Selection of Candidates for Lung Transplantation: The First Italian Consensus Statement

Lung transplantation is a well-established treatment for selected patients with advanced chronic respiratory insufficiency. Recognizing those patients with end-stage lung disease who might benefit from lung transplantation is a crucial task. Considering the presence of inadequate evidence-based practice, international and national scientific societies provided consensus opinions regarding the appropriate timing of listing. The Study Group for Thoracic Organs Transplantation (branch of the Italian Society for Organs Transplantation) promoted and realized a Delphi conference among the Italian lung transplantation centers to provide guidance to clinical practice based on international recommendations. The experts from the nine Italian centers completed two rounds of standardized questionnaires (answer rate, 100%): 42 statements received a consensus >= 80%. The selected statements presented in this article are intended to assist Italian clinicians in selecting patients for lung transplantation

Growth techniques used to develop CDS/CDTE thin film solar cells: a review

The method used to grow thin film CdS/CdTe solar cells has been described. Electronic material layers usually grow in three different modes; layer-by-layer growth mode, layer and cluster growth mode (Stransky-Krastanov) and cluster formation growth mode. Techniques such as molecular beam epitaxy (MBE), metal organic chemical vapour deposition (MOCVD) called melt growth or Bridgman are well known as high quality semiconductor growth techniques. One of the limitations of these techniques is the inability for manufacturing macro-electronic devices (~area 1m2) such as photovoltaic (PV) panels and large area display devices. To grow large area thin film (semiconductors), growth techniques such as close space sublimation (CSS), electrodeposition (ED), sputtering, spray pyrolysis etcetera have been tested and employed. This paper reviews in depth most of these techniques with more emphasis on the electrodeposition method because of it is simplicity and low cost.Keywords: Growth Techniques, CdS, CdTe, Thin Films, Solar Cells

Determination of elemental constituents for three herbal plants that are traditionally used to cure cancer

Elemental constituents of fresh leaves of the three herbal plants used traditionally for treatment of cancer namely: Guera Senegalense, Boswellia and Mangifera Indica were analyzed. Results show that all the three samples contain the highest amounts of calcium in parts per million (Guiera Senegalensis 5991 ppm, Boswellia 9413 ppm and Mangifera Indica 2405 ppm) as compared to other constituents. Further studies reveal that presence of calcium in appreciable amount within the metabolic system of human being helps to reduce the risk of cancer and related ailments. Other benefits of calcium in man include strengthening bones and teeth.Keywords: Herbal Medicine, Cancer, Constituents, Carcinoge

Optimisation of CdTe electrodeposition voltage for development of CdS/CdTe solar cells

Cadmium telluride (CdTe) thin films have been deposited on glass/conducting glass (FTO) substrates using low-cost two electrode system and aqueous electrodeposition method. The glass/FTO substrates were used to grow the CdTe layers at different deposition voltages. The structural, electrical, optical and morphological properties of the resulting films have been characterized using X-ray diffraction (XRD), Photoelectrochemical (PEC) cell measurements, optical absorption spectroscopy and Scanning Electron Microscopy (SEM). The XRD results indicate that at voltages less than or higher than 1.576 V, crystallinity is poor due to presence of two phases. When CdTe is grown at 1.576 V, the composition is stoichiometric, and the (111) peak has the highest intensity in the XRD diffractogram indicating a high degree of crystallinity. SEM studies showed that all layers had pin-holes and gaps between the grains. These openings seem to be more common in the samples grown at voltages away from the stoichiometric voltage (1.576 V). The linear I–V curves of glass/FTO/CdS/CdTe/Au structures fabricated using stoichiometric CdTe showed efficiency of 10.1 % under AM 1.5 illuminatio

