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This video shows a stepwise approach to laparoscopic robotic assisted urinary tract endometriosis management demonstrating its feasibility and safety. Urinary tract endometriosis affect only the 0.3% to 6% of women affected by endometriosis, among which the most common localization is the bladder (84%-90%) [1]. The ureteral compression is rare but can lead to obstruction up to silent loss of renal function [2], which is one of the main factors to take into account in the management of this disease [3].Microplastics act as a source of organic contaminants in aquatic environments and thus affect their environmental fate and toxicity. Because of the weak and reversible interactions between microplastics and organic species, the organic coronas vary with their surrounding environments. Thus, in order to evaluate the possible environmental risks of microplastics, methods for evaluating the dynamic uptake of organic contaminants onto suspended microplastics in aquatic environments are greatly desired. https://www.selleckchem.com/products/gsk126.html In this work, a UV-vis spectroscopy-based approach was developed for in-situ monitoring organic contaminants uptake onto suspended microplastics after correcting the light scattering interference from microplastics suspensions and establishing the nonlinear relationship between concentration and light absorbance of organic species. The inverse adding-doubling method based on radiative transfer theory was adopted to correct the light scattering effect of suspensions. Then, the resulting mixed absorption spectra were decomposed to calculate the concentrations of the aqueous and adsorbed organic species simultaneously with a nonlinear calibration method. The uptake processes of bisphenol A and p-nitrophenol onto nylon 66 microparticles were monitored with this approach and confirmed by high-performance liquid chromatography analysis. The approach was validated by applying it to natural water samples, and the equilibrium adsorption capacity was found to be interfered mainly by the protein-like substances. This approach has high accuracy, good reproducibility, remarkable universality, and ease of handling, and also provides a potential tool for characterizing the corona formation process on suspended particles both in natural and artificial environments, such as eco-corona formation and engineering surface modification on nano/micro-particles.The lack of dissolved oxygen and weak substrate removal capacity in constructed wetlands (CW) leads to terrible removal of nitrogen and polycyclic aromatic hydrocarbons (PAHs). In this study, automatic tidal flow CW microcosms were constructed by improving the oxygen environment (siphon and air-duct) and substrate (magnetite) to enhance purification performance and the mechanism was explored. The results showed that the addition of air-duct could improve the oxygen collection and thus improved the NH4+ removal efficiency. Additionally, nitrogen removal was improved greatly due to the simultaneous nitrification and denitrification in aerobic layer with the addition of magnetite. Mass balance indicated the microbial degradation dominated (32-62%) the removal of PAHs. Metagenomic analysis proved the existence of magnetite enhanced the number of PAHs-degrading bacteria, functional groups and metabolic pathways and thus greatly improved the microbial degradation of PAHs. Furthermore, Fe2+/Fe3+ cycle played an important role in promoting the anaerobic degradation of PAHs, which might be served as an electron conduit to establish the direct interspecies electron transfer between iron-reducing bacteria (e.g. Deltaproteobacteria bacterium) and Anaerolineae bacterium to degrade PAHs efficiently. This study provided better understanding of the simultaneous removal of PAHs and nitrogen in tidal flow CWs.Circumstantial evidence has suggested that jellyfish swarms impair the operation of seawater reverse osmosis desalination facilities. However, only limited information is currently available on the pretreatment efficiency of jellyfish and their effects on reverse osmosis (RO) membrane performance. Here, we have comprehensively tested the pretreatment efficiency of a dual-media gravity filter and cartridge micro-filtration following the addition of jellyfish into the feedwater. Concurrently, the fouling propensity and performance of the RO membranes were examined. We show that jellyfish demise resulted in seawater eutrophication that triggered a significant increase in bacterial biomass (∼50-fold), activity (∼7-fold), and release of transparent exopolymer particles (∼5-fold), peaking three days after the addition of jellyfish into the feedwater. In parallel, a significant reduction in permeate water flux was recorded (∼10%) while trans-membrane pressure sharply increased (15%), reaching the operation pressure limit of our system (75 bar) after five days. At the conclusion of the experiments, the membrane surface was heavily covered by large chunks of organic-rich material and multilayered biofilms. Our results provide a holistic view on the operational challenges of seawater reverse osmosis (SWRO) desalination triggered by jellyfish swarms in coastal areas. Following the above, it can be inferred that freshwater production will likely be halted three days after drawing the jellyfish into the pretreatment system. Outcomes from these results may lead to the development of science-based operational protocols to cope with growing occurrence of jellyfish swarms around the intake of SWRO desalination facilities worldwide.Phosphorus is a limiting nutrient in freshwater ecosystems. Therefore, the estimation of total phosphorus (TP) concentration in eutrophic water using remote sensing technology