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Platelets, the often-overlooked component of the immune system, have been shown to promote tumor growth. Non-alcoholic fatty liver disease (NAFLD) is a common disease in the Western world and rising risk for hepatocellular carcinoma (HCC). Unexpectedly, we observed that platelets can inhibit the growth of established HCC in NAFLD mice. Through pharmacological inhibition and genetic depletion of P2Y12 as well as in vivo transfusion of wild-type (WT) or CD40L -/- platelets, we demonstrate that the anti-tumor function of platelets is mediated through P2Y12-dependent CD40L release, which leads to CD8 + T cell activation by the CD40 receptor. Unlike P2Y12 inhibition, blocking platelets with aspirin does not prevent platelet CD40L release nor accelerate HCC in NAFLD mice. Similar findings were observed in liver metastasis models. All together, our study reveals a complex role of platelets in tumor regulation. Anti-platelet treatment without inhibiting CD40L release could be considered for liver cancer patients with NAFLD., Competing Interests: Declaration of interests The authors declare no competing interests., (Published by Elsevier Inc.)

In today's world, the use of biosensors occupies a special place in a variety of fields such as agriculture and industry. New biosensor technologies can identify biological compounds accurately and quickly. One of these technologies is the phenomenon of surface plasmon resonance (SPR) in the development of biosensors based on their optical properties, which allow for very sensitive and specific measurements of biomolecules without time delay. Therefore, various nanomaterials have been introduced for the development of SPR biosensors to achieve a high degree of selectivity and sensitivity. The diagnosis of deadly diseases such as cancer depends on the use of nanotechnology. Smart MXene quantum dots (SMQDs), a new class of nanomaterials that are developing at a rapid pace, are perfect for the development of SPR biosensors due to their many advantageous properties. Moreover, SMQDs are two-dimensional (2D) inorganic segments with a limited number of atomic layers that exhibit excellent properties such as high conductivity, plasmonic, and optical properties. Therefore, SMQDs, with their unique properties, are promising contenders for biomedicine, including cancer diagnosis/treatment, biological sensing/imaging, antigen detection, etc. In this review, SPR biosensors based on SMQDs applied in biomedical applications are discussed. To achieve this goal, an introduction to SPR, SPR biosensors, and SMQDs (including their structure, surface functional groups, synthesis, and properties) is given first; then, the fabrication of hybrid nanoparticles (NPs) based on SMQDs and the biomedical applications of SMQDs are discussed. In the next step, SPR biosensors based on SMQDs and advanced 2D SMQDs-based nanobiosensors as ultrasensitive detection tools are presented. This review proposes the use of SMQDs for the improvement of SPR biosensors with high selectivity and sensitivity for biomedical applications.

The toxic wastewater effluents from textile dyes have been a significant environmental threat worldwide in recent decades. Against this backdrop, this study investigates the performance of C@Fe 3 O 4 -MoO 3 -rGO as a sonoadsorbent to ameliorate crystal violet (CV) dye from the aqua matrix and further explores its potential as an electrode in supercapacitor applications. The phase purity, crystal structure, surface morphology, thermal stability and magnetic behaviour characteristics of the composite were studied using various characterisation techniques such as powder X-ray diffraction (XRD), Raman Spectroscopy, Fourier transform infrared spectroscopy (FTIR), Field emission scanning electron microscopy (FESEM), High-resolution transmission electron microscopy (HRTEM), Thermogravimetric analysis (TGA) and Vibrating-sample magnetometry (VSM). From the Langmuir isotherm model, the synthesised sonoadsorbent exhibited a maximum adsorption capacity of 1664.26 mg/g for crystal violet, which is remarkably high. Further, to its inherited magnetic characteristics, the composite can be easily separated from the solution by using an external magnet. Furthermore, the working electrode was synthesised with 80% active material, 10% carbon black, and 10% polyvinylidene difluoride to investigate its suitability in supercapacitor applications. The C@Fe 3 O 4 -MoO 3 -rGO composite exhibited an excellent capacitance value of 180.36 F/g with commendable cycling stability, making it suitable as a potential cathode material for the next generation supercapacitors., (Copyright © 2022 Elsevier Inc. All rights reserved.)

The local microenvironment shapes macrophage differentiation in each tissue. We hypothesized that in the peritoneum, local factors in addition to retinoic acid can support GATA6-driven differentiation and function of peritoneal large cavity macrophages (LCMs). We found that soluble proteins produced by mesothelial cells lining the peritoneal cavity maintained GATA6 expression in cultured LCMs. Analysis of global gene expression of isolated mesothelial cells highlighted mesothelin (Msln) and its binding partner mucin 16 (Muc16) as candidate secreted ligands that potentially regulate GATA6 expression in peritoneal LCMs. Mice deficient for either of these molecules showed diminished GATA6 expression in peritoneal and pleural LCMs that was most prominent in aged mice. The more robust phenotype in older mice suggested that monocyte-derived macrophages were the target of Msln and Muc16. Cell transfer and bone marrow chimera experiments supported this hypothesis. We found that lethally irradiated Msln-/- and Muc16-/- mice reconstituted with wild-type bone marrow had lower levels of GATA6 expression in peritoneal and pleural LCMs. Similarly, during the resolution of zymosan-induced inflammation, repopulated peritoneal LCMs lacking expression of Msln or Muc16 expressed diminished GATA6. These data support a role for mesothelial cell-produced Msln and Muc16 in local macrophage differentiation within large cavity spaces such as the peritoneum. The effect appears to be most prominent on monocyte-derived macrophages that enter into this location as the host ages and also in response to infection., (Copyright © 2022 by The American Association of Immunologists, Inc.)

In this study, we have developed a new platform of polyoxometalate as a biocompatible and electrosensitive polymeric biosensor for the accurate detection of doxorubicin. For this purpose, we used a green synthesis approach using tartaric acid, glutamic acid, and kombucha solvent. Thanks to its bioinorganic components, the biogenic approach can chemically modify and improve the performance of the biosensor, which was experimentally confirmed. Our results showed excellent sensitivity (175.72  μ A· μ M -1 ·cm -2 ), low detection limit (DL, 8.12 nM), and low quantification limit (QL, 0.056  μ M) when the newly developed biosensor was used. The results also show that the biosynthesized biosensor has improved performance in detecting DOX in the biological fluid with an accuracy of more than 99% depending on the components used, which underlines the high efficiency of the biosensor produced. Considering the body's physiological condition, the biosensor fabricated as a biocompatible component can show high efficiency. Therefore, its applicability for clinical use still needs to be studied in detail., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2022 Seyyed Mojtaba Mousavi et al.)

The spread of viral diseases has caused global concern in recent years. Detecting viral infections has become challenging in medical research due to their high infectivity and mutation. A rapid and accurate detection method in biomedical and healthcare segments is essential for the effective treatment of pathogenic viruses and early detection of these viruses. Biosensors are used worldwide to detect viral infections associated with the molecular detection of biomarkers. Thus, detecting viruses based on quantum dots biomarkers is inexpensive and has great potential. To detect the ultrasensitive biomarkers of viral infections, QDs appear to be a promising option as biological probes, while physiological components have been used directly to detect multiple biomarkers simultaneously. The simultaneous measurement of numerous clinical parameters of the same sample volume is possible through multiplex detection of human viral infections, which reduces the time and cost required to record any data point. The purpose of this paper is to review recent studies on the effectiveness of the quantum dot as a detection tool for human pandemic viruses. In this review study, different types of quantum dots and their valuable properties in the structure of biomarkers were investigated. Finally, a vision for recent advances in quantum dot-based biomarkers was presented, whereby they can be integrated into super-sensitive probes for the multiplex detection of human viral infections.

