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Although minimally invasive hysterectomy (MIS-H) has been associated with worse survival compared to abdominal hysterectomy (AH) for cervical cancer, only 8% of patients in the LACC trial had microinvasive disease (Stage IA1/IA2). We sought to determine differences in outcome among patients undergoing MIS-H, AH or combined vaginal-laparoscopic hysterectomy (CVLH) for microinvasive cervical cancer.A retrospective cohort study of all patients undergoing hysterectomy (radical and non radical) for FIGO 2018, microinvasive cervical cancer across 10 Canadian centers between 2007 and 2019 was performed. Recurrence free survival (RFS) was estimated using Kaplan Meier Survival analysis. Chi-square and log-rank tests were used to compare outcomes.423 patients with microinvasive cervical cancer were included; 259 (61.2%) Stage IA1 (22/8.5% with LVSI) and 164(38.8%) IA2. The median age was 44 years (range 24-81). The most frequent histology was squamous (59.4%). Surgical approach was: 50.1% MIS-H (robotic or laparoscopic), 35.0% AH and 14.9% CVLH. Overall, 70.9% underwent radical hysterectomy and 76.5% had pelvic lymph node assessment. There were 16 recurrences (MIS-H:4, AH:9, CVLH: 3). No significant difference in 5-year RFS was found (96.7% MIS-H, 93.7% AH, 90.0% CVLH, p = 0.34). In a sub-analysis of patients with IA1 LVSI+/IA2(n = 186), survival results were similar. Further, there was no significant difference in peri-operative complications (p = 0.19). Patients undergoing MIS-H had a shorter median length of stay(0 days vs 3 (AH) vs. 1.5 (CVLH), p0.001), but had more ER visits (16.0% vs 3.6% (AH), 3.5% (CVLH), p = 0.036).In this cohort, including only patients with microinvasive cervical cancer, no difference in recurrence was found by surgical approach. This may be due to the low rate of recurrence making differences hard to detect or due to a true lack of difference. Hence, this patient population may benefit from MIS without compromising oncologic outcomes.

Hydrogen production, which is in the spotlight as a promising eco-friendly fuel, and the need for inexpensive and accurate electronic devices in the biochemistry field are important emerging technologies. However, the use of electrocatalytic devices based on expensive noble metal catalysts limits commercial applications. In recent years, to improve performance and reduce cost, electrocatalysts based on cheaper copper or nickel materials have been investigated for the non-enzymatic glucose oxidation reaction (GOR) and hydrogen evolution reaction (HER). In this study, we demonstrate a facile and easy electrochemical method of forming a cheap nickel copper double hydroxide (NiCu-DH) electrocatalyst deposited onto a three-dimensional (3D) CuNi current collector, which can effectively handle two different reactions due to its high activity for both the GOR and the HER. The as-prepared electrode has a structure comprising abundant 3D-interconnected porous dendritic walls for easy access of the electrolyte ions and highly conductive networks for fast electron transfer; additionally, it provides numerous electroactive sites. The synergistic combination of the dendritic 3D-CuNi with its abundant active sites and the self-made NiCu-DH with its excellent electrocatalytic activity toward the oxidation of glucose and HER enables use of the catalyst for both reactions. The as-prepared electrode as a glucose sensor exhibits an outstanding glucose detection limit value (0.4 μM) and a wide detection range (from 0.4 μM to 1.4 mM) with an excellent sensitivity of 1452.5 μA/cm

The 4-week double-blind clinical trial to manage dentin hypersensitivity (DH) using different desensitizing toothpastes was conducted. 53 participants with DH were enrolled in this trial. The participants were randomized into 3 groups: Group N; no active ingredient-containing toothpaste (Pleasia fluoride-free), Group SC; a toothpaste containing strontium chloride (Sensodyne Original), and Group TP; a toothpaste containing tricalcium phosphate (Vussen S). They were instructed to brush their teeth manually for 3 min, 3 times per day for 4 weeks with the allocated toothpastes, and were assessed at baseline (0), 2, and 4 weeks, respectively. Schiff sensitivity score was recorded to 3 different stimuli (air-blast, cold, and acid) at each assessment. Overall DH was also assessed using a visual analog scale (VAS). The longer participants used the toothpastes, the greater reduction in DH in all groups to the three stimuli. Group TP demonstrated significant reduction of DH compared to group N for air-blast and cold stimuli. Group TP showed significantly lower VAS than group N and SC. Tricalcium phosphate containing toothpaste used in this trial was most useful to reduce DH. It can be one of the treatment options that alleviate DH.

