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Endoscopic remission is the primary long-term therapeutic goal in inflammatory bowel disease (IBD). The assessment of this therapeutic target typically relies on white light endoscopy (WLE) combined with histological sampling. Nonetheless, distinguishing between endoscopic mild, patchy inflammation and quiescent disease can be challenging, and discrepancies have been observed between endoscopic and histological disease activity, mainly when using WLE.Recent advances in endoscopic technologies are gradually transforming clinical practice. Dye-based chromoendoscopy and virtual chromoendoscopy are currently available in the endoscopist armamentarium, enhancing the assessment of mucosal architecture and vascular patterns, improving the visualisation of patchy inflammation and helping detect subtle dysplastic colonic lesions. Moreover, novel advanced tools, including probe-based confocal laser endomicroscopy and endocytoscopy, offer the remarkable ability to investigate the deep aspect of the gastrointestinal tract in real time, including the structure and function of the intestinal barrier and inflammatory-related alterations. Thus, these techniques can bridge the gap between endoscopy and histology, enabling the integration of novel treat-to-target strategies associated with more favourable outcomes.Artificial intelligence (AI) represents a further step forward in overcoming the limitations associated with endoscopy, including subjectivity and the requirement for expertise. Their implementation in clinical practice may enable standardised, accurate and rapid disease assessment. Moreover, AI can aid in accurately predicting responses to therapy and disease outcomes by stratifying patients’ risks, thereby advancing us towards patient-centred personalised medicine.This narrative review summarises the available advanced endoscopic technologies and their integration with AI to assess IBD activity, define promising therapeutic targets and predict long-term outcomes.

Abstract Background Clostridioides difficile infections (CDIs) and recurrences (rCDIs) remain a major public health challenge due to substantial mortality and associated costs. This study aims to generate real-world evidence on the mortality and economic burden of CDI in Germany using claims data between 2015 and 2019. Methods A longitudinal and matched cohort study using retrospective data from Statutory Health Insurance (SHI) was conducted in Germany with the BKK database. Adults diagnosed with CDI in hospital and community settings between 2015 and 2018 were included in the study. Patients had a minimum follow-up of 12-months. All-cause mortality was described at 6-, 12-, and 24-months. Healthcare resource usage (HCRU) and associated costs were assessed at 12-months of follow-up. A cohort of non-CDI patients matched by demographic and clinical characteristics was used to assess excess mortality and incremental costs of HCRU. Up to three non-CDI patients were matched to each CDI patient. Results A total of 9,977 CDI patients were included in the longitudinal cohort. All-cause mortality was 32%, 39% and 48% at 6-, 12-, and 24-months, respectively, with minor variations by number of rCDIs. When comparing matched CDI (n = 5,618) and non-CDI patients (n = 16,845), CDI patients had an excess mortality of 2.17, 1.35, and 0.94 deaths per 100 patient-months, respectively. HCRU and associated costs were consistently higher in CDI patients compared to non-CDI patients and increased with recurrences. Total mean and median HCRU cost per patient during follow-up was €12,893.56 and €6,050 in CDI patients, respectively, with hospitalisations representing the highest proportion of costs. A total mean incremental cost per patient of €4,101 was estimated in CDI patients compared to non-CDI patients, increasing to €13,291 in patients with ≥ 3 rCDIs. Conclusions In this real-world study conducted in Germany, CDI was associated with increased risk of death and substantial costs to health systems due to higher HCRU, especially hospitalisations. HCRU and associated costs were exacerbated by rCDIs.

Abstract Background This real-world study assessed the epidemiology and clinical complications of Clostridioides difficile infections (CDIs) and recurrences (rCDIs) in hospital and community settings in Germany from 2015 − 2019. Methods An observational retrospective cohort study was conducted among adult patients diagnosed with CDI in hospital and community settings using statutory health insurance claims data from the BKK database. A cross-sectional approach was used to estimate the annual incidence rate of CDI and rCDI episodes per 100,000 insurants. Patients’ demographic and clinical characteristics were described at the time of first CDI episode. Kaplan-Meier method was used to estimate the time to rCDIs and time to complications (colonic perforation, colectomy, loop ileostomy, toxic megacolon, ulcerative colitis, peritonitis, and sepsis). A Cox model was used to assess the risk of developing complications, with the number of rCDIs as a time-dependent covariate. Results A total of 15,402 CDI episodes were recorded among 11,884 patients. The overall incidence of CDI episodes declined by 38% from 2015 to 2019. Most patients (77%) were aged ≥ 65 years. Around 19% of CDI patients experienced at least one rCDI. The median time between index CDI episode to a rCDI was 20 days. The most frequent complication within 12-months of follow-up after the index CDI episode was sepsis (7.57%), followed by colectomy (3.20%). The rate of complications increased with the number of rCDIs. The risk of any complication increased by 31% with each subsequent rCDI (adjusted hazard ratio [HR]: 1.31, 95% confidence interval: 1.17;1.46). Conclusions CDI remains a public health concern in Germany despite a decline in the incidence over recent years. A substantial proportion of CDI patients experience rCDIs, which increase the risk of severe clinical complications. The results highlight an increasing need of improved therapeutic management of CDI, particularly efforts to prevent rCDI.

Objective: To estimate the epidemiological and clinical burden of Clostridioides difficile infections (CDIs) and recurrences (rCDIs) in England. Methods: This retrospective study included adult patients diagnosed with CDI (community or hospital settings) over 2015-2019 from Clinical Practice Research Datalink and Hospital Episode Statistics databases. Incidences of CDI and rCDI were determined annually. Time to subsequent rCDI was estimated by Kaplan-Meier method. Rates of complications were assessed within 12 months from index episode. Association of risk factors with complications was evaluated using a Cox regression model. Results: A total of 52,443 CDI episodes were recorded among 36,913 patients. Of these, 75% were aged ≥65 years, 59% were women; 73% were treated in community settings. CDI incidence remained stable (111 episodes per 100,000 patients in 2019). Around 21% of patients had ≥1 rCDI. Sepsis (12%) was the most common complication, followed by colectomy and ulcerative colitis. Age, gender, comorbidities, rCDI, preindex medical procedures, hospitalizations and consultations, and CDI treatment in hospital, were found to increase the risk of complication. Conclusions: CDI remains a concern in England. The study highlights the importance of managing primary and rCDI episodes via effective and improved therapies to prevent fatal complications.

Quantitative analysis of LULC changes and their effects on carbon stock and sequestration is important for mitigating climate change. Therefore, this study examines carbon stock and sequestration in relation to LULC changes using the Land Change Modeler (LCM) and Ecosystem Services Modeler (ESM) in tropical dry deciduous forests of West Bengal, India. The LULC for 2006, 2014, and 2021 were classified using Google Earth Engine (GEE), while LULC changes and predictions were analyzed using LCM. Carbon stock and sequestration for present and future scenarios were estimated using ESM. The highest carbon was stored in forest land (124.167 Mg/ha), and storage outside the forest declined to 13.541 Mg/ha for agricultural land and 0–8.123 Mg/ha for other lands. Carbon stock and economic value decreased from 2006 to 2021, and are likely to decrease further in the future. Forest land is likely to contribute to 94% of future carbon loss in the study region, primarily due to its conversion into agricultural land. The implementation of multiple-species plantations, securing tenure rights, proper management practices, and the strengthening of forest-related policies can enhance carbon stock and sequestration. These spatial-temporal insights will aid in management strategies, and the methodology can be applied to broader contexts.