Objective: Fibrosis is a common feature of Crohn's disease (CD) which can involve the mesenteric fat. However, the molecular signature of this process remains unclear. Our goal was to define the transcriptional signature of mesenteric fibrosis in CD subjects and to model mesenteric fibrosis in mice to improve our understanding of CD pathogenesis., Design: We performed histological and transcriptional analysis of fibrosis in CD samples. We modelled a CD-like fibrosis phenotype by performing repeated colonic biopsies in mice and analysed the model by histology, type I collagen-targeted positron emission tomography (PET) and global gene expression. We generated a gene set list of essential features of mesenteric fibrosis and compared it to mucosal biopsy datasets from inflammatory bowel disease patients to identify a refined gene set that correlated with clinical outcomes., Results: Mesenteric fibrosis in CD was interconnected to areas of fibrosis in all layers of the intestine, defined as penetrating fibrosis. We found a transcriptional signature of differentially expressed genes enriched in areas of the mesenteric fat of CD subjects with high levels of fibrosis. Mice subjected to repeated colonic biopsies showed penetrating fibrosis as shown by histology, PET imaging and transcriptional analysis. Finally, we composed a composite 24-gene set list that was linked to inflammatory fibroblasts and correlated with treatment response., Conclusion: We linked histopathological and molecular features of CD penetrating fibrosis to a mouse model of repeated biopsy injuries. This experimental system provides an innovative approach for functional investigations of underlying profibrotic mechanisms and therapeutic concepts in CD., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)

Innate lymphoid cells (ILC) are a heterogeneous and plastic population of cells of the innate immune system. Their role in cancer and specifically in hepatocellular carcinoma is unraveling. The presence of ILCs in peripheral blood of HCC patients has not been explored yet. Their role and function in response to checkpoint inhibitor therapy have also not been explored. Here, we characterized ILCs in PBMC of HCC patients at baseline and after treatment with immune checkpoint inhibitors (ICI) by flow cytometry and single-cell sequencing. Characterization of ILC subsets in PBMCs of HCC patients showed a significant increase in ILC1 and a decrease in ILC3 frequencies. Single-cell RNA-sequencing identified a subgroup of NK-like ILCs which expressed cytotoxicity markers as well as NKp80/ KLRF1 . This KLRF1 high NK-like population showed low abundance in patients with HCC and was enhanced after combined anti-CTLA-4 and anti-PD-1immunotherapy. Trajectory analysis placed this population in between ILC1 and ILC3 cells. The transcriptomic signature of KLRF1 high NK-like ILCs was associated with better progression-free survival in large HCC cohorts. This study shows a previously unknown effect of ICI on the composition and plasticity of ILCS in peripheral blood. Thus, ILCs from PBMC can be used to study changes in the innate immune system under immunotherapy., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Heinrich, Ruf, Subramanyam, Myojin, Lai, Craig, Fu, Xie, Kroemer, Greten and Korangy.)

The orbitofrontal cortex (OFC) is an important brain area for executive functions. The OFC projects to both the nucleus accumbens (NAc) and the basolateral nucleus of the amygdala (BLA). These two pathways share some similar behavioral functions, but their anatomical and physiological properties have not been compared before. In this study, we first explored the connection of the lateral OFC (lOFC) to NAc core (NAcc) and/or BLA, especially the collateral projections ( experiments 1 and 2 ) with rats. In experiment 1 , fluorophore-conjugated retrograde tracers were locally infused into the NAcc and the BLA to sample neurons in the lOFC. Our results revealed that along the anterior-posterior axis of the lOFC, more NAcc- and/or BLA-projecting neurons were distributed toward the posterior end, but the average percentage of collateral projecting neurons at the four sampled lOFC levels remained fairly stable. In experiment 2 , antidromic single units in the lOFC responsive to the NAcc and/or the BLA stimulation were identified in anesthetized rats. However, we found that collateral projections from the lOFC to NAcc and BLA were sparse. We next studied the physiological characteristics of these two pathways ( experiment 3 ). In this experiment, orthodromic single units in the NAcc or the BLA responsive to the lOFC stimulation were located in anesthetized rats. Our results showed no difference in the evoked thresholds or the intensity-response probability curves between the two. Together, our results showed that these two pathways were similar in projecting neuron distribution and physiological characteristics. NEW & NOTEWORTHY Using the double retrograde tracing and electrophysiological approach, we reported that among the sampled NAcc- or the BLA-projecting lOFC neurons, the percentage of collateral projections were fairly stable (about 20%-25%) along the lOFC anterior-posterior axis. Furthermore, among the neurons sampled in the NAcc and the BLA, there was no difference in physiological characteristics in response to lOFC stimulation between the two pathways.

Solar steam generation has great potential in alleviating freshwater crises, particularly in regions with accessible seawater and abundant insolation. Inexpensive, efficient, and eco-friendly photothermal materials are desired to fabricate sunlight-driven evaporation devices. Here, we have designed an economical strategy to fabricate a high-performance wood-based solar steam generation device. In current study, 3D-hierarchical Cu 3 SnS 4 has been loaded on wood substrates of variable sizes via an in-situ solvothermal method. Considering the water transportation capacity and thermal insulation property of wood, an enhanced light absorption was achieved by a uniform coating of Cu 3 SnS 4 on the inside and outside of the 3D porous structure of the wood. Thanks for the synergistic effect of Cu 3 SnS 4 and wood substrate, the obtained composite endorsed high-performance solar steam generation with a steam generation efficiency of 90% and an evaporation rate as high as 1.35 kg m -2 h -1 under one sun., 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 © 2022 Elsevier Inc. All rights reserved.)

This study experimentally examines the effects of four diesel-gas co-fuels, two engine loads and an aftertreatment on regulated and unregulated emissions from a 6-cylinder natural-aspirated direct-injection heavy-duty diesel engine (HDDE) with an engine dynamometer. Fuel energy of ultra-low-sulfur diesel was substituted with 10% and 20% of gas fuels, including pure H 2 , CH 4 , and two CH 4 -CO 2 blends. The particle number size distributions of volatile and nonvolatile nanoparticles were measured under ambient temperature and after 300 °C heating, respectively. The results show that the gas fuels caused increases of hydrocarbon emission, slight changes of NOx emission, and decreases of opacity. All four gas fuels resulted in elevated emissions of both volatile and nonvolatile nanoparticles at 25% and 75% load, in the range of 29% to 390%. The increased emissions of volatile nanoparticles were variable and without obvious trends. Special attentions should be given to the addition of H 2 under high load, during which significant increases of volatile nanoparticles could be formed not only post-combustion (up to 1376%), but also post-diesel oxidation catalyst plus diesel particulate filter (DOC + DPF). The nonvolatile nanoparticles, on the other hand, could be effectively removed by the retrofitted DOC + DPF, with efficiency >98.2%. A noteworthy fraction of solid particles of sizes <23 nm were found in the exhaust, not being accounted for by current regulatory emission standard., Competing Interests: Declaration of competing interest The authors declare that they have no competing interests., (Copyright © 2022 Elsevier B.V. All rights reserved.)

