Applying scanning electron microscopy for the ultrastructural and clinical analysis of periprosthetic capsules in implant-based breast reconstruction

La reconstruction en deux étapes par expanseur et implant est la technique la plus répandue pour la reconstruction mammmaire post mastectomie. La formation d’une capsule périprothétique est une réponse physiologique universelle à tout corps étranger présent dans le corps humain; par contre, la formation d’une capsule pathologique mène souvent à des complications et par conséquent à des résultats esthétiques sous-optimaux. Le microscope électronique à balayage (MEB) est un outil puissant qui permet d’effectuer une évaluation sans pareille de la topographie ultrastructurelle de spécimens. Le premier objectif de cette thèse est de comparer le MEB conventionnel (Hi-Vac) à une technologie plus récente, soit le MEB environnemental (ESEM), afin de déterminer si cette dernière mène à une évaluation supérieure des tissus capsulaires du sein. Le deuxième objectif est d‘appliquer la modalité de MEB supérieure et d’étudier les modifications ultrastructurelles des capsules périprothétiques chez les femmes subissant différents protocoles d’expansion de tissus dans le contexte de reconstruction mammaire prothétique. Deux études prospectives ont été réalisées afin de répondre à nos objectifs de recherche. Dix patientes ont été incluses dans la première, et 48 dans la seconde. La modalité Hi-Vac s’est avérée supérieure pour l’analyse compréhensive de tissus capsulaires mammaires. En employant le mode Hi-Vac dans notre protocole de recherche établi, un relief 3-D plus prononcé à été observé autour des expanseurs BIOCELL® dans le groupe d’approche d’intervention retardée (6 semaines). Des changements significatifs n’ont pas été observés au niveau des capsules SILTEX® dans les groupes d’approche d’intervention précoce (2 semaines) ni retardée.Two-stage implant-based (expander to implant) breast reconstruction is the most frequently applied technique following total mastectomy. While the periprosthetic capsule is a normal physiologic response to any foreign body, pathological capsule formation often leads complications and suboptimal aesthetic results. The scanning electron microscope (SEM) is a powerful tool that offers unparalleled assessment of capsule ultrastructural topography. The first research aim was to compare conventional high-vacuum (Hi-Vac) SEM with newer environmental scanning electron microscopy (ESEM) technology to determine whether the latter offers superior assessment of breast capsular tissue. The second aim was to apply the most optimal SEM mode to study periprosthetic capsule ultrastructural modifications in women undergoing differing expansion protocols during the first stage of implant-based reconstruction. Ten patients were prospectively included in the first study and 48 prospectively included into the second. Conventional Hi-Vac mode was deemed superior for the comprehensive analysis of breast capsular tissue. Using Hi-Vac mode within the established study protocol, a more pronounced capsular 3-D relief was observed around BIOCELL® expanders when the first postoperative saline inflation took place at 6 weeks following expander insertion (delayed approach). No significant changes were observed with SILTEX® expander capsules in both early (2 weeks) and delayed approach groups

Leveraging Large Language Models for Automated Dialogue Analysis

Developing high-performing dialogue systems benefits from the automatic identification of undesirable behaviors in system responses. However, detecting such behaviors remains challenging, as it draws on a breadth of general knowledge and understanding of conversational practices. Although recent research has focused on building specialized classifiers for detecting specific dialogue behaviors, the behavior coverage is still incomplete and there is a lack of testing on real-world human-bot interactions. This paper investigates the ability of a state-of-the-art large language model (LLM), ChatGPT-3.5, to perform dialogue behavior detection for nine categories in real human-bot dialogues. We aim to assess whether ChatGPT can match specialized models and approximate human performance, thereby reducing the cost of behavior detection tasks. Our findings reveal that neither specialized models nor ChatGPT have yet achieved satisfactory results for this task, falling short of human performance. Nevertheless, ChatGPT shows promising potential and often outperforms specialized detection models. We conclude with an in-depth examination of the prevalent shortcomings of ChatGPT, offering guidance for future research to enhance LLM capabilities.Comment: Accepted to SIGDIAL 202

Nebulized PPARγ agonists: a novel approach to augment neonatal lung maturation and injury repair in rats.

BackgroundBy stimulating lipofibroblast maturation, parenterally administered peroxisome proliferator-activated receptor γ (PPARγ) agonists promote lung homeostasis and injury repair in the neonatal lung. In this study, we determined whether PPARγ agonists could be delivered effectively via nebulization to neonates, and whether this approach would also protect against hyperoxia-induced lung injury.MethodsOne-day old Sprague-Dawley rat pups were administered PPARγ agonists rosiglitazone (RGZ, 3 mg/kg), pioglitazone (PGZ, 3 mg/kg), or the diluent, via nebulization every 24 h; animals were exposed to 21% or 95% O2 for up to 72 h. Twenty-four and 72 h following initial nebulization, the pups were sacrificed for lung tissue and blood collection to determine markers of lung maturation, injury repair, and RGZ and PGZ plasma levels.ResultsNebulized RGZ and PGZ enhanced lung maturation in both males and females, as evidenced by the increased expression of markers of alveolar epithelial and mesenchymal maturation. This approach also protected against hyperoxia-induced lung injury, since hyperoxia-induced changes in bronchoalveolar lavage cell and protein contents and lung injury markers were all blocked by nebulized PGZ.ConclusionNebulized PPARγ agonist administration promotes lung maturation and prevents neonatal hyperoxia-induced lung injury in both males and females

Novel Use of a Social-Media-Based Survey to Detect Regional Differences in Management of Monochorionic-Diamniotic Twins.

