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We present a hybrid device platform for creating an electrically reconfigurable metasurface formed by the integration of plasmonic nanostructures with phase-change material germanium antimony telluride (GST). By changing the phase of GST from amorphous to crystalline through Joule heating, a large range of responses from the metasurface can be achieved. Furthermore, by using the intermediate phases of GST, the metasurface can interact with the incident light in both over-coupling and under-coupling regimes, leading to an inherently broadband response. Through a detailed investigation of the nature of the fundamental modes, we demonstrate that changing the crystalline phase of the GST at the pixel-level enables an effective control over the key properties (i.e., amplitude, phase, and polarization) of incident light. This leads to the realization of a broadband electrically tunable multifunctional metadevice enabling beam switching, focusing, steering, and polarization conversion. Such a hybrid structure offers a high-speed, broadband, and nonvolatile reconfigurable paradigm for electrically programmable optical devices such as switches, holograms, and polarimeters.

Nonlinear metasurfaces with high conversion efficiencies have been vastly investigated. However, strong dynamic tunability of such devices is limited in conventional passive plasmonic and dielectric material platforms. Germanium antimony telluride (GST) is a promising phase-change chalcogenide for the reconfiguration of metamaterials due to strong nonvolatile changes of the real and imaginary parts of the refraction index through amorphous-crystalline phase change. The orderly structured GST has an even higher potential in tunable second-harmonic generation (SHG) with a non-centrosymmetric crystal structure at the crystalline phase, while the amorphous phase of GST does not exhibit bulk second-order nonlinearity. Here, we experimentally demonstrate SHG switches by actively controlling the crystalline phase of GST for a GST-based hybrid metasurface featuring a gap-surface plasmon resonance, and a quarter-wave asymmetric Fabry–Perot (F–P) cavity incorporating GST. We obtain SHG switches with modulation depths as high as ∼ 20 dB for the wavelengths at the on-state resonance. We also demonstrate the feasibility of multi-level SHG modulation by leveraging three controlled GST phases, i.e., amorphous, semi-crystalline, and crystalline, for the gap-surface plasmon hybrid device, which features stronger light–matter interaction and has higher resonant SHG efficiencies than the asymmetric F–P cavity device at respective GST phases. This research reveals that GST-based dynamic SHG switches can be potentially employed in practical applications, such as microscopy, optical communication, and photonic computing in the nonlinear regime.

Rapidly growing demands for high-performance computing, powerful data processing, and big data necessitate the advent of novel optical devices to perform demanding computing processes effectively. Due to its unprecedented growth in the past two decades, the field of meta-optics offers a viable solution for spatially, spectrally, and/or even temporally sculpting amplitude, phase, polarization, and/or dispersion of optical wavefronts. In this review, we discuss state-of-the-art developments, as well as emerging trends, in computational metastructures as disruptive platforms for spatial optical analog computation. Two fundamental approaches based on general concepts of spatial Fourier transformation and Green’s function (GF) are discussed in detail. Moreover, numerical investigations and experimental demonstrations of computational optical surfaces and metastructures for solving a diverse set of mathematical problems (e.g., integrodifferentiation and convolution equations) necessary for on-demand information processing (e.g., edge detection) are reviewed. Finally, we explore the current challenges and the potential resolutions in computational meta-optics followed by our perspective on future research directions and possible developments in this promising area.

Nanophotonics has garnered intensive attention due to its unique capabilities in molding the flow of light in the subwavelength regime. Metasurfaces (MSs) and photonic integrated circuits (PICs) enable the realization of mass-producible, cost-effective, and efficient flat optical components for imaging, sensing, and communications. In order to enable nanophotonics with multipurpose functionalities, chalcogenide phase-change materials (PCMs) have been introduced as a promising platform for tunable and reconfigurable nanophotonic frameworks. Integration of non-volatile chalcogenide PCMs with unique properties such as drastic optical contrasts, fast switching speeds, and long-term stability grants substantial reconfiguration to the more conventional static nanophotonic platforms. In this review, we discuss state-of-the-art developments as well as emerging trends in tunable MSs and PICs using chalcogenide PCMs. We outline the unique material properties, structural transformation, and thermo-optic effects of well-established classes of chalcogenide PCMs. The emerging deep learning-based approaches for the optimization of reconfigurable MSs and the analysis of light-matter interactions are also discussed. The review is concluded by discussing existing challenges in the realization of adjustable nanophotonics and a perspective on the possible developments in this promising area.

