Small Volume Research Articles

Smaller subcortical volume relates to greater weight gain in girls with initially healthy weight.

Among 3614 youth who were 9 to 12 years old and initially did not have overweight or obesity (12% [n = 385] developed overweight or obesity), we examined the natural progression of weight gain and brain structure development during a 2-year period with a high risk for obesity (e.g., pre- and early adolescence) to determine the following: 1) whether variation in maturational trajectories of the brain regions contributes to weight gain; and/or 2) whether weight gain contributes to altered brain development. Data were gathered from the Adolescent Brain Cognitive Development (ABCD) Study. Linear mixed-effects regression models controlled for puberty, caregiver education, handedness, and intracranial volume (random effects: magnetic resonance scanner [MRI] scanner and participant). Because pubertal development occurs earlier in girls, analyses were stratified by sex. For girls, but not boys, independent of puberty, greater increases in BMI were driven by smaller volumes over time in the bilateral accumbens, amygdala, hippocampus, and thalamus, right caudate and ventral diencephalon, and left pallidum (all p < 0.05). The results suggest a potential phenotype for identifying obesity risk because underlying differences among regions involved in food intake were related to greater weight gain in girls, but not in boys. Importantly, 2 years of weight gain may not be sufficient to alter brain development, highlighting early puberty as a critical time to prevent negative neurological outcomes.

Characterizing the voxel-based approaches in radioembolization dosimetry with reDoseMC.

Yttrium-90 ( ) represents the primary radioisotope used in radioembolization procedures, while holmium-166 ( ) is hypothesized to serve as a viable substitute for due to its comparable therapeutic potential and improved quantitative imaging. Voxel-based dosimetry for these radioisotopes relies on activity images obtained through PET or SPECT and dosimetry methods, including the voxel S-value (VSV) and the local deposition method (LDM). However, the evaluation of the accuracy of absorbed dose calculations has been limited by the use of non-ideal reference standards and investigations restricted to the liver. The objective of this study was to expand upon these dosimetry characterizations by investigating the impact of image resolutions, voxel sizes, target volumes, and tissue materials on the accuracy of and dosimetry techniques. A specialized radiopharmaceutical dosimetry software called reDoseMC was developed using the Geant4 Monte Carlo toolkit and validated by benchmarking the generated kernels with published data. The decay spectra of both and were also compared. Multiple VSV kernels were generated for the liver, lungs, soft tissue, and bone for isotropic voxel sizes of 1 mm, 2 mm, and 4 mm. Three theoretical phantom setups were created with 20 or 40mm activity and mass density inserts for the same three voxel sizes. To replicate the limited spatial resolutions present in PET and SPECT images, image resolutions were modeled using a 3D Gaussian kernel with a Full Width at Half Maximum (FWHM) ranging from 0 to 16mm and with no added noise. The VSV and LDM dosimetry methods were evaluated by characterizing their respective kernels and analyzing their absorbed dose estimates calculated on theoretical phantoms. The ground truth for these estimations was calculated usingreDoseMC. The decay spectra obtained through reDoseMC showed less than a 1% difference when compared to previously published experimental data for energies below 1.9MeV in the case of and less than 1% for energies below 1.5MeV for . Additionally, the validation kernels for VSV exhibited results similar to those found in published Monte Carlo codes, with source dose depositions having less than a 3% error margin. Resolution thresholds ( ), defined as resolutions that resulted in similar dose estimates between the LDM and VSV methods, were observed for . They were 1.5mm for bone, 2.5 mm for soft tissue and liver, and 8.5 mm for lungs. For , the accuracy of absorbed dose deposition was found to be dependent on the contributions of absorbed dose from photons. Volume errors due to variations in voxel size impacted the final dose estimates. Larger target volumes yielded more accurate mean doses than smaller volumes. For both radioisotopes, the radial dose profiles for the VSV and LDM approximated but never matched the referencestandard. reDoseMC was developed and validated for radiopharmaceutical dosimetry. The accuracy of voxel-based dosimetry was found to vary widely with changes in image resolutions, voxel sizes, chosen target volumes, and tissue material; hence, the standardization of dosimetry protocols was found to be of great importance for comparable dosimetryanalysis.

