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Telemedicine is an emerging development in the healthcare domain, where the Internet of Things (IoT) fiber optics technology assists telemedicine applications to improve overall digital healthcare performances for society. Telemedicine applications are bowel disease monitoring based on fiber optics laser endoscopy, gastrointestinal disease fiber optics lights, remote doctor-patient communication, and remote surgeries. However, many existing systems are not effective and their approaches based on deep reinforcement learning have not obtained optimal results. This paper presents the fiber optics IoT healthcare system based on deep reinforcement learning combinatorial constraint scheduling for hybrid telemedicine applications. In the proposed system, we propose the adaptive security deep q-learning network (ASDQN) algorithm methodology to execute all telemedicine applications under their given quality of services (deadline, latency, security, and resources) constraints. For the problem solution, we have exploited different fiber optics endoscopy datasets with images, video, and numeric data for telemedicine applications. The objective is to minimize the overall latency of telemedicine applications (e.g., local, communication, and edge nodes) and maximize the overall rewards during offloading and scheduling on different nodes. The simulation results show that ASDQN outperforms all telemedicine applications with their QoS and objectives compared to existing state action reward state (SARSA) and deep q-learning network (DQN) policy during execution and scheduling on different nodes., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Background: Orbital compartment syndrome is a potentially blinding eye condition. Timely diagnosis and treatment are paramount to optimize visual outcomes. Lateral canthotomy and cantholysis is the definitive management and a required competency for emergency physicians and ophthalmologists. Lack of confidence in the procedure can result in delayed treatment and poor outcomes., Objectives: Our aim was to create a low-cost, realistic, simulation model to ensure trainees were confident in performing lateral canthotomy and cantholysis., Methods: A model was created using equipment found in the emergency department. This model's efficacy was assessed using pre- and post-teaching questionnaires measuring learner's self-perceived confidence., Results: Forty-seven emergency medicine and 18 ophthalmology registrars rated their confidence in the procedure using a 5-point Likert scale (1 = not very confident, 5 = extremely confident); 42% (n = 27) of participants felt 'quite confident' (4 on Likert scale) in carrying out the procedure unsupervised out of hours after the teaching session, compared with 9.23% (n = 6) before (p < 0.01). Our model resulted in significant increases in all three measures of confidence (diagnosing orbital compartment syndrome, locating the necessary equipment and performing canthotomy and cantholysis) and was rated as 4.35 (1 = not at all helpful, 5 = extremely helpful) in understanding the anatomy of the region. Sixty-six percent (n = 43) of participants stated they would like further simulation teaching., Conclusions: Our model is low cost, easy to assemble, and anatomically correct. The user can 'strum' the inferior canthal tendon without cutting the lower lid, appreciating the difference between canthotomy and cantholysis. Use of this model significantly increased the number of learners who felt "quite confident" with performing the procedure. Use of this model should be considered for trainees in ophthalmology and emergency medicine., Competing Interests: Declaration of Competing Interest None., (Copyright © 2023 Elsevier Inc. All rights reserved.)

