1,119 research outputs found
Laparostomy and temporary abdominal closure outcomes in emergency non-trauma surgery and parameters affecting early definite primary fascial closure
BACKGROUND: The open abdomen or laparostomy is a great advance of surgery based on the concept of damage control surgery. Aim of the study is to review the laparostomy outcomes of non- trauma emergency surgery patients in a district general hospital and identify parameters affecting early definite primary fascial closure.
METHODS: The records of all non-trauma emergency surgical patients who underwent laparostomy in a three-year period in a single institute were studied retrospectively. Outcomes included length of stay, morbidity, mortality, readmission rates, number of re-look operations, rate of definite primary fascial closure and time to closure.
RESULTS: Thirty-two patients were included. Morbidity was 84.4% and mortality rates were 21.9% (in- Hospital), 18.8% (30-day) and 46.9% (overall). Median length of hospital stay was 22 days. Rate of primary fascial closure was 87.5% and median time to closure was two days. The number of relook operations was the only independent prognostic factor of definite early primary fascial closure, with higher rates of closure in patients with 1-2 relooks.
CONCLUSIONS: Although the open abdomen has been demonstrated to improve survival, the precise role in abdominal sepsis has not been elucidated. Current consensus does not support use of open abdomen routinely, however in selected situations it becomes unavoidable. Laparostomy is a valid option in non-trauma emergency surgery and can be managed safely in a district hospital. High closure rates can be achieved if one or two re-look operations are performed with an early attempt for closure
CP properties of symmetry-constrained two-Higgs-doublet models
The two-Higgs-doublet model can be constrained by imposing Higgs-family
symmetries and/or generalized CP symmetries. It is known that there are only
six independent classes of such symmetry-constrained models. We study the CP
properties of all cases in the bilinear formalism. An exact symmetry implies CP
conservation. We show that soft breaking of the symmetry can lead to
spontaneous CP violation (CPV) in three of the classes.Comment: 14 pages, 2 tables, revised version adapted to the journal
publicatio
In vitro and in vivo characterization of PLLA-316L stainless steel electromechanical devices for bone tissue engineering—A preliminary study
Bone injuries represent a major social and financial impairment, commonly requiring surgical intervention due to a limited healing capacity of the tissue, particularly regarding critical-sized defects and non-union fractures. Regenerative medicine with the application of bone implants has been developing in the past decades towards the manufacturing of appropriate devices. This work intended to evaluate medical 316L stainless steel (SS)-based devices covered by a polymer poly (L-lactic acid) (PLLA) coating for bone lesion mechanical and functional support. SS316L devices were subjected to a previously described silanization process, following a three-layer PLLA film coating. Devices were further characterized and evaluated towards their cytocompatibility and osteogenic potential using human dental pulp stem cells, and biocompatibility via subcutaneous implantation in a rat animal model. Results demonstrated PLLA-SS316L devices to present superior in vitro and in vivo outcomes and suggested the PLLA coating to provide osteo-inductive properties to the device. Overall, this work represents a preliminary study on PLLA-SS316L devices’ potential towards bone tissue regenerative techniques, showing promising outcomes for bone lesion support.This work was developed within the scope of the project CICECO-Aveiro Institute of Materials, FCT Ref. UID/CTM/50011/2019, financed by national funds through the FCT/MCTES and when appropriate co-financed by FEDER under the PT2020 Partnership Agreement. This work was also financed by Portugal 2020 through the European Regional Development Fund (ERDF), in the frame of Operational Competitiveness and Internationalization Programme (POCI), in the scope of the project “Advanced BioMEMs for tissue engineering: Applications in hard tissue (BioMEMs)”, POCI-01-0145-FEDER-032095. Mariana Vieira Branquinho (SFRH/BD/146172/2019), Ana Catarina Sousa (SFRH/BD/146689/2019), and Rui Damásio Alvites (SFRH/BD/116118/2016), acknowledge FCT, for financial support
Constraining parameter space in type-II two-Higgs doublet model in light of a 126 GeV Higgs boson
We explore the implications of a 126 GeV Higgs boson indicated by the recent
LHC results for two-Higgs doublet model (2HDM). Identifying the 126 GeV Higgs
boson as either the lighter or heavier of CP even neutral Higgs bosons in 2HDM,
we examine how the masses of Higgs fields and mixing parameters can be
constrained by the theoretical conditions and experimental constraints. The
theoretical conditions taken into account are the vacuum stability,
perturbativity and unitarity required to be satisfied up to a cut-off scale. We
also show how bounds on the masses of Higgs bosons and mixing parameters depend
on the cut-off scale. In addition, we investigate whether the allowed regions
of parameter space can accommodate particularly the enhanced di-photon signals,
ZZ* and WW* decay modes of the Higgs boson, and examine the prediction of the
signal strength of Z{\gamma} decay mode for the allowed regions of the
parameter space.Comment: To be published in JHEP, 20 pages, 11 figures, Figures and results
are updated for the recent LHC result
Effective Lagrangian approach to vector mesons, their structure and decays
An improved update of the structure and decays of , and
mesons based on a chiral SU(3) Lagrangian, including anomaly terms is
presented. We demonstrate that a consistent and quantitatively successful
description of both pion and kaon electromagnetic form factors can be achieved.
