Engineering vascularized skin-mimetic phantom for non-invasive Raman spectroscopy.

Recent advances in Raman spectroscopy have shown great potential for non-invasive analyte sensing, but the lack of a standardized optical phantom for these measurements has hindered further progress. While many research groups have developed optical phantoms that mimic bulk optical absorption and scattering, these materials typically have strong Raman scattering, making it difficult to distinguish metabolite signals. As a result, solid tissue phantoms for spectroscopy have been limited to highly scattering tissues such as bones and calcifications, and metabolite sensing has been primarily performed using liquid tissue phantoms. To address this issue, we have developed a layered skin-mimetic phantom that can support metabolite sensing through Raman spectroscopy. Our approach incorporates millifluidic vasculature that mimics blood vessels to allow for diffusion akin to metabolite diffusion in the skin. Furthermore, our skin phantoms are mechanically mimetic, providing an ideal model for development of minimally invasive optical techniques. By providing a standardized platform for measuring metabolites, our approach has the potential to facilitate critical developments in spectroscopic techniques and improve our understanding of metabolite dynamics in vivo.

Efficient actinide sequestration with ionic liquid-based extraction chromatography resins containing Aza-crown ether functionalized diglycolamides.

Two new extraction chromatographic resins (ECRs) were prepared by impregnating two exotic diglycolamide (DGA) ligands (having three or four DGA moieties tethered to aza-crown ether scaffolds) dissolved in an ionic liquid onto an inert solid support. A room temperature ionic liquid (RTIL) was used for enhancing the performance of the ECRs. The ECR containing triaza-9-crown-3 functionalized with three DGA moieties (TAM-3-DGA), and tetraaza-12-crown-4 tethered with four DGA arms (TAM-4-DGA) were evaluated for the separation of Am3+ and Pu4+from nitric acid solutions. The resin capacity for Eu3+ was 9.52 mg/g and 7.24 mg/g for TAM-3-DGA and TAM-4-DGA resins, respectively. Similarly, the resin capacity for Pu4+was 7.44 mg/g and 5.72 mg/g for TAM-3-DGA and TAM-4-DGA resins, respectively. These maximum loading values corresponded to the formation of a 1:1 metal/ligand complex for the Eu3+ ion and a 1:2 metal/ligand complex for the Pu4+ ion. The sorption of Eu3+and Pu4+on the resins followed a chemisorption phenomenon on both resins. The sorbed Eu3+and Pu4+ions from the resin phase could be efficiently desorbed with complexing ligands such as guanidine carbonate/HEDTA and oxalic acid, respectively.

Highly efficient separation of Am(III) and Pu(IV) from lean feeds and soil using an extraction chromatographic resin containing a diglycolamide in an ionic liquid.

A TODGA based extraction chromatographic resin containing an ionic liquid was used for the separation of actinide ions such as Am3+ and Pu4+ from samples such as lean effluents emanating from laboratory waste, environmental water as well as soil samples adjacent to a nuclear plant site. The methodology involved feed adjustment to 3 M HNO3 followed by conditioning of the column, loading, washing (3 M HNO3), and elution of the actinide ions. The elution of Am3+ was done using EDTA in a buffered medium (1 M guanidine carbonate) while that of Pu4+ was carried out using a mixture of 0.5 M oxalic acid and 0.5 M HNO3. The elution peaks were sharp with almost no tailing suggesting the efficiency of the separation method. The results obtained were compared with the literature results which suggested the high efficiency of the present method.

Magnetic resonance imaging is safe in patients with left bundle branch pacing.

BACKGROUND: The use of left bundle branch pacing (LBBP) has dramatically increased since it was first described in 2016, but to date there are no published data on the safety of performing magnetic resonance imaging (MRI) in these patients. METHODS: Patients with LBBP who underwent MRI between January 2016 and October 2022 were retrospectively studied in our clinical center, which has a special program for imaging patients with cardiac devices. All patients underwent close cardiac monitoring throughout the MRI scans. Occurrence of arrhythmias or other adverse effects during MRI were assessed. LBBP lead parameters immediately pre- and post-MRI and at an outpatient follow-up were compared. RESULTS: Fifteen patients with LBBP underwent a total of 19 MRI sessions during the study period. Lead parameters did not significantly change after the MRI or on follow-up, which took place at a median of 91 days after the MRI. No patient developed arrhythmias during the MRI sessions, and no adverse effects such as lead dislodgement were reported. CONCLUSION: Although larger studies are necessary to verify our findings, MRI in patients with LBBP appears safe based on this initial case series.