Smart nanoexosomes are nanosized structures enclosed in lipid bilayers that are structurally similar to the viruses released by a variety of cells, including the cells lining the respiratory system. Of particular importance, the interaction between smart nanoexosomes and viruses can be used to develop antiviral drugs and vaccines. It is possible that nanoexosomes will be utilized and antibodies will be acquired more successfully for the transmission of an immune response if reconvalescent plasma (CP) is used instead of reconvalescent plasma exosomes (CPExo) in this concept. Convalescent plasma contains billions of smart nanoexosomes capable of transporting a variety of molecules, including proteins, lipids, RNA and DNA among other viral infections. Smart nanoexosomes are released from virus-infected cells and play an important role in mediating communication between infected and uninfected cells. Infections use the formation, production and release of smart nanoexosomes to enhance the infection, transmission and intercellular diffusion of viruses. Cell-free smart nanoexosomes produced by mesenchymal stem cells (MSCs) could also be used as cell-free therapies in certain cases. Smart nanoexosomes produced by mesenchymal stem cells can also promote mitochondrial function and heal lung injury. They can reduce cytokine storms and restore the suppression of host antiviral defenses weakened by viral infections. This study examines the benefits of smart nanoexosomes and their roles in viral transmission, infection, treatment, drug delivery and clinical applications. We also explore some potential future applications for smart nanoexosomes in the treatment of viral infections.

Objective: This study aims to examine the effects of one-year, once-weekly high-intensity interval training (HIIT) on body adiposity and liver fat in adults with central obesity., Methods: One-hundred and twenty adults aged 18-60 years with central obesity (body mass index ≥25, waist circumference ≥90 cm for men and ≥80 cm for women). This is an assessor-blinded randomized controlled trial. Participants will be randomly assigned to the HIIT group or the usual care control group. Each HIIT session will consist of 4 × 4-min bouts at 85%-95% maximal heart rate, interspersed with 3-min bouts at 50%-70% maximal heart rate. The HIIT group will complete one session per week for 12 months, whereas the usual care control group will receive health education. The primary outcomes of this study are total body adiposity and intrahepatic triglyceride content. The secondary outcomes include abdominal visceral adipose tissue, subcutaneous adipose tissue, body mass index, waist circumference, hip circumference, cardiorespiratory fitness, lean body mass, bone mineral density, blood pressure, fasting blood glucose, insulin, triglycerides, glycated hemoglobin, cholesterol profile, liver function enzymes, medications, adherence to exercise, adverse events, quality of life, and mental health. Outcome measure will be conducted at baseline, 12 months (post-intervention), and 24 months (one-year follow-up)., Impact of the Project: This study will explore the benefits of long-term once-weekly HIIT with a follow-up period to assess its effectiveness, adherence, and sustainability. We expect this intervention will enhance the practical suitability of HIIT in inactive adults with central obesity, and provide insights on low-frequency HIIT as a novel exercise option for the management of patients with central obesity and liver fat., Trial Registration: ClinicalTrials.gov (NCT03912272) registered on 11 April 2019., Competing Interests: The authors declare no competing interests., (© 2022 The Society of Chinese Scholars on Exercise Physiology and Fitness. Published by Elsevier (Singapore) Pte Ltd.)

Background: In this study, we aimed to report our experience with the use of intraoperative transcutaneous laryngeal ultrasonography (TLUSG) to evaluate the vocal cord twitch response during predissection vagus nerve stimulation in thyroid surgeries and examine the reliability of this technique when compared with that of laryngeal twitch palpation (LTP)., Study Design: The prospective data collection of consecutive patients who underwent open thyroidectomy with intraoperative neuromonitoring (IONM) was reviewed retrospectively. We recorded the electromyographic activity and assessed the vocal cord twitch response on LTP, TLUSG. We compared the accessibility, sensitivity, and specificity of the techniques., Results: A total of 110 patients (38 men and 72 women) with 134 nerves at risk were enrolled. The vocal cord was assessable by TLUSG in 103 (93.6%) patients and by LTP in 64 (59.1%) patients. Two patients showed negative predissection IONM signal but positive on TLUSG and the presence of laryngeal twitch response confirmed by laryngoscopy. Fourteen patients showed positive IONM signals and presence of the vocal cord twitch response on TLUSG but not on LTP. The sensitivity and specificity were 70.21% and 100%, respectively, for LTP, and those both were 100% for TLUSG. For patients who could be assessed using both techniques, TLUSG had better accuracy than LTP (100% vs 80.33%, p = 0.0005)., Conclusions: The innovative intraoperative application of TLUSG is better for evaluating the laryngeal twitch response than LTP. This technique provides practical troubleshooting guidance for patients with no IONM signals during predissection vagus nerve stimulation., (Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Surgeons.)

Textile dyeing wastewater becomes one of the root causes of environmental pollution. Titanium dioxide (TiO 2 ) is one of the photocatalysts that shows prominent organic dye photodegradation ability. In this study, a porous tungsten oxide (WO 3 )/TiO 2 composite was prepared through ultrasonic-assisted solvothermal technique with varying amounts of WO 3 ranging from 0.25 to 5 weight % (wt.%). The prepared 0.50 wt.% WO 3 /TiO 2 (0.50WTi) composite exhibited the highest photodegradation activity (4.39 × 10 -2 min -1 ) and complete mineralization in chemical oxygen demand (COD) reading towards 30 mg.L -1 of Reactive Black 5 (RB5) dye under 60 min of light irradiation. Effects of large surface area, small crystallite size, high pore volume and size, and low electron-hole pair recombination rate attributed to the superiority of 0.50WTi. Besides, 0.50WTi could be reused, showing 86.50% of RB5 photodegradation at the fifth cycle. Scavenger study demonstrated that photogenerated hole (h + ) was the main active species of 0.50WTi to initiate the RB5 photodegradation. Cytotoxicity assessment determined the readings of half-maximal inhibitory concentration (IC 50 ) were 1 mg.mL -1 and 0.61 mg.mL -1 (24 and 72 h of incubations) for the 0.50WTi composite., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Background: This study aims to rigorously compare the effectiveness of the educational programs of a new integrated clinical clerkship in medicine (3 months) and surgery (3 months) at a cancer center with the conventional subspecialty-based rotations at a tertiary teaching hospital, by this prospective, pre-post comparative method., Methods: Between 2013-2016, we compared 69 students who had selected the integrated clerkship that emphasized clinical competency and medical humanities training with 138 matched peers who had completed conventional clerkships during the same period. Outcome measures for medical humanities included empathy, patient-centeredness, and other values and skills related to holistic health care professionalism by introducing prospective propensity score matching (PSM)., Results: At baseline, no significant between-group differences existed. At the completion of the core clerkships, students receiving the integrative clerkship had significantly higher scores on the Patient-Practitioner Orientation Scale (PPOS) and the Professionalism Climate in Clinical Teaching Environment (PCI), and similar Jefferson Scale of Physician Empathy Student Version (JSPE) scores, as compared with the comparison group. We also found that the students in this program did not perform worse than those in the traditional internship group in the comprehensive and formative OSCE medical clinical skills test., Conclusions: Our study develops an empirical basis for rigorous evaluation to design medical education to improve the medical humanities values and skills of interns. Features of the new integrated clerkship program that we developed include substantial participation by the students in patient-centered in-hospital culture, as well as reflection, discussion, and feedback on actual clinical cases.

The role played by the key tumor suppressor gene p53 and the implications of p53 mutations for the development and progression of neoplasia continue to expand. This review focuses on colorectal cancer and the regulators of p53 expression and activity identified over the past decade. These newly recognized regulatory mechanisms include (1) direct regulation of mouse double minute 2 homolog (MDM2), an E3 ubiquitin-protein ligase; (2) modulation of the MDM2-p53 interaction; (3) MDM2-independent p53 degradation; and (4) inhibition of p53 nuclear translocation. We positioned these regulatory mechanisms in the context of p53 missense mutations, which not only evade canonical p53 degradation machinery but also exhibit gain-of-function phenotypes that enhance tumor survival and metastasis. Lastly, we discuss current and potential therapeutic strategies directed against p53 mutant-bearing tumors.

