Mm In Diameter Research Articles

197 Pre-clinical Ex-vivo Study of a 3D Neuronavigation With a Neurosurgical Microrobot

INTRODUCTION: Access to deep brain structures for diagnostic and therapeutic purposes remains a challenge for neurosurgeons. To solve this obstacle, we are developing a micro-robot with the technology to navigate the brain with 3D curved trajectories that will open a new range of possibilities in the neurosurgical world (tumor identification, treatment of epileptic foci, DBS, targeted therapies, fenestration of membranes). The microrobot is tracked and navigated with a transcranial ultrasound system. METHODS: 10 cadaveric studies were performed using 4 adult swine and 6 human subjects using micro-robot models with diameters of 4.5 mm and 2.9 mm. The microrobotic base for injection and ultrasound tracking of the microrobot (CAP) was placed on the skull at the insertion hole. The micro-robot was remotely controlled, and the surgeries were performed in a hybrid operating room with 3D fluoroscopy, allowing us to validate the surgery feasibility and evaluate the accuracy of the transcranial tracking. RESULTS: 20 burr holes were performed with holes ranging from 4-9 mm in diameter. The microrobot was inserted successfully infall cases. The navigation was effective with straight or curved trajectories in 18 cases and the targeted points were reached in 16 cases. We observed a mean 3D tracking accuracy of 1.49mm with a S.D. of 0.58 mm, demonstrating a millimetric tracking accuracy, similar to the best stereotaxy performance. CONCLUSIONS: These results are a world first, proving the feasibility of intracerebral parenchymal microrobotic neuro-navigation with a millimetric ultrasound transcranial tracking. Future tests will allow testing new prototypes of 1.8mm diameter enabling clinical translation.

Association of Fordyce Granules with Skin Types – A Cross-Sectional Study

ABSTRACT Background: Fordyce granules, sometimes referred to as Fordyce dots, are aberrant sebaceous glands that present as diminutive, non-painful, elevated lesions exhibiting a yellowish or whitish hue, measuring 1 to 3 mm in diameter, and manifesting inside the oral cavity. Likewise, these particles may also be seen in the vaginal region and inside the oral cavity. Aim: The primary objective of the current study is to evaluate the potential association between Fordyce granules and the skin type of individuals who seek dental care at the Dental Clinics of Qassim University. Materials and Methods: The current cross-sectional research was undertaken at the Dental Clinics of Qassim University, with a sample of 87 patients diagnosed with Fordyce’s granules. The research consisted of a heterogeneous sample of participants, including individuals of all genders, ranging in age from 18 to 85 years. The study included a comprehensive evaluation of several anatomical regions to identify the existence of Fordyce’s granules. This examination was conducted by a single examiner who had undergone calibration. Additionally, the participants’ skin types were established using the Baumann Skin Typing System questionnaire. The data that was gathered was afterward analyzed utilizing statistical methods via the use of SPSS software. A pre-set significance level was established at P < 0.05. Results: The distribution of skin types among the study participants with Fordyce’s granules were found to be oily skin (51.3%), dry skin (47.9%), sensitive skin (49.3%), and resistant skin (56.3%). The results of the research showed that there was no statistically significant correlation between the two variables, i.e. skin type and the presence of Fordyce’s granules. This conclusion is supported by the increased P values of 0.941 for those with oily skin and 0.785 for individuals with dry skin. Conclusion: No relation between skin type and Fordyce’s granules in the current study.

Evaluation of the Impact of Different Surface Treatments on Implant Surface: An In Vitro Study

ABSTRACT Aim: The current study was conducted to assess the effects of various surface treatments on the implant surface. Materials and Methods: A total of 45 dental implants measuring 16 mm in length and 5 mm in diameter were used, along with the appropriate abutments. Depending on the surface treatment used, the samples were randomly split into three groups, with 15 implants in each group: Group 1: Control, Group 2: UV light-treated, Group 3: Sandblasted and acid-etched (SLA)-treated. After surface treatment, a scanning electron microscope (SEM) was used to assess the test samples’ surface properties. All sample images were captured using a 3000× magnification. After all three groups’ surfaces were treated, the surface roughness was measured using a digital optical profilometer with a stylus speed of 0.5 mm/s that was connected to computer software. Results: The maximum surface roughness was found in the group treated with SLA (0.714 ± 0.12), followed by the group treated with UV light (0.692 ± 0.09) and the control group (0.516 ± 0.12). There was a significant difference found between different surface treatment methods. Conclusion: The present study concluded that the group that received the SLA treatment had the highest surface roughness when compared to the UV light and control groups.

