A Prospective Study on the Impact of Clinical Factors and Adjusted Triple D System for Success Rate of ESWL.

Objective: Our study aimed to evaluate the success rate of ESWL and identify relevant treatment-specific factors affecting treatment outcomes, as well as to assess the accuracy of the updated Triple D scoring system and compare it with older systems. Material and Methods: A prospective study of 71 patients who received ESWL treatment for renal stones that were 5-15 mm in size was completed. The patient having no residual stones or residual stones lesser than 4 mm after ESWL was identified as a treatment success. Univariate and multivariate logistic regression and ROC curves were used to identify important factors for treatment outcomes. Results: Successful treatment was achieved for 66.2% of patients. The stone volume (SV), mean stone density (MD), and delivered power to the stone volume unit ratio (SMLI/SV) were defined as the most critical factors influencing ESWL success. An updated Triple D score system with a, SMLI/SV ratio could be an alternative to older systems and reach an even higher accuracy. A limitation of this study is the limited sample size due to the COVID-19 pandemic. Conclusions: Our results show that the three factors that most influence the success of ESWL are the stone size, mean stone density, and SMLI/SV ratio. Based on this, we present a simple updated triple D score system to predict ESWL success, which could be implemented in future clinical practice.

Fast and label-free intraoperative discrimination of malignant pancreatic tissue by attenuated total reflection infrared spectroscopy.

Significance: Pancreatic surgery is a highly demanding and routinely applied procedure for the treatment of several pancreatic lesions. The outcome of patients with malignant entities crucially depends on the margin resection status of the tumor. Frozen section analysis for intraoperative evaluation of tissue is still time consuming and laborious. Aim: We describe the application of fiber-based attenuated total reflection infrared (ATR IR) spectroscopy for label-free discrimination of normal pancreatic, tumorous, and pancreatitis tissue. A pilot study for the intraoperative application was performed. Approach: The method was applied for unprocessed freshly resected tissue samples of 58 patients, and a classification model for differentiating between the distinct tissue classes was established. Results: The developed three-class classification model for tissue spectra allows for the delineation of tumors from normal and pancreatitis tissues using a probability score for class assignment. Subsequently, the method was translated into intraoperative application. Fiber optic ATR IR spectra were obtained from freshly resected pancreatic tissue directly in the operating room. Conclusion: Our study shows the possibility of applying fiber-based ATR IR spectroscopy in combination with a supervised classification model for rapid pancreatic tissue identification with a high potential for transfer into intraoperative surgical diagnostics.

A Novel Infrared Spectroscopy Method for Analysis of Stone Dust for Establishing Final Composition of Urolithiasis.

Background: The introduction of the holmium laser for lithotripsy and minimally invasive techniques in endoscopy increased the popularity of stone dusting techniques. Retrieving stone pieces for an analysis increases the economic burden of surgery and operative time. Novel methods are needed for the analysis of convenient urolithiasis composition. Objective: This study aims to assess the efficacy of the stone dust Fourier transform infrared spectroscopy coupled with attenuated total reflection (FTIR ATR) method for accurate stone composition determination from the dust specimens compared with simultaneously retrieved standard stone fragments. Design setting and participants: From July 2021 to March 2022, a total of 75 patients who received endoscopic treatment for urolithiasis were included in this study. Outcome measurements and statistical analysis: The accuracy of the FTIR ATR method was assessed via estimates of sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV). The results were compared between samples of stone dust and the final stone composition. Results and limitations: Total or partial biochemical composition agreement was observed in 92.7% of cases and total agreement in 82.4% of cases when stone dust was compared with stone fragments. The highest accuracy rates were obtained for uric acid stones: sensitivity 100%, specificity 98.3%, PPV 90.9%, and NPV 100%. Identification of other types of stones was also of high accuracy, reaching up to 83.3% sensitivity and 100% specificity. Conclusions: The application of FTIR ATR spectroscopy for a stone dust analysis allows obtaining easy and cost-effective final composition of urolithiasis without a stone fragment analysis. This technique was shown to be feasible, and there is substantial potential for clinical practice. Patient summary: This study investigates a novel method that determines accurate stone composition without acquiring the pieces of stone during surgery. The results have shown that stone dust Fourier transform infrared spectroscopy coupled with attenuated total reflection provides accurate stone composition.