Objectives: To generate real-world evidence on all-cause mortality and economic burden of Clostridioides difficile infections (CDIs) and recurrences (rCDIs) in England. Methods: We conducted a cohort study using retrospective data from Clinical Practice Research Datalink linked to Hospital Episode Statistics. Patients diagnosed with CDI in hospital and community settings during 2015-2018 were included and followed for ≥1 year. All-cause mortality was described at 6, 12, and 24 months. Healthcare resource usage (HCRU) and associated costs were assessed at 12 months of follow-up. A cohort of non-CDI patients, matched by demographic and clinical characteristics including Charlson Comorbidity Index score, was used to assess excess mortality and incremental costs of HCRU. Results: All-cause mortality among CDI patients at 6, 12, and 24 months was 15.87%, 20.37%, and 27.03%, respectively. A higher proportion of rCDI patients died at any point during follow-up. Compared with matched non-CDI patients, excess mortality was highest at 6 months with 1.81 and 2.53 deaths per 100 patient-months among CDI and ≥1 rCDI patients. Hospitalizations were the main drivers of costs, with an incremental cost of £1209.21 per CDI patient. HCRU and costs increased with rCDIs. Conclusion: CDI poses a substantial mortality and economic burden, further amplified by rCDIs.

The demand for high‐performance materials in thermoelectric (TE) technology has driven continuous efforts to enhance the performance of commercialized Bi2Te3‐based thermoelectric materials. Here, we report success in achieving significant performance improvements in n‐type Bi2Te2.8Se0.2S0.01 through the implementation of a hot extrusion manufacturing process. This tailored manufacturing process has yielded a desired microstructure characterized by grain growth and preferred orientations. The resulting enlarged grain‐based microstructure exhibits reduced dislocations and defects that originated from plastic deformation during extrusion and post annealing. As such, the charge carrier mobility is significantly enhanced, leading to an ultrahigh power factor of approximately 51 μW cm−1 K−2 at ambient temperature. Consequently, a maximum figure of merit (zT) of 1.12 is achieved at 348 K in the combination of extrusion and annealing procedures. Using the synthesized n‐type Bi2Te2.8Se0.2S0.01 material, full‐scale cooling modules have been fabricated. These modules demonstrate record cooling performance, with a maximum temperature difference (ΔT) of 73.9 K at a hot‐side temperature of 300 K and a maximum cooling power density of 2.2 W cm−2. The cooling performance of these TE devices surpasses that of commercially available devices, establishing their potential for next‐generation TE cooling applications.

Thermoelectric (TE) materials play a crucial role in converting energy between heat and electricity, essentially for environmentally friendly renewable energy conversion technologies aimed at addressing the global energy crisis. Significant advances in TE performance have been achieved over the past decades in various TE materials through key approaches, such as nanostructuring, band engineering, and high-entropy engineering. Among them, the design of high-entropy materials has recently emerged as a forefront strategy to achieve significantly low thermal conductivity, attributed to severe lattice distortion and microstructure effects, thereby enhancing the materials’ figure of merit (zT). This review reveals the progress of high-entropy TE materials developed in the past decade. It discusses high-entropy-driven structural stabilization to maintain favorable electrical transport properties, achieving low lattice thermal conductivity, and the impact of high entropy on mechanical properties. Furthermore, the review explores the theoretical development of high-entropy TE material and discusses potential strategies for future advancements in this field through interactions among experimental and theoretical studies.

Tearing strength of the woven fabric is an important mechanical property which directly decides the fabric serviceability. Yarn-yarn friction, one of the most important factors of fabric tearing strength, is a characteristic inherited from the surface and bulk properties of the interlacing yarns that decides the yarn interaction behavior. In this work, an experimental set-up was fabricated to measure the yarn-yarn friction on an UTM. By using this set-up, a study was carried out with the unraveled yarns obtained from commercial cotton woven fabrics consist of two sets of plain shirting fabrics, with different combinations of warp and weft type, i.e., ring-combed yarn, ring-compact yarn, and one set of plain suiting fabrics made of OE yarn. All these fabrics were processed through standard commercial chemical processing stages and samples were collected after each wet processing stages. It is found that, yarn-yarn co-efficient of friction (μ) of the compact yarn after finishing has the lowest μ, i.e., 0.32 as compared to ring and OE yarn μ of 0.36 and 0.45, respectively. However, after dyeing the μ is highest for all the yarns, i.e., μ of compact, ring and OE yarns are 0.35, 0.40, and 0.52, respectively.

In 1907, Lapicque proposed that an electric field passes through the neuronal membrane and transmits a signal. Subsequently, a “snake curve” or spike was used to depict the means by which a linear flat current undergoes a sudden Gaussian or Laplacian peak. This concept has been the accepted scenario for more than 115 years even appearing in textbooks on the subject. It was not noted that the membrane spike should have a cylindrical shape. A nerve spike having a dot shape on membrane surface cannot propagate through a cylindrical surface since it would dissipate instantaneously. A nerve spike should have the appearance of a ring, encompassing the diameter of a cylindrical axon or dendron. However, this subtle change has remarkable implications. Maintaining a circular form of an electric field is not easy, especially at the surface of an organic object. Here, we suggest that neuroscience could redefine itself if we accept that a nerve spike is not a localized 3D Gaussian or Laplacian wave packet, rather it is a 3D ring encompassing the diameter of a neural branch.

A hydrophobic surface with an antibacterial property has numerous uses, including self-cleaning, anti-sticking, anti-contamination, sports apparel, and wound healing/implant materials. The durability of the coating in an aquas media (pH 7.4) is a vital requirement for use in technical textile sectors, particularly in medical applications. In this study, we used silica sol, chitosan and hexadecyltrimethoxysilane (HDTMS) to create exceptionally hydrophobic surfaces with antibacterial properties on cotton fabrics. First, cotton fabric was treated with silica sol, which was produced by the hydrolysis and condensation of tetraethoxysilane (TEOS) in an alkaline environment. After that, chitosan was applied on the silica sol-treated fabric to add an antibacterial characteristic. The silica sol-chitosan-treated fabric was then given a hydrolysed HDTMS treatment to give a highly hydrophobic property. The hydrophobicity was assessed by measuring the water contact angle, while the AATCC-147 test protocol was used to assess the antibacterial property. The developed fabric exhibited a strong hydrophobic property. The fabric samples were immersed in an aquas media for 30 days to assess the coating durability by observing changes in hydrophobicity and anti-bacterial activity in terms of the zone of inhibition (ZOI). After 30 days of immersion in the aquas media, it was observed that the contact angle decreased from 151.7° to 129.5°, and the ZOI increased from 1 mm to 5 mm, which indicates an increase in anti-bacterial activity in relation to time of immersion. The wicking characteristics of coated and uncoated fabrics were also measured to determine how coating affects the wicking behaviour of fabric. EDS was performed to observe the coating stability for coated-dipped fabric samples after 30 days. SEM analysis was performed to examine the surface morphology, while FTIR was used to determine the surface functional groups after coating and changes after dipping in the aquas media. The developed hydrophobic cotton fabrics with anti-bacterial properties may help in the fabrication of natural biomaterials and other technical textile products.