Left ventricular hypertrophy (LVH) is a life-threatening condition in which the muscle of the left ventricle thickens and enlarges. Echocardiography is a test performed by cardiologists and echocardiographers to diagnose this condition. The manual interpretation of echocardiography tests is time-consuming and prone to errors. To address this issue, we have developed an automated LVH diagnosis technique using deep learning. However, the availability of medical data is a significant challenge due to varying industry standards, privacy laws, and legal constraints. To overcome this challenge, we have proposed a data-efficient technique for automated LVH classification using echocardiography. Firstly, we collected our own dataset of normal and LVH echocardiograms from 70 patients in collaboration with a clinical facility. Secondly, we introduced novel zero-shot and few-shot algorithms based on a modified Siamese network to classify LVH and normal images. Unlike traditional zero-shot learning approaches, our proposed method does not require text vectors, and classification is based on a cutoff distance. Our model demonstrates superior performance compared to state-of-the-art techniques, achieving up to 8% precision improvement for zero-shot learning and up to 11% precision improvement for few-shot learning approaches. Additionally, we assessed the inter-observer and intra-observer reliability scores of our proposed approach against two expert echocardiographers. The results revealed that our approach achieved better inter-observer and intra-observer reliability scores compared to the experts., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Background: Childhood and adolescent primary hyperparathyroidism (PHPT) is a rare disease caused by single adenomas in 65-94% of patients. In this patient group, there is no data on computed tomography (CT) for pre-operative parathyroid localization that may facilitate focused parathyroidectomy., Methods: Two radiologists reviewed dual-phase (nonenhanced and arterial) CT images of twenty-three operated children and adolescents [20:single-gland disease(SGD), 3:multi-glandular disease(MGD)] with proven histopathological PHPT. Percentage arterial enhancement (PAE) was calculated as [100*{arterial-phase Hounsfield unit (HU)-nonenhanced phase HU}/nonenhanced HU] of the parathyroid lesion(s), thyroid, and lymph node., Results: Dual-phase CT lateralized 100%, localized to the correct quadrant/site 85% SGD (including 3/3 ectopic), and identified 1/3 MGD. PAE (cutoff ≥ 112.3%) was sensitive (91.3%) and specific (99.5%) in distinguishing parathyroid lesions from local mimics (P<0.001). The average effective dose was 3.16±1.01mSv, comparable to the planar/single photon emission CT (SPECT) Technetium 99m(Tc)-sestamibi and choline positron emission tomography (PET)/CT scans. Solid-cystic morphology identified in 4 patients harboring pathogenic germline variants (3:CDC73, 1:CASR) may serve as a radiological clue to molecular diagnosis. Nineteen out of 20 (95%) patients with SGD who had undergone single gland resection based on pre-operative CT findings were in remission over a median follow-up of 18 months., Conclusion: As most children/adolescents with PHPT have SGD, dual-phase CT protocols which reduce the effective radiation dose with high localization sensitivity for single parathyroid lesions may be a sustainable pre-operative imaging modality in this patient group., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Background: Large bore arterial hemostasis for emergent MCS initiation in cardiogenic shock and during failures of suture mediated vascular closure devices (VCD) necessitates dry/post-closure technique for successful closure. Use of the alternative MANTA fluoroscopic DOT technique, without depth finder, as post closure and as 'bail-out' in this high-risk patient population is described., Methods: All patients who underwent emergent percutaneous transfemoral MCS initiation, without use of upfront sutured-mediated pro-glide VCDs, and procedures where proglide-perclose technique (PPT) failed to achieve hemostasis were post-closed with the alternative MANTA fluoroscopic DOT technique (without depth finder) as primary method or as 'bail-out'. Patient related factors, cardiovascular co-morbidities, clinical indication, distribution of 14F versus 18F MANTA, and types of procedures obtained. Primary outcomes of access site related acute flow-limiting limb ischemia or bleeding requiring intervention analyzed., Results: 27 patients met inclusion criteria; mean age 64 years, majority male 19 (70 %), more than half obese (56 %) with mean BMI 31.06 kg/m 2 . 22 (81 %) had emergent MCS initiation and 5 (19 %) PPT hemostasis failures. Types of percutaneous MCS support included; 11 (44 %) Impella CP, 2 (7 %) 15F arterial ECMO, 6 (22 %) 17F arterial ECMO, 4 (15 %) 19F ECMO. All achieved hemostasis utilizing alternative MANTA fluoroscopic DOT technique without vascular complications of bleeding or acute ischemic limb., Conclusion: The alternative MANTA fluoroscopic DOT technique (without depth finder) can be successfully applied as post-closure for emergent MCS support delayed hemostasis and as bail-out for per-close suture mediated VCD failures for large bore arterial hemostasis., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Inc. All rights reserved.)

As a magical oligosaccharide, trehalose has been revealed to enhance the post-thaw quality of stock semen. However, information regarding the cryoprotective mechanism of trehalose during cryopreservation has not yet been determined. This study was designed to observe the effects of trehalose on the proteome of ram frozen spermatozoa by applying the isobaric tag for relative and absolute quantification (iTRAQ) strategy combined with parallel reaction monitoring (PRM). A total of 1269 proteins were identified. Among them, there were 21 differentially expressed proteins (DEPs), with 9 up-regulated proteins and 11 down-regulated proteins in spermatozoa frozen with trehalose. These DEPs were primarily located in nucleus, cytoplasm, and extracellular region. The Gene Ontology (GO) enrichment analysis demonstrated the involvement of the DEPs in signal transduction, ion binding, oxidoreductase activity, response to stress, and catabolic processes. Based on the STRING analysis, tight functional correlations were observed between 6-phosphogluconate dehydrogenase, fructose-bisphosphate aldolase A isoform 1, 14-3-3 protein epsilon, tyrosine-protein kinase Fer, and beta-hexosaminidase subunit alpha precursor. Furthermore, 10 DEPs were verified using PRM, confirming the accuracy of the iTRAQ data acquired in this study. In conclusion, trehalose can modify the protein profile of ram spermatozoa during cryopreservation, which may be associated with its cryoprotective effects. Additionally, trehalose may function on frozen spermatozoa through antioxidation, involvement in glycolysis, and increment of spermatozoa tolerance to various stresses., (Copyright © 2021 Elsevier Inc. All rights reserved.)

Objective: Early prediction of neurological deficits following neonatal hypoxic-ischemic encephalopathy (HIE) may help to target support. Neonatal animal models suggest that recovery following hypoxia-ischemia depends upon cortical bursting. To test whether this holds in human neonates, we correlated the magnitude of cortical bursting during recovery (≥postnatal day 3) with neurodevelopmental outcomes., Methods: We identified 41 surviving infants who received therapeutic hypothermia for HIE (classification at hospital discharge: 19 mild, 18 moderate, 4 severe) and had 9-channel electroencephalography (EEG) recordings as part of their routine care. We correlated burst power with Bayley-III cognitive, motor and language scores at median 24 months. To examine whether EEG offered additional prognostic information, we controlled for structural MRI findings., Results: Higher power of central and occipital cortical bursts predicted worse cognitive and language outcomes, and higher power of central cortical bursts predicted worse motor outcome, all independently of structural MRI findings., Conclusions: Clinical EEG after postnatal day 3 may provide additional prognostic information by indexing persistent active mechanisms that either support recovery or exacerbate brain damage, especially in infants with less severe encephalopathy., Significance: These findings could allow for the effect of clinical interventions in the neonatal period to be studied instantaneously in the future., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2021 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.)