Differentiation of Urothelial Carcinoma and Normal Bladder Tissues by Means of Fiber-Based ATR IR Spectroscopy.

Surgical treatment is widely applied curative approach for bladder cancer. White light cystoscopy (WLC) is currently used for intraoperative diagnostics of malignant lesions but has relatively high false-negative rate. Here we represent an application of label free fiber-based attenuated total reflection infrared spectroscopy (ATR IR) for freshly resected human bladder tissue examination for 54 patients. Defined molecular spectral markers allow to identify normal and urothelial carcinoma tissues. While methods of statistical analysis (Hierarchical cluster analysis (HCA) and Principal component analysis (PCA)) used for spectral data treatment allow to discriminate tissue types with 91% sensitivity and 96-98% specificity. In the present study the described method was applied for tissue examination under ex vivo conditions. However, after method validation the equipment could be translated from laboratory studies to in situ or even in vivo studies in operating room.

Abundance and characteristics of microplastics in treated organic wastes of Kaunas and Alytus regional waste management centres, Lithuania.

The widespread use of plastic without the sustainable management of the plastic waste has led to its accumulation in the environment. The presence of microplastics even in drinking water and food products is of immense concern. This situation is getting even more complicated due to the limited knowledge about the sources of microplastics and their impact on the environment and human health. This article focuses on a poorly understood but potentially significant source of microplastic-treated organic waste. Quantitative and qualitative analyses of microplastics down to 50 µm in the stabilised organic waste (SOW) output after mixed municipal solid waste (MSW) processing and green and food composts are presented in the article. Nile Red staining and FTIR analysis were adopted for the identification of microplastics. The highest average microplastic abundance was found in the SOW: 17407 ± 1739 particles kg-1 in autumn and 15400 ± 1217 particles kg-1 in winter. Nevertheless, even separately collected treated organic waste contained a significant amount of microplastics. Green compost contained 5733 ± 850 particles kg-1 in autumn and 6433 ± 751 particles kg-1 in winter, while food compost 3783 ± 351 particles kg-1 in autumn and 4066 ± 658 particles kg-1 in winter. Microplastics < 1 mm accounted for 83.8-94.9% of all microplastics, which reflects the need to control not only large but also small microplastics in organic waste fertilisers to prevent soil pollution. The dominant shape of microplastics in compost samples was films, while in the SOW, it was fragments. Based on morphological and FTIR analyses, the majority of microplastics in green and food composts were considered as the residuals of plastic bags and packaging materials.

Hidden Isomer of Trifluoroacetylacetone Revealed by Matrix Isolation Infrared and Raman Spectroscopy.

Enol forms of trifluoroacetylacetone (TFacac) isolated in molecular and rare gas matrices were studied using infrared (IR) and Raman spectroscopy. Additionally, calculations using DFT B3LYP and M06-2X as well as MP2 methods were performed in order to investigate the possibility of coexistence of more than one stable enol form isomer of TFacac. Calculations predict that both stable enol isomers of TFacac, 1,1,1-trifluoro-4-hydroxy-3-penten-2-one (1) and 5,5,5-trifluoro-4-hydroxy-3-penten-2-one (2), could coexist, especially in matrices where the room temperature population is frozen, 1 being the most stable one. Raman and IR spectra of TFacac isolated in nitrogen (N2) and carbon monoxide (CO) matrices exhibit clear absorption bands, which cannot be attributed to this single isomer. Their relative band positions and intensity profiles match well with the theoretical calculations of 2. This allows us to confirm that in N2 and CO matrices both isomers exist in similar amounts. Careful examination of the spectra of TFacac in argon, xenon, neon, normal, and para-hydrogen (Ar, Xe, Ne, nH2, and pH2 respectively) matrices revealed that both isomers coexist in all the explored matrices, whereas 2 was not considered in the previous spectroscopic works. The amount of the second isomer (2) in the as-deposited samples depends on the host. The analysis of TFacac spectra in the different hosts and under various experimental conditions allows the vibrational characterization of both chelated isomers. The comparison with theoretical predictions is also investigated.

