Size Index Research Articles

Construction of recombinant Omp25 or EipB protein loaded PLGA nanovaccines for Brucellosis protection

Safe and effective vaccine candidates are needed to address the limitations of existing vaccines against Brucellosis, a disease responsible for substantial economic losses in livestock. The present study aimed to encapsulate recombinant Omp25 and EipB proteins, knowledged antigen properties, into PLGA nanoparticles, characterize synthesized nanoparticles with different methods, and assessed their in vitro/in vivo immunostimulatory activities to develop new vaccine candidates. The recombinant Omp25 and EipB proteins produced with recombinant DNA technology were encapsulated into PLGA nanoparticles by double emulsion solvent evaporation technique. The nanoparticles were characterized using FE-SEM, Zeta-sizer, and FT-IR instruments to determine size, morphology, zeta potentials, and polydispersity index values, as well as to analyze functional groups chemically. Additionally, the release profiles and encapsulation efficiencies were assessed using UV–Vis spectroscopy. After loading with recombinant proteins, O-NPs reached sizes of 221.2 ± 5.21 nm, while E-NPs reached sizes of 274.4 ± 9.51 nm. The cumulative release rates of the antigens, monitored until the end of day 14, were determined to be 90.39% for O-NPs and 56.1% for E-NPs. Following the assessment of the in vitro cytotoxicity and immunostimulatory effects of both proteins and nanoparticles on the J774 murine macrophage cells, in vivo immunization experiments were conducted using concentrations of 16 µg ml−1 for each protein. Both free antigens and antigen-containing nanoparticles excessively induced humoral immunity by increasing produced Brucella-specific IgG antibody levels for 3 times in contrast to control. Furthermore, it was also demonstrated that vaccine candidates stimulated Th1-mediated cellular immunity as well since they significantly raised IFN-gamma and IL-12 cytokine levels in murine splenocytes rather than IL-4 following to immunization. Additionally, the vaccine candidates conferred higher than 90% protection from the infection according to challenge results. Our findings reveal that PLGA nanoparticles constructed with the encapsulation of recombinant Omp25 or EipB proteins possess great potential to trigger Brucella-specific humoral and cellular immune response.

Local impedance drop-guided versus lesion size index-guided pulmonary vein isolation.

Local tissue impedance drop (LID) and lesion size index (LSI) technologies are valuable for predicting effective lesion formation. This study compares the acute and long-term efficacy of LID-guided versus LSI-guided pulmonary vein isolation (PVI) for atrial fibrillation treatment. We retrospectively analyzed two patient groups undergoing radiofrequency PVI. In the LID-guided group (n = 35), ablation was performed without contact force monitoring, stopping at the LID plateau (target LID 12 Ohm posterior, 16 Ohm anterior). In the LSI-guided group (n = 31), ablation used contact force information with target LSI (5 anterior, 4 posterior). Both groups utilized a power of 40 W anterior and 30 W posterior, with < 6mm inter-lesion distance. Gap mapping and touch-up ablation were done if necessary. PVI was achieved with a significantly shorter ablation time in the LSI-guided group (25min [21;31] vs 30 [27;35], p = 0.035). PV gaps were more frequent in the LID-guided group (74% vs 42%, p = 0.016). Over 11.5 ± 2.9months follow-up, arrhythmia recurrence was higher in the LID-guided group (34.3% vs 16.1%, p = 0.037). A redo procedure performed in 10 (28.6%) patients in the LID-guided group and 3 (9.7%) in the LSI-guided group showed chronic PV reconnections in 7 out of 10 (70%) and 2 out of 3 (67%) patients, respectively. LSI-guided ablation results in shorter ablation time and fewer PV gaps compared to LID-guided ablation. Despite initial success, LID-guided ablation had higher arrhythmia recurrence and PV reconnections during long-term follow-up compared to LSI-guided ablation.