Abstract Background Several chronic inflammatory diseases co-exist with and accelerate sarcopenia (reduction in muscle strength, function and mass) and negatively impact on both morbidity and mortality. There is currently limited research on the extent of sarcopenia in such conditions, how to accurately assess it and whether there are generic or disease-specific mechanisms driving sarcopenia. Therefore, this study aims to identify potential mechanisms driving sarcopenia within chronic inflammatory disease via a multi-modal approach; in an attempt to help define potential interventions for future use. Methods This prospective cohort study will consist of a multi-modal assessment of sarcopenia and its underlying mechanisms. Recruitment will target three chronic inflammatory diseases: chronic liver disease (CLD) (n=50), with a subset of NAFLD (n=20), inflammatory bowel disease (IBD) (n=50) and rheumatoid arthritis (RA) (n=50) both before and after therapeutic intervention. In addition, 20 age and sex matched healthy individuals will be recruited for comparison. Participants will undergo 4 assessment visits at weeks 0, 2, 12 and 24. Visits will consist of the following assessments: blood tests, anthropometrics, functional assessment, quadriceps muscle imaging, actigraphy, quality of life questionnaires, food diary collection and muscle biopsy of the vastus lateralis (at weeks 2 and 24 only). In addition, stool and urine samples will be collected for future microbiome and metabolomics analysis. Discussion This is the first study to use a multi-modal assessment model to phenotype sarcopenia in these chronic inflammatory diseases. We hope to identify generic as well as disease-specific mechanisms driving sarcopenia. We appreciate that these cohorts do require separate standards of care treatments which limit comparison between groups. Ethics and dissemination The study is approved by the Health Research Authority - West Midlands Solihull Research Ethics Service Committee Authority (REC reference: 18/WM/0167). Recruitment commenced in January 2019 and will continue until July 2021. The study was halted in March 2020 and again in January 2021 with the COVID-19 pandemic. The findings will be disseminated through peer-reviewed publications and conference presentations. All data will be stored on a secure server. Trial registration ClinicalTrials.gov Identifier: NCT04734496

The current action potential paradigm considers that all components beneath the neuron membrane are inconsequential. Filamentary communication is less known to the ionic signal transmission; recently, we have proposed that the two are intimately linked through time domains. We modified the atom probe-connected dielectric resonance scanner to operate in two-time domains, milliseconds and microseconds simultaneously for the first time. We resonate the ions for imaging rather than neutralizing them as patch clamps do; resonant transmission images the ion flow 103 times faster than the existing methods. We revisited action potential-related events by scanning in and around the axon initial segment (AIS). Four ordered structures in the cytoskeletal filaments exchange energy ~250 μs before a neuron fires, editing spike-time-gap—key to the brain’s cognition. We could stop firing above a threshold or initiate a fire by wirelessly pumping electromagnetic signals. We theoretically built AIS, whose simulated electromagnetic energy exchange matched the experiment. Thus far, the scanner could detect & link uncorrelated biological events unfolding over 106 orders in the time scale simultaneously. Our experimental findings support a new dielectric resonator model of neuron functioning in various time domains, thus suggesting the dynamic anatomy of electrical activity as information-rich.

Introduction Dietary patterns that might induce remission in patients with active Crohn’s disease (CD) are of interest to patients, but studies are limited in the published literature. We aim to explore the efficacy of the CD therapeutic dietary intervention (CD-TDI), a novel dietary approach developed from best practices and current evidence, to induce clinical and biomarker remission in adult patients with active CD.Methods and analysis This study is a 13-week, multicentre, randomised controlled trial in patients with mild-to-moderate active CD at baseline. One hundred and two patients will be block randomised, by sex, 2:1 to the intervention (CD-TDI) or conventional management. Coprimary outcomes are clinical and biomarker remission, defined as a Harvey Bradshaw Index of

Intestinal strictures remain one of the most intractable and common complications of Crohn’s disease (CD). Approximately 70% of CD patients will develop fibrotic strictures after 10 years of CD diagnosis. Since specific antifibrotic therapies are unavailable, endoscopic balloon dilation and surgery remain the mainstay treatments despite a high recurrence rate. Besides, there are no reliable methods for accurately evaluating intestinal fibrosis. This is largely due to the fact that the mechanisms of initiation and propagation of intestinal fibrosis are poorly understood. There is growing evidence implying that the pathogenesis of stricturing CD involves the intricate interplay of factors including aberrant immune and nonimmune responses, host-microbiome dysbiosis, and genetic susceptibility. Currently, the progress on intestinal strictures has been fueled by the advent of novel techniques, such as single-cell sequencing, multi-omics, and artificial intelligence. Here, we perform a timely and comprehensive review of the substantial advances in intestinal strictures in 2021, aiming to provide prompt information regarding fibrosis and set the stage for the improvement of diagnosis, treatment, and prognosis of intestinal strictures.

Background: The past decade has witnessed a dramatic increase in the number of patients with inflammatory bowel disease (IBD) in China. The nationwide burden of hospitalization remains unclear, however. We aimed to address this gap by conducting analysis using a nationwide database. Methods: Population-based hospitalization rates from 2013 to 2018 were calculated by extrapolating the number of patients in the database to the national level. Surgical rates, annual hospital charges, and length of stay were also used for quantification of hospitalization burden. The Poisson regression analysis and the Cochran–Armitage trend test were conducted to analyze temporal trends as expressed as annual percentage of change (APC) with 95% confidential intervals (CIs). Results: From 2013 to 2018, the hospitalization rates for Crohn’s disease (CD) and ulcerative colitis (UC) in China increased from 2.20 (95% CI = 2.17–2.22) to 3.62 (3.59–3.65) per 100,000 inhabitants ( p

Jute fibers are explored here as a raw material of quilt for thermal insulation. Alkali treatment of the jute fibers has been conducted to make the fibers soft, bulky, porous, and crimpy. Process of alkali treatment has been optimized by Box–Behnken response surface design to develop maximum crimp in the fiber structure. A good negative correlation (−0.91) has been observed between fiber crimp and thermal conductivity of quilts prepared thereof. Highest crimp (28.88%) and lowest thermal conductivity (0.378 W/mK) of the jute quilt has been observed when jute fibers are woollenized at low level of reaction temperature, medium level of time and at high level of alkali concentration. Even, thermal conductivity of the woollenized jute quilt is found lower than domestic cotton and commercial polyester fiber quilts. Scanning electron microscope images of woollenized jute fiber reveal that after alkali treatment bundled jute fiber strands are individualized due to removal of surface binder lignin creating bulky and porous morphology.

