Search Results (132)

Background and Objectives: Breast reconstruction following mastectomy improves quality of life and psychosocial outcomes, yet it is not consistently performed despite multiple federal mandates. Current data shows decreased reconstruction in minority races, those with a low socioeconomic status, and those holding public health insurance. Many barriers remain misunderstood or unstudied. This study examines barriers to post-mastectomy breast reconstruction to promote a supportive clinical climate by addressing multifactorial obstacles to equitable access to care. Materials and Methods: The California Cancer Registry Data Surveillance, Epidemiology, and End Results (SEER) database and California Health and Human Services Agency Cancer Surgeries Database (2013–2021 and 2000–2021, respectively) were used in this retrospective observational study on mastectomy with immediate breast reconstruction (IBR), delayed breast reconstruction (DBR), or mastectomy only (MO) rates. Data were collected on age, sex, race, insurance type, hospital type, socioeconomic status, and residence. Pearson’s chi-square analysis was performed. Results: We found that 168,494 mastectomy and reconstruction surgeries were performed (82.36% MO, 7% IBR, 10.6% DBR). The 40–49 age group received significantly less MO (38.1%) compared to the 70–74 age group (94.8%, (p = <0.001). Significantly more reconstruction was carried out in patients with private, HMO, or PPO insurance (IBR 75.86%, DBR 75.32%, p = <0.001). Almost all breast surgeries were in urban areas as opposed to rural/isolated rural areas (96.02% vs. 1.55%, p = <0.001). There was no significant difference between races. Of all surgeries, 7.46% were completed in a cancer center with significantly higher rates of IBR. LA County, San Luis Obispo/Ventura County, and Northern CA had significantly more MO than other regions (p = <0.001). Conclusions: Reconstruction rates after mastectomy are low, with only 17.64% of patients undergoing reconstruction. Nationally, 70.5% of patients received MO, with 29.6% undergoing reconstruction. Significant factors positively contributing to reconstruction were private insurance, high SES, cancer center care, and urban residency. Identified barriers include public health insurance enrollment, rural or non-urban residence, older age, low SES, and non-white race/ethnicity, indicating potential monetary influences on care. Full article

A variety of variables, such as organic matter input, redox conditions, depositional rates, and terrigenous input, affect the deposition of black shale. Furthermore, because of the significant regional variations in paleodepositional environments, these factors have a complex role in organic matter enrichment. Global geological events influenced sedimentary conditions, organic enrichment, and the development of organic-enriched shales during the Late Ordovician to Early Silurian. The Wufeng–Longmaxi Formation black shales in Southeastern Chongqing were analyzed for X-ray diffraction (XRD), major and trace element geochemistry, and total organic carbon (TOC) data; this led to further analysis of the relationship between the depositional environment and organic matter aggregation and rock type evolution. The primary minerals found in the Wufeng–Longmaxi shale are quartz, feldspar, carbonatite (calcite and dolomite), and clay. The high index of compositional variability (ICV) values (>1) and the comparatively low chemical index of alteration (CIA) values (52.6–72.8) suggest that the sediment source rocks are juvenile and are probably experiencing weak to moderate chemical weathering. The selected samples all show negative Eu anomalies, flat heavy rare earth elements, and mildly enriched light rare earth elements. The ratios of La/Th, La/Sc, Th/Sc, ΣREE-La/Yb, TiO₂-Ni, and La/Th-Hf suggest that acidic igneous rocks were the main source of sediment, with minor inputs from ancient sedimentary rocks. The correlations of paleoclimate proxies (Sr/Cu, CIA), redox proxies (V/Cr, V/Ni, V/(V + Ni), Ni/Co, U/Th), paleoproductivity proxies (Ba_xs, Cu_EF, Ni_EF), and water mass restriction proxies (Mo/TOC, U_EF, Mo_EF) suggest a humid–semiarid, anoxic, moderate–high paleoproductivity, and moderate–strongly restricted environment. On the basis of the aforementioned interpretations, the paleoenvironment of the Wufeng–Longmaxi Formations was established, with paleoredox conditions and restricted water masses likely being the primary factors contributing to organic matter enrichment. Full article