The role of agroforestry in solving the agricultural landscapes vulnerabilities in the Po Plain district

AbstractThe current trend of biodiversity deterioration in rural systems is a complex issue that operates across multiple spatial scales. Agroforestry practices have the potential to positively contribute towards addressing these trends by shaping the structure of agricultural landscapes and their underlying ecological functions. This study aims to test a multi-scale analytical approach to understand and account for these processes. Specifically, the study seeks to assess the contributions that agroforestry practices at the farm scale can make towards supporting biodiversity, in response to the wider-scale landscape eco-mosaic structural and functional challenges and requirements (both at the local and extra-local landscape systems). To achieve this, a series of landscape ecology analyses are conducted on an agroforestry-based rice farm located in the western Po Plain region of Northern Italy. These analyses examine various landscape structural traits (such as matrix composition, patch size, shape complexity, and diversity indices) and functional traits (including connectivity and bionomic indices), with different levels of detail for each scale of analysis. This allows for the evaluation of the current ecological status of both the extra-local and local scale landscape systems (including drivers of vulnerability and resilience) and the assessment of the farm's current contributions to biodiversity support. Based on these findings, strategic agroforestry interventions are identified at the farm scale to enhance its capacity to address the wider-scale ecological gaps. Two design scenarios are assessed, wherein functional ecological traits such as landscape diversity, connectivity, and ecological stability are improved. The results confirm the role of farm scale agroforestry management as a buffering tool, demonstrating how it contributes to the restoration of broader-scale landscape vulnerabilities. The applied approach provides cost-effective assessments of biodiversity-related ecological processes, with the accuracy of the findings dependent on the comprehensive multi-scale analysis conducted.

Bird Exploitation and Chicken Size in the Late Medieval and Early Modern Periods in Continental Croatia

The significance of birds in the medieval human diet has been greatly explored in Europe. However, there is a lack of systematic analysis of data from Croatia. Avian remains dated to the Late Medieval and Early Modern Periods from five archaeological sites in continental Croatia underwent skeletal and taxonomic analysis. Age groups were determined and sex identification was conducted using visual and X-ray diagnostics. Chicken bone measurements were taken, and the logarithmic size index (LSI) technique was performed. Statistical analysis was applied to explore differences between sites. A total of 694 avian remains were studied, revealing 10 species/genera. Avian remains ranged from 8.88% to 20.32% across sites, with the highest percentage found at the urban site BAN. Hens outnumbered cockerels across all sites, with adult chickens prevailing over immature and subadult ones. Chicken sizes were generally consistent across sites, except for castle MIL, where a larger breed was identified. Cockerels tended to be larger than hens, except for one small-sized spurred specimen. To conclude, bird exploitation complemented the use of other animals in diets. Chickens were vital for eggs and meat, with monasteries excelling in bird husbandry over castles. Inhabitants of urban areas mainly consumed bird meat. Castles showed high status through game and imported birds. The aim of this article was to fill in the gap of information regarding the exploitation and consumption of birds at Croatian sites during the Late Medieval and Early Modern Periods.

Measuring Concentration of Nanoparticles in Polydisperse Mixtures Using Interferometric Nanoparticle Tracking Analysis.

Quantitative measurements of nanoparticle concentration in liquid suspensions are in high demand, for example, in the medical and food industries. Conventional methods remain unsatisfactory, especially for polydisperse samples with overlapping size ranges. Recently, we introduced interferometric nanoparticle tracking analysis (iNTA) for high-precision measurement of nanoparticle size and refractive index. Here, we show that by counting the number of trajectories that cross the focal plane, iNTA can measure concentrations of subpopulations in a polydisperse mixture in a quantitative manner and without the need for a calibration sample. We evaluate our method on both monodisperse samples and mixtures of known concentrations. Furthermore, we assess the concentration of SARS-CoV-2 in supernatant samples obtained from infected cells.

Induction of out‐of‐season spawning in an intensively reared walleye (Sander vitreus) broodstock

AbstractThe commercial viability of walleye (Sander vitreus) as an aquaculture species requires that walleye gametes are available year‐round so that multiple cohorts of walleye can be brought to market throughout the year. This study aimed to apply photothermal manipulations to three groups of walleye broodstock to induce out‐of‐season spawning and obtain a year‐round supply of fertilized walleye eggs. We manipulated photothermal regimes for three groups of broodstock to induce spawning in February (early), April (in‐season), and July (late‐season). In autumn, water temperatures were chilled to 8°C in all treatments. The duration of the chill period varied for each treatment with the early, in‐season, and late treatments remaining chilled for 6, 18, and 30 weeks, respectively, before being warmed to induce spawning. Fecundity was significantly lower for late‐season broodstock. Egg size and gonadosomatic index were significantly smaller in the early‐season treatment. Fertilization success was similar for early and in‐season treatments but was 0% for eggs from the late‐season treatment. Larval survival was significantly lower for walleye from early‐season broodstock. Our results suggest that early out‐of‐season spawning for walleye is possible but comes with tradeoffs of smaller egg size and lower larval survival.

