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Unifocality as Prognostic Factor for Unilateral Retinoblastoma: Preliminary Results of 32 Eyes Treated with Intra-Arterial Chemotherapy Alone
Unifocality as Prognostic Factor for Unilateral Retinoblastoma: Preliminary Results of 32 Eyes Treated with Intra-Arterial Chemotherapy Alone in Biomedical Journal of Scientific & Technical Research
Purpose:Â To evaluate the role of intra-arterial chemotherapy (IAC) in the management of unilateral, unifocal retinoblastoma (RB) as a single therapy, associated to neither focal nor systemic adjunctive therapies.
Methods:Â Prospective, single center, interventional case series of 32 consecutive eyes diagnosed with unilateral unifocal RB and treated exclusively with selective ophthalmic intra-arterial chemotherapy, with no adjunctive systemic or focal treatments.
Results:Â Full regression of the lesion was observed in 30 eyes (93.75%). 2 eyes were enucleated. Ophthalmoscopic remissions type I and III with higher calcific component were achieved. Additionally, neither recurrences nor new tumors appeared during the patient follow-up, which ranged from 10 months to 13 years.
Conclusion:Â Selective intra-arterial chemotherapy has demonstrated to be highly effective in terms of disease control and anatomical preservation in case of unilateral unifocal disease, without requiring any additional systemic and/or focal therapy.
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Biomed Grid |Â Neurotoxin and Alpha-Neurotoxin Time-Resolved Absorption and Resonance FT-IR and Raman Bio spectroscopy and Density Functional Theory (DFT) Investigation of Vibrionic-Mode Coupling Structure in Vibrational Spectra Analysis
Abstract
α-Neurotoxins are a group of neurotoxic peptides found in the venom of snakes in the families Elapidae and Hydrophiidae. They can cause paralysis, respiratory failure, and death. Members of the three-finger toxin protein family, they are antagonists of post-synaptic nicotinic acetylcholine receptors (nAChRs) in the neuromuscular synapse that bind competitively and irreversibly, preventing synaptic acetylcholine (ACh) from opening the ion channel. Over 100 α-neurotoxins have been identified and sequenced. Parameters such as FT-IR and Raman vibrational wavelengths and intensities for single crystal Neurotoxin and Alpha-Neurotoxin are calculated using density functional theory and were compared with empirical results.
The investigation about vibrational spectrum of cycle dimers in crystal with carboxyl groups from each molecule of acid was shown that it leads to create Hydrogen bounds for adjacent molecules. The current study aimed to investigate the possibility of simulating the empirical values. Analysis of vibrational spectrum of Alpha-Neurotoxin is performed based on theoretical simulation and FT- IR empirical spectrum and Raman empirical spectrum using density functional theory in levels of F/6-31G*, HF/6- 31++G**, MP2/6-31G, MP2/6-31++G**, BLYP/6-31G, BLYP/6-31++G**, B3LYP/6-31G and B3LYP6-31-HEG**. Vibration modes of methylene, carboxyl acid and phenyl cycle are separately investigated. The obtained values confirm high accuracy and validity of results obtained from calculations [1-42] (Figure 1).
Figure 1: Molecular structure of Neurotoxin (left) and AlphaâNeurotoxin (right).
Keywords:Vibrionic Structure; Vibrational Spectra Analysis; Density Functional Theory (DFT); Alpha-Neurotoxin; non-Focal Functions of Becke; Correlation Functions of Lee-Yang-Parr; Time-Resolved Absorption and Resonance; FT-IR and Raman Bio spectroscopy
Introduction
α-Neurotoxins are a group of neurotoxic peptides found in the venom of snakes in the families Elapidae and Hydrophiidae. They can cause paralysis, respiratory failure, and death. Members of the three-finger toxin protein family, they are antagonists of post-synaptic nicotinic acetylcholine receptors (nAChRs) in the neuromuscular synapse that bind competitively and irreversibly, preventing synaptic acetylcholine (ACh) from opening the ion channel. Over 100 α- neurotoxins have been identified and sequenced.
Density Functional Theory (DFT) is one of the most powerful calculation methods for electronic structures [5-7]. Numerous results have been previously studied and indicate successful use of these methods [8-10]. The theory is one of the most appropriate methods for simulating the vibrational wavenumbers, molecular structure as well as total energy. It may be useful to initially consider the calculated results by density functional theory using F/6-31G*, HF/6-31++G**, MP2/6-31G, MP2/6-31++G**, BLYP/6- 31G, BLYP/6-31++G**, B3LYP/6-31G and B3LYP6-31- HEG** approach [11-16]. It should be noted that calculations are performed by considering one degree of quantum interference as well as polarization effects of 2d orbitals in interaction [17-320].
Details of Calculations
All calculations of molecular orbital in the base of ab are performed by Gaussian 09. In calculation process, the structure of Alpha-Neurotoxin molecule (Figure 2) is optimized and FT- IR and Raman wavenumbers are calculated using F/6-31G*, HF/6- 31++G**, MP2/6-31G, MP2/6-31++G**, BLYP/6-31G, BLYP/6- 31++G**, B3LYP/6-31G and B3LYP6-31-HEG** base. All optimized structures are adjusted with minimum energy. Harmonic vibrational wavenumbers are calculated using second degree of derivation to adjust convergence on potential surface as good as possible and to evaluate vibrational energies at zero point. In optimized structures considered in the current study, virtual frequency modes are not observed which indicates that the minimum potential energy surface is correctly chosen. The optimized geometry is calculated by minimizing the energy relative to all geometrical quantities without forcing any constraint on molecular symmetry. Calculations were performed by Gaussian 09.