A comparative study on the uptake of lanthanides from acidic feeds using extraction chromatography resins containing N,N,N',N'-tetra-n-alkyl diglycolamides with varying alkyl chain lengths in an ionic liquid.

A comparative study on the uptake of several rare earth element (REE) ions viz. La(III), Ce(III), Pr(III), Nd(III), Sm(III), Gd(III) and Dy(III) was carried out from nitric acid feeds using four extraction chromatography resins which contained the diglycolamide (DGA) ligands, N,N,N',N'-tetra-n-alkyldiglycolamide with n-pentyl (TPDGA), n-hexyl (THDGA), n-octyl (TODGA) and n-decyl (TDDGA) groups taken in a room temperature ionic liquid (C4mim·NTf2). The uptake of the lanthanides followed the trend: La(III) < Ce(III) < Pr(III) < Nd(III) < Sm(III) < Gd(III) < Dy(III), which is similar to their ionic potential values and the uptake trend of the resins was TPDGA > THDGA > TODGA > TDDGA. The uptake of the metal ions was very high (>104 g/mL) for all the lanthanide ions and was found to increase with increasing nitric acid concentrations. Based on the encouraging batch data, column studies were carried out with all the four extraction chromatography resins with the lanthanide ions used in this work. The column studies were carried out with both individual lanthanide ions and their mixtures. While the loading studies were carried out with 80 mg/L solutions of the metal ions (with respect to each of those) in the mixture of REEs, the elution studies were carried out using a solution of 0.05 M EDTA in 1 M guanidine carbonate. For the column studies involving individual REEs, 550 mg/L solutions were used. The elution profiles appeared to be sharp as >95% elution of the metal ions was accomplished in only 3 mL of the eluent which amounted to only 1.6 bed volumes which is highly impressive. When the studies were carried out with the mixture of the lanthanide ions, the breakthrough of Dy(III) was last while that of La(III) was seen at much lower volumes which was dependent on the nature of the extractant in the resins.

Radiation stability of two extraction chromatography resin materials containing substituted diglycolamide ligands in an ionic liquid.

The radiation stability of two extraction chromatography resins containing diglycolamide ligands viz. TPDGA (N,N,N',N'-tetra-n-pentyl diglycolamide) and TODGA (N,N,N',N'-tetra-n-octyl diglycolamide) in a room temperature ionic liquid (C4mim.NTf2) was studied by exposing to gamma rays from a 60Co source. The resins were irradiated to varying gamma ray dose up to 1000 kGy where both the dry resins and wet resins (containing a fixed amount nitric acid in contact) were used. The performance assessment of the resins was done by physicochemical characterization as well as uptake studies; both by batch as well as column methods. The physicochemical characterization of the resins was done using FTIR analysis while the surface morphology of the resins was carried out by scanning electron microscopy. The uptake of the metal ions, typically that of Am(III) and Eu(III), representing the trivalent actinides and lanthanides was studied by batch method. The dry resins and those in contact with nitric acid yielded nearly identical results suggesting minimal effect of the radiolytic products of nitric acid on the resin performance. There was negligible change in the Kd values up to an absorbed dose of 300 kGy beyond which there was sharp decrease. However, the Kd values were still quite large even after an absorbed dose of 1000 kGy. The column performance of the irradiated resins was also assessed by the uptake and elution of Eu(III) ion and though loading was affected, the elution behavior was found to have insignificant effect.

Highly efficient uptake of Europium (III) and Americium (III) from acidic feeds using extraction chromatography resins containing N,N,N',N'-tetra alkyl diglycolamides with varying alkyl chain length in an ionic liquid.

A comparative study on the uptake of Eu(III) and Am(III) was carried out using four extraction chromatography (XC) resins impregnated with constant weight of the tetra-n-pentyl diglycolamide (TPDGA) ligands, viz. tetra-n-hexyl diglycolamide (THDGA), tetra-n-octyl diglycolamide (TODGA) and tetra-n-decyl diglycolamide (TDDGA) along with C4mim·NTf2, a room temperature ionic liquid (RTIL), from nitric acid feed solutions. The uptake of Eu(III) was higher than that of Am(III) while the uptake trend with the four XC resins followed the order: TPDGA > THDGA > TODGA > TDDGA, which was opposite to the alkyl chain length attached to the DGA extractant. When constant moles of the extractants were used, the observed trend was TODGA > THDGA > TDDGA > TPDGA. Also, for all the four XC resins, the uptake of both Eu(III) and Am(III) ions increased with increasing nitric acid concentration. The uptake data with all the four resins were fitted into different kinetic and isotherm models which conformed to a pseudo-second order kinetics and Langmuir monolayer sorption isotherm. Furthermore, columns were prepared with these XC resins and were used to obtain breakthrough profiles using a feed solution containing 0.55 g/L Eu(III) in 3 M HNO3. Subsequently, the elution of the loaded metal ion from the column was accomplished with a strippant solution containing 1 M guanidine carbonate + 0.05 M EDTA in distilled water. Elution profiles for all the four resins showed sharp peaks with almost no tailing.