Effects of various beverages on characteristics of provisional restoration materials.

To investigate the effect of common beverages on four currently used provisional restoration materials: Protemp®4, Integrity®, polymethyl methacrylate(PMMA) block, and acrylic resin. Flowable resin composite is included as a control group. Each material was formed into disks of 10-mm diameter and 4-mm thickness (N = 40) by loading the material into acrylic molds. The exposed surface in the mold was covered using a glass slide to prevent an oxygen inhibition layer, and polymerization then proceeded. The solidified disks were placed in distilled water for 24 h. These samples (n = 8) were then immersed for 14 days in one of four different beverages: water, orange juice, cola, and coffee. Changes in color dimension, hardness, and roughness were observed and then analyzed using two-way repeated analysis of variance. The provisional materials had more obvious changes in all three color dimensions than the flowable resin composite. Integrity showed the biggest changes, followed by acrylic resin and PMMA block, whereas Protemp had the smallest changes. The hardness of all the materials significantly decreased after immersion in any of the beverages for 14 days. There were no changes in surface roughness when the materials were immersed in distilled water. The surface roughness of the PMMA block significantly decreased in orange juice whereas that of Integrity and acrylic resin significantly increased in cola. Different kinds of provisional materials had different degrees of staining due to their composition. Moisture had a significant influence on the hardness of materials, and the acidity of cola significantly roughened the surface of the provisional materials.

Efek Konsumsi Teh Hitam dan Jus Apel Terhadap Stabilitas Warna Laminate Veneer Resin Komposit Indirek

Laminate veneer is a treatment in prosthodontic that is aesthetically pleasing and requires minimal preparation that can be fabricated with indirect resin composite, which is durable and low-cost, though this material has poor color stability. Due to the increasing consumption of black tea and apple juice, there was a need for this study to be taken out. This study aims to determine the effect of consumption of black tea and apple juice on colour stability. Indirect resin composite specimens were fabricated 20 mm in diameter and 1.5 mm in thickness and divided into 3 groups (n = 10). Specimens were immersed in 3 types of solutions: black tea, apple juice and aquadest as control. The color of specimens was measured before and after immersion using a color spectrophotometer. Statistical analysis was performed with univariate test, Mann-Whitney U test, Independent T-test, one-way ANOVA and LSD test. Mean delta E (ΔE) value for black tea is 1,381 ± 0,938 and ΔE = 6,803 ± 1,757 in apple juice. Black tea and apple juice reduced the color stability of indirect resin composite significantly with p = 0,001 (p < 0.05). The effect of immersion in both drinks differed significantly with p = 0,001 (p <0.05). Apple juice experienced the greatest reduction in color stability, followed by black tea, and lastly the control group. The difference in the effect of immersing black tea and apple juice was due to the difference in pH and major acid content.

RANCANG BANGUN GENERATOR MAGNET PERMANEN FLUKS AKSIAL PADA PROTOTYPE PEMBANGKIT LISTRIK TENAGA BAYU (PLTB) SUMBU VERTIKAL

Axial flux permanent magnet generators are easy to manufacture because only the rotor and stator are aligned. Axial flux generators are one of the right choices for wind power plants due to the large number of magnetic poles, high electrical power density, and easy-to-increase power capacity. The axial flux type permanent magnet generator is designed with a speed of 600 rpm, a frequency of 50 Hz, a voltage of 12 V, a power of 7 Watts, 1 phase, 10 pairs of Neodymium Iron Boron (NdFeB) type magnetic poles, and 5 copper wire coils measuring 0.6 mm in diameter with a total of 301 turns. This vertical-axis wind farm test uses an axial flux permanent magnet generator with a 5? resistor load and is assisted by a blower. The blower is used to get a constant turbine rotation in accordance with the results of wind speed measurements taken for 3 days on the rooftop of the electrical engineering lecture building, namely the wind speed range of 3-5 m/s. Based on these tests, the generator is able to produce a voltage of 1.5 V, a current of 0.2 A, a power of 0.27 Watt, and a generator efficiency level of 0.63% at a wind speed of 3 m/s. It also produces a voltage of 4.4 V, a current of 0.7 A, a power of 2.77 Watt, and a generator efficiency level of 0.97% at a wind speed of 5 m/s.