Ultrasound Findings of Liver and Pancreas in Children with Type 1 Diabetes Mellitus: A Case-Control Study

Background: Type 1 diabetes mellitus (T1D), characterized by chronic hyperglycemia and insulin dependence, is caused by the autoimmune destruction of β-cells in the pancreas. Diabetes mellitus can potentially lead to excessive accumulation of fat in the liver, resulting in fatty liver. Changes in pancreatic tissue during the course of the disease can lead to decreased insulin secretion and increased insulin resistance. Objectives: This study aimed to investigate the size and fat content of the liver and pancreas in children with T1D using ultrasound and to explore their relationship with clinical and laboratory indicators. Patients and Methods: In this case-control research, 43 children without diabetes made up the control group, whereas 43 children with T1D (diagnosed based on American Diabetes Association criteria) between the ages of 3 and 18 years made up the case group, from March 2020 until July 2021. A checklist was used to collect data on age, the duration of diabetes, insulin dose, gastrointestinal or liver symptoms, and autoimmune diseases. Moreover, the height and weight of patients were measured. The results of blood tests, including hemoglobin A1C (HbA1c), liver function tests, and autoantibodies related to diabetes, were extracted from the files. A transabdominal ultrasound study was performed by two pediatric radiologists, with 8 years and 5 years of experience, to evaluate the liver and pancreas regarding size and fat content. Correlation between laboratory test results and ultrasound findings was assessed by statistical analysis. Data were analyzed using SPSS v26 with a significance level considered less than 0.05. T-test, Fisher’s exact test, and Partial correlation were the tests applied for data analysis. Results: The two groups had significant differences in aspartate aminotransferase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), bilirubin, and HbA1c levels, with higher values observed in diabetic subjects. There was no statistical difference between the two groups in terms of liver size. The frequency of fatty liver was higher in patients with T1D (65.1% in diabetic subjects versus 23.3% in non-diabetic subjects). The size of the body and tail of the pancreas in the case group was significantly lower than in the control group (10.33 ± 2.87 vs. 12.30 ± 2.1, P = 0.004 for the body, 9.47 ± 2.4 vs. 10.86 ± 2.2, P = 0.007 for the tail). Fatty pancreas was more prevalent in T1D compared to the control group (P = 0.03). The size and grade of fatty pancreas did not significantly correlate with the presence of autoantibodies. Liver size and body mass index were positively correlated (P = 0.03). Conclusion: Patients with T1D are more susceptible to nonalcoholic fatty liver disease (NAFLD). Pancreatic morphological alterations, including increased echogenicity and a decrease in the size of the pancreas (particularly at the body and tail), can be detected in ultrasound studies of children with T1D. Furthermore, no significant association was found between T1D autoantibodies and pancreatic morphological changes, suggesting that autoantibodies cannot be used to predict future pancreatic morphological alterations.

The efficacy of interventions designed for parents of children with developmental disabilities in Türkiye: A systematic review and meta-analysis

Previous studies have revealed that parents of children with developmental disabilities (DD) experience various mental health problems. The number of intervention studies has increased for parents of children with DD to reduce symptoms of mental health conditions and increase positive functioning in recent years in Türkiye. The main purpose of this systematic and meta-analytical review is to address the efficacy of interventions for parents of children with DD on symptoms of mental health conditions and positive functioning in Türkiye. The second purpose of this study is to examine the effect of the potential moderators on the efficacy of the interventions in symptoms of mental health conditions and positive functioning. For these purposes, studies published between 2000 and October 2022 were searched in various databases. As a result of the literature search, 61 studies met the inclusion criteria, and 23 studies with 17 independent effect sizes for symptoms of mental health conditions and 12 independent effect sizes for positive functioning were included in the current study. Cohen’s d effect size index was used to calculate the efficacy of intervention studies included in the meta-analysis on symptoms of mental health conditions and positive functioning. Results revealed that the overall mean effect size for the 17 mental health studies was −1.15 and for the 12 positive functioning studies was 2.03 in favor of experimental group. Moderator analyses showed that the study design (experimental vs. quasi-experimental) was a statistically significant moderator of positive functioning. The average effect size for experimental studies was higher than that of quasi-experimental studies. However, other moderators (the gender of the participants, publication type, the type of intervention, the disability type of children, the sample size, and the number of sessions) were not statistically significant for symptoms of mental health conditions and positive functioning. Although the current study has some limitations, the findings revealed that the interventions designed for parents of children with DD result in an increase in positive functioning and a reduction in symptoms of mental health conditions in favor of experimental group.

