Improvement In Sensitivity Research Articles

CRISPR/Cas-mediated “one to more” lighting-up nucleic acid detection using aggregation-induced emission luminogens

CRISPR diagnostics are effective but suffer from low signal transduction efficiency, limited sensitivity, and poor stability due to their reliance on the trans-cleavage of single-stranded nucleic acid fluorescent reporters. Here, we present CrisprAIE, which integrates CRISPR/Cas reactions with “one to more” aggregation-induced emission luminogen (AIEgen) lighting-up fluorescence generated by the trans-cleavage of Cas proteins to AIEgen-incorporated double-stranded DNA labeled with single-stranded nucleic acid linkers and Black Hole Quencher groups at both ends (Q-dsDNA/AIEgens-Q). CrisprAIE demonstrates superior performance in the clinical nucleic acid detection of norovirus and SARS-CoV-2 regardless of amplification. Moreover, the diagnostic potential of CrisprAIE is further enhanced by integrating it with spherical nucleic acid-modified AIEgens (SNA/AIEgens) and a portable cellphone-based readout device. The improved CrisprAIE system, utilizing Q-dsDNA/AIEgen-Q and SNA/AIEgen reporters, exhibits approximately 80- and 270-fold improvements in sensitivity, respectively, compared to conventional CRISPR-based diagnostics. We believe CrisprAIE can be readily extended as a universal signal generation strategy to significantly enhance the detection efficiency of almost all existing CRISPR-based diagnostics.

A-132 Next generation ammonia reagent with improved reagent composition and assay performance

Abstract Background Ammonia is produced by catabolism of protein and other compounds which contain nitrogen. Elevated ammonia levels are toxic for the central nervous system. High plasma ammonia is a prognostic factor for hepatic and kidney disease or inherited metabolic disorders in urea cycle metabolism. The reliable and accurate quantification of ammonia is influenced by assay, reagent, and sample management. Current commercially available GLDH enzyme-based ammonia assay reagents experience high bias between matched Lithium Heparin and K2-EDTA samples, poor accuracy, imprecision at the low end, large HIL (hemolysis, icterus and lipemia) interferences and shorter shelf life. To improve upon the listed deficiencies, we developed an improved GLDH based ammonia assay in a two-part format with improved reagent composition. Methods Ammonia reagent in 2-part format R1 and R2 were assessed for accuracy, precision, interference by HIL reportable range, sensitivity (LoB, LoD, LoQ), shelf life, matched matrix comparison (Lithium Heparin vs K2-EDTA) and method comparison. All testing were performed using Li Heparin plasma samples in Beckman DxC700AU analyzer. Accuracy was tested using Verichem ammonia standards which are ACS ammonia standard material. Twenty-day precision studies were performed using three levels of ammonia concentrations using Bio-Rad Liquichek Ammonia controls and plasma samples. Interference was tested in two ammonia concentrations (40-50 µmol/L) and (200-250 µmol/L) using commercially available spiking material for clinical chemistry assays such as conjugated and unconjugated bilirubin, Intralipid and in-house prepared hemolysate. Infinity Ammonia Reagent on Beckman Coulter AU Chemistry Analyzers was used for method comparison studies Results Next generation ammonia showed good accuracy with Verichem ammonia standards and acceptable within-run and total precision. Studies showed significant improvement in sensitivity and longer shelf life (>18 months). Next generation ammonia is less affected by interferences from icterus (100 mg/dL), lipemia (1000 mg/dL intralipid) and hemolysis (100 mg/dL). Comparison studies show no significant bias between match Lithium Heparin and K2-EDTA matched samples. Conclusions Next Generation Ammonia reagent showed very good overall performance required for reliable and accurate quantification of ammonia in human plasma sample.