Figure 2:Different sections of the Neurotoxin (upper) and Alphaâ Neurotoxin (lower) [43â93].
The current calculation is aimed to maximize structural optimization using density functional theory. The calculations of density functional theory are performed by F/6-31G*, HF/6- 31++G**, MP2/6-31G, MP2/6-31++G**, BLYP/6-31G, BLYP/6- 31++G**, B3LYP/6-31G and B3LYP6-31-HEG** function in which non-focal functions of Becke and correlation functions of Lee-Yang- Parr beyond the Franck-Condon approximation are used. After completion of optimization process, the second order derivation of energy is calculated as a function of core coordination and is investigated to evaluate whether the structure is accurately minimized. Vibrational frequencies used to simulate spectrums presented in the current study are derived from these second order derivatives. All calculations are performed for room temperature of 316 (K).
Vibration Analysis
Analysis of vibrational spectrum of Alpha-Neurotoxin is performed based on theoretical simulation and FT-IR empirical spectrum and Raman empirical spectrum using density functional theory in levels of F/6-31G*, HF/6-31++G**, MP2/6-31G, MP2/6- 31++G**, BLYP/6-31G, BLYP/6-31++G**, B3LYP/6-31G and B3LYP6-31-HEG**. Vibration modes of methylene, carboxyl acid and phenyl cycle are separately investigated. C-H stretching vibrations in single replacement of benzene cycles are usually seen in band range of 3250-3650 cm-1. Weak Raman bands are at 3191 cm-1 and 3207 cm-1. C-C stretching mode is a strong Raman mode at 1211 cm-1. Raman weak band is seen at 1687 cm-1 too. Bending mode of C-H is emerged as a weak mode at 1429 cm-1 and 1205 cm-1 and a strong band at 1289 cm-1 in Raman spectrum. Raman is considerably active in the range of 1250-1650 cm-1 which 1199 cm-1 indicates this issue.
C-H skew-symmetric stretching mode of methylene group is expected at 3189 cm-1 and its symmetric mode is expected at 3000 cm-1. Skew-symmetric stretching mode of CH4 in Alpha- Neurotoxin has a mode in mid-range of Raman spectrum at 3250- 3650 cm-1. When this mode is symmetric, it is at 3099 cm-1 and is sharp. The calculated wavenumbers of higher modes are at 3073 cm-1 and 3096 cm-1 for symmetric and skew-symmetric stretching mode of methylene, respectively.
Scissoring vibrations of CH4 are usually seen at the range of 1530-1590 cm-1 which often includes mid-range bands. Weak bands at 1550 cm-1 are scissoring modes of CH4 in Raman spectrum. Moving vibrations of methylene are usually seen at 1479 cm -1. For the investigated chemical in the current study, these vibrations are at 1349 cm-1 were calculated using density functional theory. Twisting and rocking vibrations of CH4 are seen in Raman spectrum at 925 cm-1 and 1191 cm-1, respectively, which are in good accordance with the results at 907 cm-1 and 1167 cm- 1, respectively. In a non-ionized carboxyl group (COOH), stretching vibrations of carbonyl [C=O] are mainly observed at the range of 1850-1898 cm-1. If dimer is considered as an intact constituent, two stretching vibrations of carbonyl for symmetric stretching are at 1750-1795 cm-1 in Raman spectrum. In the current paper, stretching vibration of carbonyl mode is at 1799 cm-1 which is a mid-range value.
Stretching and bending bands of hydroxyl can be identified by width and band intensity which in turn is dependent on bond length of Hydrogen. In dimer form of Hydrogen bond, stretching band of O-H is of a strong Raman peak at 1377 cm-1 which is due to in-plain metamorphosis mode. Out-of-plain mode of O-H group is a very strong mode of peak at 1056 cm-1 of Raman spectrum. The stretching mode of C-O (H) emerges as a mid-band of Raman spectrum at 1263 cm-1. Lattice vibrations are usually seen at the range of 0-850 cm-1. These modes are induced by rotary and transferring vibrations of molecules and vibrations and are including Hydrogen bond. Bands with low wavenumbers of Hydrogen bond vibrations in FT-IR and Raman spectrum (Figure 3) are frequently weak, width and unsymmetrical. Rotary lattice vibrations are frequently stronger than transferring ones. Intramolecular vibrations with low wavenumbers involving two-bands O-H âŠO dimer at 99 cm-1, 199 cm-1 and 269 cm-1 are attributed to a rotary moving of two molecules involving in-plain rotation of molecules against each other.
Figure 3:3D Simulation of (a) FTâIR spectrum and (b) Raman spectrum of AlphaâNeurotoxin.
Conclusion and Summary
Calculations of density functional theory using F/6-31G*, HF/6- 31++G**, MP2/6-31G, MP2/6-31++G**, BLYP/6-31G, BLYP/6- 31++G**, B3LYP/6-31G and B3LYP6-31-HEG** levels were used to obtain vibrational wavenumbers and intensities in single crystal of Alpha- Neurotoxin. Investigation and consideration of vibrational spectrum confirm the formation of dimer cycles in the investigated crystal with carboxyl groups from each Hydrogen molecule of acid protected from adjacent molecules. The calculated vibrational spectrum which obtains from calculations of density functional theory is in good accordance with recorded empirical values which indicates successful simulation of the problem. The obtained results indicate that the results obtained from theoretical calculations are valid through comparing with empirical recorded results.