is of great significance for lake environmental management. However, there is no TP remote sensing model for lake groups, and thus far, specific models have been used for specific lakes. To address this issue, this study proposes a framework for TP estimation. First, three algorithm development frameworks were compared and applied to the development of an algorithm for Lake Taihu, which has complex water environment characteristics and is a representative of eutrophic lakes. An Extremely Gradient Boosting (BST) machine learning framework was proposed for developing the Taihu TP algorithm. The machine learning algorithm could mine the relationship between FAI and TP in Lake Taihu, where the optical properties of the water body are dominated by phytoplankton. The algorithm exhibited robust performance with an R2 value of 0.6 (RMSE = 0.07 mg/L, MRE = 43.33%). Then, a general TP algorithm (R2 = 0.64, RMSE = 0.06 mg/L, MRE = 34.13%) was developed using the proposed framework and tested in seven other lakes using synchronous image data. The algorithm accuracy was found to be affected by aquatic vegetation and enclosure aquaculture. Third, compared with field investigations in other studies on Lake Taihu, the Taihu TP algorithm showed good performance for long-term TP estimation. Therefore, the machine learning framework developed in this study has application potential in large-scale spatio-temporal TP estimation in eutrophic lakes.For the first time, the present study unravels a cardiospecific therapeutic approach for Pulmonary Arterial Hypertension (PAH), a disease with a very poor prognosis and high mortality rates due to right ventricle (RV) dysfunction. We first established a new in vitro model of high-pressure-induced hypertrophy that closely resembles heart defects associated with PAH and validated our in vitro findings on a preclinical in vivo model of monocrotaline (MCT)-induced PAH. Our results showed the in vitro antihypertrophic effect of 1,8-cineole, a monoterpene widely found in several essential oils. Also, a decrease in RV hypertrophy and fibrosis, and an improvement in heart function in vivo was observed, when 1,8-cineole was applied topically. Furthermore, 1,8-cineole restored gap junction protein connexin43 distribution at the intercalated disks and mitochondrial functionality, suggesting it may act by preserving cardiac cell-to-cell communication and bioenergetics. Overall, our results point out a promising therapeutic compound that can be easily applied topically, thus paving the way for the development of effective cardiac-specific therapies to greatly improve PAH outcomes.
Data collected during routine care holds the potential to support hypothesis generation, study feasibility, and provide insight regarding how to address problems under real world conditions. Currently there are no practice-based research networks in Florida that focus on complementary care in general or medical marijuana specifically. Through an academic-industry partnership, we sought to develop a practice-based research network focused on cannabis science and create a de-identified database for analyses that support hypothesis generation, study feasibility estimation, and a network that also facilitates recruitment into future research studies.
The Complementary Care Practice-Based Research Network (CC-PBRN) is a centralized repository, which contains electronic health records (EHR) from a private medical cannabis health system in the state of Florida.
This paper provides cross-sectional descriptive analyses of the CC-PBRN's 43,802 currently active patients. There are 24 clinics in the network with nine in North Florida, 11 in Central Florida, and 4 in South Florida.
This network serves as a statewide resource for patient-reported outcomes (PRO) research in medical marijuana. The network currently has numerous outpatient practices with thousands of patients that are a potential source of research participants for both observational studies as well as traditional clinical trials. The outpatient clinical practices can also serve as units of analysis for pragmatic trials comparing different care protocols and organizational structure.
This network serves as a statewide resource for patient-reported outcomes (PRO) research in medical marijuana. The network currently has numerous outpatient practices with thousands of patients that are a potential source of research participants for both observational studies as well as traditional clinical trials. The outpatient clinical practices can also serve as units of analysis for pragmatic trials comparing different care protocols and organizational structure.More than 300 missense mutations in PSEN1 gene have been correlated to the early-onset Alzheimer's disease (EOAD), but given the high diversity of PS1 (the PSEN1 gene product) substrates and the involvement of PS1 in multiple biological functions, different mutants may represent different EOAD etiologies, and how each mutant contributes to the EOAD remains to be further investigated. Here we report the identification of a novel PSEN1 p.Tyr159Ser in a family with multiple EOAD cases. The mutant PS1 protein (PS1Y159S) was analyzed for its activity in producing amyloid-β (Aβ) and for the efficiency in maturation in vitro. We also screened other mutations and SNPs that may modify the effect of PSEN1 p.Tyr159Ser on AD pathogenesis. The blood samples of the family were collected for whole-exome gene sequencing and analysis. The identified mutant PS1 and several other PS1 mutants were co-expressed with the APP Swedish mutant to compare the effects on APP processing and PS1 maturation.1. The proband and her siblings over 50 years old showed typical AD or MCI symptoms.
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