A Pt@CeLaCoNiOx/Co@SnO₂ laminated MOS sensor was prepared using Co@SnO₂ as the gas-sensitive film material and Pt@CeLaCoNiOx as the catalytic film material. The sensor was verified to exhibit good sensing performances for dimethyl methylphosphonate, a simulant of Sarin, under a temperature modulation, and characteristic peaks appeared in the resistance response curves only for dimethyl methylphosphonate. The Article Swarm Optimization-Backpropagation Neural Network had a good ability to identify the resistance response data of dimethyl methylphosphonate. The identification accuracy increased as the concentration of dimethyl methylphosphonate increased. This scheme can effectively identify whether the test gas contained dimethyl methylphosphonate or not, which provided a reference for achieving the high selectivity of the MOS sensor for Sarin. Full article

Chelidonium majus L. is a species with a wide medicinal use, commonly found in anthropogenically degraded habitats, forest edges, and urban parks. This study aimed to determine the chemical composition of the leaves, stems, and roots of Ch. majus and the soil in its rhizosphere in terms of the content of the main elements (Fe, Ca, P, Mg, Al, Na, K, S), trace elements and rare earth minerals (Ti, Mo, Ag, U, Au, Th, Sb, Bi, V, La, B, W, Sc, Tl, Se, Te, Ga, Cs, Ge, Hf, Nb, Rb, Sn, Ta, Zr, Y, Ce, In, Be, and Li), and their comparison in the parts analyzed. The study was conducted in five urban parks in southern Poland in a historically industrialized area. The results showed that Ca has the highest content among the macroelements. Its leaf content ranges from 24,700 to 40,700 mg·kg⁻¹, while in soil, it ranges from 6500 to 15,000 mg·kg⁻¹. In leaves, low values of Al (100–500 mg·kg⁻¹) and Na (100 mg·kg⁻¹) were found in comparison to the other elements tested, while high values of Al (5100–9800 mg·kg⁻¹) were found in soils. Among the macroelements in the Ch. majus stems, K showed the highest concentration (>100,000 mg·kg⁻¹), while the Ca content was 3–4 times lower in the stems than in the leaves. Rhizomes of Ch. majus accumulate the most K and Ca, in the range of 22,800–29,900 mg·kg⁻¹ and 5400–8900 mg·kg⁻¹, respectively. Fe and Al in all locations have higher values in the soil than in the tissues. In turn, the content of Ca, P, Mg, K, and S is higher in plants than in the soil. Determining the elemental content of medicinal plants is important information, as the plant draws these elements from the soil, and, at higher levels of toxicity, it may indicate that the plant should not be taken from this habitat for medicinal purposes. Full article

The catalytic esterification of levulinic acid (LA) to methyl levulinate (ML) was investigated using copper molybdate (Cu₃(MoO₄)₂(OH)₂) as a heterogeneous catalyst. The catalyst, synthesized via chemical precipitation, exhibited a monoclinic structure with self-assembled nanoplates forming spherical mesostructures. Structural characterization confirmed its high crystallinity, while textural analysis revealed a BET surface area of 70.55 m² g⁻¹ with pore sizes in the nanometric range (1–6 nm). The catalytic performance was systematically evaluated under varying reaction conditions, including temperature, catalyst dosage, reaction time, methanol-to-LA molar ratio, alcohol type, and catalyst reusability. Optimal conversion of 99.3% was achieved at 100 °C, a 1:20 methanol-to-LA molar ratio, 5% catalyst loading, and a reaction time of 4 h. Comparative analysis with other heterogeneous catalysts demonstrated superior efficiency and stability of Cu₃(MoO₄)₂(OH)₂, with minimal activity loss over four reuse cycles (final conversion of 77.1%). Mechanistic insights suggest that its high activity is attributed to Lewis and Brønsted acid sites, facilitating efficient esterification. This study underscores the potential of copper molybdate as a sustainable and recyclable catalyst for biofuel additive synthesis, advancing green chemistry strategies for biomass valorization. Full article