Exploring the structural, magnetic and shielding performance of Mn doped Yb2O3 and Eu2O3 nanostructures

Re2-xMnxO3 (ReYb or Eu, x = 0.0, 0.05, 0.1, 0.15) nanostructures were produced utilizing the sol-gel procedure. The crystal structure and microstructure of all samples were analyzed based on XRD measurements using the Rietveld profile approach. The lattice parameter, cation distribution of different cations between different crystallographic sites, bond lengths of different polyhedrons, crystallite size, micro-strain and distortion index of the different polyhedrons of the formed sample were determined. Mn cations were found to prefer the 8b sites of the cubic bixbyite structure. The average crystallite size decreased following doping, while the microstrain experienced a significant increase. The low temperature dependent magnetizations for Yb1.85Mn0.15O3 and Eu1.85M0.15O3 nanostructures under a magnetic field of 200 Oe were investigated. Curie–Weiss law was employed to determine the magnetic configuration of the samples. The values of the effective magnetic moments μeff are 4.89 μB and 3.77 μB for Yb1.85Mn0.15O3 and Eu1.85M0.15O3, whereas the calculated values are 4.531 μB and 3.535 μB, respectively. The shielding properties of Re2-xMnxO3 (ReYb or Eu) nanostructures were studied using the Phy-X/PSD simulation program. The linear attenuation coefficients (LAC) and mass attenuation coefficients (MAC) values of the Yb2-xMnxO3 samples are greater than those of the Eu2-xMnxO3 samples. The half value length (HVL) and tenth value length (TVL) values increased as Mn was added to Re1.85Mn0.15O3 nanostructures. Yb1.85Mn0.05O3 and Eu1.85Mn0.05O3 nanostructures have the highest mean free path (MFP) values of 3 cm and 4 cm, respectively, at an energy of 5 MeV. The exposure build-up factor (EBF), and energy absorption build-up factor (EABF) values affected by the host rare earth oxide and the amount of Mn doping. The Re1.85Mn0.15O3 nanostructures exhibit a greater capacity to absorb photons with lower energy rather than higher energy. Yb1.85Mn0.15O3 nanostructure demonstrates exceptional neutron shielding capacities.

Impact of Ionic Liquids on the Physicochemical Behavior of Vesicles.

The effects of two ionic liquids (ILs), 1-butyl-3-methylimidazolium tetrafluoroborate ([bmim]BF4) and 1-butyl-1-methyl pyrrolidinium tetrafluoroborate ([bmp]BF4), on a mixture of phospholipids (PLs) 1,2-dipalmitoyl-sn-glycero-3-phosphatidylcholine (DPPC), 1,2-dipalmitoyl-sn-glycero-3-phosphoethanolamine (DPPE), and 1,2-dipalmitoyl-sn-glycero-3-phosphoglycerol (DPPG) (6:3:1, M/M/M, 70% PL) in combination with 30 mol % cholesterol (CHOL) were investigated in the form of a solvent-spread monolayer and bilayer (vesicle). Surface pressure (π)-area (A) isotherm studies, using a Langmuir surface balance, revealed the formation of an expanded monolayer, while the cationic moiety of the IL molecules could electrostatically and hydrophobically bind to the PLs on the palisade layer. Turbidity, dynamic light scattering (size, ζ-potential, and polydispersity index), electron microscopy, small-angle X-ray/neutron scattering, fluorescence spectroscopy, and differential scanning calorimetric studies were carried out to evaluate the effects of IL on the structural organization of bilayer in the vesicles. The ILs could induce vesicle aggregation by acting as a "glue" at lower concentrations (<1.5 mM), while at higher concentrations, the ILs disrupt the bilayer structure. Besides, ILs could result in the thinning of the bilayer, evidenced from the scattering studies. Steady-state fluorescence anisotropy and lifetime studies suggest asymmetric insertion of ILs into the lipid bilayer. MTT assay using human blood lymphocytes indicates the safe application of vesicles in the presence of ILs, with a minimal toxicity of up to 2.5 mM IL in the dispersion. These results are proposed to have applications in the field of drug delivery systems with benign environmental impact.

