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During the worldwide pandemic of coronavirus disease 2019 (COVID-19 pandemic), online learning is increasingly vital for students to learn at home, and online learning platforms provide learning opportunities to students. The Junyi Academy online platform is an online learning platform that both helps lower-achieving students review lessons and helps teachers in Taiwan do differentiated instruction. Several studies have shown the relationships between students’ attention and their academic achievements for students’ self-learning, but how to best use these platforms to help students learn by themselves is unclear. Therefore, this study investigates the relationships between students’ attention and their academic achievements with two online learning environments. A total of 38 upper secondary students in Taiwan to participate in this study, and these students were divided between a Khan-style video lecture (VL) group and an online practice (OP) group. This study adopted an experimental design with data collected by an electroencephalogram (EEG). The results show that students’ attention in the VL group was higher than in the OP group. Furthermore, their attention in three stages differed between the two groups. Student attention was similar in the two groups for the first stage, but the VL group had higher attention for the second and third stages was than did the OP group. In addition, there was no relationship between students’ attention and their academic achievements in the VL and OP groups. Finally, this study raised some suggestions the future research. [ABSTRACT FROM AUTHOR]

Ginkgo biloba is a large, deciduous tree that matures to 100' tall and is considered to be a living fossil. It is the only surviving member of a group of ancient plants believed to have inhabited the earth up to 150 million years ago. In traditional Chinese medicine, G. biloba preparations have been used for centuries for the management of disorders such as anxiety, allergy, dementia, eye problems, peripheral artery disease, tinnitus, liver fibrosis, hepatocellular carcinoma, and cardiovascular health. Centuries of experience has also shown it to be safe and effective to be used as herbal medicine. This short review, dedicated to the memory of Prof. Keith A. Wesnes, summarizes in vitro and in vivo human studies documenting therapeutic effects of G. biloba preparations for human health. [ABSTRACT FROM AUTHOR]

In Taiwan, numerous crops are threatened by Xanthomonas diseases such as citrus bacterial canker caused by X. citri subsp. citri and tomato bacterial spot mainly caused by X. euvesicatoria pv. perforans. Foliar sprays of copperbased bactericides have been frequently used for control of plant bacterial diseases. However, in Taiwan not much attention was paid on copper-resistant (CuR) Xanthomonas spp. and their impact on disease control efficacy of copperbased bactericides. In this study, CuR Xanthomonas isolates were collected from citrus and tomato in Taiwan. Compared with the pronounced effect on the copper sensitive isolate, spraying of copper hydroxide at the recommended rate of 0.5 kg/ha could not protect tomato plants against bacterial spot caused by the CuR isolate. Phylogenetic analysis of concatenated copper resistance genes, copL, copA, and copB, indicate that the Taiwanese CuR isolates belong to the worldwide clade. In addition to the three previously reported variants of the copB gene, analysis of complete copB sequences from xanthomonads associated with citrus and solanaceous hosts revealed the other three variants of copB and their global distribution. Copper-resistant Xanthomonas isolates from Taiwan have the two unreported variants of copB genes which differ from the other three previously reported types in the sizes and structures. The information provided here reveals the necessity to develop and include alternative measures rather than relying on foliar sprays of copper bactericides for sustainable control of tomato bacterial spot in Taiwan. [ABSTRACT FROM AUTHOR]

Oral cancer is a type of head and neck cancer that can be life threatening. Unfolded protein response and endoplasmic reticulum stress play a critical role in carcinogenesis. However, prolonged activation of unfolded protein response also activates apoptosis. Thus, a new treatment strategy maybe activation of extensive unfolded protein response and severe endoplasmic reticulum stress in tumor cells. We examined the pharmacological effects of chrysophanol on an oral cancer cell line FaDu, a hypopharyngeal squamous cell carcinoma specifically for its ability to cause cell death via unfolded protein response and endoplasmic reticulum stress. We measured the expression of binding immunoglobulin protein, C/EBP homologous protein, phosphorylated inositol-requiring enzyme-1a, and activating transcription factor 6 after treatment with chrysophanol in absence or presence of APY29 (an inhibitor of phosphorylated inositol-requiring enzyme-1a). Chrysophanol caused cell death via upregulations of binding immunoglobulin protein that is also known as 78-kDa glucose-regulated protein, C/EBP homologous protein, phosphorylated inositol-requiring enzyme-1a, and activating transcription factor 6. This activity was reversed by APY29. Thus, chrysophanol could be a useful antitumor agent for the management of oral cancer. [ABSTRACT FROM AUTHOR]

Danshensu, isolated from Salvia miltiorrhiza (Danshen), is known to have anti-inflammatory properties. Therefore danshen is extensively used in many nutraceutical formulations. Reactive oxygen species are essential for the development of hypoxia-induced inflammation. Generation of reactive oxygen species by infiltrating macrophages is common in various diseases such as cardiovascular disease, neurodegenerative disease, tumor, and aging. To explore the mechanism underlying the attenuation of inflammation, we used RAW 264.7 cells as a model and hypoxia as an inducer of inflammation. The results showed the protective mechanism of danshensu on reactive oxygen species production, hypoxia-inducible factor 1-alpha expression, c-Jun N-terminal kinase phosphorylation, nuclear translocation of nuclear factor kappa B, and inducible nitric oxide synthase expression following hypoxia in RAW 264.7 cells. [ABSTRACT FROM AUTHOR]

