Stratified Mucin-Producing Intraepithelial Lesion of the Cervix in an HPV- 16 Positive Woman: A Rare Encounter.

BACKGROUND: Cervical cancer is the fourth most common cancer among women globally and has a strong association with Human Papillomavirus (HPV) infection. Stratified mucinproducing intraepithelial lesion (SMILE), a variant of Adenocarcinoma in situ (AIS), is a rare cervical precancer lesion that is often missed or detected incidentally. CASE PRESENTATION: The present case report briefs the finding of a 39-year-old woman who presented to the gynecological outpatient department with complaints of vaginal discharge for 6-8 months. She had no history of irregular menstrual cycles or postcoital bleeding. Her routine Pap smear revealed atypical squamous cells of undetermined significance (ASCUS) and was positive for HPV-16 type. Her cervical biopsy report revealed AIS and her histopathological report of hysterectomy revealed SMILE, a variant of AIS. DISCUSSION: The SMILE variant of AIS is a rare cervical precancerous lesion characterized by the morphological overlap of both squamous intraepithelial lesions and AIS. It is often difficult to diagnose on Pap smear and is commonly associated with high-risk HPV infections. The management of SMILE is the same as that for AIS, which is the excisional procedure followed by a hysterectomy if the margins are negative and depending on the fertility desires of the patient, followed by regular follow-up with HPV testing. CONCLUSION: SMILE is a rare variant of AIS, which is often missed on cytological screening of the cervix. It is commonly associated with high-risk types of HPV. Hence, incorporating HPV testing in the screening of cervical cancer is important and recommended to increase the overall sensitivity of screening for adenocarcinoma lesions.

Bioinspired Threonine-Based Polymers with Potent Ice Recrystallization Inhibition Activity.

Ice growth mitigation is a pervasive challenge for multiple industries. In nature, ice-binding proteins (IBPs) demonstrate potent ice growth prevention through ice recrystallization inhibition (IRI). However, IBPs are expensive, difficult to produce in large quantities, and exhibit minimal resilience to nonphysiological environmental stressors, such as pH. For these reasons, researchers have turned to bioinspired polymeric materials that mimic IBP behavior. To date, however, no synthetic polymer has rivaled the ability of native IBPs to display IRI activity at ultralow nanomolar concentrations. In this work, we study the IRI activity of peptides and polypeptides inspired by common ice-binding residues of IBPs to inform the synthesis and characterization of a potent bioinspired polymer that mimics IBP behavior. We show first that the threonine polypeptide (pThr) displays the best IRI activity in phosphate-buffered saline (PBS). Second, we use pThr as a molecular model to synthesize and test a bioinspired polymer, poly(2-hydroxypropyl methacrylamide) (pHPMA). We show that pHPMA exhibits potent IRI activity in neutral PBS at ultralow concentrations (0.01 mg/mL). pHPMA demonstrates potent IRI activity at low molecular weights (2.3 kDa), with improved activity at higher molecular weights (32.8 kDa). These results substantiate that pHPMA is a robust molecule that mitigates ice crystal growth at concentrations similar to native IBPs.

Polyether ether ketone - As an alternative biomaterial for Metal Richmond crown-3-dimensional finite element analysis.

Aim: This study was aimed to analyze the stress generation and distribution for "polyether ether ketone (PEEK)" and metal cobalt-chromium (Co-Cr) at different locations of the tooth using finite element analysis (FEA), when they are casted-off as "Richmond crowns." Materials and Methods: The model of the tooth was designed using "computer-aided design/computer-aided manufacturing" followed by generating the "Mesh" of the tooth to analyze the stress caused by applying vertical and oblique loads of 100N and 40N, respectively, in cubical nodes for both PEEK and metal endodontic post-based Richmond crown. The "3-dimensional von Mises criteria" was used to compare stresses of both elements using FEA. The material properties for each component were designated by respective modulus of elasticity and Poisson's ratio. The statistical test of the stress generation in various locations of PEEK and Metal (Co-Cr) Richmond crown was done by independent t-test. Results: From the FEA analysis of Richmond crown, it is evident that maximum stress was generated by "Metal" of about 66.418 MPa when compared to "PEEK" (15.826 MPa). "PEEK Richmond crown" produced minimal stress on the tooth and the other surrounding regions than "Metal Richmond crown" with a statistically significant difference (P < 0.05). Conclusion: The results proved that the "Metal Richmond crown" postsystem had a tendency to produce more stress on the tooth and the other surrounding regions than the PEEK. The FEA proved the pros of using "PEEK post Richmond crown," which is a big boon for the modern era dentistry.

A Multicenter Evaluation of a Nongel Mechanical Separator Plasma Blood Collection Tube for Testing of Selected Therapeutic Drugs.