The aim of this study was to analyze the effects of the cryopreservation process on the protein profile of ram sperm using two-dimensional electrophoresis (2-DE) coupled with mass spectroscopy. Semen was collected from five rams and cryopreserved in a Tris-based extender supplemented with glycerol and egg yolk as the main cryoprotectants. The fresh and post-thaw sperm total proteins were extracted and purified, followed by the 2-DE. The differential proteins in the stained gel were determined by mass spectrometry. The results indicated that there were 39 differential proteins between fresh sperm and frozen-thawed sperm. Among these proteins, the abundance of 28 proteins in fresh sperm was higher than those in post-thaw sperm (P < 0.05). However, 11 proteins in post-thaw sperm were up-regulated instead. The gene ontology (GO) analysis showed that most of differential proteins were implicated in cellular process, metabolism and regulation of the biological process. The networks of protein-protein interaction indicated a strong interaction among these differential proteins, which may be involved in sperm metabolism, acrosomal function, sperm motility, and reducing ROS level. In conclusion, the cryopreservation process modifies the proteome of ram sperm, which may be directly associated with ram sperm cryodamage, consequently influencing their fertility. Additionally, these differential proteins can be used as biomarkers for evaluation of frozen ram semen quality., Competing Interests: Declaration of competing interest The authors declared that they have no conflicts of interest to this work., (Copyright © 2020 Elsevier Inc. All rights reserved.)

The purpose of this present study is to assess if addition of the synthetic polymers in maturation medium can influence cryotolerance and subsequently embryonic development of mammalian oocytes. We examined the roles of two polymers, including polyvinyl alcohol (PVA) and polyvinylpyrrolidone (PVP), on in vitro maturation (IVM), embryonic developmental capacity, and cryotolerance of goat oocytes. The present study includes two parts. At first, goat cumulus-oocyte complexes (COCs) were matured in a medium supplemented with 10% fetal bovine serum (FBS), 3 mg/ml PVP, or 1 mg/ml PVA, respectively. Data of oocyte with first polar body, cleavage, and blastocyst following parthenogenetic activation (PA) were recorded. Secondly, after maturation in the above medium, oocytes were vitrified using the Cryotop technique and then the morphology, cleavage and blastocyst formation of vitrified oocytes have been checked. The results demonstrated that the adding of PVP or PVA in maturation medium can't affect IVM of goat oocytes in comparison with FBS, as concern cumulus cell expansion, first polar body formation, and embryonic development. Additionally, without plunging into liquid nitrogen, only exposure to the vitrification and warming solutions cannot also influence the quality of oocytes, in terms of morphology, cleavage, and blastocyst formation. However, after IVM with synthetic polymers and vitrification, the ratio of oocytes with standard morphology in PVP or PVA group was only 59.47% ± 3.56% or 54.86% ± 5.19%, respectively, and was significantly less than that in the FBS group (89.37% ± 4.52%, P < 0.05). Furthermore, the cleavage ratio of oocytes in PVP or PVA group was 37.41% ± 4.17% or 27.71% ± 3.91% and was considerably less than that in the FBS group (64.97% ± 4.69%, P < 0.05). In addition, the cleavage ratio in PVP group was statistically higher than that in PVA group (P < 0.05). In terms of blastocyst development, a significant difference was observed between the synthetic polymer group and the FBS group (24.96% ± 3.62%, P < 0.05). However, the blastocyst ratio in the PVA group (7.51% ± 1.68%) was statistically less than the PVP groups (13.20% ± 4.59%, P < 0.05) and the FBS group (P < 0.05). In conclusion, two potential serum replacements, either PVP or PVA, can support IVM and embryonic development of goat oocytes at the concentration used in this study. But IVM with synthetic polymers supplemented to maturation medium may reduce the cryotolerance of oocytes. Additionally, the supportive function of PVP on embryonic development of vitrified oocytes might be better than that of PVA., Competing Interests: Declaration of competing interest There is no competing interest., (Copyright © 2020. Published by Elsevier Inc.)

The effect of orally administered hawthorn flavonoid extract (HFE) on growth, electrocardiographic waves, and cardiac parameters of pulmonary hypertensive chickens reared at high altitude (2,100 m above sea level) was examined. A total of 225 one-day-old, mixed broiler chicks (3 treatments with 5 replicates and 15 chicks per each, totally 75 birds/treatment) were assigned to 3 experimental groups: 0, 0.1, and 0.2 ml of HFE per 1 L of drinking water. Birds were administered the drinking water HFE treatments for 42 D. At an age of 28 and 42 D, electrocardiograms were undertaken and cardiac parameters such as the RV:TV, RV:BW, and TV:BW, and indicators of PHS on selected birds were measured. The final BW of chickens receiving the HFE at 0.2 ml/L was greater (2,579 ± 64 g) than that of birds receiving 0.1 ml/L (2,497 ± 62 g) and 0 ml/L (2,323 ± 57 g). Therefore, no supplemented group had a lower final BW than others (P < 0.05). Amplitudes of S and T waves in 0.1- and 0.2-ml/L HFE consumed groups at 28 and 42 D of age decreased compared with that in the control group (P < 0.05). The HFE reduced the heart weight and RV:TV, RV:BW, and TV:BW ratios when supplemented in drinking water at 0.1 and 0.2 mL/L compared with 0 mL/L (P < 0.05). In conclusion, supplementation of HFE in drinking water can reduce the PHS and incidence of cardiac disorders. Owing to the positive effect of HFE on cardiac parameters that mediated through flavonoids bioactive compounds, this product can be used to prevent complications of pulmonary hypertension and disarray of electrocardiographic waves in broiler chickens reared at high altitude., (Copyright © 2019. Published by Elsevier Inc.)

