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001). Most patients who underwent video-assisted thoracoscopic surgery (94%) or tube thoracostomy (64.9%) as the initial procedure did not require a second invasive procedure.Conclusions Over the 21st century's first decade and a half, inpatient costs, use, and mortality have improved among U.S. adults hospitalized with pleural infection. Simultaneously, there has been a shift toward less invasive interventions upfront.In ophthalmologic or otolaryngologic studies, bilateral correlated data often arise when observations involving paired organs (e.g., eyes, ears) are measured from each subject. Based on Donner's model , in this paper, we focus on investigating the relationship between the disease probability and covariates (such as ages, weights, gender, and so on) via the logistic regression for the analysis of bilateral correlated data. We first propose a new minorization-maximization (MM) algorithm and a fast quadratic lower bound (QLB) algorithm to calculate the maximum likelihood estimates of the vector of regression coefficients, and then develop three large-sample tests (i.e., the likelihood ratio test, Wald test, and score test) to test if covariates have a significant impact on the disease probability. Simulation studies are conducted to evaluate the performance of the proposed fast QLB algorithm and three testing methods. A real ophthalmologic data set in Iran is used to illustrate the proposed methods.It is urgent to develop a high-efficient process for recycling the spent mercuric chlorides catalyst (SMC) from vinyl chloride monomer (VCM) production with the implementation of the 'Minamata Convention on mercury'. A ultrasound and microwave-assisted technology were developed to treat SMC in this study. Firstly, organic carbon deposition was separated from SMC by pretreatment (ultrasonic-assisted ethanol extraction). The optimized extraction conditions were ultrasonic time 2 h, ultrasonic power 700 W, extraction temperature 65°C, and liquid-solid ratio 71. Under these conditions, 90% of hazardous Cl-containing organics were separated from SMC. Then the pretreated SMC was treated by microwave heating for mercury removal. Residual mercury concentration of SMC decreased from original 1.33% to only 11.92 mg/kg at the preferred conditions of 500°C for 60 min and the treated SMC passed the Toxicity Characteristics Leaching Procedure (TCLP) test. Simultaneously, catalyst support activated carbon (AC) was regenerated with specific surface area increasing from original 263.85 to 627.5 m2/g. The organics from macropores and surface of AC was removed by pretreatment, intensifying the subsequent Hg removal and regeneration of AC as revealed by the comparative studies. Finally, SMC was subjected to water leaching for recovering metal values. 88.7% of Ba and 95.3% of Ce were leached with ultrasonic power 500 W and ultrasonic time 120 min. SMC was detoxified and valuable components Hg, AC, Ba, Ce were recovered by this new process, which may provide a new idea for industrial treatment of SMC.The stress-buffering effects of cotyledonary leaves of Ricinus communis and the protection thus offered to the true leaves upon exposure to copper stress was performed by analyzing bioaccumulation of Cu and associated metabolic processes in the presence and absence of cotyledonary leaves. One-month-old seedlings of R. communis were treated with various concentrations of CuSO4 for 6 d under hydroponics with quarter strength modified Hoagland medium. Even though the photosynthetic pigments showed a decreasing trend with an increase in CuSO4 concentration and days of exposure in cotyledonary and true leaves, it was significant in true leaves with excised cotyledonary leaves. check details The results of chlorophyll a fluorescence parameters indicated that toxic levels of CuSO4 do not impart any major negative effect on the photochemistry of true leaves along with cotyledonary leaves. The analysis of osmolality, malondialdehyde, and metabolites showed a significantly increasing trend in true leaves with excised cotyledonary leaves. The above observations were strongly supported by higher Cu bioaccumulation in true leaves with excised cotyledonary leaves. The results suggest that the cotyledonary leaves have got the potential to evade Cu toxicity and thereby R. communis can be effectively used for the phytoremediation of Cu contaminated lands.Soft robotics is a field of robotic system design characterized by materials and structures that exhibit large-scale deformation, high compliance, and rich multifunctionality. The incorporation of soft and deformable structures endows soft robotic systems with the compliance and resiliency that makes them well adapted for unstructured and dynamic environments. Although actuation mechanisms for soft robots vary widely, soft electrostatic transducers such as dielectric elastomer actuators (DEAs) and hydraulically amplified self-healing electrostatic (HASEL) actuators have demonstrated promise due to their muscle-like performance and capacitive self-sensing capabilities. Despite previous efforts to implement self-sensing in electrostatic transducers by overlaying sinusoidal low-voltage signals, these designs still require sensing high-voltage signals, requiring bulky components that prevent integration with miniature untethered soft robots. We present a circuit design that eliminates the need for any high-voltage sensing components, thereby facilitating the design of simple low cost circuits using off-the-shelf components. Using this circuit, we perform simultaneous sensing and actuation for a range of electrostatic transducers including circular DEAs and HASEL actuators and demonstrate accurate estimated displacements with errors less then 4%. We further develop this circuit into a compact and portable system that couples high voltage actuation, sensing, and computation as a prototype toward untethered multifunctional soft robotic systems. Finally, we demonstrate the capabilities of our self-sensing design through feedback control of a robotic arm powered by Peano-HASEL actuators.

Prostate cancer (CaP) incidence and mortality rate are increasing in Africa. Some have linked oxidative stress with the pathogenesis of cancer. This study assessed the levels of malondialdehyde (MDA), nitric oxide (NO), total plasma peroxide (TPP), and total antioxidant capacity (TAC) in Nigerian patients with CaP.

One hundred twenty patients with CaP and 100 apparently healthy controls were consecutively recruited into this case-control study. The patients with CaP were divided into treatment-naïve and androgen deprivation therapy (ADT)-treated groups. Anthropometric indices were measured, and MDA, NO, TAC, and TPP were assayed by colorimetric methods. The

test and analysis of variance were used in analysis of data; statistical significance was set at

< .05, and 95% CIs were reported.

The patients with CaP had significantly higher waist-hip ratios and NO (

= .0001), TPP (

= .001), oxidative stress index (OSI;

= .003), and MDA values (

= .002) than controls. The treatment-naive patients with CaP had significantly higher waist-hip ratios (

= .