Racial-ethnic disparities in technology use have been described in children with type 1 diabetes (T1D). It is not known whether these emerge early in disease management. This single-center retrospective study examined disparities in continuous glucose monitor (CGM) initiation and durability in the first-year after diagnosis of T1D in children. Of 345 eligible children, 46% started CGM within their first year. In non-Hispanic white (NHW) children, 51% started using CGM versus 28% of non-Hispanic black (NHB) children ( P  = 0.006). After stratifying by commercial/government insurance, a proxy for socioeconomic status, this difference persisted among those with commercial insurance. One-year post-CGM initiation, 96% (125/130) of NHW children were using CGM versus 73% (11/15) of NHB children ( P  = 0.003). Disparities in CGM use emerge early in care of children with T1D, with lower rates of initiation and sustained use of CGM in NHB children. Strategies addressing causes of these disparities should begin early in T1D management.

Objectives: Intraoperative neuromonitoring has not been routinely applied in early experience with the transoral endoscopic thyroidectomy vestibular approach (TOETVA). Because the preparation and surgical interventions are much different from conventional thyroidectomies, most endocrine surgeons willing to adapt to TOETVA lack access to information regarding the practice pattern and proficiency in the learning curve. We aimed to investigate the outcomes and to define the learning curve for TOETVA in this study., Methods: A retrospective analysis was used on patients who underwent TOETVA at our hospital between December 2016 and July 2019. The cumulative sum graphic model was used to implement the learning curve as a surrogate for procedural proficiency., Results: The 119 patients had a mean age of 44.65 years and a mean body mass index of 22.49 k/m 2 , including 107 women, 20 thyroiditis, and 106 hemithyroidectomy. The learning curve revealed two phases, an initial (35 cases) and a mature (84 cases) phase, for surgeons based on operation time (144.2 vs . 114.2 min, p = 0.0001). There were more bilateral thyroidectomies (15.5% vs . 0, p = 0.0100), larger indicated nodules (6.06 cm 3 vs . 3.32 cm 3 , p = 0.0468), or larger thyroids to resect (16.38 cm 3 vs . 8.75 cm 3 , p = 0.0001) in the mature phase. Procedure-related complications decreased significantly in the mature phase in comparison to the initial phase (3.57% vs . 31.43%, p = 0.0001)., Conclusions: The learning curve of TOETVA with neuromonitoring is 35 cases. With the accumulation of proficiency, the indications will expand. Step-by-step improvements from the experience of each case can reduce procedure-related complications., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Kuo, Duh, Wang, Lai, Chen, Lin and Wu.)

In this study, a novel cellulose/Ag/TiO 2 nanocomposite was successfully synthesized via the hydrothermal method. The cellulose extracted from oil palm empty fruit bunch (OPEFB) could address the disposal issue created by OPEFB biomass. Characterization studies such as FESEM, EDX, HRTEM, XRD, FTIR, UV-Vis DRS, PL, XPS, and surface analysis were conducted. It was observed that the incorporation of cellulose could hinder the agglomeration, reduce the band gap energy to 3 eV, increase the specific surface area to 150.22 m 3 /g, and lower the recombination rate of the generated electron-hole pairs compared to Ag/TiO 2 nanoparticles. The excellent properties enhance the sonocatalytic degradation efficiency of 10 mg/L Congo red (up to 81.3% after 10 min ultrasonic irradiation) in the presence of 0.5 g/L cellulose/Ag/TiO 2 at 24 kHz and 280 W. The improvement of catalytic activity was due to the surface plasmon resonance effect of Ag and numerous hydroxyl groups on cellulose that capture the holes, which delay the recombination rate of the charge carriers in TiO 2 . This study demonstrated an alternative approach in the development of an efficient sonocatalyst for the sonocatalytic degradation of Congo red.

Background: Falls are more prevalent in stroke survivors than age-matched healthy older adults because of their functional impairment. Rapid balance recovery reaction with adequate range-of-motion and fast response and movement time are crucial to minimize fall risk and prevent serious injurious falls when postural disturbances occur. A Kinect-based Rapid Movement Training (RMT) program was developed to provide real-time feedback to promote faster and larger arm reaching and leg stepping distances toward targets in 22 different directions., Objective: To evaluate the effectiveness of the interactive RMT and Conventional Balance Training (CBT) on chronic stroke survivors' overall balance and balance recovery reaction., Methods: In this assessor-blinded randomized controlled trial, chronic stroke survivors were randomized to receive twenty training sessions (60-min each) of either RMT or CBT. Pre- and post-training assessments included clinical tests, as well as kinematic measurements and electromyography during simulated forward fall through a "lean-and-release" perturbation system., Results: Thirty participants were recruited (RMT = 16, CBT = 14). RMT led to significant improvement in balance control (Berg Balance Scale: pre = 49.13, post = 52.75; P = .001), gait control (Timed-Up-and-Go Test: pre = 14.66 s, post = 12.62 s; P = .011), and motor functions (Fugl-Meyer Assessment of Motor Recovery: pre = 60.63, post = 65.19; P = .015), which matched the effectiveness of CBT. Both groups preferred to use their non-paretic leg to take the initial step to restore stability, and their stepping leg's rectus femoris reacted significantly faster post-training (P = .036)., Conclusion: The RMT was as effective as conventional balance training to provide beneficial effects on chronic stroke survivors' overall balance, motor function and improving balance recovery with faster muscle response., Trial Registration: The study was registered at Clinicaltrials.gov ( https://clinicaltrials.gov/ct2/show/NCT03183635 , NCT03183635) on 12 June 2017., (© 2021. The Author(s).)

Recent advances in the field of nanotechnology contributed to the increasing use of nanomaterials in the engineering, health and biological sectors. Graphene oxide (GO) has great potentials as it could be fine-tuned to be adapted into various applications, especially in the electrical, electronic, industrial and clinical fields. One of the important applications of GO is its use as an antibacterial material due to its promising activity against a broad range of bacteria. However, our understanding of the mechanism of action of GO towards bacteria is still lacking and is often less described. Therefore, a comprehensive overview of bactericidal mechanistic actions of GO and the roles of physicochemical factors including size, aggregation, functionalization and adsorption behavior contributing to its antibacterial activities are described in this review. As the use of GO is expected to increase exponentially in the health sector, the cytotoxicity of GO among the cell lines is also discussed. Thus, this review emphasizes the physicochemical characteristics of GO that can be tailored for optimal antibacterial properties that is of importance to the health industry., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Despite the advances that have been achieved in developing wound dressings to date, wound healing still remains a challenge in the healthcare system. None of the wound dressings currently used clinically can mimic all the properties of normal and healthy skin. Electrospinning has gained remarkable attention in wound healing applications because of its excellent ability to form nanostructures similar to natural extracellular matrix (ECM). Electrospun dressing accelerates the wound healing process by transferring drugs or active agents to the wound site sooner. This review provides a concise overview of the recent developments in bioactive electrospun dressings, which are effective in treating acute and chronic wounds and can successfully heal the wound. We also discuss bioactive agents used to incorporate electrospun wound dressings to improve their therapeutic potential in wound healing. In addition, here we present commercial dressings loaded with bioactive agents with a comparison between their features and capabilities. Furthermore, we discuss challenges and promises and offer suggestions for future research on bioactive agent-loaded nanofiber membranes to guide future researchers in designing more effective dressing for wound healing and skin regeneration.