Acknowledgements
Authors are supported by an American International Standards Institute (AISI) Future Fellowship Grant FT1201009373493. We acknowledge Ms. Isabelle Villena for instrumental support and Dr. Michael N. Cocchi for constructing graphical abstract figure. We gratefully acknowledge Prof. Dr. Christopher Brown for proofreading the manuscript.
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âRapid-Onset Gender Dysphoriaâ Study Is Deeply Flawed, Says New Critique
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A controversial study claiming that some teens abruptly decide to change genders due to peer pressure was deeply flawed, according to a scathing new scientific critique.
The original 2018 study used a new term â ârapid-onset gender dysphoria,â or ROGD â to describe certain young adults, typically those assigned female at birth, who develop gender dysphoria due to âsocial and peer contagion.â The paper has been widely cited, particularly in conservative media, to cast doubt on many gender-nonconforming peopleâs experiences by framing trans identification as a trend, phase, or disease.
But scientific critics and trans advocates have long criticized the methods chosen by the paperâs author, Lisa Littman of Brown University. Within a week of its publication in August 2018, PLOS One, the journal in which the study appeared, announced that it would seek âfurther expert assessment on the studyâs methodology and analyses,â citing reader concerns. This, in turn, prompted Brown to remove a press release touting its findings. Just last month, PLOS One published a correction and an apology, while also noting that the studyâs results were largely unchanged.
Arjee Restar, a trans researcher in the same department as Littman at Brown, told BuzzFeed News that even in the corrected version of the study, âthe methods remain unchanged, flawed, and below scientific standards.â
Frustrated by how the work was handled by the journal and her own institution, Restar, a trans graduate student at Brownâs School of Public Health, wrote the new critique, the most thorough and damning description of the research to date.
Restarâs study, published today in the Archives of Sexual Behavior, points to several methodological problems, such as relying on survey responses from parents who had visited sites promoting anti-trans views, and biasing their responses with the wording of the studyâs consent forms. Littmanâs approach, Restar contends, pathologizes trans people. âItâs important to use methods and terminologies that donât further stigmatize an already disenfranchised community,â she said.
Littman declined to discuss the new critique with BuzzFeed News. But in an interview with the website Quillette last month, she stood by her research, saying, âOverall, I am very pleased with the final product and [with the fact] that my work has withstood this extensive peer-review process.â
Since its publication last year, Littmanâs study has reverberated widely throughout many distinct communities, from parenting websites to lawmakers to health care professionals.
Last October, for example, more than 1,000 parents of gender-nonconforming children wrote a letter to the American Academy of Pediatrics begging them to reconsider their trans-affirming health care policy recommendations. The letter cites Littmanâs work as âa recent groundbreaking studyâ about trans-identified youth that âfinds significant parallels with the phenomenon of eating disorders, and includes social contagion as a key factor.â
The American College of Pediatricians, classified as an anti-LGBT hate group by the Southern Poverty Law Center, cites Littmanâs study to advocate against trans-affirming health care; its representatives recently met with lawmakers on Capitol Hill fight the passage of the Equality Act. And Transgender Trend, one of the sites Littman used to gather responses for her study, has published a lengthy school resource pack that warns a childâs gender dysphoria can be a result of âsimple social contagion.â
Julia Serano, a writer, activist, and biologist who has extensively charted the rise of ROGD and trans social contagion theory, said that promoting trans identity as contagious has huge ramifications.
âIf youâre a trans kid, will parents not let their kids interact with you?â Serano told BuzzFeed News. âPeople will say âLetâs just see what the science saysâ ⊠and will be given justification to say âIâm not going to allow my children to absorb any information or media that involves trans people.ââ
Whatâs more, Serano worries that defining an entirely new ârapid onsetâ category of gender dysphoria might inspire different treatments than those currently recommended by the likes of the American Academy of Pediatrics. That could lead some parents to turn away from the âgender affirmingâ treatments â such as social or medical transition â for persistently trans-identifying youth, and instead try âreparativeâ gender treatments, which encourage children to feel better in their assigned sexes. For critics like Serano, the latter category is akin to gay conversion therapy.
When PLOS One republished Littmanâs study with a correction last month, the editors said the new version emphasized that it was a study of parental observation alone, and that ROGD is not a clinical diagnosis. PLOS Oneâs editor-in-chief also apologized to the trans community âfor oversights that occurred during the original assessment of the study.â The results section, however, remained unchanged.
Littman released a statement at the time saying she is âdelighted to report that, after a rigorous post-publication review, a revised version of [her] paper has been published by PLOS ONE.â
While some activists had campaigned against the study as soon as it was published last year, more than 5,000 people signed a petition in support of her study and the defense of âacademic freedom and scientific inquiry.â In the interview with Quillette â a âplatform for free thoughtâ which has published many trans-critical articles â Littman elaborated that âbecause this paper was of interest to scientists and non-scientists alike, extra care was taken to make sure that certain terms and concepts were not misconstrued by individuals outside of the scientific community.â She also told the reporter, Jonathan Kay â who has tweeted (and deleted) graphic descriptions of autistic teens being forced to chop off their breasts because of trans orthodoxy â that backlash to the study led to her losing her consulting job.
Harvey Meston / Getty Images
Restar, along with the few other openly trans graduate students in the School of Public Health, attempted to meet with Brown administrators soon after Littmanâs article was published to convey what they thought was the institutional promotion of shoddy â and harmful â anti-trans science. Those meetings âdid not go well,â Wesley King, one of the students, told BuzzFeed News.
Although Brown did remove its press release, Kingâs group felt that the school could have done more on behalf of the trans and gender-nonconforming students who were rankled by Littmanâs study.