관상동맥 CT 조영 검사 시, 초 고해상도 딥러닝 알고리즘이 적용된 스텐트 영상의 진단적 가치

Recently, with the advancement of artificial intelligence image reconstruction technology, we are attempting to evaluate the accuracy of coronary artery stent lumen by developing ultra-high-resolution deep learning image reconstruction technology based on the most accurate 0.25mm multi-detector available. This study was divided into patient studies and phantom studies. Images were reconstructed in the same patient using four different methods: filter correction reverse projection, repetitive reconstruction, deep learning reconstruction, and artificial intelligence ultra-high resolution reconstruction. To objectively evaluate image quality, four parameters, image noise, CT density, signal-to-noise ratio, and contrast-to-noise ratio, were analyzed for each dataset. The phantom study installed a latex Nelaton sterilized catheter to express the coronary artery in the dummy chest phantom. Subsequently, a coronary stent (2.5mm and 3.5mm in diameter) was inserted into each catheter. Images were obtained using various reconstruction techniques (FBP, IR, DLR, and UHR-DLR) for each CT manufacturer. Stent clarity was evaluated using edge rise distance (ERD) and edge rise slope (ERS). We showed that the average Signal-to-Noise Ratio (SNR) and Contrast-to-Noise Ratio (CNR) of coronary arteries reconstructed with Ultra-High Resolution Deep Learning Reconstruction (UHR-DLR) improved by 29.2% and 36.4% compared to those reconstructed with DLR, respectively. Image noise was reduced by about 21.4% in UHR-DLR. The ERS average value of the coronary stent phantom measured by the CT manufacturers was highest in the UHR-DLR of Aquilion ONE Prism (Canon), and the ERD value is statistically significant for each CT manufacturer. Compared to FBP, HIR, and DLR, UHR-DLR not only improved image clarity and reduced image noise and blooming artifacts but also clearly showed the stent support structure and stent lumen.

Combined effects of radiation and simulated microgravity on intestinal tumorigenesis in C3B6F1 ApcMin/+ mice

Explorations of the Moon and Mars are planned as future manned space missions, during which humans will be exposed to both radiation and microgravity. We do not, however, know the health effects for such combined exposures. In a ground-based experiment, we evaluated the combined effects of radiation and simulated microgravity on tumorigenesis by performing X-irradiation and tail suspension in C3B6F1 ApcMin/+ mice, a well-established model for intestinal tumorigenesis. Mice were irradiated at 2 weeks of age and underwent tail suspension for 3 or 11 weeks using a special device that avoids damage to the tail. The tail suspension treatment significantly reduced the thymus weight after 3 weeks but not 11 weeks, suggesting a transient stress response. The combination of irradiation and tail suspension significantly increased the number of small intestinal tumors less than 2 mm in diameter as compared with either treatment alone. The combined treatment also increased the fraction of malignant tumors among all small intestinal tumors as compared with the radiation-only treatment. Thus, the C3B6F1 ApcMin/+ mouse is a useful model for assessing cancer risk in a simulated space environment, in which simulated microgravity accelerates tumor progression when combined with radiation exposure.

Portable Detection of Lysine Acetyltransferase Activity in Lung Cancer Cells Based on a Miniature Electrochemical Sensor.

The detection of lysine acetyltransferases is crucial for diagnosing and treating lung cancer, highlighting the necessity for highly efficient detection methods. We developed a portable, highly accurate, and sensitive technique using fast-scan cyclic voltammetry (FSCV) to determine the activity of the lysine acetyltransferase TIP60, employing a novel miniature electrochemical sensor. This approach involves a compact electrochemical cell, merely 3 mm in diameter, that holds solutions up to 50 μL, equipped with a conductive indium tin oxide working electrode. Uniquely, this system operates on a two-electrode model compatible with the FSCV, obviating the traditional requirement for a reference electrode. The system detects TIP60 activity through the continuous generation of CoA molecules that engage in reactions with Cu(II), thereby significantly improving the accuracy of the acetylation analysis. Remarkably, the detection limit achieved for TIP60 is notably low at 3.3 pg/mL (S/N = 3). The results show that the reversible dynamic acetylation can be effectively regulated by inhibitor incubation and glucose stimulation. This cutting-edge strategy enhances the analysis of a broad spectrum of biomarkers by modifying the responsive unit, and its miniaturization and portability significantly amplify its applicability in biomedical research, promising it to be a versatile tool for early diagnostic and therapeutic interventions in lung cancer.