The Yidun island arc was formed in response to the Late Triassic westward subduction of the Ganzi–Litang oceanic plate, a branch of the Paleo-Tethys Ocean. The Zhongdian arc, located in the south of the Yidun island arc, has relatively large number of porphyry (skarn) type Cu–Mo ± Au polymetallic deposits, the largest of which is the Pulang Cu (–Mo–Au) deposit with proven Cu reserves of 5.11 Mt, Au reserves of 113 t, and 0.17 Mt of molybdenum. However, the relationship between mineralization and the potassic alteration zone, phyllic zone, and propylitic zone of the Pulang porphyry deposit is still controversial and needs further study. Titanite (CaTiSiO₅) is a common accessory mineral in acidic, intermediate, and alkaline igneous rocks. It is widely developed in various types of metamorphic rocks, hydrothermally altered rocks, and a few sedimentary rocks. It is a dominant Mo-bearing phase in igneous rocks and contains abundant rare earth elements and high-field-strength elements. As an effective geochronometer, thermobarometer, oxybarometer, and metallogenic potential indicator mineral, titanite is ideal to reveal the magmatic–hydrothermal evolution and the mechanism of metal enrichment and precipitation. In this paper, major and trace element contents of the titanite grains from different alteration zones were obtained using electron probe microanalysis (EPMA) and laser-ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) to define the changes in physicochemical conditions and the behavior of these elements during the process of hydrothermal alteration at Pulang. Titanite in the potassic alteration zone is usually shaped like an envelope. It occurs discretely or is enclosed by feldspar, with lower contents of CaO, Al, Sr, Zr and Hf; a low Nb/Ta ratio; high ∑REE + Y, U, Th, Ta, Nb, and Ga content; and high FeO/Al₂O₃ and LREE/HREE ratios. This is consistent with the characteristics of magmatic titanite from fresh quartz monzonite porphyry in Pulang and other porphyry Cu deposits. Titanite in the potassium silicate alteration zone has more negative Eu anomaly and a higher U content and Th/U ratio, indicating that the oxygen fugacity decreased during the transformation to phyllic alteration and propylitic alteration in Pulang. High oxygen fugacity is favorable for the enrichment of copper, gold, and other metallogenic elements. Therefore, the enrichment of copper is more closely related to the potassium silicate alteration. The molybdenum content of titanite in the potassium silicate alteration zone is 10²–10⁴ times that of the phyllic alteration zone and propylitic alteration zone, while the copper content is indistinctive, indicating that molybdenum was dissolved into the fluid or deposited in the form of sulfide before the medium- to low-temperature hydrothermal alteration, which may lead to the further separation and deposition of copper and molybdenum. Full article

Although certain hypersaline endorheic lagoons in Spain have been investigated to evaluate the composition, spatial structure, and ecological roles of their macro- and microbiota, the fungi inhabiting these niches remain largely unexplored. In this study, we isolated several microfungi from the Salada Grande de Chiprana and La Playa lagoons, located in the Saladas de Chiprana (Directed Natural Reserve and Ramsar Wetland) and the Saladas de Sástago–Bujaraloz (Ramsar Wetland), respectively. As a result of morphological characterization and phylogenetic analysis using four informative molecular markers, we report the discovery of two new species of the genus Montagnula (M.), M. globospora and M. terricola, as well as one new species of Monosporascus (Mo.), Mo. auratispora. Montagnula globospora, isolated from a sediment sample from Salada Grande de Chiprana lagoon, is the only species of the genus producing unicellular, globose ascospores inside cleistothecial ascomata with a cephalothecoid peridium. Montagnula terricola was originally isolated from a soil sample in Malawi (ex-type strain). However, we have also identified another strain of this species from a sediment sample collected at La Playa lagoon. The remarkable features of M. terricola are the production of non-cephalothecoid cleistothecial ascomata and bicellular, bi-cupulate ascospores. Regarding Mo. auratispora, it was isolated from sediments of Salada Grande de Chiprana and is characterized by the production of golden-brown ascospores that do not turn black with age. Also, due to the results of our phylogenetic analysis, we transferred Herpotrichia striatispora to the genus Montagnula, as M. striatispora, and Montangula jonessi to the new genus Neomontagnula (N.), as N. jonessi. Full article