IL-18 receptor marks functional CD8+ T cells in non-small cell lung cancer

IL-18 is an inflammasome-related cytokine, member of the IL-1 family, produced by a wide range of cells in response to signals by several pathogen-or damage-associated molecular patterns. It can be highly represented in tumor patients, but its relevance in human cancer development is not clear. In this study, we provide evidence that IL-18 is principally expressed in tumor cells and, in concert with other conventional Th1 cell-driven cytokines, has a pivotal role in establishing a pro-inflammatory milieu in the tumor microenvironment of human non-small cell lung cancer (NSCLC). Interestingly, the analysis of tumor-infiltrating CD8(+) T cell populations showed that (i) the relative IL-18 receptor (IL-18R) is significantly more expressed by the minority of cells with a functional phenotype (T-bet(+)Eomes(+)), than by the majority of those with the dysfunctional phenotype T-bet(+)Eomes(+) generally resident within tumors; (ii) as a consequence, the former are significantly more responsive than the latter to IL-18 stimulus in terms of IFN gamma production ex vivo; (iii) PD-1 expression does not discriminate these two populations. These data indicate that IL-18R may represent a biomarker of the minority of functional tumor-infiltrating CD8(+) T cells in adenocarcinoma NSCLC patients. In addition, our results lead to envisage the possible therapeutic usage of IL-18 in NSCLC, even in combination with other checkpoint inhibitor approaches

Lung cancer surgery in octogenarians: a meta-analysis of predictors for postoperative complications

Background: Recently, several reports had focused on the feasibility of lung cancer surgery in octogenarians, describing encouraging short and long-term survival. However, the postoperative complication rate remains high. Some papers analyzed the role of potential predictors of post-operative complications, showing discordant results. We aimed at systematically assessing the evidence on risk factors for post-operative complications in octogenarians undergoing lung cancer surgery. Methods: Literature search was performed through PubMed and MEDLINE using the terms “lung cancer”, “non-small cell lung cancer” or “lung cancer surgery” combined with “octogenarian” or “80 years”. Last search was performed on 03/2021. Inclusion criteria were: clinical studies involving octogenarians undergoing lung cancer surgery between 1990 and 2020; studies explicitly appraising risk factors for postoperative complications and providing adjusted risk effect estimates. Studies that did not explicitly investigate predictors of postoperative complications and papers published in other language than English were not included. Risk of bias was assessed using the Quality in Prognostic Factor Studies (QUIPS) tool. More than 20 potential predictors were screened, finally limiting the inferential analysis to the six most frequently reported: performance status (PS), forced expiratory volume in 1 second (FEV1), type of resection, surgical approach, history of tobacco abuse and male gender. Adjusted P values from individual studies were pooled with the Fisher method. A pooled 2-tailed P value ≤0.05 was considered statistically significant. Results: A final set of 13 cohort studies, including 2,596 patients, was considered. Effect estimates were reported for PS by 6 studies (46%), for FEV1 by 10 (77%), for type of resection by 11 (85%), for surgical approach by 4 (31%), for history of tobacco abuse by 6 (46%), and for male gender by 8 (62%). After inferential analysis with the Fisher method, a significant association with post-operative complications was found for PS (P=0.004), major resections (P=0.002) and open approach (P=0.007); male gender showed only a borderline trend (P=0.053). Preoperative FEV1 (P=0.109) and history of tobacco abuse (P=0.399) were not associated with increased postoperative complications. Conclusions: Lung cancer surgery in octogenarian patients represent a viable and useful treatment. According to our analysis, patients should be carefully selected considering that a good preoperative PS is associated with a lower rate of postoperative complications. Similarly, thoracoscopic approach and sublobar resection should be preferred in octogenarian patients if technically and oncologically sound. Interestingly, impaired lung function was not significantly associated to post-operative complications

Inflammatory myofibroblastic tumor after lung transplant-A rare and aggressive complication. A case report.

