Comorbidities of deformational plagiocephaly in infancy:a scoping review protocol

Introduction Deformational plagiocephaly (DP) is one of the most common cranial shape disorders in infancy. It is characterised by unilateral flattening of the skull due to head preference to one side. The literature suggests that DP is associated with comorbidities such as developmental delay, but the nature and prevalence of the comorbid impairments are still unclear and controversial. Therefore, our scoping review (ScR) aims to explore systematically the extent and nature of literature by identifying, mapping and categorising the most relevant comorbidities of DP in children up to the age of 2 years.Methods and analysis This protocol is based on the framework outlined by Arksey and O’Malley. A systematic search will be conducted to identify relevant full text studies from 1992 to 2021 using the databases of Cochrane, MEDLINE, Google Scholar, EMBASE, PubMed and University of Nicosia EBSCO. Two independent reviewers will screen abstracts and full articles in parallel, using specific inclusion and exclusion criteria. Specifically, this review will consider studies investigating DP and relevant comorbidities in children up to the age of 2 years of life without craniosynostosis, torticollis and any other diagnosed neurodevelopmental deficiency.The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for ScR Checklist will be considered for results’ analysis and reporting. The results will be described in a narrative form in relation to the research question and in the context of the overall study purpose.Ethics and dissemination Research ethics approval is not required for this ScR since data will be retrieved from publicly available studies. Dissemination activities will include research findings’ submission for publication in a relevant peer-reviewed journal and presentation of the results at relevant conferences.Registration Our protocol was registered prospectively with the Open Science Framework (https://osf.io/48am3/)

Current Trends in Urinary Diversion in Men

Prior to the introduction of the ileal conduit more than four decades ago, the options for urinary diversion after cystectomy were extremely limited. Direct cutaneous anastomoses of the collecting system (cutaneous pyelostomies, ureterostomies) offered patients a short-term diversion, but the benefits were outweighed by significant complications: recession or stenosis of the stoma. The first choice of diversion was the ureterosigmoidostomy with or without antireflux technique. Then it fell in popularity and was replaced with continent/non-continent uretero-ileo-cutaneous diversions. Only in the last years the continent orthotopic neobladder has been widely employed as first procedure choice. At present, patients can be offered a non-continent cutaneous diversion, a continent cutaneous diversion or an orthotopic neobladder urinary reconstructio

Transitions in the EU labour market before and after the crisis: The role of reforms

European Commission. Directorate-General for Employment, Social Affairs and Inclusion (VT/2017/0341).https://www.cambridge.org/core/books/economic-growth-and-structural-reforms-in-europe/transitions-in-the-eu-labour-market-before-and-after-the-crisis/67C4340A2A2474EE37DA9CF6CB8FA05

Transition dynamics in European labour markets during crisis and recovery

The crisis has resulted in a substantial rise in unemployment in Europe and a notable divergence in unemployment rates and labour market outcomes post-crisis. In this paper, we offer a detailed examination of the transitional dynamics underpinning changes in employment, unemployment and inactivity across the EU member states during the long period from before the crisis until the recent recovery (2004-2016). We document substantial differences in transitional dynamics across countries and disparate shifts in these over time. We also find systematic cross-country differences in the medium- and long-run trajectories of employment and unemployment generated by these dynamics, which can broadly be associated with differences in labour market institutions and models of labour market regulation and industrial relations (varieties of capitalism or production regimes). Applying a counterfactual analysis, we further document how altering the dynamics of labour market transitions may contribute to reducing significantly the levels of unemployment, and cross-country disparities in these, across the EU

Characterization of a new laboratory ceramic product from industrial by-products as raw materials and caustic magnesia as additive

Στην εργασία αυτή παρουσιάζεται ένα νέο κεραμικό προϊόν που παράχθηκε από μίξη καυστικής μαγνησίας, που παρασκευάστηκε εργαστηριακά από υψηλής καθαρότητας μαγνησίτη, φυσικού πηλού καθώς και τέφρας πυθμένα και ερυθράς ιλύος, προϊόντα γνωστά για τις δυσμενείς περιβαλλοντικές επιπτώσεις τους. Έπειτα από δοκιμή ποικίλων συνταγών, συμπεράναμε ότι προσθήκη 5% καυστικής μαγνησίας στο κεραμικό προϊόν βελτιώνει τις μηχανικές επιδόσεις του. Αυτό αποδίδεται στο γεγονός ότι το περίκλαστο της καυστικής μαγνησίας σχηματίζει «λαιμούς», οι οποίοι ισχυροποιούν τους δεσμούς στη μικροδομή του κεραμικού, σε συνδυασμό με τον ταυτόχρονο σχηματισμό μικρών ποσοτήτων άμορφου υλικού και την ομοιογενή κατανομή των πόρων, που δημιουργούνται κατά την όπτηση. Με συνδυαστική μελέτη Περιθλασιμετρίας Ακτίνων Χ και Σαρωτικού Ηλεκτρονικού Μικροσκοπίου του κεραμικού υποδείχτηκε η παρουσία αναλλοίωτων φάσεων, προερχόμενων από τις πρώτες ύλες, καθώς και νεοσχηματισμένων κρυστάλλων αλβίτη και μαγνησιοφερρίτη. Τα αποτελέσματα της παρούσας μελέτης δείχνουν ότι η χρήση παραπροϊόντων μπορεί να είναι σημαντική και περιβαλλοντικά φιλική στην παραγωγή φτηνών δομικών κεραμικών.A new ceramic product is introduced by mixing caustic magnesia, produced in the laboratory from pure, high quality magnesite, and natural silt. Bottom ash and red mud, two well known environmentally hazardous industrial by-products, were also added in the mixture. After testing various recipes we concluded that addition of 5% caustic magnesia in the ceramic product greatly enhances its performance. Increase bonding of the ceramic microstructure is attributed to the formation of periclase necks, the concurrent formation of small quantities of amorphous material and the homogeneously distributed pores during the experimental firing of the mixture. Combined X-ray Diffractometry and Scanning Electron Microscopy of the ceramic product revealed the occurrence of unreactive phases, inherited by the raw materials, as well as newly-formed albite and magnesioferrite. Our results show that utilization of by-products may be important and environmental friendly materials in producing low cost ceramic building materials