Conformational diversity of the THF molecule in N2 matrix by means of FTIR matrix isolation experiment and Car-Parrinello molecular dynamics simulations.

Tetrahydrofuran (THF) is a widely used chemical compound, in particular as a solvent in organic and inorganic synthesis. The THF molecule has also an interesting property, namely, undergoes pseudorotation, similar to the case of the cyclopentane. Low energy difference between the envelope (Cs symmetry) and twisted (C2 symmetry) conformations of the THF molecule leads to the interconversion between the two conformers. We study the influence of the molecular environment (N2) on the Cs-C2 equilibrium of tetrahydrofuran in the THF@N2 system utilizing nitrogen matrix isolation infrared spectroscopy. We observe a different ratio between envelope (Cs) and twisted (C2) conformations with respect to a change of the temperature. FTIR experimental studies are supported by the results of the static density functional theory calculations and Car-Parrinello molecular dynamics simulations. We focus on the dynamics of the pseudorotation process, in particular, the lifetime of the THF conformations and their mutual rearrangements. On the basis of the THF@N2 matrix model, with explicit nitrogen molecules, the anharmonic infrared spectra are generated from the Fourier transformation of the dipole moment autocorrelation function.

Fiber attenuated total reflection infrared spectroscopy of kidney tissue during live surgery.

More than 90% of solid kidney tumors are cancerous and have to be treated by surgical resection where surgical outcomes and patient prognosis are dependent on the tumor discrimination. The development of alternative approaches based on a new generation of fiber attenuated total reflection (ATR) probes could aid tumor identification even under intrasurgical conditions. Herein, fiber ATR IR spectroscopy is employed to distinguish normal and cancerous kidney tissues. Freshly resected tissue samples from 34 patients are investigated under nearly native conditions. Spectral marker bands that allow a reliable discrimination between tumor and normal tissue are identified by a supervised classification algorithm. The absorbance values of the bands at 1025, 1155 and 1240 cm-1 assigned to glycogen and fructose 1,6-bisphosphatase are used as the clearest markers for the tissue discrimination. Absorbance threshold values for tumor and normal tissue are determined by discriminant analysis. This new approach allows the surgeon to make a clinical diagnosis.

Intramolecular hydrogen tunneling in 2-chloromalonaldehyde trapped in solid para-hydrogen.

The internal dynamics of a 2-chloromalonaldehyde (2-ClMA) molecule, possessing a strong internal hydrogen bond (IHB), was examined by means of matrix isolation spectroscopy in a soft host: para-hydrogen (pH2). 2-ClMA is a chlorinated derivative of malonaldehyde (MA), a model molecule in hydrogen transfer studies, better suited to low temperature experiments than its parent molecule. The infrared absorption spectra of 2-ClMA isolated in pH2 exhibit temperature dependent structures which are explained as transitions occurring from split vibrational levels induced by hydrogen tunneling. The doublet components associated with higher and lower energy levels are changing reversibly with the increase/decrease of the matrix temperature. The ground state splitting is measured to be 7.9 ± 0.1 cm-1. The presence of oH2 impurities in the pH2 matrix close to the neighborhood of the 2-ClMA molecule is found to quench the H tunneling. The data provide a powerful insight into the dynamical picture of intramolecular hydrogen tunneling in a molecule embedded in a very weakly perturbing environment.

Selective photoisomerisation of 2-chloromalonaldehyde.

Isomerization of 2-chloromalonaldehyde (2-ClMA) is explored giving access to new experimental data on this derivative of malonaldehyde, not yet studied much. Experiments were performed isolating 2-ClMA in argon, neon, and para-hydrogen matrices. UV irradiation of the matrix samples induced isomerization to three open enolic forms including two previously observed along with the closed enolic form after deposition. IR spectra of these specific conformers were recorded, and a clear assignment of the observed bands was obtained with the assistance of theoretical calculations. UV spectra of the samples were measured, showing a blue shift of the π* ← π absorption with the opening of the internal hydrogen bond of the most stable enol form. Specific sequences of UV irradiation at different wavelengths allowed us to obtain samples containing only one enol conformer. The formation of conformers is discussed. The observed selectivity of the process among the enol forms is analyzed.

Large amplitude motions within molecules trapped in solid parahydrogen.

