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Intraperitoneal (IP) chemotherapy is a promising treatment approach for patients diagnosed with peritoneal carcinomatosis, allowing the direct delivery of therapeutic agents to the tumor site within the abdominal cavity. Nevertheless, limited drug penetration into the tumor remains a primary drawback of this method. The process of delivering drugs to the tumor entails numerous complications, primarily stemming from the specific pathophysiology of the tumor. Investigating drug delivery during IP chemotherapy and studying the parameters affecting it are challenging due to the limitations of experimental studies. In contrast, mathematical modeling, with its capabilities such as enabling single-parameter studies, and cost and time efficiency, emerges as a potent tool for this purpose. In this study, we developed a numerical model to investigate IP chemotherapy by incorporating an actual image of a tumor with heterogeneous vasculature. The tumor's geometry is reconstructed using image processing techniques. The model also incorporates drug binding and uptake by cancer cells. After 60 min of IP treatment with Doxorubicin, the area under the curve (AUC) of the average free drug concentration versus time curve, serving as an indicator of drug availability to the tumor, reached 295.18 mol·m-3·s-1. Additionally, the half-width parameter W1/2, which reflects drug penetration into the tumor, ranged from 0.11 to 0.14 mm. Furthermore, the treatment resulted in a fraction of killed cells reaching 20.4% by the end of the procedure. Analyzing the spatial distribution of interstitial fluid velocity, pressure, and drug concentration in the tumor revealed that the heterogeneous distribution of tumor vasculature influences the drug delivery process. Our findings underscore the significance of considering the specific vascular network of a tumor when modeling intraperitoneal chemotherapy. The proposed methodology holds promise for application in patient-specific studies.
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Speckle noise is a pervasive problem in medical imaging, and conventional methods for despeckling often lead to loss of edge information due to smoothing. To address this issue, we propose a novel approach that combines a nature-inspired minibatch water wave swarm optimization (NIMWVSO) framework with an invertible sparse fuzzy wavelet transform (ISFWT) in the frequency domain. The ISFWT learns a non-linear redundant transform with a perfect reconstruction property that effectively removes noise while preserving structural and edge information in medical images. The resulting threshold is then used by the NIMWVSO to further reduce multiplicative speckle noise. Our approach was evaluated using the MSTAR dataset, and objective functions were based on two contrasting reference metrics, namely the peak signal-to-noise ratio (PSNR) and the mean structural similarity index metric (MSSIM). Our results show that the suggested approach outperforms modern filters and has significant generalization ability to unknown noise levels, while also being highly interpretable. By providing a new framework for despeckling medical images, our work has the potential to improve the accuracy and reliability of medical imaging diagnosis and treatment planning.
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Brain tumors in Magnetic resonance image segmentation is challenging research. With the advent of a new era and research into machine learning, tumor detection and segmentation generated significant interest in the research world. This research presents an efficient tumor detection and segmentation technique using an adaptive moving self-organizing map and Fuzzyk-mean clustering (AMSOM-FKM). The proposed method mainly focused on tumor segmentation using extraction of the tumor region. AMSOM is an artificial neural technique whose training is unsupervised. This research utilized the online Kaggle Brats-18 brain tumor dataset. This dataset consisted of 1691 images. The dataset was partitioned into 70% training, 20% testing, and 10% validation. The proposed model was based on various phases: (a) removal of noise, (b) selection of feature attributes, (c) image classification, and (d) tumor segmentation. At first, the MR images were normalized using the Wiener filtering method, and the Gray level co-occurrences matrix (GLCM) was used to extract the relevant feature attributes. The tumor images were separated from non-tumor images using the AMSOM classification approach. At last, the FKM was used to distinguish the tumor region from the surrounding tissue. The proposed AMSOM-FKM technique and existing methods, i.e., Fuzzy-C-means and K-mean (FMFCM), hybrid self-organization mapping-FKM, were implemented over MATLAB and compared based on comparison parameters, i.e., sensitivity, precision, accuracy, and similarity index values. The proposed technique achieved more than 10% better results than existing methods.
