Population normative data for OxCAP-MH capability scores.

AIM: The study aims to establish the first set of normative data for OxCAP-MH capability instrument and to examine its association with sociodemographic and anxiety/depression severity variables. METHODS: A large-sample cross-sectional online survey was conducted among the Hungarian adult general population in 2021. OxCAP-MH standardized mean scores were compared across age, sex, education level, residence, employment, and marital status. Linear regression analysis was employed to determine the impact of sociodemographic and anxiety/depression severity on the OxCAP-MH score. RESULTS: In total, N = 2000 individuals completed the survey. The sample mean age was 47.1, with female majority (53.4%). Most respondents had completed primary education (51%), were active on labour market (52.4%), lived in larger cities (70.0%), and were married/in relationship (61.1%). Nearly half of the participants reported experiencing depression (48.5%), anxiety (44.3%), and 38.6% reported having both. The mean OxCAP-MH score for the total sample was 67.2 (SD = 14.4), the highest in the non-depressed (74.4) and non-anxious (73.6) subgroups, the lowest among those with extremely severe depression (45.0) and severe anxiety (47.7). Regression results indicated that older individuals (by ß = 0.1), males (ß = 2.3), those with secondary or higher education (ß = 2.7 and 4.5) and students (ß = 6.8) had significantly (p<0.01) higher mental capabilities. Respondents with mild, moderate, severe, or extremely severe depression (ß = -6.6, -9.6, -13.8, -18.3) and those with mild, moderate, or severe anxiety (ß = -4.1, -7.7, -10.3) had lower capability scores. CONCLUSION: The OxCAP-MH instrument effectively differentiated capabilities across sociodemographic groups and highlighting the impact of depression and anxiety severity on general population's mental capability.

PersonALL: a genetic scoring guide for personalized risk assessment in pediatric B-cell precursor acute lymphoblastic leukemia.

BACKGROUND: Recurrent genetic lesions provide basis for risk assessment in pediatric acute lymphoblastic leukemia (ALL). However, current prognostic classifiers rely on a limited number of predefined sets of alterations. METHODS: Disease-relevant copy number aberrations (CNAs) were screened genome-wide in 260 children with B-cell precursor ALL. Results were integrated with cytogenetic data to improve risk assessment. RESULTS: CNAs were detected in 93.8% (n = 244) of the patients. First, cytogenetic profiles were combined with IKZF1 status (IKZF1normal, IKZF1del and IKZF1plus) and three prognostic subgroups were distinguished with significantly different 5-year event-free survival (EFS) rates, IKAROS-low (n = 215): 86.3%, IKAROS-medium (n = 27): 57.4% and IKAROS-high (n = 18): 37.5%. Second, contribution of genetic aberrations to the clinical outcome was assessed and an aberration-specific score was assigned to each prognostically relevant alteration. By aggregating the scores of aberrations emerging in individual patients, personalized cumulative values were calculated and used for defining four prognostic subgroups with distinct clinical outcomes. Two favorable subgroups included 60% of patients (n = 157) with a 5-year EFS of 96.3% (excellent risk, n = 105) and 87.2% (good risk, n = 52), respectively; while 40% of patients (n = 103) showed high (n = 74) or ultra-poor (n = 29) risk profile (5-year EFS: 67.4% and 39.0%, respectively). CONCLUSIONS: PersonALL, our conceptually novel prognostic classifier considers all combinations of co-segregating genetic alterations, providing a highly personalized patient stratification.

Next-Generation Sequencing-Based Genomic Profiling of Children with Acute Myeloid Leukemia.

