299 research outputs found

    A systematic review of recent and ongoing clinical trials in patients with the neurofibromatoses

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    INTRODUCTION: The neurofibromatoses comprise three different genetic conditions causing considerable morbidity and mortality: neurofibromatosis type 1 (NF1), neurofibromatosis type 2 (NF2), and schwannomatosis (SWN). This review summarizes recent and ongoing clinical trials involving patients with neurofibromatoses to better understand the current state of clinical trial research centered around these conditions and inform areas of need. METHODS: A search was conducted using the Cochrane Central Register of Controlled Trials and clinicaltrials.gov databases. Inclusion and exclusion criteria were designed to identify clinical trials focused on patients with NF1, NF2, or SWN completed in or after 2010 and in process as of December 31, 2021. Information was collected using standardized guidelines. RESULTS: A total of 134 clinical trials were included, with 75 (56%) completed and 59 (44%) in process. For completed trials, 74% (n = 56) involved patients with NF1, and of those based on specific tumors (n = 26, 46%), the majority focused on plexiform neurofibromas (PNs) (n = 12, 46%). For ongoing trials, 79% (n = 47) involve patients with NF1, and of those based on specific tumors (n = 29, 61%), the majority are focused on PNs (n = 13, 45%). CONCLUSION: Both recent and ongoing clinical trials have primarily focused on patients with NF1 and the treatment of PNs. This research has led to the first FDA-approved drug for NF1-PN and has changed management of these tumors, allowing for systemic therapy rather than reliance on only a surgical modality. Trials evaluating comorbid psychiatric conditions and quality of life among patients with any of the neurofibromatoses appear less common. These areas may warrant focus in future studies to improve clinical management

    Point-Load Test Assesment as Study of Adobe Buildings Damaged after the 2017 Puebla Earthquake

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    The 2017 Puebla Earthquake on September 19 struck a big part of Mexico causing the loss of historic buildings in several states, being the state of Morelos one of the most damaged in the whole country. Jojutla de Juarez was the most affected locality of Morelos presenting important structural damages or total collapse in the built heritage, being the traditional earthen buildings, made of adobe bricks, the most vulnerable buildings to seismic efforts. Some of the causes which contributed to the poor behaviour of the buildings were the improper handling of the constructive systems and materials, the insufficient resistance of the structures and the problems derivate by the foundations. The adobe houses of Jojutla presented a mixture between the traditional building techniques and industrial materials like concrete, bricks, blocks and steel; also with irregular heights and plant layouts and inadequate connections between the walls and foundations and roofs, resulting into a higher seismic vulnerability when the earthquake impacted. Also the adobe bricks presented irregularities in its composition and use of additives which resulted in completely different typologies and the loss of the traditional construction techniques. There was conducted a study to determine the earthquake resistance of the adobe bricks of the houses in Jojutla, considering that the remaining structures were severely damaged and a whole study of the seismic vulnerability would not be possible due the loss of the physical buildings. The granulometry and composition of the adobe samples of the buildings were determined as well as the natural aggregates like straw and its proportion. Also the compressive strength of the pieces was tested by two methods: the compression test and the point-load test, in order to obtain the indicative values which could be compared with other patrimonial and vernacular study cases

    Subcellular elements responsive to the biomechanical activity of triple-negative breast cancer-derived small extracellular vesicles

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    Abstract Triple-negative breast cancer (TNBC) stands out for its aggressive, fast spread, and highly metastatic behavior and for being unresponsive to the classical hormonal therapy. It is considered a disease with a poor prognosis and limited treatment options. Among the mechanisms that contribute to TNBC spreading, attention has been recently paid to small extracellular vesicles (sEVs), nano-sized vesicles that by transferring bioactive molecules to recipient cells play a crucial role in the intercellular communication among cancer, healthy cells, and tumor microenvironment. In particular, TNBC-derived sEVs have been shown to alter proliferation, metastasis, drug resistance, and biomechanical properties of target cells. To shed light on the molecular mechanisms involved in sEVs mediation of cell biomechanics, we investigated the effects of sEVs on the main subcellular players, i.e., cell membrane, cytoskeleton, and nuclear chromatin organization. Our results unveiled that TNBC-derived sEVs are able to promote the formation and elongation of cellular protrusions, soften the cell body, and induce chromatin decondensation in recipient cells. In particular, our data suggest that chromatin decondensation is the main cause of the global cell softening. The present study added new details and unveiled a novel mechanism of activity of the TNBC-derived sEVs, providing information for the efficient translation of sEVs to cancer theranostics

    Comparative investigation of chemical and structural properties of charred fir wood samples by Raman and FTIR spectroscopy as well as X-ray-micro-CT technology

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    Wood surface charring is a treatment method commonly employed to enhance weather protection and aesthetic appearance of building exteriors. This study aims to investigate the differences between two wood surface charring processes: the traditional Japanese method known as Yakisugi and an alternative charring technique industrially manufactured with a gas burner. The objective of the study was to assess whether a thicker layer after Yakisugi treatment has any advantages over a thinner layer after the alternative process. Vibrational spectroscopy techniques including UV resonance Raman (UVRR) and Fourier transform infrared (FTIR) spectroscopy, were utilized in conjunction with X-ray-micro-CT analysis. The findings revealed that ATR-FTIR spectroscopy detected the degradation of carbohydrates and changes in lignin within the charred surface, although both processes exhibited similar vibrational contributions. In contrast, UVRR spectroscopy provided insights into the carbonized layers, revealing spectral differences indicating variations in temperature during the charring processes. X-ray micro-CT analysis visually highlighted significant differences in the coal layers, suggesting distinct combustion profiles. Remarkably, the macrostructure of wood treated with Yakisugi remained intact despite a thicker charred layer compared to the alternative charring techniques. However, further investigations are required to assess the weather stability of the alternative charring method for a comprehensive understanding.O

    Polyvinylidene Fluoride Aerogels with Tailorable Crystalline Phase Composition

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    In this work, polyvinylidene fluoride (PVDF) aerogels with a tailorable phase composition were prepared by following the crystallization-induced gelation principle. A series of PVDF wet gels (5 to 12 wt.%) were prepared from either PVDF–DMF solutions or a mixture of DMF and ethanol as non-solvent. The effects of the non-solvent concentration on the crystalline composition of the PVDF aerogels were thoroughly investigated. It was found that the nucleating role of ethanol can be adjusted to produce low-density PVDF aerogels, whereas the changes in composition by the addition of small amounts of water to the solution promote the stabilization of the valuable β and γ phases. These phases of the aerogels were monitored by FTIR and Raman spectroscopies. Furthermore, the crystallization process was followed by in-time and in situ ATR–FTIR spectroscopy. The obtained aerogels displayed specific surface areas > 150 m2 g−1, with variable particle morphologies that are dependent on the non-solvent composition, as observed by using SEM and Synchrotron Radiation Computed micro-Tomography (SR-μC
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