Surgical treatment for autoimmune thyroid disease is theoretically risky due to its chronic inflammatory status. This study aimed to investigate the correlation between preoperative serum migration inhibitory factor (MIF) levels and the difficulty of thyroidectomy in patients with autoimmune thyroiditis. Forty-four patients (average age: 54 years) were prospectively recruited: 30 with autoimmune thyroiditis and 14 with nodular goiter. Preoperative serum samples were collected to measure MIF levels. The difficulty of thyroidectomy was evaluated using a 20-point thyroidectomy difficulty scale (TDS) scoring system. The potential correlations between MIF levels and clinicopathological features as well as postoperative complications were analyzed. Preoperative serum thyroid-stimulating hormone (TSH), TSH receptor antibody, thyroid peroxidase antibodies levels, TDS score, and serum MIF levels were significantly higher in the autoimmune thyroiditis group than those in the goiter group. MIF levels were significantly associated with postoperative transient recurrent laryngeal nerve injury and hypoparathyroidism. MIF levels were positively correlated with TDS score, operation time, and blood loss in the autoimmune thyroiditis group. Increased preoperative serum MIF levels are associated with higher TDS scores, operation time, blood loss, and postoperative complications. Preoperative serum MIF level may be a useful predictor of difficult thyroidectomy and help surgeons provide better preoperative management.

A highly mesoporous graphitic carbon nitride g-C 3 N 4 (GCN) has been produced by a template-free method and effectively photodegrade tetracycline (TC) antibiotic under solar light irradiation. The mesoporous GCN (GCN-500) greatly improves the photoactivity (0.0247 min -1 ) by 2.13 times, as compared to that of bulk GCN (0.0116 min -1 ). The efficiently strengthened photoactivity is ascribed to the high porosity (117.05 m 2 /g), and improves the optical absorption under visible light (E g = 2.65 eV) and good charge carrier separation efficiency. The synthesized mesoporous GCN shows a uniform pore size (~3 nm) distribution. GCN-500 shows large pore volume (0.210 cm 3 /g) compared to GCN-B (0.083 cm 3 /g). Besides, the GCN-500 also exhibits good recyclability and photostability for TC photodegradation. In conclusion, GCN-500 is a recyclable photocatalyst for the removal of TC under visible light irradiation.

In this review, the unique properties of intrinsically conducting polymer (ICP) in biomedical engineering fields are summarized. Polythiophene and its valuable derivatives are known as potent materials that can broadly be applied in biosensors, DNA, and gene delivery applications. Moreover, this material plays a basic role in curing and promoting anti-HIV drugs. Some of the thiophene's derivatives were chosen for different experiments and investigations to study their behavior and effects while binding with different materials and establishing new compounds. Many methods were considered for electrode coating and the conversion of thiophene to different monomers to improve their functions and to use them for a new generation of novel medical usages. It is believed that polythiophenes and their derivatives can be used in the future as a substitute for many old-fashioned ways of creating chemical biosensors polymeric materials and also drugs with lower side effects yet having a more effective response. It can be noted that syncing biochemistry with biomedical engineering will lead to a new generation of science, especially one that involves high-efficiency polymers. Therefore, since polythiophene can be customized with many derivatives, some of the novel combinations are covered in this review.

Nowadays, pollution of the environment is a huge problem for humans and other organisms' health. Conventional methods of pollutant removal like membrane filtration or ion exchange are not efficient enough to lower the number of pollutants to standard levels. Biological methods, because of their higher efficiency and biocompatibility, are preferred for the remediation of pollutants. These cost-effective and environment-friendly methods of reducing pollutants are called bioremediation. In bioremediation methods, enzymes play the most crucial role. Enzymes can remedy different types of organic and inorganic pollutants, including PAHs, azo dyes, polymers, organocyanides, lead, chromium, and mercury. Different enzymes isolated from various species have been used for the bioremediation of pollutants. Discovering new enzymes and new subtypes with specific physicochemical characteristics would be a promising way to find more efficient and cost-effective tools for the remediation of pollutants., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2021 Seyyed Mojtaba Mousavi et al.)

Osteoporosis is a rising health threat in the increasingly aging world population. It is a common skeletal disease strongly linked to genetic predisposition. We aim to identify the effects of the anti-inflammatory TGF-β1 - and IL-10 -specific single-nucleotide polymorphism (SNP) combination on the risk for osteoporosis. We investigated and analyzed the relationships between three TGF-β1 SNPs (-509C/T, +869 T/C and +29T/C), one IL-10 SNP (+1927A/C) and the level of bone mineral density (BMD), as well as the risk of osteoporosis in Taiwanese osteoporotic patients. A total of 217 subjects were recruited, including 88 osteoporotic patients and 129 healthy controls, for SNPs, BMD and clinical characteristics statistical analyses. Females with TGF-β1 SNP (-509 C/C) and IL-10 SNP (+1927 C/C) genotypes showed a great benefit for femoral neck T-scores. However, the combination of TGF-β1 SNP (-509 T/T) and IL-10 SNP (+1927 A/A) genotypes in all subjects showed a significant decrease in total hip BMD T-scores. The TGF-β1 SNP (-509 C/T) genotype in all subjects and TGF-β1 SNP (-509 T/T) and IL-10 SNP (+1927 A/C) genotypes in males showed positive effects on body height. The combination of the many SNPs in the anti-inflammatory TGF-β1 and IL-10 genes may be cooperatively involved in the development of osteoporosis. Our data suggested that the specific SNP combination of TGF-β1 (-509) and IL-10 (+1927) may act as a predictive factor for postmenopausal osteoporosis in Taiwanese women.

Iron-doped titanium dioxide loaded on activated carbon (Fe-TiO 2 /AC) was successfully synthesized from oil palm empty fruit bunch (OPEFB) using sol-gel method. The properties of the synthesized pure TiO 2 , Fe-doped TiO 2 , AC, TiO 2 /AC and Fe-TiO 2 /AC were examined by various techniques such as field emission scanning electron microscopy (FE-SEM), Fourier-transform infrared spectroscopy (FT-IR), UV-Vis diffuse reflectance spectroscopy (UV-Vis DRS) and nitrogen adsorption-desorption analyses at 77 K. FE-SEM revealed that Fe-doped TiO 2 particles were dispersed homogeneously on the AC surface. FT-IR demonstrated high surface hydroxylation after Fe doping on TiO 2 and UV-Vis DRS showed that Fe-TiO 2 /AC had the lowest band gap energy. Catalytic performance results proved that Fe dopants could restrict the recombination rate of hole and electron pairs, whereas AC support improved the Malachite Green (MG) adsorption sites and active sites of the hybrid catalyst. Photocatalytic degradation of 100 mg/L MG in the presence of 1.0 g/L 15 wt% Fe-TiO 2 incorporated with 25 wt% AC, initial solution pH of 4 and 3 mM H 2 O 2 could achieve the highest removal efficiency of 97% after 45 min light irradiation. This work demonstrates a promising approach to synthesis an inexpensive and efficient Fe-TiO 2 /AC for the photocatalytic degradation of organic dye., 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 Elsevier Ltd. All rights reserved.)

The conversion of carbon-rich biomass into valuable material is an environmental-friendly approach for its reutilization. In this study, coconut shell-derived biochar, graphitic carbon nitride (g-C 3 N 4 ), g-C 3 N 4 /biochar, titanium dioxide (TiO 2 )/biochar, zinc oxide (ZnO)/biochar, and ferric oxide (Fe 2 O 3 )/biochar were synthesized and characterized by using scanning electron microscopy coupled with energy-dispersive X-ray spectroscopy (SEM-EDX), X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), thermogravimetric analysis (TGA), surface area analysis, UV-Vis diffuse reflectance spectroscopy (DRS), and zeta potential analysis. The g-C 3 N 4 or metal oxide particles were found to be well-distributed on the coconut shell-derived biochar with the improvement in thermal stability and enlargement of specific surface area. A great reduction in band gap energy was observed in the composite materials after incorporating with the biochar. Among different biochar composites, g-C 3 N 4 /biochar was found to have the highest photocatalytic activity. The interactive effect of parameters such as catalyst dosage, peroxymonosulfate (PMS) oxidant dosage, and solution pH on the photocatalytic degradation of methyl orange was investigated using the response surface methodology (RSM). The highest photocatalytic degradation efficiency (96.63%) was achieved at catalyst dosage of 0.75 g/L, oxidant dosage of 0.6 mM, and solution pH 3 after 30 min.

