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The described classification allows for the grading of ovarian veins insufficiency based on transparent radiological criteria, making it easy to use in everyday clinical practice. According to the authors, the proposed classification could facilitate communication between diagnostic physicians, specialists dealing with the treatment of venous insufficiency and gynecologists, who admit patients with symptoms suggesting venous insufficiency of the pelvis.The aim of this study was to explore the experience of rare cancer patients with the healthcare system and examine differences between age groups (adolescents and young adults (AYA, 18-39 years), older adults (OA, 40-69 years) and elderly (≥70 years)). STING agonist Dutch sarcoma patients, 2-10 years after diagnosis, completed a questionnaire on their experience with the healthcare system, satisfaction with care, information needs, patient and diagnostic intervals (first symptom to first doctor's visit and first doctor's visit to diagnosis, respectively) and received supportive care. In total, 1099 patients completed the questionnaire (response rate 58%) 186 AYAs, 748 OAs and 165 elderly. Many survivors experienced insufficient medical and non-medical guidance (32% and 38%), although satisfaction with care was rated good to excellent by 94%. Both patient and diagnostic intervals were >1 month for over half of the participants and information needs were largely met (97%). AYAs had the longest patient and diagnostic intervals, experienced the greatest lack of (non-)medical guidance, had more desire for patient support groups and used supportive care most often. This nationwide study among sarcoma survivors showed that healthcare experiences differ per age group and identified needs related to the rarity of these tumors, such as improvements concerning (non-)medical guidance and diagnostic intervals.Lightweight materials are finding plentiful applications in various engineering sectors due to their high strength-to-weight ratios. Hole-making is an inevitable requirement for their structural applications, which is often marred by thermal damages of the drill causing unacceptable shortening of tool life. Efficient cooling of the tool is a prime requirement for enhancing the process viability. The current work presents a novel technique of cooling only the twist drill between drilling of holes with no effect of the applied cryogenic coolant transferred to the work material. The technique is applied in the drilling of two commonly used high-strength lightweight materials carbon fibers reinforced polymer (CFRP) and an alloy of titanium (Ti-6Al-4V). The efficacy of the cooling approach is compared with those of conventionally applied continuous cryogenic cooling and no-cooling. The effectiveness is quantified in terms of tool wear, thrust force, hole quality, specific cutting energy, productivity, and consumption of the cryogenic fluid. The experimental work leads to a finding that between-the-holes cryogenic cooling possesses a rich potential in curbing tool wear, reducing thrust force and specific energy consumption, and improving hole quality in drilling of CFRP. Regarding the titanium alloy, it yields a much better surface finish and lesser consumption of specific cutting energy.The sterile insect technique may prove useful for the suppression of mosquito vectors of medical importance in regions where arboviruses pose a serious public health threat. In the present study, we examined the effects of sterilizing irradiation doses across different ratios of fertileirradiated males on the mating competitiveness of Ae. aegypti and Ae. albopictus under laboratory and field-cage conditions. For both species, the percentage of females inseminated and the number of eggs laid over two gonotrophic cycles varied significantly in mating treatments involving 11, 15, and 110 fertileirradiated males compared to controls of entirely fertile or entirely irradiated males but was not generally affected by the irradiation dose. Egg hatching was negatively affected in females exposed to increasing proportions of irradiated males in both laboratory and field cages. Male competitiveness (Fried's index) values varied from 0.19 to 0.58 in the laboratory and were between 0.09 and 1.0 in field cages, depending on th species. Competitiveness values were negatively affected by th eirradiation dose in both species under field-cage conditions, whereas in the laboratory, Ae. albopictus was sensitive to the dose but Ae. aegypti was not. In general, male competitiveness was similar across all mating regimes. Most importantly, induced egg sterility was positively correlated with the proportion of irradiated males present in the mating treatments, reaching a maximum of 88% under field-cage conditions for both Ae. aegypti and Ae. albopictus males treated with 50 and 40 Gy irradiation, respectively. These results indicate that sterile males produced at our facility are suitable and competitive enough for field pilot SIT projects and provide guidance to decide the optimal sterilefertile ratios.This paper studied the applicability of the Roamer-R4DW mobile laser scanning (MLS) system for road rut depth measurement. The MLS system was developed by the Finnish Geospatial Research Institute (FGI), and consists of two mobile laser scanners and a Global Navigation Satellite System (GNSS)-inertial measurement unit (IMU) positioning system. In the study, a fully automatic algorithm was developed to calculate and analyze the rut depths, and verified in 64 reference pavement plots (1.0 m × 3.5 m). We showed that terrestrial laser scanning (TLS) data is an adequate reference for MLS-based rutting studies. The MLS-derived rut depths based on 64 plots resulted in 1.4 mm random error, which can be considered adequate precision for operational rutting depth measurements. Such data, also covering the area outside the pavement, would be ideal for multiple road environment applications since the same data can also be used in applications, from high-definition maps to autonomous car navigation and digitalization of street environments over time and in space.The piaffe is an artificial, diagonally coordinated movement performed in the highest levels of dressage competition. The ground reaction forces (GRFs) of horses performing the piaffe do not appear to have been reported. Therefore, the objective of this study was to describe three-dimensional GRFs in ridden dressage horses performing the piaffe. In-ground force plates were used to capture fore and hindlimb GRF data from seven well-trained dressage horses. Peak vertical GRF was significantly higher in forelimbs than in the hindlimbs (7.39 ± 0.99 N/kg vs. 6.41 ± 0.64 N/kg; p less then 0.001) with vertical impulse showing a trend toward higher forelimb values. Peak longitudinal forces were small with no difference in the magnitude of braking or propulsive forces between fore and hindlimbs. Peak transverse forces were similar in magnitude to longitudinal forces and were mostly directed medially in the hindlimbs. Both the intra- and inter-individual variability of longitudinal and transverse GRFs were high (coefficient of variation 25-68%). Compared with the other diagonal gaits of dressage horses, the vertical GRF somewhat shifted toward the hindlimbs. The high step-to-step variability of the horizontal GRF components is thought to reflect the challenge of balancing on one diagonal pair of limbs with no forward momentum.