The phase matching between the propagating fundamental and nonlinearly generated waves plays an important role in the efficiency of the nonlinear frequency conversion in macroscopic crystals. However, in nanoscale samples, such as nanoplasmonic structures, the phase-matching condition is often ignored due to the sub-wavelength nature of the materials. Here, we first show that the phase matching of the lattice plasmon modes at the fundamental and second-harmonic frequencies in a plasmonic nanoantenna array can effectively enhance the surface-enhanced second-harmonic generation. Additionally, a significant enhancement of the second-harmonic generation is demonstrated using stationary band-edge lattice plasmon modes with zero phase.

Abstract When studying the working memory (WM), the ‘slot model’ and the ‘resource model’ are two main theories used to describe how information retention occurs. The slot model shows that WM capacity consists of a certain number of predefined slots available for information storage. This theory explains that there is a binary condition during information recall in which information is either wholly maintained within a slot or forgotten. The resource model has a resolution-based approach, suggesting a continuous resource able to be distributed among a number of items in WM capacity. Recently hybrid models have been introduced, suggesting that WM may not strictly conform to only one model. Accordingly, to understand the relationship between two of the most widely used paradigms in WM evaluation, we implemented a correlational assessment in two different psychophysics tasks, an analog recall paradigm with sequential bar presentation and a delayed match-to-sample (DMS) task with checkerboard stimuli. Our study revealed significant correlations between WM performance in the DMS task and recall error, precision, and sources of errors in the sequential paradigm. Overall, the findings emphasize the importance of considering both tasks in understanding WM processes, as they shed light on the debate between the slot and resource models by revealing overlapping elements in both theories and the tasks used to evaluate WM capacity.

Abstract Background Kinase-impaired class III BRAF mutations have recently received attention as a possible prognostic factor and therapeutic target. Class III BRAF variants differ from class I and class II mutations in terms of mechanism of pathway activation and therapeutic vulnerabilities. Genomic landscape analyses of tumors in large real-world cohorts represent a great opportunity to further characterize tumor-related molecular events and treatment vulnerabilities, however, such data is not yet available for tumors with BRAF class III mutations. Methods We investigated the pan-cancer genomic landscape of BRAF class III mutations in 376,302 patients. Patients had comprehensive genomic profiling either by FoundationOne® or FoundationOne®CDx from formalin-fixed, paraffin embedded tissue biopsies. 2 patient cases that harbored BRAF class III mutations who demonstrated dramatic response to anti-EGFR treatment were presented. Results BRAF class III mutations are likely to co-occur with RAF1, NRAS and HRAS alterations, while concomitant KRAS alterations were rare. Moreover, we found that alterations that predict resistance to anti-EGFR agents were significantly less common in tumors harboring BRAF class III mutations, which is of great importance as anti-EGFR therapies are a potential targeted treatment option in these tumors. Discussion Our findings suggest a heterogenous interplay of oncogenic alterations in BRAF class III mutated tumors and have important implications for the molecular mechanisms of carcinogenesis while revealing potential therapeutic vulnerabilities. Highlights Tumors harboring BRAF class III (BRAF vIII) mutations comprise a novel subset with distinct genomic heterogeneity. BRAF vIII mutations may sensitize tumors to anti-EGFR treatments. BRAF vIII alterations show significantly less co-occurrence with alterations that predict resistance to anti-EGFR agents. Rare tumors with limited therapy options should be screened for BRAF vIII mutations as they may benefit from anti-EGFR agents.