G-quadruplexes (G4s) are non-canonical DNA structures with critical roles in DNA metabolisms. To resolve those structures that can cause replication fork stalling and genomic instability, single-stranded DNA-binding proteins and helicases are required. Here, we characterized the interplay between RPA and helicases on G4s using single-molecule FRET. We first discovered that human RPA efficiently prevents G4 formation by preempting ssDNA before its folding. RPA also differentially interacts with the folded G4s. However, helicases such as human BLM and yeast Pif1 have different G4 preferences from RPA mainly based on loop lengths. More importantly, both RPA and these helicases are required for the stable G4 unfolding, as RPA promotes helicase-mediated repetitive unfolding into durative linear state. Furthermore, BLM can traverse G4 obstacles temporarily disrupted by RPA and continue to unwind downstream duplex. We finally proposed the mechanisms underlying above functions of RPA in preventing, resolving, and assisting helicases to eliminate G4s., Competing Interests: The authors declare no competing interests., (© 2021 The Author(s).)

Advances in mass-spectrometry have generated increasingly large-scale proteomics datasets containing tens of thousands of phosphorylation sites (phosphosites) that require prioritization. We develop a bioinformatics tool called HotPho and systematically discover 3D co-clustering of phosphosites and cancer mutations on protein structures. HotPho identifies 474 such hybrid clusters containing 1255 co-clustering phosphosites, including RET p.S904/Y928, the conserved HRAS/KRAS p.Y96, and IDH1 p.Y139/IDH2 p.Y179 that are adjacent to recurrent mutations on protein structures not found by linear proximity approaches. Hybrid clusters, enriched in histone and kinase domains, frequently include expression-associated mutations experimentally shown as activating and conferring genetic dependency. Approximately 300 co-clustering phosphosites are verified in patient samples of 5 cancer types or previously implicated in cancer, including CTNNB1 p.S29/Y30, EGFR p.S720, MAPK1 p.S142, and PTPN12 p.S275. In summary, systematic 3D clustering analysis highlights nearly 3,000 likely functional mutations and over 1000 cancer phosphosites for downstream investigation and evaluation of potential clinical relevance.

Alterations of the mycobiota composition associated with Crohn's disease (CD) are challenging to link to defining elements of pathophysiology, such as poor injury repair. Using culture-dependent and -independent methods, we discovered that Debaryomyces hansenii preferentially localized to and was abundant within incompletely healed intestinal wounds of mice and inflamed mucosal tissues of CD human subjects. D. hansenii cultures from injured mice and inflamed CD tissues impaired colonic healing when introduced into injured conventionally raised or gnotobiotic mice. We reisolated D. hansenii from injured areas of these mice, fulfilling Koch's postulates. Mechanistically, D. hansenii impaired mucosal healing through the myeloid cell-specific type 1 interferon-CCL5 axis. Taken together, we have identified a fungus that inhabits inflamed CD tissue and can lead to dysregulated mucosal healing., (Copyright © 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.)

Objective: Racial/ethnic disparities in continuous glucose monitor (CGM) use exist among children with type 1 diabetes. It is not known whether differential rates of device initiation or sustained use are the cause of this disparity. Our objective was to compare CGM initiation rates and continued use among non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic children., Research Design and Methods: We conducted a retrospective review including children with type 1 diabetes attending the Children's Hospital of Philadelphia between 1 January 2015 and 31 December 2018., Results: Of 1,509 eligible children, 726 (48%) started CGM during the study period. More NHW (54%) than NHB (31%) and Hispanic (33%) children started CGM ( P < 0.001). One year after starting, fewer NHB (61%) than NHW (86%) and Hispanic (85%) children were using CGM ( P < 0.001)., Conclusions: Lower CGM use in NHB children was due to lower rates of device initiation and higher rates of discontinuation. Interventions to address both of these barriers are needed to reduce disparities in CGM use., (© 2020 by the American Diabetes Association.)

Background & Aims: Nonalcoholic steatohepatitis causes loss of hepatic CD4 + T cells and promotes tumor growth. The liver is the most common site of distant metastases from a variety of malignancies, many of which respond to immunotherapy. We investigated the effects of steatohepatitis on the efficacy of immunotherapeutic agents against liver tumors in mice., Methods: Steatohepatitis was induced by feeding C57BL/6NCrl or BALB/c AnNCr mice a methionine and choline-deficient diet or a choline-deficient l-amino acid-defined diet. Mice were given intrahepatic or subcutaneous injections of B16 melanoma and CT26 colon cancer cells, followed by intravenous injections of M30-RNA vaccine (M30) or intraperitoneal injections of an antibody against OX40 (aOX40) on days 3, 7, and 10 after injection of the tumor cells. We measured tumor growth and analyzed immune cells in tumor tissues by flow cytometry. Mice were given N-acetylcysteine to prevent loss of CD4 + T cells from liver., Results: Administration of M30 and aOX40 inhibited growth of tumors from intrahepatic injections of B16 or CT26 cells in mice on regular diet. However, M30 and/or aOX40 did not slow growth of liver tumors from B16 or CT26 cells in mice with diet-induced steatohepatitis (methionine and choline-deficient diet or choline-deficient l-amino acid-defined diet). Steatohepatitis did not affect the ability of M30 to slow growth of subcutaneous B16 tumors. In mice with steatohepatitis given N-acetylcysteine, which prevents loss of CD4 + T cells, M30 and aOX40 were able slow growth of hepatic tumors. Flow cytometry analysis of liver tumors revealed reduced CD4 + T cells and effector memory cells in mice with vs without steatohepatitis., Conclusions: Steatohepatitis reduces the abilities of immunotherapeutic agents, such as M30 and aOX40, to inhibit tumor liver growth by reducing tumor infiltration by CD4 + T cells and effector memory cells. N-acetylcysteine restores T-cell numbers in tumors and increases the ability of M30 and aOX40 to slow tumor growth in mice., (Published by Elsevier Inc.)

Photocatalytic degradation is a promising method to remove organic pollutants from water. Photocatalysts based on two-dimensional (2D) transition metal dichalcogenides (TMDs) such as MoS 2 nanomaterials have gained tremendous popularity. This is due to their narrow band gap and high visible light absorption. Herein, a MoS 2 photocatalyst with highly expanded interlayer spaces of 1.51 nm was synthesized in the presence of Pluronic F-127 as a template by a facile one-pot hydrothermal method. This expanded MoS 2 (MF-1) managed to photodegrade 98% (2.62 × 10 -2 min -1 ) of methylene blue (MB) dye under irradiation of 1 W visible light-emitting diode (LED) white light. The dominant performance of MF-1 is attributed to the highly expanded interlayer spacing, which exposed more active edge sites. Moreover, the formation of surface defects such as surface cracks and sulfur vacancies (Sv) facilitates the adsorption capacity and in situ generation of reactive oxygen species (ROS). The dominant ROS responsible for the photodegradation of MB is superoxide radical (˙O 2 - ). The photocatalyst shows good recyclability without deterioration even after five consecutive cycles., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Graphene and its derivative materials present high potential towards medical and biological applications, including drug delivery and bioimaging, due to their exceptional properties such as thermal conductivity and high specific surface area. The main focus of this work is to review the current development of graphene materials and the derivatives for biocompatible, bioimaging and drug delivery applications. Also, the synthesis methods with variation of graphene nanocomposites and the functionalisation will be further explained. For the graphene approaches, chemical vapour deposition (CVD) is the best-known technique to make high-quality graphene sheet by growth route with mass production. By considering the organic graphene nanocomposites, the biocompatibility and cytotoxic effects against graphene nanocomposites were evaluated for biomedical employments such as high quality bioimaging and effective drug delivery for cancer treatments. For example, graphene oxide incorporated with PEG and loaded with SN 38 for camptothecin analolgue as anticancer drug and revealed high cytotoxicity has an effect of 1000 times better effect than CPT in HCT-116 cells. Their drug delivery ability for both in-vivo and in-vitro applications compared to the controlled drugs such as doxorubicin (DOX) will be discussed accordingly. The graphene and its deriavatives possess some intriguing properties, which will lead to drug delivery due to strong biocompatibility and cyctotoxic effect towards biomedicine applications.