Pediatric acute myeloid leukemia (AML) represents a major cause of childhood leukemic mortality, with only a limited number of studies investigating the molecular landscape of the disease. Here, we present an integrative analysis of cytogenetic and molecular profiles of 75 patients with pediatric AML from a multicentric, real-world patient cohort treated according to AML Berlin-Frankfurt-Münster protocols. Targeted next-generation sequencing of 54 genes revealed 17 genes that were recurrently mutated in >5% of patients. Considerable differences were observed in the mutational profiles compared with previous studies, as BCORL1, CUX1, KDM6A, PHF6, and STAG2 mutations were detected at a higher frequency than previously reported, whereas KIT, NRAS, and KRAS were less frequently mutated. Our study identified novel recurrent mutations at diagnosis in the BCORL1 gene in 9% of the patients. Tumor suppressor gene (PHF6, TP53, and WT1) mutations were found to be associated with induction failure and shorter event-free survival, suggesting important roles of these alterations in resistance to therapy and disease progression. Comparison of the mutational landscape at diagnosis and relapse revealed an enrichment of mutations in tumor suppressor genes (16.2% versus 44.4%) and transcription factors (35.1% versus 55.6%) at relapse. Our findings shed further light on the heterogeneity of pediatric AML and identify previously unappreciated alterations that may lead to improved molecular characterization and risk stratification of pediatric AML.

Real-world performance analysis of a novel computational method in the precision oncology of pediatric tumors.

BACKGROUND: The utility of routine extensive molecular profiling of pediatric tumors is a matter of debate due to the high number of genetic alterations of unknown significance or low evidence and the lack of standardized and personalized decision support methods. Digital drug assignment (DDA) is a novel computational method to prioritize treatment options by aggregating numerous evidence-based associations between multiple drivers, targets, and targeted agents. DDA has been validated to improve personalized treatment decisions based on the outcome data of adult patients treated in the SHIVA01 clinical trial. The aim of this study was to evaluate the utility of DDA in pediatric oncology. METHODS: Between 2017 and 2020, 103 high-risk pediatric cancer patients (< 21 years) were involved in our precision oncology program, and samples from 100 patients were eligible for further analysis. Tissue or blood samples were analyzed by whole-exome (WES) or targeted panel sequencing and other molecular diagnostic modalities and processed by a software system using the DDA algorithm for therapeutic decision support. Finally, a molecular tumor board (MTB) evaluated the results to provide therapy recommendations. RESULTS: Of the 100 cases with comprehensive molecular diagnostic data, 88 yielded WES and 12 panel sequencing results. DDA identified matching off-label targeted treatment options (actionability) in 72/100 cases (72%), while 57/100 (57%) showed potential drug resistance. Actionability reached 88% (29/33) by 2020 due to the continuous updates of the evidence database. MTB approved the clinical use of a DDA-top-listed treatment in 56 of 72 actionable cases (78%). The approved therapies had significantly higher aggregated evidence levels (AELs) than dismissed therapies. Filtering of WES results for targeted panels missed important mutations affecting therapy selection. CONCLUSIONS: DDA is a promising approach to overcome challenges associated with the interpretation of extensive molecular profiling in the routine care of high-risk pediatric cancers. Knowledgebase updates enable automatic interpretation of a continuously expanding gene set, a "virtual" panel, filtered out from genome-wide analysis to always maximize the performance of precision treatment planning.

Time trade-off health state utility values for depression: a systematic review and meta-analysis.

PURPOSE: This study aims to systematically review the literature on health utility in depression generated by time trade-off (TTO) method and to compare health state vignettes. METHODS: Systematic literature search was conducted following PRISMA guideline in 2020 November (updated in 2022 March) in Pubmed, Web of Science, PsycInfo, and Cochrane Database of Systematic Reviews. Random effect meta-analysis was conducted to pool vignette-based utility values of mild, moderate, and severe depression and to compare the preferences of depressed and nondepressed population. RESULTS: Overall, 264 records were found, 143 screened by title and abstract after removing duplicates, 18 assessed full text, and 14 original publications included. Majority of the studies (n = 9) used conventional TTO method, and most of the studies (n = 8) applied 10-year timeframe. Eight studies evaluated self-experienced health (own-current depression). Six studies assessed vignette-based health states of remitted, mild, moderate, and severe depression, half of them applied McSad measure based health description. Altogether, 61 different utility values have been cataloged, mean utility of self-experienced depression states (n = 33) ranged between 0.89 (current-own depression) and 0.24 (worst experienced depression). Pooled utility estimates for vignette-based mild, moderate, and severe depression was 0.75, 0.66 and 0.50, respectively. Meta-regression showed that severe depression (ß = -0.16) and depressed sample populations (ß = -0.13) significantly decrease vignette-based utility scores. CONCLUSION: Our review revealed extent heterogeneity both in TTO methodology and health state vignette development. Patient's perception of depression health states was worse than healthy respondents.