Urban parks provide multi-purpose benefits, including environmental, social, recreational, and health benefits to the city dwellers. Recently much research has argued that a better understanding of citizen preferences should be effective in managing urban green space. The aim of this study to understand the purpose, motives as well as attitude towards urban parks in different socio-demographic assortments, variety of preferences, and their willingness to pay (WTP). A questionnaire-based survey has been conducted with 6 selected urban parks in Kolkata city, the second-largest city of India. A 5-point Likert scale was used to measures of preference of respondents. Cronbach's alpha is used to measure the internal consistency of variables and a non-parametric Spearman test was performed to identify potential correlations between the variables. The study has discovered an interesting public perception about the use of urban parks which depend on a mix of aesthetic preferences and environmental benefits. The result shows that various socio-demographic factors, particularly gender, age groups, education level, and economic status are influenced to visit parks. It also shows that the majority of the respondents were visits parks for acquiring ‘social benefits’ (39.9%) and ‘psychological and health benefits’ (71.7%). Furthermore, strong correlations were found between park suitability, accessibility, and aesthetic preferences with WTP. Overall, this study will be helpful in the assessment of park users' motives and their attitudes which is essentially required to manage urban green space in a multi-dimensional construct.

Abstract This study examined associations between dietary intake and gut and systemic inflammation assessed by fecal calprotectin ≤ or > 100 μg/mg (FCP), C-reactive protein ≤ or > 5 mg/L (CRP) and serum cytokine profiles in Crohn’s disease (CD) patients in clinical remission. A 3-month observational study was conducted at the University of Calgary in Calgary, Alberta, Canada between 2016 and 2018 in 66 outpatients with CD in clinical remission. FCP was obtained from stool samples at baseline and 3-months and serum CRP and serum cytokines were assessed at 3-months only (n = 41). Dietary intakes were collected using 3-day food records at baseline and 3-months and categorized as: PREDIMED Mediterranean diet scores (pMDS) total and individual components, the dietary inflammatory index (DII), food groups, and common micro- and macro-nutrients. Statistical models were developed to identify relationships between dietary factors and FCP, CRP and cytokine levels. Daily intake of leafy green vegetables was associated with FCP ≤ 100 μg/mg (p

Background: Advanced endoscopic technologies led to significant progress in the definition of endoscopic remission of ulcerative colitis (UC) and correlate better with histological changes, compared with standard endoscopy. However, while studies have assessed the diagnostic accuracy of endoscope technologies individually, there are currently limited data comparing between technologies. As such, the aim of this systematic review was to pool data from the existing literature and compare the correlations between endoscopy and histologic disease activity scores across endoscope technologies. Methods: We searched PubMed and Embase until February 2021 for eligible studies reporting the correlation between endoscopy and histology activity scores in UC. Studies were grouped by endoscope technology as standard-definition white light (SD-WLE), high-definition white light (HD-WLE) or electronic virtual chromoendoscopy (VCE) and comparisons made between these groups. Results: A total of N = 27 studies were identified, of which N = 12 were included in a meta-analysis of correlations between endoscopic and histological activity scores. Combining these studies identified considerable heterogeneity ( I 2 : 89–93%) and returned a pooled correlation coefficient ( ρ ) for the SD-WLE group of 0.74, which did not differ significantly from HD-WLE ( ρ : 0.65, p = 0.521) or VCE ( ρ : 0.70, p = 0.801). In addition, N = 4 studies reported the accuracy of endoscopic activity scores on WLE and VCE to diagnose histological remission. Pooling these found significantly higher accuracy for VCE, compared with WLE [risk ratio: 1.13, 95% confidence interval (CI): 1.07–1.19, p

BackgroundTelemedicine plays an important role in the management of inflammatory bowel disease (IBD), particularly during a pandemic such as COVID-19. However, the effectiveness and efficiency of telemedicine in managing IBD are unclear. ObjectiveThis systematic review and meta-analysis aimed to compare the impact of telemedicine with that of standard care on the management of IBD. MethodsWe systematically searched the PubMed, Cochrane Library, EMBASE, Web of Science, and Scopus databases on April 22, 2020. Randomized controlled trials comparing telemedicine with standard care in patients with IBD were included, while conference abstracts, letters, reviews, laboratory studies, and case reports were excluded. The IBD-specific quality of life (QoL), disease activity, and remission rate in patients with IBD were assessed as primary outcomes, and the number of in-person clinic visits per patient, patient satisfaction, psychological outcome, and medication adherence were assessed as secondary outcomes. Review Manage 5.3 and Stata 15.1 were used for data analysis. ResultsA total of 17 randomized controlled trials (2571 participants) were included in this meta-analysis. The telemedicine group had higher IBD-specific QoL than the standard care group (standard mean difference 0.18, 95% CI 0.01 to 0.34; P.03). The number of clinic visits per patient in the telemedicine group was significantly lower than that in the standard care group (standard mean difference −0.71, 95% CI −1.07 to −0.36; P

Objective: To investigate the effect of Camellia (C.) sinensis in mitigating oxidative damage and reproductive toxicity in testis induced by sodium fluoride in a rat model. Methods: Twenty-four adult male Wister rats were divided into 4 groups, with 6 rats in each group. Group 1 orally received distilled water (1 mL/100 g body weight) daily and served as the control group, while group 2 received drinking water with 100 ppm sodium fluoride per day for 21 consecutive days, group 3 was administered with only C. sinensis extract by gavage at a dose of 100 mg/kg body weight and group 4 received drinking water with 100 ppm sodium fluoride and 100 mg/kg body weight C. sinensis leaf extract per day for 21 consecutive days. At the end of the treatment, the rats were sacrificed under light ether anesthesia. The gonado-somatic index, sperm count and motility, serum level of luteinizing hormone and testosterone were assayed. Lipid peroxidation [malondialdehyde (MDA) level], nitric oxide (NO) production, and activities of antioxidant enzymes - superoxide dismutase (SOD), catalase, and reduced glutathione level (GSH) were also analysed. Results: Sodium fluoride treatment significantly decreased gonado-somatic index, sperm count and motility as well as the serum level of luteinizing hormone and testosterone (P

To build energy minimized superstructures, self-assembling molecules explore astronomical options, colliding ∼10 ^9 molecules s ^−1 . Thus far, no computer has used it fully to optimize choices and execute advanced computational theories only by synthesizing supramolecules. To realize it, first, we remotely re-wrote the problem in a language that supramolecular synthesis comprehends. Then, all-chemical neural network synthesizes one helical nanowire for one periodic event. These nanowires self-assemble into gel fibers mapping intricate relations between periodic events in any-data-type, the output is read instantly from optical hologram. Problem-wise, self-assembling layers or neural network depth is optimized to chemically simulate theories discovering invariants for learning. Subsequently, synthesis alone solves classification, feature learning problems instantly with single shot training. Reusable gel begins general-purpose computing that would chemically invent suitable models for problem-specific unsupervised learning. Irrespective of complexity, keeping fixed computing time and power, gel promises a toxic-hardware-free world. One sentence summary: fractally coupled deep learning networks revisits Rosenblatt’s 1950s theorem on deep learning network.