âWe asked for them to request Dr. Littman remove the Brown University affiliation on the article because she conducted the research before being hired at Brown and it didnât go through brownâs [ethics review],â King said. The administrators declined. (Regarding Littmanâs study and the new critique, a spokesperson for the university said, âWe are fully committed to academic freedom for all researchers at Brown, a fundamentally important tenet of the mission of any research university, and Brown faculty have the freedom to conduct and publish research on the topics they choose.â)
Restar took her critiques to the Archives of Sexual Behavior. Her new paper contends that Littman designed the study in order to frame gender dysphoria as âtantamount to both an infectious disease (âcluster outbreaks of gender dysphoriaâ) and a disorder (e.g., âeating disorders and anorexia nervosaâ).â
Restar rejects this because, as she writes, âidentifying as transgender is not a disease nor is it considered a mental disorder.â
The biggest scientific problem with the study, according to Restar, is how it obtained its data. Littman placed a 90-question survey on three websites â 4thWaveNow, Transgender Trend, and Youth Trans Critical Professionals â and received responses from 256 parents.
Before filling out the survey, the parents had to sign consent forms for participation. And in those forms, Littman describes âsocial and peer contagionâ extensively. This, according to Restar, could have easily biased the respondents to give answers confirming the idea of social contagion. Whatâs more, those three websites are known for their trans-critical views.
âFrom a methods standpoint, one could say she was looking for individuals who have specific beliefs that could confirm her hypothesis â which is a symptom of biased sampling,â Restar said.
Whatâs more, ROGD is not a clinical diagnosis, and has not been validated by medical professionals. Littman made no attempts in her survey to precisely define what ârapid onsetâ meant, or when exactly parents should note their childâs âpubertyâ began.
The editor of the Archives of Sexual Behavior journal is Kenneth Zucker, a prominent and controversial figure in the field of trans health care. A clinical psychologist who helped write the definition of gender dysphoria in the most recent edition of Diagnostic and Statistical Manual of Mental Disorders, Zucker was ousted in December 2015 from his long-held position as head of the Family Gender Identity Clinic at Torontoâs Centre of Addiction and Mental Health (CAMH), following activist complaints and an internal investigation over his methods for treating gender-nonconforming children. Late last year, he reached a settlement with CAMH for what he claimed was unfair dismissal and libel, and was awarded over half a million dollars. He now runs his own practice in Toronto.
Zucker told BuzzFeed News he greenlit Restarâs article because âitâs an important issue, and this is what academic discourse is about.â But he also believes that Littmanâs study is valid â for spotlighting a previously underappreciated subgroup of adolescents.
âI think people who work in the field need to do more research on who are these kids,â he said. âWhatâs the best way to work with them therapeutically, and can we apply the same standards of care we use with adolescents who have been struggling with gender dysphoria for a long time?â
Zucker has previously written and spoken favorably about Littmanâs research, tweeting that it is âimportantâ and that Littman losing her consulting work as a result of her study âis nothing less than bald intellectual McCarthyism circa 2019.â
He acknowledged that studies relying on parentsâ perspectives of their kids are limited, but that this approach âis a longstanding tradition in developmental clinical psychology and psychiatry.â
Over the past few months, he added, heâs been wondering why the backlash to Littmanâs study has been so loud. He believes itâs because, if social factors indeed influence a personâs gender identity, then âthat would sort of go against â letâs call it, the essentialist or âborn that wayâ model,â he said.
But many trans, queer, and gender-nonconforming people donât subscribe to the âborn this wayâ model of gender identity in the first place. Julia Serano and Arjee Restar, for example, say they are worried about what it might mean to liken trans identity to a contagious disease â much the same way that gay people have been thought to be contagious and thus prevented from being Boy Scout leaders, teachers, or otherwise fully integrated members of society. âThe same argument is now being used in context of transgender people,â Serano said.
Zucker acknowledged these concerns, but also believes that the kids described in Littmanâs work are worthy of study. Heâs currently researching why an increasing number of assigned-female young people have been seeking treatment at gender identity clinics in North America and Europe over the past 15 years, when previously, the ratio was reversed: Mostly assigned-male adolescents were seeking care.
Some women who have transitioned and then gone back to identifying with their assigned gender â âdesistingâ and âdetransitioningâ â do think that rapid-onset gender dysphoria via social contagion describes their experiences. But activists and researchers like Serano think that, for the vast majority of gender-nonconforming youth, ROGD doesnât explain this increase.
âI think itâs important for us to recognize that the prevalence of trans people in the past was artificially reduced by the lack of visibility, and by gatekeepers who werenât allowing people access to trans health,â she said.
Zucker agrees that increased visibility, and decreased stigma, could explain the rise. Yet another theory, he says, is that young girls are aware that they are perceived as sex objects, making them more self-conscious about their bodies and gender identity than boys are. âA lot of what Littman would call ROGD females will talk about how when, in grades 7, 8, 9, all of a sudden other kids talking about sex made them feel uncomfortable, and they started to feel more alienated from the category of being a girl.â
Whatever explains the increase, treating children and young adults with gender dysphoria remains hotly contested. Zucker mentioned the three general approaches to treating trans youth: the intermediate, cautionary approach known as âwatchful waitingâ; gender affirmation, which can involve either social or medical transition, or both; or therapeutic treatment âto see if one can help a child feel more comfortable in the gender that matches their birth sex.â Zuckerâs use of the third approach in young children is what, in part, led critics to call for his ouster in 2015.
