Nevillelindgren1283

Bile duct strictures include a wide spectrum of benign or malignant diseases.

To determine the usefulness of endoscopic retrograde cholangiopancreatography (ERCP) and circulating carbohydrate antigen19-9 (CA 19-9) in the differential diagnosis of biliary strictures.

We used an observational, prospective and cross-sectional study in 75 patients with biliary stricture diagnosed by ERCP between October 2018-January 2020. The variables were type of biliary stricture diagnosed by ERCP, biliary cytology and CA 19-9 levels. For the statistical analysis, descriptive statistic was used according to the type of variable. The relationship among them was performed using Pearson's chi-square and Fisher's exact probability tests, assuming the differences as significant when p <0.05. The cut-off point for CA 19-9 was calculated using the ROC curve and the Cohen's Kappa index was used to measure concordance between diagnostic methods.

Cytology was positive in 51 (68%) patients with biliary stenosis. The mean age was 63 years. Acute cholangitis predominated in malignant strictures (93.7%). There was agreement between the cytology and the cut-off value calculated for CA 19-9 of 85.4U / ml, with Kappa agreement index = 0.332 (p = 0.004); as well as between ERCP and cytology with Kappa concordance index = 0.701 (p <0.001).

A serum CA 19-9 value higher than 85.4 U / ml is highly related to neoplastic biliary stenosis.

