Search

Solitary fibrous tumours (SFTs) and chronic myeloid leukaemia (CML) are both uncommon neoplasms with distinct chromosomal aberrations and clinical presentations. Here, we present a case of a male in his late 50s with a history of intracranial SFT who presented 8 years after subtotal resection and adjuvant radiotherapy with splenic infarcts, a white blood cell of 83 000 cells/mL, and liver masses. He was treated with dasatinib for CML and temozolomide/bevacizumab for SFT. This case emphasises the benefits of broad differential diagnoses that include multiple concurrent disease processes when confronted with unusual presentations. It highlights the need for interdisciplinary efforts and personalised approaches when managing patients with multiple primary malignancies., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)

Cholelithiasis and its complications are among the most prevalent and costly medical conditions in the United States. Chronic gallbladder disease can progress into more complicated conditions, such as a cholecystoenteric fistula and, more specifically, a cholecystoduodenal fistula (CDF). Repair of these fistulas is complex and usually performed with an open approach. However, if discovered pre-operatively, they can be referred to a hepatobiliary surgery center, where surgeons have specialized training to do such procedures laparoscopically. Here, we present a case of a 57-year-old female with a past medical history of migraines, arthritis, chronic back pain, and fibromyalgia, with no prior surgical history. She presented with an approximately six-month history of colicky right upper quadrant pain and symptomatology consistent with symptomatic cholelithiasis. She elected to have a robotic-assisted laparoscopic cholecystectomy performed. Intraoperatively, she was found to have a CDF and subsequent bile duct leak that were successfully repaired. While more research is required to further characterize and more quickly identify this complication of gallbladder disease, this case highlights the value of robotic-assisted surgery in technically challenging cases. We aim to describe and advocate for the adoption of a robotic approach in patients with comparable presentations, allowing for excellent visualization and control in the removal of inflamed gallbladders, repair of fistulized tissues, and stabilization of bile leaks., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Bagnoli et al.)

We report the synthesis of core-shell Ni-Pt nanoparticles (NPs) with varying degrees of crystallographic facets and surface layers rich in Pt via a seed-mediated thermolytic approach. Mixtures of different surfactants used during synthesis resulted in preferential surface passivation, which in turn dictated the size, chemical composition, and geometric evolution of these PtNi NPs. Electrochemical investigations of these pristine core-shell Ni-Pt structures in the oxygen reduction reaction (ORR) show that their catalytic functionalities outperform the commercial Pt/C reference catalyst. The enhanced electrocatalytic ORR performances of these Pt-based PtNi NPs are correlated with the weakened oxygen binding strength or surface-adsorbed hydroxyl (OH) species on active Pt surface sites induced by the downshift of the d-band center as a result of compressive strain effects. Our studies offer a robust synthetic approach for the development of core-shell nanostructures for enhanced ORR catalysis., (© 2024 The Authors. ChemPlusChem published by Wiley-VCH GmbH.)

The aerobic, selective oxidation of methane to C 1 -oxygenates remains a challenge, due to the more facile, consecutive oxidation of formed products to CO 2 . Here, we report on the aerobic selective oxidation of methane under continuous flow conditions, over platinum-based catalysts yielding formaldehyde with a high selectivity (reaching 90 % for Pt/TiO 2 and 65 % over Pt/Al 2 O 3 ) upon co-feeding water. The presence of liquid water under reaction conditions increases the activity strongly attaining a methane conversion of 1-3 % over Pt/TiO 2 . Density-functional theory (DFT) calculations show that the preferential formation of formaldehyde is linked to the stability of the di-σ-hydroxy-methoxy species on platinum, the preferred carbon-containing species on Pt(111) at a high chemical potential of water. Our findings provide novel insights into the reaction pathway for the Pt-catalysed, aerobic selective oxidation of CH 4 ., (© 2022 The Authors. Angewandte Chemie International Edition published by Wiley-VCH GmbH.)

We report on an optimized, scalable solution-phase synthetic procedure for the fabrication of fine-tuned monodisperse nanostructures (Pt(NiCo), PtNi and PtCo). The influence of different solute metal precursors and surfactants on the morphological evolution of homogeneous alloy nanoparticles (NPs) has been investigated. Molybdenum hexacarbonyl (Mo(CO) 6 ) was used as the reductant. We demonstrate that this solution-based strategy results in uniform-sized NPs, the morphology of which can be manipulated by appropriate selection of surfactants and solute metal precursors. Co-surfactants (oleylamine, OAm, and hexadecylamine, HDA) enabled the development of a variety of high-index faceted NP morphologies with varying degrees of curvatures while pure OAm selectively produced octahedral NP morphologies. This Mo(CO) 6 -based synthetic protocol offers new avenues for the fabrication of multi-structured alloy NPs as high-performance electrocatalysts.