But today, he said, he doesnât favor any particular approach over another. âYou need data to decide whatâs best, but all these approaches are designed to reduce dysphoria.â But who, in the end, gets to decide whatâs best for a gender-nonconforming child? âI think the choice of therapy is going to depend a lot on what parents want,â Zucker said. âItâs their kid.â
CORRECTION
Apr. 22, 2019, at 23:58 PM
Jonathan Kayâs name was misspelled in an earlier version of this post.
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Rotation of Simple Organic Systems Can Be Induced by Low Intensity Electromagnetic Fields
Rotation of Simple Organic Systems Can Be Induced by Low Intensity Electromagnetic Fields in Biomedical Journal of Scientific & Technical Research
Biological systems have magnetic properties due to microscopic atomic dipoles in their compounds which align themselves individually if a magnetic field is applied. As a result, a biological system can align along the direction of an applied magnetic field following the theory of paramagnetism. This effect can be induced also in simple organic systems. For instance, the α-helix is the main structure of a protein. We should not be surprised by this effect as proteins α-helix has generally a relevant dipole moment which allows possible orientation of a protein along the direction of an applied electromagnetic field. For instance, hemoglobin has a dipole moment of 280 D [1]. Instead, what makes us wonder is the fact that this effect occurs even at very small intensity of an electromagnetic field regardless of its frequency. In order that this effect can be highlighted a sophisticated technique should be used, that is Fourier Transform Infrared (FTIR) spectroscopy. FTIR spectroscopy can be considered as a valuable tool for analyzing the structure of proteins or other simple organic systems in aqueous solutions [2,3]. The use of this technique has evidenced a significant increase in intensity of proteins Amide I and Amide II vibration bands after exposure of typical proteins in water solutions to an electromagnetic field at a low intensity at 100mW/ m2 in the range 0.9 â 2.5 GHz [4-7]. These vibration bands are characteristic of proteins secondary structure and are due above all to the α-helix content. Hence, an increasing of Amide I and II bands can be explained assuming that proteins α-helix aligned along the direction of applied electromagnetic field inducing an increasing of total amount of dipole moment. Typical proteins in bidistilled water solution were used in these experiments [4-6] in order to schematize cellular environment in which they are embedded. This effect was also observed in typical human cells [8-13]. Even this result should not surprise us because proteins α-helices are present in all types of cellular membrane channels [14-16]. In particular, cellular membrane protein accounting for about 50% of its mass forming the wall of cells channels [17].
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The Effects of Concurrent Training during Cardiac Rehabilitation on Plasma MMP-9 and TIMP-1 Levels in Myocardial Ischemic Patients
The Effects of Concurrent Training during Cardiac Rehabilitation on Plasma MMP-9 and TIMP-1 Levels in Myocardial Ischemic Patients in Biomedical Journal of Scientific & Technical Research
Background:Â Matrix metalloproteinase enzymes (MMPs) play a destructive role in atherosclerosis resulting in occurrence of cardiac ischemia. The aim of this study was to investigate the effect of concurrent training during cardiac rehabilitation on plasma levels of MMP-9 and tissue inhibitor of metalloproteinase-1 (TIMP-1) in patients with myocardial ischemia. Methods:Â Sixteen cardiac ischemic patients who were in the process of clinical cardiac rehabilitation were randomly assigned to experimental (n = 8) or control (n = 8) groups. The patients in experimental group performed concurrent exercise for eight weeks (one hour / three session per week) with the intensity of 40-60% of one repetition maximum and 60-80% maximum heart rate. Pre- and post-intervention blood samples were taken to assess plasma MMP-9 and TIMP-1 concentrations using ELISA method. Findings:Â Independent T-test showed the patients in experimental group had a significant decrease (t = 2.431; p = 0.029) in MMP-9 plasma concentration and a significant increase (t = 3.202; p = 0.006) in plasma levels of TIMP-1 compared to the control group. A significant within-group reduction in MMP-9 levels (t = 0.695; P = 0.008) and a significant within-group increase in TIMP-1 levels (t = 3.964; P = 0.005) were observed in the experimental group, while the pre- to post-value changes in MMP- 9 and TIMP-1 levels in the control group were not statistically significant. Conclusion:Â It seems that the favorable changes in MMP-9 and TIMP-1 following eight weeks of physical exercise prevent the progression of atherosclerosis and recurrence of cardiac ischemia during the process of cardiac rehabilitation.
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Magnetc Torque in Superoxide Ion is the Main Driving Force of Dioxygen Activation in Aerobic Life
Magnetc Torque in Superoxide Ion is the Main Driving Force of Dioxygen Activation in Aerobic Life in Biomedical Journal of Scientific & Technical Research
Dioxygen (O2 molecule) is a biradical with two unpaired electron spins, while most of organic substances have all electron spins paired; therefore reactions catalysed by oxidases and oxygenases have to involve intersystem crossing (ISC), that is a total spin change in the state multiplicity during bio oxidation. These reactions are strictly forbidden in the ordinary non-relativistic quantum chemistry. In order to overcome this severe quantum prohibition and sovereign limitation of dioxygen-induced metabolism, oxygenation enzymes require usually a redox cofactor or paramagnetic metal cofactor for effective catalysis. The spin-containing metal ions have no formal spin prohibition for reactions with dioxygen. But many oxidative enzymes include the metal-free flavin or pterin cofactors; their catalytic activity in respect to O2 still remains mysterious in modern biochemistry and medicine. Last decades have shown, that some oxygenases can catalyse dioxygen incorporation into organic substrates even in the absence of any enzymatic cofactor. The intriguing mechanism followed by those cofactor-free enzymes which enable to provide ISC and overcome spin prohibition has been unraveled recently on the ground of common idea about specific magnetic properties of dioxygen open shell. Similar spin-orbit coupling effects are typical for O2 molecule and for some reactive oxygen species (ROS). These spin-orbit torques are vitally decisive forces for all aerobic life.
