Search

IntroductionProphylactic total gastrectomy (PTG) can eliminate gastric cancer risk and is recommended in carriers of a germlineCDH1pathogenic variant. PTG has established risks and potential life-long morbidity. Decision-making regarding PTG is complex and not well-understood.MethodsIndividuals with germlineCDH1pathogenic or likely pathogenic variants who underwent surveillance endoscopy and recommended for PTG were evaluated. Factors associated with decision to pursue PTG (PTGpos) or not (PTGneg) were queried. A decision-regret survey was administered to patients who elected PTG.ResultsDecision-making was assessed in 120 patients. PTGpospatients (63%, 76/120) were younger than PTGneg(median 45 vs 58 years) and more often had a strong family history of gastric cancer (80.3% vs 34.1%). PTGpospatients reported decision-making based on family history more often and decided soon after diagnosis (8 vs 27 months) compared with PTGneg. Negative endoscopic surveillance results were more common among PTGnegpatients. Age >60 years, male sex and longer time to decision were associated with deferring PTG. Strong family history, a family member who died of gastric cancer and carcinoma on endoscopic biopsies were associated with decision to pursue PTG. In the PTGposgroup, 30 patients (43%) reported regret which was associated with occurrence of a postoperative complication and no carcinoma detected on final pathology.ConclusionThe decision to undergo PTG is influenced by family cancer history and surveillance endoscopy results. Regret is associated with surgical complications and pathological absence of cancer. Individual cancer-risk assessment is necessary to improve pre-operative counselling and inform the decision-making process.Trial registration numberNCT03030404.

Progress in heterogeneous advanced oxidation processes (AOPs) is hampered by several issues including mass transfer limitation, limited diffusion of short-lived reactive oxygen species (ROS), aggregation of nanocatalysts, and loss of nanocatalysts to treated water. These issues have been addressed in recent studies by executing the heterogeneous AOPs in confinement, especially in the nanopores of catalytic membranes. Under nanoconfinement (preferably at the length of less than 25 nm), the oxidant-nanocatalyst interaction, ROS-micropollutant interaction and diffusion of ROS have been observed to significantly improve, which results in enhanced ROS yield and mass transfer, improved reaction kinetics and reduced matrix effect as compared to conventional heterogenous AOP configuration. Given the significance of nanoconfinement effect, this study presents a critical review of the current status of membrane-based nanoconfined heterogeneous catalysis system for the first time. A succinct overview of the nanoconfinement concept in the context of membrane-based nanofluidic platforms is provided to elucidate the theoretical and experimental findings related to reaction kinetics, reaction mechanisms and molecule transport in membrane-based nanoconfined AOPs vs. conventional AOPs. In addition, strategies to construct membrane-based nanoconfined catalytic systems are explained along with conflicting arguments/opinions, which provides critical information on the viability of these strategies and future research directions. To show the desirability and applicability of membrane-based nanoconfined catalysis systems, performance governing factors including operating conditions and water matrix effect are particularly focused. Finally, this review presents a systematic account of the opportunities and technological constraints in the development of membrane-based nanoconfined catalytic platform to realize effective micropollutant elimination in water treatment.

INTRODUCTION Chronic Hepatitis D virus (HDV) infection is a global disease leading to rapidly progressive liver disease with increased liver-related mortality and hepatocellular carcinoma. Therapies are minimally effective; however, an increased understanding of the HDV lifecycle has provided new potential drug targets. Thus, there is a growing number of investigational therapeutics under exploration for HDV with the potential for successful viral eradication. AREAS COVERED This review discusses the clinical impact of HDV infection and offers an in-depth look at the HDV life cycle. The authors examine current and new drug targets and the investigational therapies in clinical trials. The search strategy was based on PubMed database and clinicaltrials.gov which highlight the most up-to-date aspects of investigational therapies for chronic HDV infection.

A series of novel adsorbents composed of cellulose (CL) with Ca/Al layered double hydroxide (CCxA; where x represent the Ca/Al molar ratio) were prepared for the adsorption of antimony (Sb(V)) and fluoride (F−) ions from aqueous solutions. The CCxA was characterized by Fourier-transform infrared spectroscopy (FTIR), Brunauer–Emmett–Teller (BET), elemental analysis (CHNS/O), thermogravimetric analysis (TGA-DTA), zeta potential, X-ray photoelectron spectroscopy (XPS) and scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM-EDX) analysis. The effects of varying parameters such as dose, pH, contact time, temperature and initial concentration on the adsorption process were investigated. According to the obtained results, the adsorption processes were described by a pseudo-second-order kinetic model. Langmuir adsorption isotherm model provided the best fit for the experimental data and was used to describe isotherm constants. The maximum adsorption capacity was found to be 77.2 and 63.1 mg/g for Sb(V) and F−, respectively by CC3A (experimental conditions: pH 5.5, time 60 min, dose 15 mg/10 mL, temperature 298 K). The CC3A nanocomposite was able to reduce the Sb(V) and F− ions concentration in synthetic solution to lower than 6 μg/L and 1.5 mg/L, respectively, which are maximum contaminant levels of these elements in drinking water according to WHO guidelines.