Molecules of the ß-diketone and ß-dialdehyde families were trapped in solid parahydrogen (pH2) to investigate the vibrational behavior of systems containing an intramolecular hydrogen bond (IHB). In the simplest ß-diketone, acetylacetone (AcAc), H transfer related to the IHB is coupled with methyl torsions. In pH2, the study of nuclear spin conversion (NSC) in methyl groups allows the characterisation of the influence of these large amplitude motions on the vibrational modes. The deuteration of the OH group involved in the IHB has important consequences on the vibrational spectrum of the molecule and evidence of NSC in methyl groups is difficult to obtain. In the chlorine derivative (3-chloroacetylacetone), the H-transfer is no longer coupled with methyl torsion, and NSC has undetectable effects on the IR spectrum. A search of H tunnelling splitting in the IR spectra of ß-dialdehydes trapped in pH2 was performed. A few modes of 2-chloromalonaldehyde appear as doublets and were assigned to tunnelling levels. The spectroscopic results related to large amplitude motions are detailed and discussed, highlighting puzzling effects.

2-Chloromalonaldehyde, a model system of resonance-assisted hydrogen bonding: vibrational investigation.

The chelated enol isomer of 2-chloromalonaldehyde (2-ClMA) is experimentally characterized for the first time by IR and Raman spectroscopies. The spectra are obtained by trapping the molecule in cryogenic matrices and analyzed with the assistance of theoretical calculations. Experiments were performed in argon, neon and para-hydrogen matrices. The results highlight puzzling matrix effects, beyond site effects, which are interpreted as due to a tunneling splitting of the vibrational levels related to the proton transfer along the internal hydrogen bond (IHB). 2-ClMA is thus one of the very few molecules in which the H tunneling has been observed in cryogenic matrices. The comparison with its parent molecule (malonaldehyde) shows experimentally and theoretically the weakening of the IHB upon chlorination, with a reduced cooperative effect in the resonance assisted hydrogen bond. In addition, the Cl substitution induces an important stabilization of two open enol conformers. These two open forms appear in the spectra of as-deposited samples, meaning that, in contrast with other well-studied molecules of the same family (ß-dialdehydes and ß-diketones), they are present in the gas phase at room temperature.

Rapid intra-operative diagnosis of kidney cancer by attenuated total reflection infrared spectroscopy of tissue smears.

Herein, a technique to analyze air-dried kidney tissue impression smears by means of attenuated total reflection infrared (ATR-IR) spectroscopy is presented. Spectral tumor markers-absorption bands of glycogen-are identified in the ATR-IR spectra of the kidney tissue smear samples. Thin kidney tissue cryo-sections currently used for IR spectroscopic analysis lack such spectral markers as the sample preparation causes irreversible molecular changes in the tissue. In particular, freeze-thaw cycle results in degradation of the glycogen and reduction or complete dissolution of its content. Supervised spectral classification was applied to the recorded spectra of the smears and the test spectra were classified with a high accuracy of 92% for normal tissue and 94% for tumor tissue, respectively. For further development, we propose that combination of the method with optical fiber ATR probes could potentially be used for rapid real-time intra-operative tissue analysis without interfering with either the established protocols of pathological examination or the ordinary workflow of operating surgeon. Such approach could ensure easier transition of the method to clinical applications where it may complement the results of gold standard histopathology examination and aid in more precise resection of kidney tumors.

Structural studies of 1,1-dimethyl-2-oxy-1-silacyclohexane by means of matrix isolation infrared absorption spectroscopy.

Infrared spectra of gaseous, liquid, and matrix-isolated samples of newly synthesized 1,1-dimethyl-2-oxy-1-silacyclohexane were recorded. Raman spectra of 1,1-dimethyl-2-oxy-1-silacyclohexane in liquid and solid states were obtained in the temperature range from 170 to 340 K. Ab initio HF and DFT B3LYP calculations were performed in order to determine the possible conformations of 1,1-dimethyl-2-oxy-1-silacyclohexane and to make accurate assignment of the vibrational spectral bands. The study confirms the existence of only one chair-type conformer of 1,1-dimethyl-2-oxy-1-silacyclohexane.

Nuclear spin conversion to probe the methyl rotation effect on hydrogen-bond and vibrational dynamics.