Background: Violence against health care providers (HCPs) remains a significant public health problem in developing countries, affecting their performance and motivation., Objectives: To report the quantity and perceived causes of violence committed upon HCPs and identify strategies intended to prevent and de-escalate it., Methods: This was a mixed-methods concurrent study design (QUAN-QUAL). A structured questionnaire was filled in on-site by trained data collectors for quantitative study. Sites were tertiary care hospitals, local nongovernmental organizations (NGOs) providing health services, and ambulance services. Qualitative data were collected through in-depth interviews and focus group discussions at these same sites, as well as with other stakeholders including media and law enforcement agencies., Results: One-third of the participants had experienced some form of violence in the last 12 months. Verbal violence was experienced more frequently (30.5%) than physical violence (14.6%). Persons who accompanied patients (58.1%) were found to be the chief perpetrators. Security staff and ambulance staff were significantly more likely to report physical violence (p = 0.001). Private hospitals and local NGOs providing health services were significantly less likely to report physical violence (p = 0.002). HCPs complained about poor facilities, heavy workload, and lack of preparedness to deal with violence. The deficiencies highlighted predominantly included inadequate security and lack of training to respond effectively to violence. Most stakeholders thought that poor quality of services and low capacity of HCPs contributed significantly to violent incidents., Conclusion: There is a great need to design interventions that can help in addressing the behavioral, institutional, and sociopolitical factors promoting violence against HCPs. Future projects should focus on designing interventions to prevent and mitigate violence at multiple levels., (Copyright © 2017 Elsevier Inc. All rights reserved.)

Mitigating for the negative impacts of stormwater runoff is becoming a concern due to increased land development. Understanding how land development influences stormwater runoff is essential for sustainably managing water resources. In recent years, aggregate low impact development-best management practices (LID-BMPs) have been implemented to reduce the negative impacts of stormwater runoff on receiving water bodies. This study used an integrated approach to determine the influence of land development and assess the ecological benefits of four aggregate LID-BMPs in stormwater runoff from a mixed land use and land cover (LULC) catchment with ongoing land development. It used data from 2011 to 2015 that monitored 41 storm events and monthly LULC, and a Personalized Computer Storm Water Management Model (PCSWMM). The four aggregate LID-BMPs are: ecological (S1), utilizing pervious covers (S2), and multi-control (S3) and (S4). These LID-BMPs were designed and distributed in the study area based on catchment characteristics, cost, and effectiveness. PCSWMM was used to simulate the monitored storm events from 2014 (calibration: R 2 and NSE>0.5; RMSE <11) and 2015 (validation: R 2 and NSE>0.5; RMSE <12). For continuous simulation and analyzing LID-BMPs scenarios, the five-year (2011 to 2015) stormwater runoff data and LULC change patterns (only 2015 for LID-BMPs) were used. Results show that the expansion of bare land and impervious cover, soil alteration, and high amount of precipitation influenced the stormwater runoff variability during different phases of land development. The four aggregate LID-BMPs reduced runoff volume (34%-61%), peak flow (6%-19%), and pollutant concentrations (53%-83%). The results of this study, in addition to supporting local LULC planning and land development activities, also could be applied to input data for empirical modeling, and designing sustainable stormwater management guidelines and monitoring strategies., (Copyright © 2017 Elsevier B.V. All rights reserved.)

While the urban runoff are increasingly being studied as a source of fecal indicator bacteria (FIB), less is known about the occurrence of FIB in watershed with mixed land use and ongoing land use and land cover (LULC) change. In this study, Escherichia coli (EC) and fecal streptococcus (FS) were monitored from 2012 to 2013 in agricultural, mixed and urban LULC and analyzed according to the most probable number (MPN). Pearson correlation was used to determine the relationship between FIB and environmental parameters (physicochemical and hydrometeorological). Multiple linear regressions (MLR) were used to identify the significant parameters that affect the FIB concentrations and to predict the response of FIB in LULC change. Overall, the FIB concentrations were higher in urban LULC (EC=3.33-7.39; FS=3.30-7.36log10MPN/100mL) possibly because of runoff from commercial market and 100% impervious cover (IC). Also, during early-summer season; this reflects a greater persistence and growth rate of FIB in a warmer environment. During intra-event, however, the FIB concentrations varied according to site condition. Anthropogenic activities and IC influenced the correlation between the FIB concentrations and environmental parameters. Stormwater temperature (TEMP), turbidity, and TSS positively correlated with the FIB concentrations (p>0.01), since IC increased, implying an accumulation of bacterial sources in urban activities. TEMP, BOD5, turbidity, TSS, and antecedent dry days (ADD) were the most significant explanatory variables for FIB as determined in MLR, possibly because they promoted the FIB growth and survival. The model confirmed the FIB concentrations: EC (R(2)=0.71-0.85; NSE=0.72-0.86) and FS (R(2)=0.65-0.83; NSE=0.66-0.84) are predicted to increase due to urbanization. Therefore, these findings will help in stormwater monitoring strategies, designing the best management practice for FIB removal and as input data for stormwater models., (Copyright © 2016 Elsevier B.V. All rights reserved.)

