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Rationale: Persistent primitive hypoglossal artery (PPHA) is a rare and permanent carotid-vertebrobasilar anastomoses. Patients with PPHA usually have higher changes of developing intracranial aneurysms due the high intracranial hemodynamics. Although cases of PPHA alone and PPHA with aneurysms have been reported in literature, cases of fenestrated PPHA harboring a ruptured aneurysm have seldomly be reported in literature. We present a rare occurrence of a fenestrated PPHA harboring a reputed aneurysm., Patients Concerns: A 43-year-old woman was presented with a sudden-onset severe headache and nausea., Diagnosis: Computerized tomography scan showed third, fourth, and bilateral ventricular hemorrhages. Computed tomographic angiogram showed a PPHA with fenestration malformation and a cystic protrusion consistent with an aneurysm., Intervention: The patient underwent a successful stent-assisted coil embolization via the trans-arterial route under general anesthesia., Outcomes: Two years follow-up revealed no recurrence of her symptomatology and she is currently well and go about her normal daily life., Conclusion: Fenestrated PPHAs harboring aneurysms may be more prone to rupture because of the fenestration and connective tissue weakness of the artery as well as changes in hemodynamics of the already malformed and weak artery., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)

Rationale: The common CT scan findings of pulmonary MZBL of MALT type include airspace consolidation, nodules and ground-glass opacity. But, to our knowledge, the present case is the first report of a cavity presentation of pulmonary MZBL of MALT type., Patient Concerns: The patient gives his consent and authorizes the photographs featuring his likeness to be published., Diagnoses: This patient was diagnosed as pulmonary MZBL of MALT type by pathology, immunohistochemistry, and gene rearrangement., Interventions: The patient was treated with CHOP (cyclophosphamide, adriamycin, vincristine and prednisone) chemotherapy for twice and antibiotics., Outcomes: He is being followed up for one year, with slight progress in pulmonary MZBL of MALT., Lessons: This case highlights the need to be suspicious of MZBL of MALT type, when a radiographic image shows cavity lesion. We should consider whether the diagnosis is correct, when the patient's treatment is not effective.

This study presents a systematic investigation of effects of carbonation on the contaminant leachability and unconfined compressive strength of KMP stabilized contaminated soils. A field soil spiked with Zn and Pb individually and together is stabilized using a new KMP additive under standard curing conditions and also with carbonation. The KMP additive is composed of oxalic acid-activated phosphate rock, monopotassium phosphate and reactive magnesia. The stabilized soils are tested for acid neutralization capacity, toxic characteristics leaching characteristics, contaminant speciation and unconfined compression strength. X-ray diffraction, scanning electron microscope and energy dispersive spectroscopy analyses are performed to assess reaction products. The results demonstrate that carbonation increases both acid buffer capacity index and unconfined compressive strength, but decreases leachability of KMP stabilized soils. These results are interpreted based on the changes in chemical speciation of Zn and Pb and also stability and solubility of the reaction products (metal phosphates and carbonates) formed in the soils. Overall, this study demonstrates that carbonation has positive effects on leachability and strength of the KMP stabilized soils., (Copyright © 2015 Elsevier Ltd. All rights reserved.)

For viable and sustainable reuse of solidified/stabilized heavy metal-contaminated soils as roadway subgrade materials, long-term durability of these soils should be ensured. A new binder, KMP, has been developed for solidifying/stabilizing soils contaminated with high concentrations of heavy metals. However, the effects of long-term extreme weather conditions including freeze and thaw on the leachability and strength of the KMP stabilized contaminated soils have not been investigated. This study presents a systematic investigation on the impacts of freeze-thaw cycle on leachability, strength, and microstructural characteristics of the KMP stabilized soils spiked with Zn and Pb individually and together. For comparison purpose, Portland cement is also tested as a conventional binder. Several series of tests are conducted including the toxicity characteristic leaching procedure (TCLP), modified European Community Bureau of Reference (BCR) sequential extraction procedure, unconfined compression test (UCT), and mercury intrusion porosimetry (MIP). The results demonstrate that the freeze-thaw cycles have much less impact on the leachability and strength of the KMP stabilized soils as compared to the PC stabilized soils. After the freeze-thaw cycle tests, the KMP stabilized soils display much lower leachability, mass loss, and strength loss. These results are assessed based on the chemical speciation of Zn and Pb, and pore size distribution of the soils. Overall, this study demonstrates that the KMP stabilized heavy metal-contaminated soils perform well under the freeze-thaw conditions.

