0.001 for both comparisons). The impact of diabetes on patient QoL and AWI observed in both MODY groups was smaller than in T1DM. Etiological diagnosis of diabetes and a diagnosis of retinopathy were the only independent factors influencing the impact of diabetes on QoL and AWI in regression analysis. In HNF1A-MODY, all three major indices of QoL were more heavily influenced for patients on insulin in comparison to other treatment sub-groups.

Conclusion

MODY has a smaller negative impact on QoL compared to T1DM. Mode of treatment further stratifies QoL decline for HNF1A-MODY subjects.

https://ift.tt/2JXXhUj

Using Shannon entropy to model turbulence-induced flocculation of cohesive sediment in water

Abstract

Turbulence-induced flocculation of cohesive fine-grained sediment plays an important role in the transport characteristics of pollutants and nutrients absorbed on the surface of sediment in estuarine and coastal waters via the complex processes of sediment transport, deposition, resuspension and consolidation. In this study, the concept of Shannon entropy based on probability is applied to modelling turbulence-induced flocculation of cohesive sediment in water. Using the hypothesis regarding the cumulative distribution function, the function of floc size with flocculation time is derived by assuming a characteristic floc size as a random variable and maximizing the Shannon entropy, subject to certain constraints. The Shannon entropy-based model is capable of modelling the variation in floc size as the flocculation time progresses from zero to infinity. The model is tested against some existing experimental data from the literature and against a few deterministic mathematical models. The model yields good agreement with the observed data and yields better prediction accuracy than the other models. The parameter that has been incorporated into the model exhibits an empirical power-law relationship with the flow shear rate. An empirical model formulation is proposed, and it exhibits high prediction accuracy when applied to existing experimental data.

https://ift.tt/2QxikzA

Quality of life assessment in patients with HNF1A-MODY and GCK-MODY

Abstract

Aim

The impact of maturity onset diabetes of the young (MODY) on quality of life (QoL) has never been examined. We assessed disease impact on QoL among patients with HNF1A-MODY and GCK mutation carrier status.

Methods

The study included 80 patients with HNF1A-MODY and 89 GCK gene mutation carriers. We also examined 128 type 1 diabetes (T1DM) patients for comparison. Diabetes-specific QoL was assessed using the Audit of Diabetes Dependent Quality of Life questionnaire.

Results

HNF1A-MODY and GCK-MODY groups had similar mean age (41.7 vs. 38.0 years, respectively) and BMI (24.1 vs. 24.3 kg/m²), whereas T1DM patients were on average younger (34.2 years) with similar BMI (25.0 kg/m²). Less than a third of GCK mutation carriers were on pharmacotherapy (n = 20, 31%), while the majority of HNF1A mutation carriers used oral drugs or insulin (n = 66, 82.5%). While current QoL was similar across the three groups (p = 0.66), two other major indices—the impact of diabetes on QoL and the average weighted impact (AWI)—differed among them (p < 0.001 for both comparisons). The impact of diabetes on patient QoL and AWI observed in both MODY groups was smaller than in T1DM. Etiological diagnosis of diabetes and a diagnosis of retinopathy were the only independent factors influencing the impact of diabetes on QoL and AWI in regression analysis. In HNF1A-MODY, all three major indices of QoL were more heavily influenced for patients on insulin in comparison to other treatment sub-groups.

Conclusion

MODY has a smaller negative impact on QoL compared to T1DM. Mode of treatment further stratifies QoL decline for HNF1A-MODY subjects.

https://ift.tt/2JXXhUj

Brain metastases as first manifestation of advanced cancer: exploratory analysis of 459 patients at a tertiary care center