Photons that acquire orbital angular momentum move in a helical path and are observed as a light ring. During helical motion, if a force is applied perpendicular to the direction of motion, an additional radial angular momentum is introduced, and alternate dark spots appear on the light ring. Here, a third, centrifugal angular momentum has been added by twisting the helical path further according to the three-step hierarchical assembly of helical organic nanowires. Attaining a third angular momentum is the theoretical limit for a photon. The additional angular momentum converts the dimensionless photon to a hollow spherical photon condensate with interactive dark regions. A stream of these photon condensates can interfere like a wave or disintegrate like matter, similar to the behavior of electrons.

In the 1990s, tumour necrosis factor-α inhibitor therapy ushered in the biologic therapy era for inflammatory bowel disease, leading to marked improvements in treatment options and patient outcomes. There are currently four tumour necrosis factor-α inhibitors approved as treatments for ulcerative colitis and/or Crohn’s disease: infliximab, adalimumab, golimumab and certolizumab pegol. Despite the clear benefits of tumour necrosis factor-α inhibitors, a subset of patients with inflammatory bowel disease either do not respond, experience a loss of response after initial clinical improvement or report intolerance to anti-tumour necrosis factor-α therapy. Optimizing outcomes of these agents may be achieved through earlier intervention, the use of therapeutic drug monitoring and thoughtful switching within class. To complement these approaches, evolving predictive biomarkers may help inform and optimize clinical decision making by identifying patients who might potentially benefit from an alternative treatment strategy. This review will focus on the current use of tumour necrosis factor-α inhibitors in inflammatory bowel disease and the application of personalized medicine to improve future outcomes for all patients.

While conventional cleaning to remove the coating from plasma chamber walls becomes essential to reproduce the desired materials on the target substrate for widespread applications, an attention towards wall-deposited materials is scarce. Recycling those waste materials to value-added product is of great importance for sustainable progress of our modern society. Herein, we investigated the materials deposited on the wall of plasma chamber, explored their promising features and compared them with conventionally grown materials. A mixture of ZnO and α-Fe2O3 (ZF) exposed to high energy plasma was collected from the wall (ZF-W) and also from the substrate (ZF-S) to check the feasibility of providing same quality products. With same lattice constant of hematite, magnetite and zinc ferrites, ZF-W differs from ZF-S in coercivity, saturation magnetization, ferromagnetic stoichiometry and defects. In addition, degradation of Methyl Blue (MB) dye in ZF-W without use of any external light sources are comparable, more stable and durable in comparison to ZF-S. The slight differences obtained in the property-performances between ZF-W and ZF-S are attributed to the cationic arrangement and the oxygen vacancy defects present in the structure. The study reflects the potentiality of ZF-W as a promising active material for wastewater treatment just as one can use ZF-S. These findings clearly depict that the unused products with altered intrinsic properties obtained after plasma treatment has similar or even better potential to its actual targeted product and thus can be utilized properly thereby saving cost and time and, hence generates an unexplored direction for the materials science community.

Increasing land surface temperature (LST) is one of the major anthropogenic issues and is significantly threatening the urban areas of the world. Therefore, this study was designed to examine the spatial variations and patterns of LST during the different seasons in relation to influencing factors in Kolkata Municipality Corporation (KMC), a city of India. The spatial distribution of LST was analyzed regarding the different surface types and used 25 influencing factors from 6 categories of variables to explain the variability of LST during the different seasons. All-subset regression and hierarchical partitioning analyses were used to estimate the explanatory potential and independent effects of influencing factors. The results show that high and low LST corresponded to the artificial lands and bodies of water for all seasons. In the individual category regression model, surface properties gave the highest explanatory rate for all seasons. The explanatory rates and the combination of influencing factors with their independent effects on the LST were changed for the different seasons. The explanatory rates of integration of all influencing factors were 89.4%, 81.4%, and 88.7% in the summer, transition, and winter season, respectively. With the decreasing of LST (summer to transition, then to winter) more influencing factors were required to explain the LST. In the integrated regression model, surface properties were the most important factor in summer and winter, and landscape configuration was the most important factor in the transition season. LST is not the result of single categories of influencing factors. Along with the effects of surface properties, socio-economic parameters, landscape compositions and configurations, topographic parameters and pollutant parameters mostly explained the variability of LST in the transition (11.22%) and summer season (15.22%), respectively. These findings can help to take management strategies to reduce urban LST based on local planning.

Filtration through the porous media of a granular bed is one of the oldest and most favourable particle separation techniques used universally for the treatment of water. In the case of filtration through a granular bed, all physical factors are incorporated into a single collector contact efficiency. The latter is the ratio of the rate at which particles strike the collector to the rate at which particles flow towards the collector. On the other hand, collision or attachment efficiency represents the chemical interaction between the media used and colloids, and is expressed as the ratio of the number of particles removed by the collector to the number of particle collector collisions, or the possibility that a collision in an attachment. Textile media is emerging as a substrate in deep bed filtration due to its superior performance in the removal of colloidal particles from water under higher filtration velocities compared with granular media. Reported studies relating to the effect of physicochemical factors on colloidal removal in textile fibrous media are mainly based on the experimental value of the concentration variation of colloidal particles in input and output water. Presented in this paper is a way in which colloidal filtration theory can be extended to textile filter media in order to explain the mechanism of attachment of colloids (primarily bacteria) on a textile fibrous media surface.

Abstract In this study, coral-like yolk–shell-structured NiO/C composite microspheres (denoted as CYS-NiO/C) were prepared using spray pyrolysis. The unique yolk–shell structure was characterized, and the formation mechanism of the structure was proposed. Both the phase separation of the polyvinylpyrrolidone and polystyrene (PS) colloidal solution and the decomposition of the size-controlled PS nanobeads in the droplet played crucial roles in the formation of the unique coral-like yolk–shell structure. The CYS-NiO/C microspheres delivered a reversible discharge capacity of 991 mAh g−1 after 500 cycles at the current density of 1.0 A g−1. The discharge capacity of the CYS-NiO/C microspheres after the 1000th cycle at the current density of 2.0 A g−1 was 635 mAh g−1, and the capacity retention measured from the second cycle was 91%. The final discharge capacities of the CYS-NiO/C microspheres at the current densities of 0.5, 1.5, 3.0, 5.0, 7.0, and 10.0 A g−1 were 753, 648, 560, 490, 440, and 389 mAh g−1, respectively. The synergetic effect of the coral-like yolk–shell structure with well-defined interconnected mesopores and highly conductive carbon resulted in the excellent Li+-ion storage properties of the CYS-NiO/C microspheres.

