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Background: Chronic pelvic pain remains challenging for physicians to manage due to central and peripheral sensitization and multiple pain generators including the bladder, pelvic floor, and pudendal nerve. Pain management providers have used nerve blocks for years for diagnosis and treatment. We developed a desensitization algorithm that provides a stepwise approach to improve patients pain scores., Methods: This is a prospective observational cohort study of 182 women aged 15-90 years old with chronic pelvic pain using an algorithm from 2016 to 2018. Treatment started with an Anesthetic Challenge Test of the bladder to guide us through a protocol of intravesical therapy and/or pudendal nerve blocks as a second step., Results: ACT POSITIVE patients, who received intravesical therapy: 84% had a Visual Analog Score pain improvement of at least 50%, 64% improved at least 80% (41% pain-free). Those desiring additional relief that received further Pudendal Blocks: 83% had final improvement of at least 50% (67% pain-free). ACT NEGATIVE patients received Pudendal Blocks with 80% of subjects achieving at least 50% relief, 65% improved at least 80% (35% pain-free). All final groups showed a statistically significance of P  < .05% when compared to their initial pain scores., Conclusion: Management of women with chronic pelvic pain would ideally start with treating a specific diagnosis which, in most cases, is difficult to establish since the majority have more than one pain generator. Our algorithm simplified the approach and reduced the severity of pain scores prior to any further necessary surgical interventions., Competing Interests: Conflict of interests: none., (© 2024 by SLS, Society of Laparoscopic & Robotic Surgeons.)

With the omnipresence of plastic litter from oyster farming in marine coastal areas, the objective of this work was to better understand the weathering of plastics used in this field, focusing on oyster spat collectors. During their use, around fifteen years, collectors made of polypropylene (PP) undergo numerous degradations, alternatively submerged, emerged in seawater, and stored outdoor until the next cycle. They weaken, crack, break, end up fragmenting and disseminated in the environment as microplastics associated to persistent organic pollutants. In this work, a comparison of 55 months of in situ weathering with five months of artificial weathering in air or in artificial seawater in a homemade UV chamber was conducted to better understand the mechanisms involved. Chemical, thermal and surface characterizations of virgin and weathered samples were conducted using Fourier Transform Infrared Spectroscopy (FTIR), Differential Scanning Calorimetry (DSC) and Environmental Scanning Electron Microscopy (ESEM). After 55 months of in situ weathering, collectors were notably damaged with large fissures and loss of microplastics (MPs) associated with an increase of carbonyl index values and a decrease of melting temperatures and crystallinity rates. Considering only UV irradiation, five months of artificial weathering at 30 °C under continuous irradiation of 6.9 W/m 2 under UV lamps (295-400 nm) reproduced approximately 4.4 months of natural sunlight. Artificial weathering confirmed that photooxidation by combined effects of UV rays and oxygen was the main weathering mechanism and was reduced in seawater. These results help to understand the mechanisms involved in the weathering of these collectors in the marine environment and provide valuable information for industrials and professionals. Our study suggests a better storage away from UV rays and a reduction of the duration of use compared to current practices., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier B.V. All rights reserved.)

The external mucus layer that covers fish skin contains numerous immune substances scarcely studied that act as the first line of defence against a broad spectrum of pathogens. This study aimed to characterize and describe for the first time several humoral immune defence parameters in the skin mucus of the European eel (Anguilla anguilla) after intraperitoneal injection with Vibrio anguillarum or Tenacibaculum soleae. This study evaluated several immune-related enzymes and bactericidal activity against fish pathogenic bacteria in the skin mucus of European eels at 24, 48, and 72 h post-challenge. The results demonstrated that European eel skin mucus showed significant increments in peroxidase and lysozyme activity at 48 and 72 h after V. anguillarum challenge, compared to other experimental groups. In the case of antiprotease activity, an increase was observed at 24 h in the skin mucus of fish challenged with V. anguillarum compared to unchallenged fish, while this activity was undetected at 48 and 72 h. In contrast, protease activity had decreased at 48 and 72 h in the skin mucus of fish challenged with V. anguillarum compared to the unchallenged group. Regarding bactericidal activity, a high growth capacity of T. soleae was observed in the skin mucus of all experimental groups. Interestingly, the skin mucus from fish challenged with V. anguillarum exhibited increased bactericidal activity against this bacterium at 48 h, compared to unchallenged fish. Finally, severe histopathological alterations were observed in the gills and liver at the end of the trial (72 h), whereas the skin showed only an overspread presence of goblet cells in the challenged fish compared to unchallenged fish. The present results may give new insights into the mucosal immune system of this primitive species with potential applications in aquaculture., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Unfractionated heparin (UFH) and low-molecular-weight heparins (LMWH) are well-known for their anticoagulant properties. There is also currently a growing interest in using LMWH in targeted cancer therapy. In particular, several types inhibit heparanase, a key enzyme overexpressed in the tumor microenvironment that promotes angiogenesis progression and metastasis spreading. Here, we propose iron oxide nanoparticles (HEP-IONP) coated with different heparins of distinct anticoagulant/anti-heparanase activity ratios and suitable for positive contrast in magnetic resonance imaging. As a proof of concept, magnetic resonance angiography (MRA) was conducted in mice up to 3 h after intravenous administration. This new IONP-based positive contrast appropriate for clinic together with the long vascular circulating times can enable innovative theranostic applications if combined with the various bioactivities of the heparins. Indeed, we showed, using advanced in vitro tests, how HEP-IONP anticoagulant or anti-heparanase activities were maintained depending on the heparin species used for the coating. Overall, the study allowed presenting an IONP coated with a commercial LMWH (Lovenox) suggested as a theranostic translational probe for MRA diagnostic and treatment of thrombosis, and an antitumor IONP coated with a specific depolymerized heparin to be used in targeted therapy and diagnostic modalities.