Abstract We demonstrate two general classes of magnetophoretic transistors, called the “trap” and the “repel-and-collect” transistors, capable of switching single magnetically labeled cells and magnetic particles between different paths in a microfluidic chamber. Compared with prior work on magnetophoretic transistors operating in a two-dimensional in-plane rotating field, the use of a tri-axial magnetic field has the fundamental advantages of preventing particle cluster formation and better syncing of single particles with the general operating clock. We use finite element methods to investigate the energy distribution on the chip surface and to predict the particle behavior at various device geometries. We then fabricate the proposed transistors and compare the experimental results with the simulation predictions. We found that with gate electrical currents of ~ 40 mA for a transistor with proper geometry, complete switching of magnetic particles with diameters in the range of 8–15 μm is achieved. We show that the device is reliable and works well at different magnetic field strengths (50–100 Oe) and frequencies (0.05–0.5 Hz). We also employed an image processing code with a trained convolutional neural network to automate the proposed transistors for identifying and sorting particles with various sizes and magnetic susceptibilities with accuracies higher than 98%. The proposed transistors can be used in designing novel magnetophoretic circuits for important applications in biomedical microdevices and single-cell biology.

Foodborne diseases are a significant global public health concern due to their high prevalence, mortality, and economic losses. The aim of this study was to conduct a systematic review of identified foodborne pathogens and outbreaks in Iran over the past 23 years to provide an overview of the risk assessment and prevention approaches in the country. Using appropriate keywords and searching major databases, such as ScienceDirect, Scopus, PubMed, Google Scholar, and the Iranian Scientific Knowledge Database, we initially identified 4,740 articles. Finally, 328 articles were selected for evaluation. Among these articles, publications on Salmonella, Staphylococcus aureus, and Listeria were the most numerous. Poultry meat was found to be the main source of major foodborne pathogens in Iran, including Campylobacter (46.21%), Listeria monocytogenes (38.45), Salmonella (24.83%), and Yersinia enterocolitica (16.81%). Given the high prevalence of foodborne bacteria in Iranian foods, it is crucial to implement effective control measures to reduce the risk and burden of foodborne diseases. In particular, poultry meat, which poses a high risk for the occurrence of foodborne diseases in Iran, should be subjected to further risk assessment and control measures throughout the food chain.

There is currently no effective treatment strategy for recurrent/metastatic adenoid cystic carcinoma (R/M ACC). Furthermore, recent single-agent and combination immunotherapy trials have failed in unselected ACC cohorts, unlike non-ACC salivary gland cancers. Genomic profiling revealed no actionable targets but NOTCH1 and KDM6A frameshift and CTCF splice site mutations (no MYB/L fusion) with a low tumor mutational burden (TMB), microsatellite stable (MSS) and negative programmed death ligand 1 (PD-L1) were observed. We recommended an anti-programmed cell death protein 1 (anti-PD-1) plus anti-Cytotoxic T-lymphocyte-associated protein 4 (anti-CTLA-4) combination based on TMB 2-fold greater-than-median TMB in ACC, tumor harboring multiple immunogenic frameshift or splice site mutations, and PD-L1 negativity. Accordingly, we achieved a complete response in a radiotherapy (RT) and chemotherapy (CT)-refractory patient with locally recurrent lacrimal gland (LG) ACC and lung metastasis following personalized immunotherapy in combination with integrative therapeutics. Therefore, it is crucial to assess not only conventional immune biomarkers but also patient-specific parameters, especially in “immune-cold” cancer types.

Abstract Background In goat kids, choosing the appropriate age to administer the first dose of goat pox disease (GTP) vaccine requires knowing when maternal antibody decline concentrations. Objective Determine the persistence of maternal antibodies against goat pox virus (GTPV) in goat kids. Animals Twenty Saanen goat kids from birth to 120 days old. Methods In 2 groups, including: control (receiving colostrum from nonvaccinated does) and treatment (receiving colostrum from vaccinated does). On zero, 3, 7, 14, 21, 28, 42, 56, 70, 100 and 120 days after the birth, virus neutralization test was used to measure the serum concentration of antibodies against GTPV. Results At the age of 56 days, the first seronegative goat kids (n = 2) were recorded in the treatment group. At the age of 120 days, all the goat kids in the treatment group were seronegative. The average virus neutralization index (VNI) of the goat kids became negative at the age of 100 to 120 days. All goat kids in the control group were negative at all times. Conclusions and Clinical Importance One hundred to 120 days of the age seems to be the time to administer the first GTP vaccine in the goat kids with passive immunity against goat pox.

