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Background and objectives:The primary goal of therapy in patients with chronic hepatitis B is durable suppression of HBV DNA to the lowest possible level. The threshold of HBV DNA level to initiate therapy is ≥ 105 copies /ml for patients with HBe antigen–positive and ≥ 104 copies /ml for patients with HBe antigen-negative chronic hepatitis B. Interferon α2b, lamivudine and adefovir dipivoxil are FDA-approved and could all be used as an initial first-line therapy in chronic hepatitis B. It was shown that adding lamivudine to either conventional interferon or peg-interferon did not increase the efficacy of treatment. Also, addition of lamivudine to adefovir had no additional effect in compensated patients. Response rate is about 30-40% with first-line drugs. Peg-interferon, which recently received FDA approval, was associated with an increased response rate. Further long-term studies are required in order to use Peg-interferon as a wide-scale first-line treatment. Treatment strategy is changing towards using prolonged combination therapy with evolving nucleoside analogues with or without an immunomodulatory agent, aiming to eradicate cccDNA. Keywords: Hepatitis; Hepatitis, Chronic; Hepatitis B Virus; Hepatitis-Therapy

Superconducting resonator couplers will likely become an essential component in modular semiconductor quantum dot (QD) spin qubit processors, as they help alleviate crosstalk and wiring issues as the number of qubits increases. Here, we focus on a three-qubit system composed of two modules: a two-electron triple QD resonator coupled to a single-electron double QD. Using a combination of analytical techniques and numerical results, we derive an effective Hamiltonian that describes the three-qubit logical subspace and show that it accurately captures the dynamics of the system. We examine the performance of short-range and long-range entangling gates, revealing the effect of a spectator qubit in reducing the gate fidelities in both cases. We further study the competition between nonadiabatic errors and spectator-associated errors in short-range operations and quantify their relative importance across practical parameter ranges for short and long gate times. We also analyze the impact of charge noise together with residual coupling to the spectator qubit on intermodule entangling gates and find that for current experimental settings, leakage errors are the main source of infidelities in these operations. Our results help pave the way toward identifying optimal modular QD architectures for quantum information processing on semiconductor chips.

Abstract Coherent backscattering (CBS) arises from complex interactions of a coherent beam with randomly positioned particles, which has been typically studied in media with large numbers of scatterers and high opacity. We develop a first-principles scattering model for scalar waves to study the CBS cone formation in finite-sized and sparse random media with specific geometries. The current study provides insights into the effects of density, volume size, and other relevant parameters on the angular characteristics of the CBS cone emerging from sparse and bounded random media for various types of illumination, with results consistent with well-known CBS studies which are typically based on samples with much larger number of scatterers and higher opacity. The enhancements are observed in scattering medium with dimensions between 10× and 40× wavelength and the number of particles as few as 370. This work also highlights some of the potentials and limitations of employing the CBS phenomenon to characterize disordered configurations. The method developed here provides a foundation for studies of complex electromagnetic fields beyond simple incident classical beams in randomized geometries, including structured wavefronts in illumination and quantized fields for investigating the effects of the quantum nature of light in multiple scattering, with no further numerical complications.

Abstract Background HBV infection is a serious global heath problem. It is crucial to monitor this disease more closely with a non-invasive marker in clinical trials. We aimed to evaluate the predictive value of serum hyaluronate for the presence of extensive liver fibrosis and inflammation. Methods 28 healthy volunteers and 65 patients with HBeAg negative chronic hepatitis B were enrolled. Liver biopsies scored according to Ishak system. Association of serum hyaloronate with liver fibrosis and inflammation were assessed, and cut off points for serum hyaluronate levels were identified by receiver operating characteristics (ROC) curves and their values for prediction of fibrosis and inflammation were assessed. Results In patients with CHB serum hyaluronate had the most significant correlation and predictive values for the liver fibrosis and inflammation comparing to the other variables. At the cut off point of 126.4 ngm/ml it could discriminate extensive fibrosis from milder ones with sensitivity of 90.9% and specificity of 98.1%. With the same value it could discriminate extensive inflammation from their milder counterparts with sensitivity of 63.6% and specificity of 92.6%. Conclusion Serum hyaluronate was the best predictor of extensive liver fibrosis and inflammation and it could discriminate subgroups of patients with chronic hepatitis B. It could be used as a non-invasive test to monitor these patients more closely with developing anti viral agents in clinical trials.