BACKGROUND: Some therapeutic drugs are unstable during sample storage in gel tubes. BD Vacutainer® Barricor™ Plasma Blood Collection Tube with nongel separator was compared with plasma gel tubes, BD Vacutainer PST™, PST II, and BD Vacutainer Serum Tube for acetaminophen, salicylate, digoxin, carbamazepine, phenytoin, valproic acid, and vancomycin during sample storage for up to 7 days. METHODS: Seven hospital sites enrolled 705 participants who were taking at least one selected drug. The study tubes were collected and tested at initial time (0 h), after 48 h of storage at room temperature and on day 7 (after additional 5 days of refrigerated storage). The performance of BD Barricor tube was evaluated for each drug by comparing BD Barricor samples with samples from the other tubes at 0 h from the same participant; stability was evaluated by comparing test results from the same tube at 0 h, 48 h, and 7 days. RESULTS: At 0 h, BD Barricor showed clinically equivalent results for selected therapeutic drugs compared with the other tubes, except phenytoin in BD PST. Phenytoin samples ≥20 µg/mL in BD PST had 10-12% lower values than samples in BD Barricor. During sample storage, all selected drugs remained stable for 7 days in BD Barricor and in serum aliquots. In BD PST, all drugs remained stable except phenytoin and carbamazepine and in BD PST II except for phenytoin. CONCLUSION: The BD Barricor Tube is effective for the collection and storage of plasma blood samples for therapeutic drug monitoring without sample aliquoting.

Thermal energy harvester powered piezoresistive pressure sensor system with wireless operation for nuclear reactor application.

To access the crucial parameters of a nuclear reactor during station blackout condition, we have proposed a concept of using thermal energy harvester powered sensors and instrumentation with wireless operation. To demonstrate this concept, low power electronics comprising a micro electro mechanical system piezoresistive pressure sensor, amplifier, and wireless transmitter was developed for measurement of pressure in a reactor process. The required electrical power for the sensor and instrumentation was derived from the thermal energy produced by the reactor process itself. A thermoelectric generator was used as an energy harvester for converting the heat energy from the process to electrical energy. A power management circuitry was used for the management of the power which was fed to the sensor and electronics. The complete instrumentation was tested in a test loop to demonstrate the operation of thermal energy harvester powered sensor with wireless operation for static and dynamic pressure measurements. Static pressure, increase or decrease of pressure with time and pressure oscillations were measured in a wireless mode using the developed instrumentation. Differential mode measurements were also carried out. The concept of thermal energy harvester powered sensor and instrumentation presented in this paper would be suitable for wireless sensor network of self-powered/thermal energy harvester powered sensors and for wearable devices by operators. An overview of the design and development of the instrumentation and the results are presented in this paper.

Signatures of a macroscopic switching transition for a dynamic microtubule.

Characterising complex kinetics of non-equilibrium self-assembly of bio-filaments is of general interest. Dynamic instability in microtubules, consisting of successive catastrophes and rescues, is observed to occur as a result of the non-equilibrium conversion of GTP-tubulin to GDP-tubulin. We study this phenomenon using a model for microtubule kinetics with GTP/GDP state-dependent polymerisation, depolymerisation and hydrolysis of subunits. Our results reveal a sharp switch-like transition in the mean velocity of the filaments, from a growth phase to a shrinkage phase, with an associated co-existence of the two phases. This transition is reminiscent of the discontinuous phase transition across the liquid-gas boundary. We probe the extent of discontinuity in the transition quantitatively using characteristic signatures such as bimodality in velocity distribution, variance and Binder cumulant, and also hysteresis behaviour of the system. We further investigate ageing behaviour in catastrophes of the filament, and find that the multi-step nature of catastrophes is intensified in the vicinity of the switching transition. This assumes importance in the context of Microtubule Associated Proteins which have the potential of altering kinetic parameter values.

Biomediated synthesis of silver nanoparticles using Exiguobacterium mexicanum.

Biomediated silver nanoparticle were synthesized using a cell free extract of a soil bacterium, Exiguobacterium mexicanum PR 10.6. The silver nanoparticles were characterised using UV-Vis spectroscopy, energy dispersive spectroscopy, Fourier transform infrared spectroscopy, and transmission electron microscopy. The nanoparticles ranged from 5 to 40 nm. Extracellular polymeric substance played a critical role in the reduction of silver ion and nanoparticle stabilisation when using the cell free extract. The synthesis using E. mexicanum is an effective eco-friendly, rapid method for silver nanoparticle synthesis within 1 h.

Mycobacterium tuberculosis groE promoter controls the expression of the bicistronic groESL1 operon and shows differential regulation under stress conditions.

Heat shock promoters of mycobacteria are strong promoters that become rapidly upregulated during macrophage infection and thus serve as valuable candidates for expressing foreign antigens in recombinant BCG vaccine. In the present study, a new heat shock promoter controlling the expression of the groESL1 operon was identified and characterized. Mycobacterium tuberculosis groESL1 operon codes for the immunodominant 10 kDa (Rv3418c, GroES/Cpn10/Hsp10) and 60 kDa (Rv3417c, GroEL1/Cpn60.1/Hsp60) heat shock proteins. The basal promoter region was 115 bp, while enhanced activity was seen only with a 277-bp fragment. No promoter element was seen in the groES-groEL1 intergenic region. This operon codes for a bicistronic mRNA transcript as determined by reverse transcriptase-PCR and Northern blot analysis. Primer extension analysis identified two transcriptional start sites (TSSs) TSS1 (-236) and TSS2 (-171), out of which one (TSS2) was heat inducible. The groE promoter was more active than the groEL2 promoter in Mycobacterium smegmatis. Further, it was found to be differentially regulated under stress conditions, while the groEL2 promoter was constitutive.