In order to enhance the cost-effectiveness practicability of enzymes in many industries such as pharmaceutical, food, medical and some other technological processes, there is great need to immobilize them onto a solid supports. In this study, a new and efficient immobilization of α-amylase from Saccharomyces cerevisiae has been developed by using the surface functionalization of calix[4]arene as support. A glutaraldehyde-containing amino group functionalized calix[4]arene was used to immobilize α-amylase covalently. In this procedure, imide bonds are formed between amino groups on the protein and aldehyde groups on the calix[4]arene surface. The surface modified support was characterized using Fourier transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM). The effect of various preparation conditions on the immobilized α-amylase process such as immobilization time, enzyme concentration, temperature and pH were investigated. The influence of pH and temperature on the activity of free and immobilized α-amylase was also studied using starch as substrate. The optimum reaction temperature and pH value for the enzymatic conversion catalyzed by the immobilized α-amylase were 25°C and 7, respectively. Compared to the free enzyme, the immobilized α-amylase retained 85% of its original activity and exhibited significant thermal stability than the free one and excellent durability., (Copyright © 2015 Elsevier Inc. All rights reserved.)

The article depicts a detailed study regarding copper selective chemosensing and complexation nature of 5,11,17,23-tetrakis[(N,N-diphenylamino)methyl]-25,26,27,28-tetrahydroxycalix[4]arene (PAC4). Its photophysical characteristics in various solvents of different polarities along with the influence of acid and base on its spectral properties in these solvents are also discussed. The complexation affinity of PAC4 with regard to its latent applications as Cu(II) selective colorimetric and fluorescent sensor among the selected series of various cations such as Li(I), Na(I), K(I), Rb(I), Ba(II), Sr(II), Al(III), Fe(III), Cd(II), Co(II), Hg(II), Mn(II), Ni(II), Pb(II) and Zn(II) was examined by UV-visible and fluorescence emission spectroscopy in dichloromethane:acetonitrile (DCM:MeCN) solvent system. In addition, the process of complexation has been investigated through Job's plot and it has been observed that the complex between PAC4 and Cu(II) is formed in 1:1 stoichiometric ratio. The complex formation between PAC4 and Cu(II) has also been confirmed by FT-IR spectroscopy and thermal gravimetric analysis (TGA)., (Copyright © 2012 Elsevier B.V. All rights reserved.)

Donor lymphocyte infusion (DLI), a standard relapse treatment after allogeneic stem cell transplantation (AlloSCT), has limited efficacy and often triggers GVHD. We hypothesized that after AlloSCT tumor-infiltrating donor lymphocytes could be costimulated ex vivo to preferentially activate/expand antitumor effectors. We tested the feasibility and safety of costimulated, tumor-derived donor lymphocyte (TDL) infusion in a phase 1 trial. Tumor was resected from 8 patients with B-cell malignancy progression post-AlloSCT; tumor cell suspensions were costimulated with anti-CD3/anti-CD28 Ab-coated magnetic beads and cultured to generate TDL products for each patient. Costimulation yielded increased proportions of T-bet(+)FoxP3(-) type 1 effector donor T cells. A median of 2.04 × 10(7) TDL/kg was infused; TDLs were well tolerated, notably without GVHD. Two transient positron emission tomography (PET) responses and 2 mixed responses were observed in these refractory tumors. TDL are a feasible, tolerable, and novel donor cell therapy alternative for relapse after AlloSCT.

Background: Several studies, including an earlier analysis from the Royal College of General Practitioners (RCGP) Oral Contraception Study, have suggested that ever users of oral contraceptives have an increased risk of fracture when compared with never users. In this paper, we examined a subset of women in the RCGP study living in Scotland to determine whether this risk has persisted., Study Design: A nested case-control study was carried out using data collected prospectively for the RCGP Oral Contraception Study. Cases were women with a first ever diagnosis of fracture (n=651), age-matched to two controls (n=1302). Adjustments were made for smoking, social class and parity., Results: There was not a significant association between ever use of oral contraception and fracture (adjusted odds ratio 1.05, 95% confidence interval 0.86-1.29), compared with never users. Neither were significant associations found between fracture and smoking, social class and parity. The findings did not vary materially with age or type of fracture., Conclusion: Ever use of oral contraception was not associated with fracture in this study., (Copyright © 2011 Elsevier Inc. All rights reserved.)