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Neoplasias Encefálicas , Humanos , Neoplasias Encefálicas/diagnóstico por imagem , Algoritmos , Análise por Conglomerados , Aprendizado de Máquina , PersonalidadeRESUMO
Industrial automation systems are undergoing a revolutionary change with the use of Internet-connected operating equipment and the adoption of cutting-edge advanced technology such as AI, IoT, cloud computing, and deep learning within business organizations. These innovative and additional solutions are facilitating Industry 4.0. However, the emergence of these technological advances and the quality solutions that they enable will also introduce unique security challenges whose consequence needs to be identified. This research presents a hybrid intrusion detection model (HIDM) that uses OCNN-LSTM and transfer learning (TL) for Industry 4.0. The proposed model utilizes an optimized CNN by using enhanced parameters of the CNN via the grey wolf optimizer (GWO) method, which fine-tunes the CNN parameters and helps to improve the model's prediction accuracy. The transfer learning model helps to train the model, and it transfers the knowledge to the OCNN-LSTM model. The TL method enhances the training process, acquiring the necessary knowledge from the OCNN-LSTM model and utilizing it in each next cycle, which helps to improve detection accuracy. To measure the performance of the proposed model, we conducted a multi-class classification analysis on various online industrial IDS datasets, i.e., ToN-IoT and UNW-NB15. We have conducted two experiments for these two datasets, and various performance-measuring parameters, i.e., precision, F-measure, recall, accuracy, and detection rate, were calculated for the OCNN-LSTM model with and without TL and also for the CNN and LSTM models. For the ToN-IoT dataset, the OCNN-LSTM with TL model achieved a precision of 92.7%; for the UNW-NB15 dataset, the precision was 94.25%, which is higher than OCNN-LSTM without TL.
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Hepatitis C Virus (HCV) is a viral infection that causes liver inflammation. Annually, approximately 3.4 million cases of HCV are reported worldwide. A diagnosis of HCV in earlier stages helps to save lives. In the HCV review, the authors used a single ML-based prediction model in the current research, which encounters several issues, i.e., poor accuracy, data imbalance, and overfitting. This research proposed a Hybrid Predictive Model (HPM) based on an improved random forest and support vector machine to overcome existing research limitations. The proposed model improves a random forest method by adding a bootstrapping approach. The existing RF method is enhanced by adding a bootstrapping process, which helps eliminate the tree's minor features iteratively to build a strong forest. It improves the performance of the HPM model. The proposed HPM model utilizes a 'Ranker method' to rank the dataset features and applies an IRF with SVM, selecting higher-ranked feature elements to build the prediction model. This research uses the online HCV dataset from UCI to measure the proposed model's performance. The dataset is highly imbalanced; to deal with this issue, we utilized the synthetic minority over-sampling technique (SMOTE). This research performs two experiments. The first experiment is based on data splitting methods, K-fold cross-validation, and training: testing-based splitting. The proposed method achieved an accuracy of 95.89% for k = 5 and 96.29% for k = 10; for the training and testing-based split, the proposed method achieved 91.24% for 80:20 and 92.39% for 70:30, which is the best compared to the existing SVM, MARS, RF, DT, and BGLM methods. In experiment 2, the analysis is performed using feature selection (with SMOTE and without SMOTE). The proposed method achieves an accuracy of 41.541% without SMOTE and 96.82% with SMOTE-based feature selection, which is better than existing ML methods. The experimental results prove the importance of feature selection to achieve higher accuracy in HCV research.