6-MSITC (Methylsulfinyl hexyl isothiocyanate) is a bioactive compound found in wasabi that contains anti-inflammatory, anti-carcinogenic, and antioxidative properties. In this article, we summarize and discuss the current studies on the role of 6-MSITC on inflammatory diseases and carcinogenesis. [ABSTRACT FROM AUTHOR]

Objective. Diagnosing melanocytic lesions is among the most challenging problems in the practice of pathology. The difficulty of physically masking melanin pigment and the similarity of its color to commonly used chromogens often complicate examination of the cytomorphology and immunohistochemical staining results for tumor cells. Melanin bleach can be very helpful for histopathological diagnosis of heavily pigmented melanocytic lesions. Although various depigmentation methods have been reported, no standardized methods have been developed. This study developed a fully automated platform that incorporates hydrogen peroxide-based melanin depigmentation in an automated immunohistochemical analysis. Methods and Materials. The utility of the method was tested in 1 cell block of malignant melanoma cells in pleural effusion, 10 ocular melanoma tissue samples, and 10 cutaneous melanoma tissue samples. Our results demonstrated that the proposed method, which can be performed in only 3 hours, effectively preserves cell cytomorphology and immunoreactivity. Results. The method is particularly effective for removing melanin pigment to facilitate histopathological examination of cytomorphology and for obtaining an unmasked tissue section for immunohistochemical analysis. [ABSTRACT FROM AUTHOR]

The article focuses on the UNESCO-Greece Melina Mercouri International Prize for the Safeguarding and Management of Cultural Landscapes.

Nanostructured lipid carrier (NLC) was prepared by homogenization emulsification method and improved with modified surfactants. The properties of nanoparticles were investigated using the NLC system for hydroquinone (HQ) as a model drug and by increasing the light stability of hydroquinone. The optimized condition of NLC in stirring was 1200 rpm, the homogenized speed was 8000 rpm, solid oil to liquid oil ratio was 3 : 7, and lecithin to surfactant ratio was 3 : 1. The particle size was 393.30±28.23 nm and the encapsulation efficiency was 22.13±2.66%. The zeta-potential of HQ-NLC was better than −30 mV. In the thermogravimetric analysis (TGA) studies, adding of PLANTACARE 2000 UP for HQ-NLC has better heat resisting property than the HQ-NLC only. The addition of PLANTACARE 2000 UP to NLC shows better permeability (125.10%) than that of Blank. In the stability studies, the HQ-NLC after UVA/UVB irradiation has better inhibition rate (34.25%) than that of the Blank. In the present study, NLC system has successfully improved the light stability and the skin permeability of active compound. Therefore, the NLC might be a potential delivery vehicle for transdermal products in the future. [ABSTRACT FROM AUTHOR]

Chemical and enzymatic barriers in the gastrointestinal (GI) tract hamper the oral delivery of many labile drugs. The GI epithelium also contributes to poor permeability for numerous drugs. Drugs with poor aqueous solubility have difficulty dissolving in the GI tract, resulting in low bioavailability. Nanomedicine provides an opportunity to improve the delivery efficiency of orally administered drugs. Solid lipid nanoparticles (SLNs) are categorized as a new generation of lipid nanoparticles consisting of a complete solid lipid matrix. SLNs used for oral administration offer several benefits over conventional formulations, including increased solubility, enhanced stability, improved epithelium permeability and bioavailability, prolonged half-life, tissue targeting, and minimal side effects. The nontoxic excipients and sophisticated material engineering of SLNs tailor the controllable physicochemical properties of the nanoparticles for GI penetration via mucosal or lymphatic transport. In this review, we highlight the recent progress in the development of SLNs for disease treatment. Recent application of oral SLNs includes therapies for cancers, central nervous system-related disorders, cardiovascular-related diseases, infection, diabetes, and osteoporosis. In addition to drugs that may be active cargos in SLNs, some natural compounds with pharmacological activity are also suitable for SLN encapsulation to enhance oral bioavailability. In this article, we systematically introduce the concepts and amelioration mechanisms of the nanomedical techniques for drug- and natural compound-loaded SLNs. [ABSTRACT FROM AUTHOR]

