Pulmonary herniation 3 years after videoassisted thoracic surgery lobectomy

A nanohybrid formulation of silver‑titanium dioxide nanoparticles/poly(lactic acid) (Ag-TiO2/PLA) was designed for Norfloxacin/Tenoxicam (NOR/TENO) targeted delivery to maximize the bioavailability and minimize the side effects of the drugs. Ag-TiO2 nanoparticles were prepared via Stober method. NOR, TENO and a mixture of NOR/TENO (NT) were loaded onto Ag-TiO2 nanoparticles and coated by PLA via solution casting. The physical interaction between the drugs and carrier was confirmed by Fourier-transform infrared (FTIR) analysis. X-ray diffraction (XRD) demonstrated that Ag-TiO2 consists of a cubic phase of Ag with two phases of TiO2 (anatase and brookite). Ag nanoparticle fine spots coated with TiO2 were collected to form spheres averaging at 100 nm in size. In-vitro release behavior of drugs was studied at different pH (5.4, 7.4) and the release of drug from NT/Ag-TiO2/PLA was faster at pH 7.4. Gram-positive and Gram-negative bacteria were used to investigate antibacterial properties of the nanohybrid. read more Cytotoxicity of the nanohybrid using an MTT assay was studied against different tumor and normal cell lines. link2 It was found that NT/Ag-TiO2/PLA has an excellent cytotoxic effect against various bacterial cells and tumor cell lines. In addition, antioxidant properties of the nanohybrids were tested using ABTS method and the nanohybrid showed moderate antioxidant activity.In this approach, we assembled AgNps on cotton by using iota-carrageenan as a carbohydrate polymer under ultrasonic waves. UV-Vis spectroscopy revealed that iota-carrageenan free radicals increased the absorbance values of AgNps at 438 nm under ultrasonic vibration. We also observed an effective reduction of AgNps by color hue changes in the colloidal dispersions, ranging from pale to dark yellow. Interestingly, the zeta potential values for the AgNps changed from -8.5 to -45.7 mV after incorporation with iota-carrageenan. Moreover, iota-carrageenan reduced the average particle sizes of AgNps/iota-carrageenan nanocomposite particles. Fourier transform infrared (FTIR) spectra proved the successful fabrication of AgNps/iota-carrageenan/cotton nanocomposites by shifting two bands at 3257 and 990 cm-1. Quantum Chemistry and Molecular Dynamics demonstrated strong interactions between AgNps and iota-carrageenan by changes in the bond lengths for CC, CH, CO, SO. Furthermore, new energy levels were generated in iota-carrageenan's molecules by exciting electrons under ultrasonic vibration. According to the thermal gravimetric analysis (TGA) results, fabrication of AgNps/iota-carrageenan on cotton reduced the thermal stability of the resultant AgNps/iota-carrageenan/cotton nanocomposites. The average friction coefficient values of nanocomposite samples were increased in weft-to-warp direction that can be an advantage for wound healing, antimicrobial treatment and drug delivery applications. We did not observe reduction in the mechanical properties of our AgNps incorporated nanocomposites. Furthermore, the samples were tested for possible cytotoxicity against primary human skin fibroblast cells and no toxicity was observed.Drug-delivery technology is an effective way to promote drug absorption and efficacy. Mesoporous hollow silica material and small-molecule drug ibuprofen were used as a carrier model and as model drug, respectively. By quantum chemical calculation (density functional theory and frontier orbital theory), it was found that the content of geminal silanols on the material surface played a decisive role in the release of the different drugs. The rough hollow materials are easily adsorbed and have a large loading capacity, and so we fabricated a mesoporous hollow silica material (R-nCHMSNs) with a rough surface and rich geminal silanols by using hydroxyl-rich nanocellulose as a template. link3 The content and types of hydroxyl groups on the material surface were studied by 29Si NMR. The loading and delivery of ibuprofen and lysozyme were studied in detail. Materials with rich geminal silanols exhibited excellent delivery properties for different drugs, which shows great potential and research value for drug delivery.Different ionic liquid (IL)s were added to hydroxypropyl methylcellulose /monosodium phosphate (HPMC/MSP) photophobic film to improve its ductility, and their effects on its multi-scale structures and physical properties were studied. After adding these ILs, smoothness of the fractal structure, tensile strength, modulus of the film did not change obviously, while the crystallinity, the number of holes, and elongation increased, the hole size and Tg decreased. Compared to films with other ILs, the film with 1-butyl-3-methylimidazolium tetrafluoroborate ([BMIM]BF4) showed the largest elongation and crystallinity, the smallest hole size, the least holes, and highest whiteness. The film with 1-butyl-3-methylimidazolium chloride ([BMIM]Cl) showed the largest water content and the lowest Tg. The increased elongation proved that all these ILs could improve the ductility of the film, among which, [EMIM]BF4 had the strongest plasticizing effect.
Reliable methods for the detection of SARS-CoV-2 neutralising antibodies (NAbs) are essential for the evaluation of vaccine candidates and for the selection of convalescent plasma donors. Virus neutralisation tests (NTs) are the gold standard for the detection and quantification of NAbs, but they are complex and require BSL3 facilities. In contrast, surrogate enzyme-linked immunosorbent assays (sELISA) offer the possibility of high-throughput testing under standard laboratory safety conditions. In this study, we investigated two commercial sELISA kits (GenScript, AdipoGen) designed for the detection of SARS-CoV-2 NAbs.
276 plasma samples were screened using commercial IgG-ELISA and NAbs titres were determined by micro-neutralisation test (micro-NT). In addition, all samples were tested in both sELISA. Sensitivity and specificity for both sELISA were determined in comparison to the micro-NT results.