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Hepacivirus , Hepatite C , Humanos , Algoritmo Florestas Aleatórias , Máquina de Vetores de Suporte , AlgoritmosRESUMO
The new coronavirus that produced the pandemic known as COVID-19 has been going across the world for a while. Nearly every area of development has been impacted by COVID-19. There is an urgent need for improvement in the healthcare system. However, this contagious illness can be controlled by appropriately donning a facial mask. If people keep a strong social distance and wear face masks, COVID-19 can be controlled. A method for detecting these violations is proposed in this paper. These infractions include failing to wear a facemask and failing to maintain social distancing. To train a deep learning architecture, a dataset compiled from several sources is used. To compute the distance between two people in a particular area and also predicts the people wearing and not wearing the mask, The proposed system makes use of YOLOv3 architecture and computer vision. The goal of this research is to provide valuable tool for reducing the transmission of this contagious disease in various environments, including streets and supermarkets. The proposed system is evaluated using the COCO dataset. It is evident from the experimental analysis that the proposed system performs well in predicting the people wearing the mask because it has acquired an accuracy of 99.2% and an F1-score of 0.99.
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Generally, cloud computing is integrated with wireless sensor network to enable the monitoring systems and it improves the quality of service. The sensed patient data are monitored with biosensors without considering the patient datatype and this minimizes the work of hospitals and physicians. Wearable sensor devices and the Internet of Medical Things (IoMT) have changed the health service, resulting in faster monitoring, prediction, diagnosis, and treatment. Nevertheless, there have been difficulties that need to be resolved by the use of AI methods. The primary goal of this study is to introduce an AI-powered, IoMT telemedicine infrastructure for E-healthcare. In this paper, initially the data collection from the patient body is made using the sensed devices and the information are transmitted through the gateway/Wi-Fi and is stored in IoMT cloud repository. The stored information is then acquired, preprocessed to refine the collected data. The features from preprocessed data are extracted by means of high dimensional Linear Discriminant analysis (LDA) and the best optimal features are selected using reconfigured multi-objective cuckoo search algorithm (CSA). The prediction of abnormal/normal data is made by using Hybrid ResNet 18 and GoogleNet classifier (HRGC). The decision is then made whether to send alert to hospitals/healthcare personnel or not. If the expected results are satisfactory, the participant information is saved in the internet for later use. At last, the performance analysis is carried so as to validate the efficiency of proposed mechanism.
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Microbes have dominated life on Earth for the past two billion years, despite facing a variety of obstacles. In the 20th century, antibiotics and immunizations brought about these changes. Since then, microorganisms have acquired resistance, and various infectious diseases have been able to avoid being treated with traditionally developed vaccines. Antibiotic resistance and pathogenicity have surpassed antibiotic discovery in terms of importance over the course of the past few decades. These shifts have resulted in tremendous economic and health repercussions across the board for all socioeconomic levels; thus, we require ground-breaking innovations to effectively manage microbial infections and to provide long-term solutions. The pharmaceutical and biotechnology sectors have been radically altered as a result of nanomedicine, and this trend is now spreading to the antibacterial research community. Here, we examine the role that nanomedicine plays in the prevention of microbial infections, including topics such as diagnosis, antimicrobial therapy, pharmaceutical administration, and immunizations, as well as the opportunities and challenges that lie ahead.
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Artificial Intelligent (AI) applications in e-health have evolved considerably in the last 25 years. To track the current research progress in this field, there is a need to analyze the most recent trend of adopting AI applications in e-health. This bibliometric analysis study covers AI applications in e-health. It differs from the existing literature review as the journal articles are obtained from the Scopus database from its beginning to late 2021 (25 years), which depicts the most recent trend of AI in e-health. The bibliometric analysis is employed to find the statistical and quantitative analysis of available literature of a specific field of study for a particular period. An extensive global literature review is performed to identify the significant research area, authors, or their relationship through published articles. It also provides the researchers with an overview of the work evolution of specific research fields. The study's main contribution highlights the essential authors, journals, institutes, keywords, and states in developing the AI field in e-health.