Parallel exploratory and confirmatory factor analysis of the Hungarian Fear of COVID-19 Scale in a large general population sample: a psychometric and dimensionality evaluation.

BACKGROUND: This study aims to confirm validity and reliability of the Hungarian version of Fear of COVID-19 Scale (FCV-19S) and evaluate its dimensional structure. METHODS: Cross-sectional survey was carried out in 2021 among Hungarian general population. In addition to classical test theory methods, construct dimensionality of FCV-19S was assessed using EFA with principal axis factoring method and CFA with diagonally-weighted least squares estimation. Fear score was compared in age, gender, educational level, vaccination and infection subgroups. RESULTS: Significant differences in FCV-19S mean scores were observed between three subgroups (age, gender, vaccination). Items showed good internal consistency (Cronbach α = 0.88). EFA identified two latent factors (eig = 4.2 and 1.02), though parallel analysis supports the one-factor model. The two-dimensional structure was confirmed by CFA, items 3,4,6,7 correlated with Factor 1 (physiological fear), items 1,2,5 with Factor 2 (emotional fear). CONCLUSION: The Hungarian version of FCV-19S seems valid and reliable. The EFA identified two-latent factors (emotional and physiological fear), that was confirmed by CFA. The two-factor structure had better model fit, though its' acceptance is limited.

Medical Communication during the Transition to Palliative Care in Pediatric Oncology in Hungary-The Parents' Perspective.

The transition to palliative care (PC) is a critical aspect of pediatric oncology, and it requires a high level of communication skills from doctors, which could be best judged by the parents of children who have died from cancer. Our aim was to explore the parents' perspectives regarding the timing of the consultation on the implementation of PC, as well as facets of verbal and nonverbal communication in Hungary. Semistructured interviews were conducted with parents who had lost a child to cancer within the past 1-5 years. Interview transcripts (n = 23) were scrutinized with interpretative phenomenological analysis. The parents frequently associated palliation with end-of-life care and they clearly delimited the transition to PC after curative treatments had been exhausted. The parents were ambivalent with regard to the use of the word "death" during this consultation, and they often did not receive information on what to expect (e.g., regarding symptoms) or on who to turn to for further information or support (e.g., concerning bereavement). Although significant progress could be observed in the organization of pediatric palliative care in Hungary, there is still no widely accepted communication method for the transition to sole PC. There is a need for a culturally sensitive approach to refining the recommendations on the word use and communication protocol in pediatric PC in Hungary.

Functional silver nanoparticles synthesis from sustainable point of view: 2000 to 2023 ‒ A review on game changing materials.