In this research work, the fibre fly from different zones in the knitting process, such as the cone unwinding, guide and the knitting zones, were collected and characterised. The results show that in the cone unwinding zone were formed 18% of shortest (i.e. ≤1 mm), 40% of shorter (i.e. 2–6 mm), 32% of short (i.e. 7–11 mm) and 10% of long (i.e. ≥12 mm) fibres, followed by shortest (14%), shorter (38%), short (30%) and long (18%) in the guide zone, and shortest (30%), shorter (36%), short (28%) and long (6%) in the knitting zone. The surface characteristics and breakage behaviour of fibre fly collected from three different zones were studied using a scanning electronic microscope. The majority of fibre fly are highly twisted, with kink bands with longitudinal and transverse cracks, and twist break in the form of ductile, granular and individual fibril break due to torsional fatigue under high tensile stress in the cone unwinding zone. The majority of fibre fly are found in twisted form with a flat surface, are bent with kink bands, surface peeling, a long axial crack and twist break, and either fibril failure or independent fibril failure due to the combination of flex and torsional fatigue under tensile stress in the guide zone. Surface peeling, bent along with the kink bands, and twist break, either with two and multiple splits or granular and ductile form, were observed in the fly of the knitting zone due to the combined effect of torsional, flex and abrasion fatigue under tensile stress.

Background and study aims Correct optical diagnosis of colorectal polyps is crucial to implement a resect and discard strategy. Training methods have been proposed to reach recommended optical diagnosis thresholds. The aim of our study was to present a systematic review and meta-analysis on optical diagnosis training. Methods PubMed/Medline and Cochrane databases were searched between 1980 and October 2019 for studies reporting outcomes on optical diagnosis training of colorectal polyps. The primary outcome was optical diagnosis accuracy compared to histological analysis pre-training and post-training intervention. Subgroup analyses of experienced/trainee endoscopists, training methods, and small/diminutive polyps were included. Results Overall, 16 studies met inclusion criteria, analyzing the impact of training on 179 endoscopists. Pre-training accuracy was 70.3 % (6416/9131 correct diagnoses) whereas post-training accuracy was 81.6 % (7416/9213 correct diagnoses) (risk ratio [RR] 1.17; 95 % confidence interval [CI]: 1.09–1.24, P

Urban green space (UGS) is although play a vital role in the mitigation of negative impacts of urbanization, but it often abominably affected by the process of land-use land-cover (LULC) changes in an urban area. Thus, the present study aims to examine the loss in urban green space (UGS) in relation to LULC change by using a multi-temporal land-use transition scenario and to predict the loss of UGS in the future in the city Kolkata. Landsat satellite data (for years 1980, 1991, 2001, 2011 and 2018) were used for analysis. We have adopted three comparative land classification algorithms for the assessment of urban growth pattern. An integrated cellular automata-Markov chain (CA-MC) model was applied to simulate LULC dynamics and the state of UGS in 2025 and 2035. Land use dynamic degree index (LUDD), UGS change intensity index (CII) and UGS land index were used to measure the rate and speed of urban growth, the ratio of change of green space and UGS coverage in respect to the total area of all LULC types, respectively. To measure UGS availability, per-capita urban green space (PCG) was estimated. The model was validated using observed and simulated LULC map 2018. The standard Kappa coefficient value was 0.861 and overall level of agreement was 91.15%, which signifies the efficiency of this simulation. The result shows that the built-up areas were increased from 92.71 sq. km in 1980 to 148.30 sq. km in 2018 and predicted to increase 155.67 sq. km which will be about 84% of the total area. Correspondingly, the predicted results displayed that, vegetation and grassland area were decreased about (−)17.42% and (−)11.69% for the period of 2025–2035, respectively. The present study provides some productive methodological approach for future LULC simulation research and also the findings of this study can help implement UGS management strategies not only for the Kolkata but other cities as well.

Background and Aims: Angiotensin-converting enzyme II (ACE2) is the key molecule for understanding the pathophysiology of COVID-19. The risk of COVID-19 and impact of immunosuppressive treatment on disease course in patients with inflammatory bowel disease (IBD) remain controversial. We aimed to determine the change of intestinal ACE2 expression before and after biologics treatment including anti-tumor necrosis factor α (anti-TNFα), anti-integrin, and anti-interleukin (IL)12/23 in IBD patients.Methods: We analyzed the ACE2 expression through the public database of paired intestinal biopsies from IBD patients before and after biologic therapy. Change of ACE2 RNA and protein expression were validated in two independent cohorts (Birmingham cohort and Guangzhou cohort). The correlation between ACE2 expression and disease activity was also analyzed.Results: Mining information from the GEO database showed that compared with healthy control, intestinal ACE2 expression was downregulated in ileum of CD patients, while upregulated in colon of both CD and UC patients. Colonic ACE2 RNA expression was decreased significantly in patients responding to anti-TNFα but not anti-integrin and anti-IL12/23, which was validated in the Birmingham cohort. Using the Guangzhou cohort including 53 patients matched by pre- and post-anti-TNFα therapy, colonic ACE2 protein expression was significantly downregulated after anti-TNFα treatment in responders (P < 0.001) rather than non-responders. Colonic ACE2 expression was significantly higher in patients with severe histologically active disease compared with those with moderate (P < 0.0001) and mild (P = 0.0002) histologically active disease.Conclusion: Intestinal inflammation influences the expression of intestinal ACE2 in IBD patients, with different alterations in the ileum and colon. Colonic ACE2 expression was downregulated after anti-TNFα therapy in IBD patients responding to treatment. This might provide new clues regarding the risk of SARS-CoV-2 infection and the potential benefit of sustaining anti-TNFα treatment in patients with IBD.

BackgroundMucosal healing (MH) is a key treatment target in the management of inflammatory bowel disease (IBD) and is defined in endoscopic terms by the newly published PICaSSO score. Raman Spectroscopy (RS) is based on the scattering of inelastic light giving spectra that are highly specific for individual molecules. We aimed to establish spectral changes before and after treatment and whether Raman Spectroscopy is able to accurately differentiate between inflammation and MH.MethodsBiopsies were taken for ex vivo RS analysis alongside biopsies for histological analysis from IBD patients undergoing optical diagnosis endoscopic assessment. We compared pre- vs. post-biological treatment in IBD patients and healthy controls and active vs. MH in UC and CD. For spectral analysis, we used supervised self-organising maps for separation and classification.ResultsA total of 23 patients (14 IBD, 9 HC) were recruited for comparison of pre- vs. post-biologic treatment and 74 IBD patients were included for the assessment of MH in IBD, giving 9700 Raman Spectra. Spectral differences were seen between pre- and post-treatment which were observed comparing MH vs. active inflammation. Reductions in intensity at 1003cm-1 and 1252cm-1 when a reduction in inflammation was seen post-treatment and when MH was present. MH was associated with an increase in intensity at 1304cm-1. The trained neural network differentiated MH from active inflammation with a sensitivity, specificity, PPV, NPV and accuracy in UC of 96.29% (sd 0.94), 95.03% (sd 1.52), 94.89% (sd 1.59), 96.33 (sd 0.97) and 95.65 (sd 0.99) and 96.19% (sd 1.46), 88% (sd 4.20), 86.60% (sd 5.39), 96.55% (sd 1.32) and 91.6% (sd 2.75) in CD respectively.ConclusionWe demonstrated RS can demonstrate biochemical changes following treatment of IBD and accurately differentiates MH from active inflammation in IBD and might be a future tool to personalise therapeutic management in IBD.