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Due to the rapid growth in IT technology, digital data have increased availability, creating novel security threats that need immediate attention. An intrusion detection system (IDS) is the most promising solution for preventing malicious intrusions and tracing suspicious network behavioral patterns. Machine learning (ML) methods are widely used in IDS. Due to a limited training dataset, an ML-based IDS generates a higher false detection ratio and encounters data imbalance issues. To deal with the data-imbalance issue, this research develops an efficient hybrid network-based IDS model (HNIDS), which is utilized using the enhanced genetic algorithm and particle swarm optimization(EGA-PSO) and improved random forest (IRF) methods. In the initial phase, the proposed HNIDS utilizes hybrid EGA-PSO methods to enhance the minor data samples and thus produce a balanced data set to learn the sample attributes of small samples more accurately. In the proposed HNIDS, a PSO method improves the vector. GA is enhanced by adding a multi-objective function, which selects the best features and achieves improved fitness outcomes to explore the essential features and helps minimize dimensions, enhance the true positive rate (TPR), and lower the false positive rate (FPR). In the next phase, an IRF eliminates the less significant attributes, incorporates a list of decision trees across each iterative process, supervises the classifier's performance, and prevents overfitting issues. The performance of the proposed method and existing ML methods are tested using the benchmark datasets NSL-KDD. The experimental findings demonstrated that the proposed HNIDS method achieves an accuracy of 98.979% on BCC and 88.149% on MCC for the NSL-KDD dataset, which is far better than the other ML methods i.e., SVM, RF, LR, NB, LDA, and CART.
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Algoritmos , Máquina de Vetores de Suporte , Aprendizado de MáquinaRESUMO
Nowadays, artificial intelligence (AI) creates numerous promising opportunities in the life sciences. AI methods can be significantly advantageous for analyzing the massive datasets provided by biotechnology systems for biological and biomedical applications. Microfluidics, with the developments in controlled reaction chambers, high-throughput arrays, and positioning systems, generate big data that is not necessarily analyzed successfully. Integrating AI and microfluidics can pave the way for both experimental and analytical throughputs in biotechnology research. Microfluidics enhances the experimental methods and reduces the cost and scale, while AI methods significantly improve the analysis of huge datasets obtained from high-throughput and multiplexed microfluidics. This review briefly presents a survey of the role of AI and microfluidics in biotechnology. Also, the incorporation of AI with microfluidics is comprehensively investigated. Specifically, recent studies that perform flow cytometry cell classification, cell isolation, and a combination of them by gaining from both AI methods and microfluidic techniques are covered. Despite all current challenges, various fields of biotechnology can be remarkably affected by the combination of AI and microfluidic technologies. Some of these fields include point-of-care systems, precision, personalized medicine, regenerative medicine, prognostics, diagnostics, and treatment of oncology and non-oncology-related diseases.
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Inteligência Artificial , Dispositivos Lab-On-A-Chip , Microfluídica/métodos , Medicina de Precisão , Sistemas Automatizados de Assistência Junto ao LeitoRESUMO
Corneal disease is one of the most significant causes of blindness around the world. Presently, corneal transplantation is the only way to treat cornea blindness. It should be noted that the amount of cornea that people donate is so much less than that required (1:70). Therefore, scientists have tried to resolve this problem with tissue engineering and regenerative medicine. Fabricating cornea with traditional methods is difficult due to their unique properties, such as transparency and geometry. Bioprinting is a technology based on additive manufacturing that can use different biomaterials as bioink for tissue engineering, and the emergence of 3D bioprinting presents a clear possibility to overcome this problem. This new technology requires special materials for printing scaffolds with acceptable biocompatibility. Hydrogels have received significant attention in the past 50 years, and they have been distinguished from other materials because of their unique and outstanding properties. Therefore, hydrogels could be a good bioink for the bioprinting of different scaffolds for corneal tissue engineering. In this review, we discuss the use of different types of hydrogel for bioink for corneal tissue engineering and various methods that have been used for bioprinting. Furthermore, the properties of hydrogels and different types of hydrogels are described.