Background: Less than 5% of eligible individuals in the United States undergo lung cancer screening. Variation in clinicians' participation in lung cancer screening has not been determined., Patients and Methods: We studied medical providers who ordered ≥ 1 low-dose computed tomography (LDCT) for lung cancer screening from February 2017 through February 2019 in an integrated safety-net healthcare system. We analyzed associations between provider characteristics and LDCT orders and completion using chi-square, Fisher exact, and Student t tests, as well as ANOVA and multinomial logistic regression., Results: Among an estimated 194 adult primary care physicians, 144 (74%) ordered at least 1 LDCT, as did 39 specialists. These 183 medical providers ordered 1594 LDCT (median, 4; interquartile range, 2-9). In univariate and multivariate models, family practice providers (P < .001) and providers aged ≥ 50 years (P = .03) ordered more LDCT than did other clinicians. Across providers, the median proportion of ordered LDCT that were completed was 67%. The total or preceding number of LDCT ordered by a clinician was not associated with the likelihood of LDCT completion., Conclusion: In an integrated safety-net healthcare system, most adult primary care providers order LDCT. The number of LDCT ordered varies widely among clinicians, and a substantial proportion of ordered LDCT are not completed., (Copyright © 2020 Elsevier Inc. All rights reserved.)

This case of bowel obstruction with multiple postoperative complications provides unique insight into the challenges faced by providers caring for intellectually disabled patients with acute surgical abdominal pathology and poor compliance. In this case, the component separation was utilized as a method of facilitated wound closure and compliance in a postoperative course highlighted by both dehiscence and wound infection. The patient, only able to communicate the presence of abdominal pain due to his disability, was surgically managed for a bowel obstruction secondary to a cecal volvulus. The difficulty in initial communication and patient noncompliance help illustrate the individualized care these patients require. This report will demonstrate both the challenges present in the management of intellectually disabled patients with abdominal wounds, as well as the use of component separation in providing both initial wound closure and continued wound integrity with the goal of reducing postoperative complications in patients with decreased compliance., (Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.)

In situ TEM gas-cell imaging and spectroscopy with in situ XRD have been applied to reveal morphological changes in NiFe 2 O 4 @Co 3 O 4 core-shell nanoparticles in hydrogen. The core-shell structure is retained upon reduction under mild conditions (180 °C for 1 h), resulting in a partially reduced shell. The core-shell structure was retained after exposing these reduced NiFe 2 O 4 @Co 3 O 4 core-shell nanoparticles to Fischer-Tropsch conditions at 230 °C and 20 bar. Slightly harsher reduction (230 °C, 2 h) resulted in restructuring of the NiFe 2 O 4 @Co 3 O 4 core-shell nanoparticles to form cobalt islands in addition to partially reduced NiFe 2 O 4 . NiFe 2 O 4 underwent further transformation upon exposure to Fischer-Tropsch conditions, resulting in the formation of iron carbide and nickel/iron-nickel alloy. The turnover frequency in the Fischer-Tropsch synthesis over NiFe 2 O 4 @Co 3 O 4 core-shell nanoparticles reduced in hydrogen at 180 °C for 1 h was estimated to be less than 0.02 s -1 (cobalt-time yield of 8.40 μmol . g -1. s -1 ) with a C 5+ selectivity of 38 C-%. The low turnover frequency under these conditions in relation to the turnover frequency obtained with unsupported cobalt is attributed to the strain in the catalytically active cobalt., Competing Interests: The authors declare no competing financial interest., (© 2020 American Chemical Society.)

