3D printing for bio-synthetic biliary stents

Three-dimensional (3D) printing is an additive manufacturing method that holds great potential in a variety of future patient-specific medical technologies. This project validated a novel crosslinked polyvinyl alcohol (XL-PVA) 3D printed stent infused with collagen, human placental mesenchymal stem cells (PMSCs), and cholangiocytes. The biofabrication method in the present study examined 3D printing and collagen injection molding for rapid prototyping of customized living biliary stents with clinical applications in the setting of malignant and benign bile duct obstructions. XL-PVA stents showed hydrophilic swelling and addition of radiocontrast to the stent matrix improved radiographic opacity. Collagen loaded with PMSCs contracted tightly around hydrophilic stents and dense choloangiocyte coatings were verified through histology and fluorescence microscopy. It is anticipated that design elements used in these stents may enable appropriate stent placement, provide protection of the stent-stem cell matrix against bile constituents, and potentially limit biofilm development. Overall, this approach may allow physicians to create personalized bio-integrating stents for use in biliary procedures and lays a foundation for new patient-specific stent fabrication techniques

Biomarkers of rejection in kidney transplantation

PURPOSE OF REVIEW: To provide an update of the literature on the use of new biomarkers of rejection in kidney transplant recipients. RECENT FINDINGS: The kidney allograft biopsy is currently considered the gold standard for the diagnosis of rejection. However, the kidney biopsy is invasive and could be indeterminate. A significant progress has been made in discovery of new biomarkers of rejection, and some of them have been introduced recently for potential use in clinical practice including measurement of serum donor-derived cell free DNA, allo-specific CD154 + T-cytotoxic memory cells, and gene-expression \u27signatures\u27. The literature supports that these biomarkers provide fair and reliable diagnostic accuracy and may be helpful in clinical decision-making when the kidney biopsy is contraindicated or is inconclusive. SUMMARY: The new biomarkers provide a promising approach to detect acute rejections in a noninvasive way

Breccia-cored columnar rosettes in a rubbly pahoehoe lava flow, Elephanta Island, Deccan Traps, and a model for their origin

Rubbly pahoehoe lava flows are abundant in many continental flood basalts including the Deccan Traps. However, structures with radial joint columns surrounding cores of flow-top breccia (FTB), reported from some Deccan rubbly pahoehoe flows, are yet unknown from other basaltic provinces. A previous study of these Deccan “breccia-cored columnar rosettes” ruled out explanations such as volcanic vents and lava tubes, and showed that the radial joint columns had grown outwards from cold FTB inclusions incorporated into the hot molten interiors. How the highly vesicular (thus low-density) FTB blocks might have sunk into the flow interiors has remained a puzzle. Here we describe a new example of a Deccan rubbly pahoehoe flow with FTB-cored rosettes, from Elephanta Island in the Mumbai harbor. Noting that (1) thick rubbly pahoehoe flows probably form by rapid inflation (involving many lava injections into a largely molten advancing flow), and (2) such flows are transitional to ‘a’ā flows (which continuously shed their top clinker in front of them as they advance), we propose a model for the FTB-cored rosettes. We suggest that the Deccan flows under study were shedding some of their FTB in front of them as they advanced and, with high-eruption rate lava injection and inflation, frontal breakouts would incorporate this FTB rubble, with thickening of the flow carrying the rubble into the flow interior. This implies that, far from sinking into the molten interior, the FTB blocks may have been rising, until lava supply and inflation stopped, the flow began solidifying, and joint columns developed outward from each cold FTB inclusion as already inferred, forming the FTB-cored rosettes. Those rubbly pahoehoe flows which began recycling most of their FTB became the ‘a’ā flows of the Deccan

Hepatotoxicity Associated with Use of the Weight Loss Supplement Garcinia cambogia: A Case Report and Review of the Literature

The use of herbal and dietary supplements for weight loss is becoming increasingly common as obesity is becoming major health problem in the United States. Despite the popularity of these natural supplements, there are no guidelines for their therapeutic doses and their safety is always a concern. Garcinia cambogia extract with its active ingredient “hydroxycitric acid” is a component of many weight loss regimens. It suppresses fatty acid biosynthesis and decreases appetite. However, its prolonged use in weight maintenance is unknown. Here we describe a case of acute hepatitis after the use of Garcinia cambogia for weight loss