Nurses’ preferences regarding MenACWY conjugate vaccines attributes: a discrete choice experiment in Spain

ObjectivesImmunisation against preventable diseases as meningitis is crucial from a public health perspective to face challenges posed by these infections. Nurses hold a great responsibility for these programs, which highlights the importance of understanding their preferences and needs to improve the success of campaigns. This study aimed to investigate nurses' preferences regarding Meningococcus A, C, W, and Y (MenACWY) conjugate vaccines commercialised in Spain. Study designA national-level discrete choice experiment (DCE) was conducted. MethodsA literature review and a focus group informed the DCE design. Six attributes were included: pharmaceutical form, coadministration evidence, shelf-life, package contents, single-doses per package, and package volume. Conditional logit models quantified preferences and relative importance (RI). ResultsThirty experienced primary care nurses participated in this study. Evidence of coadministration with other vaccines was the most important attribute (RI = 43.78%), followed by package size (RI = 22.17%), pharmaceutical form (RI = 19.07%), and package content (RI = 11.80%). There was a preference for evidence of coadministration with routine vaccines (odds ratio [OR] = 2.579, 95% confidence interval [95%CI] = 2.210–3.002), smaller volumes (OR = 1.494, 95%CI = 1.264–1.767), liquid formulations (OR = 1.283, 95%CI = 1.108–1.486) and package contents including only vial/s (OR = 1.283, 95%CI = 1.108–1.486). No statistical evidence was found for the remaining attributes. ConclusionsEvidence of coadministration with routine vaccines, easy-to-store packages, and fully liquid formulations were drivers of nurses’ preferences regarding MenACWY conjugate vaccines. These findings provide valuable insights for decision-makers to optimize current campaigns.

Therapeutic interventions using the peritoneal and coelomic cavity in dogs, cats, and exotic pets.

To provide a video tutorial describing intraperitoneal (IP) and intracoelomic (IC) therapeutics (IP/IC fluid therapy, euthanasia, direct peritoneal resuscitation). Dogs, cats, and exotic pets. Peritoneal and coelomic centesis allows for delivery of fluids or to perform euthanasia. The peritoneal and coelomic membranes contain a vast network of capillaries and lymphatics that allow absorption of fluids and blood products. Needles are inserted aseptically IP or IC at species-specific locations to avoid iatrogenic damage. In mammals, the needle is inserted in a periumbilical location at a 1- to 2-cm radius from the umbilicus, while the needle is inserted into the ventral inguinal fossa in chelonians and lateroventrally in lizards and snakes. Direct peritoneal resuscitation is a human technique in which a dextrose/electrolyte solution infused IP reduces ischemia-reperfusion injury, edema, and tissue necrosis to improve mortality in patients with diseases like shock and sepsis or who require acute abdominal surgery. Isotonic crystalloids are given IP/IC at 10- to 20-mL/kg doses (smaller volumes in reptiles) and blood products at standard calculated doses. Sodium pentobarbital without phenytoin (3 mL/4.5 kg) is used for IP/IC euthanasia. Being aware of multiple routes for fluid and blood product administration allows treatment in animals for which intravenous or intraosseous catheterization is undesirable or impossible. While intravenous or intraosseous routes are always preferred, especially for resuscitation, familiarity with locations for IP/IC fluid and euthanasia is useful. Techniques like direct peritoneal resuscitation are not currently used in animals but might be translated to veterinary cases in the future.

A study of polarity effect for various ionization chambers in kilovoltage x-ray beams.