Iron (Fe)-based catalysts are widely used for taming nitrogen oxides (NO

The nitrogen and sulphur oxide (NOx and SO2) emissions are causing a serious threat to the existence of life on earth, requiring their effective removal for a sustainable future. Among various approaches, catalytic or electrochemical reduction of air pollutants (NOx) has gained much attention due to its high efficiency and the possibility of converting these gases into valuable products. However, the required catalysts are generally synthesized from lab-grade chemicals, which may not be a sustainable approach. Herein, a sustainable approach is presented to synthesize an efficient iron-based catalyst directly from industrial/lake wastewater (WW) for NOx-reduction. According to the theoretical calculations and experimental results, Fe-ions could be readily recovered from wastewater because it has the best adsorption efficiency among all other co-existing metals (Ni2+, Cd2+, Co2+, Cu2+, and Cr6+). The subsequent experimental investigations confirmed the preferential Fe adsorption from different WW streams to develop Fe3O4@EDTA-Fe composite, whereby Fe3O4 could be used due to its high recycling ability, and ethylenediaminetetraacetic acid (EDTA) acted as a chelating agent to adsorb Fe-metal from effluents. The Fe3O4@EDTA-Fe exhibited high efficiency (≥87%) for NOx reduction even in the presence of high-degree oxygen contents (10–12%). Moreover, Fe3O4-EDTA-Fe showed excellent long-term stability for 24 h and maintained more than 80% NOx reduction. The fabricated catalyst has a great potential for executing a dual role simultaneously for Fe-recovery and NOx removal, promoting the circular economy concept and providing a potentially sustainable remediation approach for large-scale applications.

Ring necked-pheasant (Phasianus colchicus) is bird of order Galliformes. Ring necked-pheasant is also known as gallinaceous bird and game bird. It looks like chicken bird. It is national bird of South Dakota. It is mostly found in wild areas but in Pakistan it exists as Domestic bird. It has high proteins and low fat in its meat. The present study was conducted to check the effect of ascorbic acid on sperm Motility, sperm cytoplasmic membrane integrity, sperm livability and acrosome integrity of Ring-necked pheasant at different concentrations of ascorbic acid (0mM, 1mM, 2mM, 3mM and 4mM) were used. Semen was collected by abdominal massage technique. Motility of sperm was greater than 70%.Then it was processed further. The cryopreservation of semen was checked at various stages like Post Dilution, Post Cooling, Post Equilibration and Post Thawing. Semen was cooled from post-dilution stage (370 C) to post-cooling (200C).Then it further cooled gradually to get post-equilibration stage (40 C) within 24 hours. After that 10% glycerol was added to the sample. Then it was transferred to liquid nitrogen (LN2) cylinder for 24 hours. After thawing stage sample was removed from LN2 cylinders and placed in water bath for 4 hours to achieve post-thawing. Then performed sperm quality assays at each stage of cryopreservation. Sperm motility was assessed by Neubauer Chamber Hemocytometer. Plasma Membrane Integrity was checked by using Hypo Osmotic Swelling Test with the help to 2% Eosin. Sperm livability was assessed by Lake’s glutamate solution and sperm Acrosome Integrity was checked by dual staining technique by using Formal citrate solution and Giemsa stain. The better results were seen at 3mM treatment of ascorbic acid. Sperm motility percentage was significantly different (P < 0.05) on 3mM treatment on all the stages of cryopreservation rather than other treatments. Plasma membrane integrity assay also showed good results at same concentration (P < 0.05) on all the stages of cryopreservation rather than other treatments. At the sperm livability stage 3mM treatment showed significantly difference (P < 0.05) on all the stages of cryopreservation rather than other treatments. The sperm acrosome integrity showed highest percentage on 3mM treatment (P < 0.05) on all stages of cryopreservation rather than other treatments. Effect of ascorbic acid on all the quality parameters (sperm motility, plasma membrane integrity, livability and acrosome integrity) was showed significant difference (P < 0.05) at 3mM treatment of ascorbic acid as compare to control as well as remaining treatments. It was seen that by increasing the concentration of ascorbic acid from 3mM concentration to onward it shows negative results on its cryopreservation. Now this cryopreserved semen can be transfer from one place to another place to obtain good varieties as well as better genetic characteristics of this species.

Hepatitis B virus (HBV) infection is one of the most common viral infections worldwide with an estimated 2 billion people exposed to HBV and 240 million with active chronic infection. Despite this, less than 1% of patients with chronic HBV infection receive treatment, and less than 3% of those achieve functional cure with traditional therapies. This review summarizes recent advances in the treatment of chronic HBV utilizing nucleic acid polymers (NAP) and entry inhibitors (EI). A recent phase 2 study evaluating the use of NAP following tenofovir and pegylated interferon (PEG-IFN) demonstrated increased rates of functional cure which persisted in 35% of patients after 48 weeks of follow-up. In addition, the EI Myrcludex B has demonstrated HBsAg response in up to 40% of patients when used in combination with PEG-IFN at week 72. Functional cure is considered the “holy grail” of treatment, and many new therapies are under investigation for the treatment of chronic HBV. As we work towards functional cure for chronic HBV, NAPs and EIs have shown efficacy in reducing HBV DNA and HBsAg levels and have emerged as potential therapeutic agents that may lead to a functional cure for HBV.

