Expression of matrix metalloproteinase-9 and tumour necrosis factor-alpha in the synovial cells of patients with meniscus tears

Background: A meniscus tear is a serious trauma that develops during swinging motion of the fixed foot. Meniscus tears may also be accompanied by divergence of the lateral ligaments of the knee joint. Materials and methods: We enrolled 45 males and 35 females with meniscal tears in the present study. Patients with local joint pain, swelling, difficulty climbing stairs, patellar creeping, difficulties with daily living activities, local pain on palpation, and walking and running complaints, were included. We performed preoperative magnetic resonance imaging. Synovial fluid (5 mL) was aspirated from the lateral suprapatellar pouch of each knee with meniscal pain with the patient in the supine position. Blood samples were taken and biochemical parameters were analysed. The Harris haematoxylin and eosin staining protocol was used to evaluate tissue samples, and the levels of anti-matrix metalloproteinase (MMP)-9 and anti-tumour necrosis factor alpha (TNF-α) antibodies were measured immunohistochemically. Results: Increased numbers of lymphocytes and neutrophils, hyperplastic erythrocytes, and fibroblasts were observed in the joint fluid of females. In males, the fibroblast cells were hyperplastic and plasma cell numbers were increased. MMP-9 expression was elevated in plasma cells, fibroblasts, and neutrophils; and TNF-α expression was observed in lymphocytes and polymorphic nucleated cells. We suggest that increased fluid levels in inflamed joints with meniscal tears, and the associated inflammation, disrupt the cartilage matrix and elevate the production of cytokines such as TNF-α and MMP-9 via release from cells such as fibroblasts that synthesise these mediators. Conclusions: Anti-TNF-α treatment may prevent meniscal tears and prevent or slow the development of osteoarthritis

Prioritization of healthcare systems during pandemics using Cronbach's measure based fuzzy WASPAS approach

Pandemics are well-known as epidemics that spread globally and cause many illnesses and mortality. Because of globalization, the accelerated occurrence and circulation of new microbes, the infection has emerged and the incidence and movement of new microbes have sped up. Using technological devices to minimize the visit durations, specifying days for handling chronic diseases, subsidy for the staff are the alternatives that can help prevent healthcare systems from collapsing during pandemics. The study aims to define the efficient usage of optimization tools during pandemics to prevent healthcare systems from collapsing. In this study, a new integrated framework with fuzzy information is developed, which attempts to prioritize these alternatives for policymakers. First, rating data are assigned respective fuzzy values using the standard singleton grades. Later, criteria weights are determined by extending Cronbach´s measure to fuzzy context. The measure not only understands data consistency comprehensively, but also takes into consideration the attitudinal characteristics of experts. By this approach, a rational weight vector is obtained for decision-making. Further, an improved Weighted Aggregated Sum Product Assessment (WASPAS) algorithm is put forward for ranking alternatives, which is flexibly considering criteria along with personalized ordering and holistic ordering alternatives. The usefulness of the developed framework is tested with the help of a real case study. Rank values of alternatives when unbiased weights are used is given by 0.741, 0.582, 0.640 with ordering as R1≻R3≻R2. The sensitivity/comparative analysis reveals the impact of the proposed model as useful in selecting the best alternative for the healthcare systems during pandemics