In this study, activated carbon (AC) from coconut shell, as a widely available agricultural waste, was synthesised in a simple one-step procedure and used to produce a magnetic Fe 3 O 4 /AC/TiO 2 nano-catalyst for the degradation of methylene blue (MB) dye under UV light. Scanning electron microscopy revealed that TiO 2 nanoparticles, with an average particle size of 45 to 62 nm, covered the surface of the AC porous structure without a reunion of its structure, which according to the TGA results enhanced the stability of the photocatalyst at high temperatures. The photocatalytic activities of synthesised AC, commercial TiO 2 , Fe 3 O 4 /AC, and Fe 3 O 4 /AC/TiO 2 were compared, with Fe 3 O 4 /AC/TiO 2 (1:2) exhibiting the highest catalytic activity (98%). Furthermore, evaluation of the recovery and reusability of the photocatalysts after treatment revealed that seven treatment cycles were possible without a significant reduction in the removal efficiency.

Kombucha is a valuable traditional natural tea that contains beneficial compounds like organic acids, minerals, different vitamins, proteins, polyphenols, and several anions. Kombucha possesses anticancer, antioxidant, antimicrobial, and antifungal activity as well as hepatoprotective effects. Considering the unique properties of Kombucha, several investigations have already been conducted on its nutritional properties. In this review, an effort has been devoted to pool recent literature on the biomedical application of Kombucha under the objectives, including the chemical composition of Kombucha and industrial production, and highlight different properties of Kombucha. Finally, we explain its adverse effects and prospect. This review is an active, in-depth, and inclusive report about Kombucha and its health benefits., Competing Interests: The authors declare that they have no conflicts of interest., (Copyright © 2020 Seyyed Mojtaba Mousavi et al.)

Purpose: Racial disparities have been shown in outcomes and treatment of children with type 1 diabetes (T1D). The purpose of this study was to examine temporal trends in insulin pump use among non-Hispanic white (NHW), non-Hispanic black (NHB) and Hispanic children attending a large urban diabetes center. . This study was a retrospective chart review of insulin pump usage by race (NHW/ NHB) in 2005, and race/ethnicity (NHW/NHB/Hispanic) in 2011-2019. Demographic data (age, sex, diabetes duration, SES) and most recent hemoglobin A1c were also abstracted in 2011-2019., Results: In 2005, NHW children were twice as likely to use an insulin pump as NHB children. From 2011 to 2019, the odds ratio increased to 2.5 for NHW compared to NHB children. The odds of Hispanic children using insulin pumps were also higher than NHB. Insurance status (government versus private), a surrogate for SES, had very little influence on these trends, with NHW children consistently more likely than NHB children to be treated with insulin pumps in 2011, 2013, 2017, 2019 (p < 0.001)., Conclusions: We have demonstrated that racial disparities in insulin pump use have persisted over the past 15 years, and are not determined by SES. This inequity in diabetes treatment may be playing a role in the poorer glycemic control and higher rates of diabetes complications in NHB children., Practice Implications: Healthcare providers should be cognizant of racial and ethnic disparities in the treatment of children with T1D. Standardized treatment protocols may reduce unconscious bias in prescribing., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Background: Type 2 diabetes mellitus (T2DM) is a condition involving several molecular mechanisms related to the intestinal microbiota for its development. Intestinal fatty acid-binding protein (I-FABP) is a sensitive marker to study enterocyte damage. A prebiotic is a non-digestible food ingredient that improves host health by selectively stimulating the growth and/or activities of bacteria in the colon. We aimed to clarify the currently described effects of prebiotics in the prevention and management of T2DM., Methods: In this case-control study, we chose 68 participants with T2DM and 52 healthy participants. Both groups were further divided based on consumption of prebiotics. Forty participants with T2DM consumed prebiotics, and 28 did not; 30 healthy volunteers consumed prebiotics, and 22 did not. We used the analysis of variance to compare the inflammation levels between the case and control groups. Multiple linear regression was performed for the significantly correlated groups to estimate the influence of prebiotics on inflammation level., Results: Age was a significant factor for difference in I-FABP levels (standardized coefficient: 0.06; P = .047). The analysis of eating habits showed that vegetarian diets produced lower I-FABP levels than non-vegetarian diets (standardized coefficient: -2.55; P = .022). Results showed that patients with T2DM who consumed prebiotics expressed lower I-FABP levels, reflecting an improvement in inflammation level, than the healthy volunteers who did not consume prebiotics (standardized coefficient: -3.20; P = .019)., Conclusions: For patients with T2DM, prebiotics supplemented produced no significant impact on serum I-FABP levels., (© 2020 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC.)

Renewable solar energy is the key target to reduce fossil fuel consumption, minimize global warming issues, and indirectly minimizes erratic weather patterns. Herein, the authors synthesized an ultrathin reduced graphene oxide (rGO) nanosheet with ~47 nm via an improved Hummer's method. The TiO 2 was deposited by RF sputtering onto an rGO nanosheet with a variation of temperature to enhance the photogenerated electron or charge carrier mobility transport for the photoanode component. The morphology, topologies, element composition, crystallinity as well as dye-sensitized solar cells' (DSSCs) performance were determined accordingly. Based on the results, FTIR spectra revealed presence of Ti-O-C bonds in every rGO-TiO 2 nanocomposite samples at 800 cm -1 . Besides, XRD revealed that a broad peak of anatase TiO 2 was detected at ~25.4° after incorporation with the rGO. Furthermore, it was discovered that sputtering temperature of 120 °C created a desired power conversion energy (PCE) of 7.27% based on the J-V plot. Further increase of the sputtering temperature to 160 °C and 200 °C led to excessive TiO 2 growth on the rGO nanosheet, thus resulting in undesirable charge recombination formed at the photoanode in the DSSC device.