The biosimilar concept is now well established. Clinical data accumulated pre- and post-approval have supported biosimilar uptake, in turn stimulating competition in the biologics market and increasing patient access to biologics. Following technological advances, other innovative biologics, such as “biobetters” or “value-added medicines,” are now reaching the market. These innovative biologics differ from the reference product by offering additional clinical or non-clinical benefits. We discuss these innovative biologics with reference to CT-P13, initially available as an intravenous (IV) biosimilar of reference infliximab. A subcutaneous (SC) formulation, CT-P13 SC, has now been developed. Relative to CT-P13 IV, CT-P13 SC offers clinical benefits in terms of pharmacokinetics, with comparable efficacy, safety, and immunogenicity, as well as increased convenience for patients and reduced demands on healthcare system resources. As was once the case for biosimilars, nomenclature and regulatory pathways for innovative biologics require clarification to support their uptake and ultimately benefit patients.

Background: In real-world clinical practice, biologics in inflammatory bowel diseases (IBD) may be discontinued for a variety of reasons, including discontinuation initiated by gastroenterologists. The aims of the study are to report outcomes after discontinuation and predictors of prognosis after a minimum follow-up of 24 months; outcomes of gastroenterologist-initiated discontinuation with resulting direct cost implications on the health system were also studied. Methods: IBD patients who discontinued their first-use biologics between January 2013 and December 2016 were identified at our tertiary centre. Reasons for discontinuation and pre-defined adverse outcomes (AO) were recorded. Data were analysed using univariable and multivariable logistic regressions within a machine learning technique to predict AO. Gastroenterologist-initiated discontinuations were analysed separately, and Kaplan–Meier survival analysis performed; direct costs of AO due to discontinuation were assessed. Results: A total of 147 patients discontinued biologics (M = 74; median age 39 years; Crohn’s Disease = 110) with median follow-up of 40 months (range 24–60 months). In the total cohort, there were fewer AO among gastroenterologist-initiated discontinuations compared with patient-initiated; 54% (of the total group) had AO within 6 months. Among 59 gastroenterologist-initiated discontinuations, 23 (40%) had IBD-related AO within 6 months and 53 (90%) patients had AO by end of follow-up. Some 44 (75%) patients needed to restart biologics during follow-up, and direct costs due to AO and restart of biologics were high. Conclusions: The proportion of patients who have AO following discontinuation of biologics is high; clinicians need to carefully consider predictors of poor prognosis and high relapse rates when discussing discontinuation. The direct costs of managing AO probably offset theoretical economic gains, especially in the era where cost of biologics is reducing. Biologics should probably be continued without interruptions in most patients who have achieved remission for the duration these remain effective and safe.

Background and Aims: The COVID-19 pandemic poses a great challenge to healthcare. We aimed to investigate the impact of COVID-19 on the healthcare of patients with inflammatory bowel disease (IBD) in epicenter and non-epicenter areas.Methods: Patients with IBD from Hubei province (the epicenter of COVID-19) and Guangdong province (a non-epicenter area), China were surveyed during the pandemic. The questionnaire included change of medications (steroids, immunomodulators, and biologics), procedures (lab tests, endoscopy, and elective surgery), and healthcare mode (standard healthcare vs. telemedicine) during 1 month before and after the outbreak of COVID-19.Results: In total, 324 IBD patients from Guangdong province (non-epicenter) and 149 from Hubei province (epicenter) completed the questionnaire with comparable demographic characteristics. Compared to patients in Guangdong province (non-epicenter), significantly more patients in Hubei (epicenter) had delayed lab tests/endoscopy procedures [61.1% (91/149) vs. 25.3% (82/324), p < 0.001], drug withdrawal [28.6% (43/149) vs. 9.3% (30/324), p < 0.001], delayed biologics infusions [60.4% (90/149) vs. 19.1% (62/324), p < 0.001], and postponed elective surgery [16.1% (24/149) vs. 3.7% (12/324), p < 0.001]. There was an increased use of telemedicine after the outbreak compared to before the outbreak in Hubei province [38.9% (58/149) vs. 15.4% (23/149), p < 0.001], while such a significant increase was not observed in Guangdong province [21.9% (71/324) vs. 18.8% (61/324), p = 0.38]. Approximately two-thirds of IBD patients from both sites agreed that telemedicine should be increasingly used in future medical care.Conclusions: Our patient-based survey study in a real-world setting showed that COVID-19 resulted in a great impact on the healthcare of patients with IBD, and such an impact was more obvious in the epicenter compared to the non-epicenter area of COVID-19. Telemedicine offers a good solution to counteract the challenges in an unprecedented situation such as COVID-19.

Inflammatory bowel diseases are chronic relapsing immune-mediated diseases of the intestinal tract with multifaceted manifestations and treatment related morbidity. Faecal and blood tests, radiological, endoscopic and histologic investigations are now widely used for managing both ulcerative colitis and Crohn’s disease. Over the years, a number of new investigations have been proposed but not widely adopted yet. Patients with Crohn’s disease may have multiple causes of diarrhoea, not always attributable to disease exacerbation, but sometimes linked to bile acid malabsorption; we have a reliable serum test, C4, that allows us to recognize and treat this cause of diarrhoea efficaciously and not empirically, but it is not available or used widely. There is genetic inter-individual variability in drug responses, in terms of both efficacy and toxicity, leading to high rates of therapeutic failure. Patients treated with thiopurine or, more rarely, 5-aminosalicylic acid may suffer from unpredictable and serious adverse events, some of these with pathogenesis related to genetic variants: myelosuppression, acute pancreatitis and nephrotoxicity. The identification of pre-treatment genetic tests can optimize therapeutic choice and avoid adverse events. With regard to biological drugs, patients can experience primary non-response or loss of response due to induction of immune responses to the drugs affecting drug efficacy and determining hypersensitivity reactions. We have specifically reviewed a number of investigations, whose use is currently limited, and highlighted four tests that deserve to be more widely incorporated in clinical practice as these could improve medical decision-making and patient outcomes.