Highly efficient Plutonium(IV) uptake from acidic feeds using four extraction chromatography resins containing diglycolamides and ionic liquid.

Quantitative recovery of plutonium from lean effluents is one of the most challenging tasks for separation scientists. Four extraction chromatography (XC) resins containing substituted diglycolamide ligands viz. N,N,N',N'-tetra-n-pentyl diglycolamide (TPDGA), N,N,N',N'-tetra-n-hexyl diglycolamide (THDGA), N,N,N',N'-tetra-n-octyl diglycolamide (TODGA) and N,N,N',N'-tetra-n-decyl diglycolamide (TDDGA) and a room temperature ionic liquid (RTIL) were tested for the extraction of plutonium (IV) from nitric acid feed solutions. The relative efficiency of uptake of the metal ion in the entire range of HNO3 studied was: TPDGA > THDGA > TODGA > TDDGA, which was opposite to the chain length of the attached alkyl groups. Also, for all the four XC resins the uptake of Pu(IV) was found to decrease with increasing nitric acid concentration in the lower acidity range followed by an increase thereafter. The uptake of Pu(IV) with all the four XC resins was fitted into different kinetic and isotherm models. It was found that all the four resins followed the pseudo-second order kinetic model and Langmuir monolayer adsorption model. Column studies with these XC resins using a loading solution containing 1.2 g/L Pu(IV) in 3 M HNO3 showed early breakthrough for the higher homolog DGA ligands as compared to the lower homologs. Effective elution of the loaded Pu(IV) from the column was done in about 5.5 column volumes using a solution containing 0.5 M oxalic acid in 0.5 M HNO3.

Highly efficient uptake of tetravalent actinide ions from nitric acid feeds using an extraction chromatography material containing tetra-n-butyl diglycolamide and a room temperature ionic liquid.

An extraction chromatography (XC) material containing N,N,N',N'-tetra-n-butyl diglycolamide (TBDGA) and 1-butyl-3-methylimidazolium bis(trifluoromethanesulphonyl) imide (C4mim∙NTf2), a room temperature ionic liquid, was used for the uptake of the tetravalent actinide ions Th(IV), Np(IV), and Pu(IV) from nitric acid feed solutions. The uptake of the metal ions followed the trend: Th(IV) < Np(IV) < Pu(IV), which is the same as that of their ionic potential values. While a decrease in the Np(IV) and Pu(IV) uptake was seen with increasing HNO3 concentration at lower acidities, an opposite trend was observed at higher acidities. Th(IV) uptake was not affected with the acid concentration. In view of the very high uptake and its importance in the nuclear fuel cycle, the major part of the studies was carried out with Pu(IV) ion. The loaded Pu(IV) was back extracted from the XC material using a mixture of 0.5 M oxalic acid and 0.5 M nitric acid. The Pu(IV) uptake by the XC material was fitted into different kinetic and isotherm models. The results conformed to the pseudo-second order kinetic model and the Langmuir monolayer sorption model. Column studies were carried out using a feed having 1.6 mg/L Pu solution in 3 M HNO3. While the breakthrough was obtained after passing ca. nine bed volumes, a sharp elution peak was obtained with >99% recovery in about seven bed volumes.

Highly efficient plutonium scavenging by an extraction chromatography resin containing a tetraaza-12-crown-4 ligand tethered with four diglycolamide pendent arms.

An efficient extraction chromatography resin, containing tetraaza-12-crown-4 functionalized with four diglycolamide moieties, was evaluated for the separation of plutonium. This chromatography resin yielded very large distribution coefficients for Pu4+ (>105) in 0.5 - 6 M HNO3 feed solutions. Various physicochemical properties such as sorption kinetics, Pu4+ sorption mechanism, and its sorption capacity were investigated. The sorption kinetics, following a pseudo-second-order model, showed that about 10 minutes of equilibration was sufficient for >99.9% sorption of Pu4+. The sorption of Pu4+ on the resin followed the Langmuir monolayer model, which was confirmed by a theoretical calculation based on the kinetic model. The Pu4+ sorption on the resin was driven by a large exothermic enthalpy change (ΔH = -31.4±2.2 kJ/mol) and a positive entropy change (ΔS = 224±15 J/mol/L). The resin could sorb a maximum of 12.1±0.8 mg of Pu per gram of resin, which is equivalent to 1:2 metal/ligand complex on the resin. The Pu4+ from the resin phase was completely stripped with 0.5 M oxalic acid. A possible application of this resin for the separation / pre-concentration of Pu4+ was successfully demonstrated in the column mode.