A noteworthy example of a molecule with coupled large-amplitude motions is provided by acetylacetone (methyl group torsions and intramolecular hydrogen bonds). The molecule was trapped in solid parahydrogen to investigate the complex proton tunneling processes. Nuclear spin conversion in methyl groups is observed and, combined with IR spectra, documents the coupling between high frequency modes and large amplitude motions.

Photochemistry of acetylacetone isolated in parahydrogen matrices upon 266 nm irradiation.

The photochemistry of the chelated enol form of acetylacetone (AcAc) was investigated by UV excitation of the S(2) state at 266 nm in parahydrogen matrices, complemented by experiments in neon and normal hydrogen matrices. Infrared (IR) spectroscopy, combined with theoretical calculations, was used to identify the photoproducts. Isomerization towards various non-chelated forms (no intramolecular H-bond) of AcAc is the dominant channel whereas fragmentation is very minor. The isomerization kinetics is monitored by IR spectroscopy. Among the seven non-chelated conformers of AcAc, only three are formed in parahydrogen matrices, whereas four are observed in normal hydrogen matrices. This difference suggests that an active tunnelling process between conformers occurs in parahydrogen but is quenched in normal hydrogen where guest-host interactions are stronger. Fragmentation and isomerization of excited AcAc are discussed in the light of these new data. The role of the intermediate triplet state in the S(2)→ S(0) relaxation is confirmed, as the importance of phonons in the condensed phase.

Infrared spectroscopic imaging of renal tumor tissue.

Fourier transform infrared (FTIR) spectroscopic imaging has been used to probe the biochemical composition of human renal tumor tissue and adjacent normal tissue. Freshly resected renal tumor tissue from surgery was prepared as a thin cryosection and examined by FTIR spectroscopic imaging. Tissue types could be discriminated by utilizing a combination of fuzzy k-means cluster analysis and a supervised classification algorithm based on a linear discriminant analysis. The spectral classification is compared and contrasted with the histological stained image. It is further shown that renal tumor cells have spread in adjacent normal tissue. This study demonstrates that FTIR spectroscopic imaging can potentially serve as a fast and objective approach for discrimination of renal tumor tissue from normal tissue and even in the detection of tumor infiltration in adjacent tissue.

UV-induced growth of cyanopolyyne chains in cryogenic solids.

UV laser excitation of cryogenic solids doped with cyanoethyne, HC(3)N, led to an in situ creation of longer carbon-nitrogen chains, namely HC(5)N, C(4)N(2), and C(6)N(2), heralded by their strong visible luminescence. HC(5)N and C(4)N(2) molecules can form, most probably, within HC(3)N aggregates linked by hydrogen bonds, while the reaction occurring between two isolated, photochemically created C(3)N radicals yields C(6)N(2). This latter species, dicyanobutadiyne, is easily detected in Ar, Kr, N(2), as well as in parahydrogen solids. The C(6)N(2) phosphorescence is identified here for the first time. The reported carbon chain coupling reactions in rigid environments are of interest for astrochemistry of interstellar ices.

Infrared study of glycolaldehyde isolated in parahydrogen matrix.

The infrared spectrum of glycolaldehyde sugar model in solid parahydrogen is reported and interpreted in the light of ab initio anharmonic frequency calculations. The advantages of parahydrogen lead to a simplification of its infrared spectroscopy compared to other conventional matrices. Surprisingly, the sugar molecule is found to display an unexpected large bandwidth compared to the smaller organic molecules studied in parahydrogen so far. Among them, only glycolaldehyde possesses an internal hydrogen-bond. Band broadening in glycolaldehyde is interpreted as originating mainly from the presence of the hydrogen-bond and to a lesser extent from clustering with oH(2) impurities.

Far-infrared band strengths in the water dimer: experiments and calculations.

Most fundamentals modes of the water dimer have been experimentally determined, and the frequencies have been measured in either neon or parahydrogen matrices. The band strengths of all intramolecular and most intermolecular fundamentals of the water dimer have been measured. The results are further corroborated by comparison with the corresponding data for the fully deuterated water dimer. DFT calculations of the mode frequencies and band strength are in qualitative agreement with the experimental observations.