The green and facile synthesis of metallic silver nanoparticles (AgNPs) is getting tremendous attention for exploring superior applications because of their small dimensions and shape. AgNPs are already proven materials for superior coloration, biocidal, thermal, UV-protection, and mechanical performance. Originally, some conventional chemical-based reducing agents were used to synthesize AgNPs, but these posed potential risks, especially for enhanced toxicity. This became a driving force to innovate plant-based sustainable and green metallic nanoparticles (NPs). Moreover, the synthesized NPs using plant-based derivatives could be tuned and regulated to achieve the required shape and size of the AgNPs. AgNPs synthesized from naturally derived materials are safe, economical, eco-friendly, facile, and convenient, which is also motivating researchers to find greener routes and viable options, utilizing various parts of plants like flowers, stems, heartwood, leaves and carbohydrates like chitosan to meet the demands. This article intends to provide a comprehensive review of all aspects of AgNP materials, including green synthesis methodology and mechanism, incorporation of advanced technologies, morphological and elemental study, functional properties (coloration, UV-protection, biocidal, thermal, and mechanical properties), marketing value, future prospects and application, especially for the last 20 years or more. The article also includes a SWOT (Strengths, weaknesses, opportunities, and threats) analysis regarding the use of AgNPs. This report would facilitate the industries and consumers associated with AgNP synthesis and application through fulfilling the demand for sustainable, feasible, and low-cost product manufacturing protocols and their future prospects.

Multifocal Urinary Tract Metastasis of Colorectal Carcinoma.

INTRODUCTION: Secondary urinary tract tumors are uncommon findings and mainly evolve by direct invasion from adjacent organs. Actual metastatic involvement often develops in the urinary bladder, while the upper urinary tract is infrequently affected. In addition, the lungs, breast, and prostate gland are the usual primary sites. Colorectal carcinoma (CRC) may spread to the ureter directly or seeds via vascular or lymphatic channels. It may pose struggles in the differential diagnosis because CRC shares standard pathologic features with the primary adenocarcinoma of the urinary tract. CASE PRESENTATION: We describe the case of an 81-year-old man who was referred to our hospital with a distal ureteral tumor that was treated by a ureteronephrectomy. The histopathological and genetic analysis established the diagnosis of metastatic CRC along with 3 metastases in the renal pelvis. CONCLUSION: This rare case highlights the limitations of conventional histological processing, including immunohistochemistry, and it underlines the role of molecular investigations in certain circumstances.

Colorful and facile in situ nanosilver coating on sisal/cotton interwoven fabrics mediated from European larch heartwood.

This study reports on a novel coloration approach for sisal/cotton interwoven fabric via in situ synthesis of European larch (Larix decidua) heartwood-anchored sustainable nanosilver. The heartwood extracts functioned as the reducing and stabilizing agent in reaction systems. The deposited silver nanoparticles (AgNPs) over the fabric surfaces displayed brilliant coloration effects with improved fastness ratings and color strengths (K/S). The successful depositions of nanosilvers were quantified and increasing trends in K/S values with the increase in silver precursor loading were discovered. The concentrations of AgNPs deposited on fabric surfaces were found to be 16 mg/L, 323 mg/L, and 697 mg/L, which were measured through an iCP OES (atomic absorption spectroscopy) test. The K/S values obtained for different loadings of silver precursors (0.5, 1.5, and 2.5 mM (w/v)) are 2.74, 6.76, and 8.96. Morphological studies of the control and AgNP-treated fabrics also displayed a uniform and homogeneous distribution of AgNPs over the fabric surfaces. FTIR (Fourier transform infrared spectroscopy) studies of the sustainably developed materials further confirms the successful bonding between the fabrics and AgNPs. Furthermore, stability against temperature was also noticed as per TGA (thermogravimetric analysis) and DTG (derivative TG) analysis although there was a slight decline from the control sisal/cotton interwoven fabrics observed. Statistically, regression analysis and ANOVA tests were conducted to understand the significance of increased nanosilver loading on sisal/cotton interwoven fabrics. In summary, the perceived results demonstrated successful coloration and functionalization of sisal/cotton interwoven fabrics through green AgNPs, which could indicate a new milestone for industrial production units.

Health utility measurement by time trade-off method in Hungary / Egészséghasznosság-mérés idoalku módszerrel Magyarországon.