Cement stabilization is used extensively to remediate soils contaminated with heavy metals. However, previous studies suggest that the elevated zinc (Zn) and lead (Pb) concentrations in the contaminated soils would substantially retard the cement hydration, leading to the deterioration of the performance of cement stabilized soils. This study presents a new binder, KMP, composed of oxalic acid-activated phosphate rock, monopotassium phosphate and reactive magnesia. The effectiveness of stabilization using this binder is investigated on soils spiked with Zn and Pb, individually and together. Several series of tests are conducted including toxicity characteristic leaching (TCLP), ecotoxicity in terms of luminescent bacteria test and unconfined compressive strength. The leachability of a field Zn- and Pb- contaminated soil stabilized with KMP is also evaluated by TCLP leaching test. The results show that the leached Zn concentrations are lower than the China MEP regulatory limit except when Zn and Pb coexist and for the curing time of 7 days. On the other hand, the leached Pb concentrations for stabilized soils with Pb alone or mixed Zn and Pb contamination are much lower than the China MEP or USEPA regulatory limit, irrespective of the curing time. The luminescent bacteria test results show that the toxicity of the stabilized soils has been reduced considerably and is classified as slightly toxic class. The unconfined compressive strength of the soils decrease with the increase in the Zn concentration. The stabilized soils with mixed Zn and Pb contaminants exhibit notably higher leached Zn concentration, while there is lower unconfined compressive strength relative to the soils when contaminated with Zn alone. The X-ray diffraction and scanning electron microscope analyses reveal the presence of bobierrite (Mg3(PO4)2·8H2O) and K-struvite (MgKPO4·6H2O) as the main products formed in the KMP stabilized uncontaminated soils; the formation of hopeite (Zn3(PO4)2·4H2O), scholzite (CaZn2(PO4)2·2H2O), zinc hydroxide (Zn(OH)2), and fluoropyromorphite (Pb5(PO4)3F) in the soils are the main mechanisms for immobilization of Zn and Pb with the KMP binder. The change in the relative quantities of the formed phosphate-based products, with respect to the Zn concentration and presence of mixed Zn and Pb contaminants, can well explain the measured impact of the Zn concentration levels and presence of both Zn and Pb contaminants on the unconfined compressive strength of the KMP stabilized soils., (Copyright © 2014 Elsevier Ltd. All rights reserved.)

Cement stabilization is a practical approach to remediate soils contaminated with high levels of lead. However, the potential for leaching of lead out of these stabilized soils under variable acid rain pH conditions is a major environmental concern. This study investigates the effects of acid rain on the leaching characteristics of cement stabilized lead contaminated soil under different pH conditions. Clean kaolin clay and the same soil spiked with 2% lead contamination are stabilized with cement contents of 12 and 18% and then cured for 28 days. The soil samples are then subjected to a series of accelerated leaching tests (or semi-dynamic leaching tests) using a simulated acid rain leachant prepared at pH 2.0, 4.0 or 7.0. The results show that the strongly acidic leachant (pH ∼2.0) significantly altered the leaching behavior of lead as well as calcium present in the soil. However, the differences in the leaching behavior of the soil when the leachant was mildly acidic (pH ∼4.0) and neutral (pH ∼7.0) prove to be minor. In addition, it is observed that the lead contamination and cement content levels can have a considerable impact on the leaching behavior of the soils. Overall, the leachability of lead and calcium is attributed to the stability of the hydration products and their consequent influence on the soil buffering capacity and structure., (Copyright © 2014 Elsevier B.V. All rights reserved.)

Mesenchymal stem cells (MSCs) have received much attention because of their capabilities of differentiating into multiple mesenchymal lineages and supporting hematopoiesis. Recently, MSCs have gained further interests after the demonstration of an immunosuppressive role. However, it's still unclear whether the immunosuppressive capability of MSCs will be altered with disease state. In this study, our results showed that MSCs derived from patients with lymphoblastic leukemia (ALL), Hodgkin disease (HD), and non-Hodgkin lymphoma (NHL) capable of suppressing the proliferation of T-lymphocyte stimulated in a mixed-lymphocyte reaction (MLR). The immunosuppressive effect of MSCs derived from ALL, HD and NHL on T-cell proliferation was dose-dependent. The supernatants of MSCs derived from ALL, HD and NHL had effect on T-cell proliferation. By using neutralising monoclonal antibodies, we found that transforming growth factor beta1 (TGFbeta1) and hepatocyte growth factor were major mediators of T-cell suppression by MSCs derived from ALL, HD and NHL. Although MSCs derived from patients with myelodysplastics syndromes (MDS) could inhibit T-cell proliferation stimulated with mitogen or in MLR, the inhibitory effect of MDS-MSCs was impaired. However, adherent cells derived from patients with acute myeloid leukemia (AML) showed abnormal immunomodulatory functions. Adherent cells derived from AML failed to suppress the proliferation of T-cell stimulated in MLR.