Geotechnical and structural assessment on estimated bearing capacity of strip footing resting on silty sand incorporating moisture content effect

This paper aims to assess the ultimate bearing capacity of a strip footing on the ground surface of a silty sand soil layer. It considers structural failures and geotechnical changes, including the impact of moisture content, using numerical simulation in PLAXIS 3D V21. The structural damage assessments on a student center building located in the northern part of Peninsular Malaysia were performed by visual inspection, and thirty-six sub-points of rebound hammer tests were conducted on three selected different points (Point 1, 2, 3) of the building to evaluate concrete strength and record crack characteristics for severity classification. Subsequently, an extensive geotechnical laboratory tests were performed to investigate the effects of moisture content on physical and mechanical properties of silty sand including, soil compositions, Atterberg limits, compaction characteristics and unconfined compressive strength (UCS) from the building area which resulted to structural damage caused by differential settlement beneath the building. The visual inspection assessment has shown the student center building experienced severe damage category at Point 1 with crack width and length are 25 mm and 3 m respectively. At Point 2, there was minimal damage to the surface structure, with a crack measuring 1 mm in diameter and 0.1 m in length. Furthermore, crack width and length are 1 mm and 0.2 m respectively are recorded for Point 3. The study fills in a gap in the research by combining geotechnical and structural tests on the bearing capacity of silty sand with moisture content. The effect of soil saturation, matric suction, and the unsaturated strength of soil are affected by these factors in the analysis of the bearing capacity of the foundation. The exact solution gives us 568.213 kPa for a zero degree of saturation and 385.34 kPa for a 100 percent degree of saturation. The incorporation of geotechnical and structural assessments aims to find reliable strategies for failure remediations for instance patched and sealed with a concrete patching compound.

First Report ofLasiodiplodia hormozganensisCausing Leaf Spot Disease onAreca catechuin China.

The areca palm (Areca catechu L.) is one of the significant cash crops in Hainan Province (China), and a valuable tropical medicinal plant (Cao et al. 2020). In September 2020, spots were found on about 80% of the area of the leaves in a 1,000-acre plantation of areca palms in Haikou City, Hainan Province, and the average incidence was 25%. Initially, Elliptical or irregular dark brown spots appeared on the leaves, with an average size of about 1.5 cm2. With the further expansion of the disease, the spot turned light brown in the center with dark brown edges and a prominent yellow halo. Later stage of the disease, the spots became grayish-white in the center, with obvious whorls, on which many small black spots (pycnidia) were scattered. Eventually the leaves dried out. Ten leaves with typical symptoms were collected from the field. Lesion marginal tissues (5×5 mm2) were surfaced sterilized in 75% ethanol for 20 s, followed by 4 min in 1% NaClO, rinsed 3 times with sterile water, plated on PDA and incubated at 28 ℃. A fungus was isolated with a 98% isolation rate. This strain was named HNAC-5. Subcultures were 80 mm in diameter, white, villous, and neatly edged, after two days of incubation at 28 ℃ in dark. Pycnidia were solitary or clustered in stromata, with orifices that oozed black liquid. Conidiogenous cells were colorless and short cylindrical. Conidia unicellular, initially hyaline, aseptate, ellipsoid to ovoid with granular content, becoming pigmented, 1-septate with longitudinal striations, and measuring 20-31×10-13 μm (n=100). These morphological characteristics were similar to Lasiodiplodia spp. (Abdollahzadeh et al. 2010). The internal transcribed spacer region of rDNA, β-tubulin gene, and translation elongation gene were amplified using ITS1/ITS4, Bt2a/Bt2b, and EF1-728F/EF1-986R primers, respectively (Alves et al. 2008; Glass and Donaldson 1995; White et al. 1990). The resulting sequences were deposited in GenBank under accession numbers OR272043, OR282568, and OR282567. BLAST analysis showed that the three sequences of HNAC-5 were more than 99% similar to strain CBS 124709 of L. hormozganensis. Phylogenetic analysis was performed using the maximum likelihood method based on the three-gene combined dataset with MEGA 7.0 software. The results indicated that HNAC-5 was grouped in the same clade as otherL. hormozganensis Abdollahzadeh, Zare & A.J.L. Phillips. Pathogenicity test was carried out on 15 healthy leaves by in vivo inoculation. Ten leaves were pricked with a sterile needle and divided into group 1 and 2. The remaining five uninjured leaves were group 3. Group 1 and 3 were inoculated with 5-mm-diameter mycelial plugs obtained from 3-day cultures, and group 2 treated with PDA plugs served as controls. Fifteen leaves were cultured at 28°C and 100% relative humidity. After 5 days, leaves of group 1 showed symptoms of the disease and on the tenth day showed the same symptoms as the initial onset of the disease in the field, while leaves of Group 2 and 3 showed no symptoms. Pathogenicity tests were conducted three times with the same results. L. hormozganensiswas re-isolated from the inoculated symptomatic leaves, thus, Koch's postulates were confirmed. In China, L. hormozganensis has been reported to cause Bougainvillea spectabilis Willd. branch blight disease (Li et al. 2015), and Scaevola taccada (Gaertn.) Roxb. leaf spot disease (Zhang et al. 2020). To our knowledge, this is the first report of L. hormozganensiscausing leaf spot disease onA. catechuin China.