Abstract

Symptomatic brain metastases (BM) are a frequent and late complication in cancer patients. However, a subgroup of cancer patients presents with BM as the first symptom of metastatic cancer. Here we aimed to analyze the clinical course and prognostic factors of this particular BM patient population. Patients presenting with newly diagnosed BM without a history of metastatic cancer were identified from the Vienna Brain Metastasis Registry. Clinical characteristics and overall survival were retrieved by chart review. 459/2419 (19.0%) BM patients presented with BM as first symptom of advanced cancer. In 374/459 (81.5%) patients, an extracranial primary tumor, most commonly lung cancer, could be identified within 3 months after BM diagnosis. In 85/459 (18.5%) patients no extracranial primary tumor could be identified despite comprehensive diagnostic workup within the first 3 months after diagnosis of BM. Survival of patients with identified extracranial tumor differed only numerically from patients with cancer of unknown primary (CUP), however patients receiving targeted therapy after molecular workup showed significantly enhanced survival (20 months vs. 7 months; p = 0.003; log rank test). The GPA score showed a statistically significant association with median overall survival times in the CUP BM patients (class I: 46 months; class II: 7 months; class III: 4 months; class IV: 2 months; p < 0.001; log rank test). The GPA score has a strong prognostic value in patients with CUP BM and may be useful for patient stratification in the clinical setting. Comprehensive diagnostic workup including advanced imaging techniques and molecular tissue analyses appears to benefit patients by directing specific molecular targeted therapies.

https://ift.tt/2z4CU3s

Photobiomodulation therapy (PBMT) on acute pain and inflammation in patients who underwent total hip arthroplasty—a randomized, triple-blind, placebo-controlled clinical trial

Abstract

When conservative treatments fail, hip osteoarthritis (OA), a chronic degenerative disease characterized by cartilage wear, progressive joint deformity, and loss of function, can result in the need for a total hip arthroplasty (THA). Surgical procedures induced tissue trauma and incite an immune response. Photobiomodulation therapy (PBMt) using low-level laser therapy (LLLT) and/or light-emitting diode therapy (LEDT) has proven effective in tissue repair by modulating the inflammatory process and promoting pain relief. Therefore, the aim of this study was to analyze the immediate effect of PBMt on inflammation and pain of patients undergoing total hip arthroplasty. The study consisted of 18 post-surgical hip arthroplasty patients divided into two groups (n = 9 each) placebo and active PBMt who received one of the treatments in a period from 8 to 12 h following THA surgery. PBMt (active or placebo) was applied using a device consisting of nine diodes (one super-pulsed laser of 905 nm, four infrared LEDs of 875 nm, and four red LEDs 640 nm, 40.3 J per point) applied to 5 points along the incision. Visual analog scale (VAS) and blood samples for analysis of the levels of the cytokines TNF-α, IL-6, and IL-8 were recorded before and after PBMt application. The values for the visual analog scale as well as those in the analysis of TNF-α and IL-8 serum levels decreased in the active PBMt group compared to placebo-control group (p < 0.05). No decrease was observed for IL-6 levels. We conclude that PBMt is effective in decreasing pain intensity and post-surgery inflammation in patients receiving total hip arthroplasty.

https://ift.tt/2zexdQX

Glomuvenous malformations: dual PDL-Nd:YAG laser approach

Abstract

Glomuvenous malformations are uncommon simple vascular malformations that might be present at birth or appear during childhood that have been classically classified as a subtype of venous malformations. Sclerotherapy and surgery have been used in the past as treatments for this condition although with disappointing results in large glomangiomas. The treatment of these lesions has still not been standardized. We conducted a retrospective study of 17 patients treated with dual wavelength PDL-Nd:YAG. The majority of the patients experience a reduction of at least a 60% in their glomuvenous malformations. Treatment was well-tolerated, and adverse effects were rare.

https://ift.tt/2OCXYTL

Antimicrobial photodynamic therapy as a new approach for the treatment of vulvovaginal candidiasis: preliminary results