Ionization chambers play an essential role in dosimetry measurements for kilovoltage (kV) x-ray beams. Despite their widespread use, there is limited data on the absolute values for the polarity correction factors across a range of commonly employed ionization chambers. This study aimed to investigate the polarity effects for five different ionization chambers in kV x-ray beams. Two plane-parallel chambers being the Advanced Markus and Roos and three cylindrical chambers; 3D PinPoint, Semiflex and Farmer chamber (PTW, Freiburg, Germany), were employed to measure the polarity correction factors. The kV x-ray beams were produced from an Xstrahl 300 unit (Xstrahl Ltd., UK). All measurements were acquired at 2cm depth in a PTW-MP1 water tank for beams between 60 kVp (HVL 1.29mm Al) and 300 kVp (HVL 3.08mm Cu), and field sizes of 2-10cm diameter for 30cm focus-source distance (FSD) and 4 × 4 cm2 - 20 × 20 cm2 for 50cm FSD. The ionization chambers were connected to a PTW-UNIDOS electrometer, and the polarity effect was determined using the AAPM TG-61 code of practice methodology. The study revealed significant polarity effects in ionization chambers, especially in those with smaller volumes. For the plane-parallel chambers, the Advanced Markus chamber exhibited a maximum polarity effect of 2.5%, whereas the Roos chamber showed 0.3% at 150 KVp with the 10cm circular diameter open-ended applicator. Among the cylindrical chambers at the same beam energy and applicator, the Pinpoint chamber exhibited a 3% polarity effect, followed by Semiflex with 1.7%, and Farmer with 0.4%. However, as the beam energy increased to 300 kVp, the polarity effect significantly increased reaching 8.5% for the Advanced Markus chamber and 13.5% for the PinPoint chamber at a 20 × 20 cm2 field size. Notably, the magnitude of the polarity effect increased with both the field size and beam energy, and was significantly influenced by the size of the chamber's sensitive volume. The findings demonstrate that ionization chambers can exhibit substantial polarity effects in kV x-ray beams, particularly for those chambers with smaller volumes. Therefore, it is important to account for polarity corrections when conducting relative dose measurements in kV x-ray beams to enhance the dosimetry accuracy and improve patient dose calculations.

ПОРІВНЯЛЬНИЙ АНАЛІЗ МЕТОДІВ МОДЕЛЮВАННЯ МЕТАЛУРГІЙНИХ ПРОЦЕСІВ

In modern conditions, modeling of technological processes is one of the most promising methods of conducting research on industrial facilities, which is characterized by a low cost compared to conducting research on real metallurgical units. Modeling, as a research method, is based on the reproduction of a real technological process in a smaller volume, in comparison with a real technological process while observing the scale of similarity. In the global practice of researching metallurgical processes, the following methods of modeling technological processes are used: mathematical modeling; low-temperature physical modeling; high-temperature physical modeling. When studying the metallurgical processes of the steelmaking direction, the most complete data is provided by high-temperature physical modeling. At the same time, it allows to study both permanent technological processes and innovative ones. As for the methods of low-temperature physical modeling, they are somewhat limited in the context of informativeness, but they differ in their low cost. Mathematical modeling is promising for modeling established technological processes and needs some clarification with practical data. An urgent task for modern metallurgical science is the development of methods for increasing the accuracy of the results of low-temperature modeling and bringing them closer to high-temperature modeling while maintaining an acceptable cost of modeling.

Improved design and performance of the global rectenna system for wireless power transmission applications around 2.45 GHz

This work proposes a new conception of the global microstrip rectenna system operating around 2.45 GHz. This improved rectenna system associates a receiving antenna with a rectifier circuit. This rectenna is printed on an FR4 substrate. The proposed antenna is a 1×4 microstrip antenna patch array with pentagonal patches using the defective ground structure method and operates with circular polarization. To show the effectiveness of this array, the results obtained by the computer simulation technology microwave studio (CST MWS) software prove that this array is good in terms of high gain, high directivity, high efficiency, wideband, small volume, and well-adaptation, and all these results are confirmed by another solver high-frequency structure simulator (HFSS). The improved rectifier is a microstrip rectifier that uses an HSMS2852 Schottky diode by using a series topology. The effectiveness of this rectifier is proved by the simulation results using advanced design system (ADS) software in terms of well-matching input impedance, high efficiency, and important output direct current (DC) voltage value. The proposed rectenna system is more efficient compared with the existing works and is very appropriate for several applications of wireless power transmission to power supply electronic instruments in various fields cleanly on our planet.

An update on the study of synovial fluid in the geriatric patient.

