Monolayer- and crystal-type MoO3 catalysts: Their catalytic properties in relation to their surface structures

Various MoO3 catalysts have been prepared by means of adsorption of molybdenum on supports from molybdate solutions or from the gas phase. Complete monomolecular layers of Mo6+ oxide can be prepared on the carriers Al2O3, Cr2O3, TiO2, CeO2, and ZrO2, whereas on SiO2 crystallites of MoO3 are formed. Reduction experiments show that the higher valencies of Mo are stabilized in the case of a monomolecular layer. Alcohol dehydration, pentene hydrogenation, and poisoning of these reactions with pyridine reveal that MoO2 present as a monolayer is less acidic than crystalline MoO2. On the complete monolayer catalysts investigated, mostly more than 70% of the dehydration and hydrogenation activities can be correlated with sites showing a relatively high acidity which are equivalent to 10–20% of the Mo content. The CO oxidation rates on the oxidized catalysts are antiparallel to those of the reactions on the reduced ones mentioned above; relatively basic sites preferentially chemisorb CO. The conclusion is that the activity pattern of the catalysts is a function of the acidity of the supports. It is suggested that Mo5+ ions contribute to the formation of the active acid sites after reduction with hydrogen

Patient characteristics.

<p>General and disease-specific characteristics of patient groups. Abbreviations: <b>ALT</b>, alanine transaminase; <b>IQR</b>, interquartile range; <b>PI</b>, protease inhibitor; <b>HAART</b>, highly active antiretroviral treatment.</p

Changes in CD8⁺ effector and memory phenotype in all patients and healthy controls.

<p>A: representative plots of a healthy control, HIV-HCV coinfected, HCV monoinfected and HIV- mono patient showing naïve (right lower quadrant), central memory (right upper quadrant), effector memory (left upper quadrant) and effector (left lower quadrant) CD8⁺ T-cells by CD27 and CD45RO staining. B: pie charts of mean percentages of naïve (light grey), central memory (CM; light blue), effector memory (EM; dark blue) and effector (orange) CD8⁺ T-cells in 42 patients and 3 healthy controls. C: relative increase of median percentages of memory subsets compared to healthy controls. D: box plot showing percentages of effector CD8⁺ T-cells in HCV-monoinfected (left) or HIV/HCV-coinfected patients (right) with fibrosis scores F0–F2 (yellow) versus F3–F4 (red). The depicted p-value was calculated with two way ANOVA and indicates statistical significant difference in percentages of effector CD8⁺ T cells in F0–F2 fibrosis compared to F3–F4 fibrosis, independent of coinfection with HIV. Liver fibrosis was assessed with Fibroscan in 74% of HCV monoinfected patients and 71% of HIV/HCV coinfected patients. E: correlation of staining for perforin (Y-axis) with effector phenotype (X-axis) in CD8⁺ T-cells. Box-plots show median, quartiles and range. Line represents linear regression. P-values are depicted as: * (<0.05) and ** (p-value <0.01).</p

Representative flow cytometry plots.

<p>Representative flow cytometry plots of T-cell activation- and exhaustion markers in HIV-HCV coinfected patients, HCV mono- and HIV mono-infected patients and healthy controls. A: gating of CD4⁺ and CD8⁺ T-cells by lymphocyte-gate (left panel), CD3-gate (middle panel) and gates for CD4⁺ or CD8⁺ T-cells (right panel). B-E: representative flow cytometry plots of a healthy control (left), HIV-HCV coinfected (middle left), HCV monoinfected (middle right) and HIV -monoinfected patient (right) showing (B) activated CD8⁺ T-cells; (C) Fas-positive CD4⁺ T-cells; (D) PD-1 positive CD4⁺ T-cells and (E) Tim-3 positive CD8⁺ T cells. Percentages are depicted in the right upper corner.</p

Effect of a health literacy training program for surgical oncologists and specialized nurses on disparities in referral to breast cancer genetic testing

Background: There is an underuse of genetic testing in breast cancer patients with a lower level of education, limited health literacy or a migrant background. We aimed to study the effect of a health literacy training program for surgical oncologists and specialized nurses on disparities in referral to genetic testing. Methods: We conducted a multicenter study in a quasi-experimental pre-post (intervention) design. The intervention consisted of an online module and a group training for surgical oncologists and specialized nurses in three regions in the Netherlands. Six months pre- and 12 months post intervention, clinical geneticists completed a checklist with socio-demographic characteristics including the level of health literacy of each referred patient. We conducted univariate and logistic regression analysis to evaluate the effect of the training program on disparities in referral to genetic testing. Results: In total, 3179 checklists were completed, of which 1695 were from hospital referrals. No significant differences were found in educational level, level of health literacy and migrant background of patients referred for genetic testing by healthcare professionals working in trained hospitals before (n = 795) and after (n = 409) the intervention. The mean age of patients referred by healthcare professionals from trained hospitals was significantly lower after the intervention (52.0 vs. 49.8, P = 0.003). Conclusion: The results of our study suggest that the health literacy training program did not decrease disparities in referral to genetic testing. Future research in a more controlled design is needed to better understand how socio-demographic factors influence referral to breast cancer genetic testing and what other factors might contribute

The association between postoperative complications and long-term survival after esophagectomy: a multicenter cohort study

Conflicting results are reported on the association between post-esophagectomy complications and long-term survival. This multicenter study assesses the association between complications after an esophagectomy and long-term overall survival. Five Dutch high-volume centers collected data from consecutive patients undergoing esophagectomy between 2010 and 2016 and merged these with long-term survival data from the Netherlands Cancer Registry. Exclusion criteria were non-curative resections and 90-day mortality, among others. Primary outcome was overall survival related to the presence of a postoperative complication in general. Secondary outcomes analyzed the presence of anastomotic leakage and cardiopulmonary complications. Propensity score matching was performed and the outcomes were analyzed via Log-Rank test and Kaplan Meier analysis. Among the 1225 patients included, a complicated course occurred in 719 patients (59.0%). After matching for baseline characteristics, 455 pairs were successfully balanced. Patients with an uncomplicated postoperative course had a 5-year overall survival of 51.7% versus 44.4% in patients with complications (P = 0.011). Anastomotic leakage occurred in 18.4% (n = 226), and in 208 matched pairs, it was shown that the 5-year overall survival was 57.2% in patients without anastomotic leakage versus 44.0% in patients with anastomotic leakage (P = 0.005). Overall cardiopulmonary complication rate was 37.1% (n = 454), and in 363 matched pairs, the 5-year overall survival was 52.1% in patients without cardiopulmonary complications versus 45.3% in patients with cardiopulmonary complications (P = 0.019). Overall postoperative complication rate, anastomotic leakage, and cardiopulmonary complications were associated with a decreased long-term survival after an esophagectomy. Efforts to reduce complications might further improve the overall survival for patients treated for esophageal carcinoma