Összefoglaló. Bevezetés: Az idoalku (time trade-off) egy nemzetközileg széles körben alkalmazott életminoség- és egészséghasznosság-mérési módszer. Az idoalkuval mért hasznosságértékek az egészségügyi technológiák költséghatékonysági vizsgálatakor az életminoséggel korrigált életév (quality-adjusted life year, QALY) mutatószám számítására használhatók. Kevés ismerettel rendelkezünk arról, hogy Magyarországon milyen betegségekben állnak rendelkezésre idoalkuval mért hasznosságértékek. Célkituzés: Célunk szisztematikus irodalmi áttekintés keretében összefoglalni és katalogizálni az idoalku módszerrel mért hasznosságértékeket közlo publikációkat Magyarországon. Módszer: 2020 januárjában szisztematikus folyóirat-keresést végeztünk a PubMed, Web of Science és Matarka elektronikus adatbázisokban. Beválogatási kritériumaink a következok voltak: (1) eredeti közlemények, melyek (2) idoalku módszerrel mértek hasznosságértéket, és (3) magyarországi mintán mért adatokat közöltek. Eredmények: 9 eredeti közleményt válogattunk be, amelyek összesen 7 krónikus betegségben (Crohn-betegség, idoskori maculadegeneratio, krónikus migrén, pemphigus, psoriasis, primer dysmenorrhoea és rheumatoid arthritis) 23 egészségi állapot hasznosságát határozták meg. A kutatások mintanagysága 108 és 1996 fo között alakult. Két kutatás betegcsoportokat vizsgált, ketto az általános populációt, és három vizsgálatban szerepelt mindketto. Hat kutatás használta a hagyományos idoalku valamelyik formáját, egy pedig az összetett idoalku módszert. Egy kutatásban szerepelt 'rosszabb a halálnál' válaszlehetoség. A leggyakrabban alkalmazott idotáv a standard 10 év volt (71%). Az egyes állapotok hasznosságának átlaga 0,34 (kezeletlen pemphigus vulgaris) és 0,94 (enyhe primer dysmenorrhoea) között változott. A 'non-traderek' aránya az egyes kutatásokban 0 és 29% között változott. Következtetések: Egyre több krónikus betegségben elérhetok a magyar társadalom vagy betegek preferenciáin alapuló egészséghasznosság-értékek. A hazai idoalku-vizsgálatok többsége megfelel a nemzetközi minoségi követelményeknek. Az idoalku módszer alkalmazása javasolt más krónikus állapotokban is, a felmért hasznosságértékek segíthetik az egészségügyi technológiákkal kapcsolatos finanszírozói döntéshozatalt. Orv Hetil. 2021; 162(14): 542-554. INTRODUCTION: Time trade-off (TTO) is a widely used method to assess health-related quality of life and health utilities for economic evaluations of health technologies. Little is known about the use of TTO in the Hungarian context. OBJECTIVE: To systematically summarize the existing literature on the method in Hungary. METHOD: In January 2020, we conducted a systematic literature search in three electronic databases (MEDLINE, Web of Science and the Hungarian Periodicals Table of Contents Database). Our inclusion criteria were: (1) original publications, which (2) measured utilities by using TTO, (3) from a Hungarian sample. RESULTS: Nine publications containing seven original studies were included that reported utilities for 23 different health states in seven chronic diseases (age-related macular degeneration, chronic migraine, Crohn's disease, pemphigus, primary dysmenorrhoea, psoriasis and rheumatoid arthritis). Sample sizes ranged from 108 to 1996 respondents. Two studies used general population samples, another two used patient groups and three studies used both. Six studies used a form of conventional TTO and one used composite TTO method. The most frequent timeframe was 10 years (71%). The lowest mean utility was 0.34 (uncontrolled pemphigus vulgaris), while the highest was 0.94 (mild primary dysmenorrhoea). The overall proportion of non-traders ranged between 0 and 29% across studies. CONCLUSIONS: A growing number of studies are using TTO to assess utilities for chronic conditions from the general population or patients in Hungary. The majority of Hungarian TTO studies have met international quality standards. The assessment of TTO utilities is recommended also in other chronic conditions to assist health technology assessment. Orv Hetil. 2021; 162(14): 542-554.