The characteristics of synovial fluid (SF) in geriatric patients differ from those in younger patients. In Mexico, epidemiologic data on the incidence of different rheumatic diseases in geriatric patients are scarce. To describe the physical characteristics of geriatric SF and the prevalence of crystals in knee and other joint aspirates from patients with previously diagnosed joint disease. A retrospective study was performed with a baseline of 517 SF samples between 2011 and 2023. White blood cell count was performed by Neubauer chamber and crystals were identified by polarized light microscopy. Descriptive statistical analysis was performed and prevalence was reported as a percentage. The mean age of the adults was 73.5±5.0 years, 54.4% were women and 45.6% were men. The mean SF volume was 6.3±9.5mL in older adults and 15.3±24.9mL in those younger than 65 years. The mean viscosity in older adults was 9.5±4.5mm and the mean leukocyte count was 7352±16,402leukocytes/mm3. Seventy percent of the older adults' SFs were referred to the laboratory for osteoarthritis (OA), with lower proportions for rheumatoid arthritis (RA) (14.6%) and gout (5.1%). Of the crystals observed in the geriatric population, 14.6% corresponded to monosodium urate crystals (CUM) and 18.9% to calcium pyrophosphate crystals (CPP). The characteristics of LS in older adults were smaller volume, increased viscosity, and non-inflammatory. The main diagnoses were OA, RA, and gout. The crystal content of the SF of the geriatric population corresponded mainly to CPP.

Review of Operation Performance and Application Status of Pulsating Heat Pipe

Due to the rapid development of science and technology in today’s era, electronic equipment is constantly upgrading. Today, the developmental trend of electronic equipment is miniaturization, portability and multi-functionality. However, multi-functionality often means multi-components, so it is undoubtedly a great test of heat dissipation ability to accommodate more components in a smaller volume. Without sufficient heat dissipation capacity, a large number of components will stop working or even be damaged because of the heat generated during operation. As a new passive cooling and heat exchange technology, pulsating heat pipes have many advantages, such as having no external energy input, a simple structure, changeable installation forms and low installation requirements. They have shown great potential in the field of thermal management, and have attracted a lot of scholars’ attention since they were put forward. Because of their operational stability and heat exchange ability in high heat flux environments, they are the best choice for cooling electronic equipment at present. If they can be fully studied and utilized, pulsating heat pipes can not only reduce the consumption of heat dissipation resources but also reuse heat energy to realize the sustainable utilization of resources. This paper briefly introduces the demand background and structural principle of pulsating heat pipes, and summarizes the research on the parameters of pulsating heat pipes and the application status of pulsating heat pipes. The parameters involve working fluid type, pipe diameter, elbow number, liquid filling rate, inclination angle, etc. After classifying the parameters that affect the operation results of pulsating heat pipes, this paper summarizes the research at this stage, and points out the lack of research fields, such as heat flux density, and new application fields of unconventional gravity environment by combining the literature content with the current scientific and technological development trends and experimental parameters, such as thermodynamics.

Hippocampal subfield volumetric changes after radiotherapy for brain metastases.

Changes in the hippocampus after brain metastases radiotherapy can significantly impact neurocognitive functions. Numerous studies document hippocampal atrophy correlating with the radiation dose. This study aims to elucidate volumetric changes in patients undergoing whole-brain radiotherapy (WBRT) or targeted stereotactic radiotherapy (SRT) and to explore volumetric changes in the individual subregions of the hippocampus. Ten patients indicated to WBRT and 18 to SRT underwent brain magnetic resonance before radiotherapy and after 4 months. A structural T1-weighted sequence was used for volumetric analysis, and the software FreeSurfer was employed as the tool for the volumetry evaluation of 19 individual hippocampal subregions. The volume of the whole hippocampus, segmented by the software, was larger than the volume outlined by the radiation oncologist. No significant differences in volume changes were observed in the right hippocampus. In the left hippocampus, the only subregion with a smaller volume after WBRT was the granular cells and molecular layers of the dentate gyrus (GC-ML-DG) region (median change -5mm3, median volume 137 vs. 135mm3; P = .027), the region of the presumed location of neuronal progenitors. Our study enriches the theory that the loss of neural stem cells is involved in cognitive decline after radiotherapy, contributes to the understanding of cognitive impairment, and advocates for the need for SRT whenever possible to preserve cognitive functions in patients undergoing brain radiotherapy.

