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elator synthetic scaffold and 111In[In] or 68Ga[Ga], respectively, as the central metal ions. Interestingly, for simple porphyrin conjugates good radiochemical incorporation was obtained for both radiometals, but the presence of peptides significantly diminished the radio-incorporation yields. Although the gallium-68 radiochemistry of the bombesin conjugates did not show radiochemical incorporation suitable for in vivo studies, likely because the presence of the peptide changed the behavior of the TPP-NH2 synthon taken alone, the optical imaging assays indicated that the conjugated peptide tags do mediate uptake of the porphyrin units into cells.The copper(I)-catalyzed azide-alkyne cycloaddition (CuAAC) click reaction has drawn increasing attention in the field of analytical science. However, the poor stability of Cu(I) usually hinders not only the simplicity of the click reaction but also its applications in precise analyses. Therefore, the development of a nanocatalyst containing stable Cu(I) is of great significance for broadening the application of CuAAC-based assays. Herein, inspired by the active center structure of natural multicopper oxidases (MCOs), we successfully prepared a novel nanocatalyst containing abundant stable Cu(I) as an artificial "clickase" (namely, CCN) by using glutathione to stabilize Cu(I). The stability and enzyme-like catalytic activity in the CuAAC reaction of the prepared CCN clickase were studied, and the catalytic mechanism of the CCN clickase-mediated CuAAC reaction between 3-azide-7-hydroxycoumarin (Azide 1) and propargyl alcohol (Alkyne 2) was also revealed. Compared with the existing solid CuO nanocatalysts used in CuAAC-based assays, CCN clickases exhibited plenty of superior properties (including high stability, excellent catalytic activity, no requirements of dissolution and reducing agents/radical initiator during the detection, well-defined porosities benefiting the substrate diffusion, and good biocompatibility), which can greatly increase the reaction efficiency and shorten the detection time. Encouraged by these remarkable performances, CCN clickases were used as labels to establish a new catalytic click fluorescence immunoassay for foodborne pathogens. Notably, the proposed CCN clickase-based immunoassay exhibited high analytical performances for the quantification of Salmonella enteritidis in the linear range of 102-106 CFU/mL with a limit of detection as low as 11 CFU/mL. The developed method has also been used in the determination of S. enteritidis in food samples, showing its great potential in the detection of foodborne pathogens.Dispersing graphene sheets in liquids, in particular water, could enhance the transport properties (like thermal conductivity) of the dispersion. Yet, such dispersions are difficult to achieve since graphene sheets are prone to aggregate and subsequently precipitate due to their strong van der Waals interactions. Conventional dispersion approaches, such as surface treatment of the sheets either by surfactant adsorption or by chemical modification, may prevent aggregation. Unfortunately, surfactant-assisted graphene dispersions are typically of low concentration ( less then 0.2 wt %) with relatively small sheets ( less then 1 μm lateral size) while chemical modification is punished by increased defect density within the sheets. We investigate here a new approach in which the concentration of dispersed graphene in water is enhanced by the addition of a fibrous clay mineral, sepiolite. As we demonstrate, the clay particles in water form a kinetically arrested particle network within which the graphene sheets are effectively trapped. This mechanism keeps graphene sheets of high lateral size (∼4 μm) dispersed at high concentrations (∼1 wt %). We demonstrate the application of such dispersions as cooling liquids for thermal management solutions, where a 26% enhancement in the thermal conductivity is achieved as compared to that in a filler-free fluid.Solution-processed perovskites as emerging semiconductors have achieved unprecedented milestones in sensor optoelectric devices. Stability along with the device noise issues are the major obstacle for photodetectors to compete with the traditional devices. Here, we demonstrated that l-ascorbic acid (l-AA) as a polyhydroxy ester can coordinate with the amino group of formamidine cations (FA+) through multiple hydrogen bond interactions to stabilize the perovskite, which protect the FA+ ions from nucleophile attack and effectively suppress the degradation of FA+ ions, improving the perovskite stability and suppressing the device noise to below 0.3 pA Hz-1/2 with a large linear dynamic range of 239 dB. The dual functions of l-AA enable the perovskite photodetector to have a high detectivity of 1012 Jones. The self-powered device works with no energy consumption and maintains an undegraded performance over 1200 h of inspection at ambient conditions, which is promising for infrastructure construction, signal sensing, and real-time information delivery.Stem-cell-derived extracellular vesicles (EVs) are promising tools for therapeutic delivery and imaging in the medical research fields. EVs that arise from endosomal compartments or plasma membrane budding consist of exosomes and microvesicles, which range between 30 and 200 nm and 100-1000 nm, respectively. PF3644022 Iron oxide nanoparticles can be used to label stem cells or possibly EVs for magnetic resonance imaging. This could be a novel way to visualize areas in the body that are affected by neurological disorders such as stroke. Human induced pluripotent stem cells (iPSK3 cells) were plated on low-attachment plates and treated with SB431542 and LDN193189 during the first week for the induction of cortical spheroid formation and grown with fibroblast growth factor 2 and cyclopamine during the second week for the neural progenitor cell (iNPC) differentiation. iNPCs were then grown on attachment plates and treated with iron oxide (Fe3O4) nanoparticles at different sizes (8, 15, and 30 nm in diameter) and concentrat spheroid cells but not EVs by MRI. The addition of iron oxide nanoparticles does not induce significant cytotoxic effects to cortical spheroids. In addition,, nanoparticles may stimulate the biogenesis of EVs when added to cortical spheroids in vitro.To fully realize the potential of microfluidic platforms as useful diagnostic tools, the devices must be sufficiently portable that they function at the point-of-care, as well as remote and resource-poor locations. Using both modeling and experiments, here we develop a standalone fluidic device that is driven by light and operates without the need for external electrical or mechanical pumps. The light initiates a photochemical reaction in the solution; the release of chemical energy from the reaction is transduced into the spontaneous motion of the surrounding fluid. The generated flow is driven by two simultaneously occurring mechanisms solutal buoyancy that controls the motion of the bulk fluid and diffusioosmosis that regulates motion near the bottom of the chamber. Consequently, the bulk and surface fluid flows can be directed independently of one another. We demonstrate that this exceptional degree of spatiotemporal control provides a new method for autonomously transporting different-sized particles in opposite directions within the chamber. Thus, one device can be used to both separate the particles and drive them to different locations for further processing or analysis. This property is particularly useful for analyzing fluids that contain multiple contaminants or disease agents. Because this system relies on intrinsic hydrodynamic interactions initiated by a portable, small-scale source of light, the device provides the desired level of mobility vital for the next generation of functional fluidic platforms.