A Comparative Study between Ultra mini Percutaneous Nephrolithotomy versus Stented Extracorporeal Shock Wave Lithotripsy for Treatment of Renal Stones in Egypt

Abstract Background Nephrolithiasis is the third most common disease of the urinary tract with a 1-year recurrence rate of 7% and 10-year recurrence rate of 50%. Shock wave lithotripsy (SWL), retrograde intrarenal surgery (RIRS), and percutaneous nephrolithotomy (PCNL) are different surgeries to treat renal stones. Percutaneous nephrolithotripsy (24- 30F) remains the standard procedure for treating large renal calculi. While achieving high SFR, it also has many drawbacks such as bleeding, postoperative pain, and a long recovery period due to its large access tract, so the Ultra mini percutaneous nephrolithotripsy (12-14F) with a smaller tract size came into existence to reduce renal parenchymal injury associated with standard PCNL. ESWL is a minimally invasive intervention with good patient tolerance; it is regarded as the first line treatment for nephrolithiasis &amp;lt; 20 mm in size. Aim andObjectives Compare results, safety and outcome of Ultra mini PCNL versus stented extracorporeal shock wave lithotripsy (ESWL) for the management of renal calculi from 10 – 20 mm. Materials and Methods This study was conducted at Urology department, Faculty of Medicine, Ain Shams University. Patients were recruited from the outpatient urology clinic between March 2021 till September 2022. Inclusion criteria included patients between 18 and 60 years, having radioopaque renal stones ranging from 10-20 mm with BMI not exceeding 40. Exclusion criteria were patients who had radiolucent stones, smaller than 10 mm or larger than 20 mm, with congenital renal anomalies or spinal deformity or BMI exceeding 40. Patients with uncorrected bleeding diathesis or pregnant females or untreated UTI were also excluded. After meeting our inclusion and exclusion criteria, 90 patients were thoroughly informed about the study, feeling well about participating in it, an informed written consent was taken from them. Patients were randomized to either Ultra-Mini-Percutaneous nephrolithotomy group or stented SWL group via the closed envelope method(each group 45 patients). Results Stone free rate was higher in the Ultra-mini-PCNL group compared to the stented ESWL group with no statistically significant difference with P-value = 0.316. As for the need for retreatment was slightly higher in the stented ESWL group compared to the Ultra-mini-PCNL group yet this difference was statistically insignificant with P-value 0.681. No statistical significant difference between both groups regarding post operative complications fever, hematuria and need for blood transfusion respectively. Operative time and hospital stay were significantly higher in the ultra-Mini-PCNL group compared to the stented ESWL group with P-value &amp;lt;0.001 for both. Conclusion Both stented ESWL and Ultra-Mini-PCNL are good treatment choices for renal stones less than 2 cm with low complication rates. Denying Ultra-Mini-PCNL from patients with medium sized stones for fear of complications is considered unwarranted. Stone size indices were significant predictor for the need of retreatment. Further studies to compare stone free rate based on stone size in both interventions are needed.

Physicochemical Studies on Amino Acid Based Metallosurfactants in Combination with Phospholipid.

Dicarboxylate metallosurfactants (AASM), synthesized by mixing N-dodecyl aminomalonate, -aspartate and -glutamate with CaCl2, MnCl2 and CdCl2, were characterized by XRD, FTIR, and NMR spectroscopy. Layered structures, formed by metallosurfactants, were evidenced from differential scanning calorimetry and thermogravimetric analyses. Solvent-spread monolayer of AASM in combination with soyphosphatidylcholine (SPC) and cholesterol (CHOL) were studied using Langmuir surface balance. With increasing mole fraction of AASM mean molecular area increased and passed through maxima at ~60 mol% of AASMs, indicating molecular packing reorganization. Systems with 20 and 60 mol% AASM exhibited positive deviations from ideal behavior signifying repulsive interaction between the AASM and SPC, while synergistic interactions were established from the negative deviation at other combinations. Dynamic surface elasticity increased with increasing surface pressure signifying formation of rigid monolayer. Transition of monolayer from gaseous to liquid expanded to liquid condensed state was established by Brewster angle microscopic studies. Stability of the hybrid vesicles, formed by AASM+SPC+CHOL, were established by monitoring their size, zeta potential and polydispersity index values over 100 days. Size and spherical morphology of hybrid vesicles were confirmed by transmission electron microscopic studies. Biocompatibility of the hybrid vesicles were established by cytotoxicity studies revealing their possible applications in drug delivery and imaging.