ART1 knockdown decreases the IL-6-induced proliferation of colorectal cancer cells

Colorectal cancer (CRC) is a worldwide health concern. Chronic inflammation is a risk factor for CRC, and interleukin-6 (IL-6) plays a pivotal role in this process. Arginine-specific mono-ADP-ribosyltransferase-1 (ART1) positively regulates inflammatory cytokines. ART1 knockdown reduces the level of glycoprotein 130 (gp130), a key transducer in the IL-6 signalling pathway. However, the relationship between ART1 and IL-6 and the resulting effects on IL-6-induced proliferation in CRC cells remain unclear. The aims of this study were to investigate the effects of ART1 knockdown on IL-6-induced cell proliferation in vitro and use an in vivo murine model to observe the growth of transplanted tumours. The results showed that compared with the control, ART1-sh cancer cells induced by IL-6 exhibited reduced viability, a lower rate of colony formation, less DNA synthesis, decreased protein levels of gp130, c-Myc, cyclin D1, Bcl-xL, and a reduced p-STAT3/STAT3 ratio (P < 0.05). Moreover, mice transplanted with ART1-sh CT26 cells that had high levels of IL-6 displayed tumours with smaller volumes (P < 0.05). ART1 and gp130 were colocalized in CT26, LoVo and HCT116 cells, and their expression was positively correlated in human CRC tissues. Overall, ART1 may serve as a promising regulatory factor for IL-6 signalling and a potential therapeutic target for human CRC.

Cosmic variance suppression in radiation-hydrodynamic modelling of the reionization-era 21-cm signal

ABSTRACT The 21-cm line emitted by neutral hydrogen is the most promising probe of the Epoch of Reionization (EoR). Multiple radio interferometric instruments are on the cusp of detecting its power spectrum. It is therefore essential to deliver robust theoretical predictions, enabling sound inference of the coeval Universe properties. The nature of this signal traditionally required the modelling of $\mathcal {O}(10^{7-8} \, {\rm Mpc}^3)$ volumes to suppress the impact of cosmic variance. However, the recently proposed Fixed &amp; Paired (F&amp;P) approach uses carefully crafted simulation pairs to achieve equal results in smaller volumes. In this work, we thoroughly test the applicability of and improvement granted by this technique to different observables of the 21-cm signal from the EoR. We employ radiation-magneto-hydrodynamics simulations to ensure the most realistic physical description of this epoch, greatly improving over previous studies using a seminumerical approach without accurate galaxy formation physics and radiative transfer. We estimate the statistical improvement granted by the F&amp;P technique on predictions of the skewness, power spectrum, bispectrum, and ionized regions size distribution of the 21-cm signal at redshift 7 ≤ z ≤ 10 (corresponding to ${\ge}80{{\ \rm per\ cent}}$ of the gas being neutral). We find that the effective volume of F&amp;P simulations is at least 3.5 times larger than traditional simulations. This directly translates into an equal improvement in the computational cost (in terms of time and memory). Finally, we confirm that a combination of different observables like skewness, power spectrum, and bispectrum across different redshifts can be utilized to maximize the improvement.

Conductive Metal-Organic Framework with Superior Redox Activity as a Stable High-Capacity Anode for High-Temperature K-Ion Batteries.

High-temperature rechargeable batteries are essential for energy storage in elevated-temperature situations. Due to the resource abundance of potassium, high-temperature K-ion batteries are drawing increasing research interest. However, raising the working temperature would aggravate the chemical and mechanical instability of the KIB anode, resulting in very fast capacity fading, especially when high capacity is pursued. Here, we demonstrated that a porous conductive metal-organic framework (MOF), which is constructed by N-rich aromatic molecules and CuO4 units via π-d conjugation, could provide multiple accessible redox-active sites and promised robust structure stability for efficient potassium storage at high temperatures. Even working at 60 °C, this MOF anode could deliver high initial capacity (455 mAh g-1), impressive rate, and extraordinary cyclability (96.7% capacity retention for 1600 cycles), which is much better than those of reported high-temperature KIB anodes. The mechanistic study revealed that C═N groups and CuO4 units contributed abundant redox-active sites; the synergistic effect of π-d conjugated character and reticular porous architecture facilitated the K+/e- transport and ensured an insoluble electrode with small volume deformation, thus achieving stable high-capacity potassium storage.