Mutations and epigenetic inactivation of the tumor suppressor gene von Hippel-Lindau (VHL) are major causes of clear-cell renal cell carcinoma (ccRCC) that may originate from chronic inflammation. However, the role of VHL loss of function in the development of ccRCC via inflammation remains poorly understood. VHL-mutant cells exhibit metabolic abnormalities that can cause chronic endoplasmic reticulum (ER) stress and unfolded protein response. We hypothesize that unresolved ER stress induces the inflammatory responses observed in ccRCC. ER stress markers including BiP and XBP1s were significantly increased in cultured and primary VHL loss-of-function kidney cells. In epithelial cells, the kinase activity of IRE1a was required for the induction of NF-κB and JNK and for the recruitment of macrophages. IRE1a kinase activity was also important for the development of fibrotic phenotype in conditional Vhlh knockout mice. Our results offer insights into the therapeutic potential against ccRCC development by relieving metabolic stress. Such cancer prevention strategy may be critical for high-risk cohorts such as the familial VHL disease patients. [ABSTRACT FROM AUTHOR]

Triple negative breast cancer (TNBC) displays higher risk of recurrence and distant metastasis. Due to absence of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2), TNBC lacks clinically established targeted therapies. Therefore, understanding of the mechanism underlying the aggressive behaviors of TNBC is required for the design of individualized strategies and the elongation of overall survival duration. Here, we supported a positive correlation between β1 integrin and malignant behaviors such as cell migration, invasion, and drug resistance. We found that silencing of β1 integrin inhibited cell migration, invasion, and increased the sensitivity to anti-cancer drug. In contrast, activation of β1 integrin increased cell migration, invasion, and decreased the sensitivity to anti-cancer drug. Furthermore, we found that silencing of β1 integrin abolished Focal adhesion kinese (FAK) mediated cell survival. Overexpression of FAK could restore cisplatin-induced apoptosis in β1 integrin-depleted cells. Consistent to in vitro data, β1 integrin expression was also positively correlated with FAK (p = 0.031) in clinical tissue. More importantly, β1 integrin expression was significantly correlated with patient outcome. In summary, our study indicated that β1 integrin could regulate TNBC cells migration, invasion, drug sensitivity, and be a potential prognostic biomarker in TNBC patient survival. [ABSTRACT FROM AUTHOR]

Background: Amphiphilic poly(N-isopropylacrylamide)-block-poly(ε-caprolactone) (PNiPAAm-b-PCL) copolymers were synthesized by ring-opening polymerization to form thermosensitive micelles as nanocarriers for bioimaging and carboplatin delivery. Results: The critical micelle concentration increased from 1.8 to 3.5 mg/l following the decrease of the PNiPAAm chain length. The copolymers revealed a lower critical solution temperature (LCST) between 33 and 40°C. The copolymers self-assembled to form spherical particles of 146-199 nm in diameter. Carboplatin in micelles exhibited a slower release at 37°C relative to that at 25°C due to the gel layer formation on the micellar shell above the LCST. The micelles containing dye or carboplatin were intravenously injected into the rats for in vivo bioimaging and drug biodistribution. The bioimaging proiles showed a signiicant accumulation of micelles in the lungs. The micelles could minimize the reticuloendothelial system (RES) recognition of the dye. In vivo biodistribution demonstrated an improved pulmonary accumulation of carboplatin from 2.5 to 3.4 μg/mg by the micelles as compared to the control solution. Carboplatin accumulation in the heart and kidneys was reduced after encapsulation by the micelles. Conclusion: This study supports the potential of PNiPAAm-b-PCL micelles to passively target the lungs and attenuate RES uptake and possible side efects. [ABSTRACT FROM AUTHOR]

Background: Amphiphilic poly(N-isopropylacrylamide)-block-poly(ε-caprolactone) (PNiPAAm-b-PCL) copolymers were synthesized by ring-opening polymerization to form thermosensitive micelles as nanocarriers for bioimaging and carboplatin delivery. Results: The critical micelle concentration increased from 1.8 to 3.5 mg/l following the decrease of the PNiPAAm chain length. The copolymers revealed a lower critical solution temperature (LCST) between 33 and 40°C. The copolymers self-assembled to form spherical particles of 146–199 nm in diameter. Carboplatin in micelles exhibited a slower release at 37°C relative to that at 25°C due to the gel layer formation on the micellar shell above the LCST. The micelles containing dye or carboplatin were intravenously injected into the rats for in vivo bioimaging and drug biodistribution. The bioimaging profiles showed a significant accumulation of micelles in the lungs. The micelles could minimize the reticuloendothelial system (RES) recognition of the dye. In vivo biodistribution demonstrated an improved pulmonary accumulation of carboplatin from 2.5 to 3.4 μg/mg by the micelles as compared to the control solution. Carboplatin accumulation in the heart and kidneys was reduced after encapsulation by the micelles. Conclusion: This study supports the potential of PNiPAAm-b-PCL micelles to passively target the lungs and attenuate RES uptake and possible side effects. [ABSTRACT FROM AUTHOR]