Minimally invasive surgery for the treatment of macroscopic cervical cancer leads to worse oncologic outcomes than with open surgery. Preoperative conization may mitigate the risk of surgical approach. Our objective was to describe the oncologic outcomes in cases of cervical cancer initially treated with conization, and subsequently found to have no residual cervical cancer after hysterectomy performed via open and minimally invasive approaches. This was a retrospective cohort study of surgically treated cervical cancer at 11 Canadian institutions from 2007 to 2017. Cases initially treated with cervical conization and subsequent hysterectomy, with no residual disease on hysterectomy specimen were included. They were subdivided according to minimally invasive (laparoscopic/robotic (MIS) or laparoscopically assisted vaginal/vaginal hysterectomy (LVH)), or abdominal (AH). Recurrence free survival (RFS) and overall survival (OS) were estimated using Kaplan–Meier analysis. Chi-square and log-rank tests were used to compare between cohorts. Within the total cohort, 238/1696 (14%) had no residual disease on hysterectomy specimen (122 MIS, 103 AH, and 13 VLH). The majority of cases in the cohort were FIGO 2018 stage IB1 (43.7%) and underwent a radical hysterectomy (81.9%). There was no statistical difference between stage, histology, and radical vs simple hysterectomy between the abdominal and minimally invasive groups. There were no significant differences in RFS (5-year: MIS/LVH 97.7%, AH 95.8%, p = 0.23) or OS (5-year: MIS/VLH 98.9%, AH 97.4%, p = 0.10), although event-rates were low. There were only two recurrences. In this large study including only patients with no residual cervical cancer on hysterectomy specimen, no significant differences in survival were seen by surgical approach. This may be due to the small number of events or due to no actual difference between the groups. Further studies are warranted.

High-energy density lithium-oxygen batteries (LOBs) seriously suffer from poor rate capability and cyclability due to the slow oxygen-related electrochemistry and uncontrollable formation of lithium peroxide (Li

A woven carbon fiber (WCF)-based triboelectric nanogenerator (TENG)-cum-structural supercapacitor is an excellent multifunctional device for clean energy harvesting and storage. This type of device has high load-bearing capacity and functions smoothly under severe outdoor conditions. Herein, WCF-based multifunctional TENG is reported that generated 8.9 W m−2 power with 84% energy conversion efficiency. The energy generated by the TENG was simultaneously stored in a connected supercapacitor that provide 1.93 Wh kg−1 of energy density and delivers 39.23 W kg−1 of power density. The specific surface area of the WCF was enhanced several hundred-fold by coating with an N-doped Zn–Cu selenide nanoporous material, thereby enabling higher energy generation and elevated storage capacity of the device. The TENG use a polyester-based solid polymer electrolyte as the negative electrode and polydimethylsiloxane-coated WCF as the positive electrode. The device has a very high coulombic efficiency with high mechanical strength and ability to resist massive impact. An application of the multifunctional device was demonstrated. These types of multifunctional devices have great potential in the self-charging automobile, aerospace, sensor, and electronics sectors.

Silicon microparticles (SiMPs), which have a high capacity, a high initial Coulombic efficiency, and a low volume-to-surface ratio compared with nanosized materials, are promising anode materials f...