Background: Klotho is an aging-suppressor gene that encodes a single-pass transmembrane protein and acts as a hormone. In this study, we aim to investigate the serum α-Klotho level in male opioids addicts with normal kidney function compared to healthy male non-smokers and smokers in Tabriz, Iran. Methods: Participnts were 87 men with normal kidney function referred to Sina Educational Research and Treatment Center in Tabriz, Iran (29 opioids addicts, 29 healthy non-smokers, and 29 healthy smokers). Blood samples were collected to measure the soluble a-Klotho level using an ELISA kit. Furthermore, blood creatinine (Cr) and hemoglobin (Hb) levels was measured. Body mass index (BMI) was also calculated for all participants. Results: In addicts, BMI, Hb, and Cr levels were significantly lower than in healthy non-smokers and smokers, but their Klotho level was higher (P>0.05). The Klotho level in healthy smokers was significantly lower than in healthy non-smokers and addicts. The Klotho level of healthy smokers decreased as the pack year increased, but the duration of opioid addiction had no significant association with the Klotho level. There was no significant difference in the Klotho level between control groups (non-smokers and smokers) and men with addiction to different types of opioids. Conclusion: The Klotho level in male opioid addicts is significantly higher than in smokers. There is a significant negative correlation between BMI and Klotho levels among men with normal BMI and overweight. Further studies are recommended in these fields.

Background: Osteoarthritis (OA) is a degenerative joint disease that causes a variety of adverse health effects. Considering the need to identify additional effective therapeutic options for OA therapy, we investigated the effect of co-injection of apigenin and synovial membrane-derived mesenchymal stem cells (SMMSCs) on OA in male rats’ knee joints.Methods: The study was performed in 2019 at the Department of Pharmacology, Shiraz University of Medical Sciences, Shiraz, Iran. Anterior cruciate ligament transection (ACLT) was used to induce OA. For three weeks, male Sprague-Dawley rats (eight groups, n=6 each) were treated once-weekly with intra-articular injections of apigenin alone or in combination with SMMSC (three million cells), phosphate-buffered saline, or hyaluronic acid. After three months, the interleukin 1 beta (IL-1β), tumor necrosis factor-alpha (TNF-α), superoxide dismutase (SOD), and malondialdehyde (MDA) levels were measured in the cartilage homogenate. The expression of extracellular matrix (ECM) components including collagen 2a1, aggrecan, IL-1β, TNF-α, inducible nitric oxide synthase (iNOS), transcription factor SOX-9, and matrix metalloproteinases 3 and 13 were assessed using real-time polymerase chain reaction (RT-PCR) analysis. Radiological evaluation and histopathological assessment were used to evaluate the knees.Results: Levels of TNF-α (P=0.009), MDA (P>0.001), and IL-1β (p

Machine learning provides a promising platform for both forward modeling and the inverse design of photonic structures. Relying on a data-driven approach, machine learning is especially appealing for situations when it is not feasible to derive an analytical solution for a complex problem. There has been a great amount of recent interest in constructing machine learning models suitable for different electromagnetic problems. In this work, we adapt a region-specified design approach for the inverse design of multilayered nanoparticles. Given the high computational cost of dataset generation for electromagnetic problems, we specifically investigate the case of a small training dataset, enhanced via random region specification in an inverse convolutional neural network. The trained model is used to design nanoparticles with high absorption levels and different ratios of absorption over scattering. The central design wavelength is shifted across 350–700 nm without re-training. We discuss the implications of wavelength, particle size, and the training dataset size on the performance of the model. Our approach may find interesting applications in the design of multilayer nanoparticles for biological, chemical, and optical applications as well as the design of low-scattering absorbers and antennas.

Extensive research has focused on enhancing the efficiency and stability of robotic arms. Sliding mode control (SMC) is commonly used in industrial robots due to its robustness and simplicity. However, SMC approaches have challenges such as chattering and slow convergence rates which can compromise tracking accuracy. To address these issues, this paper proposes a novel Super-Twisting Fast Non-singular Terminal Sliding Mode Control (ST-FNTSMC) strategy for a 3-DOF arm robot. The proposed approach significantly improves trajectory tracking accuracy, robustness, and convergence time and eliminates chattering. The proposed controller was tested in the presence of model mismatches and external disturbances. The super-twisting methodology avoided chattering effects and increased robustness against perturbations. Two Lyapunov functions ensure closed system stability and finite-time convergence. The designed ST-FNTSMC controller is implemented in real-time using a Smart Man Robot manipulator. Its performance is compared to other sliding mode controllers, such as conventional PID Sliding Mode Control (PID-SMC), Non-singular Terminal Sliding Mode Control (NTSMC), and Fast Non-singular Terminal Sliding Mode Control (FNTSMC). Experimental results demonstrate the superior performance of the proposed controller, highlighting its effectiveness in improving the efficiency and stability of industrial robots. [ABSTRACT FROM AUTHOR]

An approach to achieve tunable free-space waveplate operation based on a two-layer cascaded metastructure is proposed. Phase retardation is varied through changing the axial distance between the two layers. Full control on the ellipticity of the output wave is attained with wavelength-scale variations in the axial distance. The theoretically desired characteristics of the metastructures are presented and multiple physical implementations are suggested based on inverse design topology optimization.