Summary: Introduction: Multiple Sclerosis (MS) is an immune-mediated central nervous system disorder, often accompanied by fatigue, which can be an initial symptom. Cocoa, rich in antioxidants like flavonoids, has previously reduced fatigue in chronic fatigue syndrome patients. This study aimed to assess cocoa's impact on fatigue in patients with relapsing-remitting MS (RRMS). Methods: This study was a double-blind, parallel placebo-controlled trial in patients with RRMS. A total number of 60 patients entered the study and were divided into intervention and control groups. The intervention group consumed 25 grams of cocoa daily, split into two 12.5-gram sachets, while the placebo group received 2.5 grams daily. Modified fatigue impact scale (MFIS) and Fatigue severity scale (FSS) questionnaires were filled at baseline, week 4, and week 8. Results: No significant changes were observed in FSS (P = 0.90) and MFIS (P = 0.37) during the interventions. No significant differences were observed in the questionnaire score changes between the two groups, except for the FSS decrease in the second four weeks (P < 0.05). FSS and MFIS were significantly correlated during different assessment times (P < 0.05). Both MFIS and FSS scores were correlated with Beck's depression inventory score. Conclusions: We indicated that FSS changed significantly after cocoa consumption in patients with RRMS. The FSS score of the cocoa group continued to decrease during the subsequent four weeks, unlike the placebo group. It appears that cocoa primarily affects physical fatigue rather than psychosocial or cognitive fatigue. While these results align with some prior studies, further research on larger populations is necessary to confirm these findings.

Objectives: The present study compared respiratory parameters between the two methods of airwayestablishment, ETT and LMA, for patients scheduled for orthopedic surgery with general anesthesia.Methods: This randomized double-blinded clinical trial was conducted on patients scheduled for electiveorthopedic surgery under general anesthesia, in Bandar Abbas, Iran, from January 2021 to December 2021.Using a random allocation table, the study participants were randomly divided into two groups, to employeither ETT (n=48) or LMA insertion (n=48). The study’s ultimate goal was to assess the respiratory parametersin 1, 3, 5, 10, and 15 minutes following intubation.Results: At all-time points, the average of peak airway pressure (P peak) and P plateau parameters in theETT group was much higher than the EMA group (p0.05).Conclusion: In terms of arterial oxygen saturation stability and at the same time providing respiratory dynamiccompliance, the LMA device outperformed the ETT.

Abstract The objective of this study was to synthesize a novel antibacterial and anticancer nanoformulation using aloe vera-derived carbon quantum dots (Cdot) and chromium-doped alumina nanoparticles (Al2O3:Cr/Cdot NPs) via a sol–gel method. X-ray diffraction (XRD) analysis confirmed crystalline NPs with a size range of 10–12 nm, while energy-dispersive X-ray spectroscopy (EDS) revealed their elemental composition without impurities. Fourier-transform infrared spectroscopy (FT-IR) indicated strong interactions between Cdot and Al2O3:Cr NPs, forming a robust heterostructure. Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) images provided visual confirmation of monodisperse, spherical NPs, ensuring uniformity for further applications. Evaluation of reactive oxygen species (ROS) demonstrated superior generation of singlet oxygen and hydroxyl radicals by Al2O3:Cr/Cdot NPs, essential for photodynamic therapy. Minimum inhibitory concentration (MIC) tests revealed potent antibacterial activity against drug-resistant bacteria, inhibiting biofilm formation by 89% and 95% for MRSA and P. aeruginosa PAO1, respectively. Furthermore, the anticancer activity of Al2O3:Cr/Cdot NPs was assessed using C26 cells, demonstrating enhanced cytotoxicity upon UVA exposure. The NPs exhibited an inhibitory concentration (IC50) of 20 μg/mL without UVA exposure, decreasing to 10 μg/mL with UVA exposure, highlighting the synergistic effect of UVA light in enhancing cytotoxicity. Overall, these findings underscore the significant potential of Al2O3:Cr/Cdot NPs as multifunctional agents for addressing drug-resistant bacteria and advancing cancer therapy, offering promising avenues for nanomedicine research and development.