Water pollution caused by emerging contaminants is increasing due to rising urbanization, industrialization, and agriculture production; therefore, new materials with high efficiency for wastewater decontamination are needed. A perovskite material based on 1% Ag-doped LaMnO₃ synthesized through a sol–gel technique was combined with PVP in a 1:10 (w/w) ratio and subjected to different temperature and microwave conditions at various time intervals. The composite materials were obtained as thin films (S1, S2) or powders (S3) and were analyzed by modern techniques. The SEM analysis showed strongly agglomerated, asymmetric formations for the S1, S2 materials; as for the S3 composite, irregularly shaped grains of perovskite were deposited on the polymer surface. Small, round formations across the surface, mainly organized as clusters with conic/square-shaped particles and observed asperity on top, were highlighted by AFM images. The XRD spectra confirmed the presence of both the perovskite and PVP phases, and the crystallite size of the materials was determined to be in the range of 33–43 nm. The structural analyses, FT-IR, and Raman spectroscopy proved the interactions between the perovskite and the polymer, which led to novel composite materials. The different methods used for the synthesis of the new materials influenced their features and behavior. Moreover, the composites were successfully tested for methyl orange (MO) elimination from an acidic aqueous solution in dark conditions, with fast and complete (>95%) MO degradation at pH = 2. Full article

NiFe-layered double hydroxide (NiFe-LDH) and La-, Mo- or W-doped NiFe-LDH microparticles (NiFeX-LDH, X = La, Mo, W) were synthesized via the co-precipitation method. Their adsorption characteristics were evaluated by the removal of methyl orange (MO) and hexavalent chromium (Cr⁶⁺). The effects of the metal ion doping type, doping concentration (0–3at%), pH and temperature on the MO adsorption properties were systematically studied. The results show that W-doped NiFe-LDH exhibits superior MO removal capacity compared to undoped or La- or Mo-doped NiFe-LDH at the same 1at% doping level, which is attributed to the increased layer charge density and strong affinity for the π-electron systems of MO molecules. The NiFeW-LDH-1at% sample demonstrated the best MO adsorption performance within the W-doping range of 0–3at%, achieving a superior adsorption capability of 666.67 mg/g with a significantly shorter equilibrium time (10–120 min) compared to the similar LDH. NiFeW-LDH-1at% showed promising reusability, with its adsorption efficiency remaining 78.3% of its initial level after five adsorption–desorption cycles. The MO uptake onto NiFeX-LDH was attributed to the combined effect of anion exchange and the attraction of layer charge. In addition, the adsorption of NiFeW-LDH-1at% matched well with the Langmuir isotherm model and pseudo-second-order kinetic model, indicating a monolayer and chemical adsorption. Furthermore, NiFeW-LDH-1at% effectively adsorbed of Cr₂O₇²⁻ in the aqueous solution, revealing that W doping significantly enhances Cr(VI) removal performance. The maximum theoretical adsorption capacity onto NiFeW-LDH-1at% reached 63.25 mg/g, which was notably higher than that of the pristine NiFe-LDH adsorbent (53.56 mg/g). Overall, the W-doped NiFe-LDH material, as a low-cost and highly efficient adsorbent, shows great potential for wastewater treatment application. Full article

The proviral load (PVL) of the bovine leukemia virus (BLV) is a useful index for estimating disease progression and transmission risk. Real-time quantitative PCR techniques are widely used for PVL quantification. We previously developed a dual-target detection method, the “Liquid Dual-CoCoMo assay”, that uses the coordination of common motif (CoCoMo) degenerate primers. This method can detect two genes simultaneously using a FAM-labeled minor groove binder (MGB) probe for the BLV long terminal repeat (LTR) region and a VIC-labeled MGB probe for the BoLA-DRA gene. In this study, we evaluated the diagnostic and analytical performance of the Dual-CoCoMo assay targeting the LTR region by comparing its performance against the commercially available Takara multiplex assay targeting the pol region. The diagnostic sensitivity and specificity of the Liquid Dual-CoCoMo assay based on the diagnostic results of the ELISA or original Single-CoCoMo qPCR were higher than those of the Takara multiplex assay. Furthermore, using a BLV molecular clone, the analytical sensitivity of our assay was higher than that of the Takara multiplex assay. Our results provide the first evidence that the diagnostic and analytical performances of the Liquid Dual-CoCoMo assay are better than those of commercially available multiplex assays that target the pol region. Full article