Complex faceted geometries and compositional anisotropy in alloy nanoparticles (NPs) can enhance catalytic performance. We report on the preparation of binary PtNi NPs via a co-thermolytic approach in which we optimize the synthesis variables, which results in significantly improved catalytic performance. We used scanning transmission electron microscopy to characterise the range of morphologies produced, which included spherical and concave cuboidal core-shell structures. Electrocatalytic activity was evaluated using a rotating disc electrode (1600 rpm) in 0.1 M HClO 4 ; the electrocatalytic performance of these Ni@Pt NPs showed significant (∼11-fold) improvement compared to a commercial Pt/C catalyst. Extended cycling revealed that electrochemical surface area was retained by cuboidal PtNi NPs post 5000 electrochemical cycles (0.05-1.00 V, vs. SHE). This is attributed to the enclosure of Ni atoms by a thick Pt shell, thus limiting Ni dissolution from the alloy structures. The novel synthetic strategy presented here results in a high yield of Ni@Pt NPs which show excellent electro-catalytic activity and useful durability., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Introduction: For lung cancer screening, the available data are often derived from patients enrolled prospectively in clinical trials. We, therefore, investigated lung cancer screening patterns among individuals eligible for, but not enrolled in, a screening trial., Patients and Methods: From February 2017 through February 2019, we enrolled subjects in a trial examining telephone-based navigation during low-dose computed tomography (LDCT) for lung cancer screening. We identified patients for whom LDCT was ordered and who were approached, but not enrolled, in the trial. We categorized nonenrollment as the patient had declined or could not be reached. We compared the characteristics and LDCT completion rates among these groups and the enrolled population using the 2-sample t test and χ 2 test., Results: Of 900 individuals approached for participation (mean age, 62 years; 45% women, 53% black), 447 were enrolled in the screening clinical trial. No significant demographic differences were found between the enrolled and nonenrolled cohorts. Of the 453 individuals not enrolled, 251 (55%) had declined participation and 202 (45%) could not be reached, despite up to 6 attempts. LDCT completion was significantly associated with enrollment status: 81% of enrolled individuals, 73% of individuals who declined participation, and 49% of those who could not be reached (P < .001)., Conclusions: In the present single-center study, demographic factors did not predict for participation in a lung cancer screening trial. Lung cancer screening adherence rates were substantially lower for those not enrolled in a screening trial, especially for those who could not be contacted. These findings may inform the broader implementation of screening programs., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Platinum nanowires (NWs) have been reported to be catalytically active toward the oxygen reduction reaction (ORR). The edge modification of Pt NWs with metals M ( M = Au, Ag, or Pd) may have a positive impact on the overall ORR activity by facilitating diffusion of adsorbed oxygen, O ads , and hydroxyl groups, OH ads , between the {001} and {111} terraces. In the present study, we have employed classical molecular dynamics simulations to investigate the segregation behavior of Au, Ag, and Pd decorating the edges of Pt NWs. We observe that, under vacuum conditions, Pd prefers to diffuse toward the core rather than stay on the NW surface. Ag and Au atoms are mobile at temperatures as low as 900 K; they remain on the surface but do not appear to be preferentially more stable at edge sites. To effect segregation of Au and Ag atoms toward the edge, we propose annealing in the presence of different reactive gas environments. Overall, our study suggests potential experimental steps required for the synthesis of Pt nanowires and nanoparticles with improved O ads and OH ads interfacet diffusion rates and consequently an improved ORR activity., Competing Interests: The authors declare no competing financial interest., (Copyright © 2019 American Chemical Society.)

It is challenging to isolate the effect of metal-support interactions on catalyst reaction performance. In order to overcome this problem, inverse catalysts can be prepared in the laboratory and characterized and tested at relevant conditions. Inverse catalysts are catalysts where the precursor to the catalytically active phase is bonded to a support-like ligand. We can then view the metal-support interaction as a ligand interaction with the support acting as a supra-molecular ligand. Importantly, laboratory studies have shown that these ligands are still present after reduction of the catalyst. By varying the quantity of these ligands present on the surface, insight into the positive effect SMSI have during a reaction is gained. Here, we present a theoretical study of mono-dentate alumina support based ligands, adsorbed on cobalt surfaces. We find that the presence of the ligand may significantly affect the morphology of a cobalt crystallite. With Fischer-Tropsch synthesis in mind, the CO dissociation is used as a probe reaction, with the ligand assisting the dissociation, making it feasible to dissociate CO on the dense fcc Co(111) surface. The nature of the interaction between the ligand and the probe molecule is characterized, showing that the support-like ligands' metal centre is directly interacting with the probe molecule.

Unlabelled: Bipartition of the medial cuneiform is a well-described but rarely seen anatomic variant. The majority of literature focuses on anatomic description and incidents based on studies of archeological collections. Symptomatic cases can be overlooked or misdiagnosed initially given the vague complaint of pain either chronic in nature or following an acute injury that could result in a myriad of foot conditions. Treatment ranges from orthotics, immobilization, injection therapy, and surgery. Presented here is a series of 5 cases treated successfully with conservative and surgical measures., Levels of Evidence: Therapeutic, Level IV., (© 2015 The Author(s).)