After allogeneic stem cell transplantation (SCT), T lymphocyte function is reestablished from the donor's postthymic T cells and through thymic T-cell neogenesis. The immune repertoire and its relation to that of the donor have not been characterized in detail in long-term adult SCT survivors. We studied 21 healthy patients in their second decade after a myeloablative SCT for hematologic malignancy (median follow-up, 12 years). Immune profiles were compared with donor samples cryopreserved at transplant and beyond 10 years from SCT. Only one recipient was on continuing immunosuppression. Compared with the donor at transplant, there was no significant difference in CD4, CD8, natural killer, and B-cell blood counts. However, compared with donors, recipients had significantly fewer naive T cells, lower T-cell receptor excision circle levels, fewer CD4 central memory cells, more effector CD8(+) cells, and more regulatory T cells. TCR repertoire analysis showed no significant difference in complexity of TCRVβ spectratype between recipients and donors, although spectratype profiles had diverged with both gain and loss of donor repertoire peaks in the recipient. In conclusion, long-term allogeneic SCT survivors have subtle defects in their immune profile consistent with defective thymic function but compatible with normal health. This study is registered at http://www.clinicaltrials.gov as NCT00106925.

The present work explores sorption behavior of calix[4]arene based silica resin to remove α and β endosulfan isomers from aqueous solution. The efficiency of resin was checked through both batch and column sorption methods. In both methods, the sorption parameters, i.e. pH, equilibrium time, shaking speed and sorbent dosage were optimized as 2, 60 min, 125 rpm and 50 mg, respectively. Freundlich and Langmuir sorption isotherm models were applied to validate the sorption process. The data obtained in both models reveal that the sorption is favorable. Column sorption data were analyzed through Thomas model to calculate kinetic coefficient k(TH) and maximum sorption capacity q(o) of the resin, which were found to be 6.18 and 5.83 cm(3) mg(-1) min(-1) as well as 1.11 and 1.08 mg g(-1) for α and β endosulfan, respectively. Kinetics of sorption shows that it follows pseudo second order rate equation. The optimized method has also been applied to real water samples and the results show that calix[4]arene based silica resin is an effective sorbent to remove endosulfan from waste waters., (Copyright © 2010 Elsevier B.V. All rights reserved.)

The present study describes synthesis of a new resin through immobilization of p-tert-butylcalix[8]arene onto silica and its application for the removal of azo dyes from aqueous media as well as from textile effluents. The newly synthesized material 4 is characterized by FT-IR spectroscopy, scanning electron microscope (SEM) and thermogravimetric analysis (TGA). Reactive Black-5 (RB-5) and Reactive Red-45 (RR-45) azo dyes were used as sorbate. Batch wise sorption experiments were conducted to optimize various experimental parameters such as the effect of sorbent dosage, electrolyte, pH, dye concentration, and contact time. The optimized pH for the effective removal of RB-5 and RR-45 dyes was 9 and 3, respectively. The increase in material 4 dosage increased the percent sorption. Both Langmuir and Freundlich isotherm models were applied to experimental data and Langmuir isotherm model found to be best fit. The results revealed that material 4 was potentially more effective sorbent for the sorption of selected azo dyes as compared to pure silica and p-tert-butylcalix[8]arene. The field studies also supported the effectiveness of material 4, which could be useful for the removal of both the dyes and also for the normalization of pH, TDS, conductivity and salinity near to the drinking water., (Copyright © 2010 Elsevier B.V. All rights reserved.)

The article describes a convenient method for the modification of Amberlite XAD-4 resin by introducing thio-urea binding sites onto the aromatic rings. The modified (ATU) resin has been employed for the quantitative sorption of fluoride ions in batch as well as column experiments. The parameters (i.e. pH, contact time, etc.) were optimized and desorption of fluoride ions was fulfilled by using 0.01 M HCl solution. The equation isotherms such as Langmuir, Freundlich, Dubinin-Radushkevich (D-R) and Temkin were also successfully applied to model the experimental data. The sorption capacity of the ATU resin was found as 3.286 mmol g(-1). From the D-R isotherm parameters, it has been calculated that the uptake of fluoride ion by ATU resin occurs through ion exchange sorption mechanism. The study will contribute toward the remediation of fluoride polluted areas as well as in the various fields of materials science., (2009 Elsevier B.V. All rights reserved.)

Two beta-cyclodextrin (beta-CD)-based polymers were synthesized using 4,4'-methylene-bis-phenyldiisocyanate (MDI) or hexamethylenediisocyanate (HMDI) as a cross linking agent in dimethylformamide and used as sorbents for the removal of azo dyes (Evans Blue and Chicago Sky Blue), as well as aromatic amines (benzidine, p-chloroaniline and alpha-naphthalamine) from aqueous solutions. The sorption experiments were carried out by using batch-wise procedure involving the determination of pH effect, sorbate concentration and contact time. Moreover, from the equation isotherms such as Langmuir and Freundlich were successfully applied to model the experimental data. From the results polymer 2 was found to be a better sorbent for both azo dyes and the aromatic amines as compared to polymer 1 as proved by Langmuir isotherm model. The proposed sorption mechanism involved several kinds of interactions: physical adsorption, hydrogen bonding and formation of an inclusion complex due to the beta-CD molecules through host-guest interactions.