The aim of this paper is to describe an optimized methodology to study the surface characteristics and internal structure of biopolymer capsules using scanning electron microscopy (SEM) in environmental mode. The main advantage of this methodology is that no preparation is required and, significantly, no metallic coverage is deposited on the surface of the specimen, thus preserving the original capsule shape and its surface morphology. This avoids introducing preparation artefacts which could modify the capsule surface and mask information concerning important feature like porosities or roughness. Using this method gelatin and mainly fatty coatings, difficult to be analyzed by standard SEM technique, unambiguously show fine details of their surface morphology without damage. Furthermore, chemical contrast is preserved in backscattered electron images of unprepared samples, allowing visualizing the internal organization of the capsule, the quality of the envelope, etc... This study provides pointers on how to obtain optimal conditions for the analysis of biological or sensitive material, as this is not always studied using appropriate techniques. A reliable evaluation of the parameters used in capsule elaboration for research and industrial applications, as well as that of capsule functionality is provided by this methodology, which is essential for the technological progress in this domain., (Copyright © 2014 Elsevier B.V. All rights reserved.)

A microsized alpha-tricalcium phosphate (alpha-TCP) powder was calcined at various temperatures (350 degrees C

The sequence of steps of a chemical treatment having as its goal the induce of nucleation and the growth of hydroxyl carbonated apatite (HCA) at the surface of titanium implants was studied by scanning and transmission electron microscopy in cross-section. In the first step, an acid etching forms a rough titanium hydride layer, which remains unchanged after subsequent treatments. In the second step, soaking in an NaOH solution induces the growth of nanobelt tangles of nanocrystallized, monoclinic sodium titanate. In the third step, soaking in simulated body fluid transforms sodium titanate into calcium titanate by ion-exchange in the monoclinic structure. HCA then grows and embodies the tangled structure. The interfaces between the different layers seem to be strong enough to prevent interfacial decohesion. Finally, the role of the titanate structure in the nucleation process of HCA is discussed.

Bioinert titanium (Ti) materials are generally encapsulated by fibrous tissue after implantation into the living body. To improve the bone-bonding ability of Ti implants, we activated commercially pure titanium (cpTi) by a simple chemical pre-treatment in HCl and NaOH. Subsequently, we exposed the treated samples to simulated body fluid (SBF) for 2 (TiCT) and 14 days (TiHCA), respectively, to mimic the early stages of bone bonding and to investigate the in vitro response of osteoblasts on thus altered biomimetic surfaces. Sample surfaces were characterized by scanning electron microscopy, energy-dispersive X-ray analysis, cross-sectional transmission electron microscopy analyses, Fourier transform infrared and Raman spectroscopy. It was shown that the efflorescence consisting of sodium titanate that is present on pre-treated cpTi surfaces transformed to calcium titanate after 2 days in SBF. After 14 days in SBF a homogeneous biomimetic apatite layer precipitated. Human osteoblasts (MG-63) revealed a well spread morphology on both functionalized Ti surfaces. On TiCT, the gene expression of the differentiation proteins alkaline phosphatase (ALP) and bone sialo protein was increased after 2 days. On both TiCT and TiHCA, the collagen I and ALP expression on the protein level was enhanced at 7 and 14 days. The TiCT and the TiHCA surfaces reveal the tendency to increase the differentiated cell function of MG-63 osteoblasts. Thus, chemical pre-treatment of titanium seems to be a promising method to generate osteoconductive surfaces.