The utilization of metal nanoparticles traverses across disciplines and we continue to explore the intrinsic size-dependent properties that make them so unique. Ideal nanoparticle formulation to improve a process's efficiency is classically presented as exposing a greater surface area to volume ratio through decreasing the nanoparticle size. Although, the physiochemical characteristics of the nanoparticles, such as phase, structure, or behavior, may be influenced by the nature of the environment in which the nanoparticles are subjected1, 2 and, in some cases, could potentially lead to unwanted side effects. The degree of this influence on the particle properties can be size-dependent, which is seldom highlighted in research. Herein we reveal such an effect in an industrially valuable cobalt Fischer-Tropsch synthesis (FTS) catalyst using novel in situ characterization. We expose a direct correlation that exists between the cobalt nanoparticle's size and a phase transformation, which ultimately leads to catalyst deactivation., (Copyright © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Generation of biofuels from sugars in lignocellulosic biomass is a promising alternative to liquid fossil fuels, but efficient and inexpensive bioprocessing configurations must be developed to make this technology commercially viable. One of the major barriers to commercialization is the recalcitrance of plant cell wall polysaccharides to enzymatic hydrolysis. Biomass pretreatment with ionic liquids (ILs) enables efficient saccharification of biomass, but residual ILs inhibit both saccharification and microbial fuel production, requiring extensive washing after IL pretreatment. Pretreatment itself can also produce biomass-derived inhibitory compounds that reduce microbial fuel production. Therefore, there are multiple points in the process from biomass to biofuel production that must be interrogated and optimized to maximize fuel production. Here, we report the development of an IL-tolerant cellulase cocktail by combining thermophilic bacterial glycoside hydrolases produced by a mixed consortia with recombinant glycoside hydrolases. This enzymatic cocktail saccharifies IL-pretreated biomass at higher temperatures and in the presence of much higher IL concentrations than commercial fungal cocktails. Sugars obtained from saccharification of IL-pretreated switchgrass using this cocktail can be converted into biodiesel (fatty acid ethyl-esters or FAEEs) by a metabolically engineered strain of E. coli. During these studies, we found that this biodiesel-producing E. coli strain was sensitive to ILs and inhibitors released by saccharification. This cocktail will enable the development of novel biomass to biofuel bioprocessing configurations that may overcome some of the barriers to production of inexpensive cellulosic biofuels.

One approach to reducing the costs of advanced biofuel production from cellulosic biomass is to engineer a single microorganism to both digest plant biomass and produce hydrocarbons that have the properties of petrochemical fuels. Such an organism would require pathways for hydrocarbon production and the capacity to secrete sufficient enzymes to efficiently hydrolyze cellulose and hemicellulose. To demonstrate how one might engineer and coordinate all of the necessary components for a biomass-degrading, hydrocarbon-producing microorganism, we engineered a microorganism naïve to both processes, Escherichia coli, to grow using both the cellulose and hemicellulose fractions of several types of plant biomass pretreated with ionic liquids. Our engineered strains express cellulase, xylanase, beta-glucosidase, and xylobiosidase enzymes under control of native E. coli promoters selected to optimize growth on model cellulosic and hemicellulosic substrates. Furthermore, our strains grow using either the cellulose or hemicellulose components of ionic liquid-pretreated biomass or on both components when combined as a coculture. Both cellulolytic and hemicellulolytic strains were further engineered with three biofuel synthesis pathways to demonstrate the production of fuel substitutes or precursors suitable for gasoline, diesel, and jet engines directly from ionic liquid-treated switchgrass without externally supplied hydrolase enzymes. This demonstration represents a major advance toward realizing a consolidated bioprocess. With improvements in both biofuel synthesis pathways and biomass digestion capabilities, our approach could provide an economical route to production of advanced biofuels.

Increasing energy costs and environmental concerns have emphasized the need to produce sustainable renewable fuels and chemicals. Major efforts to this end are focused on the microbial production of high-energy fuels by cost-effective 'consolidated bioprocesses'. Fatty acids are composed of long alkyl chains and represent nature's 'petroleum', being a primary metabolite used by cells for both chemical and energy storage functions. These energy-rich molecules are today isolated from plant and animal oils for a diverse set of products ranging from fuels to oleochemicals. A more scalable, controllable and economic route to this important class of chemicals would be through the microbial conversion of renewable feedstocks, such as biomass-derived carbohydrates. Here we demonstrate the engineering of Escherichia coli to produce structurally tailored fatty esters (biodiesel), fatty alcohols, and waxes directly from simple sugars. Furthermore, we show engineering of the biodiesel-producing cells to express hemicellulases, a step towards producing these compounds directly from hemicellulose, a major component of plant-derived biomass.