Introduction Malignant diseases are well-known complications after lung transplantation (LT). Among these, inflammatory myofibroblastic tumor (IMT) is a rare neoplasm with a not well-known and often aggressive biological behavior. Material and Methods We hereby describe 2 cases of cystic fibrosis patients who underwent bilateral sequential LT (BSLT) complicated by IMT. Results A 26-year-old man presented a right endobronchial lesion 6 months after BSLT. Two consecutive fiber bronchoscopic biopsies showed granulation tissue. For the persistent lesion growth, the patient underwent a transthoracic biopsy showing histologic diagnosis of IMT. Therefore, he underwent to right pneumonectomy that was unfortunately complicated after 6 months with a late bronchopleural fistula and empyema with exitus 6 months later. A 31-year-old woman 1 year after BSLT presented with a left voluminous pleural-parenchymal lesion; the histologic examination after biopsy revealed an IMT. She underwent a removal of the lesion with a macroscopic R0 resection. Histologic, immunophenotypic, and cytogenetic examinations showed a strong overexpression of anaplastic lymphoma kinase requiring biological adjuvant therapies; however, the patient refused it. Four years later, she presented a recurrence treated with debulking procedure and adjuvant radiotherapy. At last follow-up, the patient was alive with stable disease and optimal graft function. Conclusions Although IMT is a rare complication after lung transplant, to obtain a careful diagnosis, an early and aggressive treatment is mandatory

Electro-plating and characterisation of cadmium sulphide thin films using ammonium thiosulphate as the sulphur source

Cadmium sulphide (CdS) thin films have been successfully prepared from an aqueous electrolyte bath containing CdCl2 and ammonium thiosulphate ((NH4)2S2O3) using electrodeposition technique. The structural, compositional, optical, morphological and electrical properties of these thin films have been characterized using X-ray diffraction (XRD), Raman spectroscopy, energy dispersive X-ray spectroscopy, UV–Vis spectrophotometry, scanning electron microscopy (SEM), atomic force microscopy (AFM), photoelectrochemical cell and D.C. current–voltage (I–V) measurements. The optimum deposition cathodic potential has been observed at 1,455 mV, in a 2-electrode system with respect to carbon anode. Structural analysis using XRD shows a mixture of hexagonal and cubic phases in the as-deposited CdS samples and a phase transformation to the hexagonal structure occurred after heat treatment at 400 °C for 20 min. Optical studies demonstrate an improvement in the band edge, producing 2.42 eV for the band gap of the films after heat treatment. The heat treated CdS thin films show better transmission for wavelengths longer than 500 nm. SEM and AFM show that the heat-treated samples are more uniform, smoother and have larger grain size. Electrical studies confirm that the CdS thin films have n-type electrical conductivity and heat treated CdS thin films have resistivities of the order of 105 Ω cm

Electrodeposition of CdTe thin films using nitrate precursor for applications in solar cells

Cadmium telluride (CdTe) thin films have been electrodeposited (ED) on glass/fluorine-doped tin oxide (FTO) substrates using simplified two-electrode system in acidic and aqueous solution containing Cd(NO3)2 4H2O and TeO2. The X-ray diffraction (XRD), optical absorption, photoelectrochemical (PEC) cell measurements, scanning electron microscopy (SEM) and transmission electron microscopy (TEM) have been carried out to study the structural, optical, electrical and morphological properties of the CdTe layers. The XRD study shows that the ED-CdTe layers are polycrystalline with cubic crystal structure. Results obtained from optical absorption reveal that the bandgaps of the as-deposited and the CdCl2 treated CdTe layers are in the ranges ~1.50 to ~1.54 eV and ~1.46 to ~1.51 eV, respectively. Observation from PEC measurements indicates a p-, i- and n-type electrical conductivity for as-deposited CdTe layers grown in the cathodic voltage range (1,247–1,258) mV. The SEM images indicate noticeable change in CdTe grain size from ~85 to ~430 nm after CdCl2 treatment with uniform surface coverage of the glass/FTO substrate. The TEM images show the columnar growth structure for as-deposited and CdCl2 treated CdTe layers. The TEM images also indicate an increase in grain’s diameter from ~50 to ~200 nm after CdCl2 treatment