Abstract Aromatic compounds are known anti-amyloid aggregates. Their effect on amorphous aggregates of proteins is, however, less studied. We chose aromatic amino acids Trp, Tyr, and Phe, as well as another known stabilizer (i.e. Arg), as potential compatible solvents to be tested on Bacillus amyloliquefaciens alpha-amylase (BAA). Among these additives, Phe was the only one to be effective on the thermal inactivation and amorphous aggregation of BAA, while preserving its intrinsic activity. A concentration of 50 mM Phe was used to test its potential in counteracting the deleterious effect of BAA amorphous aggregates in vivo. After 21 days of daily subcutaneous injections of the native enzyme to mice, amorphous aggregates of BAA, as well as aggregates produced in presence of 50 mM Phe, the tissues located at the site of injection were studied histologically. Amorphous aggregates caused an increase in macrophages and lipid droplets. Serum levels of IL6 and TNF-α were also accordingly elevated and indicative of an inflammation state. Aggregates also resulted into increased levels of glucose, triglycerides and cholesterol, as well as liver enzymes SGOT and SGPT. On the other hand, the presence of Phe prevented this exacerbated inflammatory state and the subsequent impairment of biochemical parameters. In conclusion, Phe is an interesting compound for both stabilizing proteins and counteracting the pathological effect of amorphous aggregates.

Working memory plays an important role in learning since it serves as the buffer between past sensations and future behavior, making it essential to understand not only how we encode and recall sensory information in memory but also how we plan for its upcoming use. This study examined the effect of working memory training on vocabulary recall and retention of Iranian EFL learners using the dual N-back task technique. N-back requires the individual to remember an item that was presented a certain number of items previously. To this end, 50 EFL learners were randomly assigned to the experimental (n = 25) and control (n = 25) groups. The participants were taught 100 English words in 20 sessions. In each session, the experimental group also received a dual n-back task. After the treatment, immediate and delayed vocabulary posttests were administered. The obtained data were analyzed through two-way repeated-measures ANOVA and independent samples "t"-tests. The results showed that the experimental group outperformed the control group in target words' recall and retention.

To determine the incidence and risk factors of nephrocalcinosis in preterm infants, we studied in a prospectively 64 preterm infants of birth weight :5 1500 g from February 2006 to November 2007. Data were collected on gestation, birth weight, gender and family history of renal calculi, respiratory support, and use of nephrotoxic drugs. The parameters of mineral meta-bolism were assessed in blood and spot urine samples at the end of 2 nd and 4 th weeks of age. Forty-nine babies completed the study, and nephrocalcinosis was observed in 13 (26.5%) babies and was bilateral in 7 (14.3%) infants. The mean age of diagnosis of nephrocalcinosis was 52.58 days (range 30-123 days). Gestational age, birth weight, and sex were not significantly associated with increased risk of nephrocalcinosis. The mean duration of ventilation was significantly less in babies with than without nephrocalcinosis (P= 0.020), and the mean levels of urine calcium and phosphate at 4 weeks of age, respectively (P= 0.013, P= 0.048). There were also significant diffe-rences in urine calcium/creatinine ratio (P= 0.001), mean plasma levels of calcium at 2 weeks of age (P= 0.047) and plasma levels of phosphate at 4 weeks of age (P= 0.016) between babies with and without nephrocalcinosis. Using logistic regression analysis, family history of renal stone (P= 0.002) and urine calcium/creatinine ratio (P= 0.011) were significant predictors of nephrocalci-nosis. However, there were no significant differences in the length of stay in the intensive care unit, duration of total parenteral nutrition, and duration and cumulative doses of nephrotoxic drugs between these two groups. We conclude that the incidence of nephrocalcinosis was similar in our population to the previous studies. Family history of renal stone and urine calcium/ creatinine ratio are the major risk factors of nephrocalcinosis in very low birth weight neonates.

Post transplant lymphoproliferative disorders (PTLD) are a heterogeneous group of lymphoid proliferation that ranges from polyclonal hyperplasia to monoclonal malignant lym-phoma. We report a 13-year-old boy who was diagnosed with PTLD in February 2007 after 3 1/2 years of deceased renal transplantation. We treated him with an adapted ACVBP (doxorubicin, cyclo-phosphamide, vincristine, bleomycin and prednisone) regimen. He responded well to the chemo-therapy without deterioration of graft function.