Double-Bubble Technique Assisted by Holding Forceps: A Modified Technique in Descemet Membrane Endothelial Keratoplasty for Vitrectomized Eyes With Scleral Fixated Intraocular Lens.

Several techniques have been developed for graft unfolding approaches in Descemet membrane endothelial keratoplasty (DMEK). However, despite these techniques, graft deployment and configuration in eyes with deep anterior chambers remain challenging in some cases. Therefore, in this study, we described a modified technique for DMEK, known as the "double-bubble technique assisted by holding forceps." This was a retrospective interventional case series. Patients who underwent DMEK between August 2022 and July 2023, including cases with a history of vitrectomy and scleral fixation of intraocular lens, were enrolled in this study. Two experienced surgeons performed DMEK. In brief, after graft insertion into the anterior chamber, the first bubble with a small volume of air was injected above the graft to open the tight roll, and the graft edge was held using a 25-gauge graft manipulator. The second bubble was injected underneath the graft for fixation, while the graft edge was grasped using forceps during gas injection. The graft was released from the forceps. Best spectacle corrected visual acuity, central corneal thickness, endothelial cell density, and incidence of postoperative complications were measured before and after DMEK. Eleven eyes of 11 patients were included in this study (mean follow-up period, 4.5 ± 4.4 months). Best spectacle corrected visual acuity and central corneal thickness significantly improved postoperatively (P < 0.001). Rebubbling was required in 2 eyes; no other postoperative complications or primary graft failure were observed. The present technique enables safe and feasible DMEK surgery in vitrectomized eyes with scleral fixated IOLs and in those with a deep anterior chamber.

Translating myosin-binding protein C and titin abnormalities to whole-heart function using a novel calcium-contraction coupling model

Mutations in cardiac myosin-binding protein C (cMyBP-C) or titin may respectively lead to hypertrophic (HCM) or dilated (DCM) cardiomyopathies. The mechanisms leading to these phenotypes remain unclear because of the challenge of translating cellular abnormalities to whole-heart and system function.We developed and validated a novel computer model of calcium-contraction coupling incorporating the role of cMyBP-C and titin based on the key assumptions: 1) tension in the thick filament promotes cross-bridge attachment mechanochemically, 2) with increasing titin tension, more myosin heads are unlocked for attachment, and 3) cMyBP-C suppresses cross-bridge attachment.Simulated stationary calcium-tension curves, isotonic and isometric contractions, and quick release agreed with experimental data. The model predicted that a loss of cMyBP-C function decreases the steepness of the calcium-tension curve, and that more compliant titin decreases the level of passive and active tension and its dependency on sarcomere length. Integrating this cellular model in the CircAdapt model of the human heart and circulation showed that a loss of cMyBP-C function resulted in HCM-like hemodynamics with higher left ventricular end-diastolic pressures and smaller volumes. More compliant titin led to higher diastolic pressures and ventricular dilation, suggesting DCM-like hemodynamics.The novel model of calcium-contraction coupling incorporates the role of cMyBP-C and titin. Its coupling to whole-heart mechanics translates changes in cellular calcium-contraction coupling to changes in cardiac pump and circulatory function and identifies potential mechanisms by which cMyBP-C and titin abnormalities may develop into HCM and DCM phenotypes. This modeling platform may help identify distinct mechanisms underlying clinical phenotypes in cardiac diseases.