Abstract

In this work, we present the efficacy of photodynamic therapy against yeast cells in an animal model. We tested two photosensitizers, methylene blue and protoporphyrin IX. Thirty-seven female BALB-c mice with a body mass of 20–25 g were used. To achieve persistent vaginitis, estrus was induced by subcutaneous injection of 0.1 mg/mL estradiol valerate applied weekly. Three days after pseudo-estrus, intravaginal inoculation with Candida albicans was performed. Mice were anesthetized with ketamine (80 mg/kg) and xylazine (10 mg/kg) by intraperitoneal injection before inoculation, and antimicrobial photodynamic therapy (aPDT) was performed 5 days after fungal inoculation. Two photosensitizers were tested, methylene blue (MB; 100 μM) and protoporphyrin IX (PpNetNI; 10 μM). Two custom-made LEDs emitting light at 660 and 630 nm at approximately 800 mW each were used for irradiation. The aPDT treatment reduced the fungal colony-forming units (CFUs) by one order of magnitude for the MB (p = 0.020) and PpNetNI (p = 0.018) photosensitizers. Seven days after the treatment, there were significantly fewer CFUs compared to the control group (p = 0.041 and p = 0.035 for MB and PpNetNI, respectively), but this was not increased compared to the initial number immediately after aPDT. Using aPDT as a therapeutic option to decrease fungal infection in a vaginal candidiasis model resulted in a significant reduction in the C. albicans population. Both photosensitizers were effective for preventing reinfection within 7 days. The aPDT also had no effect on the vaginal mucosa at the ultrastructural level. In addition to the fungicide effect, we observed reduced swelling and lack of the formation of abscesses, microabscesses coating the cornified epithelial layer, and the accumulation of neutrophils in the submucosa.

https://ift.tt/2OCXU6t

Efficacy assessment of UVA1 and narrowband UVB for treatment of scalp psoriasis

Abstract

To compare the efficacy and safety of UVA1 and narrowband UVB (NB-UVB) therapy in the treatment of scalp psoriasis. Patients with scalp psoriasis were randomly assigned to either UVA1 or NB-UVB therapy. Both treatments were performed three times weekly for 6 weeks. Clinical efficacy was evaluated by using Psoriasis Scalp Severity Index (PSSI), and patient-reported quality of life (QoL) was assessed by Dermatology Life Quality Index (DLQI). Totally 68 patients completed the study. Both UVA1 and NB-UVB phototherapy achieved a statistically significant reduction of PSSI and DLQI scores at the end of the treatment period. Compared with the NB-UVB group, the significantly greater improvements occurred in UVA1 treatment group at week 3, although differences declined thereafter through week 10. Both UVA1 and NB-UVB therapy were well-tolerated in this study, and the occurrence of adverse events (AEs) was uncommon. Both UVA1 and NB-UVB phototherapy could offer relief of scalp symptoms in patients with scalp involvement. Furthermore, UVA1 treatment could improve the clinical manifestations and QoL more quickly than NB-UVB therapy.

https://ift.tt/2z5JRkV

Dermatological manifestations in Noonan syndrome: A prospective multicentric study of 129 mutation‐positive patients

Summary

Background

Data on dermatological manifestations of Noonan syndrome (NS) remain heterogeneous and based on little dermatological expertise.

Objectives

To describe the dermatological manifestations of NS, compare them with the literature findings, and test for dermatological phenotype‐genotype correlations with or without the presence of PTPN11 mutations.

Methods

We performed a large, 4‐year, prospective, multicentric, collaborative dermatological and genetic study.

Results

One hundred and twenty‐nine patients were enrolled, including 65 with PTPN11‐NS, 34 with PTPN11‐NS with multiple lentigines (NSML), and 30 without PTPN11‐NS. Easy bruising was the most frequent dermatological finding in PTPN11‐NS, present in 53.8%. Multiple lentigines and café‐au‐lait macules (≥3) were present in, respectively, 94% and 80% of NSML linked to specific mutations of PTPN11. Atypical forms of NSML could be associated with NS with RAF1 or NRAS mutations. In univariate analysis, patients without a PTPN11 mutation showed (i) a significantly higher frequency of keratinization disorders (P=0.001), including keratosis pilaris (P=0.005), ulerythema ophryogenes (P=0.0001) and palmar and/or plantar hyperkeratosis (P=0.06, trend association), and (ii) a significantly higher frequency of scarce scalp hair (P=0.035) and scarce or absent eyelashes (P=0.06, trend association) than those with PTPN11 mutations.

Conclusions

Cutaneous phenotype of NS with a PTPN11 mutation is generally mild and non‐specific, whereas the absence of a PTPN11 mutation is associated with a high frequency of keratinization disorders and hair abnormalities.