Background: Increasing energy costs and environmental concerns have motivated engineering microbes for the production of "second generation" biofuels that have better properties than ethanol., Results and Conclusion: Saccharomyces cerevisiae was engineered with an n-butanol biosynthetic pathway, in which isozymes from a number of different organisms (S. cerevisiae, Escherichia coli, Clostridium beijerinckii, and Ralstonia eutropha) were substituted for the Clostridial enzymes and their effect on n-butanol production was compared. By choosing the appropriate isozymes, we were able to improve production of n-butanol ten-fold to 2.5 mg/L. The most productive strains harbored the C. beijerinckii 3-hydroxybutyryl-CoA dehydrogenase, which uses NADH as a co-factor, rather than the R. eutropha isozyme, which uses NADPH, and the acetoacetyl-CoA transferase from S. cerevisiae or E. coli rather than that from R. eutropha. Surprisingly, expression of the genes encoding the butyryl-CoA dehydrogenase from C. beijerinckii (bcd and etfAB) did not improve butanol production significantly as previously reported in E. coli. Using metabolite analysis, we were able to determine which steps in the n-butanol biosynthetic pathway were the most problematic and ripe for future improvement.

Engineered microorganisms are currently used for the production of food products, pharmaceuticals, ethanol fuel and more. Even so, the enormous potential of this technology has yet to be fully exploited. The need for sustainable sources of transportation fuels has generated a tremendous interest in technologies that enable biofuel production. Decades of work have produced a considerable knowledge-base for the physiology and pathway engineering of microbes, making microbial engineering an ideal strategy for producing biofuel. Although ethanol currently dominates the biofuel market, some of its inherent physical properties make it a less than ideal product. To highlight additional options, we review advances in microbial engineering for the production of other potential fuel molecules, using a variety of biosynthetic pathways.

The preparation of cobalt nano-particles from a solution of Co(CO)(3)(NO) in n-decane under ultrasonication with a frequency of 20 kHz yielded cobalt particles of a size of ca. 5 nm. The presence of either silica or oleic acid in the solution reduced the particle size to ca. 3 and 2 nm, respectively. The resulting particle size is independent of the ultrasonication time, initial Co(CO)(3)(NO) concentration, ultrasound intensity and solution temperature. It is postulated that bubble collapse generates multiple nucleation sites resulting in the formation of cobalt particles with a rather uniform particle size distribution.

The stability of nanosized materials differs significantly from the stability of bulk materials. In this study a thermodynamic analysis on the simultaneous oxidation and re-reduction of small metallic cobalt crystallites in the presence of water and hydrogen as a function of the crystallite diameter was performed as a model for catalyst deactivation in the Fischer-Tropsch synthesis. It is shown that spherical cobalt crystallites with a diameter less than 4.4 nm are likely to be oxidized under realistic Fischer-Tropsch synthesis conditions (p(H)(2)(O)/p(H)(2) < 1.5, T = 493 K).

The neurodegeneration that occurs in sporadic Alzheimer's disease (AD) is consistently associated with a number of characteristic histopathological, molecular, and biochemical abnormalities, including cell loss, abundant neurofibrillary tangles and dystrophic neurites, amyloid-beta deposits, increased activation of pro-death genes and signaling pathways, impaired energy metabolism/mitochondrial function, and evidence of chronic oxidative stress. The general inability to convincingly link these phenomena has resulted in the emergence and propagation of various heavily debated theories that focus on the role of one particular element in the pathogenesis of all other abnormalities. However, the accumulating evidence that reduced glucose utilization and deficient energy metabolism occur early in the course of disease, suggests a role for impaired insulin signaling in the pathogenesis of AD. The present work demonstrates extensive abnormalities in insulin and insulin-like growth factor type I and II (IGF-I and IGF-II) signaling mechanisms in brains with AD, and shows that while each of the corresponding growth factors is normally made in central nervous system (CNS) neurons, the expression levels are markedly reduced in AD. These abnormalities were associated with reduced levels of insulin receptor substrate (IRS) mRNA, tau mRNA, IRS-associated phosphotidylinositol 3-kinase, and phospho-Akt (activated), and increased glycogen synthase kinase-3beta activity and amyloid precursor protein mRNA expression. The strikingly reduced CNS expression of genes encoding insulin, IGF-I, and IGF-II, as well as the insulin and IGF-I receptors, suggests that AD may represent a neuro-endocrine disorder that resembles, yet is distinct from diabetes mellitus. Therefore, we propose the term, "Type 3 Diabetes" to reflect this newly identified pathogenic mechanism of neurodegeneration.