Statement of problem: The effect of mouth washes on discolouration of dental ceramics with different surface preparations is not well documented. Objectives: This in-vitro study has been conducted to evaluate the effect of chlorhexidine (CHX) mouth rinse on colour stability of overglazed (OP), autoglazed, (AP) or polished porcelain (POP) specimens. Materials and Methods: The restorative material investigated in this study was overglazed, autoglazed, or polished feldspathic porcelain. A total of 48 cylandrical specimens were prepared, (n=16 per each group). After baseline colour measurements, for a period of14 days 8 specimens of each group were immersed in 15 ml of 0.2% chlorhexidine mouth rinse twice daily for 2 min. After each immersion, the specimens were washed and stored in artificial saliva. Half of the specimens from each group were selected randomly as controls and stored in artificial saliva that was changed daily. The colour change (ΔE) of the specimens was measured by a spectrophotometer device. Data were statistically analyzed using 2-Way ANOVA followed by Tukey test Results: All the specimens displayed colour changes after immersion in chlorhexidine mouth rinse. POP specimens exhibited more colour change compared to AP and OP specimens (P=0.001). AP and OP specimens showed relatively the same colour change which was not significant compared to the control groups (P=0.9). Conclusion: Auto-glazed and over-glazed porcelain can tolerate chlorhexidine mouth rinse better than polished porcelain. However the colour changes of the ceramic with three different surface preparations were not perceivable clinically.

Background & Objectives: The use of reporting guidelines aims to enhance the completeness and transparency of biomedical publications. The CARE guideline was developed in 2013 to assist researchers in improving the reporting of their case reports. In this study, drawing on evidence from studies that have evaluated the reporting quality of case reports based on the CARE guideline, we aim to conduct a scoping review focusing on the state-of-the-art adherence to the CARE guidelines in case reports and identifying factors associated with adherence to this guideline. Materials & Methods: The protocol for this scoping review follows the Arksey and O’Malley framework. We searched for meta-research studies indexed in four databases (Web of Science, PubMed, Embase, and Scopus) from 2013 to 2023, for studies primarily aimed at evaluating the reporting quality of case reports based on the CARE guidelines. Study selection was performed in duplicate. This study report followed the PRISMA-ScR. Results: Our database searches retrieved 35 studies, of which 14 were included for full-text analysis. The publication rate has increased sharply in recent years; seven articles (50%) were published in 2020 and 2021. Further analysis is in progress and scheduled for completion by July 2024. Conclusions: By conducting this scoping review, we attempted to gain a comprehensive and in-depth understanding of the quality of case reports based on the CARE guideline, identify gaps, and provide recommendations for the more efficient and meaningful use of the CARE reporting guideline in the future.

Background: Functional abdominal bloating (FAB) is a subjective sensation of increased abdominal pressure. Musculoskeletal factors may be related to functional abdominal bloating, but this association has not been investigated. The present study compares trunk-related musculoskeletal factors (spinal alignment and abdominal muscle function) in females with and without FAB. Methods: This is a protocol study of a case-control study that will be conducted in females with (n=45) and without FAB (n=45), aged 18-60 years. A specially designed load cell setup and a flexicurve ruler will be used for the measurements of static abdominal muscle force and endurance, thoracic kyphosis, and lumbar lordosis, respectively. Additionally, skeletal muscle mass will be measured using body composition analysis. Depending on data distribution, an independent t-test or Mann-Whitney test will be used to determine differences in variables between the two groups. A multiple logistic regression will be used to investigate the adjusted associations of the trunk-related musculoskeletal variables and associations of the trunk-related musculoskeletal variables with functional abdominal bloating.