Experimental approach for measuring the peeling strength of a sheet bonded on a curved adherend with pressure sensitive adhesive and predicting the peeling resistance by finite element analysis

ABSTRACT To evaluate the peel resistance of a device wherein a polyimide (PI) sheet is bonded to a curved surface with a pressure-sensitive adhesive (PSA) experimentally and analytically, we applied a mechanical simulation considering the viscoelasticity of the pressure-sensitive adhesive (PSA) and the fracture energy of the bonding interface. The mechanical behavior against the local load applied on the PI sheet surface was evaluated using this simulation. To verify the accuracy of this simulation, we fabricated a local load tester that could apply a load to a local area of 8 mm in diameter and compared the mechanical behavior with the simulation results. Dynamic mechanical analysis of the PSA with a film thickness of 19 μm was performed using the nanoindentation technique. The generalized Maxwell model parameters were estimated by fitting the relaxation elastic modulus E(t) to conduct a mechanical simulation. For the double cantilever beam test to derive the interfacial fracture energy, soft PI sheets were reinforced with Al substrates. As a result of these analyses, it was confirmed that the relationship between the displacement and load obtained by this simulation agrees well with the actual local load test. This technique is useful for predicting the bonding strength of complex-shaped devices fabricated using soft adherends and adhesives.

A Quantitative Analysis of Microplastics in the Gastrointestinal Tracts of Odontocetes in the Southeast Region of the United States.

Microplastics (<5 mm in diameter) are ubiquitous in the oceanic environment, yet microplastic accumulation in marine mammals is vastly understudied. In recent years, efforts have been made to document microplastic profiles in odontocetes. The objective of the present study was to describe and quantify microplastics in the gastrointestinal (GI) tracts of deceased odontocetes that stranded in the southeastern United States. Our study included 24 bottlenose dolphins (Tursiops truncatus), two pygmy sperm whales (Kogia breviceps), one pantropical spotted dolphin (Stenella attenuata), one short-snouted spinner dolphin (Stenella clymene), one Risso's dolphin (Grampus griseus), and one dwarf sperm whale (Kogia sima) obtained from stranding networks in Texas, Alabama, Florida, and Puerto Rico. Contents found in the GI tracts, namely, the stomach and portions of the intestinal tract, were subjected to a laboratory procedure to isolate microplastics. The physical characteristics of microparticles were analyzed with a stereomicroscope, and microplastics were classified by polymer type via Fourier-transform infrared spectroscopy. There was an average of 47.6 ± 41.4 microparticles, ranging from 1 to 193 items per stomach. More specifically, there was an average of 5.6 ± 4.7 microplastics per stomach. The predominant morphologies, colors, and polymer types were fibers, white-colored items, and polyester, respectively. This research contributes to the current knowledge of microplastic exposure in top marine mammal predators and sets the stage for further exploration into the associated risks of microplastics in odontocetes within the United States and worldwide. Environ Toxicol Chem 2024;00:1-14. © 2024 SETAC.

First Report of Phytophthora ramorum Causing Leaf Spots on Cornus capitata (Evergreen Dogwood) in United States.