Background Recently, various kinds of heat-treated nickel-titanium (NiTi) glide path instruments have been manufactured. This study aimed to investigate design, phase transformation behavior, mechanical properties of TruNatomy Glider (#17/02), V Taper 2H (#14/03), and HyFlex EDM (#15/03) and compare torque/force generated during simulated glide path preparation with them. Methods The designs and phase-transformation behaviors of the instruments were examined via scanning electron microscopy (n = 3) and differential scanning calorimetry (n = 2). Their bending (n = 15), torsional (n = 15), and cyclic fatigue resistances (n = 15) were tested. The ultimate strength and distortion angle were obtained from torsional resistance test. The number of cycles to failure (NCF) was calculated from cyclic fatigue resistance test. The preparation of the glide path was simulated using a double-curved artificial canal (n = 15), and the maximum torque and screw-in forces were measured. Data except NCF was compared between brands with one-way ANOVA with Tukey’s honestly significant difference test. NCF was analyzed via Kruskal–Wallis and Mann–Whitney U tests. Results TruNatomy Glider had the greatest number of threads. TruNatomy Glider showed progressive taper, while V Taper 2H and HyFlex EDM had constant taper. The austenitic transformation-finish temperatures of all the instruments were above body temperature. V Taper 2H demonstrated significantly lower ultimate strength, higher distortion angle, and a higher number of cycles to failure compared with HyFlex EDM and TruNatomy Glider (p p Conclusions V Taper 2H #14/03 showed superior cyclic fatigue resistance and lower ultimate strength. TruNatomy Glider generated greater clockwise torque and screw-in force during apical preparation. The mechanical properties, torque, and screw-force was affected by design of heat-treated glide path instruments. Cervical pre-flaring prior to glide path instrument is recommended.

To boost the photoelectrochemical water oxidation performance of hematite photoanodes, high temperature annealing has been widely applied to enhance crystallinity, to improve the interface between the hematite-substrate interface, and to introduce tin-dopants from the substrate. However, when using additional dopants, the interaction between the unintentional tin and intentional dopant is poorly understood. Here, using germanium, we investigate how tin diffusion affects overall photoelectrochemical performance in germanium:tin co-doped systems. After revealing that germanium is a better dopant than tin, we develop a facile germanium-doping method which suppresses tin diffusion from the fluorine doped tin oxide substrate, significantly improving hematite performance. The NiFeOx@Ge-PH photoanode shows a photocurrent density of 4.6 mA cm−2 at 1.23 VRHE with a low turn-on voltage. After combining with a perovskite solar cell, our tandem system achieves 4.8% solar-to-hydrogen conversion efficiency (3.9 mA cm−2 in NiFeOx@Ge-PH/perovskite solar water splitting system). Our work provides important insights on a promising diagnostic tool for future co-doping system design., Germanium (Ge) has potential as a dopant suitable for the hematite-based photoelectrochemical water splitting system. Here, the authors report the fabrication of Ge doped porous hematite and demonstrate an efficient tandem system of Ge doped porous hematite and the perovskite solar cell.

The remarkable performance of deep learning is based on its ability to learn high-level features by processing large amounts of data. This exceptionally superior performance has attracted the attention of researchers studying option pricing. However, option data are more expensive and less accessible than other types of data and are imbalanced because of the liquidity of options. This motivated us to propose a new option pricing and delta-hedging framework called DeepOption. This framework, which is based on deep learning, can improve the performance even when applying imbalanced real option data. In particular, the framework fuses simulated big data, known as distilled data, obtained using various traditional parametric methods. The proposed model employs the following three-stage training approach: Our model is pre-trained using big distilled data after it is fine-tuned using real option data through transfer learning. Finally, a delta branch is added to the model and trained. We experimentally evaluated the proposed method using three sets of real option data, namely S&P 500 European call options, EuroStoxx50 call options, and Hang Seng Index put options. Our experimental results on option pricing demonstrate that our proposed model outperforms parametric methods and other machine learning methods. Specifically, our model, which uses pre-training with distilled data, reduces the overall mean absolute percentage error (MAPE) by more than 50%, compared with that of a deep learning model using only real option data without pre-training.

Molybdenum disulfide (MoS2) is considered a promising material in energy storage systems, and is thus drawing considerable attention. However, the relatively low conductivity of bulk MoS2 has been a threat for practical applications. This study developed a simple and scalable fabrication method of few-layer MoS2 sheets embedded in a nanoporous graphene film (NGF) as a high capacitance active material. Transfer of MoS2/NGF onto a flexible substrate followed by plotter cutting produced a highly efficient micro-supercapacitor with superior flexibility, mechanical stability, and great potential for applications in wearable electronics. Notably, MoS2/NGF-based mSC revealed a high volumetric capacitance of 55 F cm−3 and 82.2% of capacitance retention after 20 000 cycles, which are superior to the reported data for solid-state micro-supercapacitors. With these performances, the flexible MoS2/NGF mSC exhibited an ultrahigh energy density of 7.64 mW h cm−3 and power density of 9.96 W cm−3 in a H3PO4 gel polymer electrolyte. The high volumetric capacitance and energy/power densities of MoS2/NGF as micro-supercapacitor electrodes are due to direct growth of ultra-thin MoS2 onto the interconnected 3D nanoporous graphene film with extended active sites and good conductivity. The MoS2/NGF mSC integrated on the skin efficiently powered a light emitting diode and strain sensors. This work suggests a meaningful way to realize film type MoS2 active materials in flexible micro-supercapacitors for wearable applications.