Vegetation is an important component of rivers, present naturally alongside the banks. In this research study, three-dimensional computational fluid dynamics (CFD) code ANSYS FLUENT was used to solve the Reynolds Averaged Navier-Stokes equations and to simulate flow features in an asymmetric vegetated compound channel. Three-dimensional flow characteristics and turbulence properties were captured well by the Reynolds stress turbulence model (RSM). A total of five flow cases were considered in this work. Among these, four cases were of circular vegetation patches present on the floodplain edge and one was of non-vegetated asymmetric trapezoidal compound channel. Impact of vegetation patch density, patch center to center (c/c) spacing and flow blockage area has been investigated on various flow features and compared with flow characteristics in a channel without vegetation. Flow features include mean and depth-averaged velocities, secondary flows, Reynolds shear and normal stresses, turbulence intensities and turbulent kinetic energy. The results show that the presence of vegetation patches along the floodplain imparted flow resistance which shifted the zone of higher velocities towards outer wall of main channel and floodplain. Increased velocities in the main channel up to 24.8% was observed for larger flow blockage (aD, where a is the density of the vegetation patch and D is the diameter of patch) and smaller normalized c/c spacing (L/D, where L is the c/c spacing between two patches and D is the diameter of patch) of patches. Large transverse shear stresses existed around the vegetated zone due to the gradient of velocities and vortices in the main channel and floodplain. Floodplain, especially vegetated zone acquires less Reynolds stresses and turbulence making it favorable for deposition of sediments and growth of ecological species.

Laccase-catalysed degradation is a promising technology for the degradation of trace organic contaminants (TrOCs). However, depending on their physicochemical properties (e.g., chemical structures), non-phenolic TrOCs appear to be resistant to laccase-catalysed degradation, thus requiring an additional treatment process. In this study, the performance of an integrated laccase and persulfate (PS) mediated oxidation process was explored and elucidated for the first time. Compared to that achieved during treatment with laccase alone, the addition of PS at 1–10 mM concentration into batch enzymatic bioreactors showed concentration-dependent improvement in the degradation of the five TrOCs selected, namely diclofenac, sulfamethoxazole, carbamazepine, bisphenol A and oxybenzone. The results obtained from a series of batch tests also confirmed that the structural components (e.g., carbohydrate moieties in the enzyme) as well as the possibility of PS acting as a final acceptor of electrons from the type II and type III active sites of laccase may have led to PS activation. A continuous treatment system was developed by integrating a nanofiltration (NF) membrane with the laccase/PS process (NF-MBRlaccase/PS), which achieved TrOC-specific degradation. Importantly, the degradation of non-phenolic TrOCs (diclofenac, sulfamethoxazole and carbamazepine) further improved by 10 to 65% in the NF-MBRlaccase/PS system. This improvement could be attributed to: (i) the prolonged contact time between laccase/PS and TrOCs, which was possible due to their complete retention by the NF membrane; and (ii) retention of oxidative cross coupling agents or secondary radicals enhancing TrOC degradation. The NF membrane not only retained the moderately degraded carbamazepine and sulfamethoxazole effectively but also effectively removed toxic transformation products and residual estrogenicity of the final effluent as evaluated by cytotoxicity and estrogenicity assays, respectively. These observations indicate the significance of the high retention membrane in the NF-MBRlaccase/PS system for producing high quality permeate suitable for disposal and potentially for water reuse applications.

Phosphorus is a critical non-renewable mineral essential for sustainable crop production. However, it is a primary cause of eutrophication in natural water bodies. Hence, a pragmatic approach that allows wastewater treatment plants to efficiently recover phosphorus from wastewater is needed. In this study, we investigated phosphorus recovery from municipal wastewater using an industrial waste product (steelmaking slag) as an adsorbent to selectively separate phosphorus from wastewater before its concentration by the forward osmosis (FO) process. Phosphorus adsorbed on slag was extracted, thereby regenerating the adsorbent medium. The resulting phosphorus-rich solution was further enriched by FO prior to chemical precipitation for phosphorus recovery. Batch test results showed that the equilibrium of phosphorus sorption on the slag medium was achieved within 45 min with an adsorption capacity of 3.8 mg g−1. In continuous-flow column tests, the slag exhibited a stable phosphorus removal efficiency of 82% from wastewater, following which approximately 88% of the phosphate could be extracted from the adsorbent medium. When the phosphorus-rich solution extracted from the adsorbent was passed through the FO membrane, FO could retain 98% of the phosphate. However, the water flux through the FO membrane declined gradually to approximately 20% of the initial value at a water recovery of 90%, which could be attributed to the increasingly concentrated feed solution. The enrichment of phosphate in the concentrated feed by the FO process provided a favorable condition for spontaneous precipitation of amorphous calcium phosphate. This study demonstrates that the proposed combined adsorption–FO process can effectively remove, and thus recover, phosphorus from municipal wastewater.

The nitrogen and sulphur oxide (NO