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Lession Inconsistent with Serum ÎČ-hCG for Intramural Pregnancy Monitoring
Lession Inconsistent with Serum ÎČ-hCG for Intramural Pregnancy Monitoring in Biomedical Journal of Scientific & Technical Research
Introduction:Â Intramural pregnancy (IMP) is a rare type of ectopic pregnancy. At present, the role of serum ÎČ-hCG and imaging, including transvaginal ultrasound (TVS) and magnetic resonance (MR) imaging in monitoring IMP has not been elaborated.
Case Presentation:Â We present a case of a 34-year-old female patient whose serum ÎČ-hCG level had a steady decline later without intervention, however, the lesion in TVS keep growing. A 40mm diameter mass was detected by TVS and 3-D MR reconstructions confirmed the diagnosis of intramural pregnancy. Local mass resection by laparoscopy was performed and postoperative histopathology also confirmed it.
Discussion/Conclusion:Â Our observation nicely illustrates serum ÎČ-hCG level should combined with image for suspected intramural pregnancy monitoring.
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Multimodal Wound Image Obtained by Fusing Thermographic Images of Different Modalities to Support Surgical Diagnosis
Multimodal Wound Image Obtained by Fusing Thermographic Images of Different Modalities to Support Surgical Diagnosis in Biomedical Journal of Scientific & Technical Research
Medical infrared imaging is a non-invasive diagnostic method that allows the examiner to evaluate and quantify changes in skin surface temperature [1]. However, the use of infrared for medical imaging has its limitations related to the range of measurements, which results from the imperfection of image processing software. This article presents a new approach to the problem and also a new perspective that allows to obtain a more complete range of data of interest to the doctor in one coherent picture [2,3]. This novel approach is strategic for making the right decision about how to manage the wound [4-7]. The multimodal imaging presented in this paper is an excellent method for the initial assessment of difficultto- heal wounds prior to the determination of infectious agents (microorganisms) using electromigration and MALDI MS (matrix assisted laser desorption and ionization mass spectrometry) techniques. It should be taken into account that the use of a MALDI MS coupled with electromigration techniques is a very selective method of detection and also constitutes a kind of imaging [8-10]. The use of thermographic image in conjunction with separation techniques would be a huge tool in the diagnosis of difficult-to-heal wounds. The same as in the case of studies on the effectiveness of signaling proteins, especially immunomodulatory proteins, in supporting the healing of difficult-to-heal wounds [11-13].
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Faint Background Radiation, Anti Matter and the Cellular Dust Hypothesis
Faint Background Radiation, Anti Matter and the Cellular Dust Hypothesis in Biomedical Journal of Scientific & Technical Research
Even though a simple click on a search engine or visit to a video uploading website will show motile microzymas âin living colourâ the mainstream scientific community continues to deny their existence! Why this conspiracy of silence? If today the mainstream scientific community acknowledged the existence of the microzymas virtually every medical, biological and science textbook would have to be re-written. The very definition of what it means to be alive, sick or dead will have to be re-defined. And of course the theory of evolution will be in peril [1-9]. To all the scientists living in delusion and denial I say: âthe handwriting is on the wall. You can run, but you canât hide!â Far from the 1965 definition, the Oxford dictionary of 2010 (page 500) defines ether as âthe airâ and âthe sky!â Perhaps the big bang was not the start of the universe but the christening/naming ceremony/coming out party of the universe. The day the champagne bottle is popped is not the day the champagne bottle was made, the cork inserted or the bottle label stamped. It, however, is the day the wine is poured in the glass and drunk. Like a cosmic sonic boom the big bang was a milestone in existence, not the very start of existence itself [10-19].
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Application of Hybrid CTC/2D-Attention end-to-end Model in Speech Recognition During the COVID-19 Pandemic
Application of Hybrid CTC/2D-Attention end-to-end Model in Speech Recognition During the COVID-19 Pandemic in Biomedical Journal of Scientific & Technical Research
Speech recognition technology is one of the important research directions in the field of artificial intelligence and other emerging technologies. Its main function is to convert a speech signal directly into a corresponding text. Yu Dong, et al. [1] proposed deep neural network and hidden Markov model, which has achieved better recognition effect than GMM-HMM system in continuous speech recognition task [1]. Then, Based on Recurrent Neural Networks (RNN) [2,3] and Convolutional Neural Networks (CNN) [4-9], deep learning algorithms are gradually coming into the mainstream in speech recognition tasks. And in the actual task they have achieved a very good effect. Recent studies have shown that endto- end speech recognition frameworks have greater potential than traditional frameworks. The first is the Connectionist Temporal Classification (CTC) [10], which enables us to learn each sequence directly from the end-to-end model in this way. It is unnecessary to label the mapping relationship between input sequence and output sequence in the training data in advance so that the endto- end model can achieve better results in the sequential learning tasks such as speech recognition. The second is the encodedecoder model based on the attention mechanism. Transformer [11] is a common model based on the attention mechanism. Currently, many researchers are trying to apply Transformer to the ASR field. Linhao Dong, et al. [12] introduced the Attention mechanism from both the time domain and frequency domain by applying 2D-attention, which converged with a small training cost and achieved a good effect.