Abstract Background Choriocarcinoma is a rare and highly malignant form of gestational trophoblastic disease that may develop following pregnancy, abortion, or a hydatiform mole. Renal metastatic involvement by post molar choriocarcinoma is even rarer. In this case report, we describe a unique case of post molar choriocarcinoma with a solitary renal metastasis in the absence of a primary uterine tumor and metastases in other sites, which presented with urological symptoms and spontaneous renal hemorrhage. Case presentation A 41-year-old Persian woman with history of complete hydatiform mole presented with severe flank pain, nausea, vomiting, gross hematuria, and vaginal bleeding. Laboratory tests demonstrated a serum beta human chorionic gonadotropin hormone level of 60,000 mIU/mL. Imaging studies showed a lesion at the lower pole of the left kidney with active bleeding surrounded by hematoma, as well as an empty uterine cavity. Additionally, bilateral pleural effusion was detected without any lesion within the lungs. Subsequently, the patient underwent laparotomy, partial nephrectomy, and left para-ovarian cystectomy. Endometrial curettage was also carried out. The histopathology report revealed choriocarcinoma renal metastasis with high expression of beta human chorionic gonadotropin, cytokeratin 7, and Ki 67. Moreover, there were no malignant cells in the endometrial curettage specimens, and a corpus luteum cyst was found within the para-ovarian cyst. Further investigations revealed that the pleural effusion was free of malignant cells, and there was no evidence of metastatic lesions in the brain. As a result, the patient was referred to the oncology department to receive chemotherapy, and the beta human chorionic gonadotropin levels dropped to 5 mIU/mL after receiving courses of a standard regimen of etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine/oncovin over 3 weeks. Finally, monthly measurements of beta human chorionic gonadotropin levels for 6 months indicated that levels have constantly remained within normal ranges, showing no evidence of recurrence or new metastasis. Conclusions Urological symptoms such as hematuria or spontaneous renal hemorrhage might be the only presentation of post molar choriocarcinoma with renal involvement. Thus, it can be beneficial to measure serum beta human chorionic gonadotropin levels among females of childbearing age who present with unexplained urological symptoms, especially if there is a history of prior hydatiform mole.

This research has dealt with the simulation of liquid nitrogen cavitation inside a convergent nozzle. This is important in cryogenic industrial applications. So in this study, computational fluid dynamics methods have been used for simulating the cavitation phenomenon. The Two-phase model in this research has been a hybrid/mixed model. Also, k- ε turbulence model has been employed in realizable state. For meshing the nozzle geometry, Gambit software has been used, while for numerical simulation, Ansys Fluent software has been employed. For simulation of cavitation, Schnerr and Sauer cavitation model has been utilized. This research has also examined the effect of changing the nozzle outlet diameter and the impact of changing the pressure difference in the inlet and outlet of the nozzle on the cavitation. As a novelty and unlike what would have been expected based on the Bernoulli effect, the results obtained from the simulation showed that the increase/decrease in the nozzle's outlet diameter resulted in an enhanced/diminished extent of cavitation in the nozzle's outlet region. Also, the increase/decrease of the pressure difference in the input and output of the nozzle would lead to a higher/lower extent of cavitation. This research also found that the effect of altering the nozzle's outlet diameter on the extent of cavitation has been far higher than the effect of changing pressure difference in its inlet and outlet. The results also indicated that upon reduction of the nozzle's outlet diameter from the base state (1.02 mm) by 10, 20, 30, 40, and 50 %, the volume fraction of the vapor diminished by 22.23, 43.029, 60.66, 74.73, and 87.16 % respectively. Finally, with the increase in the nozzle's outlet diameter from the base state (1.02 mm) by 10, 20, 30, 40, and 50 %, the volume fraction of the vapor increased by 26.83, 55.27, 84.47, 117.12, and 149.31 % respectively.

BackgroundMetastatic colon adenocarcinoma presents significant challenges in treatment, particularly when resistant to standard therapies. Precision oncology, guided by multidisciplinary tumor boards (MTBs), offers a promising way for individualized therapeutic approaches. Integration of comprehensive genomic profiling (CGP) and minimal residual disease (MRD) testing strengthens treatment decision-making, yet challenges persist in identifying and overcoming resistance mechanisms. FLT3 amplification can be one of those resistance/escape mechanisms that needs to be targeted.Case presentationThis case report presents a 58-year-old male diagnosed with metastatic colon adenocarcinoma with liver metastasis, resistant to conventional treatments. Utilizing CGP and MRD testing, our multidisciplinary MTB identified a complex mutational profile, including APC, DAXX, TP53 mutations, and CDK8 and FLT3 amplifications. With a tumor mutational burden of 10 muts/mb and TPS, CPS scores of 0, immunotherapy was considered, employing dual immune checkpoint inhibitors alongside mebendazole and Lenvatinib targeting the WNT and VEGF/angiogenesis pathways. MRD testing revealed early treatment failure. Re-evaluation identified high copied FLT3 amplification (62 copies) as a resistance mechanism, prompting modification to incorporate sorafenib and dual immunotherapy with mebendazole. Subsequent MRD assessments and radiological scans demonstrated a remarkable therapeutic response, with sustained efficacy and absence of detectable residual disease.ConclusionThis case highlights the successful application of precision oncology principles, facilitated by dynamic MTB-guided treatment strategies. Integration of MRD testing provided early detection of treatment inefficacy, allowing for timely intervention and adaptation of the treatment plan. Additionally, the case highlights the educational value of rare molecular alterations, emphasizing continual learning and refinement of treatment approaches in precision oncology.