Enzyme-accelerated catalytic DNA circuits enable rapid and one-pot detection of bacterial pathogens

Catalytic DNA circuits, serving as signal amplification strategies, can enable simple and accurate detection of pathogenic bacteria in complex matrices but suffer from low reaction rates and depths. Herein, we design an enzyme-accelerated catalytic hairpin assembly (EACHA) in which duplex DNA products are converted into hairpin reactants to continue participating in the next circuit reaction with the assistance of RNase H. Profiting from the high recyclability of the reactants, EACHA exhibits an approximately 37.6-fold enhancement in the rate constant and a two-order-of-magnitude improvement in sensitivity compared to conventional catalytic hairpin assembly (CHA). By integrating an allosteric probe with EACHA, a one-pot method is developed for rapid and direct detection of S. enterica Enteritidis (S. Enteritidis). This method is capable of detecting 15 CFU mL−1 of S. Enteritidis within 20 min, which is superior to that of real-time PCR. By testing 60 milk samples, we demonstrate this method's high accuracy in discriminating contaminated samples, with an area under the curve (AUC) of 0.997. Moreover, this method can be employed to accurately diagnose early-stage infected mice, with an AUC of 1.00 for feces samples and 0.986 for serum samples. Therefore, this study offers a simple and feasible method for identifying pathogens in complex matrices.

Prospects of Detecting a Jet in Sagittarius A* with Very-long-baseline Interferometry

Event Horizon Telescope (EHT) images of the horizon-scale emission around the Galactic center supermassive black hole Sagittarius A* (Sgr A*) favor accretion flow models with a jet component. However, this jet has not been conclusively detected. Using the “best-bet” models of Sgr A* from the EHT Collaboration, we assess whether this nondetection is expected for current facilities and explore the prospects of detecting a jet with very-long-baseline interferometry (VLBI) at four frequencies: 86, 115, 230, and 345 GHz. We produce synthetic image reconstructions for current and next-generation VLBI arrays at these frequencies that include the effects of interstellar scattering, optical depth, and time variability. We find that no existing VLBI arrays are expected to detect the jet in these best-bet models, consistent with observations to date. We show that next-generation VLBI arrays at 86 and 115 GHz—in particular, the EHT after upgrades through the ngEHT program and the ngVLA—successfully capture the jet in our tests due to improvements in instrument sensitivity and (u, v) coverage at spatial scales critical to jet detection. These results highlight the potential of enhanced VLBI capabilities in the coming decade to reveal the crucial properties of Sgr A* and its interaction with the Galactic center environment.

Effect of weight-maintaining ketogenic diet on glycemic control and insulin sensitivity in obese T2D subjects

IntroductionLow carbohydrate ketogenic diets have received renewed interest for the treatment of obesity and type 2 diabetes. These diets promote weight loss, improve glycemic control, and reduce insulin resistance. However,...

The effect of simulated problem learning in nursing ethics on moral sensitivity, empathy and critical thinking of nursing students: A quasi-experimental study

AimCompare the effects of Simulation with problem-based learning (SPBL) and Problem-based learning (PBL) in nursing ethics education on nursing students’ moral sensitivity, empathy, critical thinking, test scores and teaching satisfaction. BackgroundPromoting nursing students’ individual and ethical and abilities through education is an essential way to improve their ethical performance and build trustful relationship with patients. Despite significant efforts in this area, few have evaluated the effectiveness of Simulation with problem-based learning and Problem-based learning as applied to nursing ethics education. DesignA quasi-experimental design based on a non-equivalent control group pre-test/post-test. MethodsA quasi-experimental design was used. Participants were 161 undergraduate nursing students from two levels of a university, 88 subjects in the experimental group were taught using Simulation with problem-based learning and 73 subjects in the control group were taught using Problem-based learning. A pre-test, post-test and questionnaire were used to assess the effectiveness of student nursing ethics education. χ2 test was used to examine group differences in students’ characteristics and satisfaction with teaching post-intervention. Student’s t-test was used to assess group differences in scale scores and test scores. ResultsCompared to the pre-test, empathy as well as critical thinking were significantly higher in the PBL group (P<0.05), but there was no significant change in moral sensitivity (P>0.05); moral sensitivity, empathy and critical thinking were significantly higher in the SPBL group (P<0.05). Moreover, this study also showed that improvement in moral sensitivity, empathy, critical thinking and grades was more significant in the SPBL group of nursing students compared to the PBL group (P<0.05) and no statistically significant difference was found between the two groups in terms of teaching satisfaction (P>0.05). ConclusionThe use of Simulation with problem-based learning in nursing ethics education has a positive impact on nursing students' competency development and knowledge acquisition. Nurse educators should consider this teaching method and promote change to increase the effectiveness of nursing ethics education.