Cornus capitata Wall. ex Roxb. (evergreen dogwood) is a bushy evergreen tree or shrub native to East Asia grown for its showy creamy bracts in late spring followed by attractive red fruit. In Feb 2023, a sample of foliage with leaf spots and tip dieback from C. capitata 'Mountain Moon' was submitted from a Humboldt Co. nursery as part of a CDFA inspection program for Phytophthora ramorum. The leaf spots were medium to dark brown, irregularly shaped, and ranged from 5 to 8 mm in diameter. They were located primarily along the leaf midrib and covered up to 1/4 of the leaf surface. Six 6-mm-diameter leaf discs taken from the margins of brown lesions and tip dieback were plated on Phytophthora selective CMA-PARP (PARP) media (Jeffers and Martin 1986). After 6 to 10 days, colonies resembling P. ramorum, with coralloid coenocytic hyphae, chlamydospores, ellipsoidal semi-papillate and caducous sporangia, and a relatively slow growth rate were recovered. Abundant sporangia formed on agar singly or in clusters on sympodially branched sporangiophores (n = 50), varying in size from 35 to 60 μm × 20 to 30 μm (mean 45.6 × 24.8 μm) with a length/breadth ratio ranging from 1.3 to 2.3 (mean 1.8). Chlamydospores (n = 50) ranged from 35 to 62 μm in diameter (mean 51.9 μm) on 14-day-old PARP cultures. The internal transcribed spacer region (ITS) using primers ITS5/ITS4 (White et al. 1990; accession no. OR636225) and cytochrome oxidase subunit 1 region (cox1) using primers OomCox1Levup/Fm85mod (Robideau et al. 2011; OR635665) of one isolate (0254-32A) were amplified and sequenced. BLAST analysis showed 100% identity of both regions to P. ramorum ex-type strain (MG865581 and MH136973). Microsatellite loci placed the P. ramorum isolate in the NA2 clonal lineage (Goss et al, 2011). Pathogenicity of P. ramorum isolate 0254-32A was tested using five C. capitata plants (2.5-year-old, 28-cm-tall, 3.78-liter pot). Zoospore inoculum was produced as described in Blomquist et al. (2021). Above ground parts of each plant were sprayed with inoculum (15 ml, 1.3 × 105 zoospores/ml). Inoculated plants were incubated in a dew chamber in the dark at 23°C for 72 h and then placed in a 23±1°C growth chamber with a 12-h photoperiod. Five control plants were treated as above but with sterile water instead of the zoospore suspension. Two days after inoculation, brown spots were visible on leaves on all inoculated plants, initiating from where the drops of inoculum had persisted. After 3 days, brown lesions, from water drop- to majority of entire leaf-sized, were observed on approximately 75% of inoculated leaves. After 6 days, lesions expanded to the edges of leaves, causing leaf curling and defoliation. Lesions stopped expanding after 3 weeks, and by 4 weeks, most infected leaves had abscised, with no new infections observed. Phytophthora ramorum was consistently isolated from foliar lesions of inoculated plants on PARP. It was not isolated from leaf or stem tissues of control plants, which remained asymptomatic during the 4-week experiment period. Phytophthora ramorum was detected on C. capitata in the UK in 2015 (DEFRA 2015). To our knowledge, this is the first report of P. ramorum infecting C. capitata in the United States and the completion of Koch's postulates on any Cornus spp. Incidence on C. capitata in the California nursery was low. However, their proximity to other infected foliar hosts suggests Cornus spp. may present a potential risk for the spread of P. ramorum.

Multiple foreign body granulomas after mastectomy with intraoperative application of tissue adhesive vs. surgical drainage - sonographic finding.

The use of tissue adhesive instead of a drain following mastectomy was a point of interest for many breast surgeons. Postoperative formation of multiple unusual sonographic lesions was observed in patients that underwent mastectomy with TissuGlu. The aim of this study was to describe the sonographic features of these lesions and, when possible, to examine them histologically. This study includes 98 patients, 49 underwent mastectomy with the application of TissuGlu and 49 with drain insertion. Unusual postoperative sonographic findings were thoroughly described. A histological examination was carried out according to the guideline recommendations. Unusual sonographic findings were detected in 87.8% of patients in the TissuGlu group and in only 4% of the patients in the drain group. These lesions were detectable between 6 and 59 months postoperatively. 47 breasts of the TissuGlu group were classified as category 3, while only 2 breasts as category 4. Lesions were on average 7.5 mm in diameter, echogenic or isoechoic with posterior shadowing, an irregular and ill circumscribed marginal contour, and a horizontal axis. All histologically examined lesions (n=29) were benign. Granulomatous tissue was histologically proven in 63% of those lesions (n=17), while residual adhesive material could be detected in 18.5% of lesions (n=5). The use of TissuGlu adhesive after mastectomy may cause the formation of unusual palpable granulomas, with or without residual adhesive materials. Sonographic description of lesions will help physicians to differentiate between granulomas and local relapse.