Thermomechanical Behavior of Methylene Diphenyl Diisocyanate-Bonded Flax/Glass Woven Fabric Reinforced Laminated Composites.

The development of sustainable and innovative products through solving the constantly raising demands of end users is one of the significant parts of research and development. Herein, the development of a green composite is reported with the reinforcement of naturally originated flax and artificial glass woven fabrics through incorporating with the methylene diphenyl diisocyanate (MDI) resin. The glass fabrics were treated with silane and flax fabrics by using NaOH before the composite production to increase the affinity of fibers toward the resin. Composite panels were developed with four different ratios of glass and flax woven fabric reinforcement (100/0, 83.33/16.67, 50/50, and 0/100) to investigate their performance with the MDI resin. The composites were characterized by tensile and flexural analysis to investigate the mechanical performances. The thermogravimetric characteristics of the composites were examined for checking the thermal stability of the produced composites. The surface morphology was investigated for observing the surfaces of the composites before and after applying tensile loads. Scanning electron microscopy (SEM) deployed EDX linear scanning was used for ensuring about the signals of different chemical constituents into the matrix. Fourier transform infrared spectroscopy (FTIR) was conducted for finding out the fingerprint of the chemical elements of the produced composites. Besides, the water absorption and moisture content tests were also conducted to examine the moisture absorption by the pure glass, flax, and hybrid composites. Further, statistical analysis of variances was performed to test the significance of the differences in the mechanical properties of the individual types of the composites developed. For investigating the relationship between the proportion of woven glass fabric in the reinforcement and the mechanical properties, regression analysis was used. The ANOVA test was also examined for checking the significance of the mechanical properties of the composites.

Thermo-mechanical properties of pretreated coir fiber and fibrous chips reinforced multilayered composites.

Coir is one of the most important natural fibers having significant potentiality in structural biocomposites production. The long coir fiber (LCF) and short fibrous chips (CFC) were extracted from the husk of coconut. The dimensions of the CFC were within 1.0-12.5 mm and the LCF were within 2.0 mm. All the fibers and fibrous chips were treated with 5% NaOH (alkali) before the biocomposite manufacturing. Different percentages (8%, 10%, and 12%) of melamine-urea-formaldehyde (MUF) were used to produce the tri-layered medium density composite panels with 12 mm thickness. The mechanical properties (tensile, flexural, and internal bonding strengths) of coir reinforced multilayered composites has been studied for all the produced biocomposites. The morphological, micro-structural, and bonding mechanisms were investigated by Scanning electron microscope and Fourier-transform infrared spectroscopy analysis. Thermal properties of the biocomposites were studied by thermal conductivity, thermogravimetric analysis, and derivative thermogravimetry characterization. The moisture contents of the final composite panels were also investigated in this study. The main objective of this work is to investigate the influences of MUF on treated coir fiber and fibrous chips reinforced tri-layered biocomposites. Beside, a novel sustainable product is developed through reinforcing the fibrous chip with coir fiber in terms of multilayered biocomposite panels.

A state-of-the-art review on coir fiber-reinforced biocomposites.

