Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children <18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p<0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p<0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p<0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer

A study investigating the sonoelectrochemical degradation of an organic compound employing Fenton's reagent

The degradation of an organic dye molecule (specifically meldola blue, MDB) is reported under the influence of power ultrasound in combination with electrochemically-generated hydrogen peroxide. A novel flow system is employed to measure the degradation as a function of time while minimising the disturbance to the acoustics of the sonoelectrochemical reactor employed. The effect of adding Fe2+ to the rate of dye degradation is measured and demonstrated to be significant. Under optimum conditions the rate constant for dye degradation was found to reach a maximum value of (23.7 +/- 0.35) 10(-3) min(-1) assuming pseudo-first order kinetics. The rate constant for the complete destruction of MDB, determined by chemical oxygen demand, was found to be significantly slower at (10.2 +/- 2.6) 10(-3) min(-1)

Electrochemical, luminescent and photographic characterisation of cavitation

The characterisation of a small sonochemical reactor has been performed using electrochemical, luminescent and photographic techniques. The electrochemical experiments have employed a novel flow system to determine the formation of sonochemical products (in this case hydrogen peroxide) in semi-real time with high sensitivity. The rate of production of hydrogen peroxide is reported as a function of driving pressure amplitude. The degradation of an organic molecule, specifically the organic dye amaranth, within the sonochemical cell is also reported

SERS at structured palladium and platinum surfaces

Palladium and platinum are important catalytic metals, and it would be highly advantageous to be able to use surface enhanced Raman spectroscopy (SERS) to study reactive species and intermediates on their surfaces. In this paper we describe the use of templated electrodeposition through colloidal templates to produce thin (<1 m) films of palladium and platinum containing close packed hexagonal arrays of uniform sphere segment voids. We show that, even though these films are not rough, when the appropriate film thickness and sphere diameter are employed these surfaces give stable, reproducible surface enhancements for Raman scattering from molecules adsorbed at the metal surface. We report SERS spectra for benzenethiol adsorbed on the structured palladium and platinum surfaces of different thicknesses and void diameters and show that, for 633 nm radiation, enhancements of 1800 and 550 can be obtained for palladium and platinum, respectively

Sculpted substrates for SERS

Sculpted SERS-active substrates are prepared by assembling a closed packed monolayer of uniform polystyrene colloidal particles ( diameter 350 to 800 nm) onto an evaporated gold surface and then electrodepositing gold through this template to produce films with controlled thicknesses, measured as fractions of the sphere diameter, d. The resulting surfaces consist of a regular hexagonal array of interconnected spherical cross-section dishes. The role of localised plasmons in determining the SERS enhancement factor obtained for benzene thiol adsorbed onto the surfaces is then investigated by correlation of the UV-visible reflectance spectra, 400 to 900 nm, measured at the same positions on the substrate surfaces, with the SERS spectra. The results are interpreted in terms of the relative contributions of plasmons that are free to propagate across the top surface and those trapped within the dishes of the sculpted surfac

Engineering localised plasmons on nanostructured metallic surfaces for surface-enhanced Raman spectroscopy

Reproducible SERS-active substrates with Raman enhancements > 10,000 are designed by nano-templating gold and silver surfaces. Optimisation of the surface and localised plasmons matched to the exciting laser provide highly specific control, opening new applications spaces

Quantitative electrochemical SERS of flavin at a structured silver surface

In situ electrochemical surface enhanced Raman spectra (SERS) for an immobilized monolayer of a flavin analogue (isoalloxazine) at nanostructured silver surfaces are reported. Unique in the present study, the flavin is not directly adsorbed at the Ag surface but is attached through a chemical reaction between cysteamine adsorbed on the Ag surface and methylformylisoalloxazine. Even though the flavin is held away from direct contact with the metal, strong surface enhancements are observed. The nanostructured silver surfaces are produced by electrodeposition through colloidal templates to produce thin (<1 ?m) films containing close-packed hexagonal arrays of uniform 900 nm sphere segment voids. The sphere segment void (SSV) structured silver surfaces are shown to be ideally suited to in situ electrochemical SERS studies at 633 nm, giving stable, reproducible surface enhancements at a range of electrode potentials, and we show that the SER spectra are sensitive to subfemtomole quantities of immobilized flavin. Studies of the SER spectra as a function of the electrode potential show clear evidence for the formation of the flavin semiquinone at the electrode surface at cathodic potential

SERS from two-tier sphere segment void substrates

Sphere segment void, or inverse opal, films prepared from a variety of coinage metals have shown promise as reliable and reproducible substrates for surface enhanced Raman spectroscopy (SERS). Sphere segment void substrates are prepared from colloidal templates consisting of one or more layers of polystyrene spheres. In this paper, we investigate the reflection spectra and SERS for a gold film consisting of two-tiers of spherical cavities, and show that the best SERS enhancements are obtained from substrates consisting of just a single layer of sphere segment voids

Increase maize productivity and water use efficiency through application of potassium silicate under water stress

Abstract In Egypt, water shortage has become a key limiting factor for agriculture. Water-deficit stress causes different morphological, physiological, and biochemical impacts on plants. Two field experiments were carried out at Etay El-Baroud Station, El-Beheira Governorate, Agriculture Research Center (ARC), Egypt, to evaluate the effect of potassium silicate (K-silicate) of maize productivity and water use efficiency (WUE). A split-plot system in the four replications was used under three irrigation intervals during the 2017 and 2018 seasons. Whereas 10, 15, and 20 days irrigation intervals were allocated in main plots, while the three foliar application treatments of K-silicate (one spray at 40 days after sowing; two sprays at 40 and 60 days; and three sprays at 40, 60, and 80 days, and a control (water spray) were distributed in the subplots. All the treatments were distributed in 4 replicates. The results indicated that irrigation every 15 days gave the highest yield in both components and quality. The highly significant of (WUE) under irrigation every 20 days. Foliar spraying of K-silicate three times resulted in the highest yield. Even under water-deficit stress, irrigation every fifteen days combined with foliar application of K-silicate three times achieved the highest values of grain yield and its components. These results show that K-silicate treatment can increase WUE and produce high grain yield requiring less irrigation