This article is protected by copyright. All rights reserved.

https://ift.tt/2z0QBAH

Functional Connectivity Changes of Key Regions for Motor Initiation in Parkinson’s Disease

Abstract

Akinesia, a cardinal symptom of Parkinson's disease, has been linked to abnormal activation in putamen and posterior medial frontal cortex (pMFC). However, little is known whether clinical severity of akinesia is linked to dysfunctional connectivity of these regions. Using a seed-based approach, we here investigated resting-state functional connectivity (RSFC) of putamen, pMFC and primary motor cortex (M1) in 60 patients with Parkinson's disease on regular medication and 72 healthy controls. We found that in patients putamen featured decreases of connectivity for a number of cortical and subcortical areas engaged in sensorimotor and cognitive processing. In contrast, the pMFC showed reduced connectivity with a more focal cortical network involved in higher-level motor-cognition. Finally, M1 featured a selective disruption of connectivity in a network specifically connected with M1. Correlating clinical impairment with connectivity changes revealed a relationship between akinesia and reduced RSFC between pMFC and left intraparietal lobule (IPL). Together, the present study demonstrated RSFC decreases in networks for motor initiation and execution in Parkinson's disease. Moreover, results suggest a relationship between pMFC-IPL decoupling and the manifestation of akinetic symptoms.

https://ift.tt/2Oz8b3H

Emergent Functional Network Effects in Parkinson Disease

https://ift.tt/2z6Bnu2

Functional Connectivity of the Anterior Cingulate Cortex in Depression and in Health

Abstract

The first voxel-level resting-state functional connectivity (FC) neuroimaging analysis of depression of the anterior cingulate cortex (ACC) showed in 282 patients with major depressive disorder compared with 254 controls, some higher, and some lower FCs. However, in 125 unmedicated patients, primarily increases of FC were found: of the subcallosal anterior cingulate with the lateral orbitofrontal cortex, of the pregenual/supracallosal anterior cingulate with the medial orbitofrontal cortex, and of parts of the anterior cingulate with the inferior frontal gyrus, superior parietal lobule, and with early cortical visual areas. In the 157 medicated patients, these and other FCs were lower than in the unmedicated group. Parcellation was performed based on the FC of individual ACC voxels in healthy controls. A pregenual subdivision had high FC with medial orbitofrontal cortex areas, and a supracallosal subdivision had high FC with lateral orbitofrontal cortex and inferior frontal gyrus. The high FC in depression between the lateral orbitofrontal cortex and the subcallosal parts of the ACC provides a mechanism for more non-reward information transmission to the ACC, contributing to depression. The high FC between the medial orbitofrontal cortex and supracallosal ACC in depression may also contribute to depressive symptoms.

https://ift.tt/2OEanac

Sensitive Period for Cognitive Repurposing of Human Visual Cortex

Abstract

Studies of sensory loss are a model for understanding the functional flexibility of human cortex. In congenital blindness, subsets of visual cortex are recruited during higher-cognitive tasks, such as language and math tasks. Is such dramatic functional repurposing possible throughout the lifespan or restricted to sensitive periods in development? We compared visual cortex function in individuals who lost their vision as adults (after age 17) to congenitally blind and sighted blindfolded adults. Participants took part in resting-state and task-based fMRI scans during which they solved math equations of varying difficulty and judged the meanings of sentences. Blindness at any age caused "visual" cortices to synchronize with specific frontoparietal networks at rest. However, in task-based data, visual cortices showed regional specialization for math and language and load-dependent activity only in congenital blindness. Thus, despite the presence of long-range functional connectivity, cognitive repurposing of human cortex is limited by sensitive periods.

https://ift.tt/2z8OR8m

Outcome differences between recanalized malignant central airway obstruction from endoluminal disease versus extrinsic compression