Graphene oxide (GO) and reduced graphene oxide (rGO) can act as metal-free photocatalysts to remove aqueous dye pollutants under light illumination. However, there is some disparity in past reports on the origin of the photoactivity of GO and rGO for photodegradation of dye pollutants. In this work, the photoactivity of GO and rGO for methylene blue (MB) dye photodegradation were investigated with photoelectrochemical (PEC) measurements. The optimized rGO sample (G-2) exhibited a stable photocatalytic rate, which was 2.5 times higher than that of pure GO. PEC measurements revealed that the photocatalytic activity of G-2 was elevated due to higher photocurrent density, higher charge carrier density, and better charge separation. The changes in band gap and band positions of rGO were determined through optical characterization and Mott-Schottky (M-S) plots. Finally, the photocatalytic degradation mechanism of GO and rGO on MB dye was determined., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Protein phosphorylation can induce signal transduction to change sperm motility patterns during sperm capacitation. However, changes in the phosphorylation of sperm proteins in mice are still incompletely understood. Here, capacitation-related phosphorylation in mouse sperms were firstly investigated by label-free quantitative (LFQ) phosphoproteomics coupled with bioinformatics analysis using ingenuity pathway analysis (IPA) methods such as canonical pathway, upstream regulator, and network analysis. Among 1632 phosphopeptides identified at serine, threonine, and tyrosine residues, 1050 novel phosphosites, corresponding to 402 proteins, were reported. Gene heatmaps for IPA canonical pathways showed a novel role for GSK-3 in GP6 signaling pathways associated with capacitation for 60 min. At the same time, the reduction of the abundant isoform-specific GSK-3α expression was shown by western blot (WB) while the LFQ pY of this isoform slightly decreased and then increased. The combined results from WB and LFQ methods explain the less inhibitory phosphorylation of GSK-3α during capacitation and also support the predicted increases in its activity. In addition, pAKAP4 increased at the Y156 site but decreased at the Y811 site in a capacitated state, even though IPA network analysis and WB analysis for overall pAKAP revealed upregulated trends. The potential roles of GSK-3 and AKAP4 in fertility are discussed.

Cellulose constitutes most of a plant's cell wall, and it is the most abundant renewable polymer source on our planet. Given the hierarchical structure of cellulose, nanocellulose has gained considerable attention as a nano-reinforcement for polymer matrices in various industries (medical and healthcare, oil and gas, packaging, paper and board, composites, printed and flexible electronics, textiles, filtration, rheology modifiers, 3D printing, aerogels and coating films). Herein, nanocellulose is considered as a sustainable nanomaterial due to its substantial strength, low density, excellent mechanical performance and biocompatibility. Indeed, nanocellulose exists in several forms, including bacterial cellulose, nanocrystalline cellulose and nanofibrillated cellulose, which results in biodegradable and environmentally friendly bionanocomposites with remarkably improved material properties. This paper reviews the recent advances in production, physicochemical properties, and structural characterization of nanocelluloses. It also summarises recent developments in several multifunctional applications of nanocellulose with an emphasis on bionanocomposite properties. Besides, various challenges associated with commercialisation and economic aspects of nanocellulose for current and future markets are also discussed inclusively., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

Nowadays, the current synthesis techniques used in industrial production of nanoparticles have been generally regarded as nonenvironmentally friendly. Consequently, the biosynthesis approach has been proposed as an alternative to reduce the usage of hazardous chemical compounds and harsh reaction conditions in the production of nanoparticles. In this work, pure, iron (Fe)-doped and silver (Ag)-doped zinc oxide (ZnO) nanoparticles were successfully synthesized through the green route using Clitoria ternatea Linn. The optical, chemical, and physical properties of the biosynthesized ZnO nanoparticles were then analyzed by X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), energy-dispersive X-ray spectroscopy (EDX), UV-Vis diffuse reflectance spectroscopy (DRS), zeta potential measurement, Fourier transform infrared spectroscopy (FTIR), thermogravimetric analysis (TGA), and surface analysis. The biosynthesized ZnO nanoparticles were crystallized with a hexagonal wurtzite structure and possessed smaller particle sizes than those of commercially or chemically produced samples. The existence of biomolecules to act as reducing and stabilizing agents from C. ternatea Linn aqueous extract was confirmed using FTIR analysis. The biosynthesized ZnO nanoparticles mainly comprised of negatively charged groups and responsible for moderately stable dispersion of the nanoparticles. All these properties were favorable for the sonocatalytic degradation of Congo red. Sonocatalytic activity of ZnO nanoparticles was studied through the degradation of 10 mg/L Congo red using ultrasonic irradiation at 45 kHz and 80 W. The results showed that the sonocatalytic degradation efficiency of Congo red in the presence of biosynthesized ZnO nanoparticles prepared at 50 °C for 1 h could achieve 88.76% after 1 h. The sonocatalytic degradation efficiency of Congo red in the presence of Ag-doped ZnO was accelerated to 94.42% after 10 min which might be related to the smallest band gap energy (3.02 eV) and the highest specific surface area (10.31 m 2 /g) as well as pore volume (0.0781 cm 3 /g). Lastly, the biosynthesized ZnO nanoparticles especially Ag-doped ZnO offered significant antibacterial potential against Escherichia coli which indicated its ability to inhibit the normal growth and replication of bacterial cells. These results affirmed that the biosynthesized ZnO nanoparticles could be used as an alternative to the current chemical compounds and showed a superior sonocatalytic activity toward degradation of Congo red.

Since the turn of the 21st century, water pollution has been a major issue, and most of the pollution is generated by dyes. Adsorption is one of the most commonly used dye-removal methods from aqueous solution. Magnetic-particle integration in the water-treatment industry is gaining considerable attention because of its outstanding physical and chemical properties. Magnetic-particle adsorption technology shows promising and effective outcomes for wastewater treatment owing to the presence of magnetic material in the adsorbents that can facilitate separation through the application of an external magnetic field. Meanwhile, the introduction of activated carbon (AC) derived from various materials into a magnetic material can lead to efficient organic-dye removal. Therefore, this combination can provide an economical, efficient, and environmentally friendly water-purification process. Although activated carbon from low-cost and abundant materials has considerable potential in the water-treatment industry, the widespread applications of adsorption technology are limited by adsorbent recovery and separation after treatment. This work specifically and comprehensively describes the use of a combination of a magnetic material and an activated carbon material for dye adsorption in wastewater treatment. The literature survey in this mini-review provides evidence of the potential use of these magnetic adsorbents, as well as their magnetic separation and recovery. Future directions and challenges of magnetic activated carbon in wastewater treatment are also discussed in this paper., Competing Interests: The authors declare no competing financial interest., (Copyright © 2020 American Chemical Society.)

Background & Aims: Female sex hormones affect several non-reproductive organs, but little is known about their effects on the liver during a normal menstrual cycle. We aimed to investigate the association between sex hormones and liver enzymes in healthy menstruating women., Methods: We performed a post-hoc analysis of data from the BioCycle study, a longitudinal cohort study designed to determine the association of sex hormones with markers of oxidative stress during the menstrual cycle. We analyzed data collected from 259 menstruating women, over 1-2 menstrual cycles, who had as many as 16 separate office visits, timed by fertility monitors. Levels of liver enzymes, including alanine aminotransferase (ALT), aspartate aminotransferase, and alkaline phosphatase (ALKP), bilirubin, and lipids were measured by laboratory assays., Results: We found a natural cyclic pattern for liver enzymes, with transaminases and ALKP peaking in the mid-follicular phase and reaching a trough in the late luteal phase; the peak to trough differences were 4.0 ± 4.9 U/L for ALT and 8.8 ± 4.0 U/L for ALKP. Levels of ALT were significantly and negatively associated with levels of progesterone on the preceding visit (P = 5x10 -4 ), whereas level of ALKP was negatively associated with level of estrogen (P = .007) and progesterone (P = 1x10 -11 ). Food and alcohol intake did not modify the association. The amplitude of ALT fluctuation was greater in African Americans and decreased with age. Fluctuations in levels of ALT were smaller in women with body mass indices >30 kg/m 2 (P = .03). During menstrual fluctuation, 49% of participants had ALT values both above and below the normal cut-off value (19 U/L)., Conclusions: Levels of liver enzymes fluctuate during the normal menstrual cycle, possibly mediated by progesterone, and the fluctuation varies with age and body mass index. These findings indicate the importance of accounting for phase of menstrual cycle when interpreting liver enzyme measurements in menstruating women., (Copyright © 2020 AGA Institute. Published by Elsevier Inc. All rights reserved.)