Impact of SiGe pocket on different shape TFET structures for gas sensing application

Gas sensing requires highly sensitive and selective sensor technologies for environmental monitoring, industrial safety, and public health objectives. Although conventional MOSFET-based gas sensors are widely utilized, their detection of low quantities of gases, such as ammonia, is hindered by a number of severe constraints. TFET is emerged as the better device than MOSFET, particularly for the sensing applications. In this work we discussed the source engineered and shape engineered techniques to improve the performance of TFETs, specifically for ammonia gas detection. Comprehensive simulations on SILVACO TCAD and compared the four TFET structures SiGe-pocket DGTFET, SiGe-pocket vertical TFET SiGe-pocket Z-shape TFET, and SiGe-pocket U-shape TFET structure on the basis of various electrical characterization parameters. Significant improvements in efficiency and sensitivity are obtained by adjusting the work function of the molybdenum (4.40–4.60 eV) catalytic gate metal to find the optimal values. The findings reveal that the SiGe-pocket U-shape TFET structure exhibits superior performance, demonstrating an ION of 8.01 × 10−4 A/μm, an ION/IOFF ratio of 1.25×1013, and an OFF current sensitivity (SOFF) of 1.262. These results highlight the enhanced sensitivity and efficacy of the proposed SiGe-pocket U-shape tunnel FET in ammonia gas sensing applications, making it a promising candidate for practical uses in environmental monitoring and industrial safety.

Review on Grounds state Hanle effect on paraffin coated alkali atoms under condition EIT and EIA

IntroductionThis review is specifically aimed at a higher level of understanding of the ground-state Hanle effect through novel methods of atomic vapor interaction with resonant light. Electromagnetically Induced Transparency (EIT) and absorption (EIA) are the primary phenomena in this context. EIT is a process in which destructive interference at absorption frequencies within a medium is caused by a control laser and makes the medium clear to the probe laser light. It should be noted that this transparency is crucial for turning on/off the light pulses, slowing down or stopping in several cases, thus enhancing the effectiveness of atomic magnetometers. However, constructive interference that occurs in EIA raises the density of the medium, which is advantageous for profit-making precise measurements and the improvement of atomic clocks. ObjectiveThe objective of this study is to review the fundamental principles of the Hanle effect, EIT, EIA, and coating methods for alkali atoms. These principles and techniques are critical for improving the sensitivity and functionality of atomic magnetometers and other quantum devices. By understanding and leveraging these phenomena, significant progress has been made in the development of high-precision measurement tools and quantum technologies. ResultsAdvancements in atomic magnetometer sensitivity represent a rapidly growing area of interest, driving significant progress in the development of quantum devices. This review consolidates the existing knowledge and recent findings, offering a thorough understanding of the fundamental principles and practical applications of the Hanle effect, EIT, EIA, and coating methods for alkali atoms. This review highlights how advancements in EIT and EIA have contributed to the sensitivity improvements of atomic magnetometers, and underscores the importance of coating methods for maintaining system integrity and performance. These developments are essential to the evolution of modern quantum technologies and precision measurement devices.

A Self‐Powered, Highly Sensitive, and Frequency‐Tunable Triboelectric Acoustic Sensor Inspired by the Human Cochlea

AbstractConventional acoustic sensors used in human–machine interfaces often face challenges such as power supply requirements, limited sensitivity, and inability to tune their frequency response. A self‐powered, highly sensitive, and frequency‐tunable triboelectric acoustic sensor inspired by the human cochlea is introduced. By mimicking hair cells in the organ of Corti, a tapered microhair‐structured ferroelectric poly(vinylidene fluoride‐co‐hexafluoropropylene) (PVDF‐HFP) and barium titanate nanoparticle (BTNP) composite film is proposed, which demonstrates a 16‐fold increase in triboelectric output voltage (1.3 V) compared to a planar one at 2.8 Pa. Furthermore, inspired by the frequency selectivity of the basilar membrane with gradient structural variations, integrating a mass‐beam diaphragm is proposed with varying kirigami length and circular mass diameter that enables precise tuning of the resonance frequency of the sensor, resulting in a 32 times improvement in sensitivity (860 mV Pa−1) compared to a nonbiomimetic sensor (28 mV Pa−1) and an expanded dynamic range. The proposed sensor differentiates between human voices with different frequencies. A robotic hand integrated with the sensor responds to acoustic stimuli with programmed hand gestures, which highlights its potential in acoustic human–machine interfaces. The biomimetic approach to developing a self‐powered, highly sensitive, and frequency‐tunable acoustic sensor offers new possibilities for intuitive and immersive human–machine interfaces.

