Transcranial brain parenchyma sonography in patients with juvenile myoclonic epilepsy

INTRODUCTION

There are rising evidences that subcortical structures, including the basal ganglia, are affected in patients with epilepsy. These structures are thought to influence the modulation and phenotypic expression of epileptic seizures. Our study aimed to evaluate the presence of structural abnormalities in subcortical structures in patients with juvenile myoclonic epilepsy (JME).

METHODS

This cross-sectional study included 51 patients who were diagnosed with JME and who were monitored on an outpatient basis at the Clinic for Neurology and Psychiatry for Children and Youth in Belgrade from January 1985 to October 2017. All patients underwent transcranial parenchymal sonography (TCS) from October 2015 to October 2017. Relation of clinical parameters (seizure control andcognitive functioning,) with TCS results was assessed.

RESULTS

Hyperechogenicity of the substantia nigra (SN) was detected in 37.2% of JME subjects and it was significantly more common in patients with JME than in the control group. The marked echogenicity of the red nucleus (RN) was detected in 17.6% of cases, while 11.8% of subjects had hyperechogenic RN. The presence of hyperechogenic RN (both right and left) was significantly more frequent in the group of patients with JME compared to the control group. The third ventricle diameter was larger in patients with JME than in controls.

CONCLUSION

Structural changes of certain subcortical structures, primarily SN and RN, detected in JME patients indicate additional non-lesional abnormalities of the basal ganglia and midbrain structures in these patients.

Selective adsorption of sulphur dioxide and hydrogen sulphide by metal-organic frameworks

The removal of highly toxic gasses such as SO₂ and H₂S is important in various industrial and environmental applications. Metal organic frameworks (MOFs) are promising candidates for the capture of toxic gases owing to their favorable properties such as high selectivity, moisture stability, thermostability, acid gas resistance, high sorption capacity, and low-cost regenerability. In this study, we perform first principles density functional theory (DFT) and grand-canonical Monte Carlo (GCMC) simulations to investigate the capture of highly toxic gases, SO₂ and H₂S, by the recently designed ZTF and MAF-66 MOFs. Our results indicate that ZTF and MAF-66 show good adsorption performances for SO₂ and H₂S capture. The nature of the interactions between H₂S or SO₂ and the pore surface cavities was examined at the microscopic level. SO₂ is adsorbed on the pore surface through two types of hydrogen bonds, either between O of SO₂ with the closest H of the triazole 5-membred ring or between O of SO₂ with the hydrogen of the amino group. For H₂S inside the pores, the principal interactions between H₂S and surface pores are due to a relatively strong hydrogen bonds established between the nitrogens of the organic part of MOFs and H₂S. Also, we found that these interactions depend on the orientation of SO₂/H₂S inside the pores. Moreover, we have studied the influence of the presence of water and CO₂ on H₂S and SO₂ capture by the ZTF MOF. The present GCMC simulations reveal that the addition of H₂O molecules at low pressure leads to an enhancement of the H₂S adsorption, in agreement with experimental findings. However, the presence of water molecules decreases the adsorption of SO₂ irrespective of the pressure used. Besides, SO₂ adsorption is increased in the presence of a small number of CO₂ molecules, whereas the presence of carbon dioxide in ZTF pores has an unfavorable effect on the capture of H₂S.

The Association between NOTCH3 expression and the clinical outcome in the urothelial bladder cancer patients

Disrupted NOTCH activity is a driving event in urothelial bladder cancer (UBC). After activation by hypoxia, the NOTCH3 receptor participates in tumor cell proliferation, acquisition of the epithelial-mesenchymal transition phenotype, and angiogenesis. The aim was to analyze the association of NOTCH3 expression with histopathological and clinical parameters and to determine its predictive impact on the clinical outcome in UBC patients. The present research included 614 UBC samples incorporated in paraffin tissue microarrays, evaluated by immunohistochemistry for NOTCH3 expression. The accrual period was 4 years, while the follow-up period was 2 years. The membranous expression was semi-quantified (0-3), and the mean degree was 1.81 ± 0.94. Criteria for semi-quantification, the NOTCH3 expression, were the intensity of the staining and the percentage of positive cells. The samples with negative (0) and weak (1) NOTCH3 immunohistochemical (IHC) score were considered negative, while the samples that showed moderate (2) and strong (3) expression were considered positive. Higher degree of positivity was associated with higher risk of cancer-specific mortality (p < 0.001). Independent predictors for cancer-specific mortality were NOTCH3 expression and high stage (p < 0.001). NOTCH3 expression was not a statistically significant predictor of recurrence-free survival (p = 0.816). This study indicated that NOTCH3 is a predictor of poor outcome, suggesting that the NOTCH3 could be potentially reliable IHC marker for selecting the UBC patients that would require more intensive follow-up, especially if they diagnosed in higher stage, with divergent differentiation in pathological report, and without recurrences which would lead them to more frequent medical assessments.

In silico design of a new Zn-triazole based metal-organic framework for CO2 and H2O adsorption

In search for future good adsorbents for CO₂ capture, a nitrogen-rich triazole-type Metal-Organic Framework (MOF) is proposed based on the rational design and theoretical molecular simulations. The structure of the proposed MOF, named Zinc Triazolate based Framework (ZTF), is obtained by replacing the amine-organic linker of MAF-66 by a triazole, and its structural parameters are deduced. We used grand-canonical Monte Carlo (GCMC) simulations based on generic classical force fields to correctly predict the adsorption isotherms of CO₂ and H₂O. For water adsorption in MAF-66 and ZTF, simulations revealed that the strong hydrogen bonding interactions of water with the N atoms of triazole rings of the frameworks are the main driving forces for the high adsorption uptake of water. We also show that the proposed ZTF porous material exhibits exceptional high CO₂ uptake capacity at low pressure, better than MAF-66. Moreover, the nature of the interactions between CO₂ and the MAF-66 and ZTF surface cavities was examined at the microscopic level. Computations show that the interactions occur at two different sites, consisting of Lewis acid-Lewis base interactions and hydrogen bonding, together with obvious electrostatic interactions. In addition, we investigated the influence of the presence of H₂O molecules on the CO₂ adsorption on the ZTF MOF. GCMC simulations reveal that the addition of H₂O molecules leads to an enhancement of the CO₂ adsorption at very low pressures but a reduction of this CO₂ adsorption at higher pressures.

Axillary recurrence after modified radical mastectomy

Optimal management for axillary recurrence is poorly understood. The aim of this study was to evaluate the risk factors for overall survival in the patients with axillary recurrence. Data of 1098 patients were collected from breast cancer registers from Clinic for Oncology Nis between 1990-1995. All patients underwent modified radical mastectomy. Axillary recurence was diganosed in 43 (3.92%) patients. Most patients were presented with a localized, palpable axillary mass 30 (69.77%). Cox multivariate analysis of prognostic factors for breast cancer-specific survival showed that node status HR 4.69 (1.50 to 14.72), tumor size HR 3.18 (0.90 to 11.26) and axillary radiotherapy HR 1.99 (0.69 to 5.75) had statistically significant effect on breast cancer mortality. Log-rank (54.21 p < 0.001) analysis showed significant difference for overall survival among women with a axillary recurrence based on different cancer stages. Tumor size and node status were the most important prognostic factors in women with axillary recurrence.