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[Display omitted] • In-depth analysis of glass/carbon-fiber composites thermochemical behavior. • Thermogravimetry mass spectrometry mimicking composite pyrolytic recycling. • Online mass spectrometric product monitoring at Auger pilot plant scale-up. • Morphological investigation revealed residual occluded coke on the fibers. • Toxicological assessment found low hazardous potential of the recovered fibers. The increasing demand for lightweight materials with exceptional stability and durability has resulted in a significant rise in fiber-reinforced plastic (FRP) production. These materials find applications in various fields. However, the exceptional properties and diverse compositional range of FRPs pose challenges to conventional recycling strategies. Pyrolysis has emerged as a highly promising approach for separating the fibers from the polymer matrix. In this study, we employed thermal analysis coupled with high-resolution mass spectrometry to investigate the pyrolysis process. Representative FRP showed a starting decomposition temperature of 300 °C and bisphenol A, styrene, alkenes, and phenols could be identified. The identified parameters were used to operate a pilot plant with a capacity of up to 50 kg/h FRP, and reactor products were directly analyzed with soft photoionization mass spectrometry. The findings demonstrated good agreement between the pilot plant results and laboratory experiments, particularly for smaller compounds (m / z <2 0 0). The non-condensable fraction showed a range of 17 to 22 MJ/m3 as lower heating value. Analysis of the recovered fibers (diameter between 6.20 and 8.05 μm) revealed residual coke, but no toxic fibers were detected, according to the World Health Organization's definition. Yet, the organic coating of the fibers contained small amounts of potentially harmful PAHs. A toxicological assessment using a multicellular in vitro model confirmed the low hazardous potential of the recovered fibers. The findings contribute to developing sustainable and environmentally friendly recycling strategies for FRP while addressing important aspects related to the safety and toxicological implications of the resulting chemicals and fibers. [ABSTRACT FROM AUTHOR]

In Flanders (Belgium), women not screened for cervical cancer (CC) within the last three years receive an invitation letter from the regional screening organization, the Centre for Cancer Detection (CCD), encouraging them to have a cervical specimen taken by their general practitioner (GP) or gynecologist. However, the coverage for CC screening remains suboptimal (63%). The offer of a self-sampling kit (SSK, for HPV testing) by a GP may trigger participation among women who do not attend regular screening. The ESSAG-trial is a cluster-randomized controlled trial with three arms, each including 1125 women aged 31–64 years, who were not screened for CC in the last 6 years. In arm A, GPs offer a SSK when eligible women consult for any reason. In arm B, women receive a personal GP signed invitation letter including an SSK at their home address. In the control arm, women receive the standard invitation letter from the CCD. The primary outcome is the response rate at three months after inclusion. Secondary outcomes are: screen test positivity; compliance with foreseen follow-up among screen-positives; costs per invited and per screened women; as well as contrasts between trial arms and between socio-demographic categories. The ESSAG-trial will assess the effect of GP-based interventions using SSKs on CC screening participation among hard-to-reach populations. Findings will inform policymakers about feasible strategies on increasing CC screening that may be rolled-out throughout the whole region. ClinicalTrials.gov : NCT05656976 [ABSTRACT FROM AUTHOR]

Objective: The objective is to investigate tumour prognostic factors versus breast density in screen-detected cancers and interval cancers. The results may highlight the need for more personalised screening protocols based on breast density in organized screening programmes.Study Design: A retrospective study was performed of tumour characteristics of screen-detected cancers (n=468) and interval cancers (n=515) of 983 women who participated in the Flemish Breast Cancer Screening Programme in 2009-2010. Breast density was obtained from the screening programme data. Information on nodal invasion and histological grading was taken from the Belgian Cancer Registry. Tumour size and proliferation and receptor expression status were retrieved from pathology reports. The differences in tumour characteristics between screen-detected and interval cancers as well as the variation in these variables with breast density in both groups were studied by logistic regression.Results: A comparison of tumour characteristics between screen-detected cancers and interval cancers systematically showed features of more aggressive tumours in interval cancers: larger tumour size, nodal invasion, grade 3 tumours, and hormone receptor negative phenotype (p<0.05). The analysis of tumour characteristics versus breast density in screen-detected cancers showed higher numbers of aggressive grade 3 tumours in low-density breasts and of the luminal A subtype with good prognosis in high-density breasts (p<0.05). This analysis for interval cancers highlights a high proportion of the difficult-to-treat triple-negative subtype in low-density breasts compared with high-density breasts. In conclusion, the study data support arguments against changes in breast cancer screening programmes with prolongation of screening intervals in low-density breasts. [ABSTRACT FROM AUTHOR]

Summary: Aim of the study: The admission blood glucose level after cardiac arrest is predictive of outcome. However the blood glucose levels in the post-resuscitation period, that are optimal remains a matter of debate. We wanted to assess an association between blood glucose levels at 12h after restoration of spontaneous circulation and neurological recovery over 6 months. Materials and methods: A total of 234 patients from a multi-centre trial examining the effect of mild hypothermia on neurological outcome were included. According to the serum glucose level at 12h after restoration of spontaneous circulation, quartiles (Q) were generated: Median (range) glucose concentrations were for QI 100 (67–115mg/dl), QII 130 (116–143mg/dl), QIII 162 (144–193mg/dl) and QIV 265 (194–464mg/dl). Results: In univariate analysis there was a strong non-linear association between blood glucose and good neurological outcome (odds ratio compared to QIV): QI 8.05 (3.03–21.4), QII 13.41 (4.9–36.67), QIII 1.88 (0.67–5.26). After adjustment for sex, age, “no-flow” and “low-flow” time, adrenaline (epinephrine) dose, history of coronary artery disease and myocardial infarction, and therapeutic hypothermia, this association still remained strong: QI 4.55 (1.28–16.12), QII 13.02 (3.29–49.9), QIII 1.37 (0.38–5.64). Conclusion: There is a strong non-linear association of survival with good neurological outcome and blood glucose levels 12h after cardiac arrest even after adjusting for potential confounders. Not only strict normoglycaemia, but also blood glucose levels from 116 to 143mg/dl were correlated with survival and good neurological outcome, which might have an important therapeutic implication. [Copyright &y& Elsevier]