From virtually extinct to superabundant in 35 years: establishment, population growth and shifts in management focus of the Swedish wild boar (Sus scrofa) population

BackgroundThe wild boar (Sus scrofa) was extinct in Sweden when a few animals established in the 1970s. Over the past 35 years, the species has made a substantial comeback. In this paper, we analyse wild boar population growth using three indices of population size. We also map the legislative decisions and research prompted by the expanding population. We discuss to what extent, in the eyes of the state, the view of wild boar and the management focus has shifted over time, from a perceived pest (eradication) to scarce (conservation), overabundant (reduction/control) or somewhere in between (sustainable management).ResultsWild boar harvest started in the early 1990s with a few hundred animals annually and peaked at 161,000 in 2020/2021. The distribution now comprises most of southern Sweden. Analyses of harvest and traffic accidents involving wild boar showed that the population grew exponentially until 2010/2011, after which the increase levelled off. Thus, logistic growth models showed the best fit for the full study period. We recorded 38 legislative decisions or commissions to government agencies regarding wild boar. The first decision in 1981 was to eradicate the free-ranging population. In 1987 however, the parliament decided that wild boar is native to Sweden and should be allowed in restricted extent. Later decisions mainly concerned hunting regulations and hunting methods as direct means to increase harvest and regulate the population. Another topic, increasing in importance over time, was to facilitate the use of wild boar meat to indirectly stimulate harvest. A local outbreak of African swine fever in 2023 necessitated a stamping out strategy in the affected area. We found 44 scientific papers regarding the present free-ranging population. Topics include movements and feeding patterns, hunting, reproduction, and population development.ConclusionsThe state historically regarded wild boar as a pest to be eradicated. This changed with the decision that wild boar should be allowed in restricted extent, suggesting a conservation approach. In response to population growth, the focus shifted to means facilitating sustainable management and, lately, reducing growth. The story of wild boar in Sweden illustrates attempts to mitigate conflicts and balance interests in wildlife management.

Poster 263: Revision and Primary Osteochondral Allograft Transplantation Provide Clinical Benefit at Midterm Follow-up: A Matched Cohort Analysis of Patient-Reported Outcomes, Reoperations, and Failures

Objectives: Prior studies have observed promising short-term outcomes following revision osteochondral allograft (OCA) transplantation, resulting in significant improvement in pain relief, functional outcomes, and quality of life. However, few studies have examined midterm (minimum 5-year) outcomes following revision OCA transplantation. The purpose of this study is to examine midterm outcomes following revision OCA transplantation to the femoral condyle, as well as evaluating reoperation and survivorship, compared to a matched cohort undergoing primary OCA transplantation. Methods: A retrospective review of prospectively collected data was performed to identify patients undergoing revision OCA transplantation to the femoral condyle between 1999-2018 with a minimum of 5-year follow-up. A 1:2 cohort of revision: primary OCA patients, matched based on defect size, age, and body mass index (BMI) were identified. Lysholm, International Knee Documentation Committee (IKDC) subjective form, and Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales were collected, as well as the incidence of reoperations or graft failures. Reoperation was defined as any subsequent surgery in the index compartment. Failure was defined as subsequent arthroplasty or revision cartilage procedure. Previously determined thresholds for achievement of clinically significant outcomes were utilized. Results: A total 15 patients undergoing revision OCAs were successfully matched to 30 patients undergoing primary OCA. Mean follow-up following revision OCA was 9.3 ± 3.0 years (range: 5.1 - 14.7). Mean age in patients undergoing revision OCA was 31.1 ± 9.7 years (range: 19.9 - 52.7) with a mean BMI of 25.9 ± 3.4 kg/m2 (range: 20.8 - 30.4). Revision OCA was performed to the lateral condyle in 53% of cases (n = 8/15), with 73%; (n = 11/15) of patients undergoing a concomitant procedure. The mean time between initial and revision OCA was 2.9 ± 1.4 years (range: 1.2 - 6.2). Reoperations were performed in 60% (n = 9/15) of revision OCA patients at a mean time of 4.7 ± 4.2 years (range: 0.6 - 11.2). Failures were observed in 13% (n = 2/15) of revision OCA patients, with total knee arthroplasty performed at a mean of 4.9 ± 3.4 years (range: 2.9 - 8.9). Graft survivorship free from reoperation (p = .568) and failure (p = .753) were not significantly different between revision and primary groups. Patient acceptable symptomatic state (PASS) was achieved following revision OCA patients for IKDC (70%), Lysholm (83%), and KOOS subset questionnaires (Symptoms [70%], Pain [100%], Activities of Daily Living [80%], Sport [90%], and Quality of Life [80%]). Conclusions: At a mean of 9.3 years following revision OCA, 67% of patients required reoperation, with 13% undergoing arthroplasty. No significant difference in graft survivorship free from failure or reoperation was appreciated between revision versus primary OCA groups. Achievement of PASS was observed for multiple outcome measures following revision OCA.