And Abdelrahman Mohamed [13] both used the characterization extracted from the convolutional network to replace the previous absolute position coding representation, thus making the feature length as close as possible to the target output length, thus saving calculation, and alleviating the mismatch between the length of the feature sequence and the target sequence. Although the effect is not as good as the RNN model [14], the word error rate is the lowest in the method without language model. Shigeki Karita, et al. [15] made a complete comparison between RNN and Transformer in multiple languages, and the performance of Transformer has certain advantages in every task. Yang Wei, et al. [16] proposed that the hybrid architecture of CTC+attention has certain advancement in the task of Mandarin recognition with accent. In this paper, a hybrid end-to-end architecture model combining Transformer model and CTC is proposed. By adopting joint training and joint decoding, 2DAttention mechanism is introduced from the perspectives of time domain and frequency domain, and the training process of Aishell dataset is studied in the shallow encoder-decoder network.
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Mechanism of the Developed Sensorimotor Therapy Device: Synchronous Inputs of Visual Stimuli and Vibration to Improve Recovery of Distal Radius Fractures
Mechanism of the Developed Sensorimotor Therapy Device: Synchronous Inputs of Visual Stimuli and Vibration to Improve Recovery of Distal Radius Fractures in Biomedical Journal of Scientific & Technical Research
Each fracture requires immobilization following surgery. However, this immobilization impairs tactile perception and causes diminishing of cortical somatosensory maps [1]. This adverse event occurs not only among patients with undergoing immobilization for fracture, but also among their healthy counterparts [1,2]. Decreased limb use can lead to changes in the cortical representation of involved muscles [3]. These changes represent a disuse-dependent type of plasticity [4]. Because of the adverse effect arising from immobilization, we observed that some patients with distal radius fractures (DRFs) complained that prior sensation was not restored in the affected limb or that they forgot how to move the affected limb following immobilization phase, postoperatively. These patients are encouraged to further engage these limbs in active motion. Figure 1 illustrates the disuse-dependent plasticity from wrist fixation in the acute phase of patients with DRF. The process on the left illustrates insufficient coding. When joint movement of an upper limb is restricted for a certain period of time, brain activity is correspondingly reduced. As the illustration on the right shows, reduced brain activity precipitates a disuse-dependent type of plasticity that causes encoding failure, resulting in failed cerebral activation of pathways involved in the target movement or delayed recall of such movement pathways. To minimize such negative consequences of disuse-dependent plasticity during the immobilization phase, and to maintain tactile perception and somatosensory cortical maps, we developed a prototype device (development code: Ghost, Patent No. 6425355) that may be applicable to patients with DRF in the postoperative period.
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Understanding Barriers and Facilitators for Telehealth Implementation in Healthcare Delivery System During COVID-19- Call for Action
Understanding Barriers and Facilitators for Telehealth Implementation in Healthcare Delivery System During COVID-19- Call for Action in Biomedical Journal of Scientific & Technical Research
The five dimensions of access are availability, accessibility, accommodation, affordability, and acceptability [1]. Availability is a relationship between the volume of facilities, healthcare supplies, and patientâs healthcare needs volume [1]. Accessibility defines the distance between patient and provider, meaning travel time and transportation factors to seek healthcare service [1]. Accommodation defines the relationship between the delivery system, the structure of healthcare facilities set up to accept patients, and the patientâs ability to accept it [1]. It includes appointment timings, hours of operations, mobile services, walkin facilities, etc. [1]. Affordability is the relationship between the healthcare providerâs charges for the services they provide and the patientâs income ability to pay for the services they might seek from those providers [1]. Finally, acceptability means both the patientâs and providerâs tendency to accept the attributes of each other [1]. Meaning, patients might be willing to go to certain types of facilities, neighborhood, provider gender, or providersâ race.
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On the Function of Piriformis Muscle in Relation to Piriformis Syndrome
On the Function of Piriformis Muscle in Relation to Piriformis Syndrome in Biomedical Journal of Scientific & Technical Research
Piriformis is the largest muscle among the deep short external rotators of the hip and a functionally important muscle which attaches two joints, sacroiliac, and hip joints [1,2]. In clinic, the pathologies that occur in this muscle which has important neurovascular adjacencies in gluteal area cause piriformis syndrome characterized with hip and waist pain in sitting position or during hip movement [2-4]. While this rarely seen syndrome can easily be diagnosed via anamnesis or physical examination, it is often misdiagnosed as lumbar discopathy. Piriformis syndrome should be considered in differential diagnosis of non-discogenic sciatalgia [3,5]. In literature, it is observed that piriformis muscle is discussed superficially, which, in fact, must be clinically welldefined and has many functions. Therefore, in our study, we tried to compile all functions of the muscle in literature, with the hope of it becoming a guide in clinical diagnose and treatment.
Topographic and Clinical Anatomy of Piriformis Muscle Starting from the S2-S4 level of the pelvic surface of the sacrum, the gluteal surface of the ilium that is close to the posterior inferior iliac spine, the sacroiliac joint capsule, Sacro tuberous ligament, exiting pelvis, it advances through lateral by dividing greater saciatic foramen in two to form suprapiriform and infrapiriform foramen [2,6,7]. It terminates in femur, in the medial of upper side of greater trochanter. Its tendone often merges with gluteus medius muscle tendone, either in conjunction with gemelli muscles and obturator internus muscle joint tendone or by itself [2]. Important neurovascular structures pass through infrapiriform foramen, including sciatic nerve [2]. In literature, case examples with variations of no or two piriformis have been reported [8-11]. There are also variations of sciatic nerve dividing into branches and variations of their adjacency with piriformis. Sciatic nerve or one of its branches is observed to pass through the muscle in 7-21% of the examined poplutaions.
