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Low-grade gliomas (LGGs) are a heterogeneous group of tumors with an average 10-year survival rate of 40%-55%. Current treatment options include chemotherapy, radiotherapy, and gross total resection (GTR) of the tumor. The extent of resection (EOR) plays an important role in improving surgical outcomes. However, the major obstacle in treating low-grade gliomas is their diffused nature and the presence of residual cancer cells at the tumor margins post resection. Cold Atmospheric Plasma (CAP) has shown to be effective in targeted killing of tumor cells in various glioma cell lines without affecting non-tumor cells through Reactive Oxygen and Nitrogen Species (RONS). However, no study on the effectiveness of CAP has been carried out in LGG tissues till date. In this study, we applied helium-based CAP on tumor tissues resected from LGG patients. Our results show that CAP is effective in promoting RONS accumulation in LGG tissues when CAP jet parameters are set at 4 kV voltage, 5 min treatment time and 3 lpm gas flow rate. We also observed that CAP jet is more effective in thinner slice preparations of tumor as compared to thick tumor samples. Our results indicate that CAP could prove to be an effective adjunct therapy in glioma surgery to target residual cancer cells to improve surgical outcome of patients with low-grade glioma.
Assuntos
Neoplasias Encefálicas , Glioma , Gases em Plasma , Humanos , Neoplasias Encefálicas/terapia , Espécies Reativas de Oxigênio , Oxigênio , Espécies Reativas de Nitrogênio , Neoplasia Residual , Resultado do Tratamento , Glioma/terapiaRESUMO
Background: The WPV1, first detected in Somalia in April 2013, quickly spread to Kenya and Ethiopia and triggered a multi-country coordinated effort. In February 2014, a formal HoA Polio Outbreak Coordination Office was established by WHO AFRO and WHO EMRO in Nairobi to provide technical and managerial leadership. An independent assessment was conducted to ascertain the usefulness of the HoA Coordination in response to the outbreaks. Methods: The independent assessment team conducted desk review of the rules and guidelines forming the HoA Coordination office and committee. It also reviewed minutes of meetings and interviewed various stakeholders at the Regional levels. Results: This independent review of the work of the office, in September 2016, showed that the office was fully functional and had benefited from financial and technical support from regional and global GPEI partners. The office is based in the WHO Kenya Country Office which also provides administrative, logistics and until August 2016, data management support. The close working relationship with technical partners ensured alignment and close coordination of outbreak response activities. The mechanism also allowed partners to identify areas of work based on their expertise and avoided duplication of efforts at the local level. Overall, the office was effective in close monitoring of implementation of the outbreak response, strengthening of cross-border activities, monitoring implementation of the TAG recommendations, improving SIA planning and quality, and expanding independent monitoring in Somalia and South Sudan. Key constraints included limited office space for day-to-day operations, and disruption of some activities due to interruption of contracts of technical staff. However, the closure of the HoA outbreak in August 2015 led to some complacency, resulting in a lost sense of urgency, negatively impacting the coordination. Conclusions: The HoA Coordination Office should continue to function into the foreseeable future. To ensure sustainability of activities, the technical staff should be given contracts for a minimum of 12 months. The Office should reintroduce and schedule the Joint Polio Outbreak Response team meetings at least once every three months.
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The surface wettability of polytetrafluoroethylene (PTFE) was investigated with low energy Ar+ ion beam irradiation varied from 300 eV to 800 eV both at normal and oblique angle of incidence (0°-70°) and at a low irradiation time of few 10 s of seconds. A remarkable change in surface wettability was observed, surface became hydrophobic to superhydrophobic just at 800 eV energy and in 30 s time. A systematic increase in the contact angle was observed with increase in beam energy and irradiation time. For a given ion energy and a threshold irradiation time, the hierarchical protrusions developed that leads to the rolling and bouncing of water droplet even on the horizontal PTFE surface. For the above energy range, the rolling speed was found to be in the range of ~19-31 mm/s. This induced wetting behaviour due to ion irradiation leads to the Cassie-Baxter state as confirmed by the calculation of sliding angle, contact angle hysteresis (CAH) and surface free energy (SE). The CAH values were found to be reduced from 18° for untreated surface (SE ~ 20 mN/m) to 2° for 800 eV, 180 s irradiated surface (SE ~ 0.35 mN/m) at normal incidence.
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Plasma nitriding of the Ti-6Al-4V alloy (TA) sample was carried out in a plasma reactor with a hot wall vacuum chamber. For ease of comparison these plasma nitrided samples were termed as TAPN. The TA and TAPN samples were characterized by XRD, Optical microscopy, FESEM, TEM, EDX, AFM, nanoindentation, micro scratch, nanotribology, sliding wear resistance evaluation and in vitro cytotoxicity evaluation techniques. The experimental results confirmed that the nanohardness, Young's modulus, micro scratch wear resistance, nanowear resistance, sliding wear resistance of the TAPN samples were much better than those of the TA samples. Further, when the data are normalized with respect to those of the TA alloy, the TAPN sample showed cell viability about 11% higher than that of the TA alloy used in the present work. This happened due to the formation of a surface hardened embedded nitrided metallic alloy layer zone (ENMALZ) having a finer microstructure characterized by presence of hard ceramic Ti2N, TiN etc. phases in the TAPN samples, which could find enhanced application as a bioimplant material.
