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longiseta in bioassays for tropical regions and improve the evaluation of environmental impacts using a native species in ecotoxicological studies.In this paper, folic acid-coated graphene oxide nanocomposite (FA-GO) is used as an adsorbent for the treatment of heavy metals including cadmium (Cd2+) and copper (Cu2+) ions. As such, graphene oxide (GO) is modified by folic acid (FA) to synthesize FA-GO nanocomposite and characterized by the atomic force microscopy (AFM), Fourier transform-infrared (FT-IR) spectrophotometry, scanning electron microscopy (SEM), and C/H/N elemental analyses. Also, computational intelligence tests are used to study the mechanism of the interaction of FA molecules with GO. Based on the results, FA molecules formed a strong π-π stacking, chemical, and hydrogen bond interactions with functional groups of GO. Main parameters including pH of the sample solution, amounts of adsorbent, and contact time are studied and optimized by the Response Surface Methodology Based on Central Composite Design (RSM-CCD). In this study, the equilibrium of adsorption is appraised by two (Langmuir and Freundlich and Temkin and D-R models) and three parameter (Sips, Toth, and Khan models) isotherms. Based on the two parameter evaluations, Langmuir and Freundlich models have high accuracy according to the R2 coefficient (more than 0.9) in experimental curve fittings of each pollutant adsorption. But, multilayer adsorption of each contaminant onto the FA-GO adsorbent (Freundlich equation) is demonstrated by three parameter isotherm analysis. Also, isotherm calculations express maximum computational adsorption capacities of 103.1 and 116.3 mg g-1 for Cd2+ and Cu2+ ions, correspondingly. Kinetic models are scrutinized and the outcomes depict the adsorption of both Cd2+ and Cu2+ followed by the pseudo-second-order equation. Meanwhile, the results of the geometric model illustrate that the variation of adsorption and desorption rates do not have any interfering during the adsorption process. Finally, thermodynamic studies show that the adsorption of Cu2+ and Cd2+ onto the FA-GO nanocomposite is an endothermic and spontaneous process.In the present paper, micro-mesoporous Fe-MIL-101/OAC composite using in situ incorporation of Fe-MIL-101 into oxidized activated carbon was synthesized and characterized by XRD, FT-IR, SEM, EDS, and BET techniques. The adsorption performances of toluene onto adsorbents in the gas phase were studied using a laboratory-scale dynamic adsorption system under moist ambience. The toluene adsorption capacity of Fe-MIL-101/OAC composite and Fe-MIL-101 were 127 and 97.6 mg g-1, severally. Results revealed that the larger pores in micro-mesoporous Fe-MIL-101/OAC enhanced the molecular diffusion rate. The findings indicated that micro-mesoporous structures played key roles in the capture of toluene molecules. The initial toluene concentration positively affected on toluene adsorption capacity while temperature and humidity negatively affected on toluene adsorption capacity. The Langmuir model and the pseudo-second-order kinetics model described better adsorption process of Fe-MIL-101/OAC composite. Thermodynamic findings determined that toluene adsorption over Fe-MIL-101/OAC was spontaneous, exothermic physisorption. The regeneration of the composite was still up to 72.6% after six cycles. The micro-mesoporous Fe-MIL-101/OAC composite proposes a promising support for the high toluene removal for future. Graphical abstract.Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and is the fourth-leading cause of cancer-related deaths worldwide. HCC is refractory to many standard cancer treatments and the prognosis is often poor, highlighting a pressing need to identify biomarkers of aggressiveness and potential targets for future treatments. JNJ-7706621 mw Kinesin family member 2C (KIF2C) is reported to be highly expressed in several human tumors. Nevertheless, the molecular mechanisms underlying the role of KIF2C in tumor development and progression have not been investigated. In this study, we found that KIF2C expression was significantly upregulated in HCC, and that KIF2C up-regulation was associated with a poor prognosis. Utilizing both gain and loss of function assays, we showed that KIF2C promoted HCC cell proliferation, migration, invasion, and metastasis both in vitro and in vivo. Mechanistically, we identified TBC1D7 as a binding partner of KIF2C, and this interaction disrupts the formation of the TSC complex, resulting in the enhancement of mammalian target of rapamycin complex1 (mTORC1) signal transduction. Additionally, we found that KIF2C is a direct target of the Wnt/β-catenin pathway, and acts as a key factor in mediating the crosstalk between Wnt/β-catenin and mTORC1 signaling. Thus, the results of our study establish a link between Wnt/β-catenin and mTORC1 signaling, which highlights the potential of KIF2C as a therapeutic target for the treatment of HCC.

Killian-Jamieson diverticulum is a rare pharyngoesophageal diverticulum that arises below the cricopharyngeus muscle. Unlike the most common Zenker's diverticulum, which requires cricopharyngeal and esophageal myotomy, diverticulectomy is sufficient for surgical treatment of Killian-Jamieson diverticulum. Thus, accurate preoperative diagnosis is indispensable for avoiding unnecessarily invasive surgery. Here, we report a case of Killian-Jamieson diverticulum in which endoscopic observation of the palisade vessels was useful for diagnosis and intraoperative endoscopy was effective in guiding surgical resection.

A 65-year-old woman complained of pharyngeal discomfort and increased coughing and was referred to our hospital with a diagnosis of a pharyngoesophageal diverticulum. Contrast esophagography and cervical computed tomography revealed a diverticulum measuring 3 cm in diameter on the left side of the cervix. The diverticulum was identified by endoscopy just below the palisade vessels, which represents with the aid of intraoperative endoscopy.

Improving patient-centered (PC) communication is a priority in many healthcare organizations. Most PC communication metrics are distal to the care encounter and lack clear attribution, thereby reducing relevance for leaders and clinicians.

We assessed the acceptability of measuring PC communication at the point-of-care.

A brief patient survey was conducted immediately post-primary care appointments at one Veterans Affairs Medical Center. Audit-feedback reports were created for clinicians and discussed in qualitative interviews.

A total of 485 patients completed the survey. Thirteen interviews were conducted with clinicians and hospital leaders.

Measures included collaboRATE (a 3-item tool measuring PC communication), a question about how well needs were met, and overall visit satisfaction. Data were analyzed using descriptive statistics to characterize the mean and distribution of collaboRATE scores and determine the proportion of patients giving clinicians a "top score" on each item. Associations among responses were examined.

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