The present study describes a novel synthetic method for the immobilization of calix[4]arene (II) onto the surface of modified Amberlite XAD-4 resin (4), which does not require the derivatization of calixarene moiety. The novel calix[4]arene based resin (C4 resin) 5 was used as sorbent for the removal of azo dyes. Batch-wise sorption study was carried out and observed that the C4 resin (5) is more effective as compared to compound II as well as pure Amberlite XAD-4 resin (1) to remove the selected dyes [i.e. Reactive Black-5 (RB-5), Reactive Red-45 (RR-45) and Congo Red (CR)]. The effect of sorbent dosage and pH on % sorption was studied. During the extraction process, various kinds of interactions such as electrostatic repulsion, deprotonation of the hydroxyl groups of C4 resin, dissociation of reactive dyes into anions/cations and structural variations were monitored and found that they are highly pH dependent.

Fluoride in drinking water above permissible level is responsible for human being affected by skeletal fluorosis. In this study, Amberlite XAD-4 has been modified by introducing amino group onto the aromatic ring for its application in fluoride remediation. Characterization of the modified resin was made by, FT-IR and elemental analysis (CHNS) techniques. The pH 9 was optimum value for quantitative sorption of fluoride in both batch and column experiments. The desorption of fluoride was achieved by using 10% HCl. The batch and column sorption studies of fluoride with modified resin were carried out to evaluate sorption isotherms too. Thus equation isotherms such as Langmuir, Freundlich, and Dubinin-Radushkevich (D-R) were successfully used to model the experimental data. The sorption capacity of modified Amberlite XAD-4 resin was found as 5.04 x 10(-3) mol g(-1). From the D-R isotherm parameters, it has been evaluated that the uptake of fluoride by modified resin occurs through ion exchange adsorption mechanism. The study will contribute toward the removal of fluoride from the aqueous environment as well as in the field of analytical and environmental chemistry.

The article describes a convenient synthesis and Cr(VI) extraction efficiency of a novel p-tert-butylcalix[8]areneoctamide impregnated Amberlite (XAD-4) resin. Using p-tert-butylcalix[8]arene macrocyclic building block, two strategies have been developed; i.e., derivatization of p-tert-butylcalix[8]arene framework with sophisticated ionophoric groups having efficiency to extract oxoanions from aqueous media and, impregnation of p-tert-butylcalix[8]arene derivative onto the polymeric support. Liquid-liquid and solid-liquid extraction experiments have been performed to evaluate the Cr(VI) extraction efficiency of both p-tert-butylcalix[8]arene derivative and the impregnated resin. From the results, it has been deduced that solid-phase extraction method is more convenient and efficient than liquid-liquid extraction process. The impregnated XAD-4 resin has been found regenerable with better extracting efficiency as compared to the simple p-tert-butylcalix[8]areneoctamide ionophore.

The present study describes the Pb(2+) sorption potential of newly synthesized tetraester calix[4]arene (TC4) based resin from aqueous media. The TC4 resin was synthesized through diazotization reaction of TC4 with Amberlite XAD-4 in the presence of sodium nitrite in acidic medium. The TC4 resin was characterized by using different analytical techniques such as FT-IR, elemental analysis and scanning electron microscopy (SEM). The Pb(2+) removal ability of the resin from the aqueous environment has been evaluated by both batch adsorption as well as column studies. The experiments have been conducted involving the determination of effect of pH, adsorbate concentration, adsorbent dosage, contact time and temperature. Moreover, on the basis of kinetic studies, the pseudo-first-order and pseudo-second-order adsorption kinetics were calculated. The thermodynamic parameters of lead adsorption were also calculated. Equation isotherms such as Langmuir (L), Freundlich (F), and Dubinin-Radushkevich (D-R) were successfully used to model the experimental data. From the D-R isotherm parameters, it was considered that the uptake of Pb(2+) by TC4 resin is ion exchange mechanism. From the results it has been found that the TC4 resin is a versatile adsorbent for the removal of Pb(2+) from the aqueous environment. The study also confers its impact on human health, reinstate of polluted sites and other fields of material science.

Quercetin (3,3',4',5,7-pentahydroxyflavone) one of the most abundant dietary flavonoids, has been investigated in the presence of Cu(II) in methanol. The spectroscopic studies (UV-vis, (1)H NMR and IR) were useful to assess the relevant interaction of Quercetin with Cu(II) ions, the chelation sites and dependence of the complex structure from the metal/ligand ratio. A 1:2 (L:M) complex was indicated by Job's method of continuous variation, which was applied to ascertain the stoichiometric composition of the complex. The antioxidant activities of the compounds were evaluated by using the 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging method. The complexed flavonoid was much more effective free radical scavengers than the free flavonoids.