Biomimetic apatite coatings were obtained by soaking chemically treated titanium in SBF with different HCO(3)(-) concentration. XRD, FTIR and Raman analyses were used to characterize phase composition and degree of carbonate substitution. The microstructure, elemental composition and preferred alignment of biomimetically precipitated crystallites were characterized by cross-sectional TEM analyses. According to XRD, the phase composition of precipitated coatings on chemically pre-treated titanium after exposure to SBF was identified as hydroxy carbonated apatite (HCA). A preferred c-axis orientation of the deposited crystals can be supposed due to the high relative peak intensities of the (002) diffraction line at 2theta=26 degrees compared to the 100% intensity peak of the (211) plane at 2theta=32 degrees . The crystallite size in direction of the c-axis of HCA decreased from 26 nm in SBF5 with a HCO(3)(-) concentration of 5 mmol/l to 19 nm in SBF27 with a HCO(3)(-) concentration of 27 mmol/l. Cross-sectional TEM analyses revealed that all distances correspond exactly to the hexagonal structure of hydroxyapatite. The HCO(3)(-) content in SBF also influences the composition of precipitated calcium phosphates. Biomimetic apatites were shown to have a general formula of Ca(10-x-y)Mg(y)(HPO(4))(x-z)(CO(3))(z)(PO(4))(6-x)(OH)(2-x-w)(CO(3))(w/2). According to FTIR and Raman analyses, it can be supposed that as long as the HCO(3)(-) concentration in the testing solutions is below 20 mmol/l, only B-type HCA (0

The acoustic comfort of classrooms in a Brazilian public school has been evaluated through interviews with 62 teachers and 464 pupils, measurements of background noise, reverberation time, and sound insulation. Acoustic measurements have revealed the poor acoustic quality of the classrooms. Results have shown that teachers and pupils consider the noise generated and the voice of the teacher in neighboring classrooms as the main sources of annoyance inside the classroom. Acoustic simulations resulted in the suggestion of placement of perforated plywood on the ceiling, for reduction in reverberation time and increase in the acoustic comfort of the classrooms.

Objective: To comparatively analyze the perception of daily urban noise between residents of an acoustically and a non-acoustically controlled area., Methods: Two urban areas were selected through objective assessments of equivalent sound levels and defined as a non-acoustically and an acoustically controlled area. A random sample of each area was selected and a questionnaire was applied to its residents. Statistical indicators of urban noise perception were generated through factorial multivariate analysis., Results: The average sound level (Leq) found in the downtown district (a non-acoustically controlled area) was 72.9 dB(A) and in the acoustically controlled area was 53.3 dB(A). Three statistical indicators were generated through factorial multivariate analysis: temporary perception, perception of atypical noises and sources and disturbances., Conclusions: Residents of the acoustically controlled area reported increased noise level. The sound level in the downtown district has remained practically constant and much above the standards established by local law. The generated indicators are useful parameters to characterize the perception to continuous noise exposure in the population.

We used a combination of internal photoemission and of near-field optical microscopy (SNOM) to study the lateral variations in solid interface properties such as energy barriers and electron-hole recombination. In particular we investigated the fully formed Pt-GaP, Au-GaAs, Au-SiNx-GaAs and PtSi-Si Schottky barriers. Our approach enabled us to measure large lateral variations in the photocurrent with spatial resolution on the nanometric scale. Due to the ability of SNOM to supply parallel topographic information, we observed photocurrent variations from zone to zone that only correlated in a few cases with local variations in surface morphology. We assigned the uncorrelated fluctuations to local variations in the interface stoichiometry, the presence of interface states induced by the metallic overlayer and to defect states at the junction. Furthermore, by tuning the photon energy and applied bias we were able to measure the surface distribution of the diffusion length.

The aim of this study was to correlate central corneal thickness measurements obtained using optical as well as ultrasound pachymeters and high-frequency ultrasound biomicroscopy (UBM), assuming UBM as reference. Each measurement was performed on 32 patients (60 eyes) by three observers unaware of the other's results, on 3 different days. Pearson correlation was used. A strong correlation was found between UBM and ultrasound pachymetry measurements (r=0.858), a weaker one between UBM and optical pachymetry (r=0.506). Optical versus ultrasound measurements were poorly correlated (r=0.540). Each correlation was statistically significant (p<0.001). UBM can be used as an accurate and reproducible method for determining corneal thickness.