TLR-4 ligation of dendritic cells is sufficient to drive pathogenic T cell function in experimental autoimmune encephalomyelitis

<p>Abstract</p> <p>Background</p> <p>Experimental autoimmune encephalomyelitis (EAE) depends on the initial activation of CD4⁺ T cells responsive to myelin autoantigens. The key antigen presenting cell (APC) population that drives the activation of naïve T cells most efficiently is the dendritic cell (DC). As such, we should be able to trigger EAE by transfer of DC that can present the relevant autoantigen(s). Despite some sporadic reports, however, models of DC-driven EAE have not been widely adopted. We sought to test the feasibility of this approach and whether activation of the DC by toll-like receptor (TLR)-4 ligation was a sufficient stimulus to drive EAE.</p> <p>Findings</p> <p>Host mice were seeded with myelin basic protein (MBP)-reactive CD4+ T cells and then were injected with DC that could present the relevant MBP peptide which had been exposed to lipopolysaccharide as a TLR-4 agonist. We found that this approach induced robust clinical signs of EAE.</p> <p>Conclusions</p> <p>DC are sufficient as APC to effectively drive the differentiation of naïve myelin-responsive T cells into autoaggressive effector T cells. TLR-4-stimulation can activate the DC sufficiently to deliver the signals required to drive the pathogenic function of the T cell. These models will allow the dissection of the molecular requirements of the initial DC-T cell interaction in the lymphoid organs that ultimately leads to autoimmune pathology in the central nervous system.</p

Swordfish bill injury involving abdomen and vertebral column: case report and review

<p>Abstract</p> <p>Background</p> <p>Penetrating injuries of the abdomen and spinal canal that involve organic material of animal origin are extremely rare and derive from domestic and wild animal attacks or fish attacks.</p> <p>Case presentation</p> <p>In this case report we present the unique, as far as the literature is concerned, unprovoked woman's injury to the abdomen by a swordfish. There are only four cases of swordfish attacks on humans in the literature - one resulted to thoracic trauma, two to head trauma and one to knee trauma, one of which was fatal - none of which were unprovoked. Three victims were professional or amateur fishermen whereas in the last reported case the victim was a bather as in our case. Our case is the only case where organic debris of animal's origin remained in the spinal canal after penetrating trauma.</p> <p>Conclusions</p> <p>Although much has been written about the management of penetrating abdominal and spinal cord trauma, controversy remains about the optimal management. Moreover, there is little experience in the management of patients with such spinal injuries, due to the fact that such cases are extremely rare. In this report we focus on the patient's treatment with regard to abdominal and spinal trauma and present a review of the literature.</p

Cyclin-dependent kinase 5 mediates pleiotrophin-induced endothelial cell migration

Pleiotrophin (PTN) stimulates endothelial cell migration through binding to receptor protein tyrosine phosphatase beta/zeta (RPTPβ/ζ) and ανβ3 integrin. Screening for proteins that interact with RPTPβ/ζ and potentially regulate PTN signaling, through mass spectrometry analysis, identified cyclin-dependent kinase 5 (CDK5) activator p35 among the proteins displaying high sequence coverage. Interaction of p35 with the serine/threonine kinase CDK5 leads to CDK5 activation, known to be implicated in cell migration. Protein immunoprecipitation and proximity ligation assays verified p35-RPTPβ/ζ interaction and revealed the molecular association of CDK5 and RPTPβ/ζ. In endothelial cells, PTN activates CDK5 in an RPTPβ/ζ- and phosphoinositide 3-kinase (PI3K)-dependent manner. On the other hand, c-Src, ανβ3 and ERK1/2 do not mediate the PTN-induced CDK5 activation. Pharmacological and genetic inhibition of CDK5 abolished PTN-induced endothelial cell migration, suggesting that CDK5 mediates PTN stimulatory effect. A new pyrrolo[2,3-α]carbazole derivative previously identified as a CDK1 inhibitor, was found to suppress CDK5 activity and eliminate PTN stimulatory effect on cell migration, warranting its further evaluation as a new CDK5 inhibitor. Collectively, our data reveal that CDK5 is activated by PTN, in an RPTPβ/ζ-dependent manner, regulates PTN-induced cell migration and is an attractive target for the inhibition of PTN pro-angiogenic properties