Quality-by-design-based microemulsion of disulfiram for repurposing in melanoma and breast cancer therapy.

Aim: The current study aims to develop and optimize microemulsions (ME) through Quality-by-Design (QbD) approach to improve the aqueous solubility and dissolution of poorly water-soluble drug disulfiram (DSF) for repurposing in melanoma and breast cancer therapy.Materials & methods: The ME was formulated using Cinnamon oil & Tween® 80, statistically optimized using a D-optimal mixture design-based QbD approach to develop the best ME with low vesicular size (Zavg) and polydispersity index (PDI).Results: The DSF-loaded optimized stable ME showed enhanced dissolution, in-vitro cytotoxicity and improved cellular uptake in B16F10 and MCF-7 cell lines compared with their unformulated free DSF.Conclusion: Our investigations suggested the potential of the statistically designed DSF-loaded optimized ME for repurposing melanoma and breast cancer therapy.

Maternal cardiovascular morbidity and mortality associated with pregnancy in individuals with Turner syndrome: a committee opinion

In individuals with Turner syndrome, the risk of death from aortic dissection or rupture during pregnancy may be as high as 1%, and it is unclear whether this risk persists during the postpartum period owing to pregnancy-related aortic changes. Turner syndrome is a relative contraindication for pregnancy; however, it is an absolute contraindication for pregnancy in a patient with an aortic size index of >2.5 cm/m2 or an aortic size index of ≥2.0 cm/m2 with a documented cardiac anomaly or other risk factors. This document replaces the 2012 document of the same name.

Camellia Oleifera oil-loaded chitosan nanoparticles embedded in hydrogels as cosmeceutical products with improved biological properties and sustained drug release

Hydrogels based on poly(vinyl alcohol), silk sericin, and gelatin containing Camellia oleifera oil (CO)-loaded chitosan nanoparticles (CSNPs) were fabricated. The loading of CO into CSNPs was achieved by a two-step procedure, which included an oil-in-water emulsion and an ionic gelation method. SEM images of CO-loaded CSNPs illustrated the spherical shape with aggregation of the nanoparticles. The particle size and polydispersity index were 541–1089 nm and 0.39–0.65, respectively. The encapsulation efficiency and loading capacity were 3–16 % and 4–6 %, respectively. The gelatin/poly(vinyl alcohol)/sericin hydrogels were fabricated and incorporated with CO or CO-loaded CSNPs with different concentrations of CO-loaded CSNPs. All hydrogels demonstrated a porous structure. Besides, the hydrogels containing CO-loaded CSNPs showed a more controlled and sustained release profile than the hydrogels containing CO. Moreover, the hydrogels showed tyrosinase inhibition (9–13 %) and antioxidant activity (37–60 %). Finally, the hydrogels containing CO-loaded CSNPs were non-toxic to the Normal Human Dermal Fibroblasts and NCTC clone 929 cells, even at a high dosage of 50 mg/mL. As a result, these hydrogels exhibited excellent potential for use in cosmeceutical industries.

Designing Pickering Emulsions Stabilized by Modified Cassava Starch Nanoparticles: Effect of Curcumin Encapsulation

