Structural validation of oral mucosal tissue using optical coherence tomography

Background: Optical coherence tomography (OCT) is a non-invasive optical technology using near-infrared light to produce cross-sectional tissue images with lateral resolution. Objectives: The overall aims of this study was to generate a bank of normative and pathological OCT data of the oral tissues to allow identification of cellular structures of normal and pathological processes with the aim to create a diagnostic algorithm which can be used in the early detection of oral disorders. Material and methods: Seventy-three patients with 78 suspicious oral lesions were referred for further management to the UCLH Head and Neck Centre, London. The entire cohort had their lesions surgically biopsied (incisional or excisional). The immediate ex vivo phase involved scanning the specimens using optical coherence tomography. The specimens were then processed by a histopathologist. Five tissue structures were evaluated as part of this study, including: keratin cell layer, epithelial layer, basement membrane, lamina propria and other microanatomical structures. Two independent assessors (clinician and pathologist trained to use OCT) assessed the OCT images and were asked to comment on the cellular structures and changes involving the five tissue structures in non-blind fashion. Results: Correct identification of the keratin cell layer and its structural changes was achieved in 87% of the cohort; for the epithelial layer it reached 93.5%, and 94% for the basement membrane. Microanatomical structures identification was 64% for blood vessels, 58% for salivary gland ducts and 89% for rete pegs. The agreement was “good” between the clinician and the pathologist. OCT was able to differential normal from pathological tissue and pathological tissue of different entities in this immediate ex vivo study. Unfortunately, OCT provided inadequate cellular and subcellular information to enable the grading of oral premalignant disorders. Conclusion: This study enabled the creation of OCT bank of normal and pathological oral tissues. The pathological changes identified using OCT enabled differentiation between normal and pathological tissues, and identification of different tissue pathologies. Further studies are required to assess the accuracy of OCT in identification of various pathological processes involving the oral tissues

Phentolamine mesylate ophthalmic solution provides lasting pupil modulation and improves near visual acuity in presbyopic glaucoma patients in a randomized Phase 2b clinical trial

Purpose: Phentolamine mesylate ophthalmic solution (PMOS), applied to the eye topically, was shown previously to have beneficial effects in patients with dim light vision disturbances (DLD), including decreased pupil diameter (PD), improved best-corrected distance visual acuity (BCDVA), as well as lower intraocular pressure (IOP). The ORION-1 trial evaluated the long-term safety and efficacy of PMOS in a glaucomatous, presbyopic population. Patients and Methods: In this randomized, double-masked, multi-center, placebo-controlled, multiple-dose Phase 2b trial, 39 patients with elevated IOP were randomized to receive one evening dose of study medication or placebo for 14 days. The primary outcome measure was mean change in diurnal IOP, and the key secondary outcome measures included changes in PD, distance-corrected near visual acuity (DCNVA), and conjunctival hyperemia. Results: Use of 1% PMOS did not lead to a statistically significant decrease in diurnal IOP compared to placebo ( Conclusion: Although mean IOP was not lowered significantly, daily evening dosing of 1% PMOS was found to be well tolerated with no daytime conjunctival redness and demonstrated improvement in DCNVA with sustained PD reduction in a glaucomatous and presbyopic population. Smaller pupil size can have beneficial effects in improving symptoms of presbyopia and DLD, which will be the focus of further studies

Computationally driven discovery of SARS-CoV-2 M pro inhibitors: From design to experimental validation

We report a fast-track computationally driven discovery of new SARS-CoV-2 main protease (

The Elasticity of Trust: How to Promote Trust in the Arab Middle East and the United States

To trust is to risk. When we lend someone money, we make ourselves vulnerable, hoping or expecting that the borrower will reward our trust and return the money at a later stage, possibly with interest or a reciprocal favor added. This paper examines whether willingness to trust follows the same logic, that is, whether it responds to changes in the expected value of trusting, much like willingness to take risk responds to changes in the expected value of risk taking in various countries of the Arab Middle East, namely, Jordan, Saudi Arabia and the United Arab Emirates and in the United States

Visual Search Elicits the Electrophysiological Marker of Visual Working Memory

Background: Although limited in capacity, visual working memory (VWM) plays an important role in many aspects of visually-guided behavior. Recent experiments have demonstrated an electrophysiological marker of VWM encoding and maintenance, the contralateral delay activity (CDA), which has been shown in multiple tasks that have both explicit and implicit memory demands. Here, we investigate whether the CDA is evident during visual search, a thoroughly-researched task that is a hallmark of visual attention but has no explicit memory requirements. Methodology/Principal Findings: The results demonstrate that the CDA is present during a lateralized search task, and that it is similar in amplitude to the CDA observed in a change-detection task, but peaks slightly later. The changes in CDA amplitude during search were strongly correlated with VWM capacity, as well as with search efficiency. These results were paralleled by behavioral findings showing a strong correlation between VWM capacity and search efficiency. Conclusions/Significance: We conclude that the activity observed during visual search was generated by the same neura