A series of new organosiloxane ferroelectric liquid crystalline (FLC) materials have been synthesized, and their mesomorphic and physical properties have been characterized. Four new disiloxanes and trisiloxanes, containing biphenyl 4-hydroxybenzoate and phenyl 4-hydroxybiphenylcarboxylate as mesogenic units and eleven methylene unit as spacers and (2S,3S)-2-chloro-3-methylvalerate unit as chiral end groups. The molecule, using three phenyl ring as a mesogenic unit, formulates much wider liquid crystalline phase temperature ranges than that of a two phenyl ring unit. The phenyl arrangement differences of mesogenic unit result in the greater differences of the liquid crystal phase formation. The siloxane molecule induction is helpful to the more regular smectic phase formation and smectic phase stabilization, such as chiral SC (SC*) and SB phases. The siloxane molecule is helpful to reduce the phase transition temperature and broaden the liquid crystal temperature range of the SC* phase and, simultaneously, it will not induce chain crystallization phenomenon and dilute the Ps value. The synthesis and characterization of the new FLCs materials, which exhibit a room temperature SC* phase and higher spontaneous polarization are presented. [ABSTRACT FROM AUTHOR]

The main focus of this paper is the selection of proper vessels for successful free tissue transfer in lower extremities which have suffered extensive trauma. The selection of proper recipient vessels for traumatized lower extremities still presents difficulties for surgeons. This review will provide a general guideline for the selection of proper recipient vessels in traumatic lower extremity reconstruction and describe the possible reasons why some recipient vessels present more problems than others. [ABSTRACT FROM AUTHOR]

A novel series of side-chain liquid crystalline copolysiloxanes containing [S]-1-(2-naphthyl) ethyl 6-[4-(10-undecen-1-yloxy) biphenyl-4'-carbonyloxy]-2-naphthoate mesogenic and 4-biphenyl 4'-allyloxybenzoate mesogenic side groups in the backbone and side chains liquid crystalline copolymers were prepared and evaluated as possible stationary phases for gas chromatography capillary columns. All copolymers display enantiotropic cholesteric phases. These mesomorphic polysiloxanes specimens with the widest temperature range were used as the stationary phase in a gas chromatography capillary column, and it showed good thermal and physical stability, excellent chemical inertness, and unique separation properties for polycyclic aromatic compounds. These cholesteric LC copolysiloxane stationary phases show much better separation effect for the polycyclic aromatic compound than those of the nematic and smectic LC copolysiloxanes. [ABSTRACT FROM AUTHOR]

This work numerically investigates the radiative flux and flame shape from heptane liquid pool fires with small to medium sized pool fires (14–38 cm), grid sizes, spectral bands and solid angles. Experimental results were originated for comparison. The results show that calculated flame shapes and radiative fluxes are in good agreement with the measurements for suitable grid resolution. Besides, the effect of the intermittency of a flame on thermal radiation was performed. Experimentally, a shield was used to shade the radiant power from a persistent flame, and the radiative flux was measured from an intermittent flame on 30 cm diameter pool fires. The results show that 36% of the radiative flux measured is emitted from the intermittent flame when the radiometer is located at the base of the pool fire. As the radiometer is moved upwards, the radiative fluxes measured from the intermittent flame increase gradually, even to 50%. [ABSTRACT FROM AUTHOR]

The treatment of hand and upper-extremity injuries is complex. The treatment goals are to restore maximal hand function and, if possible, preinjury form. Several complications are frequently encountered while treating hand and upper-extremity injuries. Complications such as edema, direct structural destruction, and nerve palsies are the result of the inflicting injury. Skin graft contraction, fascial adhesions causing restricted tendon motion, and diminution of muscle function with time during staged reconstructions are treatment-related complications. The nature of these complications as well as means for their prevention and treatment are reviewed. [ABSTRACT FROM AUTHOR]

Host plant resistance and soil amendment (SA) have not been used extensively to manage tomato bacterial wilt caused by Ralstonia solanacearum due to their variable effects over locations. A preliminary screen was developed to increase the chances of identifying successful control measures under diverse conditions. Isolates from three production areas in Taiwan were collected and their virulence evaluated on tomato. Soil samples from four field sites were collected to evaluate ability to suppress the pathogen of SAs consisting of urea or slaked lime alone or combined at 30°C. The mixture of urea and slaked lime showed the best suppressive effect in three tested soils and was used in subsequent field experiments. Resistant eggplant (EG203) and tomato (Hawaii 7996) rootstocks, selected based on stable resistance against representative strains at the seedling stage, significantly reduced disease incidence in field experiments. EG203 grafted plants exhibited 0 to 2.8% wilted plants compared with 24.4 to 92.9% wilted nongrafted plants. Integrated use of Hawaii 7996 as the rootstock and SA provided significantly greater control of wilt than use of Hawaii 7996 as rootstock alone in only one of the four locations, whereas SA did not provide significant control effect when EG203 was used as the rootstock. [ABSTRACT FROM AUTHOR]

The lookup-table-based digital adaptive predistortion (DAPD-LUT) approaches are low cost and effective for power amplifier (PA) linearization in wireless applications. How- ever, most existing DAPD-LUT schemes are sub-optimum because they adopt uniformly spaced LUTs regardless of the system state information (SSI), i.e., the PA characteristics and the input signal statistics. Other existing DAPD-LUT schemes assume either full or partial knowledge of the SSI to optimize and then to freeze the LUT spacing. Without prior knowledge of the SSI, we propose an SSI-learning low-complexity procedure to optimize the LUT spacing for a DAPD-LUT scheme. The proposed procedure is capable of online adapting the LUT spacing for PAs with various nonlinear characteristics, for input signals with various statistics, and for wireless environments with various time-varying properties. [ABSTRACT FROM AUTHOR]