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No previous works have attempted to combine generative adversarial network (GAN) architectures and the biomathematical modeling of positron emission tomography (PET) radiotracer uptake in tumors to generate extra training samples. Here, we developed a novel computational model to produce synthetic 18F-fluorodeoxyglucose (18F-FDG) PET images of solid tumors in different stages of progression and angiogenesis. First, a comprehensive biomathematical model is employed for creating tumor-induced angiogenesis, intravascular and extravascular fluid flow, as well as modeling of the transport phenomena and reaction processes of 18F-FDG in a tumor microenvironment. Then, a deep convolutional GAN (DCGAN) model is employed for producing synthetic PET images using 170 input images of 18F-FDG uptake in each of 10 different tumor microvascular networks. The interstitial fluid parameters and spatiotemporal distribution of 18F-FDG uptake in tumor and healthy tissues have been compared against previously published numerical and experimental studies, indicating the accuracy of the model. The structural similarity index measure (SSIM) and peak signal-to-noise ratio (PSNR) of the generated PET sample and the experimental one are 0.72 and 28.53, respectively. Our results demonstrate that a combination of biomathematical modeling and GAN-based augmentation models provides a robust framework for the non-invasive and accurate generation of synthetic PET images of solid tumors in different stages.
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An efficient and selective drug delivery vehicle for cancer cells can remarkably improve therapeutic approaches. In this study, we focused on the synthesis and characterization of magnetic Ni1-xCoxFe2O4 nanoparticles (NPs) coated with two layers of methionine and polyethylene glycol to increase the loading capacity and lower toxicity to serve as an efficient drug carrier. Ni1-xCoxFe2O4@Methionine@PEG NPs were synthesized by a reflux method then characterized by FTIR, XRD, FESEM, TEM, and VSM. Naproxen was used as a model drug and its loading and release in the vehicles were evaluated. The results for loading efficiency showed 1 mg of Ni1-xCoxFe2O4@Methionine@PEG NPs could load 0.51 mg of the naproxen. Interestingly, Ni1-xCoxFe2O4@Methionine@PEG showed a gradual release of the drug, achieving a time-release up to 5 days, and demonstrated that a pH 5 release of the drug was about 20% higher than Ni1-xCoxFe2O4@Methionine NPs, which could enhance the intracellular drug release following endocytosis. At pH 7.4, the release of the drug was slower than Ni1-xCoxFe2O4@Methionine NPs; demonstrating the potential to minimize the adverse effects of anticancer drugs on normal tissues. Moreover, naproxen loaded onto the Ni1-xCoxFe2O4@Methionine@PEG NPs for breast cancer cell lines MDA-MB-231 and MCF-7 showed more significant cell death than the free drug, which was measured by an MTT assay. When comparing both cancer cells, we demonstrated that naproxen loaded onto the Ni1-xCoxFe2O4@Methionine@PEG NPs exhibited greater cell death effects on the MCF-7 cells compared with the MDA-MB-231 cells. The results of the hemolysis test also showed good hemocompatibility. The results indicated that the prepared magnetic nanocarrier could be suitable for controlled anticancer drug delivery.
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Due to the growing number of users, power, and spectral effectiveness, most communication systems are complex and difficult to implement on a large scale. Artificial Intelligence (AI) has played an outstanding role in the implementation of theoretical systems in the real world, with less complexity achieving better results. In this direction, we compare the Non-Orthogonal Multiple Access (NOMA) technique for a multiuser Visible Light Communication (VLC) system with Successive Interference Cancellation (SIC) for two types of detectors: (1) the deep learning-based system and (2) the traditional maximum likelihood (ML) decoder-based system. For multiplexing, we compare the variations of novel Orbital Angular Momentum (OAM) multiplexing and Orthogonal Frequency Division Multiplexing (OFDM) with Index Modulation (IM). In this article, we implement OFDM-IM and OAM-IM for four users for the Gaussian fading MIMO Line-of-Sight (LoS) and Non-Line-of-Sight (NLoS) VLC channels. The suggested systems' bit error rate (BER) performances are compared in simulations for a wide range of Signal-to-Noise Ratios (SNRs), which shows that deep learning-based systems outperform the ML-based system for both users to ensure better decoding at the receiver end, especially at higher SNR values. The detection error is lower in a deep learning-based system at around 20% and around 30% for low SNR and high SNR values, respectively.