57 % of the samples were SARS-CoV-2 NAb positive in micro-NT, while 43 % tested negative. Comparison with of them can completely replace conventional NTs. However, in a two-step diagnostic algorithm, AdipoGen could potentially replace NT as a subsequent confirmatory test due to its high specificity but only in settings where no exact NAbs quantification is needed.
The aim of this study was to compare periapical radiographs (PRs) and upper standard occlusal (USO) radiographs with cone-beam computed tomographic (CBCT) imaging on clinicians' confidence in the diagnosis and management of traumatic dental injuries (TDIs).
This study included 35 maxillary anterior teeth from 25 patients with at least 1 PR (parallax view) and a CBCT scan. Fourteen patients also had a USO radiograph. Ten examiners selected a diagnosis and treatment plan, which were compared with a reference standard. Sensitivity, specificity, positive and negative predictor values, and receiver operating characteristic analysis were used to determine the diagnostic accuracy.
CBCT imaging exhibited significantly higher sensitivity than both conventional radiographic techniques combined (PRs and PRs + USO radiographs) for all diagnoses (TDI 99% vs 84%, lateral luxation 80% vs 34%, extrusions 92% vs 42%, and cortical plate fracture 58% vs 1%) other than horizontal root fractures in which the results were clf TDI cases and treatment planning compared with conventional radiography.
This study analyzed intra- and interobserver agreements during radiographic assessment of the different stages of root development using the dichotomous, Moorrees, Demirjian, and Cvek classifications, as well as the effect of the observer's level of experience on the result.
Two hundred eighty-five digital periapical radiographs were examined via visual inspection by 3 experienced and 3 nonexperienced observers (n = 6) under strict technological and viewing conditions. After observer calibration, determination of the presence or absence of an open apex and the assignment of a root development stage according to the different subdivisions of the 4 indexes were performed. This evaluation was carried out by each observer in duplicate in the first round (n = 8) and repeated in the second round (n = 8). The 16 examinations performed by each observer (N = 96) were analyzed to determine the percentage of concordance followed by intraobserver, interobserver, and global observer agreement using the kappa coefficieorrees classification provided the lowest agreement values, with a significant negative effect among nonexperienced observers. Finally, the visual estimation of the presence (or absence) of an open apex provided a good level of concordance with the radiographic apical foramen width.
The classifications of Cvek and Demirjian provided reliable results when determining the different stages of root development. In contrast, the Moorrees classification provided the lowest agreement values, with a significant negative effect among nonexperienced observers. Finally, the visual estimation of the presence (or absence) of an open apex provided a good level of concordance with the radiographic apical foramen width.
Psoriasis is a chronic inflammatory skin disease with disturbed interplay between immune cells and keratinocytes. Astrong IFN-γ signature is characteristic for psoriasis skin, but the role of IFN-γ has been elusive. MicroRNAs are short RNAs regulating gene expression.
Our aim was to investigate the role of miR-149 in psoriasis and in the inflammatory responses of keratinocytes.
miR-149 expression was measured by quantitative RT-PCR in keratinocytes isolated from healthy skin and lesional and nonlesional psoriasis skin. Synthetic miR-149 was injected intradermally into the back skin of mice, and imiquimod was applied to induce psoriasis-like skin inflammation, which was then evaluated at the morphologic, histologic, and molecular levels. miR-149 was transiently overexpressed or inhibited in keratinocytes in combination with IFN-γ- and/or TNF-related weak inducer of apoptosis (TWEAK)-treatment.
Here we report a microRNA-mediated mechanism by which IFN-γ primes keratinocytes to inflammatory stimuli. Treatment with IFN-γ results in a rapid and long-lasting suppression of miR-149 in keratinocytes. Depletion of miR-149 in keratinocytes leads to widespread transcriptomic changes and induction of inflammatory mediators with enrichment of the TWEAK pathway. We show that IFN-γ-mediated suppression of miR-149 leads to amplified inflammatory responses to TWEAK. TWEAK receptor (TWEAKR/Fn14) is identified as a novel direct target of miR-149. The invivo relevance of this pathway is supported by decreased miR-149 expression in psoriasis keratinocytes, as well as by the protective effect of synthetic miR-149 in the imiquimod-induced mouse model of psoriasis.
Our data define a new mechanism, in which IFN-γ primes keratinocytes for TWEAK-induced inflammatory responses through suppression of miR-149, promoting skin inflammation.
Our data define a new mechanism, in which IFN-γ primes keratinocytes for TWEAK-induced inflammatory responses through suppression of miR-149, promoting skin inflammation.Electrochemotherapy (ECT) exhibits high therapeutic effectiveness in the clinic, achieving up to 80% local tumor control but without a systemic (abscopal) effect. Therefore, we designed a combination therapy consisting of ECT via intratumoral application of bleomycin, oxaliplatin or cisplatin with peritumoral gene electrotransfer of a plasmid encoding interleukin-12 (p. t. IL-12 GET). Our hypothesis was that p. t. IL-12 GET potentiates the effect of ECT on local and systemic levels and that the potentiation varies depending on tumor immune status. Therefore, the combination therapy was tested in three immunologically different murine tumor models. In poorly immunogenic B16F10 melanoma, IL-12 potentiated the antitumor effect of ECT with biologically equivalent low doses of cisplatin, oxaliplatin or bleomycin. The most pronounced potentiation was observed after ECT using cisplatin, resulting in a complete response rate of 38% and an abscopal effect. Compared to B16F10 melanoma, better responsiveness to ECT was observed in more immunogenic 4 T1 mammary carcinoma and CT26 colorectal carcinoma.