Herein, we report the synthesis and characterization of lanthanum-doped MoS₂ (La-MoS₂) via a hydrothermal route. The synthesized La-MoS₂ was characterized using powder X-ray diffraction (PXRD), scanning electron microscopy (SEM), and energy-dispersive X-ray (EDX) techniques. The band gap of La-MoS₂ was observed to be 1.68 eV, compared to 1.80 eV for synthesized MoS₂. In the photoluminescence (PL) spectra, a decrease in the intensity was observed for La-MoS₂ compared to MoS₂, which suggests that due to doping with charged La³⁺, separation increases. The as-synthesized MoS₂ and La-MoS₂ were used for photocatalytic hydrogen evolution reactions (HERs), exhibiting 928 µmol·g⁻¹ evolution of H₂ in five hours for a 10 mg dose of La-MoS₂, compared to 612 µmol·g⁻¹ for MoS₂. A 50 mg mass of the catalyst (La-MoS₂) exhibited enhanced H₂ production of 1670 µmol·g⁻¹ after five hours. The higher rate of the HER for La-MoS₂ is because of doping with La³⁺. The photocatalytic hydrogen evolution performance of La-MoS₂ was also evaluated for different doses of La-MoS₂ exhibiting reusability up to the fourth cycle, showing potential applications of La-MoS₂ in hydrogen evolution reactions. Mechanistic aspects of the HER on the surface of La-MoS₂ have also been discussed. Full article

This paper presents the results of research on the possibility to obtain CRMs (REEs) and industrial metals (Zn) from slag as a waste generated as part of zinc and lead extraction processes. Physicochemical methods were used to separate CRM and Zn concentrates: magnetic separation, sintering with NaOH and leaching with selected mineral acids. After analysing the obtained results, it was found that the use of concentrated hydrochloric acid and a temperature of 363 K for leaching was effective in separating REEs from slags obtained from current production. The recovery rate in this case ranged from 83.73% for La to 98.03% for Eu. For slag samples (M1) obtained from current production from ZGH Bolesław S.A.(Poland) as well as HC Miasteczko Śląskie S.A. (Poland) and treated with concentrated HCl, the leaching level of Bi, Zn, Ni, Mn and P exceeded 90% compared to the content in the reference sample. For a historical slag sample from Ruda Śląska (Poland), treatment with concentrated HCl yielded a high leaching level of Cd (70.90%), Pb (78.66%), As (72.49%) and Mo (61.90%). A concentrate containing 1.64% of REEs and 67.1% of Zn was isolated from the solutions obtained after leaching by precipitation. An economic analysis of an REE concentrate extraction facility was also performed. For an operation of 17 years, the calculated NPV was −26,352,644 million EUR. The obtained results indicate that, for the analysed facility, recovering metals and critical raw materials from slag as a waste mass is not economically effective. Full article

Members of Asteraceae family have properties enabling their application for medical purposes. The major- and microelement content in 15 medicinal species of the Asteraceae family growing in the National Botanical Garden, Republic of Moldova was determined by instrumental neutron activation analysis. A total of 31 chemical elements, Na, Mg, Al, Cl, K, Ca, Sc, V, Cr, Mn, Fe, Co, Ni, Zn, As, Se, Br, Rb, Sr, Mo, Sb, Cs, Ba, La, Ce, Sm, Tb, Hf, Ta, Th and U, were identified in herbal samples. Potassium was found to be the most abundant major element; its content in plants ranged from 20,700 mg/kg in Artemisia lerchiana to 58,000 mg/kg in Matricaria recutita. The content of other major elements existed in the following ranges: Ca from 4700 to 14,200 mg/kg and Mg from 1710 to 3870 mg/kg. The maximum content of Mg, K and Ca in analyzed plants was higher compared to data presented in the literature. Among essential microelements the most abundant were Fe (83–910 mg/kg), Mn (23–150 mg/kg) and Zn (27–76 mg/kg). The daily intake of metal and the health risk index for selected elements (As, Ni, Sb, V, Mn, Cr, Co, U, Sr, Al, Fe, and Zn) were calculated. Health risk indexes were obtained for V and Co in Calendula officinalis, Tanacetum balsamita, Achillea clypeolata, Artemisia balchanorum, Artemisia lerchiana, Helichrysum arenarium, and Matricaria recutita. The principal component analysis showed three associations of elements, which can be defined as physiological, geological and anthropogenic sources of elements. Full article