Short pulse grid and subthreshold micropulse laser (the sandwich grid) plus intravitreal ranibizumab for the treatment of diabetic macular edema

ObjectiveTo investigate the effects of two laser treatment procedures combined, short pulse grid laser (SP) and subthreshold micropulse laser (MP) (the sandwich grid [SWG] technique), plus intravitreal ranibizumab (IVR) on central subfield thickness (CSFT), best-corrected visual acuity (BCVA) and macular sensitivity in patients with diabetic macular edema (DME).MethodsForty-five eyes (of 33 patients) with center-involving DME were treated with the SWG laser technique plus IVR and followed for 12 months. Laser treatment was performed at baseline: SP laser spots were placed in a grid pattern in the macular area (500 µm from the fovea) according to the extension of DME; subsequently, MP laser was delivered up to the edge of the fovea. MP laser re-treatment sessions could be performed every 3 months if DME was present and CSFT was ≥ 300 μm on SD-OCT. IVR injection was performed at baseline and repeated monthly if CSFT > 300µm. Preoperatively and monthly, ophthalmological examination was performed including measurements of BCVA, CSFT, and macular sensitivity.ResultsOne-year follow-up data is available for 37 eyes of 27 patients. Mean ± SE CSFT (µm) was 509.36 ± 25.14 and 325.76 ± 15.34 at baseline and 12 months, respectively. A significant reduction in mean CSFT was observed at all study visits compared to baseline (p < 0.001). Mean ± SE BCVA (logMAR) was 0.62 ± 0.04 and 0.45 ± 0.04 at baseline and 12 months, respectively. A significant improvement in mean BCVA was observed at all study visits compared to baseline (p < 0.001). Mean ± SE macular sensitivity (dB) was 17.85 ± 0.80 and improved to 19.05 ± 0.59 after one year of follow-up (p = 0.006). The mean number of IVR injections was 8.29 ± 0.63. The mean number of MP laser procedures including the initial SWG laser session was 3.67 ± 0.22. No ocular or systemic adverse effects were observed.ConclusionThe SWG laser technique plus IVR was associated with significant improvement in macular edema, BCVA, and macular sensitivity in patients with center-involving DME.Clinical Trial Number (CAAE)22969019.4.0000.5440.

THE EFFECTS OF EXERCISE INTENSITY ON METABOLIC HEALTH IN PATIENTS WITH NAFLD AND TYPE 2 DIABETES: A COMPARATIVE STUDY

Introduction: Non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus (T2DM) are chronic metabolic disorders that are increasingly prevalent globally, posing significant health challenges. Both conditions are linked to obesity, insulin resistance, and sedentary lifestyles, leading to severe complications such as cardiovascular diseases and liver cirrhosis. Exercise is a crucial lifestyle modification that improves metabolic health in these conditions, but the optimal exercise intensity remains debated. This study investigates the effects of different exercise intensities on metabolic health in patients with NAFLD and T2DM to provide insights for tailored exercise prescriptions. Materials and Methods: This randomized controlled trial involved 100 participants with NAFLD and T2DM, divided into two groups: MICT and HIIT, over 12 weeks. Participants were adults aged 30-65 years with confirmed NAFLD and T2DM, and a sedentary lifestyle. Exclusion criteria included other liver diseases, uncontrolled hypertension, severe diabetic complications, recent participation in a structured exercise program, and contraindications to exercise. Participants were randomly assigned to MICT or HIIT, with exercise sessions supervised by certified physiologists. Primary outcomes were liver fat content and insulin sensitivity, while secondary outcomes included lipid profiles, inflammatory markers, feasibility, and safety. Results: A total of 100 participants (50 per group) completed the study with comparable baseline characteristics. Both groups showed significant reductions in liver fat content and improvements in insulin sensitivity, with HIIT showing greater reductions (p=0.01 for liver fat, p=0.02 for insulin sensitivity). HIIT also led to more significant improvements in triglycerides, LDL, HDL, and inflammatory markers compared to MICT. Adherence rates were high in both groups, although slightly lower in the HIIT group, and dropout rates were comparable. Conclusion: Both MICT and HIIT significantly improve metabolic health in patients with NAFLD and T2DM, with HIIT yielding superior outcomes in reducing liver fat, improving insulin sensitivity, enhancing lipid profiles, and decreasing inflammatory markers. These findings support incorporating HIIT into exercise regimens for this population, highlighting its potential for greater metabolic health benefits. Future research should explore the long-term sustainability and broader applicability of HIIT and strategies to enhance adherence and safety.