Comparative uptake studies on trivalent f-cations from acidic feeds using two extraction chromatography resins containing a diglycolamide in molecular diluent and ionic liquid.

Low molecular weight diglycolamide (DGA) extractants were tested for the extraction of europium(III) and americium(III) from nitric acid solutions in n-dodecane, a molecular diluent and 1-butyl-3-methylimidazolium bis(trifluoromethanesulphonyl) imide (C4mim⋅NTf2), a room temperature ionic liquid, as the diluents. N,N,N',N'-tetra-n-butyl diglycolamide (TBDGA) was selected for extraction chromatography (XC) studies involving Eu(III) and Am(III). While the TBDGA resin containing n-dodecane gave reasonably high Kd values, that containing the ionic liquid showed higher Eu(III) uptake values. Compared to Eu(III), Am(III) was extracted by the resins to a lower extent. The loaded Eu(III) was back extracted from the resin using 0.05 M EDTA solutions in a buffered medium containing 1 M guanidine carbonate. Reusability studies indicated that, while the ionic liquid-based resin can be conveniently recycled five times with very marginal decrease in the percentage extraction values, there was a sharp decrease in the percent extraction after three cycles with the n-dodecane-based resin. The uptake data was fitted into different isotherm models and the results conformed to the Langmuir model. Based on the batch uptake studies, columns were prepared and the breakthrough as well as elution profiles were obtained. The elution profiles were found to be sharp without any significant tailing.

A Comparison of Two Different High-Volume Image-Guided Injection Procedures for Patients With Chronic Noninsertional Achilles Tendinopathy: A Pragmatic Retrospective Cohort Study.

We undertook a comparison evaluation of outcomes after 2 different high-volume image-guided injection (HVIGI) procedures performed under direct ultrasound guidance in patients with chronic noninsertional Achilles tendinopathy. In group A, the HVIGI involved high-volume (10 mL of 1% lidocaine combined with 40 mL of saline) and no dry needling. In group B, the HVIGI involved a smaller volume (10 mL of 1% lidocaine combined with 20 mL of saline) and dry needling of the Achilles tendon. A total of 34 patients were identified from the clinical records, with a mean overall age of 50.6 (range 26 to 83) years and an overall mean follow-up duration of 277 (range 49 to 596) days. The change between the preinjection and postinjection Victorian Institute of Sports Assessment-Achilles scores of 33.4 ± 22.5 points in group A and 6.94 ± 22.2 points in group B, was statistically significant (p = .002). In group A, 3 patients (16.7%) required surgical treatment compared with 6 patients (37.5%) in group B requiring surgical treatment (p = .180). Our results indicated that a higher volume without dry needling compared with a lower volume with dry needling resulted in greater improvement in noninsertional Achilles tendinopathy. However, confounding factors mean it is not possible to categorically state that this difference was solely due to different injection techniques.

Diagnostic Accuracy of Clinical Tests for Morton's Neuroma Compared With Ultrasonography.

The aim of the present study was to assess the diagnostic accuracy of 7 clinical tests for Morton's neuroma (MN) compared with ultrasonography (US). Forty patients (54 feet) were diagnosed with MN using predetermined clinical criteria. These patients were subsequently referred for US, which was performed by a single, experienced musculoskeletal radiologist. The clinical test results were compared against the US findings. MN was confirmed on US at the site of clinical diagnosis in 53 feet (98%). The operational characteristics of the clinical tests performed were as follows: thumb index finger squeeze (96% sensitivity, 96% accuracy), Mulder's click (61% sensitivity, 62% accuracy), foot squeeze (41% sensitivity, 41% accuracy), plantar percussion (37% sensitivity, 36% accuracy), dorsal percussion (33% sensitivity, 26% accuracy), and light touch and pin prick (26% sensitivity, 25% accuracy). No correlation was found between the size of MN on US and the positive clinical tests, except for Mulder's click. The size of MN was significantly larger in patients with a positive Mulder's click (10.9 versus 8.5 mm, p = .016). The clinical assessment was comparable to US in diagnosing MN. The thumb index finger squeeze test was the most sensitive screening test for the clinical diagnosis of MN.

Pictorial essay: USG of lumps and bumps of the foot and ankle.

USG is a cost-effective and dynamic way to interrogate superficial lumps and bumps. We present a pictorial review of the USG findings in various "lumps and bumps" of the foot and ankle.