Curcumin is a hydrophobic bioactive compound, and its incorporation into lipid-based carriers can enhance its bioaccessibility and maintain its stability over time. Pickering emulsions are long-term stability systems, effective for encapsulation, protection, and delivery of bioactive compounds. This study aimed to produce Pickering oil-in-water (O/W) emulsions stabilized by cassava starch nanoparticles (native or modified by heat–moisture treatment (HMT)) with high kinetic stability to encapsulate curcumin. The effect of curcumin incorporation on emulsion features was also assessed, as well as curcumin stability over time. Native starch nanoparticles (NSNPs) were not effective stabilizers in the concentration range of 0.8 to 4 wt%. Otherwise, modified starch nanoparticles (HSNPs) at 4 wt% produced a long-term stability Pickering emulsion, which was used to encapsulate curcumin (0.07 wt%). Confocal laser scanning microscopy (CLSM) showed that HSNPs were located at the droplet’s interface. The interfacial tension for HSNPs exhibited initial values from 40 to 33 mN/m, quickly reaching equilibrium. These findings suggest that HSNPs exhibit low surface activity and the stabilization mechanism of emulsion is based on steric hindrance. The stabilization by steric hindrance is supported by the low zeta potential value (−5.39 mV). Stable emulsions showed shear thinning behavior, and the power-law model demonstrated excellent fit to experimental data (R2 ≥ 0.998). The addition of curcumin reduced the interfacial tension, droplet size, apparent viscosity, and consistency index, indicating that this bioactive compound can also act at the interface. After 60 days, curcumin degradation was fully avoided. Our findings indicated that HSNP-stabilized Pickering emulsions can protect encapsulated curcumin from degradation.

Use of ultrasound to improve the activity of cyclodextrin glycosyltransferase in the producing of β-cyclodextrins: Impact on enzyme activity, stability and insights into changes on enzyme macrostructure

This work explored the impact of ultrasound (US) on the activity, stability, and macrostructural conformation of cyclodextrin glycosyltransferase (CGTase) and how these changes could maximize the production of β-cyclodextrins (β-CDs). The results showed that ultrasonic pretreatment (20 kHz and 38 W/L) at pH 6.0 promoted increased enzymatic activity. Specifically, after sonication at 25 °C/30 min, there was a maximum activity increase of 93 % and 68 % when biocatalysis was carried out at 25 and 55 °C, respectively. For activity measured at 80 °C, maximum increase (31 %) was observed after sonication at 25 °C/60 min. Comparatively, US pretreatment at low pH (pH = 4.0) resulted in a lower activity increase (max. 28 %). These activation levels were maintained after 24 h of storage at 8 °C, suggesting that changes on CGTase after ultrasonic pretreatment were not transitory. These pretreatments altered the conformational structure of CGTase, revealed by an up to 11 % increase in intrinsic fluorescence intensity, and resulted in macrostructural modifications, such as a decrease in particle size and polydispersion index (up to 85 % and 45.8 %, respectively). Therefore, the sonication of CGTase under specific conditions of pH, time, and temperature (especially at pH 6.0/ 30 min/ 25 °C) promotes macrostructural changes in CGTase that induce enzyme activation and, consequently, higher production of β-CDs.

Repeatability of retinal and choroidal optical coherence tomography angiography indices in healthy children and young adults.

To evaluate the repeatability of retinal and choroidal optical coherence tomography angiography (OCT-A) indices among healthy children and compare it to healthy young adults. This prospective study captured 3 mm × 3 mm and 6 mm × 6 mm macular OCT-A scans including superficial and deep retinal layers, choriocapillaris and deep choroid over two visits, 1 week apart at approximately the same time of day, for 22 healthy adults (18-30 years) and 21 children (6-15 years). Magnification and projection-artefact corrected indices extracted using a custom image analysis program and individual biometry were compared between visits using Bland-Altman analysis and intraclass correlation (ICC). Retinal indices included foveal avascular zone metrics, perfusion and vessel density and choroidal indices included choriocapillaris flow deficit metrics and deep choroid perfusion density, in the foveal, parafoveal and perifoveal regions. Repeatability between adults and children was compared with F-test. Bland-Altman analysis showed that the mean differences between repeated OCT-A indices were not significantly different from zero for either of the zones, layers and scan sizes in the two age groups (p > 0.05) except for foveal vessel density and foveal avascular zone perimeter (p = 0.04 for both) of 6-mm-deep retinal layer scans. The ICC ranged between 0.67 and 0.99. Significantly higher variability between visits (p < 0.05) in the indices was noted among adults than children, especially for choroidal indices of larger scan size. The retinal and choroidal OCT-A indices in the foveal, parafoveal and perifoveal zones were repeatable in healthy children except for the foveal vessel density and foveal avascular zone perimeter of the 6-mm-deep retinal layer, which exhibited statistically borderline differences between visits. The adult group showed more variability between visits compared to children, especially in the larger scan size for choroidal OCT-A indices.