Water has been considered one of the most important human needs since the beginning of human existence. This experimental study investigates the impact of utilizing hybrid nanomaterials (Fe3O4 + Graphene oxide) in phase change material (NPCM) under consideration of magnetic field on the production of a uniquely designed stepped solar still. The major aim of this research is to compare three different geometric hybrid NPCM chambers’ performance on the daily production of the stepped solar still. So 4 cases of experiments have been set and performed, namely, stepped solar still 1. Without NPCM, 2. With rectangular hybrid NPCM chambers, 3. With triangular hybrid NPCM chambers, and 4. With semi-circular hybrid NPCM chambers. To add the hours of the distillation process after sunset, the hybrid NPCM was applied. Cases 2 to 4 were experimented with under the permanent magnetic field, too. The daily productivity of Case 1, Case 2, Case 3, and Case 4 without magnetic field were 900 ml/day, 1580 ml/day, 1663 ml/day, and 1730 ml/day, respectively. The outputs indicated that Case 4 had the best accomplishment among all experiment cases. Case 4 of the experiment under the magnetic field yielded the highest daily efficiency of 15.6 %, whereas Case 1 only achieved 7 %. The daily productivity of the stepped solar still with semi-circular NPCM chamber, triangular NPCM chamber, and rectangular NPCM chamber has been enhanced by 92 %, 85 %, and 75 % without magnetic field and 131 %, 113 %, and 100 % under permanent magnetic field, respectively.

Background Appropriate treatment reduces the severity and duration of relapses in demyelinating diseases of Central Nervous System (CNS). If high-dose corticosteroids treatment fails, therapeutic plasma exchange (TPE) is considered as a rescue treatment. Objectives This study aimed to investigate early clinical response and complications of TPE and prognostic factors in CNS demyelinating relapses. Design This prospective observational study was designed in a tertiary center during one year. Methods All adult patients diagnosed corticosteroid-resistant Multiple Sclerosis (MS), NeuroMyelitis Optica Spectrum Disorder (NMOSD), idiotypic Transverse Myelitis or Clinical Isolated Syndrome relapses, were eligible. Clinical response is defined based on Expanded Disability Status Scale (EDSS) at discharge. Clinical and laboratory complications recorded. Results Seventy-two patients were analyzed which 58.3% patients were female. MS was diagnosed for 61.1% of cases. Thirty-five patients (48.6%) responded and the mean differences of EDSS significantly decreased 0.60 score (CI95%:0.44-.77). Electrolyte imbalances and thrombocytopenia occurred in 80.6% and 55.6% of cases respectively and 40.3% of patients had systemic reactions. However, 26.4% patients experienced moderate to severe complications. In patients with moderate to severe disability, responders were younger (MD: 8.42 years, CI95%: 1.67-15.17) and had lower EDSS score at admission (median:6, IQR: 5.5-6 against 7.5 IQR: 6.5-8). The risk of failure was higher in active progressive MS patients compared with RRMS patients (OR: 6.06, CI 95%:1.37-26.76). Patients with thrombocytopenia were hospitalized more than others (MD: 1.5 days, CI 95%: 0-3). Females were more prone to hypokalemia and systemic reactions (OR: 3.11, CI 95%:1.17-8.24 and OR: 6.67, CI 95%:2.14-20.81 respectively). Conclusion The most common indication of TPE was corticosteroid-resistant severe MS relapses. About half of the patients presented an early clinical response. Lower disability, younger age and RRMS diagnosis are prognostic factors of better response. One out of four patients experienced moderate to severe complications, mainly electrolyte imbalances and systemic reactions. Appropriate interventions against these complications should be considered during TPE, especially in females.