Abstract

We compared the outcome of Nd:YAG laser therapy with stent placement for malignant central airway obstruction (CAO) at our center over a 10-year period. This is a retrospective review of patients undergoing Nd:YAG laser therapy or self-expanding metal stent (SEMS) placement for malignant CAO between November 2007 and October 2017. Seventy-two patients were recanalized for malignant CAO. The median (range) age was 63 (23–86) years, with 49 (68%) males. Patients underwent either laser therapy alone (N = 36), stent placement alone (N = 30), or both (N = 6). The wavelength of Nd:YAG laser used was 1064 nm, and median (range) laser energy used was 25 (15–35) W, in 377 (115–1107) pulses. Fifty-one (71%) patients died with median survival of 7.2 months. In subgroup analysis, 21 (58.3%) vs. 25 (83.3%), p = 0.03 patients died in the "laser resection" vs. "stent placement" group with longer median survival of 12.4 months in the former vs. 4.5 months, p = 0.0004 in the later. Esophageal cancer and left main bronchus involvement were significantly more common (10 (33.3%) vs. 0, p = 0.0001, and 16 (53.3%) vs. 8 (22.2%), p = 0.01), in the stent placement vs. laser resection group, respectively. Trachea or main bronchi involvement and respiratory failure on presentation requiring mechanical ventilation correlated with poorer survival. The immediate restoration of luminal patency, complication rate, and 30-day mortality was similar among the two groups. The median (range) energy used for laser therapy was 25 (15–35) W. Median of 377 pulses was used for the duration of 287.5 s. The results were compared using a Wilcoxon two-sample test, and Fischer exact test with p values considered indicative of a significant difference if less than 0.05. In patients requiring recanalization of malignant CAO, the extrinsic compression from esophageal cancer, trachea or main bronchi involvement, respiratory failure on presentation requiring mechanical ventilation, and stent placement correlated with poorer survival. Interventional pulmonology training program should emphasize on dedicated training in laser therapy as it is associated with improved survival.

https://ift.tt/2AZL3Yy

Letter to the Editor: SNAS and thyroid autoimmunity risk

https://ift.tt/2Dg256e

Microbiome and its relation to gestational diabetes

Abstract

Purpose

Gestational diabetes mellitus (GDM), the major endocrine pathology in pregnancy, has been associated with the development of an intense inflammatory process and increased insulin resistance. The maternal microbiota is involved in several metabolic functions; however, its role in GDM physiopathology remains unclear. The aim of this study was to assess the composition of the microbiota at different sites and evaluate its relationship with the occurrence of GDM.

Methods

This cross-sectional study recruited women in the third trimester of gestation with and without GDM. Oral, vaginal, and stool samples were evaluated using next-generation sequencing. We included 68 participants: 26 with and 42 without GDM.

Results

The analysis of the oral microbiome did not show significant differences in phyla and genus among the studied groups. In contrast, GDM patients presented a specific vaginal and intestinal microbiome composition, which was less diverse than those found in the control group, showing genera related to dysbiosis.

Conclusions

Our findings suggest that changes in the composition of the vaginal and intestinal microbiome might be involved in the development of GDM. The follow-up of these patients in order to evaluate vaginal and intestinal samples after delivery may contribute to understanding the development of metabolic disease in women with previous GDM.

https://ift.tt/2PRNMeL

Low‐level primary clarithromycin resistance of Helicobacter pylori in Burkina Faso: A prospective molecular study

https://ift.tt/2PRGpE5

Letter to the Editor: SNAS and thyroid autoimmunity risk

https://ift.tt/2Dg256e

Microbiome and its relation to gestational diabetes

Abstract

Purpose

Gestational diabetes mellitus (GDM), the major endocrine pathology in pregnancy, has been associated with the development of an intense inflammatory process and increased insulin resistance. The maternal microbiota is involved in several metabolic functions; however, its role in GDM physiopathology remains unclear. The aim of this study was to assess the composition of the microbiota at different sites and evaluate its relationship with the occurrence of GDM.

Methods

This cross-sectional study recruited women in the third trimester of gestation with and without GDM. Oral, vaginal, and stool samples were evaluated using next-generation sequencing. We included 68 participants: 26 with and 42 without GDM.

Results

The analysis of the oral microbiome did not show significant differences in phyla and genus among the studied groups. In contrast, GDM patients presented a specific vaginal and intestinal microbiome composition, which was less diverse than those found in the control group, showing genera related to dysbiosis.