Background: Although most of the metabolism of local anesthetics (LAs) takes place in the liver, no study has investigated the effect of these anesthetics on the kidney function of single-kidney humans or animals. The present study was conducted to examine the effect of LAs on renal function in single-kidney rats. Materials and Methods: The present experimental animal study with two control groups was done in an animal laboratory. Forty-two rats were randomly assigned to seven groups of six rats, including two control groups and five experimental groups. The experimental groups underwent intraperitoneal anesthesia with 2% lidocaine, 2% lidocaine with 1:80,000 epinephrine, 4% articaine, 3% prilocaine with 0.03 IU Felypressin, and 3% mepivacaine, respectively. Unilateral nephrectomy was done. After 24 h, the rats' blood urea nitrogen (BUN), serum creatinine (Cr), and blood specific gravity (BSG) were measured. A standard dose of anesthetics was injected into the peritoneum for 4 days afterward. Then, these indices were measured again 24 h after the last injection. Data were analyzed using IBM SPSS (version 21.0). One-way analysis of variance, Tukey's honestly significant difference post hoc, and paired t-tests were used for statistical analysis. P < 0.05 was considered statistically significant. Results: The results indicated significant differences among groups in the rats' BUN and serum Cr 24 h after nephrectomy (P < 0.05). However, there were no significant differences in BUN, BSG, and Cr among groups after the interventions. Conclusion: LAs did not affect renal function in single-kidney rats. Therefore, dentists can use the anesthetics in single-kidney people.

Backgrounds: The adenoma‐carcinoma and serrated pathways offer a window of opportunity for the removal of pre‐malignant polyps and prevention of colorectal cancer (CRC) through the use of colonoscopy. The aim of this study was to investigate variation in polyp incidence in different age groups, gender and indications for undertaking colonoscopy. We also address histological types of polyps found and where in the bowel they are located. Methods: This study is based on the colonoscopy data collected prospectively over a one‐year period in multiple South Australian rural centres, 24 general surgeons contributed to this study. All histopathology results were subsequently entered into the dataset. Results: A total of 3497 colonoscopies were performed, with a total of 2221 adenomatous and serrated polyps removed. Both serrated and adenomatous polyps were more common in the distal colon. Patients of male gender, aged 70 years and over and with an indication of polyp surveillance had higher adenoma and serrated polyp detection rates (ADR and SPDR). Patients aged 40–49 years old who underwent colonoscopy for positive faecal occult blood had an ADR and SPDR of 25.0% and 6.3%, respectively. Conclusions: This study has shown variation in ADR and SPDR depending on age, gender and indication for colonoscopy. This variation will help further develop key performance indicators in colonoscopy. The high ADR and SPDR in patients aged 40–49 years old whom underwent colonoscopy for positive faecal occult blood may support lowering the age of commencement of CRC screening in Australia. [ABSTRACT FROM AUTHOR]

Background: Although most of the metabolism of local anesthetics (LAs) takes place in the liver, no study has investigated the effect of these anesthetics on the kidney function of single-kidney humans or animals. The present study was conducted to examine the effect of LAs on renal function in single-kidney rats. Materials and Methods: The present experimental animal study with two control groups was done in an animal laboratory. Forty-two rats were randomly assigned to seven groups of six rats, including two control groups and five experimental groups. The experimental groups underwent intraperitoneal anesthesia with 2% lidocaine, 2% lidocaine with 1:80,000 epinephrine, 4% articaine, 3% prilocaine with 0.03 IU Felypressin, and 3% mepivacaine, respectively. Unilateral nephrectomy was done. After 24 h, the rats' blood urea nitrogen (BUN), serum creatinine (Cr), and blood specific gravity (BSG) were measured. A standard dose of anesthetics was injected into the peritoneum for 4 days afterward. Then, these indices were measured again 24 h after the last injection. Data were analyzed using IBM SPSS (version 21.0). One-way analysis of variance, Tukey's honestly significant difference post hoc, and paired t-tests were used for statistical analysis. P < 0.05 was considered statistically significant. Results: The results indicated significant differences among groups in the rats' BUN and serum Cr 24 h after nephrectomy (P < 0.05). However, there were no significant differences in BUN, BSG, and Cr among groups after the interventions. Conclusion: LAs did not affect renal function in single-kidney rats. Therefore, dentists can use the anesthetics in single-kidney people. [ABSTRACT FROM AUTHOR]