Many image authentication methods have been proposed, in recent years, to protect image authenticity and integrity, but most have ignored the dangers of counterfeit attack In this paper we propose a new image authentication method, using a vector projection technique, for safety and security in digital systems based on a PKI cryptographic framework In this method, the Vector Projective Square (VPS) pair of each block can be calculated by a vector projection technique, and we prove that an attacker cannot forge a counterfeit image with the same VPS pair as the original image. In addition to addressing counterfeit attacks, we also propose a new remedial algorithm which applying non-uniform B-spline to repair the modified image. This paper therefore, has five goals: (1) to verify image authentication, (2) to verify the integrity of an image received, (3) to locate any parts that were illegally modified or counterfeited, (4) to provide security against counterfeit attacks and (5) to repair the illegally modified parts. [ABSTRACT FROM AUTHOR]

Presents information on a study which showed that an intra-amygdala injection of transcription inhibitor actinomycin D at the dose that blocked acquisition failed to affect extinction of a learned response. Behavioral changes between consolidation of conditioning and consolidation of extinction of fear memory; Materials and methods; Results.

Memory extinction refers to a gradual decrease of the previously acquired response when exposed to conditional stimulus without pairing with unconditional stimulus. Here we show for the first time that fear training-induced phosphorylation of specific substrates in the rat amygdala is reduced after extinction trials and is accompanied by an increase in the protein level and enzymatic activity of calcineurin. In parallel, calcineurin inhibitors prevented extinction-induced protein dephosphorylation as well as extinction of fear memory. Thus, extinction training increased phosphatase activity likely via an expression of calcineurin. Calcineurin then created a negative-feedback loop and directly or indirectly dephosphorylated specific substrates, which, in their phosphorylated state, were required for memory consolidation. Accordingly, in our experimental condition, extinction could be ascribed at least in part to a weakening of the original signaling. [ABSTRACT FROM AUTHOR]

Background: The current NCCN guidelines recommend considering elective neck dissection (END) for early-stage oral cavity squamous cell carcinoma (OCSCC) with a depth of invasion (DOI) exceeding 3mm. However, this DOI threshold, determined by evaluating the occult lymph node metastatic rate, lacks robust supporting evidence regarding its impact on patient outcomes. In this nationwide study, we sought to explore the specific indications for END in patients diagnosed with OCSCC at stage cT2N0M0, as defined by the AJCC Eighth Edition staging criteria. Methods: We examined 4723 patients with cT2N0M0 OCSCC, of which 3744 underwent END and 979 were monitored through neck observation (NO). Results: Patients who underwent END had better 5-year outcomes compared to those in the NO group. The END group had higher rates of neck control (95% vs. 84%, p<0.0001), disease-specific survival (DSS; 87% vs. 84%, p=0.0259), and overall survival (OS; 79% vs. 73%, p=0.0002). Multivariable analysis identified NO, DOI ≥5.0 mm, and moderate-to-poor tumor differentiation as independent risk factors for 5-year neck control, DSS, and OS. Based on these prognostic variables, three distinct outcome subgroups were identified within the NO group. These included a low-risk subgroup (DOI <5 mm plus well-differentiated tumor), an intermediate-risk subgroup (DOI ≥5.0 mm or moderately differentiated tumor), and a high-risk subgroup (poorly differentiated tumor or DOI ≥5.0 mm plus moderately differentiated tumor). Notably, the 5-year survival outcomes (neck control/DSS/OS) for the low-risk subgroup within the NO group (97%/95%/85%, n=251) were not inferior to those of the END group (95%/87%/79%). Conclusions: By implementing risk stratification within the NO group, we found that 26% (251/979) of low-risk patients achieved outcomes similar to those in the END group. Therefore, when making decisions regarding the implementation of END in patients with cT2N0M0 OCSCC, factors such as DOI and tumor differentiation should be taken into account. [ABSTRACT FROM AUTHOR]