Conclusions

Our findings suggest that changes in the composition of the vaginal and intestinal microbiome might be involved in the development of GDM. The follow-up of these patients in order to evaluate vaginal and intestinal samples after delivery may contribute to understanding the development of metabolic disease in women with previous GDM.

https://ift.tt/2PRNMeL

Response of the antioxidant enzymes of rats following oral administration of metal-oxide nanoparticles (Al 2 O 3 , CuO, TiO 2 )

Abstract

Metal-oxide nanoparticles (NPs), as a new emerging technological compound, promise a wide range of usage areas and consequently have the potential to cause environmental toxicology. In the present work, aluminum (Al₂O₃), copper (CuO), and titanium (TiO₂) nanoparticles (NPs) were administered via oral gavage to mature female rats (Rattus norvegicus var. albinos) for 14 days with a dose series of 0 (control), 0.5, 5, and 50 (mg/kg b.w./day). Enzyme activities of the antioxidant system such as catalase (CAT), superoxide dismutase (SOD), glutathione peroxidase (GPx), glutathione S-transferase (GST), and glutathione reductase (GR) in the liver were measured. Transmission electron microscope (TEM) images of the liver were taken to demonstrate NP accumulation and distribution in liver tissue. Data showed that all NPs caused some significant (P > 0.05) alterations in the activities of antioxidant enzymes. CAT activity increased after CuO and TiO₂ administrations, while SOD activity decreased after Al₂O₃ administration. The activities of enzymes associated with glutathione (GR, GPx, GST) metabolisms were also significantly altered by NPs. GPx activity increased in rats received Al₂O₃, CuO NPs, while GR activity increased only by Al₂O₃. However, there were increases (TiO₂) and decreases (CuO) in GST activity in the liver of rats. TEM images of the liver demonstrated that all NPs accumulated in the liver, even at the lowest dose. This study indicated that the antioxidant enzymes in the liver of rats were affected by all NPs, suggesting the antioxidant system of rats suffered after NP administration.

https://ift.tt/2z0e7Of

Synthesis and characterization of magnetic bio-adsorbent developed from Aegle marmelos leaves for removal of As(V) from aqueous solutions

Abstract

A novel magnetic bio-adsorbent was prepared from the leaves of Aegle marmelos tree (Indian bael) and Fe₂O₃ nanoparticles. The AMP@Fe₂O₃ nanocomposite (Aegle marmelos leaf powder) was synthesized by pyrolysis process and applied for As(V) removal through batch adsorption process. The synthesized AMP@Fe₂O₃ nanocomposite was analyzed by several instrumental techniques like XRD, FESEM, TEM, HRTEM, FTIR, BET, and VSM studies. Maximum amount of As(V) was removed at pH 3, contact time of 250 min, adsorbent dose of 0.1 g/L, and initial concentration of 0.5 mg/L at room temperature. The model study revealed that the pseudo-second-order kinetics and Langmuir isotherm models were best fitted with the experimental data. The nanocomposite showed a maximum adsorption capacity of 69.65 mg/g. The endothermic nature of the adsorption process was ascertained from the thermodynamics studies. The zeta potential and FTIR analysis before and after adsorption demonstrated two types of adsorption mechanism. The first one was the electrostatic attraction between negatively charged As(V) ions (H₂AsO₄⁻) and protonated −OH group present on the Fe₂O₃ surface and the second one was ligand exchange between the surface hydroxyl groups and As(V) ions. The AMP@Fe₂O₃ nanocomposite was desorbed with 0.5 M NaOH solutions and also used up to four cycles without any major decrease in removal efficiency. Thus, AMP@Fe₂O₃ nanocomposite can be applied as a potential adsorbent for As(V) removal from wastewater.

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Intracranial Hypertension in Transgender Patients

No abstract available

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Neuro-Ophthalmology in South India

No abstract available

https://ift.tt/2z6s8dd

Radiation-Induced Multiphasic Demyelination

No abstract available

https://ift.tt/2OJcCsU