ObjectiveThis study aims to evaluate the utility of social media to distribute a patient survey on differences in management and outcomes of monochorionic-diamniotic (MCDA) pregnancies.Study designA cross-sectional survey was posted to an English-language MCDA twins patient-centered support group within the social media site, Facebook from April 2, 2018 to June 26, 2018. Subjects were recruited through a technique called "snowballing," whereby individuals shared the survey to assist with recruiting. Patient reported data were analyzed using Chi-square and Kruskal-Wallis's tests to explore characteristics associated with surveillance and outcomes as related to region and provider type.ResultsOver 3 months, the post "reached" 14,288 Facebook users, among which 5,653 (40%) clicked on the post. A total of 2,357 respondents with MCDA pregnancies completed the survey. Total 1,928 (82%) were from the United States (US) and 419 (18%) from other countries. Total 85% of patients had co-management with maternal-fetal medicine (MFM), more in the US compared with the rest of the world (87 vs. 74%, p < 0.01). MFM involvement led to increased adherence to biweekly ultrasounds (91 vs. 65%, p < 0.01), diagnosis of monochorionicity by 12 weeks (74 vs. 69%, p < 0.01) and better education about twin-twin transfusion syndrome (90 vs. 66%, p < 0.01). Pregnancies with MFM involvement had a higher take-home baby rate for both babies (92 vs. 89%, p < 0.01) or for at least one baby (98 vs. 93%, p < 0.01) compared with those without MFM involvement.ConclusionA survey distributed via social media can be effective in evaluating real-life management and outcomes of an uncommon obstetrical diagnosis. This survey elucidates wide international variation in adherence to guidelines, management, and outcomes

Composites Additive Manufacturing for Space Applications: A Review

The assembly of 3D printed composites has a wide range of applications for ground preparation of space systems, in-orbit manufacturing, or even in-situ resource utilisation on planetary surfaces. The recent developments in composites additive manufacturing (AM) technologies include indoor experimentation on the International Space Station, and technological demonstrations will follow using satellite platforms on the Low Earth Orbits (LEOs) in the next few years. This review paper surveys AM technologies for varied off-Earth purposes where components or tools made of composite materials become necessary: mechanical, electrical, electrochemical and medical applications. Recommendations are also made on how to utilize AM technologies developed for ground applications, both commercial-off-the-shelf (COTS) and laboratory-based, to reduce development costs and promote sustainability

Yield and Nutritive Value of Heading and Headless Sorghum x Sudangrass Hybrids in Response to Cutting Frequency

Summer annual forages contribute greatly toward solving the problem of roughage supply for cattle in Korea. These forages support high levels of dairy and beef production during hot summer months when the quality and production of perennial herbage decreases due to unfavourable climatic conditions (Olson, 1971). This study investigated the effects of cutting frequency on dry matter (DM) yield and nutritive value of heading versus headless varieties of sorghum x sudangrass hybrid

Batch Fabrication of High-Performance Planar Patch-Clamp Devices in Quartz

The success of the patch-clamp technique has driven an effort to create wafer-based patch-clamp platforms. We develop a lithographic/electrochemical processing scheme that generates ultrasmooth, high aspect ratio pores in quartz. These devices achieve gigaohm seals in nearly 80% of trials, with the majority exhibiting seal resistances from 20-80 GΩ, competing with pipette-based patch-clamp measurements

Antioxidative Activities of Alfalfa and Timothy Varieties

The term functional foods is often used as a generic description for the beneficial effects of ingested foods that go beyond their traditional nutritive value (Bauman et al., 2001). Milk and dairy products are important dietary sources of nutrients, providing energy, high quality protein, and a variety of vitamins and minerals. Recent research has focused on altering the fat and protein content of milk and other dairy products in order to improve their nutrient content to more aptly reflect current dietary recommendations and trends. As a result, additional focus is being given to designing foods that have beneficial effects on human health. This study was carried out to investigate the antioxidative activities of forages grown in Korea

Editorial: signaling events in regulating leaf senescence

Plant science

Whole Genome Analysis of the Red-Crowned Crane Provides Insight into Avian Longevity

The red-crowned crane (Grus japonensis) is an endangered, large-bodied crane native to East Asia. It is a traditional symbol of longevity and its long lifespan has been confirmed both in captivity and in the wild. Lifespan in birds is known to be positively correlated with body size and negatively correlated with metabolic rate, though the genetic mechanisms for the red-crowned crane's long lifespan have not previously been investigated. Using whole genome sequencing and comparative evolutionary analyses against the grey-crowned crane and other avian genomes, including the long-lived common ostrich, we identified red-crowned crane candidate genes with known associations with longevity. Among these are positively selected genes in metabolism and immunity pathways (NDUFA5, NDUFA8, NUDT12, SOD3, CTH, RPA1, PHAX, HNMT, HS2ST1, PPCDC, PSTK CD8B, GP9, IL-9R, and PTPRC). Our analyses provide genetic evidence for low metabolic rate and longevity, accompanied by possible convergent adaptation signatures among distantly related large and long-lived birds. Finally, we identified low genetic diversity in the red-crowned crane, consistent with its listing as an endangered species, and this genome should provide a useful genetic resource for future conservation studies of this rare and iconic species