Assuntos
Ligas/química , Materiais Biocompatíveis/química , Teste de Materiais , Propriedades de Superfície , Titânio/química , Animais , Sobrevivência Celular , Cerâmica , Fricção , Dureza , Humanos , Concentração de Íons de Hidrogênio , Camundongos , Microscopia de Força Atômica , Microscopia Eletrônica de Varredura , Microscopia Eletrônica de Transmissão , Células NIH 3T3 , Nitrogênio/química , Gases em Plasma , Pressão , Próteses e Implantes , Desenho de Prótese , Estresse Mecânico , Difração de Raios XRESUMO
In this study, a bottom-up approach of ion irradiation from hot cathode DC discharge plasma was used to investigate the role of energetic ion flux on the self-assembly of GaSb nanodots (NDs) at normal incidence. It was observed that, when increasing the flux in the range of 1014-1015 ions cm-2 s-1, the lateral dimension and root mean square (RMS) roughness of NDs is reduced even at constant temperature conditions in the ion energy range from 400-800 eV. The evolution of the surface morphology for different flux regimes is observed in a numerical integration simulation using the nonlinear isotropic damped Kuramoto-Sivashinsky (DKS) equation. By introducing a redeposition term, the DKS equation is found to be in good qualitative agreement with the experimental results. We have demonstrated the linear dependency of the redeposition coefficient on the ion flux and also reported the nonlinear dependency on the thermal diffusion coefficient, transition time, and characteristic length with the flux. In accordance with the nonlinearity, we have also discussed the effect of the variation of the ion flux on the RMS roughness and lateral dimension of NDs.
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AISI 316L is a well known biocompatible, austenitic stainless steel (SS). It is thus a bio-steel. Considering its importance as a bio-prosthesis material here we report the plasma nitriding of AISI 316L (SS) followed by its microstructural and nanotribological characterization. Plasma nitriding of the SS samples was carried out in a plasma reactor with a hot wall vacuum chamber. For ease of comparison these plasma nitrided samples were termed as SSPN. The experimental results confirmed the formations of an embedded nitrided metal layer zone (ENMLZ) and an interface zone (IZ) between the ENMLZ and the unnitrided bulk metallic layer zone (BMLZ) in the SSPN sample. These ENMLZ and IZ in the SSPN sample were richer in iron nitride (FeN) chromium nitride (CrN) along with the austenite phase. The results from nanoindentation, microscratch, nanoscratch and sliding wear studies confirmed that the static contact deformation resistance, the microwear, nanowear and sliding wear resistance of the SSPN samples were much better than those of the SS samples. These results were explained in terms of structure-property correlations.
Assuntos
Materiais Biocompatíveis/análise , Teste de Materiais , Aço Inoxidável/análise , Gases em PlasmaRESUMO
Kevin Cain and colleagues reflect on the cross border movement of people from Somalia with MDR-TB and the implications for MDR-TB programs in East Africa.
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Antituberculosos , Emigração e Imigração , Epidemias , Necessidades e Demandas de Serviços de Saúde , Mycobacterium tuberculosis , Tuberculose Resistente a Múltiplos Medicamentos , Tuberculose Pulmonar , África Oriental/epidemiologia , Humanos , Refugiados , Somália/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/microbiologia , Tuberculose Resistente a Múltiplos Medicamentos/terapia , Tuberculose Pulmonar/epidemiologia , Tuberculose Pulmonar/microbiologia , Tuberculose Pulmonar/terapiaRESUMO
Direct current (DC) glow discharge plasma nitriding was carried out on three selected surface-roughened AISI 304 stainless steel samples at 833 K under 4 mbar pressures for 24 h in the presence of N2:H2 gas mixtures of 50 : 50 ratios. After plasma nitriding, the phase formation, case depth, surface roughness, and microhardness of a plasma-nitrided layer were evaluated by glancing angle x-ray diffractogram, optical microscope, stylus profilometer, and Vickers microhardness tester techniques. The case depth, surface hardness, and phase formation variations were observed with a variation in initial surface roughness. The diffraction patterns of the plasma-nitrided samples showed the modified intensities of the α and γ phases along with those of the CrN, Fe4N, and Fe3N phases. Hardness and case depth variations were observed with a variation in surface roughness. A maximum hardness of 1058 Hv and a case depth of 95 µm were achieved in least surface-roughened samples.