Differences Between Edges and Centers of Melanomas Using Vibrational Optical Coherence Tomography: The Effects of Critical Lesion Size

Differences Between Edges and Centers of Melanomas Using Vibrational Optical Coherence Tomography: The Effects of Critical Lesion Size

Flexural Behavior of Inverted Steel Fiber-Reinforced Concrete T-Beams Reinforced with High-Yield Steel Bars

This study discusses the effectiveness of T-beams reinforced with steel fibers and 600 MPa longitudinal reinforcements on negative flexural responses based on experimental and finite element analysis (FEA) methods. Four T-beams reinforced with 400 MPa or 600 MPa reinforcements were manufactured and inversely loaded. Two of the beams were fabricated with 0.75% (by volume) steel fibers as per JGJ/T465-2019, while the rest were cast following the same design but without steel fibers for comparison. The failure modes, the cracking moment and width, and the stress of the longitudinal reinforcements and concrete were compared between the four tested T-beams. In particular, deflection–load curves indicated the improved flexural ability of the specimens with steel fibers and high-yield steel bars. Models of T-beams with longitudinal reinforcements measuring 6, 8, and 12 mm in diameter were simulated and compared with the results of validated models. The FEA results further demonstrate the better flexural performance of T-beams reinforced with steel fibers and longitudinal reinforcements. Both materials can increase the overall performance of inverted steel fiber-reinforced concrete T-beams, including cracking load, crack width, ultimate load, and deflection. However, the findings showed that different diameters of longitudinal reinforcements generated different levels of effectiveness.

First Report of Alternaria alternata Causing Leaf Spot on Oenothera biennis in China.

Oenothera biennis is a versatile plant that can be used for both ornamental and medicinal purposes. Its potential in treating a range of diseases is noteworthy and has been studied extensively (Bayles et al. 2009). In September 2022, leaf spot on O. biennis was first observed in a 0.2 ha plant experimental demonstration land in Libo County (25°23'24″N, 108°4'22″E), Guizhou Province, China. The incidence of all O. biennis was about 60% over the 0.2 ha surveyed. Initially, red round or irregular spots appeared on the leaves, which then gradually turned dry yellow. To identify the cause, diseased tissues (5 mm2) from the margin of the lesions were surface disinfected by immersion in 75% ethanol for 30 sec, and 7% sodium hypochlorite for 1 min, and then rinsed three times with sterile distilled water (Sun et al. 2022). The tissues were cultured in potato dextrose agar (PDA) at 25℃. After 7 days, further purification was performed by transferring onto the new PDA and potato carrot agar (PCA) by single-spore isolation. After 8 days, the colonies on PDA were 80 mm in diameter, cotton-like in texture, dark green in color and nearly circular in shape with a white edge. The conidia on the PCA were short-chains, pear-shaped or oval, pale brown, smooth surface, 15.3-30.8 × 8.3-12.6μm (n = 150). Beaks were columnar or conical, 0-6.0 × 0-4.0μm (n = 100). Conidiophores were solitary straight or flexuous less branched, dark brown, and measured 14.0-60.5 × 3.0-4.5μm. Based upon morphological observations, all these characteristics were consistent with those of Alternaria alternata (Simmons 2007). To further identify the fungal species, internal transcribed spacer (ITS) rDNA regions, glyceraldehyde-3-phosphate dehydrogenase (gpd), Alternaria major allergen (Alt a 1), RNA polymerase second largest subunit gene (RPB2) and translation elongation factor 1-alpha (TEF 1) were amplified and sequenced using the primers ITS4/ITS5, RPB2-5F/RPB2-7CR, gpd1/gpd2, EF1-728F/EF1-986R, and Alt-for/Alt-rev (Woudenberg et al. 2015). Sequences were deposited in GenBank (ITS: OM319523; RPB2: OM849249; gpd: OM296248; TEF1: OM238124; Alt a 1: OM649813). The similarity of the representative isolate YJC and the type strain CBS 595.93 (ITS: KP124320; RPB2: KP124788; gpd: KP124175; TEF1: KP125096; Alt a 1: JQ646399) on the phylogenetic tree was 98%. Therefore, the fungus was identified as A. alternata by morphology and phylogenetic analysis. To confirm pathogenicity, a spore suspension (1 × 106 conidia/ml) of the representative isolate YJC was sprayed on the leaves of six healthy plants and six plants sprayed with distilled water as controls. The plants used in the experiment were covered with plastic bags for 48 h (Luo et al. 2012). After 8 days, all inoculated plants exhibited symptoms of the disease, while the control plants remained symptom-free. The experiment was conducted twice using the same approach. The fungus that has been inoculated was reisolated from the leaves of the infected plants and identified as A. alternata through morphological observation, thus fulfilling Koch's postulates. To the best of our knowledge, this is the first documented case of O. biennis leaf spot caused by A. alternata. This pathogen could pose a threat to O. biennis yield and result in economic losses. For further development of specific control measures, it is important to confirm the identity.