The coconut (Cocos nucifera) fruits are extensively grown in tropical countries. The use of coconut husk-derived coir fiber-reinforced biocomposites is on the rise nowadays due to the constantly increasing demand for sustainable, renewable, biodegradable, and recyclable materials. Generally, the coconut husk and shells are disposed of as waste materials; however, they can be utilized as prominent raw materials for environment-friendly biocomposite production. Coir fibers are strong and stiff, which are prerequisites for coir fiber-reinforced biocomposite materials. However, as a bio-based material, the produced biocomposites have various performance characteristics because of the inhomogeneous coir material characteristics. Coir materials are reinforced with different thermoplastic, thermosetting, and cement-based materials to produce biocomposites. Coir fiber-reinforced composites provide superior mechanical, thermal, and physical properties, which make them outstanding materials as compared to synthetic fiber-reinforced composites. However, the mechanical performances of coconut fiber-reinforced composites could be enhanced by pretreating the surfaces of coir fiber. This review provides an overview of coir fiber and the associated composites along with their feasible fabrication methods and surface treatments in terms of their morphological, thermal, mechanical, and physical properties. Furthermore, this study facilitates the industrial production of coir fiber-reinforced biocomposites through the efficient utilization of coir husk-generated fibers.

Late mortality in survivors of childhood cancer in Hungary.

The Hungarian Pediatric Oncology Network provides centralized treatment and population-based registration for cases of childhood cancer since 1973. We collected and analized data on late mortality, secondary malignancies and cardiac diseases in survivors (> 5 years) of childhood cancer to evaluate long-term risks. We extracted all solid tumour cases (3,650 followed up for 5-39.3 years, diagnosis: 1973-2008) from the database of the Hungarian Childhood Cancer Registry and checked against the Population Registry. Among the 301 patients who died after 5 years (8.2%) the most common causes of death were progression of primary cancer (52.5%), secondary malignancies (16%) and cardiovascular diseases (8%). Late mortality rates (SMR, total: 35,006 pyrs) showed highly elevated risk of death (SMR: 10.7 95% CI 9-12.4) for the second 5 years of follow up and moderately elevated risk for 10-year survivors (SMR: 3.5 95% CI 3-4.1). Marked differences were detected in the pattern of causes of death between diagnostic groups of primary cancer; with highest risks beyond 10 years for CNS tumours, Hodgkin disease, osteosarcoma and advanced stage neuroblastoma. The longstanding mortality risk for 5-year survivors underlines the need for tailored long-term follow-up and monitoring of late consequences according to the context of different primary diseases of childhood cancer.

Potential Natural Fiber Polymeric Nanobiocomposites: A Review.

Composite materials reinforced with biofibers and nanomaterials are becoming considerably popular, especially for their light weight, strength, exceptional stiffness, flexural rigidity, damping property, longevity, corrosion, biodegradability, antibacterial, and fire-resistant properties. Beside the traditional thermoplastic and thermosetting polymers, nanoparticles are also receiving attention in terms of their potential to improve the functionality and mechanical performances of biocomposites. These remarkable characteristics have made nanobiocomposite materials convenient to apply in aerospace, mechanical, construction, automotive, marine, medical, packaging, and furniture industries, through providing environmental sustainability. Nanoparticles (TiO2, carbon nanotube, rGO, ZnO, and SiO2) are easily compatible with other ingredients (matrix polymer and biofibers) and can thus form nanobiocomposites. Nanobiocomposites are exhibiting a higher market volume with the expansion of new technology and green approaches for utilizing biofibers. The performances of nanobiocomposites depend on the manufacturing processes, types of biofibers used, and the matrix polymer (resin). An overview of different natural fibers (vegetable/plants), nanomaterials, biocomposites, nanobiocomposites, and manufacturing methods are discussed in the context of potential application in this review.

Circulating microRNAs as minimal residual disease biomarkers in childhood acute lymphoblastic leukemia.