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Following the announcement of the outbreak of COVID-19 by the World Health Organization, unprecedented efforts were made by researchers around the world to combat the disease. So far, various methods have been developed to combat this "virus" nano enemy, in close collaboration with the clinical and scientific communities. Nanotechnology based on modifiable engineering materials and useful physicochemical properties has demonstrated several methods in the fight against SARS-CoV-2. Here, based on what has been clarified so far from the life cycle of SARS-CoV-2, through an interdisciplinary perspective based on computational science, engineering, pharmacology, medicine, biology, and virology, the role of nano-tools in the trio of prevention, diagnosis, and treatment is highlighted. The special properties of different nanomaterials have led to their widespread use in the development of personal protective equipment, anti-viral nano-coats, and disinfectants in the fight against SARS-CoV-2 out-body. The development of nano-based vaccines acts as a strong shield in-body. In addition, fast detection with high efficiency of SARS-CoV-2 by nanomaterial-based point-of-care devices is another nanotechnology capability. Finally, nanotechnology can play an effective role as an agents carrier, such as agents for blocking angiotensin-converting enzyme 2 (ACE2) receptors, gene editing agents, and therapeutic agents. As a general conclusion, it can be said that nanoparticles can be widely used in disinfection applications outside in vivo. However, in in vivo applications, although it has provided promising results, it still needs to be evaluated for possible unintended immunotoxicity. Reviews like these can be important documents for future unwanted pandemics.
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Intraperitoneal (IP) chemotherapy has emerged as a promising method for the treatment of peritoneal malignancies (PMs). However, microenvironmental barriers in the tumor limit the delivery of drug particles and their deep penetration into the tumor, leading to reduced efficiency of treatment. Therefore, new drug delivery systems should be developed to overcome these microenvironmental barriers. One promising technique is magnetically controlled drug targeting (MCDT) in which an external magnetic field is utilized to concentrate drug-coated magnetic nanoparticles (MNPs) to the desired area. In this work, a mathematical model is developed to investigate the efficacy of MCDT in IP chemotherapy. In this model, considering the mechanism of drug binding and internalization into cancer cells, the efficacy of drug delivery using MNPs is evaluated and compared with conventional IP chemotherapy. The results indicate that over 60 min of treatment with MNPs, drug penetration depth increased more than 13 times compared to conventional IPC. Moreover, the drug penetration area (DPA) increased more than 1.4 times compared to the conventional IP injection. The fraction of killed cells in the tumor in magnetic drug delivery was 6.5%, which shows an increase of more than 2.5 times compared to that of the conventional method (2.54%). Furthermore, the effects of magnetic strength, the distance of the magnet to the tumor, and the magnetic nanoparticles' size were evaluated. The results show that MDT can be used as an effective technique to increase the efficiency of IP chemotherapy.