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The Effects of Helium-activated Radiofrequency Subdermal Coagulation on Skin Laxity following Ultrasound Assisted Liposuction
The Effects of Helium-activated Radiofrequency Subdermal Coagulation on Skin Laxity following Ultrasound Assisted Liposuction in Biomedical Journal of Scientific & Technical Research
Less invasive procedures that achieve results of traditionally invasive surgical techniques are increasingly desired by patients. One technique to increase skin firmness previously attained only by more invasive excisional tucking procedures includes theuse of helium-activated radiofrequency subdermal coagulation. The effectiveness of helium activated radiofrequency technology to improve redundant skin firmness over the neck, medial thigh, arms, upper and lower back using subdermal coagulation was evaluated retrospectively. To confirm increased skin firmness, we measured distraction forces intraoperatively to pull the skin off the body 0.5 inches, 1.0 inch, and 1.5 inches using a trigger force meter. Distraction force (g) measurements were performed prior to ultrasound assisted liposuction, immediately following liposuction, and following each of six passes with helium activated radiofrequency. The results demonstrate significant increase in skin firmness shown by an increase in distraction force when compared to the pre-liposuction baseline. The increase in distraction forces were appreciated following 3 to 4 passes and continued to increase through 4 to 6 passes. Helium activated radiofrequency provides an effective, minimally invasive means of decreasing skin laxity and thus increasing skin firmness intra-operatively. The efficacy of helium-activated radiofrequency to perform subdermal coagulation used synchronously following ultrasound assisted liposuction has been demonstrated.
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Selective Conventional Transarterial Chemoembolization with Oxaliplatin Increases Tumor Exposure Compared to Systemic Administration in a Rabbit Model of Hepatocellular Carcinoma
Selective Conventional Transarterial Chemoembolization with Oxaliplatin Increases Tumor Exposure Compared to Systemic Administration in a Rabbit Model of Hepatocellular Carcinoma in Biomedical Journal of Scientific & Technical Research
https://biomedres.us/fulltexts/BJSTR.MS.ID.006065.php
Purpose: To compare the pharmacokinetics and biodistribution of hepatic artery infusion of oxaliplatin emulsified in Lipiodol (cTACE) versus intravenous (IV) infusion in a rabbit model of HCC. Materials and Methods: Sixteen VX2 rabbits (4 rabbits/ time of sacrifice) received an IV infusion of oxaliplatin solution (4 mg/kg). Another 18 rabbits (4 or 5 rabbits/ time of sacrifice) received a 0.3 mL infusion (0.75 mg/rabbit) of 1:2 oxaliplatin:LipiodolŸ emulsion followed by CurasponŸ by hepatic artery infusion, called conventional transarterial chemoembolization (cTACE). Pharmacokinetic analyses were performed on plasma or ultrafiltered plasma. Plasma and tissue samples (healthy liver, tumor, pancreas, spleen, heart, lungs, kidneys) were collected at 1h, 24h, 72h and 168h after the treatment and analysed by ICP-MS for quantification of elemental platinum (Pt) concentrations. Tumor response was quantified by ultrasound imaging and tumor necrosis was quantified by histology. Results: While plasma exposure was 11-fold lower after cTACE, mean Pt concentrations in the tumor were higher (cTACE vs IV, mean ± SD: 24.9±22.3 vs 11.3±8.7 nmol/g at 1h post-administration, 24.6±22.0 vs 5.9±0.9 nmol/g at 24h, 13.8±13.4 vs 3.9±0.8 nmol/g at 72h, 18.5±11.5 vs 2.5±0.8 nmol/g at 168h). The tumor/healthy liver ratio, the most important parameter for the proof-of-concept of tumor targeting with minimal exposure to the liver was close to 1 for the IV route whereas it exceeded 20, at all times points for cTACE treatment and reached 65 at 168h. Tumor necrosis (cTACE vs IV) was also significantly higher at 24, 72 and 168h post-administration: 92±17% vs 45±5%, 99±3% vs 47±15%, 96±8% vs 41±19%, respectively. Conclusion: cTACE using a low dose of oxaliplatin in Lipiodol water-in-oil emulsion resulted in higher Pt concentrations in the tumor, lower systemic exposure and higher tumor necrosis than a higher intravenous dose of oxaliplatin in VX2 rabbits.
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Tai Chi, Qigong and the Treatment of Arthritis
Tai Chi, Qigong and the Treatment of Arthritis in Biomedical Journal of Scientific & Technical Research
https://biomedres.us/fulltexts/BJSTR.MS.ID.006051.php
Tai chi, also referred to as taiji or taijiquan, is considered both a martial art and a series of low impact exercises. It is also a tool in the toolbox of traditional Chinese medicine (TCM) that has been in existence for hundreds of years, although its philosophical roots go back thousands of years to Confucianism and Taoism [1]. There are five main styles of tai chi. Chen style is the oldest style and originated in the Chen village in China [2]. The second oldest style, and also the most popular style, is the Yang style [3]. Sun style [4] is the newest style of tai chi and has only been in existence for about 100 years. It is known for its high stances, which are especially suited for older people who have balance issues. Wu and Wu Hao [5] are the other main styles of tai chi, which contain elements of both the Yang and Chen styles. Although the styles all differ in some respects, they have more commonalities than differences. Qigong [pronounced chee gong] is also a set of low impact, gentle exercises that have been in existence for thousands of years [6] and is also considered a tool in the TCM toolbox. Some practitioners consider qigong to be a subset of tai chi. Much has been written about qigong and qigong exercises [7-131]. The Chinese Health Qigong Association has produced nine DVDs that provide instruction on some of the more popular qigong exercise sets [132-140]. Several organizations have been formed to study various aspects of qigong [141-175].
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