STATUS OF WILD BOAR (Sus scrofa L.) ON THE ISLAND KRK

Divlja svinja u Republici Hrvatskoj autohtona je vrsta. Zakonski spada u krupnu, lovostajem zaštićenu vrstu divljači. Krajem prošlog stoljeća tjerana nagonom za širenjem svoje vrste plivanjem dolazi na otok. Krk je danas veoma kvalitetno stanište za život krupne divljači. Obilje hrane, vode, gusta vegetacija, raznolikost staništa, mir u lovištu, kvalitetno tlo, zapuštanje poljoprivrednih površina koje se pretvaraju u šikaru, rezultira stalnim prirastom postojeće divljači kao i zauzimanje prostora od nove pristigle divljači. Nekada je otok izgledao bitno drugačije nego kako izgleda danas. Obrađivao se svaki komadić zemlje, a danas se većina prepušta sukcesiji. Nova situacija u staništu uvjetuje i pojavu novih životinjskih vrsta. Upravo ovakva situacija pogoduje krupnoj, a ne odgovara sitnoj divljači. Divlje svinje nalaze se i u nelovnim površinama, gdje dolaze zbog hrane i mira, budući se tu zbog zakonskih propisa ne vrši lov. Nelovne površine služe kao rezervat iz kojeg nastanjuju najkvalitetnija staništa. «Crna divljač» na otoku Krku smatra se nepoželjnom vrstom divljači, te se sukladno naredbama ministarstva lovi cijele godine, bez obzira na spol i dob. Zbog odstrjela krmača vodilja, kvalitetnog staništa i velikog odstrjela bucanje i prašenje traje tijekom cijele lovne godine. Divljač pokušava opstati koristeći svoje prirodne mehanizme za očuvanje svoje vrste. U devet lovnih godina s otoka je izlučeno 3.602 grla divljih svinja. Kvalitetu staništa potvrđuje i snaga trofeja odstreljenih veprova, koja zbog nepravilnog odstrjela opada. Želja za potpunim izlučenjem divlje svinje s otoka Krka borba je sa prirodom, a za sada priroda uvijek pobjeđuje. Da li će tako biti i ovoga puta pokazati će budućnostThe wild boar is a native species in the Republic of Croatia. This large game animal is protected by law in closed season. At the end of the last century, driven by instinct to expand its species, it swam from the mainland to the island of Krk. Today Krk provides an excellent habitat for large game animals. Due to an abundance of food, water, dense vegetation, habitat diversity, peaceful hunting ground, fertile ground, abandoned farming areas which have been turning into thick underbrush, the existing game is on a constant increase while new arrivals crowd the existing habitat. The island has changed much and the landscape is not what it was once. Each parcel of land was once cultivated, while today it is left to succession. The new situation in the habitat has caused the emergence of new animal species. It is exactly this type of situation that suits the large and not the small game animals. Wild boars are found in areas not designated for hunting where they come to feed in a peaceful environment since by law hunting is prohibited there. Areas not designated for hunting serve as a game refuge and as such are considered to be habitats of the highest quality. The “black game” on the island of Krk is considered an undesirable type of game animal and pursuant to regulations may be hunted throughout the year, regardless of its sex or age. Due to the eradication of dominant female wild boars, excellent habitat and the large number of killings, mating lasts throughout the entire hunting season. The wild boar tries to survive using its natural mechanisms to preserve its species. In the nine years of hunting 3,602 head of wild boars were eradicated. The quality of the habitat is measured by the number of male boars that were killed as trophies, this being on the decline due to irregular killings. The desire to completely eradicate the wild boar from the island of Krk is a battle against nature and nature is winning, for now. Will this be the case now, only the future will tell

Non-Isothermal Crystallisation Kinetics of Carbon Black- Graphene-Based Multimodal-Polyethylene Nanocomposites.

The effect of carbon black (CB) and microwave-induced plasma graphene (g) on the crystallisation kinetics of the multimodal high-density polyethylene was studied under non-isothermal conditions. The non-isothermal crystallisation behaviour of the multimodal-high-density polyethylene (HDPE), containing up to 5 wt.% graphene, was compared with that of neat multimodal-HDPE and its carbon black based nanocomposites. The results suggested that the non-isothermal crystallisation behaviour of polyethylene (PE)-g nanocomposites relied significantly on both the graphene content and the cooling rate. The addition of graphene caused a change in the mechanism of the nucleation and the crystal growth of the multimodal-HDPE, while carbon black was shown to have little effect. Combined Avrami and Ozawa equations were shown to be effective in describing the non-isothermal crystallisation behaviour of the neat multimodal-HDPE and its nanocomposites. The mean activation energy barrier (ΔE), required for the transportation of the molecular chains from the melt state to the growing crystal surface, gradually diminished as the graphene content increased, which is attributable to the nucleating agent effect of graphene platelets. On the contrary, the synergistic effect resulting from the PE-CB nanocomposite decreased the ΔE of the neat multimodal-HDPE significantly at the lowest carbon black content