Novel multicomponent glasses with nominal compositions of (50−x)MoO₃:xWO₃:25La₂O₃:25B₂O₃, x = 0, 10, 20, 30, 40, 50 mol% doped with 3 mol % Eu₂O₃ were prepared using a conventional melt-quenching method. Their structure, thermal behavior and luminescent properties were investigated by Raman spectroscopy, differential thermal analysis and photoluminescence spectroscopy. The optical properties of the glasses were investigated by UV–vis absorption spectroscopy and a determination of the refractive index. Physical parameters such as density, molar volume, oxygen molar volume and oxygen packing density were determined. The glasses are characterized by a high glass transition temperature. Raman analysis revealed that the glass structure is built up mainly from tetrahedral (MoO₄)²⁻ and (WO₄)²⁻ units providing Raman bands of around 317 cm⁻¹, 341–352 cm⁻¹, 832–820 cm⁻¹ and 928–935 cm⁻¹. At the same time, with the replacement of MoO₃ with WO₃ some fraction of WO₆ octahedra are produced, the number of which increases with the increasing WO₃ content. A strong red emission from the ⁵D₀ level of Eu³⁺ ions was registered under near-UV (397 nm) excitation using the ⁷F₀ → ⁵L₆ transition of Eu³⁺. Photoluminescence (PL) emission gradually increases with increasing WO₃ content, evidencing that WO₃ is a more appropriate component than MoO₃. The integrated fluorescence intensity ratio R (⁵D₀ → ⁷F₂/⁵D₀ → ⁷F₁) was calculated to estimate the degree of asymmetry around the active ion, suggesting a location of Eu³⁺ in non-centrosymmetric sites. All findings suggest that the investigated glasses are potential candidates for red light-emitting phosphors. Full article

Purpose: We aimed to develop a nomogram able to predict treatment failure, skeletal events, and overall survival (OS) in patients with castration-resistant prostate cancer with bone metastases (CRPC-BM) treated with Radium-223 dichloride (²²³Ra). Patients and Methods: Patients from the Castilla-La Mancha Spanish region were prospectively included in the ChoPET-Rad multicenter study from January 2015 to December 2022. Patients underwent baseline, interim, and end-of-treatment bone scintigraphy (BS) and ¹⁸F-Fluorocholine PET/CT (FCH PET/CT) scans, obtaining multiple imaging radiomics as well as clinical and biochemical variables during follow-up and studying their association with the previously defined end-points. Survival analysis was performed using the Kaplan–Meier method and Cox regression. Multivariate logistic and Cox regression models were calculated, and these models were depicted by means of nomograms. Results: Median progression-free survival (PFS) and OS were 4 and 14 months (mo), respectively. The variables that showed independent and significant association with therapeutic failure were baseline alkaline phosphatase (AP) levels (p = 0.022) and the characteristics of BM on the CT portion of PET/CT (p = 0.017). In the case of OS, the significant variables were therapeutic failure (p = 0.038), the number of lines received after ²²³Ra (p < 0.001), average SUVmax (p = 0.002), bone marrow infiltration in FCH PET/CT (p = 0.006), and interim FCH PET/CT response (p = 0.048). Final nomograms included these variables, showing good discrimination among the 100 patients included in our study. In the study of skeletal events, only OS showed a significant association in the multivariate analysis, resulting in an inconsistent nomogram design. Conclusions: FCH PET/CT appears to be a good tool for evaluating patients eligible for treatment with ²²³Ra, as well as for their follow-up. Thus, findings derived from it, such as the morphological characteristics of BM in the CT, bone marrow infiltration, or the response to ²²³Ra in the interim study, have proven to be solid and useful variables in the creation of nomograms for predicting therapeutic failure and OS. Full article