This paper presents a study on the removal of azo dyes (Reactive Black 5, Trapaeolin 000, Methyl Orange and Direct Violet 51) with calix[n]arene derivatives from aqueous solution into the organic phase in order to explore the potential use of calixarenes as low-cost efficient extractants for wastewater dye removal. The carboxylic acid derivative of calix[8]arene shows highest affinity towards the azo dyes. The influence of NaCl (present in the solution) on extraction process was also studied. The extent of the dye removal increased with the addition of NaCl. The proposed extraction mechanism involves several kinds of interactions: electrostatic repulsion between carboxylic acid groups of calix[8]arenes and sulfonate groups of azo dyes, hydrogen bonding and formation of an inclusion complex due to three dimensional cavity type calix[n]arene molecules through host-guest interactions.

We have previously reported that benzene decreases peripheral white blood cell and platelet counts and specifically lowers subsets of several blood cell types, including CD4+-T cells, B cells, NK cells, and granulocytes. Diminished thymus function has been implicated as a mechanism for CD4+-T cell loss in other conditions such as AIDS by assays of T cell receptor excision circles (TRECs), a marker of naive T cells that have recently emigrated from the thymus. To evaluate alteration of thymic function as a mechanism for benzene's effects on CD4+-T cell counts, we measured total TREC levels in 45 benzene-exposed workers and 45 unexposed controls. There was no significant difference in TREC levels per 10(6) peripheral blood leukocytes in the benzene-exposed workers compared to the controls. Although our study does not rule out counterbalancing alterations of TREC levels in specific T cell subsets, benzene's lymphotoxicity does not appear to be mediated through diminished thymus function.

A hydrogen ion-selective poly(vinyl chloride) (PVC) membrane electrode was developed using p-tert-butylcalix[4]arene-oxacrown-4 as ionophore. Apart from the ionophore, plasticisers and lipophilic anions were blended, in various proportions, with PVC in tetrahydrofurane and mixtures so prepared were poured onto glass surfaces to form the membrane. 2-Nitrophenylpentylether has proved to be the best alternative as plasticiser and the lipophilic anions tried have turned out to have an adverse effect on the pH response. The electrode of the optimum characteristics had a composition of 2% p-tert-butylcalix[4]arene-oxacrown-4, 68.3% o-NPPE and 29.7% PVC. The electrode showed an apparent Nernstian response in the pH range 2-11 with a slope of 54.2+/-0.4mVpH(-1) at 20+/-1 degrees C. It has a rapid potential-response to changes of pH, high ion selectivity towards lithium, sodium and potassium, and other characteristics comparable to those reported for the conventional pH glass membrane electrode. It appears to be a suitable potentiometric indicator electrode specifically for hydrofluoric acid solutions.

An high-performance liquid chromatographic (HPLC) method has been developed for the determination of cisplatin, based on precolumn derivatization of platinum(II) with bis(salicylaldehyde)tetramethylethylenediimine, extraction in chloroform and elution from a 3 microm Hypersil ODS column with methanol-acetonitrile-water as mobile phase and detection at 254 nm. Copper(II), iron(II), nickel(II), palladium(II), dioxouranium(IV) separated completely and did not affect the determination of platinum(II). The method was applied for the determination of cisplatin as platinum(II) in a pharmaceutical preparation and in blood samples of cancer patients after infusion of cisplatin.

Programmed cell death (PCD) has been observed in a wide variety of cell types in response to physiologic signals or types of stress. How these stimuli trigger PCD, and whether there is a common PCD signal transduction pathway, is not clear. As more genes are described that may participate in or regulate PCD, an assay system in which gene products can easily be introduced and/or modulated would be of great value. To avoid the generation and screening of multiple individual stable cell transfectants, a simple transient transfection death assay has been developed. 2B4.11, a murine T cell hybridoma, was transfected by electroporation with a constitutively active beta-galactosidase reporter gene and the cells were incubated in culture medium or with a PCD-inducing stimulus. The amount of beta-galactosidase activity remaining in the intact cells at the end of the culture period represented only viable transfected cells. Bcl-2 was chosen to examine whether this system would be useful to study the effect of transiently transfected genes since it blocks PCD in a number of experimental systems. Consistent with data obtained using stable transfectants, transient expression of Bcl-2 in 2B4.11 completely protected cells from glucocorticoid- and cytotoxic agent-induced PCD. This protection from death was confirmed at the individual cell level by the transient co-expression of a class I Ld surface antigen and flow cytometric analysis. Some of the advantages of the transient transfection death assay described here are; (1) the simple and sensitive beta-galactosidase assay, (2) the rapidity of the assay, (3) the ability to perform conventional viability assays to monitor treatment-induced cytotoxicity, (4) multiple gene products can be tested alone, and in combination, (5) antisense or dominant negative approaches can be used, and (6) the adaptability of this assay system to other cell types, transfection techniques, or reporter and expression vectors. The transient transfection death assay should make it easier to identify and order important steps in the PCD signal transduction pathways.

A simple and rapid method is described for the direct thermometric determination of milligram amounts of methyl dopa, propranolol hydrochloride, 1-phenyl-3-methylpyrazolone (MPP) and 2,3-dimethyl-1-phenylpyrazol-5-one (phenazone) in the presence of excipients. The compounds are reacted with N'-bromosuccinimide and the heat of reaction is used to determine the end-point of the titration. The time required is approximately 2 min, and the accuracy is analytically acceptable.