A serum CA 19-9 value higher than 85.4 U / ml is highly related to neoplastic biliary stenosis.CdSe nanocrystals and aggregates of an aryleneethynylene derivative are assembled into a hybrid thin film with dual fluorescence from both fluorophores. Under continuous excitation, the nanocrystals and the molecules exhibit anticorrelated fluorescence intensity variations, which become periodic at low temperature. We attribute this to a structure-dependent aggregation-induced emission of the aryleneethynylene derivative, which impacts the rate of excitation energy transfer between the molecules and nanocrystals. This work highlights that combining semiconductor nanocrystals with molecular aggregates, which exhibit aggregation-induced emission, can result in emerging optical properties.Cell encapsulation is a chemical tool for endowing living cells with exogenous properties and enhancing their in vitro tolerance against lethal factors, which has shown promising prospects and potential applications in many fields such as cell transplantation, drug delivery, and tissue engineering. One-pot precipitation of a polyphenol-metal complex on cells protects cells from UV irradiation and lytic enzymes. However, the involvement of metal ions brings side effects on cell viability and growth. Moreover, an external removal agent is needed for cell division and growth. Herein, a polymer shell composed of hydrogen bonded constituents without affecting cell viability and growth by the precipitation of tea polyphenol and polyvinyl pyrrolidone is reported. The formation of the polymer shell was verified by the Au nanoparticle's laser scanning confocal reflectance and quartz crystal microbalance measurement. The thickness of the shell was managed by the concentration of the complex. When exposed to UV irradiation for 15 or 30 min, polymer-coating-protected Saccharomyces cerevisiae (yeast) had much higher cell viability than the native one. Exposed to a high temperature environment (60 °C), most of the coated yeasts survived in contrast to uncoated ones. For the cell division and growth curve, the polymer coating with various thicknesses had no difference to the native one, which indicated no suppression of cell growth and no external side effects involved. As applied to mammalian HeLa cells under UV irradiation for 15 min, the coated cells had an obvious higher cell viability than that of untreated ones. Therefore, the tea polyphenol-poly(vinylpyrrolidone) shell is a versatile tool for chemically controlling the external properties of cells without side effects on cell viability and growth.A novel chemical conjugate between chitosan (CH) and riboflavin (RF) has been synthesized and characterized via Fourier transform infrared, NMR, and other spectroscopic methods. Photophysical and photochemical properties such as absorption spectra, fluorescence emission, fluorescence anisotropy, and singlet oxygen generation were characterized as well. This new biopolymer-based conjugate was designed to have an antifungal effect enhanced through antimicrobial photodynamic therapy. The antifungal effect of this conjugate (CH-RF) was compared with CH and RF against Penicillium digitatum in vitro. The conjugate showed the highest fungal growth inhibition of all systems tested at a dose of 0.5% w/v. This new biopolymer-based compound could be a promising alternative to fungicides used in citrus fruits postharvest.Covalent organic framework (COF) membranes are of great promise for energy-efficient separations. Thick, polycrystalline COF films have been reported to separate dyes, salts, bacteria, and nanoparticles on the basis of size-selective transport through ordered pores. Here, we show that these materials function as adsorbents, not as size-sieving membranes. Binding isotherms of several dyes typical of the COF membrane literature to three COF powder samples illustrate that COFs are high-capacity adsorbents with affinities that span a range of 3 orders of magnitude, trends which map onto previously reported separation behavior. Computational results suggest that observed differences in adsorption can be correlated to variable entropic gains driving the adsorption process. Polycrystalline COF pellets show volume-dependent and flow-rate dependent "rejection" of dyes, consistent with an adsorption-based removal mechanism. Previous reports of thick, polycrystalline COF membranes used low flow rates and small dye volumes to probe rejection capabilities, where membrane and adsorbent behavior is not distinguishable. A mixed dye separation experiment in flow shows affinity-dependent performance. These results necessitate a careful reexamination of the COF membrane literature, as separations based on differential transport through 2D COF pores remain an important yet unrealized frontier.Amitriptyline was the second tricyclic antidepressant to appear on the market for major depressive disorder under the brand name Elavil in 1961. Since its emergence, amitriptyline has been an effective therapeutic in various disease states and disorders but has also been a concerning source of cardiotoxicity. Amitriptyline inhibits serotonin and norepinephrine reuptake as well as produces off-target activity at histaminergic, muscarinic, and various other receptors. Its role as a modulator of monoamines helped further establish the monoamine theory to understand various mood disorders, paving the way for the now more common selective serotonin/norepinephrine reuptake inhibitors. In this review, we will discuss amitriptyline's synthesis, manufacturing information, drug metabolism, pharmacology, adverse effects, and its history and importance in therapy to present amitriptyline as a true classic in chemical neuroscience.A reversible switchable on-demand UV-triggered drug delivery system (DDS) based on interpenetrating polymer networks (IPNs) with silicone as the host polymer and spiropyran (SP)-functionalized guest polymer is designed and demonstrated. The photo-responsive IPNs provide a new triggered drug delivery concept as they exploit the change in intermolecular interactions (work of adhesion) among the drug, matrix, and solvent when the incorporated hydrophobic SP moieties transform into the hydrophilic merocyanine form upon light irradiation without degradation and disruption of the DDS. The change in how the copolymer composition (hydrophilicity and content) and the lipophilicity of the drug (log P) affect the release profile was investigated. A thermodynamic model, based on Hansen solubility parameters, was developed to design and optimize the polymer composition of the IPNs to obtain the most efficient light-triggered drug release and suppression of the premature release. The developed IPNs showed excellent result for dopamine, l-dopa, and prednisone with around 90-95% light-triggered release. The model was applied to study the release behavior of drugs with different log P and to estimate if the light-induced hydrophobic-to-hydrophilic switch can overcome the work of adhesion between polymers and drugs and hence the desorption and release of the drugs. To the best of our knowledge, this is the first time that work of adhesion is used for this aim. Comparing the result obtained from the model and experiment shows that the model is useful for evaluating and estimating the release behavior of specific drugs merocyanine, IPN, DDS, and spiropyran.The tenets of coordination chemistry enable researchers to design and develop nanostructured materials based on metal-organic frameworks (MOFs). Herein, for the first time, we applied the Schiff base system to MOF derivatives as a strategy for the heteroatom introduction into carbon-based metal oxides toward electrochromic applications. The presented Ni-MOF thin films based on Schiff base ligands were prepared by a facile and economical reductive electrosynthesis approach, facilitating the scalable fabrication of large-size electrochromic films derived from MOFs. After the pyrolysis, the desired N-doped NiO@C (N-C@NiO) films can achieve a high cycling stability (500 cycles with 7% contrast attenuation) and coloration efficiency (80.18 cm2/C) via different pyrolysis procedures. In addition, the one-step fabricated N-C@NiO shows an excellent ability of contrast modulation (68%@580 nm) with merely 3.6% transmittance at the colored state. These improvements in electrochromic properties are attributed to hierarchical porous heterostructures and influenced by the N/C ratio and C-N bonding configuration, indicating that N-C@NiO systems derived from Schiff base MOFs are promising for low-transmittance displays.Topological soliton states, existing in the topological structures with edge defect or interface defect, are usually studied under steady state. selleck Here, we experimentally observe the dynamic processes of the generation and the extinction of such soliton states in the Su-Schrieffer-Heeger model. The different topological structures are implemented on a programmable nanomechanical lattice, consisting of eight adjacent string resonators which are parametrically coupled by manipulation voltages. Moreover, the beating and localization behaviors at different topological interfaces are also observed in the same device. These results explicitly exhibit the dynamic processes of topological soliton states, which reveal real potential toward integrated multifunctional topological materials.A visible-light photoredox catalyzed radical cascade cyclization of simple ethers with cyanamides is developed at room temperature. This strategy involves sequential inert Csp3-H/Csp2-H functionalizations through intermolecular addition reaction of oxyalkyl radicals to N-cyano groups followed by radical cyclization of iminyl radicals in situ generated with C-2 aryl rings. This method allows for efficient synthesis of tetracyclic benzo[4,5]imidazo[1,2-c]quinazolines. Importantly, this is the first example of an intermolecular-intramolecular radical cascade cyclization reaction of cyanamides.