A Call to Action toward Optimizing the Electrical Dose Received by Neural Targets in Spinal Cord Stimulation Therapy for Neuropathic Pain

Spinal cord stimulation has seen unprecedented growth in new technology in the 50 years since the first subdural implant. As we continue to grow our understanding of spinal cord stimulation and relevant mechanisms of action, novel questions arise as to electrical dosing optimization. Programming adjustment — dose titration — is often a process of trial and error that can be time-consuming and frustrating for both patient and clinician. In this report, we review the current preclinical and clinical knowledge base in order to provide insights that may be helpful in developing more rational approaches to spinal cord stimulation dosing. We also provide key conclusions that may help in directing future research into electrical dosing, given the advent of newer waveforms outside traditional programming parameters

Using a Fiber-Optic Probe for the Measurement of Volumetric Expansion of Liquids

A Fiber-Optic Probe is Developed for the Fast, In-Situ Measurement of Volumetric Expansion of Multiphase and Multicomponent Systems. an Experiment with the Binary Mixtures of CO2-Toluene and CO2-Ethanol Was Conducted to Demonstrate the Usefulness of the Fiber-Optic Probe in Accurately Tracking the Isothermal Volumetric Expansion as a Function of Pressure. in the 1-L Autoclave that Has Been Used, the Probe Was Shown to Detect the Liquid Level Height within a Precision of 0.35% of the Total Height of the Vessel. the Results for the Volumetric Expansion of Toluene and Ethanol with CO2 Correlate Well with Those Found in the Literature. the Probe itself Can Be Used Up to Pressures of 140 Barg and Temperatures of 120°C. © 2007 American Chemical Society

Cosupported Tandem Catalysts for Production of Linear Low-Density Polyethylene from an Ethylene-Only Feed

Linear low-density polyethylene (LLDPE) is produced from an ethylene-only feed over a tandem catalyst system consisting of a phenoxy–imine titanium trimerization catalyst and a silylene-linked cyclopentadienyl/amido titanium polymerization catalyst cosupported on the same methylaluminoxane/silica particles. The level of 1-hexene incorporation can be controlled by varying the ethylene pressure

Reduction of Friction by Recombinant Human Proteoglycan 4 in IL-1α Stimulated Bovine Cartilage Explants

A boundary lubricant attaches and protects sliding bearing surfaces by preventing interlocking asperity-asperity contact. Proteoglycan-4 (PRG4) is a boundary lubricant found in the synovial fluid that provides chondroprotection to articular surfaces. Inflammation of the diarthrodial joint modulates local PRG4 concentration. Thus, we measured the effects of inflammation, with Interkeukin-1α (IL-1α) incubation, upon boundary lubrication and PRG4 expression in bovine cartilage explants. We further aimed to determine whether the addition of exogenous human recombinant PRG4 (rhPRG4) could mitigate the effects of inflammation on boundary lubrication and PRG4 expression in vitro. Cartilage explants, following a 7-day incubation with IL-1α, were tested in a disc-on-disc configuration using either rhPRG4 or saline (PBS control) as a lubricant. Following mechanical testing, explants were studied immunohistochemically or underwent RNA extraction for RT-PCR. We found that static coefficient of friction (COF) significantly decreased to 0.14 ±0.065 from 0.21 ±0.059 (p=0.014) in IL-1α stimulated explants lubricated with rhPRG4, as compared to PBS. PRG4 expression was significantly up regulated from 30.8 ± 19 copies in control explants lubricated with PBS to 3330 ± 1760 copies in control explants lubricated with rhPRG4 (p\u3c0.001). Explants stimulated with IL-1α displayed no increase in PRG4 expression upon lubrication with rhPRG4, but with PBS as the lubricant, IL-1α stimulation significantly increased PRG4 expression compared to the control condition from 30.8 ± 19 copies to 401 ± 340 copies (p=0.015). Overall, these data suggest that exogenous rhPRG4 may provide a therapeutic option for reducing friction in transient inflammatory conditions and increasing PRG4 expression

Interpreting Lidar Measurements to Better Estimate Surface PM2.S in Study Regions of DISCOVER-AQ

The use of satellite AOD data to estimate surface PM2.5 has been broadly studied in various regions. Some showed good results while some showed relatively poor with the simple relationship between AOD and PM2.5. The key factor is the aerosol vertical distribution. Lidar extinction profiles provide insights into the aerosol mixing not only in the boundary layer but also quantifying residual aerosol abundance above boundary layer with e-folding scale height. The normalizing AOD by hazy layer height is proven better in correlating with PM2.5. In other words, extinction measurements near the surface can be a proxy for surface PM2.5. In this study, we will use NASA airborne HSRL (High Spectral Resolution Lidar) during SJV2007 (San Joaquin Valley, February 2007) and surface MPLNet (Micropulse Lidar Network) at GSFC between 2007 and 2010 to characterize the relationship for the DISCOVER-AQ (Deriving Information on Surface Conditions from COlumn and VERtically Resolved Observations Relevant to Air Quality) field experiments; the first over Baltimore-Washington was conducted in July 2011