Local Anesthesia During Operations on the Cervix, Vagina, and Vulva

Introduction. Operations under general anesthesia carry risks to the patient’s health, require appropriate equipment of the operating room, additional personnel in the team. This was the impetus for the active dissemination of local anesthesia technologies in the obstetric and gynecological community. The purpose of the study is to determine the current state of the issue of the use of local anesthesia in gynecology in outpatient settings during operations on the cervix, vagina and vulva.Materials and methods. Publications freely available from databases were used to prepare the work еLibrary.Ru, PubMed, in Russian and foreign specialized journals on obstetrics and gynecology, anesthesiology, textbooks, the predominant period of publication 2016–2023.Results and discussion. In the XIX century, scientists actively worked on the issue of finding an effective anesthetic and a method of anesthesia, the XX century shows that research continued in the direction of identifying the safest drug for anesthesia. In the XXI century, an obstetrician-gynecologist has a huge arsenal of anesthesia techniques, in which it is enough only to choose those techniques that can be used effectively, safely and financially affordable in his medical institution. The literature review shows the high efficiency of infiltration anesthesia during cervical biopsy, excision and conization, as well as a reduction in the number of complications associated with anesthesia. At the same time, for a small volume cervical biopsy, application anesthesia (10% lidocaine aerosol) can be used, but for conization with curettage of the cervical canal (and maybe even with aspiration biopsy), regional anesthesia (paracervical blockade) can be used — the technique of which is described in detail. Local anesthesia of the vagina can be performed using both infiltrative and application anesthesia. Local anesthesia of the vulva is replete with information about the widespread use, effectiveness and safety of application methods of anesthesia, not only in diagnosis, but also for the purpose of treatment.Conclusion. Despite the wide variety of techniques of local anesthesia, as well as the exclusion of adverse events associated with anesthesia, any obstetrician-gynecologist should understand that local anesthesia can also lead to various complications, and be ready to eliminate them.

Crustal evolution of a continental magmatic arc from subduction to collision: A case study in the Gangdese arc, southern Tibetan Plateau

Magmatic arcs are the main environment where continental crust is created on the post-Archean Earth; however, how juvenile arc crust evolves into mature continental crust is still controversial. In this study, we report new bulk-rock major and trace elements, Sr-Nd isotopes, and zircon U-Pb ages and Hf isotopes from a large suite of granites collected from the eastern segment of the Gangdese arc, southern Tibetan Plateau, which record a complete history of arc crust evolution from Mesozoic subduction to Cenozoic collision. These new data show that Gangdese crust-derived granites generated during the subduction to collisional stages record significant geochemical changes with age, indicating that the bulk composition, lithological makeup, and thicknesses of the arc crust evolved over time. Here, we propose that the Gangdese arc had a thick juvenile crust with a small volume of ancient crustal components during late-stage subduction of the Neo-Tethys Ocean, a thin juvenile crust with heterogeneously distributed ancient crustal materials during early collision, and a thick juvenile crust with minor proportions of ancient rocks during late collision. This implies that the arc experienced episodes of crustal thickening during the Late Cretaceous and Eocene, interspersed by periods of thinning during the Paleocene and Miocene, and several discrete episodes of partial melting in the lower arc crust, and cycling or recycling of juvenile and ancient crustal materials within the arc crust and between the crust and mantle. We suggest that shallow subduction of the Neo-Tethys during the Late Cretaceous promoted tectonic thickening of the arc crust, partial melting of lower crust, and formation of high Sr/Y granites. After the onset of the Indo-Asian collision, breakoff of the subducted Neo-Tethyan oceanic slab during the Paleocene/early Eocene allowed thinning of the overlying arc crust and generation of granites derived from juvenile and ancient crustal sources. Continued underthrusting of the Indian continental crust and subsequent delamination of thickened lithospheric mantle led to thickening and thinning of the arc crust, respectively, and partial melting of thickened lower crust and generation of high Sr/Y granites during the Oligocene and Miocene. Using the Gangdese as an analogue for post-Archean continental margins, we suggest that the repeated thickening and thinning of arc crust, and associated multistage remelting of the lower arc crust, and material cycling or recycling within the crust and between the crust and mantle from subduction to collision are common processes that drive maturation of juvenile arc crust.

Unraveling the Intraday Variations in the Tear Fluid Proteome.