Primary Sjogren's syndrome (SS) is an autoimmune disease with a strong predilection for lymphoma development, with earlier disease onset being postulated as an independent risk factor for this complication. Variations of the



gene have been previously shown to increase susceptibility for both SS and non-Hodgkin B-cell lymphoma (B-NHL) in the general population. We aimed to investigate whether variations of the

gene could predispose for lymphoma development in the context of SS.

Study population, all of Greek origin, included 101 SS cases with a current or previous diagnosis of lymphoma (SS-lymphoma, SS-L) and 301 primary SS patients not complicated by lymphoma (SS-non-lymphoma, SS-nL). link2 All SS patients fulfilled the 2016 SS American College of Rheumatology/European league against Rheumatism (ACR/EULAR) classification criteria. A total of 381 healthy controls (HC) of similar age/sex/race distribution were also included. On the basis of the age of SS onset and the presence or absence of adverse predic found to be significantly increased in the young onset SS-L group compared to the HC of similar age and sex distribution (100% vs. 82.9%,

= 0.03), as well as in the high/medium risk SS compared to the low risk SS (91.3 vs. 78.3%,

= 0.0012). Of note, young onset SS-L and SS-nL groups displayed higher LILRA3 serum levels compared to their older counterparts (

-values 0.007 and 0.0005, respectively).

The functional

gene variant increases susceptibility to SS-related lymphoma development in patients with a disease onset of <40 years old, implying that genetically determined deranged immune responses in younger SS individuals could underly their pronounced risk for lymphoma development.

The functional LILRA3 gene variant increases susceptibility to SS-related lymphoma development in patients with a disease onset of less then 40 years old, implying that genetically determined deranged immune responses in younger SS individuals could underly their pronounced risk for lymphoma development.Essential oils (EOs) are a complex mixture of hydrophobic and volatile compounds synthesized from aromatic plants, commonly present in the human diet. link3 In recent years, many in vitro studies have suggested possible anticancer properties of single EO compounds, on colorectal cancer (CRC) cells. However, the majority of these studies did not compare the effects of these compounds on normal and cancer colon cells. By using NCM-460, a normal human mucosal epithelial cell line, Caco-2, a human colon epithelial adenocarcinoma cell line, and SW-620, colon cancer cells derived from lymph node metastatic site, we identified cinnamaldehyde, derived from cinnamon EO and eugenol, derived from bud clove EO, as compounds with a specific anticancer action selectively targeting the transformed colonic cells. Both cinnamaldehyde (75 µM) and eugenol (800 µM), after 72 h of treatment, were capable to induce apoptosis, necrosis and a cell cycle slowdown in Caco-2 and in SW-620, but not in NCM-460 cells. If associated with a targeted delivery to the colon, these two compounds could prove effective in the prevention or treatment of CRC.Oil sands de-oiled asphalt (OSDOA) has become a bottleneck for refineries due to its enormous production and huge landfill costs. Applying OSDOA as a modifier is an effective way to reduce environmental pollution and disposal cost. In this study, the influences of OSDOA and polyphosphoric acid (PPA) compound modification on styrene-butadiene-styrene (SBS)-modified binder were investigated. The high-temperature rutting resistance, low-temperature anti-crack performance and fatigue resistance were obtained by dynamic shear rheometer (DSR) and bending beam rheometer (BBR) test. Storage stability and microstructure were also investigated by storage test and Fourier-transform infrared (FTIR) spectroscopy. The results demonstrated that the compound modification of OSDOA/PPA dramatically enhanced the deformation resistance of SBS-modified binder and reduced its low-temperature cracking resistance. The anti-fatigue performance was also decreased. Moreover, the combined effect of OSDOA and PPA could produce composite modified asphalt with excellent storage stability, which was verified by desirable fluorescence images.

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