Integrated method for quantitative morphometry and oxygen transport modelling in striated muscle

Identifying structural limitations in O2 transport is primarily restricted by current methods employed to characterise the nature of physiological remodelling. Inadequate resolution or breadth of available data has impaired development of routine diagnostic protocols and effective therapeutic strategies. Understanding O2 transport within striated muscle faces major challenges, most notably in quantifying how well individual fibres are supplied by the microcirculation, which has necessitated exploring tissue O2 supply using theoretical modelling of diffusive exchange. Having identified capillary domains as a suitable model for the description of local O2 supply, and requiring less computation than numerically calculating the trapping regions that are supplied by each capillary via biophysical transport models, we sought to design a high throughput method for histological analysis. We present an integrated package that identifies optimal protocols for identification of important input elements, processing of digitised images with semi-automated routines, and incorporation of these data into a mathematical modelling framework with computed output visualised as the tissue partial pressure of O2 (PO2) distribution across a biopsy sample. Worked examples are provided using muscle samples from experiments involving rats and humans

Fundus-DeepNet: Multi-Label Deep Learning Classification System for Enhanced Detection of Multiple Ocular Diseases through Data Fusion of Fundus Images

YesDetecting multiple ocular diseases in fundus images is crucial in ophthalmic diagnosis. This study introduces the Fundus-DeepNet system, an automated multi-label deep learning classification system designed to identify multiple ocular diseases by integrating feature representations from pairs of fundus images (e.g., left and right eyes). The study initiates with a comprehensive image pre-processing procedure, including circular border cropping, image resizing, contrast enhancement, noise removal, and data augmentation. Subsequently, discriminative deep feature representations are extracted using multiple deep learning blocks, namely the High-Resolution Network (HRNet) and Attention Block, which serve as feature descriptors. The SENet Block is then applied to further enhance the quality and robustness of feature representations from a pair of fundus images, ultimately consolidating them into a single feature representation. Finally, a sophisticated classification model, known as a Discriminative Restricted Boltzmann Machine (DRBM), is employed. By incorporating a Softmax layer, this DRBM is adept at generating a probability distribution that specifically identifies eight different ocular diseases. Extensive experiments were conducted on the challenging Ophthalmic Image Analysis-Ocular Disease Intelligent Recognition (OIA-ODIR) dataset, comprising diverse fundus images depicting eight different ocular diseases. The Fundus-DeepNet system demonstrated F1-scores, Kappa scores, AUC, and final scores of 88.56%, 88.92%, 99.76%, and 92.41% in the off-site test set, and 89.13%, 88.98%, 99.86%, and 92.66% in the on-site test set.In summary, the Fundus-DeepNet system exhibits outstanding proficiency in accurately detecting multiple ocular diseases, offering a promising solution for early diagnosis and treatment in ophthalmology.European Union under the REFRESH – Research Excellence for Region Sustainability and High-tech Industries project number CZ.10.03.01/00/22_003/0000048 via the Operational Program Just Transition. The Ministry of Education, Youth, and Sports of the Czech Republic - Technical University of Ostrava, Czechia under Grants SP2023/039 and SP2023/042

Aspartame induces angiogenesis in vitro and in vivo models

Angiogenesis is the process of generating new blood vessels from preexisting vessels and is considered essential in many pathological conditions. The purpose of the present study is to evaluate the effect of aspartame on angiogenesis in vivo chick chorioallantoic membrane (CAM) and wound-healing models as well as in vitro 2,3-bis-2H-tetrazolium-5-carboxanilide (XTT) and tube formation assays. In CAM assay, aspartame increased angiogenesis in a concentration-dependent manner. Compared with the control group, aspartame has significantly increased vessel proliferation (p < 0.001). In addition, in vivo rat model of skin wound-healing study showed that aspartame group had better healing than control group, and this was statistically significant at p < 0.05. There was a slight proliferative effect of aspartame on human umbilical vein endothelial cells on XTT assay in vitro, but it was not statistically significant; and there was no antiangiogenic effect of aspartame on tube formation assay in vitro. These results provide evidence that aspartame induces angiogenesis in vitro and in vivo; so regular use may have undesirable effect on susceptible cases. © The Author(s) 2015