Tear fluid is a complex and dynamic biological fluid that plays essential roles in maintaining ocular homeostasis and protecting against the external environment. Owing to the small sample volume, studying the tear proteome is challenging. However, advances in high-resolution mass spectrometry have expanded tear proteome profiling, revealing >500 unique proteins. Tears are emerging as a noninvasive source of biomarkers for both ocular and systemic diseases; nevertheless, intraday variability of proteins in tear fluid remains questionable. This study investigates intraday variations in the tear fluid proteome to identify stable proteins that could act as candidate biomarkers. Tear samples from 15 individuals at four time points (10 am, 12 pm, 2 pm, and 4 pm) were analyzed using mass spectrometry to evaluate protein variation during these intervals. Technical variation was assessed by analyzing pooled samples and was subtracted from the total variation to isolate biological variability. Owing to high technical variation, low-abundant proteins were filtered, and only 115 proteins met the criteria for further analysis. These criteria include being detected at all four time points in at least eight subjects, having a mean peptide-spectrum match count greater than 5, and having a technical variation less than 0.10. Lactotransferrin, lipocalin-1, and several immunoglobulins were among the 51 stable proteins (mean biological coefficient of variation < 0.10). Additionally, 43 proteins displayed significant slopes across the 4 time points, with 17 increasing and 26 decreasing over time. These findings contribute to the understanding of tear fluid dynamics and further expand our knowledge of the tear proteome.

Microfluidic System Consisting of a Magnetic 3D-Printed Microchannel Filter for Isolation and Enrichment of Circulating Tumor Cells Targeted by Anti-HER2/MOF@Ferrite Core-Shell Nanostructures: A Theranostic CTC Dialysis System.

Low number of circulating tumor cells (CTCs) in the blood samples and time-consuming properties of the current CTC isolation methods for processing a small volume of blood are the biggest obstacles to CTC usage in practice. Therefore, we aimed to design a CTC dialysis system with the ability to process cancer patients' whole blood within a reasonable time. Two strategies were employed for developing this dialysis setup, including (i) synthesizing novel in situ core-shell Cu ferrites consisting of the Cu-CuFe2O4 core and the MIL-88A shell, which are targeted by the anti-HER2 antibody for the efficient targeting and trapping of CTCs; and (ii) fabricating a microfluidic system containing a three-dimensional (3D)-printed microchannel filter composed of a polycaprolactone/Fe3O4 nanoparticle composite with pore diameter less than 200 μm on which a high-voltage magnetic field is focused to enrich and isolate the magnetic nanoparticle-targeted CTCs from a large volume of blood. The system was assessed in different aspects including capturing the efficacy of the magnetic nanoparticles, CTC enrichment and isolation from large volumes of human blood, side effects on blood cells, and the viability of CTCs after isolation for further analysis. Under the optimized conditions, the CTC dialysis system exhibited more than 80% efficacy in the isolation of CTCs from blood samples. The isolated CTCs were viable and were able to proliferate. Moreover, the CTC dialysis system was safe and did not cause side effects on normal blood cells. Taken together, the designed CTC dialysis system can process a high volume of blood for efficient dual diagnostic and therapeutic purposes.

Field geology, petrology and geochronology of pluton-dyke systems, the Trapecio and Ushuaia Peninsula dyke swarms (Fuegian Andes): emplacement conditions and relation with tectonics

We report the field geology, petrography, geochemistry and geochronology data for two dyke swarms in the Fuegian Andes, with the aim of correlating them with known suites and of improving the knowledge on the magmatism of the Late Cretaceous rear-arc and its relation with ductile deformation. We also provide keys for correlation based on amphibole K 2 O content. The Trapecio dyke swarm is mildly alkaline and ferriferous, with a zircon U-Pb age of 75 Ma; thus it belongs to the Fuegian Potassic Magmatism (78-68 Ma). The Ushuaia Peninsula dyke swarm, also known as Ushuaia Peninsula Andesites (UPA), was shown to be high-K calc-alkaline and magnesian. New radiometric ages gave 87-86 Ma. While the UPA dyke swarm exhibits foliation associated with ductile deformation, the Trapecio dyke swarm is post-kinematic and reveals emplacement controlled by the slaty cleavage in the metapelite host. Field and geophysical evidence suggest both swarms overlie small upper-crustal plutons, mostly buried. The variable composition of dykes suggests a protracted history of dyke injection, mostly fed from deeper reservoirs. Contact metamorphism around both pluton-dyke systems is very weak. By comparison with adjacent plutons we argue that the main variables controlling aureole development are small magma volumes and low injection rates. Supplementary material : https://doi.org/10.6084/m9.figshare.c.7097733