We also discuss the cross section, the Dalitz
decay and aspects of and mixing. Relations to previous versions of the Vector Meson Dominance
model will be examined.Comment: 35 pages, TeX, 14 ps figures, submitted to Z.Phys.
Symmetries and renormalisation in two-Higgs-doublet models
We discuss the classification of symmetries and the corresponding symmetry
groups in the two-Higgs-doublet model (THDM). We give an easily useable method
how to determine the symmetry class and corresponding symmetry group of a given
THDM Higgs potential. One of the symmetry classes corresponds to a Higgs
potential with several simultaneous generalised CP symmetries. Extending the CP
symmetry of this class to the Yukawa sector in a straightforward way, the
so-called maximally-CP-symmetric model (MCPM) is obtained. We study the
evolution of the quartic Higgs-potential parameters under a change of
renormalisation point. Finally we compute the so called oblique parameters S,
T, and U, in the MCPM and we identify large regions of viable parameter space
with respect to electroweak precision measurements. We present the
corresponding allowed regions for the masses of the physical Higgs bosons.
Reasonable ranges for these masses, up to several hundred GeV, are obtained
which should make the (extra) Higgs bosons detectable in LHC experiments.Comment: 16 pages, 2 figure
Dermatitis and Aging-Related Barrier Dysfunction in Transgenic Mice Overexpressing an Epidermal-Targeted Claudin 6 Tail Deletion Mutant
The barrier function of the skin protects the mammalian body against infection, dehydration, UV irradiation and temperature fluctuation. Barrier function is reduced with the skin's intrinsic aging process, however the molecular mechanisms involved are unknown. We previously demonstrated that Claudin (Cldn)-containing tight junctions (TJs) are essential in the development of the epidermis and that transgenic mice overexpressing Cldn6 in the suprabasal layers of the epidermis undergo a perturbed terminal differentiation program characterized in part by reduced barrier function. To dissect further the mechanisms by which Cldn6 acts during epithelial differentiation, we overexpressed a Cldn6 cytoplasmic tail deletion mutant in the suprabasal compartment of the transgenic mouse epidermis. Although there were no gross phenotypic abnormalities at birth, subtle epidermal anomalies were present that disappeared by one month of age, indicative of a robust injury response. However, with aging, epidermal changes with eventual chronic dermatitis appeared with a concomitant barrier dysfunction manifested in increased trans-epidermal water loss. Immunohistochemical analysis revealed aberrant suprabasal Cldn localization with marked down-regulation of Cldn1. Both the proliferative and terminal differentiation compartments were perturbed as evidenced by mislocalization of multiple epidermal markers. These results suggest that the normally robust injury response mechanism of the epidermis is lost in the aging Involucrin-Cldn6-CΔ196 transgenic epidermis, and provide a model for evaluation of aging-related skin changes
Manufacturing of CD19 Specific CAR T-Cells and Evaluation of their Functional Activity in Vitro
Background. The most promising variant of adoptive immunotherapy of the B-line oncohematological diseases includes the use of cells with the chimeric antigen receptor (CAR T-cells), that showed extraordinary results in clinical studies.
Aim. To manufacture CAR T-cells for the clinical use and to study their cytotoxicity in vitro.
Methods. Human T-lymphocytes were transduced by the lentiviral vector containing anti-CD19-CAR, RIAD, and GFP genes. The T-cell transduction efficacy was assessed on the basis of GFP protein signal by flow cytometry. Propidium iodide was used to analyse the cell viability. Cytotoxic activity of the manufactured CAR T-cells was studied in the presence of the target cells being directly co-cultivated. Analysis of the number and viability of CAR T-cells and cytokine expression was performed by flow cytometry.
Results. The viability of the transduced T-cells and GFP expression reached 91.87 % and 50.87 % respectively. When cultured in the presence of IL-2 and recombinant CD19 (the target antigen), the amount of CAR-T after 120 h of the process was 1.4 times larger compared with the period of 48 h. In the cytotoxic test of co-cultivation CAR-T with the K562-CD19+ cells the percentage of CAR-T increased to 57 % and 84.5 % after 48 h and 120 h of exposure respectively. When cultured with the K562 cells (test line not expressing CD19) the number of CAR T-cells decreased to 36.2 % within 48 h while the number of K562 cells increased to 58.3 %. The viability of target cells in the experimental and control groups was 3.5 % and 36.74 % respectively. Comparison of IL-6 level in the control and experimental groups revealed that the differences are insignificant, as opposed to the level of other cytokines (IFN-γ, IL-2, TNF) which proved to be different in both groups.
Conclusion. The present work resulted in the production of anti-CD19 CAR T-cells with adequate viability. The in vitro model demonstrated their cytotoxicity. Manufacturing of CAR T-cells for clinical use is the first step of the development of adoptive immunotherapy in the Russian Federation
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