The objective of this study was to evaluate the effect of novel bioactive glass (BAG)-containing desensitizers on the permeability of dentin. Experimental dentin desensitizers containing 3 wt% BAG with or without acidic functional monomers (10-MDP or 4-META) were prepared. A commercial desensitizer, Seal & Protect (SNP), was used as a control. To evaluate the permeability of dentin, real-time dentinal fluid flow (DFF) rates were measured at four different time points (demineralized, immediately after desensitizer application, after two weeks in simulated body fluid (SBF), and post-ultrasonication). The DFF reduction rate (ΔDFF) was also calculated. The surface changes were analyzed using field emission scanning electron microscopy (FE-SEM). Raman spectroscopy was performed to analyze chemical changes on the dentin surface. The ΔDFF of the desensitizers containing BAG, BAG with 10-MDP, and BAG with 4-META significantly increased after two weeks of SBF storage and post-ultrasonication compared to the SNP at each time point (p < 0.05). Multiple precipitates were observed on the surfaces of the three BAG-containing desensitizers. Raman spectroscopy revealed hydroxyapatite (HAp) peaks on the dentin surfaces treated with the three BAG-containing desensitizers. Novel BAG-containing dentin desensitizers can reduce the DFF rate about 70.84 to 77.09% in the aspect of reduction of DFF through the HAp precipitations after two weeks of SBF storage.

AIM To determine whether irisin, a newly discovered myokine that links exercise-induced and metabolic homeostasis, is able to promote odontogenic differentiation and angiogenesis in human dental pulp cells (HDPCs). METHODOLOGY Cell viability in the presence of irisin was measured. Real-time PCR and Western blot analysis were performed to evaluate the expression levels of irisin, odontogenic and angiogenic markers. The involvement of mitogen-activated protein kinase (MAPK) and the protein kinase B (Akt) signalling pathway was evaluated by Western blot. To evaluate mineralization nodule formation, alkaline phosphatase (ALP) staining and alizarin red S staining were performed. Scratch wound assays were performed to evaluate the effects of irisin on cell migration. The data were analysed using one-way analysis of variance (anova) followed by Tukey post hoc test and Student's t-test. Statistical significance was considered at P

We report a Co3O4 exsolved perovskite oxide PrBaMn1.7Co0.3O5+δ (Co3O4–PBMCO) that utilizes the Faradaic transfer of metal oxide and favorable OH– adsorption for an energy storage mechanism, as an a...

Porous graphitic carbon produced from waste coffee grounds (WCG), enormous amounts of which are generated and thrown away worldwide every year, is demonstrated as an effective broadband solar photo...

Reduced graphene oxide (rGO) composites for energy-related applications have attracted increasing attention. However, previous studies on rGOs still showed limitations because of unresolved several...

Xanthones are secondary metabolites isolated from the peel of mangosteen showing medicinal potencies. Alpha-mangostin (α-MG) is the most plentiful xanthone, which has been reported to possess anti-inflammatory, anti-oxidant, and anti-bacterial activities. We aimed to investigate the anti-inflammatory effects of xanthones on LPS-treated hDPCs. Cell viability was determined using the WST-1 assay. The mRNA and protein expression profiles of inflammatory mediators were evaluated using quantitative real-time polymerase chain reaction (qPCR) and Western blot analysis. Anti-inflammatory effects were assessed using the Western blot analysis to examine underlying mechanisms. A one-way analysis of variance followed by Tukey’s post hoc test was used to determine statistically significant differences (p < 0.05). The study found no significant differences between the cytotoxic effects in the α-MG-treated groups and controls. The mRNA and protein expression levels of inflammatory markers in the α-MG treated groups decreased. α-MG significantly inhibited LPS-induced phosphorylation of proteins associated with the MAPK and NF-κB pathways. This study suggests that α-MG exerts anti-inflammatory effects by suppressing the MAPK and NF-κB signaling pathways in LPS-treated hDPCs.