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Accurate identification of surgical margins for malignancy remains a challenge in the surgical therapy of cancer, and this encountered interoperative difficulties which directly contribute to the prognosis of patients. In recent years, indocyanine green (ICG) has been approved and applied in clinical settings for lesions detection, especially for the precise surgical resection. However, rapid clearance and poor stability greatly limit its clinical practicality. Herein, a super-stable homogeneous iodinated formulation technology (SHIFT) is designed to realize sufficient dispersion of ICG into lipiodol (SHIFTs) for transcatheter embolization (TAE) synergistic fluorescence-guided resection. Particularly, SHIFTs is prepared in a green physical mixture via a carrier-free manner, which possesses controlled morphology, long-term stability, and improved optical characteristics of ICG (fluorescence/photoacoustic/photothermal activities). Furthermore, the viscosity of the synthetic solvent is comparable to lipiodol, and further assessment demonstrated the same efficacy in computed tomography. The performance of SHIFTs in the fluorescence navigation was further evaluated in vivo by TAE therapy to the rabbit VX2 tumor model for a two-week monitor. The integration of near-infrared fluorescence surgery navigation and TAE could effectively guarantee the precise resection for hepatocellular carcinoma. This SHIFT system provides good potentials for ameliorating the dilemma of precise fluorescent navigation for surgical resection after arterial embolization in clinical practice. V.Food and oral pharmaceutical products containing probiotics have tremendous health benefits and have recently attracted a great amount of attention. However, the delivery and controlled release of core probiotics to the target site is a complicated process that must be considered when constructing carrier systems. The encapsulation of probiotics on the basis of polysaccharides is frequently applied to overcome this problem and has acquired remarkable results. Despite this, intrinsic disadvantages, including porosity and indigestibility, exist in most reported plant- and animal-derived polysaccharides during this process. Thus, the development of effective alternatives of polysaccharides is urgently required. The polysaccharides produced by Lactobacillus are assumed to be more suitable for the efficient delivery and controlled release of probiotics when compared with plant- and animal-derived polysaccharides. However, in-depth research relating to such polysaccharides is currently limited. In this review, we extensively analyze the structure and characteristics of the polysaccharides derived from Lactobacillus, and compare them with other additional successfully applied polysaccharides for the encapsulation of probiotics. We then, discuss the application of Lactobacillus polysaccharides for encapsulated probiotics, and in particular, the delivery and controlled release of oral probiotics. Immunotherapy has considerable potential in eliminating cancers by activating the host's own immune system, while the thermal and mechanical effects of ultrasound have various applications in tumor therapy. Hyperthermia, ablation, histotripsy, and microbubble stable/inertial cavitation can alter the tumor microenvironment to enhance immunoactivation to inhibit tumor growth. Microbubble cavitation can increase vessel permeability and thereby improve the delivery of immune cells, cytokines, antigens, and antibodies to tumors. selleck Violent microbubble cavitation can disrupt tumor cells and efficiently expose them to numerous antigens so as to promote the maturity of antigen-presenting cells and subsequent adaptive immune-cell activation. This review provides an overview and compares the mechanisms of ultrasound-induced immune modulation for peripheral and brain tumor therapy, even degenerative brain diseases therapy. The possibility of reversing tumors to an immunoactive microenvironment by utilizing the cavitation of microbubbles loaded with therapeutic gases is also proposed as another potential pathway for immunotherapy. Finally, we disuss the challenges and opportunities of ultrasound in immunotherapy for future development. V.BACKGROUND/OBJECTIVE Although there is growing interest in screening for Food Insecurity (FI) in the clinical setting, little research exists describing the effect of screening practices on caregiver comfort and willingness to disclose social risk, or what factors affect eventual engagement with food resources. METHODS In this qualitative study, we conducted 40 semi-structured interviews with caregivers of pediatric patients who reported FI in the Emergency Department of an urban, freestanding children's hospital. All interviews were digitally recorded and transcribed. We used content analysis with constant comparison to code interviews inductively and identified emerging themes through an iterative process. RESULTS Three primary themes emerged as factors affecting caregiver comfort in FI screening and engagement with resources perceived negative repercussions associated with screening, perception of need, and effective connection with food resources. While most caregivers reported comfort with FI screening, intentional steps to provide anonymity and reduce stigma in the screening process were important in facilitating disclosure of social need. Engagement with resources was influenced by caregiver prioritization of food access within a milieu of life stressors, and the perception of personal need relative to their peers. Furthermore, caregivers suggested practices to facilitate effective connection with food resources such as use of mobile health technology, geographically based resources, and personalized connections. CONCLUSIONS This study demonstrates the importance of screening methods that reduce judgement and preserves caregiver privacy, referring families to resources that are geographically accessible, and developing creative strategies that enhance families' connection to resources, such as with use of mobile technology. OBJECTIVES Family Navigation (FN), a care management strategy, helps families overcome systems and person-level barriers to care. We previously demonstrated FN's feasibility, acceptability, and potential efficacy for increasing access and reducing time to autism-related diagnostic services among low-income, minority children. In this paper, we describe modifications to FN in response to concerns raised in our first pilot randomized controlled trial (RCT), and then assess these modifications in a second pilot RCT. METHODS An advisory group recommended modifications to recruitment procedures and study conditions. 40 parent-child dyad participants with autism-related concerns were randomized to receive modified usual care (UC) or modified FN. We compared whether the first and second pilot RCTs differed in participant enrollment, satisfaction with clinical care, and timely completion of the diagnostic assessment. RESULTS Recruitment improved under the modified protocol with significantly fewer potentially eligible families refusing (19.
Homepage: https://www.selleckchem.com/
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