Melasma treatment with combined retinoic acid (RA) and hydroquinone (HQ) usually causes unsatisfactory outcomes and safety concerns. This study attempted to evaluate the cutaneous absorption and skin tolerance of the codrug conjugated with RA and HQ via ester linkage. The codrug's permeation of the pig skin was estimated using Franz diffusion cell. The codrug and parent drugs were comparatively examined for anti-inflammatory activity and tyrosinase inhibition. In vivo cutaneous irritation was assessed on nude mouse skin. Chemical conjugation of RA with HQ increased the lipophilicity and thus the skin absorption. The codrug absorption produced a 5.5- and a 60.8-fold increment compared to RA skin deposition at an equimolar (1.2 mM) and saturated solubility dose, respectively. The cumulative amount of HQ derived from the codrug in the receptor was comparable to or less than that of topically applied HQ. The RA-HQ codrug was partly hydrolyzed on penetrating the skin. The hydrolysis rate in intact skin was significantly lower than that in esterase medium and skin homogenates. The codrug showed an interleukin (IL)-6 inhibition activity comparable to RA. A therapeutic index 6-fold greater than RA was obtained with the topical codrug. The tyrosinase inhibition percentage of the codrug and HQ was 13% and 21%, respectively. The skin tolerance test determined by transepidermal water loss (TEWL), redness, and histopathology had exhibited minor skin irritation caused by the codrug compared to the physical mixture of RA and HQ at an equivalent dose. Topical codrug delivery not only promoted RA absorption, but also diminished the adverse effects of the parent agents. [ABSTRACT FROM AUTHOR]

Chronic kidney disease is characterized by persistent abnormalities in urinary function, structural abnormalities, or impaired excretory functions that indicate the loss of functional nephrons. Cardiovascular disease and death are the most common complications of chronic kidney disease. Once chronic kidney disease is established, treatment has proven ineffective. Therefore, research efforts should be devoted to uncovering early disease mechanisms and alternative treatment options. Traditionally, garlic has been used as a pharmacological agent, especially when aged, in addition to its application as a food flavoring agent. Studies have suggested that garlic has anti-inflammatory and immunomodulatory properties. The effects of garlic on renal function have been summarized in cell culture, animal, and clinical studies. [ABSTRACT FROM AUTHOR]

Background: Currently, there is no standard salvage regimen after the failure of cisplatin-based chemotherapy for advanced urothelial carcinoma. The combination of epidermal growth factor receptor inhibitor with fluorouracil, leucovorin, and irinotecan was originally designed for the treatment of metastatic colorectal cancer. Until now, there have been no reports using this combination therapy in treating advanced upper tract urothelial carcinoma. To the best of our knowledge, this is the first report showing this possible treatment regimen for advanced upper tract urothelial carcinoma.Case Presentation: We report the case of a 90-year-old Chinese woman who was diagnosed with metastatic colorectal cancer and urothelial carcinoma of the bladder, ureter, and renal pelvis. The upper tract urothelial carcinoma was well controlled by the chemotherapy regimen for metastatic colorectal cancer. Considering her age, we used only laser ablation for the treatment of her urothelial carcinoma in combination with intravesical mitomycin C chemotherapy. Follow-up cystoscopy and ureterorenoscopy showed an unexpected regression of the upper tract urothelial tumor. Contrast-enhanced computed tomography also demonstrated the same results.Conclusions: This novel regimen for the treatment of upper tract urothelial carcinoma may merit further investigation or evaluation in clinical trials. [ABSTRACT FROM AUTHOR]

In this study, we examined the spatial abilities of students using eye-movement tracking devices to identify and analyze their characteristics. For this research, 12 students aged 11-12 years participated as novices and 4 mathematics students participated as experts. A comparison of the visual-spatial abilities of each group showed key factors of superior spatial ability, and a spatial ability instructional strategy was developed. After training, the same spatial ability test was conducted again, and eye-tracking records were used to compare the participants' line-of-sight and answer rate results with those of the previous test. Specific references and recommendations are provided for spatial ability training education and assessment. [ABSTRACT FROM AUTHOR]

Extraventricular neurocytoma (EVN) in the spinal cord is extremely rare and only 15 cases have been reported in the English literature. Fourteen cases presented as an intramedullary lesion with spinal cord enlargement in cervico-thoracic segment and one case presented as an extramedullary lesion originating from cauda equina. Herein, we report an unusual spinal neurocytoma with exophytic growth from the thoracic spinal cord with cord compression mimicking meningioma. To our knowledge, this is the first case of exophytic spinal neurocytoma recorded in the English literature. [ABSTRACT FROM AUTHOR]

Background: Genetic alterations of mucin genes, such as MUC2 and MUC4, were previously identified to be associated with endometriosis and related infertility. Additionally, gene expression profiling has confirmed MUC17 to be overexpressed in mucinous ovarian carcinoma; however, its associated risk for endometriosis remains unclear. This study was focused on the potential impact of genetic variations in MUC17 on endometriosis development and associated clinical features. Methods: The study subjects included 189 female Taiwanese patients with pathology-proven endometriosis and 191 healthy Taiwanese women as controls. Five single-nucleotide polymorphisms (rs4729645, rs10953316, rs74974199, rs4729655, and rs4729656) within the MUC17 gene were selected and genotyped using the Taqman genotyping assay to examine the allele frequency and genotype distributions of MUC17 polymorphisms. Results: Genotyping revealed that the A allele at rs10953316 in MUC17 was a protective genetic factor in endometriosis development (p = 0.008; OR = 0.53; 95 % CI: 0.36-0.79). Genetic variation of rs4729655 protected patients against endometriosis-induced infertility, but was associated with a higher cancer antigen 125 (CA125) level. Base-pairing analysis, called MaxExpect, predicted an additional loop in the mRNA structure caused by rs10953316 polymorphism, possibly influencing ribosome sliding and translation efficiency. Such predictions were confirmed by immunohistochemistry that patients with AA genotype at rs10953316 showed low MUC17 levels in their endometrium, patients with GA genotype showed moderate levels, and strong staining could be found in patients with GG genotype. Conclusions: MUC17 polymorphisms are involved in endometriosis development and the associated infertility in the Taiwanese population. [ABSTRACT FROM AUTHOR]