Tissue Harvester with Functional Valve (THFV): Shidham's device for reproducibly higher specimen yield by fine needle aspiration biopsy with easy to perform steps

BACKGROUND: Fine needle aspiration biopsy (FNAB) cytology has been a highly effective methodology for tissue diagnosis and for various ancillary studies including molecular tests. In addition to other benefits, FNAB predominantly retrieves the diagnostic loosely cohesive cells in the lesion as compared to the adjacent supporting stroma with relatively higher cohesiveness. However, FNAB procedure performed with currently available resources is highly skill dependent with inter-performer variability, which compromises its full potential as a diagnostic tool. In this study we report a device overcoming these limitations. METHODS: 'Tissue Harvester with Functional Valve' (THFV) was evaluated as part of a phase 1 National Institute of Health (NIH) research grant under Small Business Technology Transfer (STTR) Program. Working prototypes of the device were prepared. Each of the four cytopathologists with previous cytopathology fellowship training and experience in performing FNAB evaluated 5 THFV and 5 hypodermic needles resulting in 40 specimens (20 with THFV, 20 with hypodermic needles). A piece of fresh cattle liver stuffed in latex glove was used as the specimen. Based on these results a finished design was finalized. RESULTS: The smears and cell blocks prepared from the specimens obtained by THFV were superior in terms of cellularity to specimens obtained with hypodermic needles. The tissuecrit of specimens obtained with THFV ranged from 70 to 100 μl (mean 87, SD 10), compared to 17 to 30 μl (mean 24, SD 4) with conventional hypodermic needles (p < .0001, Student t-test). The technical ease [on a scale of 1 (easy) to 5 (difficult)] with THFV ranged from 1 to 2 as compared to 2 to 3 with hypodermic needles. CONCLUSION: The specimen yield with the new THFV was significantly higher when compared to hypodermic needles. Also, the FNAB procedure with THFV was relatively easier in comparison with hypodermic needles. The final version of Shidham's THFV device would improve the FNAB specimen yield by eliminating the skill factor. The increased specimen yield by this device would also facilitate wider application of FNAB specimens for various ancillary tests, including molecular tests

Hamartomas, teratomas and teratocarcinosarcomas of the head and neck: Report of 3 new cases with clinico-pathologic correlation, cytogenetic analysis, and review of the literature

<p>Abstract</p> <p>Background</p> <p>Germ-cell tumors (GCT) are a histologically and biologically diverse group of neoplasms which primarily occur in the gonads but also develop at different extragonadal sites in the midline of the body. The head and neck region including the upper respiratory tract is a very rare location for such tumors in both children and adults, which can cause diagnostic and therapeutic difficulties.</p> <p>Methods</p> <p>We describe here two new cases of multilineage tumors including sinonasal teratocarcinosarcoma [SNTCS], and congenital oronasopharyngeal teratoma (epignathus) and compare their features with those of a new case of a rare salivary gland anlage tumor [SGAT], an entity for which the pathogenesis is unclear (i.e. hamartoma versus neoplasm). We correlate their presenting clinico-pathological features and compare histologic and cytogenetic features in an attempt to elucidate their pathogenesis and biologic potentials.</p> <p>Results and discussion</p> <p>Cytogenetic analysis revealed chromosomal abnormalities only in the case of SNTCS that showed trisomy 12 and 1p deletion. Both cytogenetic abnormalities are characteristically present in malignant germ cell tumors providing for the first time evidence that this rare tumor type indeed might represent a variant of a germ cell neoplasm. The SGAT and epignathus carried no such cytogenetic abnormalities, in keeping with their limited and benign biologic potential.</p> <p>Conclusion</p> <p>The comparison of these three cases should serve to emphasize the diversity of multilineage tumors (hamartomas and GCT) of the upper respiratory tract in regards to their biology, age of presentation and clinical outcomes. Malignant tumors of germ cell origins are more likely to affect adults with insidious symptom development, while benign tumors can nevertheless cause dramatic clinical symptoms which, under certain circumstances, can be fatal.</p