Bias control for optical single-sideband transmitter based on single IQ modulator

The optical in-phase and quadrature modulator (IQM) is typically utilized as an optical single-sideband (SSB) transmitter for its simple structure and low cost. It requires the modulator biases to be slightly offset for generating the optical carrier. However, this poses significant challenges in the bias control circuits, as most off-the-shelf automatic bias control (ABC) modules are designed to stabilize the IQM at its carrier suppression point for coherent optical communication. In this paper, a novel arbitrary ABC scheme is proposed to stabilize the carrier-to-signal power ratio (CSPR) of an optical SSB signal over long-term operation. This scheme uses SSB rather than double-sideband (DSB) sinusoidal signals as the dither signals. It does not violate the minimum phase condition, thus avoiding performance penalties compared to the conventional ABC scheme in which the DSB dither signal is used. We also develop a closed-form expression to reveal the relationship between the control parameter in the ABC algorithm and the CSPR of the optical SSB signal. By this means, the optical SSB transmitter can automatically adjust its bias voltages and stabilize them at a given CSPR value. The experimental results with ∼80 Gb/s optical SSB signal show that our proposed ABC scheme is effective in stabilizing the bias of the IQM at any point and maintains the CSPR value of the optical SSB signal over hours. It is also shown that the proposed method leads to 1 dB improvement in the receiver sensitivity compared with the traditional ABC technique.

Gold/DNA-Cu2+ Complex Nanozyme-Based Aptamer Lateral Flow Assay for Highly Sensitive Detection of Kanamycin.

Aptamer-based lateral flow analysis (Apt-LFAs) has promising applications in many fields. Nanozymes have demonstrated high potential in improving the performance of Apt-LFAs and have been increasingly utilized in recent studies. In this study, we developed a nanozyme-based Apt-LFA for the rapid and sensitive detection of kanamycin by using a novel dual-functionalized AuNPs@polyA-DNA/GpG-Cu2+ nanozyme as a nanoprobe. In the nanoprobe design, the polyA-cDNA strand can discriminate a kanamycin aptamer from the kanamycin/aptamer complex, and the GpG-Cu2+ complex can amplify the detection signal by catalyzing the chromogenic reaction. The nanozyme Apt-LFA can quantify kanamycin in the range of 1-250 ng/mL with an LOD of 0.08 ng/mL, which demonstrated a 4-fold sensitivity improvement and had a wider linear range than the conventional AuNP-based LFA. The Apt-LFA was successfully applied to the detection of kanamycin in honey with good recoveries. Our dual-functionalized AuNP nanoprobe is easily prepared and can be highly compatible with the conventional AuNP-DNA-based LFA platform; thus, it can be extended to the application of Apt-LFAs for other small molecules.

Data-Independent Acquisition Shortens the Analytical Window of Single-Cell Proteomics to Fifteen Minutes in Capillary Electrophoresis Mass Spectrometry.

Separation in single-cell mass spectrometry (MS) improves molecular coverage and quantification; however, it also elongates measurements, thus limiting analytical throughput to study large populations of cells. Here, we advance the speed of bottom-up proteomics by capillary electrophoresis (CE) high-resolution mass spectrometry (MS) for single-cell proteomics. We adjust the applied electrophoresis potential to readily control the duration of electrophoresis. On the HeLa proteome standard, shorter separation times curbed proteome detection using data-dependent acquisition (DDA) but not data-independent acquisition (DIA) on an Orbitrap analyzer. This DIA method identified 1161 proteins vs 401 proteins by the reference DDA within a 15 min effective separation from single HeLa-cell-equivalent (∼200 pg) proteome digests. Label-free quantification found these exclusively DIA-identified proteins in the lower domain of the concentration range, revealing sensitivity improvement. The approach also significantly advanced the reproducibility of quantification, where ∼76% of the DIA-quantified proteins had <20% coefficient of variation vs ∼43% by DDA. As a proof of principle, the method allowed us to quantify 1242 proteins in subcellular niches in a single, neural-tissue fated cell in the live Xenopus laevis (frog) embryo, including many canonical components of organelles. DIA integration enhanced throughput by ∼2-4 fold and sensitivity by a factor of ∼3 in single-cell (subcellular) CE-MS proteomics.