Background: Genetic alterations of mucin genes, such as MUC2 and MUC4, were previously identified to be associated with endometriosis and related infertility. Additionally, gene expression profiling has confirmed MUC17 to be overexpressed in mucinous ovarian carcinoma; however, its associated risk for endometriosis remains unclear. This study was focused on the potential impact of genetic variations in MUC17 on endometriosis development and associated clinical features. Methods: The study subjects included 189 female Taiwanese patients with pathology-proven endometriosis and 191 healthy Taiwanese women as controls. Five single-nucleotide polymorphisms (rs4729645, rs10953316, rs74974199, rs4729655, and rs4729656) within the MUC17 gene were selected and genotyped using the Taqman genotyping assay to examine the allele frequency and genotype distributions of MUC17 polymorphisms. Results: Genotyping revealed that the A allele at rs10953316 in MUC17 was a protective genetic factor in endometriosis development (p = 0.008; OR = 0.53; 95 % CI: 0.36-0.79). Genetic variation of rs4729655 protected patients against endometriosis-induced infertility, but was associated with a higher cancer antigen 125 (CA125) level. Base-pairing analysis, called MaxExpect, predicted an additional loop in the mRNA structure caused by rs10953316 polymorphism, possibly influencing ribosome sliding and translation efficiency. Such predictions were confirmed by immunohistochemistry that patients with AA genotype at rs10953316 showed low MUC17 levels in their endometrium, patients with GA genotype showed moderate levels, and strong staining could be found in patients with GG genotype. Conclusions: MUC17 polymorphisms are involved in endometriosis development and the associated infertility in the Taiwanese population. [ABSTRACT FROM AUTHOR]

Objectives: We sought to investigate whether there is evidence of field cancerization in patients with oral cavity squamous cell carcinoma (OSCC) enrolled in a betel quid chewing area. We also assessed whether betel quid chewing is an independent risk factor for field cancerization in OSCC patients. Methods: We retrospectively examined the records of 1570 OSCC patients who underwent radical tumor resection between 1996 and 2011. A total of 1243 study participants (79%) had a positive history of betel quid chewing before surgery. Of the 767 patients treated with surgery alone, 599 (78%) were preoperative chewers, whereas a history of preoperative betel quid chewing was identified in 644 (80%) of the 803 patients who received adjuvant therapy. The 5-year control, survival, and second primary tumors (SPTs) rates served as the main outcome measures. Results: Regardless of the treatment modality, more than 70% of the SPTs were located in the oral cavity or soft palate. Despite a similar risk profile in terms of tumor depth, lymph node metastasis, and pathological margin status, preoperative chewers showed a significantly higher incidence of 5-year SPTs and local recurrences compared with non-chewers. Moreover, multivariate analysis demonstrated that preoperative betel quid chewing was an independent prognostic factor for 5-year local control and SPTs occurrence rates. Conclusions: Our results demonstrate that preoperative betel quid chewers had a higher incidence of local recurrence and SPTs than non-chewers, suggesting that field cancerization may occur in OSCC patients with a history of betel quid chewing. [ABSTRACT FROM AUTHOR]

Background The limited and inconsistent literature exists on survival and secondary surgery following lower limb replantation. The purpose of this study was to review our institutional experience in lower extremity replantation to quantify survival and characterize secondary surgeries. Methods We performed a retrospective chart review of all lower extremity replantations at our institution between 2000 and 2012. The mean follow-up period was 2.6 years. Patient, injury, and surgical demographics as well as replantation survival, secondary surgical procedures, and complications were recorded. Results A total of 22 lower extremity replantations were performed with 45% survival (n = 10). Secondary surgeries were common with an average of six per patient (range 2-11). Early secondary procedures included debridements (19 of 22 patients, 86%) and soft tissue coverage (15 of 22 patients, 68%). The average initial hospitalization was 45 days (range 19-90) and time to final secondary procedure in patients with surviving replantation was 1.5 years (range 18 d-3.5 y). Late secondary surgeries were aimed at either aesthetic or functional enhancement. The most common complication was deep infection in 18 of 22 patients (82%) and infection was felt to be the cause of replantation failure in all cases. Conclusion We found a modest survival following lower extremity replantation with several secondary surgeries in each case. Infection complicated the majority of cases and free tissue transfer was often required for wound coverage. Early secondary surgeries were aimed at debridement and soft tissue coverage while late secondary surgeries were aimed at either aesthetic or functional enhancement. [ABSTRACT FROM AUTHOR]