Safety and efficacy of large-bore uncovered stents for treating malignant superior vena cava syndrome

PurposeTo investigate the safety and efficacy of large-bore uncovered stents for treating malignant superior vena cava syndrome. MethodsThis retrospective study included 115 patients (89 men, 26 women; mean age 63.2 years; range 21–83 years) who underwent endovascular large-bore (≥18 mm in diameter) uncovered stent placement between August 2015 and July 2022. One patient was lost to follow-up. Therefore, 114 patients were available for follow-up. ResultsStent placement was technically successful in all 115 patients. Minor procedure-related complications occurred in nine (7.8 %) patients. One hundred eight (93.9 %) patients experienced complete or marked symptomatic relief (Kishi score ≤ 2) at a mean of 3 days after procedure. The cumulative stent patency rates were 98.2 %, 95 %, 93.7 %, 91.5 %, 83.5 %, and 83.5 % at 1, 3, 6, 12, 18, and 24 months, respectively. Stent occlusion occurred in ten (8.8 %) of 114 patients at a mean of 215 days (range 1–732 days) due to thrombosis (n = 7) and tumor ingrowth (n = 3). Stent occlusion did not occur in 21 patients who underwent subsequent central venous catheter insertion. The median patient survival time was 159 days (95 % confidence interval 102–216 days). Univariate and multivariate Cox regression analysis revealed adjuvant anticancer treatment (p = 0.001) and tumor response (p < 0.001) as independent predictors of patient survival. ConclusionsEndovascular placement of large-bore uncovered stents was a safe and effective treatment for malignant superior vena cava syndrome. Large-bore stent placement can effectively prevent stent occlusion by tumor ingrowth in most cases, and it can provide a sufficient diameter for subsequent insertion of central venous catheters.

Abstract 1614: Macroscopic clonal expansion with driver mutations in normal human endometrium

Abstract Introduction: The epithelial cells of the endometrium undergo rapid proliferation and shedding each month under the influence of estrogen and progesterone. Recent studies have demonstrated pervasive driver mutations in the endometrium with ageing. However, previous observations have been limited to the microscopic scale, and it is still unclear how clonal expansion occurs over the entire endometrium and what driver mutations are responsible therein. To address these issues, we performed multisampling of the endometrium with extensive spatial mapping. Methods: We collected multiple endometrial glands from normal endometrium in a 5mm lattice in 19 patients aged 30 to 85 years who underwent hysterectomy (3-31 samples per case), followed by DNA extraction, detected somatic mutations by whole exome sequencing, to identify large clones that spread across samples based on shared mutations. Results: In total, 213 bulk endometrial glands were analyzed. The number of detected somatic mutations per sample ranged from 4 to 81 (mean±SD: 32.5±14.1), with at least one known driver gene mutation detected in 204 of 213 samples (mean±SD: 3.03±1.78). The mutational signature analysis revealed the predominance of the age-related SBS1 and SBS5 signatures. dN/dS analysis identified 20 genes that were positively selected in normal endometrium, including PIK3CA, PIK3R1, KRAS, PPP2R1A, ARHGAP35, and FBXW7, most of which are also known as driver genes for endometrial cancer. The number of mutations and their frequency for each driver gene did not differ by background diseases: endometriosis, endometriosis-associated ovarian cancer and other non-endometrial related diseases. In contrast to the high frequency of driver gene mutations, copy-number alterations were found in only 3 samples, such as +1q, +7, +10 and +12. We found clones showing a large expansion involving multiple samples in 8 cases, most of which harbored one or more driver mutations, such as PIK3CA and KRAS. The size of the largest clone carrying a KRAS mutation, which was found in a 32-year-old woman with cervical cancer, spanned as long as 10 mm in diameter. This suggests that clonal expansion in the endometrium could be very rapid even in healthy women, which contrasts to the observations that clonal expansion in other organs is usually seen in aged individuals. Conclusion: We confirmed the high frequency of driver mutations in the normal endometrium, most of which overlapped to those found in endometrial cancers, suggesting that these driver genes are involved in the early phase of the development in the endometrial cancer. Some of the driver-mutated clones expanded in macroscopic size. Our findings provide an interesting insight into the clonal structure and underlying genetic variation in the normal endometrium. Citation Format: Koichi Watanabe, Nobuyuki Kakiuchi, Kosuke Ieiri, Hirona Maeda, Tomonori Hirano, Sachiko Kitamura, Mana Taki, Koji Yamanoi, Ryusuke Murakami, Ken Yamaguchi, Junzo Hamanishi, Hiroko Tanaka, Satoru Miyano, Masaki Mandai, Seishi Ogawa. Macroscopic clonal expansion with driver mutations in normal human endometrium [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 1614.