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This study numerically analyzes the fluid flow and solute transport in a solid tumor to comprehensively examine the consequence of normalization induced by anti-angiogenic therapy on drug delivery. The current study leads to a more accurate model in comparison to previous research, as it incorporates a non-homogeneous real-human solid tumor including necrotic, semi-necrotic, and well-vascularized regions. Additionally, the model considers the effects of concurrently chemotherapeutic agents (three macromolecules of IgG, F(ab')2, and F(ab')) and different normalization intensities in various tumor sizes. Examining the long-term influence of normalization on the quality of drug uptake by necrotic area is another contribution of the present study. Results show that normalization decreases the interstitial fluid pressure (IFP) and spreads the pressure gradient and non-zero interstitial fluid velocity (IFV) into inner areas. Subsequently, wash-out of the drug from the tumor periphery is decreased. It is also demonstrated that normalization can improve the distribution of solute concentration in the interstitium. The efficiency of normalization is introduced as a function of the time course of perfusion, which depends on the tumor size, drug type, as well as normalization intensity, and consequently on the dominant mechanism of drug delivery. It is suggested to accompany anti-angiogenic therapy by F(ab') in large tumor size (Req=2.79 cm) to improve reservoir behavior benefit from normalization. However, IgG is proposed as the better option in the small tumor (Req=0.46 cm), in which normalization finds the opportunity of enhancing uniformity of IgG average exposure by 22%. This study could provide a perspective for preclinical and clinical trials on how to take advantage of normalization, as an adjuvant treatment, in improving drug delivery into a non-homogeneous solid tumor.
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Wound healing is a biological process that is mainly crucial for the rehabilitation of injured tissue. The incorporation of curcumin (Cur) into a hydrogel system is used to treat skin wounds in different diseases due to its hydrophobic character. In this study, sodium alginate and collagen, which possess hydrophilic, low toxic, and biocompatible properties, were utilized. Collagen/alginate scaffolds were synthesized, and nanocurcumin was incorporated inside them; their interaction was evaluated by FTIR spectroscopy. Morphological studies investigated structures of the samples studied by FE-SEM. The release profile of curcumin was detected, and the cytotoxic test was determined on the L929 cell line using an MTT assay. Analysis of tissue wound healing was performed by H&E staining. Nanocurcumin was spherical, its average particle size was 45 nm, and the structure of COL/ALG scaffold was visible. The cell viability of samples was recorded in cells after 24 h incubation. Results of in vivo wound healing remarkably showed CUR-COL/ALG scaffold at about 90% (p < 0.001), which is better than that of COL/ALG, 80% (p < 0.001), and the control 73.4% (p < 0.01) groups at 14 days/ The results of the samples' FTIR indicated that nanocurcumin was well-entrapped into the scaffold, which led to improving the wound-healing process. Our results revealed the potential of nanocurcumin incorporated in COL/ALG scaffolds for the wound healing of skin tissue in trauma patients.
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Dynamic knee valgus (DKV) malalignment affects the biomechanical characteristic during sports activities. This cross-sectional study was conducted to evaluate mechanical energy absorption (MEA) strategies at initial contact (IC) and total landing (TL) phases during single-leg landing (SLL), and double-leg landing (DLL). Twenty-eight female athletes with DKV (age 10-14) were invited. MEA analysis of lower extremity joints was done in sagittal and frontal motion planes employing 8 Vicon motion capture cameras and 2 Kistler force plates. Statistical analysis was done using IBM Statistics (version24) by Bivariate Pearson Correlation Coefficient test. Knee extensors MEA during SLL (IC: P = 0.008, R = 0.522/TL: P < 0.001, R = 0.642) and DLL (IC: P < 0.001, R = 0.611/TL: P = 0.011, R = 0.525), and knee abductors during SLL (IC: P = 0.021, R = 0.474) were positively correlated with increased DKV angle. Ankle plantar flexors during SLL (TL: P = 0.017, R = - 0.477) and DLL (TL: P = 0.028, R = - 0.404), and hip extensors during SLL (TL: P = 0.006, R = - 0.5120) were negatively correlated with increased DKV angle. Compensated MEA in knee extensors was correlated with less ankle plantar flexion MEA during SLL (IC: P = 0.027, R = - 0.514/TL: P = 0.007, R = - 0.637) and DLL (IC: P = 0.033, R = - 00.412/TL: P = 0.025, R = - 0.485). These outcomes indicated a knee-reliant MEA strategy in female athletes with DKV during puberty, putting them at higher risks of ACL injuries during landing.