For the first time, a high-performance (\tauPGM =\break \200 ns\!/\!\tauERS\! = \5 ms) cell with superior reliability characteristics is demonstrated in a nor-type architecture, using dynamic-threshold source-side injection (DTSSI) in a wrapped select-gate silicon–oxide–nitride–oxide–silicon memory device, with multilevel and 2-bit/cell operation. Using DTSSI enables easy extraction of the multilevel states with a tight VTH distribution, a nearly negligible second-bit effect, superior endurance characteristics, and good data retention. [ABSTRACT FROM PUBLISHER]

Relapse of tumours in patients with oral cavity squamous cell carcinoma (OSCC) is associated with a dismal outcome. In this prospective study, we sought to investigate the clinical significance of the preoperative maximal standardized uptake value (SUVmax) at the neck lymph nodes in selecting patients with OSCC for salvage therapy after relapse. Between 2002 and 2007, 108 patients with early relapse of OSCC ( n=75) or late relapse of OSCC ( n=33) were identified. Salvage therapy was performed in 47 patients. All patients underwent 2-deoxy-2[18F]-fluoro- d-glucose positron emission tomography during the 2 weeks before surgery and neck dissection. All patients were followed for 12 months or more after surgery or until death. The optimal cut-off value for the neck lymph node SUVmax (SUVnodal-max) was selected according to the 5-year disease-specific survival (DSS) rate. Independent risk factors were identified by Cox regression analysis. The mean follow-up for all patients was 20.3 months (41.1 months for surviving patients). In the early relapse group, several prognostic factors were identified in univariate and multivariate analyses, including a SUVnodal-max value of ≥4.2. A scoring system based on univariate analysis was formulated. Patients with a score of 0 had a better 5-year DSS than those with scores of 1 or higher (58% vs. 5%, p=0.0003). In patients with late relapse, a SUVnodal-max value of ≥4.2 had the highest prognostic value for predicting the 5-year DSS (45% vs. 0%, p=0.0005). Among patients with relapsed OSCC, the SUVnodal-max value may aid in selecting patients for salvage therapy. [ABSTRACT FROM AUTHOR]

Six series of α-methylstilbene-based liquid crystals, i.e. 4-(4-alkylphenyl)-4'-amino-α-methylstilbenes (2a-e), 4-(4-alkylphenyl)-4'-cyano-α-methylstilbenes (3a-e), 4-(4-alkylphenyl)-4'-isothiocyanato-α-methylstilbenes (4a-e), 4'-(trans-4-alkylcyclohexyl)-4-fluoro-α-methylstilbenes (5a-e), 4'-(trans-4-alkylcyclohexyl)-4-amino-α-methylstilbenes (7a-e) and 4'-(trans-4-alkylcyclohexyl)-4-isothiocyanato-α-methylstilbenes (8a-e) were synthesised. All of these α-methylstilbene-based compounds exhibit an enantiotropic nematic phase. Some of the 4-(4-alkylphenyl)-4'-isothiocyanato-α-methylstilbenes with longer alkyl chains exhibit a smectic A phase. All of the liquid crystals obtained exhibit a wide nematic range and high birefringence of 0.16-0.46. Both series of isothiocyanato-based, liquid crystal compounds 4a-e and 8a-e containing α-methylstilbenes revealed much lower melting points and clearing temperatures than their cyano and amino homologues. [ABSTRACT FROM AUTHOR]

The article focuses on study which determined prognostic factors that predict which patients with relapse squamous cell carcinoma of the oral cavity may benefit from salvage therapy. The five-year disease-specific survival (DSS) and overall survival were the basis in choosing the optimum cutoff point for relapse. The study found that 10 months was the optimal cutoff value for relapse and late relapses were associated with a better prognosis than relapses that occurred within the first 10 months.

The article focuses on a study that aims to determine the clinical outcome of patients with distant metastases (DM) from head and neck cancer. The authors conducted a clinicopathologic review of 899 patients with oral cavity squamous cell carcinoma (OSCC) to identify independent predictors of the 5-year DM rate. It concludes that the different risk factor categories according to locoregional control may be used to facilitate the selection of appropriate management for patients with OSCC.

The article provides information on a study that sought to identify accurate prognosticators in patients with stage III/IVA oral cavity squamous cell carcinoma (OSCC). It describes methodology used in the study. It concludes that the survival rates for pT4 NO OSCC in patients with stage IVA OSCC are better than those for NO pT4 NO and similar to those of patients with pstage III.

Leidenfrost temperature has long been taken as the criterion to classify characteristic regimes for not only heat transfer but also hydrodynamic impact patterns for droplet impinging on a heated surface. This work classifies the characteristic impact regimes and reveals that the hydrodynamic impact parameter influences the classification of characteristic impact regimes. For each individual impact, the required surface temperature for the dry impact, which has no direct liquid-solid-contact during the impact period is much lower than the Leidenfrost temperature. The squeeze film effect has been successfully used to explain the corresponding mechanism for it. © 2000 American Institute of Physics. [ABSTRACT FROM AUTHOR]