Effects of Physical Activity on Patients With Diabetes Type 2: A Systematic Review

The aim of the research was to collect and to examine the positive effects of various physical activity (PA) programs on individuals with type 2 diabetes mellitus (T2DM). This included a combination of aerobic exercises and resistance training, with varying intensities, in order to compare which approach yielded better outcomes for T2DM management; This systematic review was conducted in line with PRISMA guidelines, focusing on the period from 1991 to 2024. Studies included in this review involved both experimental procedures and questionnaire-based surveys to assess the impact of PA on T2DM patients. The primary outcome was the effect of PA on T2DM, with secondary outcomes including changes in blood pressure, cholesterol levels, and glycemic control; A total of 23 studies, encompassing 1752 participants (515 men, 546 women, and 691 unspecified), met the inclusion criteria. The studies highlighted the positive effects of exercise, such as improvements in glycemic control, insulin sensitivity, and lipid profiles. Most studies recommended a combination of aerobic and resistance exercises performed 3-4 times per week for 30-60 minutes per session; This systematic review confirms that regular PA is instrumental in managing T2DM. Health care providers should integrate PA programs into treatment plans for T2DM patients to optimize glycemic control and overall health outcomes.

Detecting axion dark matter with black hole polarimetry

The axion, as a leading dark matter candidate, is the target of many ongoing and proposed experimental searches based on its coupling to photons. Ultralight axions that couple to photons can also cause polarization rotation of light which can be probed by the cosmic microwave background. In this work, we show that a large axion field is inevitably developed around black holes due to the Bose-Einstein condensation of axions, enhancing the induced birefringence effects. Therefore, measuring the modulation of supermassive black hole imaging polarization angles is a strong probe to the axion-photon coupling due to the formation of the axion condensation (axion star) which enhances the axion field. The oscillating axion field around black holes induces polarization rotation on the black hole image, which is detectable and distinguishable from astrophysical effects on the polarization angle, as it exhibits distinctive temporal variability and frequency invariability. In this work, we perform the theoretical calculation on the axion star formation rate and correspondingly the enhanced axion field value near supermassive black holes. Then, we present the range of axion-photon couplings within the axion mass range 10−21–10−16 eV that can be probed by the Event Horizon Telescope. The axion parameter space probed by black hole polarimetry will expand with the improvement in sensitivity on the polarization measurement and more black hole polarimetry targets with determined black hole masses. Published by the American Physical Society 2024

A Study on Sensitivity Improvement of the Fiber Optic Acoustic Sensing System Based on Sagnac Interference.

A new pickup structure was introduced and modified to improve the resolution of the linear Sagnac optical fiber acoustic sensing system. The maximum strains corresponding to the material, diameter, wall thickness, and height of the pickups were analyzed by simulation. An aluminum cylinder with a diameter of 110 mm, a wall thickness of 3 mm, and a height of 120 mm was chosen as the basic pickup. A four-groove pickup with a vertical width of 80 mm and a horizontal width of 20 mm was introduced to improve the sensitivity of the system. The experiments showed that the average peak-to-peak sensitivity of the four-groove pickup increased by 215.54% to 106.806 mV/Pa. The improved pickup can be applied in areas to monitor the situation of invasion of the Sagnac optical fiber acoustic sensing system.

Sinonasal Outcomes Obtained after 2 Years of Treatment with Benralizumab in Patients with Severe Eosinophilic Asthma and CRSwNP: A "Real-Life" Observational Study.