Biologics are increasingly used to manage ulcerative colitis (UC) and Crohn's disease (CD). However, even with earlier usage of biologic therapy, a significant proportion of patients will require surgery. Vedolizumab is an anti-integrin antibody that is increasingly used given that it is more gut selective and associated with fewer side effects. The aim of this study is to assess the effect of vedolizumab compared to anti-tumor necrosis factor (anti-TNF) therapy on the perioperative complications in patients undergoing surgery for inflammatory bowel disease (IBD).

Retrospective review of patients treated for IBD at a tertiary care center between 2013 and 2017. Rates of 30- and 90-day complications for patients on vedolizumab were compared to patients on anti-TNF regimens.

One hundred and ninety-nine patients met inclusion criteria with 87 (43%) patients undergoing surgery for CD, 111 (55.8%) for UC and 1 (0.5%) for indeterminate colitis. Thirty-eight patients received preoperative vedolizumab and 94 received anti-TNF. There were more males and lower body mass index in the anti-TNF group. There was no significant difference in overall rate of complications at 30 or 90 days. There was a trend for lower leak rate vedolizumab group (0% for vedolizumab vs. 2.1% for anti-TNF at 30 days, P= 1.00; 0% for vedolizumab vs. 1.1% for anti-TNF at 90 days, P= 1.00). Multivariate analysis showed low albumin ( < 3.6 g/dL) at the time of surgery to be a significant risk factor for overall and infectious complications at 90 days (odds ratio, 3.24; 95% confidence interval, 1.12-8.79; P= 0.021).

Perioperative vedolizumab does not increase rates of perioperative complications in IBD surgery when compared to anti-TNF medications.

Perioperative vedolizumab does not increase rates of perioperative complications in IBD surgery when compared to anti-TNF medications.During the coronavirus disease 2019 (COVID-19) pandemic, many unpredictable changes have occurred in the medical field. Risk of COVID-19 does not seem to increase in patients with inflammatory bowel disease (IBD) considering based on current reports. Current medications for IBD do not increase this risk; on the contrary, some of these might be used as therapeutics against COVID-19 and are under clinical trial. Unless the patients have confirmed COVID-19 and severe pneumonia or a high oxygen demand, medical treatment should be continued during the pandemic, except for the use of high-dose corticosteroids. Adherence to general recommendations such as social distancing, wearing facial masks, and vaccination, especially for pneumococcal infections and influenza, is also required. Patients with COVID-19 need to be withhold immunomodulators or biologics for at least 2 weeks and treated based on both IBD and COVID-19 severity. Prevention of IBD relapse caused by sudden medication interruption is important because negative outcomes associated with disease flare up, such as corticosteroid use or hospitalization, are much riskier than medications. The outpatient clinic and infusion center for biologics need to be reserved safe spaces, and endoscopy or surgery should be considered in urgent cases only.

Infliximab (IFX) has been used to induce and maintain remission in patients with severe steroid-refractory ulcerative colitis (UC). Long-term use of biologics in developing countries is limited by high cost and frequent side effects. An optimal maintenance strategy in these patients needs to be established.

A retrospective analysis of maintenance of clinical remission with combination of azathioprine (AZA) and 5-aminosalicylates (5-ASA) in patients with severe steroidrefractory UC where IFX (5 mg/kg intravenously at weeks 0, 2, 6) had been used only as an induction therapy was done at 2 centers in India. Primary outcome was the proportion of patients maintaining corticosteroid-free sustained clinical remission (SCR) at the end of study period. Rates of relapse and cost of therapy were also analyzed.

Of the 137 patients who received rescue IFX induction therapy, 77 (56.2%) achieved clinical remission (mean age 34.81 ± 13.32 years, 68.83% males, median follow-up 4 years, range 3 months to 6 years) and were included.

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