BACKGROUND: Treatment stratification based on bone marrow minimal residual disease (MRD) at set time points has resulted in considerably improved survival in pediatric acute lymphoblastic leukemia (ALL). Treatment response is assessed using bone marrow samples. MicroRNAs (miRs) easily traffic among fluid spaces and are more stable than most other RNA classes. We examined the role of circulating miRs as putative less invasive MRD biomarkers. METHODS: In an exploratory experiment, expression of 46 preselected miRs was studied in platelet-free blood plasma samples of 15 de novo, 5 relapsed ALL patients and 10 controls by Custom TaqMan Array Advanced MicroRNA Card. Based on their high expression in ALL compared to controls, and on the reduction observed along the induction therapy, four miRs were selected for further analyses: miR-128-3p, -181a-5p, -181b-5p and 222-3p. Their expression was measured by qPCR at 4 time points in 27 de novo ALL patients treated in the ALL IC-BFM 2009 study. RESULTS: The expression of all 4 miRs significantly decreased over the first week of therapy (miR-128-3p: log2 fold change - 2.86; adjusted p 3.6 × 10-7; miR-181b-5p: log2 fold change - 1.75; adjusted p 1.48 × 10-2; miR-181a-5p: log2 fold change -1.33; adjusted p 3.12 × 10-2; miR-222-3p: log2 fold change - 1.25; adjusted p 1.66 × 10-2). However, no significant further reduction in miR expression was found after the 8th day of therapy. Measured drop in expression of 2 miRs at day 8 strongly correlated with day 15 bone marrow flow cytometry MRD results (miR-128-3p: Pearson's r = 0.88, adjusted p = 2.71 × 10-4; miR-222-3p: r = 0.81, adjusted p = 2.99 × 10-3). CONCLUSION: In conclusion, these circulating miRs might act as biomarkers of residual leukemia. MiR-128-3p and miR-222-3p in blood predict day 15 flow cytometry MRD results 7 days earlier. Although, their sensitivity falls behind that of bone marrow flow cytometry MRD at day 15.

[Change in paradigm in the treatment of pediatric acquired bone marrow failure syndromes in Hungary]. / Korszakváltás a gyermekkori szerzett csontvelo-elégtelenséggel járó kórképek kezelésében Magyarországon.

INTRODUCTION: Acquired bone marrow failures are rare but fatal diseases in childhood. Since 2013, Hungary has been participating as a full member in the work of the European Working Group on uniform diagnostics and therapy in patients with acquired bone marrow failure syndromes. Hypocellular refractory cytopenia of childhood has been emphasized as a frequent entity, transplanted by reduced intensity conditioning with excellent outcomes. AIM: To analyse and compare the results of treatment before and after our joining. METHOD: A total of 55 patients have been treated in the 8 centres of the Hungarian Pediatric Oncology Network during 5 years between 2013 and 2017 (severe aplastic anemia: 9, myelodysplastic syndrome: 41, juvenile myelomonocytic leukemia: 5 patients). Allogeneic hematopoietic stem cell transplantation was performed in severe aplastic anemia in 7 cases, while antithymocyte globulin was administered in one case and one patient died before diagnosis. In patients with myelodysplastic syndromes, watch and wait strategy was applied in 4, while transplantation in 37 cases. Reduced intensity conditioning was used in 54 percent of these cases. Transplantation was the treatment of choice in all 5 patients with juvenile myelomonocytic leukemia. RESULTS: In the whole patient cohort, the time from diagnosis to treatment was median 92 (3-393) days, while in severe aplastic anemia median 28 (3-327) days only. Grade II-IV acute graft versus host disease occurred in 22.6%, grade III-IV in 6.8% and chronic in 11.2%. All the patients treated with severe aplastic anemia are alive and in complete remission (100%). The overall estimated survival rate is 85.1% in myelodysplastic syndrome, while 75% in juvenile myelomonocytic leukemia. The median follow-up was 30.4 (1.1-62.5) months. There was a remarkable increase in overall survival comparing the data before (1992-2012) and after (2013) joining the international group, 70% vs. 100% (p = 0.133) in severe aplastic anemia and 31.3% vs. 85.1% (p = 0.000026) in myelodysplastic syndrome. CONCLUSION: Due to a change in the paradigm of the conditioning regimen in hypocellular refractory cytopenia of childhood, the overall survival rate has significantly increased. Orv Hetil. 2018; 159(42): 1710-1719.