Benralizumab is a monoclonal antibody that targets the interleukin-5 receptor (IL-5Rα), leading to the rapid depletion of blood eosinophils. RCTs have demonstrated efficacy in patients with severe eosinophilic asthma (SEA). The aim of this study was to assess the efficacy of benralizumab on sinonasal outcomes in a real-life setting in patients with SEA and concomitant chronic rhinosinusitis with nasal polyps (CRSwNP). We included 25 patients (mean age: 57.47 years, range: 35-77, F/M = 12:13) who were prescribed 30 mg benralizumab every month for the first three administrations and then every 2 months. The primary endpoint was to evaluate changes in the SinoNasal Outcome Test-22 (SNOT-22) and nasal polyp score (NPS) over a 24-month treatment period. Secondary endpoints included measuring the effects on nasal obstruction and impaired sense of smell. The mean NPS score decreased significantly from 5.11 ± 1.84 at baseline to 2.37 ± 1.96 at 24 months. The mean SNOT-22 decreased from 57 ± 15.30 at baseline to 26 ± 16.73 at 24 months. The SSIT-16 mean score improved with an increase in olfactory performance from 5.23 ± 2.58 at baseline to 7 ± 3.65 at 24 months. Moreover, 8/25 patients (32%) required rescue treatment with systemic steroids and 2 patients required endoscopic sinus surgery. While the improvement may not seem optimal at 12 months, a progressive enhancement was noted during the second year of treatment. Despite our data showing an improvement in quality of life and a reduction in the size of nasal polyps, no significant improvement in olfactory sensitivity was observed. In addition, in several patients, rescue treatments were required to maintain control of nasal and sinus symptoms. A careful risk-benefit assessment is therefore needed when deciding to continue treatment, weighing the potential for further improvement against the risks of complications. Such decisions should always be made in the context of a multidisciplinary team.

Imaging in Renal Cell Carcinoma Detection.

Imaging in renal cell carcinoma (RCC) is a constantly evolving landscape. The incidence of RCC has been rising over the years with the improvement in image quality and sensitivity in imaging modalities resulting in "incidentalomas" being detected. We aim to explore the latest advances in imaging for RCC. A literature search was conducted using Medline and Google Scholar, up to May 2024. For each subsection of the manuscript, a separate search was performed using a combination of the following key terms "renal cell carcinoma", "renal mass", "ultrasound", "computed tomography", "magnetic resonance imaging", "18F-Fluorodeoxyglucose PET/CT", "prostate-specific membrane antigen PET/CT", "technetium-99m sestamibi SPECT/CT", "carbonic anhydrase IX", "girentuximab", and "radiomics". Studies that were not in English were excluded. The reference lists of selected manuscripts were checked manually for eligible articles. The main imaging modalities for RCC currently are ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI). Contrast-enhanced US (CEUS) has emerged as an alternative to CT or MRI for the characterisation of renal masses. Furthermore, there has been significant research in molecular imaging in recent years, including FDG PET, PSMA PET/CT, 99mTc-Sestamibi, and anti-carbonic anhydrase IX monoclonal antibodies/peptides. Radiomics and the use of AI in radiology is a growing area of interest. There will be significant change in the field of imaging in RCC as molecular imaging becomes increasingly popular, which reflects a shift in management to a more conservative approach, especially for small renal masses (SRMs). There is the hope that the improvement in imaging will result in less unnecessary invasive surgeries or biopsies being performed for benign or indolent renal lesions.

Sensitivity Enhancement of Ultra-Wideline NMR by Progressive Saturation of the Proton Reservoir Under Magic-Angle Spinning.

Solid-state NMR of low-γ nuclides is often characterized by low sensitivity and by significant spectral broadenings induced by the quadrupolar and the chemical-shift anisotropy interactions. Herein, we introduce an indirect acquisition method, termed PROgressive Saturation of the Proton Reservoir Under Spinning (PROSPRUS), which could facilitate the acquisition of ultra-wideline NMR spectra under magic-angle spinning (MAS), in systems with a sufficiently long dipolar relaxation time, T1D. PROSPRUS NMR relies on the generation of so-called second-order dipolar order among abundant protons undergoing MAS, and on the subsequent depletion of this dipolar order by a series of looped cross-polarization events, transferring the proton order into polarization of the low-γ I-nuclei as a function of the latter's offsets. While the spin dynamics of the ensuing experiment is complex, particularly when dealing with narrow I spectral lines, it is shown that PROSPRUS can lead to faithful lineshapes for ultra-wideline spin-1/2 and spin-1 species, providing high sensitivity with extremely low RF power requirements. It is also shown that the ensuing 1H-detected PROSPRUS experiments can efficiently characterize I-spin lineshapes in excess of 1 MHz without having to retune electronics, while providing improvements in sensitivity per unit time over current broadband direct-detection methods by up to a factor of four.