The pandemic of novel coronavirus disease (COVID-19) has developed as a tremendous threat to global health. Although most COVID-19 patients present with respiratory symptoms, some present with gastrointestinal (GI) symptoms like diarrhoea, loss of appetite, nausea/vomiting and abdominal pain as the major complaints. These features may be attributable to the following facts: (a) COVID-19 is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and its receptor angiotensin converting enzyme 2 (ACE2) was found to be highly expressed in GI epithelial cells, providing a prerequisite for SARS-CoV-2 infection; (b) SARS-CoV-2 viral RNA has been found in stool specimens of infected patients, and 20% of patients showed prolonged presence of SARS-CoV-2 RNA in faecal samples after the virus converting to negative in the respiratory system. These findings suggest that SARS-CoV-2 may be able to actively infect and replicate in the GI tract. Moreover, GI infection could be the first manifestation antedating respiratory symptoms; patients suffering only digestive symptoms but no respiratory symptoms as clinical manifestation have also been reported. Thus, the implications of digestive symptoms in patients with COVID-19 is of great importance. In this review, we summarise recent findings on the epidemiology of GI tract involvement, potential mechanisms of faecal–oral transmission, GI and liver manifestation, pathological/histological features in patients with COVID-19 and the diagnosis, management of patients with pre-existing GI and liver diseases as well as precautions for preventing SARS-CoV-2 infection during GI endoscopy procedures.

In this paper, we focus on the emergence of diverse neuronal oscillations arising in a mixed population of neurons with different excitability properties. These properties produce mixed mode oscillations (MMOs) characterized by the combination of large amplitudes and alternate subthreshold or small amplitude oscillations. Considering the biophysically plausible, Izhikevich neuron model, we demonstrate that various MMOs, including MMBOs (mixed mode bursting oscillations) and synchronized tonic spiking appear in a randomly connected network of neurons, where a fraction of them is in a quiescent (silent) state and the rest in self-oscillatory (firing) states. We show that MMOs and other patterns of neural activity depend on the number of oscillatory neighbors of quiescent nodes and on electrical coupling strengths. Our results are verified by constructing a reduced-order network model and supported by systematic bifurcation diagrams as well as for a small-world network. Our results suggest that, for weak couplings, MMOs appear due to the de-synchronization of a large number of quiescent neurons in the networks. The quiescent neurons together with the firing neurons produce high frequency oscillations and bursting activity. The overarching goal is to uncover a favorable network architecture and suitable parameter spaces where Izhikevich model neurons generate diverse responses ranging from MMOs to tonic spiking.

Intestinal fibrosis is a common complication in inflammatory bowel disease (IBD) without specific treatment. As macrophages are the key actors in inflammatory responses and the wound healing process, they have been extensively studied in chronic diseases these past decades. By their exceptional ability to integrate diverse stimuli in their surrounding environment, macrophages display a multitude of phenotypes to underpin a broad spectrum of functions, from the initiation to the resolution of inflammation following injury. The hypothesis that distinct macrophage subtypes could be involved in fibrogenesis and wound healing is emerging and could open up new therapeutic perspectives in the treatment of intestinal fibrosis. Gut microbiota and diet are two key factors capable of modifying intestinal macrophage profiles, shaping their specific function. Defects in macrophage polarisation, inadequate dietary habits, and alteration of microbiota composition may contribute to the development of intestinal fibrosis. In this review, we describe the intriguing triangle between intestinal macrophages, diet, and gut microbiota in homeostasis and how the perturbation of this discreet balance may lead to a pro-fibrotic environment and influence fibrogenesis in the gut.

The metathesis of norbornene derivatives with alkynyl side-chain with Grubbs’ ruthenium alkylidine as catalyst has been investigated with the objective of constructing condensed polycyclic structures. This investigation demonstrated that the generally observed domino reaction course involving a ring-opening metathesis of the norbornene unit and a ring-closing enyne metathesis is influenced to a great extent by the nature of the functional group and the substrate structure and may follow a different reaction course than what is usually observed. In cases where ROM–RCEYM occurred, the resulting 1,3-diene reacts in situ with the dienophile to provide condensed tetracyclic systems.

A mechanism to remove Pseudomonas bacteria from contaminated water using textile fibrous media was proposed in this study. The attachment of Pseudomonas bacteria to nylon fibrous media was studied in a laboratory column experiment. A systematic study was carried out to investigate the attachment of bacteria to fibrous material as a function of media mass at a constant solution chemistry. The single-collector contact efficiency and collision efficiency from the interaction between bacteria and fibrous media were calculated applying a semi-empirical approach of clean-bed filtration theory. The experimental results indicate that removal efficiency increases with an increase in media mass up to a certain level. This is due to the change in single-collector contact efficiency and attachment/collision efficiency, as observed from experimental data regarding removal efficiency.

PC, PCM, PCS, and PCMS are our designed & synthesized ∼8 nm PAMAM dendrimer (P) -based organic supramolecular systems, for example, PCMS has 32 molecular motors (M), 4 pH sensors (S) and 2 multi-level molecular electronic switches (C). We have reported earlier following a preliminary in-vitro test that the synthesized PCMS can selectively target cancer cell nucleotides if triggered wirelessly by an electromagnetic pulse. Here to further verify its drug potential, we have studied the preliminary efficacy, toxicity, and pharmacokinetics of P derivatives (PC, PCM, PCMS) in-vivo and in-vitro. We used ethanol-induced gastric inflammation model and cultured human gastric epithelial cells AGS to examine to the toxicity of PAMAM dendrimers cell permeability and toxicity, in (a) the cultured human gastric epithelium cells (AGS), and in (b) the gastric ulcer mice model. Here we report that the toxicity of PAMAM dendrimer (>G3.5) P can be reduced by adding C, M and S. Gastric ulcer is the primary stage of the manifestation of acute inflammation, even gastric epithelial cancer. Ethanol causes ulceration (ulcer index 30), thus upregulates both pro and active MMP-9. A 50 μl PCMS dose prior to ethanol administration reduces ulceration by ∼80% and downregulates MMP-9 and prevents oxidative damages of gastric tissue by ECM remodeling. Alcohol's inflammation of mouse stomach causes up-regulation of both pro and active MMP-9, resulting in oxidative damages of gastric tissue by ECM remodeling. PCMS in particular dose window reverses & alters ECM remodeling, thus, neutralizing alcohol-induced inflammation & generation of ROS. Keywords: Nonchemical drug, Dendrimer toxicity, Gastric ulcer, Matrix metalloproteinase, Inflammation

In the coming years, multipurpose catalysts for delivering different products under the same chemical condition will be required for developing smart devices for industrial or household use. In order to design such multipurpose devices with two or more specific roles, we need to incorporate a few independent but externally controllable catalytically active centers. Through space crystal engineering, such an externally controllable multipurpose MOF-based photocatalyst could be designed. In a chemical system, a few mutually independent secondary reaction cycles nested within the principal reaction cycle can be activated externally to yield different competitive products. Each reaction cycle can be converted into a time crystal, where the time consuming each reaction step could be converted as an event and all the reaction steps or events could be connected by a circle to build a time crystal. For fractal reaction cycles, a time polycrystal can be generated. By activating a certain fractal event based nested time crystal branch, we can select one of the desired competitive products according to our needs. This viewpoint intends to bring together the ideas of (spatial) crystal engineering and time crystal engineering in order to make use of the time–space arrangement in reaction–catalysis systems and introduce new aspects to futuristic chemical engineering technology.