A comparison of experimental procedures for the application of infrared spectroscopy to probe the surface morphology of an alumina-supported palladium catalyst

Structure/function relationships in heterogeneous catalysis play an important role in catalyst design strategies. The combination of chemisorption of suitable probe molecules alongside application of infrared spectroscopy is an established technique for providing information on the metal crystallite morphology of supported metal catalysts. Following a review of key literature on this topic, a variety of experimental arrangements that may be adopted for this task are examined. Specifically, the adsorption of CO over a 5wt% Pd/Al2O3 catalyst is investigated using transmission and diffuse reflectance sampling options and two research grade spectrometers. Although comparable spectra are obtained on all the platforms examined, differences are noted. In particular, temperature-programmed IR spectroscopy on one platform enables resolution of two features assigned to linear CO bound to the Pd particles. The relevance of this sub-division of terminal sites with respect to selective hydrogenation reactions is briefly considered

The application of an alumina-supported Ni catalyst for the hydrogenation of nitrobenzene to aniline

Connecting to a methodology developed for defining the relationship between catalyst morphology, adsorbate orientation/location and product distributions with Pd/Al2O3 catalysts, a commercial grade 20 wt% Ni/Al2O3 catalyst (HTC-500), is investigated for gas phase nitrobenzene hydrogenation at elevated temperatures. The morphology of Ni crystallites is assessed via infrared spectroscopy utilising CO as a probe molecule, with 5 separate CO adsorption sites identified. Nitrobenzene hydrogenation data is presented for a 15-hour catalyst conditioning phase, during which nitrobenzene hydrogenation was monitored at 60 oC, and at elevated temperatures post-conditioning: 100, 140, 180 and 200 oC. Nitrobenzene conversion declined with time on stream during the conditioning phase and was only recovered with reaction temperatures ≥ 180 oC. Aniline selectivity seemingly exceeded 100% for reaction temperatures ≥ 100 oC; consideration of the associated mass balance profile for the 35-hour experiment indicated that elevating the reaction temperature facilitated the desorption of aniline, retained from the moderate temperature conditioning phase, from the catalyst. These outcomes outline the impact of temperature on nitrobenzene hydrogenation with HTC-500 and highlight the intricate competitive adsorption phenomena between reagents and products during reaction over this catalyst

Financial Toxicity among Patients with Bladder Cancer: Reasons for Delay in Care and Effect on Quality of Life

Purpose: Costly surveillance and treatment of bladder cancer can lead to financial toxicity, a treatment related financial burden. Our objective was to define the prevalence of financial toxicity among patients with bladder cancer and identify delays in care and its effect on health related quality of life. Materials and Methods: We identified patients with bladder cancer in the University of North Carolina Health Registry/Cancer Survivorship Cohort. Financial toxicity was defined as agreement with having “to pay more for medical care than you can afford.” Health related quality of life was measured using general and cancer specific validated questionnaires. Statistical analyses were performed using the Fisher exact test and the Student t-test. Results: A total of 138 patients with bladder cancer were evaluated. Median age was 66.9 years, 75% of the patients were male and 89% were white. Of the participants 33 (24%) endorsed financial toxicity. Participants who were younger (p = 0.02), black (p = 0.01), reported less than a college degree (p = 0.01) and had noninvasive disease (p = 0.04) were more likely to report financial toxicity. On multivariable analysis only age was a significant predictor of financial toxicity. Patients who endorsed financial toxicity were more likely to report delaying care (39% vs 23%, p = 0.07) due to the inability to take time off work or afford general expenses. On general health related quality of life questionnaires patients with financial toxicity reported worse physical and mental health (p = 0.03 and <0.01, respectively), and lower cancer specific health related quality of life (p = 0.01), physical well-being (p = 0.01) and functional well-being (p = 0.05). Conclusions: Financial toxicity is a major concern among patients with bladder cancer. Younger patients were more likely to experience financial toxicity. Those who endorsed financial toxicity experienced delays in care and poorer health related quality of life, suggesting that treatment costs should have an important role in medical decision making

Management of patients with increased risk for familial pancreatic cancer: updated recommendations from the International Cancer of the Pancreas Screening (CAPS) Consortium

Surgical oncolog

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set

Background Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy

Whole-genome sequencing reveals host factors underlying critical COVID-19

Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalization2,3,4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling (IL10RB and PLSCR1), leucocyte differentiation (BCL11A) and blood-type antigen secretor status (FUT2). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase (ATP11A), and increased expression of a mucin (MUC1)—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules (SELE, ICAM5 and CD209) and the coagulation factor F8, all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease

Bioenergetic and developmental aspects of plant mitochondrial protein import

SIGLEAvailable from British Library Document Supply Centre- DSC:DX181698 / BLDSC - British Library Document Supply CentreGBUnited Kingdo